GE Logiq 9 User Manual
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Probe Overview LOGIQ E9 User Guide 3-3 Direction 5180302-100 Rev. 1 Probe handling and infection control This information is intended to increase user awareness of the risks of disease transmission associated with using this equipment and provide guidance in making decisions directly affecting the safety of the patient as well as the equipment user. Diagnostic ultrasound systems utilize ultrasound energy that must be coupled to the patient by direct physical contact. Depending on the type of examination, this contact occurs with a variety of tissues ranging from intact skin in a routine exam to recirculating blood in a surgical procedure. The level of risk of infection varies greatly with the type of contact. One of the most effective ways to prevent transmission between patients is with single use or disposable devices. However, ultrasound transducers are complex and expensive devices that must be reused between patients. It is very important, therefore, to minimize the risk of disease transmission by using barriers and through proper processing between patients. CAUTIONRisk of Infection. ALWAYS clean and disinfect the probe between patients to the level appropriate for the type of examination and use FDA-cleared probe sheaths where appropriate. CAUTIONAdequate cleaning and disinfection are necessary to prevent disease transmission. It is the responsibility of the equipment user to verify and maintain the effectiveness of the infection control procedures in use. Always use sterile, legally marketed probe sheaths for intra-cavitary and intra-operative procedures. For neurological intra-operative procedures, use of a legally marketed, sterile, pyrogen free probe sheath is REQUIRED. Probes for neuro surgical use must not be sterilized with liquid chemical sterilants because of the possibility of neuro toxic residues remaining on the probe.
After the Exam is Over 3-4 LOGIQ E9 User Guide Direction 5180302-100 Rev. 1 Endocavitary Probe Handling Precautions If the sterilization solution comes out of the endocavitary probe, please follow the cautions below. CAUTIONSterilant Exposure to Patient (e.g., Cidex)—Contact with a sterilant to the patient’s skin or mucous membrane may cause an inflammation. If this happens, refer to the sterilant’s instruction manual. Sterilant Exposure from Probe Handle to Patient (e.g., Cidex)—DO NOT allow the sterilant to contact the patient. Only immerse the probe to its specified level. Ensure that no solution has entered the probe’s handle before scanning the patient. If sterilant comes into contact with the patient, refer the the sterilant’s instruction manual. Sterilant Exposure from Probe Connector to Patient (e.g., Cidex)—DO NOT allow the sterilant to contact the patient. Only immerse the probe to its specified level. Ensure that no solution has entered the probe’s connector before scanning the paitent. If sterilant comes into contact with the patient, refer the the sterilant’s instruction manual. Endocavitary Probe Point of Contact—Refer to the sterilant’s instruction manual.
Probe Overview LOGIQ E9 User Guide 3-5 Direction 5180302-100 Rev. 1 Probe Cleaning Process Cleaning probes Perform After Each UseTo clean the probe: 1. Disconnect the probe from the ultrasound console and remove all coupling gel from the probe by wiping with a soft cloth and rinsing with flowing water. 2. Wash the probe with mild soap in lukewarm water. Scrub the probe as needed using a soft sponge, gauze, or cloth to remove all visible residue from the probe surface. Prolonged soaking or scrubbing with a soft bristle brush (such as a toothbrush) may be necessary if material has dried onto the probe surface. 3. Rinse the probe with enough clean potable water to remove all visible soap residue. 4. Air dry or dry with a soft cloth. CAUTIONTake extra care when handling the lens face of the Ultrasound transducer. The lens face is especially sensitive and can easily be damaged by rough handling. NEVER use excessive force when cleaning the lens face.
After the Exam is Over 3-6 LOGIQ E9 User Guide Direction 5180302-100 Rev. 1 Cleaning probes (continued) Figure 3-1. Probe Immersion Levels 1. Fluid Level
Probe Overview LOGIQ E9 User Guide 3-7 Direction 5180302-100 Rev. 1 Disinfecting probes Perform After Each UseUltrasound probes can be disinfected using liquid chemical germicides. The level of disinfection is directly related to the duration of contact with the germicide. Increased contact time produces a higher level of disinfection. CAUTIONReview the probe care card that is packed with each probe. The following website contains the most current and up-to-date recommendations: http://www.gehealthcare.com/usen/ultrasound/products/ probe_care.html Table 3-2: Probe Disinfectants Disinfectant 9L -D 11 L- D IC 5- 9- D M6 C- D ML 6- 15- D M4 S- DC1 -5- D RN A5 -9- D S1 -53C RF RA B2 -5- DRI C5 -9- DRS P6- 16- D Aquasonics 100XX XXXXXX X XX X X Asepti-WipesXX Asepti-Wipes IIXX Cidex X X X X X X X X X X X X Cidex OPA X X X X X X X X X X X X X Cidex Plus X X X X X X X X X Cleanisept wipesXX X XXX Clear Image X GE Ultrasound Contact GelXX XXX Gigasept X X X Gigasept AF X X X X X X X X X Gigasept FF X X X X X X X X X X X HAIYIN GelX Hibitane X X Incidin FoamX Kendall X
After the Exam is Over 3-8 LOGIQ E9 User Guide Direction 5180302-100 Rev. 1 KlenzymeXX Metricide 14 X X X X X X X X X X X X MetriWipesXX Milton X NUCLEAN IIX PeraSafe X X X X X X X X X X X RelyOn MDC (Virkon)X Sani-Cloth ActiveXX Sani-Cloth GermicidalXX Sani-Cloth HB X X X X X X X X X X X X Scan XX XXXX X XX X X Sekusept PlusX Septiwipes X X X X X Sonogel X X X X X X X X X X X X Sporox II X Ster Bac BluXX XXXX X XX X X Transeptic Sp r a yXXXXXX T-Spray XX XXXX X XX X X T-Spray II XX XXXX X XX X X Wavicide-01 X X X X X X X X X X X X Table 3-2: Probe Disinfectants Disinfectant 9L -D 11 L- D IC 5- 9- D M6 C- D ML 6- 15- D M4 S- DC1 -5- D RN A5 -9- D S1 -53C RF RA B2 -5- DRI C5 -9- DRS P6- 16- D
Probe Overview LOGIQ E9 User Guide 3-9 Direction 5180302-100 Rev. 1 Disinfecting probes (continued) 1. Prepare the germicide solution according to the manufacturers instructions. Be sure to follow all precautions for storage, use and disposal. 2. Place the cleaned and dried probe in contact with the germicide for the time specified by the germicide manufacturer. High-level disinfection is recommended for surface probes and is required for endocavitary and intraoperative probes (follow the germicide manufacturers recommended time). 3. After removing from the germicide, rinse the probe following the germicide manufacturers rinsing instructions. Flush all visible germicide residue from the probe and allow to air dry. CAUTIONIn order for liquid chemical germicides to be effective, all visible residue must be removed during the cleaning process. Thoroughly clean the probe, as described earlier before attempting disinfection. You MUST disconnect the probe from the LOGIQ E9 prior to cleaning/disinfecting the probe. Failure to do so could damage the system. DO NOT soak probes in liquid chemical germicide for longer than is stated by the germicide instructions for use. Extended soaking may cause probe damage and early failure of the enclosure, resulting in possible electric shock hazard. CAUTIONProbes for neuro surgical intra-operative use must NOT be sterilized with liquid chemical sterilants because of the possibility of neuro toxic residues remaining on the probe. Neurological procedures must be done with the use of legally marketed, sterile, pyrogen free probe sheaths.
After the Exam is Over 3-10 LOGIQ E9 User Guide Direction 5180302-100 Rev. 1 Disinfecting probes (continued) CAUTIONCREUTZFIELD-JACOB DISEASE Neurological use on patients with this disease must be avoided. If a probe becomes contaminated, there is no adequate disinfecting means. Biological Hazard WARNINGUltrasound transducers can easily be damaged by improper handling and by contact with certain chemicals. Failure to follow these precautions can result in serious injury and equipment damage. • Do not immerse the probe into any liquid beyond the level specified for that probe. Never immerse the transducer connector or probe adapters into any liquid. • Avoid mechanical shock or impact to the transducer and do not apply excessive bending or pulling force to the cable. • Transducer damage can result from contact with inappropriate coupling or cleaning agents: • Do not soak or saturate transducers with solutions containing alcohol, bleach, ammonium chloride compounds or hydrogen peroxide • Avoid contact with solutions or coupling gels containing mineral oil or lanolin • Avoid temperatures above 60°C. • Inspect the probe prior to use for damage or degeneration to the housing, strain relief, lens and seal. Do not use a damaged or defective probe.
Probe Overview LOGIQ E9 User Guide 3-11 Direction 5180302-100 Rev. 1 Coupling gels ApplyingIn order to assure optimal transmission of energy between the patient and probe, a conductive gel or couplant must be applied liberally to the patient where scanning will be performed. PrecautionsCoupling gels should not contain the following ingredients as they are known to cause probe damage: • Methanol, ethanol, isopropanol, or any other alcohol-based product • Mineral oil • Iodine • Lotions • Lanolin • Aloe Vera • Olive Oil • Methyl or Ethyl Parabens (para hydroxybenzoic acid) • Dimethylsilicone WARNINGDo not use unrecommended gels (lubricants). They may damage the probe and void the warranty. CAUTIONDo not apply gel to the eyes. If there is gel contact to the eye, flush eye thoroughly with water.
After the Exam is Over 3-12 LOGIQ E9 User Guide Direction 5180302-100 Rev. 1 System Presets Foreign Language Keyboard Setup Keyboard Setup for non-Russian/Greek Languages To set up the keyboard for non-Russian/Greek languages: NOTE: You must apply the changes on each setup page before moving to the next page. 1. In Utility--> System--> General, set the Language as desired. Save this setting, but do not reboot the system yet. 2. Press Regional Options, select the Language tab, press Details, under Installed Services press Add to set the Keyboard layout/IME to United States-International, press OK, set the Default input language to English (United States) - United States International, press Apply, Press OK. Figure 3-2. Selecting the International Keyboard