Cleaning and Decontamination Guideline
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CLEANING AND DECONTAMINATION GUIDELINES CUBESCAN BIOCON-700 BLADDER SCANNER COVID-19 We will continue to monitor the situation but at present, our standard cleaning and disinfecting guidance remains unchanged and is as follows. DEFINITIONS Cleaning – a process that physically removes contamination but does not necessarily destroy microorganisms. Cleaning is a necessary pre-requisite to ensure effective disinfection or sterilisation. Decontamination – a process, which removes or nullifies contamination by biomass reduction and thereby prevents microorganisms reaching a susceptible (body) site in sufficient quantities to cause infection. EQUIPMENT PREPARATION Prior to cleaning or decontaminating the CUBEScan BioCon range of bladder scanners ensure that the device is not connected to the mains and is switched off. Care should be taken when handling the probe. Ensure it is not knocked or dropped during the cleaning or decontamination process. IT IS RECOMMENDED TO CHECK THE OPERATION OF THE BLADDER SCANNER AFTER CLEANING AND DECONTAMINATION. PRECAUTIONS • • • • • •
Do not use harsh or corrosive chemicals e.g. hydrochloric acid, bleach, or abrasive cleaners on the probe. To avoid electric shock, disconnect the system from the AC mains and the battery. Ensure that you follow the manufacturer’s instructions for handling and disposing of the cleaning and disinfection solutions provided in this guide. Do not re-use cloths or wipes. Do not subject any part of the instrument to pressure sterilisation, hydrogen peroxide fogging, steam, ethylene oxide, radiation, or similar methods of sterilisation or autoclaving. Do not immerse the probe, probe cable, probe plug, scanner main unit, or the charger and mains lead into water or any cleaning fluids. o NB: The tip of the probe, as indicated below, may be immersed as part of the cleaning and disinfecting procedure if necessary:
CLEANING Prior to using the scanner, it is recommended that the following cleaning methods are followed. Cleaning is critical to ensuring the scanner is ready for decontamination. Failure to complete the cleaning process could result in a contaminated bladder scanner following decontamination. Ensure the wipes have not expired. Based on the normal use of the CUBEScan BioCon range of bladder scanners and the tissue it contacts during normal use, we recommend low level disinfection is the minimum level required. Probe
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Inspect the probe and cable for any damage such as cracks. Remove excess ultrasound gel from the probe using a clean paper towel. Wipe the probe using detergent wipes as recommended by the trust.
Cable, display and trolley • Wipe the probe cable, scanner main unit and display and trolley with detergent wipes as recommended by the trust. • Allow the bladder scanner to remain wet for the minimum stated period of time on cleaning product. • Allow the probe, display and trolley to dry for at least 20 seconds prior to use. It is recommended to wipe the bladder scanner, particularly the probe, with a clean cloth or paper towel(s) to ensure all residual cleaning materials are removed from the scanner. CLEANING PROCEDURE After each use of the scanner, it is recommended that the following cleaning methods are followed: Cleaning the outer case (housing) of the system: • Air dry or towel dry with a soft clean cloth. • Wipe the main body 1-2 times using a soft cloth dampened with isopropyl alcohol or any other appropriate hospital cleaning solution to 1000 ppm. Do not allow liquids to leak into the device while cleaning. • Dry the device completely with a clean dry cloth before using. Cleaning the probe: Since the surface of the probe affects the result of data, users should keep to the following: • Inspect the probe and cable for any damage such as cracks. • Air dry or towel dry with a soft clean cloth. • Before using the device wipe the probe head 4-5 times with a soft cloth dampened with isopropyl alcohol or any other appropriate hospital cleaning solution to 1000 ppm. • Dry the device completely with a clean dry cloth before using. • Remove any residue of gel from the probe after scanning is complete. DISINFECTION Disinfection of the probe • Inspect the probe and cable for damage such as cracks. • Clean the probe prior to disinfection. • Dampen a soft cloth with disinfection solution listed in the table below. • Wipe the probe with the dampened cloth. Air dry or towel dry with a soft clean cloth. Do not use harsh or corrosive chemicals e.g. hydrochloric acid, bleach. To avoid electric shock, disconnect the system from the AC mains and the battery. A complete list of manufacturer-approved disinfectants is provided at the end of this guidance. DEEP CLEANING Should either the outer case of the scanner unit or the probe become contaminated with faeces, urine or blood or any other dangerous bacteria, it is advised to clean with a cleaning agent to 10000 ppm such as Chlor-Clean 4.5g Haz Tabs following the Chlor-Clean manufacturer's dilution instructions. Following this the following must be carried out: 'that after surfaces have been disinfected for about 15 minutes the area should be washed off with a fresh water dampened soft, clean cloth and DRIED carefully afterwards.’ Failure to follow these instructions could lead to damage of the plastic outer casing of both the scanner unit and the probe and will be considered as abuse and will void the warranty. Hydrogen Peroxide Vapour 4.9% (Deprox) – probe only. Suitable for use with the probe only as long as the integrity of the probe is in-tact. Please follow the guidance within this document following the procedure. Not suitable for the main unit as it is not sealed. The BioCon-700 is compatible with UV environmental decontamination.
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DISINFECTANTS LISTS FOR THE PROBE DISINFECTION Use any glutaraldehyde-based disinfectant to disinfect the probe. Do not use Cidex Plus or Metricide Plus 30 to disinfect the device. Cidex Plus or Metricide Plus 30 will attack and damage the plastic enclosure. This will be considered as abuse and will void the warranty.
There are two types of probe supplied with the BioCon-700: PROBE 3B70201020 - AVAILABLE FROM MARCH 2018 The following solutions have demonstrated material compatibility with the following probes: Picture
Part numbers
Parts
Remarks
3B70201020
Probe (Transducer)
Note: The probe may vary depending on your purchasing specifications.
Disinfection Solutions Actichlor Plus (max 1000ppm) Caltech Dispatch™ CaviWipes 1™ Chlorine Disinfection
Manufacturer Ecolab Clorox Healthcare® Metrex Research Inc. WETWIPE®
CleanCide Wipes Clinell Universal wipes/disinfectant wipes Clorox Healthcare® Bleach Germicidal Wipes Clorox Healthcare® Hydrogen Peroxide Ethanol Disinfection Medipal detergent and disinfectant wipes Micro-Kill Bleach Germicidal Bleach Wipes
Wexford Labs Gama Healthcare Ltd Clorox Healthcare®
Micro-Kill Disinfectant Wipes Micro-Kill One Germicidal Alcohol Wipes
Medline industries, Inc. Medline industries, Inc.
Micro-Kill+ Disinfectant Wipes Quaternary Disinfectant Wipes Sani-Cloth® AF3 Sani-Cloth® Bleach Sani-Cloth® HB Sani-Cloth® Plus Sani-Cloth® Universal Super Sani-Cloth® SURFA'SAFE Premium Triamin Disinfection WIP'ANIOS Excel
Medline industries, Inc. Ecolab PDI® healthcare PDI® healthcare PDI® healthcare PDI® healthcare PDI® healthcare PDI® healthcare ANIOS WETWIPE® ANIOS
WETWIPE® PAL International Medline industries, Inc.
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PROBE 3B70201001 The following solutions have demonstrated material compatibility with the following probes: Picture
Part #
Parts
3B70201001 3B70299001 3B70201012 3B70299003
Probe (Transducer)
Disinfectant Anios Surfa’safe Premium WIP’Anios Excel Chlor-Clean(max 1000 ppm) Cidex Cidex 7 Cleancide wipes Clinell Universal wipes/disinfectant wipes Clorox bleach germicidal Medipal detergent and disinfectant wipes Metricide 14 Metricide 28 Micro-Kill disinfectant wipes Micro-Kill bleach germicidal Quaternary Disinfectant Wipes Sani-Cloth Active Sani-Cloth AF3 Sani-Cloth HB Super Sani-Cloth Super Sani-Cloth Plus Trigene Trigene Advance Tristel Trio Tristel Jet Tristel Fuse Wetwipe Chlorine disinfection Wetwipe Triamin disinfection
Remarks Note: The probe may vary depending on your purchasing specifications.
Type Liquid Liquid Liquid Liquid Liquid Wipes Wipes Wipes Wipes Liquid Liquid
Guest Medical Ltd Johnson & Johnson Johnson & Johnson Wexford Labs Gama Healthcare Ltd Clorox Healthcare PAL International Johnson & Johnson Johnson & Johnson
Wipes
Medline
Wipes
Ecolab
Wipes Wipes Wipes Wipes Liquid Liquid Wipes Wipes
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Manufacturer Anios
PDI Europe
Medichem StarLab Tristel Solutions Ltd Wetwipe