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Ultrasound transducer disinfection using UV Antigermix

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  • #74295
    KAYLENE STYLES
    Participant

    Author:
    KAYLENE STYLES

    Email:
    KAYLENES@BARWONHEALTH.ORG.AU

    Organisation:

    State:

    Good morning all
    I am looking for some assistance with managing the high level disinfection of ultrasound probes. We currently use Trophon (hydrogen peroxide) but have found a few new small ultrasound transducers for the renal patients that have been brought into the system without an consultation with infection prevention. These have not been tested with the Trophon system and we do not have any other method to disinfect appropriately at this point.
    Our biomedical team have distributed information to the teams that use ultrasounds suggesting they implement UV Antigermix system. Is there anyone using this?
    Our team would appreciate any information that might help our choices.
    Regards

    [Barwon Health]

    Kaylene Styles
    Clinical Nurse Consultant | Infection Prevention Service | Barwon Health
    Direct. (03) 4215 2323 |kaylenes@barwonhealth.org.au
    Post. PO Box 281 Geelong 3220
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    #74296
    Tim Spencer
    Participant

    Author:
    Tim Spencer

    Email:
    tim.spencer68@ICLOUD.COM

    Organisation:

    State:

    Hi Kaylene,
    You can find guidelines from ASUM in their website here;
    http://onlinelibrary.wiley.com/doi/10.1002/ajum.12042/full

    Might find home useful info there..
    Tim..

    Timothy R. Spencer, DipAppSc, BHSc, ICCert, RN, APRN, VA-BC
    Global Vascular Access, LLC
    E: tim.spencer68@icloud.com
    M: +1 (623) 326 8889 (USA)
    M: +61 409 463 428 (AU)
    http://www.vascularaccess.com.au
    http://orcid.org/0000-0002-3128-2034

    Sent from my iPhone

    > On Feb 11, 2018, at 13:00, KAYLENE STYLES wrote:
    >
    > Good morning all
    > I am looking for some assistance with managing the high level disinfection of ultrasound probes. We currently use Trophon (hydrogen peroxide) but have found a few new small ultrasound transducers for the renal patients that have been brought into the system without an consultation with infection prevention. These have not been tested with the Trophon system and we do not have any other method to disinfect appropriately at this point.
    > Our biomedical team have distributed information to the teams that use ultrasounds suggesting they implement UV Antigermix system. Is there anyone using this?
    > Our team would appreciate any information that might help our choices.
    > Regards
    >
    >
    >
    > Kaylene Styles
    > Clinical Nurse Consultant | Infection Prevention Service | Barwon Health
    > Direct. (03) 4215 2323 |kaylenes@barwonhealth.org.au
    > Post. PO Box 281 Geelong 3220
    >
    >
    >
    >
    >
    >
    >
    > We, Barwon Health, acknowledge the Traditional Owners of the land, the Wadawurrung people of the Kulin Nation.
    > We pay our respects to the Elders both past and present.
    >
    >
    >
    >
    >
    >
    > E-MAIL IS CONFIDENTIAL. If you have received this e-mail in error, please notify us by return e-mail and delete the document. If you are not the intended recipient you are hereby notified that any disclosure, copying, distribution or taking any action in reliance on the contents of this information is strictly prohibited and may be unlawful. Barwon Health is not liable for the proper and complete transmission of the information contained in this communication or for any delay in its receipt.
    >
    > MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
    > The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
    >
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    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    #74297
    Cath Murphy
    Participant

    Author:
    Cath Murphy

    Email:
    cath@INFECTIONCONTROLPLUS.COM.AU

    Organisation:

    State:

    Hi Kaylene

    As always I would encourage users to refer to TGA and listing, or not, of any product on the Australian Register of Therapeutic Goods. https://www.ebs.tga.gov.au/servlet/xmlmillr6?dbidebs/PublicHTML/pdfStore.nsf&docid233098&agid(PrintDetailsPublic)&actionid1

    An important part of checking listing is making sure that the way any product or good listed on the ARTG is used according to its listed “indications”. Healthcare workers can very creatively find uses for listed products that are not approved uses. In a practical sense that means that the comprehensive testing a manufacturer or provider has to undertake and prove to TGA prior to listing is most likely that ONLY approved use of products on the TGA.

    I checked the above link and I don’t see U/S disinfection of U/S used in renal populations as indication.

    It’s perhaps a pedantic point but guidelines and regulations and manufacturer’s instructions are all useful and should be adhered to.

    Happy to discuss this further off line if anyone is interested.

    Yours sincerely

    Cath

    Cathryn Murphy RN B. Photog MPH PhD CIC CICP-E
    Chief Executive Officer & Creative Director
    Infection Control Plus Pty Ltd
    QLD, Australia

    E: Cath@infectioncontrolplus.com.au
    M: +61 428 154154
    W:http://www.infectioncontrolplus.com.au

    Good morning all
    I am looking for some assistance with managing the high level disinfection of ultrasound probes. We currently use Trophon (hydrogen peroxide) but have found a few new small ultrasound transducers for the renal patients that have been brought into the system without an consultation with infection prevention. These have not been tested with the Trophon system and we do not have any other method to disinfect appropriately at this point.
    Our biomedical team have distributed information to the teams that use ultrasounds suggesting they implement UV Antigermix system. Is there anyone using this?
    Our team would appreciate any information that might help our choices.
    Regards

    [Barwon Health]

    Kaylene Styles
    Clinical Nurse Consultant | Infection Prevention Service | Barwon Health
    Direct. (03) 4215 2323 |kaylenes@barwonhealth.org.au
    Post. PO Box 281 Geelong 3220
    [Barwon Health Facebook]

    [Barwon Health Twitter]

    [Barwon Health LinkedIn]

    [raditional Owners Flags]

    We, Barwon Health, acknowledge the Traditional Owners of the land, the Wadawurrung people of the Kulin Nation.
    We pay our respects to the Elders both past and present.

    [Barwon Health]

    [Barwon Health]

    E-MAIL IS CONFIDENTIAL. If you have received this e-mail in error, please notify us by return e-mail and delete the document. If you are not the intended recipient you are hereby notified that any disclosure, copying, distribution or taking any action in reliance on the contents of this information is strictly prohibited and may be unlawful. Barwon Health is not liable for the proper and complete transmission of the information contained in this communication or for any delay in its receipt.

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    #74299
    Glenys Harrington
    Participant

    Author:
    Glenys Harrington

    Email:
    infexion@ozemail.com.au

    Organisation:
    Infection Control Consultancy (ICC)

    State:

    Hi Kaylene,

    The device you mention is regulated by TGA as a Class 11b “Medical Device”
    and is included in the TGA Australian Register of Therapeutic Goods (ARTG).
    See attached TGA “Summary for ARTG entry” and “TGA Summary of Disinfectant
    Regulations” at the following link
    https://www.tga.gov.au/summary-disinfectant-regulation

    As mentioned by Cath Murphy note the intended purpose in the “Summary for
    ARTG entry” which states the following:

    . “The ANTIGERMIX S1 (AS1) automaton is a dry disinfection process
    for ultrasound transducers. The AS1 device performs a High Level
    Disinfection on external or endocavitary ultrasound transducers. The process
    is based on UVC radiation as an alternative to a chemical disinfection
    process”.

    Before using you should establish with the supplier/manufacturer of the
    transducer/s and the supplier/manufacturer of the Class 11b “Medical Device”
    [ANTIGERMIX S1 (AS1)] that they are compatible for the purposes of use and
    your warranty.

    Regards

    Glenys

    Glenys Harrington

    Infection Control Consultancy (ICC)

    P.O. Box 6385

    Melbourne

    Australia, 3004

    M: +61 404816434

    E: infexion@ozemail.com.au

    Of KAYLENE STYLES
    UV Antigermix

    Good morning all

    I am looking for some assistance with managing the high level disinfection
    of ultrasound probes. We currently use Trophon (hydrogen peroxide) but have
    found a few new small ultrasound transducers for the renal patients that
    have been brought into the system without an consultation with infection
    prevention. These have not been tested with the Trophon system and we do not
    have any other method to disinfect appropriately at this point.

    Our biomedical team have distributed information to the teams that use
    ultrasounds suggesting they implement UV Antigermix system. Is there anyone
    using this?

    Our team would appreciate any information that might help our choices.

    Regards

    Barwon Health

    Kaylene Styles
    Clinical Nurse Consultant | Infection Prevention Service | Barwon Health
    Direct. (03) 4215 2323 |kaylenes@barwonhealth.org.au
    Post. PO Box 281 Geelong 3220

    Barwon Health Facebook

    Barwon Health Twitter

    Barwon Health LinkedIn

    raditional Owners Flags

    We, Barwon Health, acknowledge the Traditional Owners of the land, the
    Wadawurrung people of the Kulin Nation.
    We pay our respects to the Elders both past and present.

    Barwon Health

    Barwon Health

    E-MAIL IS CONFIDENTIAL. If you have received this e-mail in error, please
    notify us by return e-mail and delete the document. If you are not the
    intended recipient you are hereby notified that any disclosure, copying,
    distribution or taking any action in reliance on the contents of this
    information is strictly prohibited and may be unlawful. Barwon Health is not
    liable for the proper and complete transmission of the information contained
    in this communication or for any delay in its receipt.

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
    NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is
    discouraged by ACIPC. If you wish to discuss specific reference to products
    or services by brand or commercial names, please do this outside the list.

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    #74301
    Cath Murphy
    Participant

    Author:
    Cath Murphy

    Email:
    cath@INFECTIONCONTROLPLUS.COM.AU

    Organisation:

    State:

    Hi Kaylene/ Glenys

    In response to Glenys’s recent posting compared to my earlier posting please note the distinction between two products. In my reply the link provided is for ANTIGERMIX E1 (AE1) – Light, germicidal, ultraviolet. (now attached) In Glenys’s attachment the listed device is for ANTIGERMIX S1 (AS1) – Light, germicidal, ultraviolet Product Type Medical device system Effective.

    I cannot quickly determine if the devices are the same as their indications are different ie. one is indicated for TOE probes and the other seems for general. It’s a good example of not having a carte blanche approach but rather closely looking at device registration, device models, details and indications.

    In your original email you didn’t differentiate to which ANTIGeRMIX model you are referring. Hopefully our respective views and others will help you find a safe solution to your original query.

    Yours sincerely

    Cath

    Cathryn Murphy RN B. Photog MPH PhD CIC
    Chief Executive Officer & Creative Director
    Infection Control Plus Pty Ltd
    QLD, Australia

    E: Cath@infectioncontrolplus.com.au
    M: +61 428 154154
    W:http://www.infectioncontrolplus.com.au

    Hi Kaylene,

    The device you mention is regulated by TGA as a Class 11b “Medical Device” and is included in the TGA Australian Register of Therapeutic Goods (ARTG). See attached TGA “Summary for ARTG entry” and “TGA Summary of Disinfectant Regulations” at the following link https://www.tga.gov.au/summary-disinfectant-regulation

    As mentioned by Cath Murphy note the intended purpose in the “Summary for ARTG entry” which states the following:

    * “The ANTIGERMIX S1 (AS1) automaton is a dry disinfection process for ultrasound transducers. The AS1 device performs a High Level Disinfection on external or endocavitary ultrasound transducers. The process is based on UVC radiation as an alternative to a chemical disinfection process”.

    Before using you should establish with the supplier/manufacturer of the transducer/s and the supplier/manufacturer of the Class 11b “Medical Device” [ANTIGERMIX S1 (AS1)] that they are compatible for the purposes of use and your warranty.

    Regards

    Glenys

    Glenys Harrington
    Infection Control Consultancy (ICC)
    P.O. Box 6385
    Melbourne
    Australia, 3004
    M: +61 404816434
    E: infexion@ozemail.com.au
    [Description: ICC Diagram ICCversion]

    Good morning all
    I am looking for some assistance with managing the high level disinfection of ultrasound probes. We currently use Trophon (hydrogen peroxide) but have found a few new small ultrasound transducers for the renal patients that have been brought into the system without an consultation with infection prevention. These have not been tested with the Trophon system and we do not have any other method to disinfect appropriately at this point.
    Our biomedical team have distributed information to the teams that use ultrasounds suggesting they implement UV Antigermix system. Is there anyone using this?
    Our team would appreciate any information that might help our choices.
    Regards

    [Barwon Health]

    Kaylene Styles
    Clinical Nurse Consultant | Infection Prevention Service | Barwon Health
    Direct. (03) 4215 2323 |kaylenes@barwonhealth.org.au
    Post. PO Box 281 Geelong 3220
    [Barwon Health Facebook]

    [Barwon Health Twitter]

    [Barwon Health LinkedIn]

    [raditional Owners Flags]

    We, Barwon Health, acknowledge the Traditional Owners of the land, the Wadawurrung people of the Kulin Nation.
    We pay our respects to the Elders both past and present.

    [Barwon Health]

    [Barwon Health]

    E-MAIL IS CONFIDENTIAL. If you have received this e-mail in error, please notify us by return e-mail and delete the document. If you are not the intended recipient you are hereby notified that any disclosure, copying, distribution or taking any action in reliance on the contents of this information is strictly prohibited and may be unlawful. Barwon Health is not liable for the proper and complete transmission of the information contained in this communication or for any delay in its receipt.

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

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