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contaminates coming in contact with the technician cannulated instruments are brushed through the lumen with correct size brushes to remove anything that is trapped in the cannula you repeat this process until the brush is visibly clean the canel exam flush with high pressure water to remove any loose soil you repeat this until the water coming out of the candle is visibly clean once this is completed high pressure air is blown through the lumen on a lint-free cloth to check for cleanliness