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GE Vivid 7 User Manual

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    							Probes
    Vivid7/Vivid7 PRO Users Manual367
    FC092326-03
    Disconnecting the probe
    To disconnect probes:
    1. Rotate the lock handle counter-clockwise to the horizontal 
    position to unlock the connector.
    The probes that are 
    not connected to the 
    unit should be 
    stored in their stor-
    age case.2. Remove the connector from the port.
    3. Ensure that the probe head is clean before placing the 
    probe in its storage case.
    CAUTIONMake sure that the probe and application names displayed on the 
    screen correspond to the actual probe and application selection.
    Check that the correct TI category is displayed (see ’Thermal 
    Index’ on page 471). TIB must be displayed when a fetal 
    application is selected. 
    						
    							Probes
    368Vivid7/Vivid7 PRO Users Manual
    FC092326-03
    Care and Maintenance
    This section covers:
    • Planned maintenance
    • Probe inspection
    • Probe cleaning
    • Probe disinfection
    Planned maintenance
    It is recommended to keep a maintenance log and note all 
    probe malfunctions. Follow the maintenance schedule below to 
    ensure optimum operation and safety:
    After each use:
    •  Inspect the probe
    •  Clean the probe
    •  If required disinfect the probe
    Before each use:
    •  Inspect the probe
    CAUTIONImproper handling can lead to early probe failure and electric 
    shock hazards.
    DO follow the specific cleaning and disinfection procedures 
    provided in this chapter and the germicide manufacturers 
    instructions.
    Failure to do so will void probe warranty.
    CAUTIONTransesophageal and intraoperative probes require a special 
    handling. Refer to the user documentation enclosed with these 
    probes. 
    						
    							Probes
    Vivid7/Vivid7 PRO Users Manual369
    FC092326-03
    Inspecting the probe    
    After each use:
    1. Inspect the lens, the probe housing and the cable 
    (Figure 10-4.
    2. Look for damage that might allow liquid into the probe.
    Before each use:
    1. Inspect the lens, the probe housing and the cable 
    (Figure 10-4).
    2. Look for damage that might allow liquid into the probe.
    3. Test the functionality of the probe.
     Figure 10-4: Probe parts
    CAUTIONIf any damage is found, DO NOT use the probe until it has been 
    inspected and released for further use by a GE service 
    representative.
    1. Housing
    2. Strain relief
    3. Seal
    4. Lens 
    						
    							Probes
    370Vivid7/Vivid7 PRO Users Manual
    FC092326-03
    Cleaning and disinfecting probes
    Cleaning probes
    Cleaning procedure
    1. Disconnect the probe from the unit.
    2. Remove the coupling gel by wiping the probe lens with a 
    soft cloth.
    3. Wipe the probe and cable with a soft cloth moisten in a 
    warm soap and water solution (
    						
    							Probes
    Vivid7/Vivid7 PRO Users Manual371
    FC092326-03
    endocavity (TV,TR,TE) probes after contact with mucosal 
    membrane.
    High-level disinfection procedure
    Follow the manu-
    facturers instruc-
    tions for storage, 
    use and disposal of 
    the disinfection so-
    lution.1. Prepare the germicide solution according to the 
    manufacturers instructions.
    2. Place the cleaned dried probe in contact with the germicide 
    for the time duration specified by the manufacturer.
    3. Rinse the part of the probe which was in contact with the 
    germicide according to the germicide manufacturers 
    instructions.
    4. Wipe dry with a soft towel or air dry the probe.
    WARNINGUse only germicides that are listed in the Probe Care Card 
    enclosed with the probe. In addition, refer to the local / national 
    regulations.
    Do not steam autoclave or subject the probe to Ethylene Oxide 
    (ETO).
    WARNINGDo not immerse the probe in liquid beyond the level specified for 
    that probe (see Figure 10-5).
    Never immerse the probe connector or probe adapters in liquid.
    The probe should not be exposed to the germicide longer than 
    specified to achieve the desired effect.
    DO NOT soak or saturate probes with solutions containing 
    alcohol, bleach, ammonium chloride compounds. In addition TE 
    probes must not be immersed in solutions containing hydrogen 
    peroxide.
    WARNINGCREUTZFIELD-JACOB DISEASE
    Neurological use on patients with this disease must be avoided. 
    If a probe becomes contaminated, there is no adequate 
    disinfecting means. 
    						
    							Probes
    372Vivid7/Vivid7 PRO Users Manual
    FC092326-03
     Figure 10-5: Probe immersion levels
    1. Fluid level
    2. Contact face with 
    patient environment 
    						
    							Probes
    Vivid7/Vivid7 PRO Users Manual373
    FC092326-03
    Probe safety
    This section includes information on hazards to both the user 
    and the equipment, as follow:
    • Electrical hazards
    • Mechanical hazards
    • Biological hazards
    Electrical hazards
    Probes are driven by electricity, which can injure the patient or 
    user when exposed to contact with conductive solution.
    Mechanical hazards
    Take precaution to avoid mechanical hazards.
    WARNINGDo not immerse the probe into any liquid beyond the level shown 
    in Figure 10-5. Never immerse the probe connector or adaptors 
    into any liquid.
    Do not subject the probe to mechanical shock or impact, which 
    may result in cracks or chips in the housing and degrade 
    performance.
    Inspect the probe before and after each use, as described on 
    page 369, for damage or degradation to the housing, strain relief, 
    lens and seal.
    DO NOT apply excessive force to the probe cable, to prevent 
    insulation failure.
    Electrical leakage checks should be performed regularly by a GE 
    service representative or qualified hospital personnel, according 
    to the procedures described in EN 60601-1/IEC 60601-1 §19.
    WARNINGObserve immersion levels as displayed in Figure 10-5, page 372.
    Inspect probes for sharp edges or rough surfaces that could 
    injure sensitive tissue.
    DO NOT bend or pull the cable forcefully, to avoid mechanical 
    shock or impact to the probe. 
    						
    							Probes
    374Vivid7/Vivid7 PRO Users Manual
    FC092326-03
    Biological hazards
    To minimize disease transmission, legally marketed and sterile 
    pyrogen-free sheaths should be used for each probe 
    recommended for intra-cavity procedures.
    Adequate cleaning and disinfection are essential to prevent 
    disease transmission. It is the responsibility of the user to verify 
    and maintain the effectiveness of the infection control 
    procedures in use.
    CAUTIONTransesophageal probes require a special handling. Refer to the 
    user documentation enclosed with these probes.  
    						
    							Probes
    Vivid7/Vivid7 PRO Users Manual375
    FC092326-03
    Biopsy
    The Vivid 7/Vivid 7 PRO supports biopsy capability for the 
    3.5C, 10L and 12L probes. The biopsy option is intended for 
    use by a duly licensed physician who has received the 
    appropriate training in biopsy techniques as dictated by current 
    relevant practices, as well as in proper operation of the Vivid 7/
    Vivid 7 PRO ultrasound unit.
    Precaution concerning the use of 
    biopsy procedures
    WARNINGDo not freeze the image during a biopsy procedure. The image 
    must be live to avoid a positioning error.
    CAUTIONThe use of biopsy devices and accessories that have not been 
    evaluated for use with the equipment may not be compatible and 
    could result in injury.
    CAUTIONThe invasive nature of biopsy procedures requires proper 
    preparation and technique to control infection and disease 
    transmission. Equipment must be cleaned as appropriate for the 
    procedure prior to use.
    •  Follow the probe cleaning and disinfection procedures and 
    precautions to properly prepare the probe.
    •  Follow the manufacturer’s instructions for the cleaning of biopsy 
    devices and accessories.
    •  After use, follow proper procedures for decontamination, cleaning, 
    and waste disposal.
    Improper cleaning methods and the use of certain cleaning and 
    disinfecting agents can cause damage to the plastic components 
    that will degrade imaging performance or increase the risk of 
    electric shock. 
    						
    							Probes
    376Vivid7/Vivid7 PRO Users Manual
    FC092326-03
    Preparing the Biopsy guide attachment
    The 3.5C, 10L and 12L probes have an optional biopsy kit 
    specific for each probe. The biopsy kit consists of:
    •  One reusable non-sterile bracket
    •  Five disposable sterile Ultra-Pro II
    TM Needle guide kits 
    (Civco Medical Instruments Co, Inc.) consisting of:
    •  Two sets with needle inserts covering gauge size 14 
    through 23 (2.1mm to 0.6mm)
    • One sterile sheath
    •  Two rubber bands
    • gel
    •  One reusable needle guide
    • Instructions
    In addition sterile Ultra-Pro II
    TM Needle guide kits can be 
    ordered as replacement kit.
    WARNINGRead the following instructions and the user’s guide for the 
    Ultra-Pro II
    TM Needle Guide kit before using the biopsy 
    equipment. 
    						
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