Course Access
- This topic has 2 replies, 2 voices, and was last updated 11 years, 10 months ago by
.
-
Posts
-
Hi All,
I have been asked to review a new cleaning and disinfection system for
reprocessing transvaginal ultrasound probes especially those used in IVF
related pregnancies where chemical residues are a high concern.The system consists of three separate pre-packaged wipes (a cleaner, a
disinfectant and a rinse wipe) which I believe is currently used in he
UK. The active ingredient in the disinfectant wipe is chlorine dioxide
in aqueous solution.Has anyone got any experience with this type of system that they would
be willing to share with me?Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
185 Fox Valley Road, Wahroonga, NSW, 2076
If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.comMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Hi
We introduced this into our radiology dept for the US probes over a year
ago now and it seems to work well. The previous processes were really
inadequate for these items and the chlorine dioxide does achieve high
level disinfection options without exposure to staff of liquid
chemicals. The company provided good training to the staff who carry
this out plus we ensured that there were laminated instruction charts
with all mobile equipment e.g. used in our gynae emergency area.Happy to share the protocol if you contact me.
Jane Barnett
Clinical Nurse Specialist
Infection Prevention & Control
Christchurch Women’s Hospital
Private Bag 4711, Christchurch
Infection Prevention and Control is Everyone’s Business
Behalf Of Fiona de Sousa
disinfectionHi All,
I have been asked to review a new cleaning and disinfection system for
reprocessing transvaginal ultrasound probes especially those used in IVF
related pregnancies where chemical residues are a high concern.The system consists of three separate pre-packaged wipes (a cleaner, a
disinfectant and a rinse wipe) which I believe is currently used in he
UK. The active ingredient in the disinfectant wipe is chlorine dioxide
in aqueous solution.Has anyone got any experience with this type of system that they would
be willing to share with me?Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
185 Fox Valley Road, Wahroonga, NSW, 2076
information intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any
dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify
the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual
sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney
Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.comMessages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.auTo send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.auMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Hi Fiona
I have not seen this particular system in Australia, but the questions I would be asking are:
1. Is the disinfectant licensed with TGA as an instrument-grade disinfectant (ie high level disinfectant)? If not, you cannot proceed as these devices require high level disinfection with a TGA approved disinfectant.
2. Has the manufacturer / sponsor of the disinfectant provided evidence of materials compatibility with the specific TV probe you use? This preferably would be advice from the probe manufacturer to say the disinfectant is safe to use with the probe.
Since it is unlikely current Australian guidelines will reference a product that was not on the Australian market when the guidelines were written, this is the process I would follow.
If both of the above are provided to your satisfaction, form an IC perspective I would be happy to permit the use of the product in a specific situation.
Cheers
Michael Wishart
Public Health Nurse,Communicable Disease Control
Logan West Moreton PHU
Ph 34131200 Fax 34131221To contact Nursing team:
LWM_PHN@health.qld.gov.au>>> Fiona de Sousa 17/05/2012 1:09 pm >>>
Hi All,
I have been asked to review a new cleaning and disinfection system for reprocessing transvaginal ultrasound probes especially those used in IVF related pregnancies where chemical residues are a high concern.
The system consists of three separate pre-packaged wipes (a cleaner, a disinfectant and a rinse wipe) which I believe is currently used in he UK. The active ingredient in the disinfectant wipe is chlorine dioxide in aqueous solution.Has anyone got any experience with this type of system that they would be willing to share with me?
Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Mobile: 0408 468 470
Office: (02) 9487 9732
Fax: (02) 9472 8053
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076CAUTION: This message may contain both confidential and privileged information intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
********************************************************************************
This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
**********************************************************************************Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the
Hi there,
In Christchurch New Zealand we have introduced this system into our
radiology unit that undertakes Trans vaginal ultrasonography using
probes. We investigated the efficacy of the product in depth and it
seemed to be the best solution for our local area and was an improvement
on sodium hypochlorite. This was about a year ago. I have no issues with
the efficacy of Chlorine dioxide for high-level disinfection.One of the key things for us is that we have only a few people to train
to use this system as we have a Hospital Aide who does all the
reprocessing. As usual any product must be used correctly.Hope this helps
Ruth Barratt
Ruth Barratt RN, BSc, MAdvPrac (Hons)
Clinical NurseSpecialist Infection Prevention and Control
:: ruth.barratt@cdhb.health.nz
(: + 64 3 3640 083 or ext.80083
Level 5, Riverside Building
Christchurch Hospital | Private Bag 4710, Christchurch
Clean Hands Save Lives!
Behalf Of Fiona de Sousa
disinfectionHi All,
I have been asked to review a new cleaning and disinfection system for
reprocessing transvaginal ultrasound probes especially those used in IVF
related pregnancies where chemical residues are a high concern.The system consists of three separate pre-packaged wipes (a cleaner, a
disinfectant and a rinse wipe) which I believe is currently used in he
UK. The active ingredient in the disinfectant wipe is chlorine dioxide
in aqueous solution.Has anyone got any experience with this type of system that they would
be willing to share with me?Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
185 Fox Valley Road, Wahroonga, NSW, 2076
information intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any
dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify
the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual
sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney
Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.comMessages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.auTo send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.auMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Hi Fiona,
The three separate wipe system I think you are talking is the Tristel
Wipe System.Thanks,
Sue Kelly.
Infection Prevention & Control Practioner,
Seymour Health.
Seymour 3660
Behalf Of Fiona de Sousa
Hi All,
I have been asked to review a new cleaning and disinfection system for
reprocessing transvaginal ultrasound probes especially those used in IVF
related pregnancies where chemical residues are a high concern.The system consists of three separate pre-packaged wipes (a cleaner, a
disinfectant and a rinse wipe) which I believe is currently used in he
UK. The active ingredient in the disinfectant wipe is chlorine dioxide
in aqueous solution.Has anyone got any experience with this type of system that they would
be willing to share with me?Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
185 Fox Valley Road, Wahroonga, NSW, 2076
information intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any
dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify
the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual
sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney
Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.comMessages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.auTo send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.auThis communication is intended only to be read or used by the addressee. The information contained in this communication may be confidential information. If you are not the intended recipient, any use, interference with, distribution, disclosure or copying of this material is unauthorised and prohibited. The confidentiality attached to this communication is not waived or lost by reason of the mistaken delivery to you. If you have received this communication in error, please destroy it and notify the sender by return email.
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Fiona
I can’t verify the current status of this information, but there has
been a previous discussion about this product on this list (November
2011). This is one of the more comprehensive messages in that group.From:AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
Behalf Of Glenys.Harrington@HEALTH.VIC.GOV.AUMaree and Robert,
Further to my comments earlier today. I have contacted the TGA for
further clarification.The particular product under discussion in this thread is categorised
as a “medical device” as it is “intended to be used on medical devices”.Such products must be included on the Australian Register of
Therapeutic Goods Devices (ARTG) before they can be supplied in
Australia.The ARTG form will state the following:
“Product type: Medical Device – Class …… – Included”
The key word is “included” which confirms that the product is suitable
for the ” intended purpose” which is also included on the ARTG form.
For this particular products the intended purpose on the ARTG form is as
follows:“Intended purpose: The Tristel disinfecting wipes system is intended to
decontaminate and disinfect non-lumened medical devices that cannot be
fully immersed in liquid disinfectant or sterilant and cannot be
sterilised by heat. It allows high level disinfection of instruments
where automated dishwashers, sinks and water supplies are unavailable.
The system provides high-level disinfection in less than two minutes.
The Tristel system is not intended for high level disinfection of
critical medical devices which must be sterilised prior to use on
patients”.The information above is unclear and ideally should have included
information about semi critical devices (ie contacts mucous membranes,
non-intact skin) in addition to critical devices (ie enters normally
sterile tissue or vascular system). It is also unclear in the intended
purpose statement reference to the use of the product “where ….sinks
and water supplies are unavailable” as such devices would before high
level disinfection need to be meticulously pre-cleaned?I am providing TGA with additional information (ie Methods of
sterilization and disinfection, [Modified Spaulding classification
system]).All ARTG forms can be found by searching the ARTG database available on
the TGA web page.https://www.ebs.tga.gov.au/ebs/ANZTPAR/PublicWeb.nsf/cuDevices?OpenView
For disinfectants not used on medical devices (ie for general, outbreak
or isolation cleaning and disinfecting purposes) there are 3 categories:1. Hospital grade and commercial/household grade disinfectants with
specific claims
2. Hospital grade disinfectants without specific claims
3. Household or commercial grade disinfectant without specific claims
(that do not make disinfectant claims)1 & 2 must be either “listed” or “registered” on the ARTG.
The ARTG form will include an “ARTG identifier” with either “Aust L”
or Aust R” (listed or registered with the TGA). Generally products need
to be registered to make fungicidal, sporicidal, tuberculocidal and
viricidal claims (ie with specific claims).If a product is not registered in Australia and the
manufacturer/supplier is making fungicidal, sporicidal, tuberculocidal
and viricidal claims TGA have asked that you let them know via their
on-line “Report a perceived breach or questionable practices” at the
following link and they will follow-up.http://www.tga.gov.au/about/form-breach-tgact.htm
The manufacturer/supplier may not be fully aware of the TGA
requirements as outlined in the TGA “Guidelines for the Evaluation of
Sterilants and Disinfectants”.Find below additional information provide by the TGA this morning:
Disinfectants are regulated in a variety of ways in Australia,
depending on the claims made in the instructions for use, labelling and
promotional material.Type of disinfectant
How is it regulated?
CommentsSterilants and instrument grade disinfectants (all levels) – intended
to be used on medical devices
An accessory to a medical device – Class IIb Must be included on the
ARTG before they can be supplied in Australia.
In Europe are regulated as Class IIa. Sponsors importing these products
need to ensure that the Australian regulatory requirements have been met
by the manufacturer.
Undergo a mandatory Level 2 Application Audit.Cleaners intended to be used on medical devices
An accessory to a medical device – Class I
Must be included on the ARTG before they can be supplied in
Australia.Hospital grade and commercial/household grade disinfectants with
specific claims*
‘Other Therapeutic Goods’ – registered
Must be registered on the ARTG before they can be supplied in
Australia.
Must comply with TGO 54 (
http://www.tga.gov.au/docs/html/tgo/tgo54.htm ).
Information to be submitted for review includes instructions for
use, promotional material, labels, product specifications, and efficacy,
stability and quality control data.Hospital grade disinfectants without specific claims*
‘Other Therapeutic Goods’ – listed Must be listed on the ARTG before
they can be supplied in Australia.
Must comply with TGO 54 ( http://www.tga.gov.au/docs/html/tgo/tgo54.htm
).
Information to be submitted for review includes instructions for use,
promotional material and labels.Household or commercial grade disinfectant without specific claims*
‘Other Therapeutic Goods’ – exempt from listing or registration
Exempt disinfectants are not required to be entered on the ARTG
however they still must comply with certain parts of TGO 54 (
http://www.tga.gov.au/docs/html/tgo/tgo54.htm ), including the
labelling requirements, and are expected to comply with performance
requirements.Antibacterial cleaning wipes
Sanitisers
Sanitary fluids/powders
(that do not make disinfectant claims)
Exempt or excluded depending on claims
Claims determine if exempt from entry on the ARTG or excluded from
the Therapeutic Goods Act 1989.* ‘specific claims’ cover virucidal, sporicidal, tuberculocidal,
fungicidal or other biocidal activity. Except where claims of activity
against fungi (yeast and mould) for excluded products are concerned,
these claims mean a product is registered.
http://www.tga.gov.au/industry/disinfectants-regulation.htmhttp://www.tga.gov.au/industry/disinfectants-hard-surface.htmA hospital grade disinfectant with non-specific claims is a listable
product
A hospital grade disinfectant with specific claims is a registerable
product
A “non-specific claim” is a claim which includes general antibacterial
action or activity against bacteria covered by the battery of test
organisms included in the specified test, or bacteria of the same
family. Claims for bacteria other than these are allowable and do not
cause the product to become registerable, but the specific organism
against which activity is claimed must be included as an extra organism
in the test battery e.g. E. coli O157, Salmonella spp, Streptococcus
spp, etc.
A “specific claim” is one which covers virucidal, sporicidal,
tuberculocidal, fungicidal or other biocidal activity. Except where
claims of activity against fungi (yeast and mould) for excluded products
are concerned, such claims lift a product into the registerable category
of goods.For information on disinfectants:
Please see TGO 54/54A/54B, which can be accessed at
http://www.comlaw.gov.au/Details/F2009C00327
Please see the “Guidelines for evaluation of sterilants and
disinfectants”, which can be accessed at
http://www.tga.gov.au/industry/disinfectants-evaluation-guidelines.htm.
These guidelines describe the information to be supplied to the TGA for
the registration or listing of disinfectants on the ARTG.Yours sincerely,
Medical Devices Information Line
Information http://www.tga.gov.au/devices/devices.htm (
http://aicalist.org.au/scripts/www.tga.gov.au/devices/devices.htm )
e-Business http://www.ebs.tga.gov.au (
http://aicalist.org.au/scripts/www.ebs.tga.gov.au )Hope this clarifies further.
regards
Glenys
Glenys Harrington, Infection Control Consultant |Communicable Disease
Prevention and Control | Public Health
Department of Health | Level 14 50 Lonsdale Street Melbourne Victoria
3000 Australia
t. 03 909 65094 | f. 1300 651 170 | e.
glenys.harrington@health.vic.gov.au | http://www.health.vic.gov.au/ (
http://aicalist.org.au/scripts/www.health.vic.gov.au/ideas )Based on the above, it may be prudent to contact TGA to discuses the
status of this product prior to approving it’s use within your
facility.Cheers
Michael Wishart
ACIPC Infexion Connexion AdministratorMichael Wishart
Public Health Nurse,Communicable Disease Control
Logan West Moreton PHU
Ph 34131200 Fax 34131221To contact Nursing team:
LWM_PHN@health.qld.gov.au>>> Fiona de Sousa 17/05/2012 1:09 pm >>>
Hi All,
I have been asked to review a new cleaning and disinfection system for
reprocessing transvaginal ultrasound probes especially those used in IVF
related pregnancies where chemical residues are a high concern.
The system consists of three separate pre-packaged wipes (a cleaner, a
disinfectant and a rinse wipe) which I believe is currently used in he
UK. The active ingredient in the disinfectant wipe is chlorine dioxide
in aqueous solution.Has anyone got any experience with this type of system that they would
be willing to share with me?Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
( blocked::blocked::mailto:Fiona.Desousa@sah.org.au
)Fiona.Desousa@sah.org.au ( blocked::mailto:Fiona.Desousa@sah.org.au
)
185 Fox Valley Road, Wahroonga, NSW, 2076information intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any
dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify
the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual
sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney
Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com
Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.
Archive of all messages are available at
http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.au********************************************************************************
This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
**********************************************************************************Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Hi Fiona,
Three points to add to the discussion:
1.The particular product under discussion in this thread is categorised as a
“medical device” as it is “intended to be used on medical devices”. Such
products must be included on the Australian Register of Therapeutic Goods
Devices (ARTG) before they can be supplied in Australia. The ARTG form will
state the following: “Product type: Medical Device – Class …… –
Included” The key word is “included” which confirms that the product is
suitable for the ” intended purpose” which is also included on the ARTG
form. For the particular product that has been named in the thread the
intended purpose on the ARTG form is as follows:“Intended purpose: The ….. disinfecting wipes system is intended to
decontaminate and disinfect non-lumened medical devices that cannot be fully
immersed in liquid disinfectant or sterilant and cannot be sterilised by
heat. It allows high level disinfection of instruments where automated
dishwashers, sinks and water supplies are unavailable. The system provides
high-level disinfection in less than two minutes. The Tristel system is not
intended for high level disinfection of critical medical devices which must
be sterilised prior to use on patients”.2. Another point I would like to raise is do such wipes remove bacteria from
a surface by the mechanical action of wiping or is the bacteria being
removed from a surface by the bactericidal action of the ingredient in the
wipes?Microbiological testing results available online indicate that the
ingredient in the wipes was active against the target organisms that were
tested in what looks like a suspension tests not a testing method that
mimics an in use environment/situation. A presentation recently by Dr
Jean-Yves Maillard in a webber training telecast (
http://webbertraining.com/index.php
“Innate Resistance to Sporicides and Potential Failure to Decontaminate”)
included discussion relating to a 3-step test method to determine efficacy
of disinfectant wipes using a method described by Williams et al. J Hosp
Infect 2007;67:329-35. It seems from this presentation that wipes should
undergo a “3-step wipe testing method” not a suspension test method.This would seem reasonable to me particularly for those wipes that are going
to be used on medical devices and hence have to be registered as a medical
device.3. As you mention in additional to using the “Sporicidal Wipe” you are
required to use the following:. Activated Sporicidal Wipes using a reusable foam pump (? is this
a time dependent procedure). Pre-Clean Wipe/s and
. Rinse Wipe/s
All the wipes are packaged in the one box.
The method of use as described online would raise the following questions
for me:a) Is there a risk of human error in selecting the wrong wipe during a
procedure?b) The Sporicidal Wipes is activated with what looks like a reusable
foam pump – is there any risk that this reusable pump can become
contaminated during use?Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
PO Box 5202
Middle Park
Victoria, 3206
Australia
H: +61 3 96902216
M: +61 404 816 434
ABN 47533508426
Fiona de Sousa
disinfectionHi All,
I have been asked to review a new cleaning and disinfection system for
reprocessing transvaginal ultrasound probes especially those used in IVF
related pregnancies where chemical residues are a high concern.The system consists of three separate pre-packaged wipes (a cleaner, a
disinfectant and a rinse wipe) which I believe is currently used in he UK.
The active ingredient in the disinfectant wipe is chlorine dioxide in
aqueous solution.Has anyone got any experience with this type of system that they would be
willing to share with me?Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
185 Fox Valley Road, Wahroonga, NSW, 2076
information intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any
dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the
sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual
sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney
Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.comMessages posted to this list are solely the opinion of the authors, and do
not represent the opinion of AICA.Archive of all messages are available at http://aicalist.org.au/archives –
registration and login required.Replies to this message will be directed back to the list. To create a new
message send an email to aicalist@aicalist.org.auTo send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.You can unsubscribe from this list be sending ‘signoff aicalist’ (without
the quotes) to listserv@aicalist.org.auMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
My organisation made a decision very recently on this subject.
The 2 choices were the Tristel Wipe system and the Trophon system.
Both systems are listed on the ARTG and are readily searchable.
I prepared a paper to present to my committee in order for the committee
to make a decision as to which is the best choice for us.I can send an edited version of this paper upon request. I tried to be
as unbiased as possible in order for my committee to make an impartial
decision.The decision made was for the Trophon and the rationale was because it
was automated.The weakness with the Tristel system is ‘user’ fallibility.
There is no doubt the Tristel is easy and significantly cheaper.
However it is harder to measure that correct contact time for the active
ingredient to be effective. What happens in a busy unit with a doctor/
sonographer in a hurry to complete the list?Trophon has significant ongoing cost implications with consumables and
once the warranty is expired, ongoing service costs.It is a tough decision. Cost of product versus a guarantee of user
compliance with the process.As one of my colleagues said … if we can’t get hand hygiene right
among some staff, can we expect them to get this right!!!Maree Sommerville
Infection Control Nurse Consultant
Mercy Hospital for Women
8458 4759
________________________________
Behalf Of Fiona de Sousa
Hi All,
I have been asked to review a new cleaning and disinfection system for
reprocessing transvaginal ultrasound probes especially those used in IVF
related pregnancies where chemical residues are a high concern.The system consists of three separate pre-packaged wipes (a cleaner, a
disinfectant and a rinse wipe) which I believe is currently used in he
UK. The active ingredient in the disinfectant wipe is chlorine dioxide
in aqueous solution.Has anyone got any experience with this type of system that they would
be willing to share with me?Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
185 Fox Valley Road, Wahroonga, NSW, 2076
information intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any
dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify
the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual
sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney
Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.comMessages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.auTo send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.auDISCLAIMER This email and any files transmitted with it
may be confidential and intended solely for the use of the
individual or entity to whom they are addressed. If you have
received this email in error please notify the sender immediately
by return email and delete or destroy this message and its
attachments. While this email and any attachments have
been cleared by Mercy Health’s virus protection systems, recipients
should use their own systems to detect computer viruses or other
materials that may corrupt files or systems. Find out more about
Mercy Health at http://www.mercyhealth.com.auMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Maree,
An interesting observation made by your colleagues.
With the introduction of any new system/equipment it is important to evaluate any potential risks that may be associated with human error and where possible consider alternative engineering controls that have been designed to engineer out such risks.
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
PO Box 5202
Middle Park
Victoria, 3206
Australia
H: +61 3 96902216
M: +61 404 816 434
ABN 47533508426
My organisation made a decision very recently on this subject.
The 2 choices were the Tristel Wipe system and the Trophon system.
Both systems are listed on the ARTG and are readily searchable.
I prepared a paper to present to my committee in order for the committee to make a decision as to which is the best choice for us.
I can send an edited version of this paper upon request. I tried to be as unbiased as possible in order for my committee to make an impartial decision.
The decision made was for the Trophon and the rationale was because it was automated.
The weakness with the Tristel system is user fallibility.
There is no doubt the Tristel is easy and significantly cheaper. However it is harder to measure that correct contact time for the active ingredient to be effective. What happens in a busy unit with a doctor/ sonographer in a hurry to complete the list?
Trophon has significant ongoing cost implications with consumables and once the warranty is expired, ongoing service costs.
It is a tough decision. Cost of product versus a guarantee of user compliance with the process.
As one of my colleagues said if we cant get hand hygiene right among some staff, can we expect them to get this right!!!
Maree Sommerville
Infection Control Nurse Consultant
Mercy Hospital for Women
8458 4759
_____
Hi All,
I have been asked to review a new cleaning and disinfection system for reprocessing transvaginal ultrasound probes especially those used in IVF related pregnancies where chemical residues are a high concern.
The system consists of three separate pre-packaged wipes (a cleaner, a disinfectant and a rinse wipe) which I believe is currently used in he UK. The active ingredient in the disinfectant wipe is chlorine dioxide in aqueous solution.
Has anyone got any experience with this type of system that they would be willing to share with me?
Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
185 Fox Valley Road, Wahroonga, NSW, 2076
If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.comMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
DISCLAIMER This email and any files transmitted with it
may be confidential and intended solely for the use of the
individual or entity to whom they are addressed. If you have
received this email in error please notify the sender immediately
by return email and delete or destroy this message and its
attachments. While this email and any attachments have
been cleared by Mercy Health’s virus protection systems, recipients
should use their own systems to detect computer viruses or other
materials that may corrupt files or systems. Find out more about
Mercy Health at http://www.mercyhealth.com.auMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Dear Jayne
Would this be the Tristel Wipes System? AshMed are canvassing all
hospitals I believe. We have a trophon EPR and prcessor. We have been
canvassed but I am a little trepiditious despite the supporting
literature re introducing. Would love it if you would be happy to share
your protocol?….and any other feedback/evidence of efficacy etc.Cheers
Liz Vanderlinde
Infection Control Officer
North West Private HospitalBrickport Road, Burnie TAS 7320, Australia
T +61 3 6432 6022 F +61 3 6431 6158
E Liz.Vanderlinde@healthecare.com.au Wis intended only for the use of the addressee(s) named above and may
contain information that is privileged or subject to copyright. If you
are not the intended recipient of this message you are hereby notified
that you must not disseminate, copy or take any action based upon it.
Please delete and destroy the message from your computer. If you
received this message in error please notify Healthe Care Australia
immediately.________________________________
Behalf Of Jane Barnett
Hi
We introduced this into our radiology dept for the US probes over a year
ago now and it seems to work well. The previous processes were really
inadequate for these items and the chlorine dioxide does achieve high
level disinfection options without exposure to staff of liquid
chemicals. The company provided good training to the staff who carry
this out plus we ensured that there were laminated instruction charts
with all mobile equipment e.g. used in our gynae emergency area.Happy to share the protocol if you contact me.
Jane Barnett
Clinical Nurse Specialist
Infection Prevention & Control
Christchurch Women’s Hospital
Private Bag 4711, Christchurch
Infection Prevention and Control is Everyone’s Business
Behalf Of Fiona de Sousa
disinfectionHi All,
I have been asked to review a new cleaning and disinfection system for
reprocessing transvaginal ultrasound probes especially those used in IVF
related pregnancies where chemical residues are a high concern.The system consists of three separate pre-packaged wipes (a cleaner, a
disinfectant and a rinse wipe) which I believe is currently used in he
UK. The active ingredient in the disinfectant wipe is chlorine dioxide
in aqueous solution.Has anyone got any experience with this type of system that they would
be willing to share with me?Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
185 Fox Valley Road, Wahroonga, NSW, 2076
information intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any
dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify
the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual
sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney
Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.comMessages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.auTo send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.auMessages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.Archive of all messages are available at http://aicalist.org.au/archives
– registration and login required.Replies to this message will be directed back to the list. To create a
new message send an email to aicalist@aicalist.org.auTo send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.auMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
- The forum ‘Infexion Connexion’ is closed to new topics and replies.