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Transducer Cleaning & Disinfection Guide Product Lines
Resona series DC series M series TE series Z series
Table of Contents Safety Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 1. Inspection Before and After Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 1.1 Checking the External Appearance of the Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 1.2 Cleaning the Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 1.3 Checking after Turning on the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 1.4 Utilizing the Transducer Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 2. Cleaning and Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 2.1 Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 2.2 Disinfecting with Sprays or Wipes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 2.3 Disinfecting by Immersion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 2.4 Sterilization (Intra-operative Use) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 Appendix A - Wipe Disinfectants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Table A-1 convex probes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Table A-2 linear probes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Table A-3 other types of probes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Table A-4 4D probes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Appendix B - Spray Disinfectants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Table B-1 convex probes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Table B-2 linear probes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Table B-3 other types of probes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Table B-4 4D probes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Appendix C - Solution Disinfectants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Table C-1 convex probes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Table C-2 linear probes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Table C-3 other types of probes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Table C-4 4D probes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Appendix D - Gels and Powder Disinfectants (4D probe only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Table D-1 convex probes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Active Ingredients of the Disinfectants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Safety Precautions 1.
Confirm that the transducer and cable work well before and after each examination. A defective transducer may cause electric shock to the patient.
2.
Protect the probe from the collision. A defective transducer may cause electric shock to the patient.
3.
Do not disassemble the transducer to avoid the possibility of electric shock.
4.
Never immerse the transducer connector into liquids such as water or disinfectant because the connector is not waterproof. Immersion may cause electric shock or malfunction.
5.
The ultrasonic transducer is only for use with the specified ultrasonic diagnostic system. Please refer the ultrasonic diagnostic system operation manual to select the proper transducer.
6.
A transducer cover must be installed over the transducer before performing examination.
7.
Do not use an aftermarket probe other than those specified by Mindray. The probes may damage the system causing a profound failure, e.g. a fire in the worst case.
8.
When using the transducer, wear sterile gloves to prevent infection.
9.
Be sure to use ultrasound gel. Please use the ultrasound gel compliant with the relevant local regulations.
10. Do not use the carrying case for storing the transducer. If the carrying case is used for storage, it may become a source of infection. 11. The transducer and accessories supplied with it are not delivered disinfected or sterilized. Sterilization (or high-level disinfect) before use is required. 12. Please use the disinfection or sterilization solution that is recommended in this operator’s manual, otherwise Mindray will not be liable for damage caused by other solutions. If you have any questions, please contact Mindray Customer Service Department or sales representative. 13. Do not use pre-lubricated condoms as a cover. Lubricant may not be compatible with the transducer material and damage may result. 14. Transducer damage may be caused by inappropriate gel, detergent or cleanser: Do not soak or saturate transducers with solutions containing alcohol, bleach, ammonium chloride compounds, acetone or formaldehyde. Avoid contact with solutions or coupling gels containing mineral oil or lanolin. 15. Before connecting or disconnecting the transducer, freeze or turn off the ultrasonic diagnostic system. 16. Clean and disinfect the transducer before and after each examination. 17. To prevent the transducer from being damaged, do not use it where it will be exposed to: • direct sunlight or X-rays • sudden changes in temperature or excessive vibration • dust or heat generators
1. Inspection Before and After Use Inspection before and after use must be performed as described below to ensure safe operation of the transducer. If any abnormality is found, immediately stop using the transducer and contact MINDRAY Customer Service Department or sales representative.
1.1 CHECKING THE EXTERNAL APPEARANCE OF THE TRANSDUCER Confirm that there are no abnormalities of the transducer surface or cable cover, such as peeling, cracks, protruding parts, or looseness of the acoustic lens, before and after each examination. Transducer abnormalities may cause electric shock or injury to the patient. If any abnormality is found, immediately stop using the transducer and contact your MINDRAY Customer Service Department or sales representative.
1.2 CLEANING THE TRANSDUCER Clean and disinfect the transducer before and after each examination by hospital regulation. If you don’t clean and disinfect the transducer, it may become a source of infection.
1.3 CHECKING AFTER TURNING ON THE SYSTEM After turning ON the power of the ultrasonic diagnostic system, perform the following checks: 1. The acoustic lens of the transducer must not generate abnormal heat while it is being used. The transducer temperature should be checked by hand. 2.
The image must not be abnormal while turning on the system.
1.4 UTILIZING THE TRANSDUCER COVER 1.
Be sure to cover the transducer with a new (unused) transducer cover to prevent infection during examination. If the package of a transducer cover is open or broken, the sterilization of the transducer cover may not be sufficient. DO NOT use such a transducer cover.
2.
The cover contains natural rubber latex and talc that can cause allergic reactions in some individuals.
3.
DO NOT use an expired transducer cover. Before using transducer covers, verify whether the term of validity has expired.
A legally marketed transducer cover must be installed over the transducer before performing intra-cavitary examination. Protective barriers may be required to minimize disease transmission. Transducer covers are available for use with all clinical situations where infection is a concern.
METHOD (FOR REFERENCE ONLY): 1.
Place an appropriate amount of gel inside the cover or on the transducer acoustic lens. Poor imaging may result if no gel is used.
2.
Insert the transducer into the cover. Pull cover tightly over transducer acoustic lens to remove wrinkles and air bubbles, and taking care to avoid puncturing the cover.
3.
Secure the cover with the enclosed elastic bands.
4.
Inspect the cover to ensure there are no holes or tears.
Step 1
Step 2
To order probe covers, contact CIVCO company: Toll-free within the U.S. & Canada: 800.445.6741 Toll-free Fax: 877.329.2482 Direct Dial: 319.248.6757 (International) Fax: 319.248.6660 Email: [email protected] Website: www.civco.com
Step 3
2. Cleaning and Disinfection After completing each examination, clean and disinfect (or sterilize) the probes as required. When biopsy procedures have been performed, be sure to sterilize the needle-guided bracket. Failure to do so may result in the probe and the needleguided bracket becoming sources of infection. Please follow the instructions in the manual for cleaning.
1.
When performing cleaning and disinfection of the probe to prevent infection, wear sterile gloves.
2.
After disinfection, rinse the probe thoroughly with sterile water to remove all chemical residues. Chemical residues on the probe may be harmful to the human body.
3.
Not cleaning and disinfecting may result in the probe becoming a source of infection.
NOTE: After the examination, wipe off the ultrasound gel thoroughly. Otherwise, the ultrasound gel may solidify and degrade the image quality of the transducer. NOTE: DO NOT overheat the probe (more than 55°C) during cleaning and disinfections. High temperature may cause the probe to become deformed or damaged.
2.1 CLEANING Please refer to the instructions in the manual and follow your hospital policy and procedures for cleaning. 1. Disconnect the probe from the system. 2.
Wear sterile gloves to prevent infection.
3.
Wash the transducer with clean water or soapy water to remove all the foreign matters, or wipe the transducer with a soft ethyl carbamate sponge. Avoid using a brush, because it may damage the transducer.
4.
Dry the transducer using a sterile cloth or gauze after rinsing. Do not dry the transducer by heating it.
Connector
2.2 DISINFECTING WITH SPRAYS OR WIPES Use protective eyewear when disinfecting using sprays. 1.
Wear sterile gloves to prevent infection.
2.
After you have finished cleaning, spray or wipe the transducer with a disinfectant. Follow the disinfectant manufacturer’s recommended contact time and mode.
3.
Remove any residue with a water-moistened soft cloth on the transducer.
4.
Wipe off water on the transducer using sterile cloth or gauze after washing.
NOTE: Do not spray the strain relief on the connector end or the connector.
Transducer Strain Relief
! Caution Do not spray the strain relief on the connector end or the connector. (highlighted in red above)
2.3 DISINFECTING BY IMMERSION 1.
Wear sterile gloves to prevent infection.
2.
Clean the transducer before disinfecting it. MINDRAY recommends the following solutions to disinfect the transducer. Refer to the instructions provided by the chemical manufacturer concerning concentration of the disinfectant solution, method of disinfection and dilution and cautions during use. Do not soak the transducer connector or the cable near it into water or any solution. Soak the transducer into the disinfectant solution for the shortest time the manufacturer recommends (for example, the shortest time recommended by the manufacturer for soaking Cidex OPA is 12 minutes). Follow local regulations when selecting and using the disinfectant.
3.
Rinse the transducer with plenty of sterile water (about 2 gallons) for at least 1 minute to remove all chemical residues on it. Or, follow the rinsing method recommended by the disinfectant manufacturer to rinse the transducer.
4.
Wipe off the water on the transducer with sterile cloth or gauze after rinsing it. Do not dry the transducer by heating.
NOTE: Observe the figure to the right carefully to immerse the transducer. Only soak parts of the transducer below the strain relief.
! Caution
NOTE: Repeated disinfection will eventually damage the probe, please check the probe performance periodically.
10 mm
Minimum distance between cable connection and water level
2.4 STERILIZATION (INTRA-OPERATIVE USE) 1.
Wear sterile gloves to prevent infection.
2.
Clean the transducer before sterilizing it. Disinfect the transducer if necessary. MINDRAY recommends the following solutions to sterilize the transducer:
Hydrogen Peroxide and Peroxyacetic Acid -based sterilization solution Trade Name
Chemical Name
Procedures
Minncare®
22% Hydrogen Peroxide
Dilute the sterilant with sterilized purified water (1:20)
Cold Sterilant
4.5% Peroxyacetic Acid
Immersed time: 11 hours. Temperature: 20°-25°C. Please refer to the instructions provided by the manufacturer of the solution for details.
Glutaraldehyde-based sterilization solution Trade Name
Chemical Name
Procedures
Cidex Activated Glutaraldehyde Solution
2.4% Glutaraldehyde
Soak the transducer into the activated solution for 10 hours (20°-25°C). Please refer to the instructions provided by the manufacturer of the solution for details.
• Refer to the instructions provided by the chemical manufacturer concerning concentration of the sterilization solution, method of sterilization and dilution and cautions during use. • Do not soak the transducer connector or the cable near it into water or any solution. • Follow local regulations when selecting and using the sterilization solution. 3.
Rinse the transducer with plenty of sterile water (about 2 gallons) for at least 1 minute to remove all chemical residues on it. Or, follow the rinsing method recommended by the sterilization solution manufacturer to rinse the transducer.
4.
Wipe off the water on the transducer with sterile cloth or gauze after rinsing it. Do not dry the transducer by heating.
Before safety and performance is affected, intra-operative probes can be sterilized by Cidex Activated Glutaraldehyde Solution for at least 217 times (10 hours for one time). Before safety and performance is affected, intra-operative probes can be sterilized by Minncare COLD STERILANT for at least 135 times (11 hours for one time).
! Caution
Fully immerse the intraoperative transducer in the solution Do not soak the transducer connector or the cable near it into water or any solution.
Appendix A - Wipe Disinfectants
C5-1s / C5-1E / C5-1U C5-2 / C5-2s / C5-2E C6-2E C6-2Gs / C6-2GE / C6-2GU C7-3E C11-3E / C11-3s / C11-3U 3C1 / 3C1s / 3C1p 3C5 / 3C5s / 3C5A / 3C5P 6C2 / 6C2P / 6C2s 35C20EA / 35C50EA 35C50EB / 35C50P 65C15EAV / 65C15EA SC5-1U / SC5-1E SC6-1U / SC6-1s SC8-2U 65EC10EA / 65EC10EB 65EC10EC 65EL60EA 65EC10ED
SPOROXII
Ultrasound probe cleaning wipes
Wip'Anios premium
UNIVERSAL WIPES
Tristel Rinse Wipes
Tristel Sporicidal Wipes
Tristel Pre-Clean Wipes
Tristel Surface Wipes
SONO™ ULTRASOUND WIPES
Sani-Cloth®Plus & AF3
PROTEX™ DISINFECTA NT Wipes
mikrozid® Sensitive Wipes
mikrozid®AF Wipes Jumbo
CLEANISEPT® WIPES
TABLE A-1 CONVEX PROBES
L7-3 / L7-3s / L7-3E L9-3U L10-3E / L10-3s L11-3U L11-4 / L11-4s L12-3 / L12-3E L12-4 / L12-4s L14-6 / L14-6s / L14-6P L14-6N / L14-6Ns L14-6NP / L14-6NE L14-6WE / L14-6Ws / L14-6WU L16-4HE / L16-4Hs / L16-4HU LM14-6E / LM14-6s / LM16-4U L20-5U / L20-5s / L20-5E 6LE7 / 6LE7s / 6LE7P 6LE5V / 6LE5Vs / 6LE5VP 7L4 / 7L4s / 7L4A / 7L4P 7LT4 / 7LT4s / 7LT4P 7L5 / 7L5P / 7L5s 7L6 / 7L6s 10L4 / 10L4s 10L24EA 50L60EAV 65L50HAV 75L38EA / 75L38EB 75L53EA / 75L60EA / 75L38P 75L50EAV / 75LT38EA
Protex Ultra Wipes
MetriSponge
Sani-Cloth AF3
Ultrasound probe cleaning wipes
Sporox II
Ethanol 75%
Bleach 5.25%(10% solution)
DI Water
Wip'Anios premium
UNIVERSAL WIPES
Tristel Rinse Wipes
Tristel Sporicidal Wipes
Tristel Pre-Clean Wipes
Tristel Surface Wipes
SONO™ ULTRASOUND WIPES
Sani-Cloth®Plus & AF3
PROTEX™ DISINFECTANT Wipes
mikrozid® Sensitive Wipes
mikrozid®AF Wipes Jumbo
CLEANISEPT® WIPES
TABLE A-2 LINEAR PROBES
P4-2 / P4-2s / P4-2E / P4-2NE / P4-2Ns P7-3 / P7-3s / P7-3E / P7-3P / P7-3U Phased
P10-4E / P10-4s / P10-4U P12-4 / P12-4s 2P2 / 2P2s / 2P2P SP5-1U / SP5-1s / SP5-1E V11-3 / V11-3BE / V11-3B V11-3WE / V11-3Ws / V11-3E
Endo-cavity
V11-3HU / V11-3Hs V10-4 / V10-4s / V10-4B V10-4Bs / V10-4BP / V10-4P 6CV1 / 6CV1s / 6CV1P
Pencil
CW2s / CW5s / CW5 65EB10EA
Biplane
CB10-4 / CB10-4P / CB10-4A / CB10-4E 6LB7 / 6LB7s / 6LB7P / 6LB7E
Ultrasound probe cleaning wipes
Wip'Anios premium
UNIVERSAL WIPES
Tristel Rinse Wipes
Tristel Sporicidal Wipes
Tristel Pre-Clean Wipes
Tristel Surface Wipes
SONO™ ULTRASOUND WIPES
Sani-Cloth®Plus & AF3
PROTEX™ DISINFECTANT Wipes
mikrozid® Sensitive Wipes
mikrozid® AF Wipes Jumbo
CLEANISEPT® WIPES
TABLE A-3 OTHER TYPES OF PROBES
4CD4 / 4CD4A / 4CD4s
D7-2 / D7-2E / D7-2s / SD8-1E
D6-2 / D6-2P / D6-2A / D6-2E
D6-2NE
D8-2U
D8-4U
DE10-3E / DE10-3U
DE11-3U / DE11-3P DE11-3s / DE11-3E
Sani-Cloth Active
Ultrasound probe cleaning wipes
Tuffle 5
CaviWipes 1
CaviWipes
Wip'Anios premium
UNIVERSAL WIPES
Tristel Rinse Wipes
Tristel Sporicidal Wipes
Tristel Pre-Clean Wipes
Tristel Surface Wipes
SONO™ ULTRASOUND WIPES
Sani-Cloth®Plus & AF3
PROTEX™ DISINFECTANT Wipes
mikrozid® Sensitive Wipes
mikrozid®AF Wipes Jumbo
CLEANISEPT® WIPES
TABLE A-4 4D PROBES
Appendix B - Spray Disinfectants
C5-1s / C5-1E / C5-1U C5-2 / C5-2s / C5-2E C6-2E C6-2Gs / C6-2GE / C6-2GU C7-3E
L7-3 / L7-3s / L7-3E L9-3U L10-3E / L10-3s L11-3U L11-4 / L11-4s L12-3 / L12-3E L12-4 / L12-4s L14-6 / L14-6s / L14-6P
C11-3E / C11-3s / C11-3U
L14-6N / L14-6Ns L14-6NP / L14-6NE
3C1 / 3C1s / 3C1p
L14-6WE / L14-6Ws / L14-6WU
3C5 / 3C5s / 3C5A / 3C5P
L16-4HE / L16-4Hs / L16-4HU
6C2 / 6C2P / 6C2s
LM14-6E / LM14-6s / LM16-4U
35C20EA / 35C50EA 35C50EB / 35C50P
L20-5U / L20-5s / L20-5E
65C15EAV / 65C15EA SC5-1U / SC5-1E SC6-1U / SC6-1s SC8-2U 65EC10EA / 65EC10EB 65EC10EC 65EL60EA 65EC10ED
6LE7 / 6LE7s / 6LE7P 6LE5V / 6LE5Vs / 6LE5VP 7L4 / 7L4s / 7L4A / 7L4P 7LT4 / 7LT4s / 7LT4P 7L5 / 7L5P / 7L5s 7L6 / 7L6s 10L4 / 10L4s 10L24EA 50L60EAV 65L50HAV 75L38EA / 75L38EB 75L53EA / 75L60EA / 75L38P 75L50EAV / 75LT38EA
IODOCLEAN
Tristel Solo
TRANSEPTIC
Surfa'safe
PROTEX™ DISINFECTANT SPRAY
IODOCLEAN
Tristel Solo
PROTEX™ DISINFECTANT SPRAY
TRANSEPTIC
Surfa'safe
PI-SPRAY-II
OxivirTM/MC Tb
TABLE B-1 CONVEX PROBES
PI-SPRAY-II
OxivirTM/MC Tb
TABLE B-2 LINEAR PROBES
IODOCLEAN
Tristel Solo
PROTEX™ DISINFECTANT SPRAY
TRANSEPTIC
Surfa'safe
PI-SPRAY-II
OxivirTM/MC Tb
TABLE B-3 OTHER TYPES OF PROBES
P4-2 / P4-2s / P4-2E / P4-2NE / P4-2Ns P7-3 / P7-3s / P7-3E / P7-3P / P7-3U Phased
P10-4E / P10-4s / P10-4U P12-4 / P12-4s 2P2 / 2P2s / 2P2P SP5-1U / SP5-1s / SP5-1E V11-3 / V11-3BE / V11-3B V11-3WE / V11-3Ws / V11-3E V11-3HU / V11-3Hs V10-4 / 10-4s / V10-4B V10-4Bs / V10-4BP / V10-4P
6LB7 / 6LB7s / 6LB7P / 6LB7E
4CD4 / 4CD4A / 4CD4s D7-2 / D7-2E / D7-2s / SD8-1E D6-2 / D6-2P / D6-2A / D6-2E D6-2NE D8-2U D8-4U DE10-3E / DE10-3U DE11-3U / DE11-3P DE11-3s / DE11-3E
IODOCLEAN
CB10-4 / CB10-4P / CB10-4A / CB10-4E
Tristel Solo
Biplane
OxivirTM/MC Tb
65EB10EA
TRANSEPTIC
CW2s / CW5s / CW5 Surfa'safe
Pencil
TABLE B-4 4D PROBES PROTEX™ DISINFECTANT SPRAY
6CV1 / 6CV1s / 6CV1P
PI-SPRAY-II
Endo-cavity
Appendix C - Solution Disinfectants
C5-1s / C5-1E / C5-1U C5-2 / C5-2s / C5-2E C6-2E C6-2Gs / C6-2GE / C6-2GU C7-3E C11-3E / C11-3s / C11-3U 3C1 / 3C1s / 3C1p 3C5 / 3C5s / 3C5A / 3C5P 6C2 / 6C2P / 6C2s 35C20EA / 35C50EA 35C50EB / 35C50P 65C15EAV / 65C15EA SC5-1U / SC5-1E SC6-1U / SC6-1s SC8-2U 65EC10EA / 65EC10EB 65EC10EC 65EL60EA 65EC10ED
* TrophonSonex-HL (Used with Trophon EPR Ultrasound Probe Disinfector)
Milton
CIDEX PLUS
SALVANIOS pH10
SALVANIOS pH7
ANIOXYDE 1000
DESCOTON extra
gigasept®FF(neu)
ggigasept®PAA concentrate
Revital-Ox™ Resert High Level Disinfectant
Triacid-N
TrophonSonex-HL*
Ster-Bac
Minncare® Cold Sterilant
MetriZyme
Cidex Activated Glutaraldehyde Solution
CIDEX OPA
TABLE C-1 CONVEX PROBES
L7-3 / L7-3s / L7-3E L9-3U L10-3E / L10-3s L11-3U L11-4 / L11-4s L12-3 / L12-3E L12-4 / L12-4s L14-6 / L14-6s / L14-6P L14-6N / L14-6Ns L14-6NP / L14-6NE L14-6WE / L14-6Ws / L14-6WU L14-5W / L14-5WU L14-5sp L16-4HE / L16-4Hs / L16-4HU LM14-6E / LM14-6s / LM16-4U L20-5U / L20-5s / L20-5E 6LE7 / 6LE7s / 6LE7P 6LE5V / 6LE5Vs / 6LE5VP 7L4 / 7L4s / 7L4A / 7L4P 7LT4 / 7LT4s / 7LT4P 7L5 / 7L5P / 7L5s 7L6 / 7L6s 10L4 / 10L4s 10L24EA 50L60EAV 65L50HAV 75L38EA / 75L38EB 75L53EA / 75L60EA / 75L38P 75L50EAV / 75LT38EA
Steranios
Klnezyme
Alkazyme
Nu-Cidex
Cidezyme
Liquinox
Prolystica 2X Concentrate Enzymatic
SALVANIOS pH10
SALVANIOS pH7
ANIOXYDE 1000
DESCOTON extra
gigasept®FF(neu)
ggigasept®PAA concentrate
Revital-Ox™ Resert High Level Disinfectant
Triacid-N
TrophonSonex-HL*
Ster-Bac
Minncare® Cold Sterilant
MetriZyme
* TrophonSonex-HL (Used with Trophon EPR Ultrasound Probe Disinfector) Cidex Activated Glutaraldehyde Solution
CIDEX OPA
TABLE C-2 LINEAR PROBES
P4-2 / P4-2s / P4-2E / P4-2NE / P4-2Ns P7-3 / P7-3s / P7-3E / P7-3P / P7-3U Phased
P10-4E / P10-4s / P10-4U P12-4 / P12-4s 2P2 / 2P2s / 2P2P SP5-1U / SP5-1s / SP5-1E V11-3 / V11-3BE / V11-3B V11-3WE / V11-3Ws / V11-3E
Endo-cavity
V11-3HU / V11-3Hs V10-4 / 10-4s / V10-4B V10-4Bs / V10-4BP / V10-4P 6CV1 / 6CV1s / 6CV1P
Pencil
CW2s / CW5s / CW5 65EB10EA
Biplane
CB10-4 / CB10-4P / CB10-4A / CB10-4E 6LB7 / 6LB7s / 6LB7P / 6LB7E
* TrophonSonex-HL (Used with Trophon EPR Ultrasound Probe Disinfector)
SALVANIOS pH10
SALVANIOS pH7
ANIOXYDE 1000
DESCOTON extra
gigasept®FF(neu)
ggigasept®PAA concentrate
Revital-Ox™ Resert High Level Disinfectant
Triacid-N
TrophonSonex-HL*
Ster-Bac
Minncare® Cold Sterilant
MetriZyme
Cidex Activated Glutaraldehyde Solution
CIDEX OPA
TABLE C-3 OTHER TYPES OF PROBES
4CD4 / 4CD4A / 4CD4s
D7-2 / D7-2E / D7-2s / SD8-1E
D6-2 / D6-2P / D6-2A / D6-2E
D6-2NE
D8-2U
D8-4U
DE10-3E / DE10-3U
DE11-3U / DE11-3P DE11-3s / DE11-3E
* TrophonSonex-HL (Used with Trophon EPR Ultrasound Probe Disinfector) Cidezyme
Sterihyde
hibitane
Milton
Neojodin
Osvan
SALVANIOS pH7
ANIOXYDE 1000
DESCOTON extra
Gigasept AF
gigasept®FF(neu)
ggigasept®PAA concentrate
Revital-Ox™ Resert High Level Disinfectant
Triacid-N
TrophonSonex-HL*
Ster-Bac
Minncare® Cold Sterilant
MetriZyme
Cidex Plus
Cidex
Cidex Activated Glutaraldehyde Solution
CIDEX OPA
TABLE C-4 4D PROBES
Appendix D - Gels and Powder Disinfectants (4D probe only) TABLE D-1 CONVEX PROBES
4CD4 / 4CD4A / 4CD4s D7-2 / D7-2E / D7-2s / SD8-1E D6-2 / D6-2P / D6-2A / D6-2E D6-2NE D8-2U D8-4U DE10-3E / DE10-3U DE11-3U / DE11-3P DE11-3s / DE11-3E
PeraSafe
Rely+On PeraSafe
Powder
Scan
Sonogel
Aquasonics 100
Gel
NOTE: Please select the proper disinfectant for the probe of the Diagnostic Ultrasound System. The content of this document shall prevail in case of other new editions. NOTE: Refer to local regulations for the use of each disinfectant. For use of each disinfectant, please refer to the manufacturer’s instructions Release date: September 17
Active Ingredients of the Disinfectants Ster-Bac/mikrozid®Sensitive Wipes: Quaternary Ammoniums UNIVERSAL WIPES: didecyldimethylammonium chloride 1.4mg/g, polyhexamethylene biguanide hydrochloride 0.96mg/g PI-SPRAY-II: Octyl decyl dimethyl ammonium chloride, Dioctyl dimethyl ammonium chloride, Didecyl dimethyl ammonium chloride, Benzalkonium chloride MetriZyme/Cidezyme/Alkazyme/Klnezyme: Proteinase substilisin Tristel Rinse Wipes: deionized water Cidex OPA: 0.55% Ortho-phthladehyde OxivirTM/MC Tb: 0.5% hydrogen peroxide Tristel Surface Wipes/Tristel Trio Wipes System: chlorine dioxide Tristel Solo: polyhexamethylbiguanide Tristel Pre-Clean Wipes: enzymatic detergent ANIOXYDE 1000: 3% Hydrogen Peroxide Wip'Anios premium: didecyldimethylammonium chloride 1.4mg/g, polyhexamethylene biguanide hydrochloride 0.96mg/g Cidex Activated Glutaraldehyde Solution: glutaraldehyde TRANSEPTIC: isopropyl alcohol, chlorhexidine gluconate gigasept®FF(neu): 0.11g succindialdehyde; 0.3g dimethoxytetrahydrofuran; < 5% anionic surfactant; non-ionic surfactants; anti-corrosion compounds; fragrance gigasept®PAA concentrate: peracetic acid (5%); hydrogen peroxide: acetic acid; potassium hydroxide: corrosion inhibitor Sani-Cloth AF3: Quaternary ammonium compounds, C12-18-alkyl [(ethylphenyl) methyl] dimethyl, chloridesk, Benzyl-C1218-alkyldimethyl ammonium chlorides MetriSponge: Water and non-hazardous ingredients Mixture, Propylene glycol, Nonionic Surfactants Proprietary, Fragrance Oil Proprietary, Proteinase subtilisin, Octamethylcyclotetrasiloxane Protex Ultra Wipes: Quaternary ammonium compounds di-C8-10-alkyldimethyl, chlorides, Quaternary ammonium compounds, benzyl-C12-16-alkyldimethyl, chlorides, Water, Proprietary Ingredients ultrasound probe cleaning wipes: Poly-prenyl acetate, propylene glycol DI Water: water
Ethanol 75%: Alcohol
Bleach 5.25% (10% Solution): Sodium Hypochlorite Sporox II: Hydrogen Peroxide PeraSafe: Disodium carbonate, citric acid, sodium carbonate Sani Cloth Acive: Didecyldimethyl ammonium chloride 0.450%w/w Cidex Plus: glutaraldehyde
Cidex: alkaline glutaraldehyde
Sonogel: carbomer, polyacrylat
Sterihyde: Glutaraldehyde
Osvan: Ammonia benzalkonium
Neojodin: povidone-iodine
Milton: sodium hypochlorite
Hibitane: hlorhexidine
Minncare® Cold Sterilant: 22% Hydrogen Peroxide, 4.5% Peroxyacetic Acid Liquinox: Sodium sulfonate,Tripotassium Steranios: 2% glutaraldehyde