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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 
    						
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