PP-CTD-US-0084-1 Bayer COVID Disinfectant Cleaning

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Disinfecting Systems and Components A Bayer in Radiology COVID-19 Standards Guide Additional Information: Operations System or Specific Component For Reference, Excerpt of Cleaning/Disinfection View the most up-to-date Manual Bayer Recommendation (if applicable) Instructions from Product Operations Manual information on the EPA website: Reference https://www.epa.gov/pesticide-registration/ list-n-disinfectants-use-against-sars-cov-2

When cleaning after a suspected or confirmed COVID-19 patient, Bayer recommends throwing away any single use disposables component and transfer sets. For MEDRAD® Avanta Disposable Products Multi-Patient Sets and MEDRAD® Intego Source Administration Sets, an evaluation should be made to determine the best course. For MEDRAD® Intego SAS, the potential for excessive radiation exposure exists and should be considered prior to removing the set.

When cleaning and disinfecting a Certegra Workstation, do not spray cleaning agent directly onto the Workstation display. Doing so could cause damage to the system, including the Certegra® Workstation touchscreen. Rather, follow the guidelines outlined below and be sure to refer to your Operation Manual for more specific instruction.

ANGIOGRAPHY

Bayer recommends following instructions published recently in the Bayer recommends that the MEDRAD® Avanta Fluid Avanta has specific warnings and cautions about Journal of the American College of Radiology, JACR. The authors user decontaminate with 70% Management Injection System 86480808 Rev. B cleaning that should be followed: (1) Warning: Do not recommend for systems like Avanta, to either wash with soap and > Fluid Control Module (FCM), isopropyl alcohol only for spray industrial cleaning solvents such as acetone to water or decontaminate using a low-level or intermediate-level decontamination for COVID-19. Injector Head, Piston, and clean the system or any parts. Use only warm water and disinfectant, such as iodophor germicidal detergent solution, ethyl Syringe Interface, Power Unit Ensure IPA has dried prior to use a mild disinfectant to clean and wipe down. alcohol, or isopropyl alcohol. Bayer has provided a recommendation of the device. for a disinfectant compatible with the Avanta System.

Bayer recommends following instructions published recently in the MEDRAD® Avanta Fluid Caution: Use of methyl alcohol will degrade the Journal of the American College of Radiology, JACR. The authors Bayer recommends that the Management Injection System integrity of the disposable sets. Do not use methyl recommend for systems like Avanta, to either wash with soap and user decontaminate with 70% > DCU, Syringe Heat Maintainer, 86480808 Rev. B alcohol on disposable sets. Do not use strong cleaning water or decontaminate using a low-level or intermediate-level isopropyl alcohol only for Bottle Heat Maintainer, Pedestal agents and solvents. Warm water and a mild disinfectant, such as iodophor germicidal detergent solution, ethyl decontamination for COVID-19. and Table Mount Brackets disinfectant are all that is required. Do not use strong alcohol, or isopropyl alcohol. Bayer has provided a recommendation Ensure IPA has dried prior to use industrial cleaning solvents such as acetone. for a disinfectant compatible with the Avanta System. of the device.

Warning: Do not spray cleaning solutions directly Bayer recommends following instructions published recently in the Bayer recommends that the onto the touch screen. To prevent damage, wipe Journal of the American College of Radiology, JACR. The authors user decontaminate with 70% MEDRAD® Avanta Fluid down the touch screen with a soft non-abrasive recommend for systems like Avanta, to either wash with soap and isopropyl alcohol only for Management Injection System 86480808 Rev. B cloth or paper towel dampened with water soluble water or decontaminate using a low-level or intermediate-level decontamination for COVID-19. Display Control Unit (DCU) cleaning solution. Do not use strong cleaning agents disinfectant, such as iodophor germicidal detergent solution, ethyl Ensure IPA has dried prior to use and solvents. Warm water and a mild disinfectant alcohol, or isopropyl alcohol. Bayer has provided a recommendation of the device. are all that is required. Do not use strong industrial for a disinfectant compatible with the Avanta System. cleaning solvents such as acetone.

Bayer recommends following instructions published recently in the Bayer recommends that the Wipe off all spilled media and any other residue with a Journal of the American College of Radiology, JACR. The authors user decontaminate with 70% MEDRAD® Mark IV KMP-800 recommend for systems like Mark IV, to either wash with soap and isopropyl alcohol only for Injection System warm damp cloth, using detergent as necessary. Wipe see 4-1 with a clean damp cloth to remove the detergent. water or decontaminate using a low-level or intermediate-level decontamination for COVID-19. disinfectant, such as iodophor germicidal detergent solution, ethyl Ensure IPA has dried prior to use alcohol, or isopropyl alcohol. Bayer has provided a recommendation of the device. for a disinfectant compatible with the Mark IV System.

Bayer recommends following instructions published recently in the Bayer recommends that the Journal of the American College of Radiology, JACR. The authors user decontaminate with 70% recommend for systems like Mark V, to either wash with soap and isopropyl alcohol only for MEDRAD® Mark V water or decontaminate using a low-level or intermediate-level decontamination for COVID-19. KMP-805 Do not use strong cleaners or solvents. Use only disinfectant, such as iodophor germicidal detergent solution, ethyl Angiographic Injection warm water. Ensure IPA has dried prior to use System alcohol, or isopropyl alcohol. Bayer has provided a recommendation of the device. for a disinfectant compatible with the Mark V System.

Bayer recommends following instructions from JACR. The JACR Bayer recommends that the recommends for systems like Mark V Plus, to either wash with soap user decontaminate with 70% Wipe components with a soft cloth or paper towel MEDRAD® Mark V Plus and water or decontaminate using a low-level or intermediate-level isopropyl alcohol only for dampened with cleaning solution. Warm water and disinfectant, such as iodophor germicidal detergent solution, ethyl decontamination for COVID-19. Angiographic Injection 78101-T-200 a disinfectant are all that is required. System alcohol, or isopropyl alcohol. Bayer has provided a recommendation Ensure IPA has dried prior to use for a disinfectant compatible with the Mark V Plus System. of the device. Additional Information: Operations System or Specific Component For Reference, Excerpt of Cleaning/Disinfection View the most up-to-date Manual Bayer Recommendation (if applicable) Instructions from Product Operations Manual information on the EPA website: Reference https://www.epa.gov/pesticide-registration/ list-n-disinfectants-use-against-sars-cov-2

ANGIOGRAPHY (CONTINUED)

Bayer recommends following instructions published recently in the Journal of the American College of Radiology, JACR. The authors recommend for systems 98411-T-167 like Mark V ProVis, to either wash with soap and water or Bayer recommends that the user MEDRAD® Mark V ProVis decontaminate with 70% isopropyl alcohol Angiographic Injection System rev. I Warm water and a disinfectant are all that is required. decontaminate using a low-level or intermediate-level see 5-7 disinfectant, such as iodophor germicidal detergent only for decontamination for COVID-19. solution, ethyl alcohol, or isopropyl alcohol. Bayer has Ensure IPA has dried prior to use of the device. provided a recommendation for a disinfectant compatible with the Mark V ProVis System.

Bayer recommends following instructions published MEDRAD® Mark 7 Arterion recently in the Journal of the American College of Injection System Radiology, JACR. The authors recommend for systems Bayer recommends that users follow the 86407590 Rev. B Operations Manual for cleaning/ disinfection > Injector Head, Piston, Syringe Clean components, except Syringe Heat Maintainer and like Arterion, to either wash with soap and water or Interface, MEDRAD® Mark 7 Rev. J decontaminate using a low-level or intermediate-level guidance. By following the operations Section 15.1 and Pressure Jacket, with: germicidal wipe or bleach wipe for manual up to a 10% Sodium Hypochlorite Arterion Display Control Unit isolation patients. disinfectant, such as iodophor germicidal detergent (DCU), Pedestal, Power Unit, and 15.2 solution, ethyl alcohol, or isopropyl alcohol. Bayer has solution would be acceptable for Table Bracket provided a recommendation for a disinfectant decontamination for COVID-19. compatible with the Arterion System.

Clean the Drop Front Cover with a soft cloth or a paper towel dampened with a cleaning solution to remove contrast media and other contamination. Some cleaning agents react with the plastic material and may cause Bayer recommends following instructions published structural degradation. Bayer recommends that the recently in the Journal of the American College of Pressure Jacket be washed in a solution of warm tap Radiology, JACR. The authors recommend for systems like Arterion, to either wash with soap and water or Bayer recommends that the user MEDRAD® Mark 7 Arterion 60725959 water (35°– 45° C) and mild non-abrasive detergent decontaminate with 70% isopropyl alcohol Injection System Rev. J (neutral grade low pH, enzymatic cleaner), and then decontaminate using a low-level or intermediate-level disinfectant, such as iodophor germicidal detergent only for decontamination for COVID-19. > Drop Front Cover Section 15.1 rinsed thoroughly and dried with a soft towel. A solution Ensure IPA has dried prior to use of the device. of dish washing detergent and water is compatible with solution, ethyl alcohol, or isopropyl alcohol. Bayer has the Pressure Jacket. If a germicidal cleaning agent is provided a recommendation for a disinfectant desired, contact the germicide manufacturer to check compatible with the Arterion System. the recommended dilution and compatibility with polycarbonates. If the solution is acceptable, follow the manufacturer’s directions exactly.

Bayer recommends following instructions published recently in the Journal of the American College of Radiology, JACR. The authors recommend for systems Bayer recommends that the user MEDRAD® Mark 7 Arterion 60725959 like Arterion, to either wash with soap and water or decontaminate with 70% isopropyl alcohol Injection System Clean the Syringe Heat Maintainer with Rev. J a dampened cloth using soap and water. decontaminate using a low-level or intermediate-level only for decontamination for COVID-19. > Heat Maintainer Section 15.1 disinfectant, such as iodophor germicidal detergent Ensure IPA has dried prior to use of the device. solution, ethyl alcohol, or isopropyl alcohol. Bayer has provided a recommendation for a disinfectant compatible with the Arterion System.

Clean the Pressure Jacket with a soft cloth or a paper towel dampened with a cleaning solution. Some cleaning agents react with the plastic material and may cause structural degradation. Bayer recommends that Bayer recommends following instructions from JACR. the Pressure Jacket be washed in a solution of warm tap The JACR recommends for systems like Arterion, to water (35° – 45° C) and mild non-abrasive detergent either wash with soap and water or decontaminate Bayer recommends that the user MEDRAD® Mark 7 Arterion 60725959 (neutral grade low pH, enzymatic cleaner), and then using a low-level or intermediate-level disinfectant, decontaminate with Injection System 70% isopropyl alcohol Rev. J rinsed thoroughly and dried with a soft towel. A solution such as iodophor germicidal detergent solution, ethyl only for decontamination for COVID-19. > Pressure Jacket of dish washing detergent and water is compatible with alcohol, or isopropyl alcohol. Bayer has provided a Ensure IPA has dried prior to use of the device. the Pressure Jacket. If a germicidal cleaning agent is recommendation for a disinfectant compatible with the desired, contact the germicide manufacturer to check Arterion System. the recommended dilution and compatibility with polycarbonates. If the solution is acceptable, follow the manufacturer’s directions exactly. Additional Information: Operations System or Specific Component For Reference, Excerpt of Cleaning/Disinfection View the most up-to-date Manual Bayer Recommendation (if applicable) Instructions from Product Operations Manual information on the EPA website: Reference https://www.epa.gov/pesticide-registration/ list-n-disinfectants-use-against-sars-cov-2

ANGIOGRAPHY (CONTINUED)

Using a soft cloth or sponge moistened with a cleaning agent, gently wipe exterior surfaces of the Bayer recommends following instructions published OCS. Thoroughly clean the mounting system and recently in the Journal of the American College of head to remove contrast medium and other deposits. Radiology, JACR. The authors recommend for systems like OCS II, to either wash with soap and water or Bayer recommends the following cleaning MEDRAD® OCS II Overhead Use warm water and soft cloths to clean the agents: mild dish detergent, Hydrogen 202281 chapter 5 components. Clean the Velcro Cable Wraps by: decontaminate using a low-level or intermediate-level Counterpoise System disinfectant, such as iodophor germicidal detergent Peroxide, up to 10% Sodium Hypochlorite twisting the cable wrap to break up dried contrast, Solution or Isopropyl Alcohol (up to 90%). then wash in warm water and mild soap. Allow time solution, ethyl alcohol, or isopropyl alcohol. Bayer has for the system to dry thoroughly before using it. Do provided a recommendation for a disinfectant not dry by applying heat from any source. compatible with the MEDRAD® MRXperion System.

OCS III (Portegra2 and 2i) N/A Please refer to Mavig (original manufacturer) for cleaning and disinfection instructions.

COMPUTED TOMOGRAPHY (CT)

Bayer recommends following instructions published Use any of the following chemicals: Sani-Cloth® Plus recently in the Journal of the American College of Bayer recommends Metrex CaviCide Surface 85539205 Germicidal Disposable Cloth (EPA registration Radiology, JACR. The authors recommend for systems Disinfectant (EPA # 46781-6) included in Certegra® Workstation (non-CE manual), #9480-6), CaviWipes™ Disinfecting Towelettes (EPA like your Stellant Workstation, to either wash with soap EPA-provided list N for COVID-19. It contains > applicable to MEDRAD® Stellant 85539213 (CE registration # 46781-8), or a disinfectant with and water or decontaminate using a low-level or 17.2% isopropanol and 0.28% quaternary FLEX, MEDRAD® Stellant with manual). See 0.25% - 0.30% quaternary ammonium compounds intermediate-level disinfectant, such as iodophor ammonium compounds or alternative Certegra Workstation and section 15 in and 14.8% - 20% isopropanol. See manual for germicidal detergent solution, ethyl alcohol, or brand within the specified active MEDRAD® MRXperion both manuals. specific instructions. Warning: Do not use chlorine isopropyl alcohol. Bayer has provided a ingredient percentages provided in the bleach or bleach equivalents on the pedestal. recommendation for a disinfectant compatible with operations manual. your System.

Bayer recommends following instructions from JACR. The JACR recommends for systems like Envision, to Using alcohol wipes or isopropyl alcohol and an either wash with soap and water or decontaminate Bayer recommends that the user MEDRAD® Envision CT Injection 92401-T-123 applicator, carefully remove any fingerprints or oily using a low-level or intermediate-level disinfectant, decontaminate with 70% isopropyl alcohol System-Touch Screen Rev. F see 6-4 deposits from the touchscreen. such as iodophor germicidal detergent solution, ethyl only for decontamination for COVID-19. alcohol, or isopropyl alcohol. Bayer has provided a Ensure IPA has dried prior to use of the device. recommendation for a disinfectant compatible with the Envision System.

Bayer recommends following instructions published recently in the Journal of the American College of Radiology, JACR. The authors recommend for systems Bayer recommends that the user MEDRAD® MCT/MCT Plus KMP-810PF like MCT/MCT Plus, to either wash with soap and water decontaminate with 70% isopropyl alcohol Rev. A Warm water and a mild disinfectant such as or decontaminate using a low-level or intermediate-level Injection System antibacterial hand soap are all that is required. only for decontamination for COVID-19. see 8-3 disinfectant, such as iodophor germicidal detergent Ensure IPA has dried prior to use of the device. solution, ethyl alcohol, or isopropyl alcohol. Bayer has provided a recommendation for a disinfectant compatible with your System.

Using a soft cloth or sponge moistened with a Bayer recommends following instructions published cleaning agent, gently wipe exterior surfaces of the recently in the Journal of the American College of OCS. Thoroughly clean the mounting system and Radiology, JACR. The authors recommend for systems head to remove contrast medium and other deposits. like OCS II, to either wash with soap and water or Bayer recommends the following cleaning MEDRAD® OCS II Overhead Use warm water and soft cloths to clean the agents: mild dish detergent, Hydrogen Counterpoise System 202281 chapter 5 decontaminate using a low-level or intermediate-level components. Clean the Velcro Cable Wraps by: disinfectant, such as iodophor germicidal detergent Peroxide, up to 10% Sodium Hypochlorite twisting the cable wrap to break up dried contrast, solution, ethyl alcohol, or isopropyl alcohol. Bayer has Solution or Isopropyl Alcohol (up to 90%). then wash in warm water and mild soap. Allow time provided a recommendation for a disinfectant for the system to dry thoroughly before using it. Do compatible with the MEDRAD MRXperion System. not dry by applying heat from any source. ® Additional Information: Operations System or Specific Component For Reference, Excerpt of Cleaning/Disinfection View the most up-to-date Manual Bayer Recommendation (if applicable) Instructions from Product Operations Manual information on the EPA website: Reference https://www.epa.gov/pesticide-registration/ list-n-disinfectants-use-against-sars-cov-2

COMPUTED TOMOGRAPHY (CT) (CONTINUED)

OCS III (Portegra2 and 2i) N/A Please refer to Mavig (original manufacturer) for cleaning and disinfection instructions.

Bayer recommends following instructions published Bayer recommends Metrex CaviCide Surface recently in the Journal of the American College of Disinfectant (EPA # 46781-6) included in Radiology, JACR. The authors recommend for systems EPA-provided list N for COVID-19. It contains Wipe the Base with a soft cloth or paper towel like Stellant Classic, to either wash with soap and water MEDRAD® Stellant CT 60720221, see dampened with cleaning solution or warm water. The 17.2% isopropanol and 0.28% quaternary Injection System or decontaminate using a low-level or intermediate-level ammonium compounds or alternative section B.1 injector system shall not be degraded when exposed to disinfectant, such as iodophor germicidal detergent > Base normal cleaning compounds (water or alcohol based). brand within the specified active solution, ethyl alcohol, or isopropyl alcohol. Bayer has ingredient percentages provided in the provided a recommendation for a disinfectant operations manual. compatible with the Stellant System.

Bayer recommends following instructions published recently in the Journal of the American College of The following chemicals have been tested Wipe the touch screen with a soft non-abrasive cloth or Radiology, JACR. The authors recommend for systems for chemical resistance and determined to MEDRAD® Stellant CT paper towel dampened with cleaning solution. The like Stellant Classic, to either wash with soap and water be acceptable for the specified system Injection System 60720221, see or decontaminate using a low-level or intermediate-level components: 70% Isopropyl Alcohol, section B.1 injector system shall not be degraded when exposed to > Display Control Unit (DCU) normal cleaning compounds (water or alcohol based). disinfectant, such as iodophor germicidal detergent Quaternary Ammonium Compounds, up solution, ethyl alcohol, or isopropyl alcohol. Bayer has to 10% Sodium Hypochlorite Solution, provided a recommendation for a disinfectant and 3% Hydrogen Peroxide. compatible with the Stellant System.

Bayer recommends following instructions published Bayer recommends Clean the pedestal and Integrated IV pole with warm recently in the Journal of the American College of Metrex CaviCide Surface Radiology, JACR. The authors recommend for systems Disinfectant (EPA # 46781-6) included in water and mild detergent (such as dishwashing liquid) EPA-provided list N for COVID-19. It contains MEDRAD® Stellant CT as needed. Chemicals typically used in a medical like Stellant Classic, to either wash with soap and water 60720221, see or decontaminate using a low-level or intermediate-level 17.2% isopropanol and 0.28% quaternary Injection System environment may be too harsh, causing material ammonium compounds or alternative > Pedestal section B.1 degradation. The injector system shall not be degraded disinfectant, such as iodophor germicidal detergent when exposed to normal cleaning compounds (water or solution, ethyl alcohol, or isopropyl alcohol. Bayer has brand within the specified active alcohol based). provided a recommendation for a disinfectant ingredient percentages provided in the compatible with the Stellant System. operations manual.

Bayer recommends Metrex CaviCide Surface Disinfectant (EPA # 46781-6) included in Bayer recommends following instructions published EPA-provided list N for COVID-19. It contains recently in the Journal of the American College of 17.2% isopropanol and 0.28% quaternary Use any of the following chemicals: Sani-Cloth® Plus ammonium compounds or alternative brand MEDRAD® Stellant CT Radiology, JACR. The authors recommend for systems Germicidal Disposable Cloth (EPA registration #9480-6), like Stellant, to either wash with soap and water or within the specified active ingredient Injection System with CaviWipes™ Disinfecting Towelettes (EPA registration percentages provided in the operations Certegra® Workstation 86417340 decontaminate using a low-level or intermediate-level Section 15 #46781-8), or a disinfectant with 0.25% - 0.30% disinfectant, such as iodophor germicidal detergent manual. Additionally, the following > Injector Head (Excluding quaternary ammonium compounds and 14.8% - 20% chemicals have been tested for chemical Pistons, Interface) solution, ethyl alcohol, or isopropyl alcohol. Bayer has isopropanol. See manual for specific instructions. provided a recommendation for a disinfectant resistance and determined to be acceptable compatible with the Stellant System. for the specified system components: 70% Isopropyl Alcohol, 1:10 Bleach Equivalent, 96% Ethanol, 3% Hydrogen Peroxide, and Lysol Brand II Spray. Additional Information: Operations System or Specific Component For Reference, Excerpt of Cleaning/Disinfection View the most up-to-date Manual Bayer Recommendation (if applicable) Instructions from Product Operations Manual information on the EPA website: Reference https://www.epa.gov/pesticide-registration/ list-n-disinfectants-use-against-sars-cov-2

COMPUTED TOMOGRAPHY (CT) (CONTINUED)

Bayer recommends following instructions published Use any of the following chemicals: Sani-Cloth® Plus Bayer recommends Metrex CaviCide Surface recently in the Journal of the American College of Disinfectant (EPA # 46781-6) included in MEDRAD® Stellant CT Injection Germicidal Disposable Cloth (EPA registration #9480-6), Radiology, JACR. The authors recommend for systems System with Certegra® CaviWipes™ Disinfecting Towelettes (EPA registration EPA-provided list N for COVID-19. It like Stellant, to either wash with soap and water or contains 17.2% isopropanol and 0.28% Workstation (CWS) 86417340 #46781-8), or a disinfectant with 0.25% - 0.30% decontaminate using a low-level or intermediate-level > Pedestal, IV Pole, Overhead Section 15 quaternary ammonium compounds and 14.8% - 20% quaternary ammonium compounds or disinfectant, such as iodophor germicidal detergent alternative brand within the specified active Counterpoise System (OCS) isopropanol. See manual for specific instructions. solution, ethyl alcohol, or isopropyl alcohol. Bayer has and Base Warning: Do not use chlorine bleach or bleach ingredient percentages provided in the provided a recommendation for a disinfectant operations manual. equivalents on the pedestal. compatible with the Stellant System.

Bayer recommends following instructions published recently in the Journal of the American College of Use warm water only. Warning: Do not use cleaning Radiology, JACR. The authors recommend for systems MEDRAD® Stellant CT Injection like Stellant, to either wash with soap and water or System with Certegra® agents containing quaternary ammonium compounds, Bayer recommends that the user 86417340 decontaminate using a low-level or intermediate-level decontaminate with 70% isopropyl alcohol Workstation (CWS) Section 15 such as Sani-Cloth® Plus and/or ethyl alcohol, such as Lysol® on the syringe pistons or syringe interface. disinfectant, such as iodophor germicidal detergent or up to 96% ethanol alcohol only. > Syringe Pistons and Interface solution, ethyl alcohol, or isopropyl alcohol. Bayer has provided a recommendation for a disinfectant compatible with the Stellant System.

Bayer recommends Metrex CaviCide Surface Disinfectant (EPA # 46781-6) included in Bayer recommends following instructions published EPA-provided list N for COVID-19. It contains recently in the Journal of the American College of 17.2% isopropanol and 0.28% quaternary 85539205 Use any of the following chemicals: Sani-Cloth® Plus ammonium compounds or alternative brand (non-CE manual), Germicidal Disposable Cloth (EPA registration #9480-6), Radiology, JACR. The authors recommend for systems MEDRAD® Stellant FLEX CT like Stellant FLEX, to either wash with soap and water or within the specified active ingredient Injection System Injector 85539213 (CE CaviWipes™ Disinfecting Towelettes (EPA registration percentages provided in the operations manual). See #46781-8), or a disinfectant with 0.25% - 0.30% decontaminate using a low-level or intermediate-level > Head (excluding Pistons, disinfectant, such as iodophor germicidal detergent manual. Additionally, the following chemicals Interface, and Light Pipe) section 15 in quaternary ammonium compounds and 14.8% - 20% have been tested for chemical resistance and both manuals. isopropanol. See manual for specific instructions. solution, ethyl alcohol, or isopropyl alcohol. Bayer has provided a recommendation for a disinfectant determined to be acceptable for the specified compatible with the Stellant FLEX System. system components: 70% Isopropyl Alcohol, 1:10 Bleach Equivalent, 96% Ethanol, 3% Hydrogen Peroxide, and Lysol Brand II Spray.

Bayer recommends following instructions published Use any of the following chemicals: Sani-Cloth® Plus Bayer recommends Metrex CaviCide Surface recently in the Journal of the American College of Disinfectant (EPA # 46781-6) included in 85539205 Germicidal Disposable Cloth (EPA registration #9480-6), Radiology, JACR. The authors recommend for systems MEDRAD® Stellant FLEX (non-CE manual), CaviWipes™ Disinfecting Towelettes (EPA registration EPA-provided list N for COVID-19. It like Stellant FLEX, to either wash with soap and water or contains 17.2% isopropanol and 0.28% CT Injection System 85539213 (CE #46781-8), or a disinfectant with 0.25% - 0.30% decontaminate using a low-level or intermediate-level > Pedestal, IV pole, OCS, manual). See quaternary ammonium compounds and 14.8% - 20% quaternary ammonium compounds or disinfectant, such as iodophor germicidal detergent alternative brand within the specified active and Base section 15 in isopropanol. See manual for specific instructions. solution, ethyl alcohol, or isopropyl alcohol. Bayer has both manuals. Warning: Do not use chlorine bleach or bleach ingredient percentages provided in the provided a recommendation for a disinfectant operations manual. equivalents on the pedestal. compatible with the Stellant FLEX System.

Bayer recommends following instructions published recently in the Journal of the American College of Use any of the following chemicals: Sani-Cloth® Plus Radiology, JACR. The authors recommend for systems MEDRAD® Stellant FLEX CT Germicidal Disposable Cloth (EPA registration #9480-6), like Stellant FLEX, to either wash with soap and water or Bayer recommends that the user Injection CaviWipes™ Disinfecting Towelettes (EPA registration decontaminate using a low-level or intermediate-level decontaminate with 70% isopropyl alcohol > Syringe Pistons, Interface KMP-800 see 4-1 #46781-8), or a disinfectant with 0.25% - 0.30% disinfectant, such as iodophor germicidal detergent or up to 96% ethanol alcohol only. and Light Pipe quaternary ammonium compounds and 14.8% - 20% solution, ethyl alcohol, or isopropyl alcohol. Bayer has isopropanol. See manual for specific instructions. provided a recommendation for a disinfectant compatible with the Stellant FLEX System. Additional Information: Operations System or Specific Component For Reference, Excerpt of Cleaning/Disinfection View the most up-to-date Manual Bayer RecommendationBayer Recommendation (if applicable) Instructions from Product Operations Manual information on the EPA website: Reference https://www.epa.gov/pesticide-registration/ list-n-disinfectants-use-against-sars-cov-2

COMPUTED TOMOGRAPHY (CT) (CONTINUED)

Bayer recommends following instructions published recently in the Journal of the American College of Radiology, JACR. The authors recommend for systems 95403-T-141 Use a mild cleaning solution, such as warm water like Viston, to either wash with soap and water or Bayer recommends that the user MEDRAD® Vistron CT rev. G see and disinfectant. Use a mild cleaning solution, decontaminate using a low-level or intermediate-level decontaminate with 70% isopropyl alcohol Injection System Appendix D such as warm water and disinfectant. disinfectant, such as iodophor germicidal detergent only for decontamination for COVID-19. solution, ethyl alcohol, or isopropyl alcohol. Bayer has Ensure IPA has dried prior to use of the device. provided a recommendation for a disinfectant compatible with the Vistron System.

DO NOT use strong cleaning agents and solvents. Because MEDRAD® XDS has not been tested for MEDRAD® XDS Warm water and a mild soap solution are all that are chemical resistance to recommended disinfectants, do Extravastation 203836 required to clean the MEDRAD XDS System. Allow all not use XDS accessory on patients where disinfection Detection System components to dry thoroughly before cleaning. will be required.

POSITRON EMISSION TOMOGRAPHY (PET)

Bayer recommends following instructions published recently in the Journal of the American College of Radiology, JACR. The authors recommend for systems Use of a Mild Cleaning Solution for interior of shielded like Intego, to either wash with soap and water or Bayer recommends that the user MEDRAD® Intego PET decontaminate using a low-level or intermediate-level decontaminate with 70% isopropyl alcohol Infusion System 86458802 Rev B chamber, exterior of cart, touchscreen, vials shield, and needle insertion guide. disinfectant, such as iodophor germicidal detergent only for decontamination for COVID-19. > System as a Whole solution, ethyl alcohol, or isopropyl alcohol. Bayer has Ensure IPA has dried prior to use of the device. provided a recommendation for a disinfectant compatible with the Intego System.

MAGNETIC RESONANCE (MR)

Bayer recommends following instructions published Bayer recommends recently in the Journal of the American College of Metrex CaviCide Surface 85539205 Use any of the following chemicals: Sani-Cloth® Plus Disinfectant (EPA # 46781-6) included in Certegra® Workstation Radiology, JACR. The authors recommend for systems like EPA-provided list N for COVID-19. It contains > applicable to MEDRAD® Stellant (non-CE manual), Germicidal Disposable Cloth (EPA registration #9480-6), your Stellant Workstation, to either wash with soap and 85539213 (CE CaviWipes™ Disinfecting Towelettes (EPA registration 17.2% isopropanol and 0.28% quaternary FLEX, MEDRAD® Stellant with water or decontaminate using a low-level or ammonium compounds manual). See #46781-8), or a disinfectant with 0.25% - 0.30% intermediate-level disinfectant, such as iodophor or alternative Certegra Workstation and brand within the specified active MEDRAD® MRXperion section 15 in quaternary ammonium compounds and 14.8% - 20% germicidal detergent solution, ethyl alcohol, or isopropyl both manuals. isopropanol. See manual for specific instructions. alcohol. Bayer has provided a recommendation for a ingredient percentages provided in the disinfectant compatible with your System. operations manual.

Bayer recommends Metrex CaviCide Surface Disinfectant (EPA # 46781-6) included in EPA-provided list N for COVID-19. It contains Bayer recommends following instructions published 17.2% isopropanol and 0.28% quaternary Use either Sani-Cloth® Plus Germicidal Disposable Cloth recently in the Journal of the American College of ammonium compounds or alternative brand or CaviWipes™ Disinfecting Towelettes in all other MEDRAD® MRXperion MR Radiology, JACR. The authors recommend for systems within the specified active ingredient 3038591 countries. If neither Sani-Cloth® Plus Germicidal like MRXP, to either wash with soap and water or percentages provided in the operations Injection System Disposable Cloth nor CaviWipes™ Disinfecting > Injector, including Rev. M decontaminate using a low-level or intermediate-level manual. Additionally, the following Section 17 Towelettes are available within your country then use a disinfectant, such as iodophor germicidal detergent chemicals have been tested for chemical Injector Head, Pedestal, disinfectant with 0.25% - 0.30% quaternary ammonium Base, and Workstation solution, ethyl alcohol, or isopropyl alcohol. Bayer has resistance and determined to be acceptable compounds and 14.8% - 20% isopropanol. provided a recommendation for a disinfectant for the specified system components: 70% compatible with the MEDRAD® MRXperion System. Isopropyl Alcohol, 1:10 Sodium Hypochlorite solution, Quaternary Ammonium Compounds, 3% Hydrogen Peroxide, and Lysol Brand II Spray. Additional Information: Operations System or Specific Component For Reference, Excerpt of Cleaning/Disinfection View the most up-to-date Manual Bayer Recommendation (if applicable) Instructions from Product Operations Manual information on the EPA website: Reference https://www.epa.gov/pesticide-registration/ list-n-disinfectants-use-against-sars-cov-2

MAGNETIC RESONANCE (MR) (CONTINUED)

Bayer recommends following instructions published recently in the Journal of the American College of Do not use cleaning agents containing quaternary Radiology, JACR. The authors recommend for systems ammonium compounds (e.g. dimethyl Bayer recommends that the user MEDRAD® MRXperion MR 3038591 like MRXP, to either wash with soap and water or decontaminate with Rev. M ethylbenzyl ammonium chloride), such as Sani-Cloth, decontaminate using a low-level or intermediate-level 70% isopropyl alcohol Injection System CaviWipes, and ZEP brand cleaners, and/or only for decontamination for COVID-19. > Syringe Interface and Pistons Section 17 disinfectant, such as iodophor germicidal detergent Ensure IPA has dried prior to use of the device. ethyl alcohol, such as Lysol and Clorox on the syringe solution, ethyl alcohol, or isopropyl alcohol. Bayer has piston or syringe interface. provided a recommendation for a disinfectant compatible with the MEDRAD® MRXperion System.

Bayer recommends following instructions published The following chemicals have been tested for recently in the Journal of the American College of chemical resistance for SSEP and determined Radiology, JACR. The authors recommend for systems to be acceptable for the specified system Wipe components with a soft cloth or paper towel like Spectris, to either wash with soap and water or components: up to 10% Sodium MEDRAD® Spectris MR 92901-T-107 dampened with cleaning solution. Warm water and a decontaminate using a low-level or intermediate-level Hypochlorite Solution, Hydrogen Peroxide, Injection System disinfectant are all that is required. disinfectant, such as iodophor germicidal detergent and up to 70% isopropyl alcohol. Bayer solution, ethyl alcohol, or isopropyl alcohol. Bayer has recommends that the same chemicals may be provided a recommendation for a disinfectant used to disinfect any injector in the Spectris compatible with the Spectris System. Line of Products.

Bayer recommends following instructions published The following chemicals have been tested for recently in the Journal of the American College of chemical resistance for SSEP and determined Radiology, JACR. The authors recommend for systems to be acceptable for the specified system MEDRAD® Spectris Solaris MR Warm water and a mild disinfectant such as like Spectris, to either wash with soap and water or components: up to 10% Sodium Injection System 200450 see B-4 antibacterial hand soap are all that is required. decontaminate using a low-level or intermediate-level Hypochlorite Solution, Hydrogen Peroxide, disinfectant, such as iodophor germicidal detergent and up to 70% isopropyl alcohol. Bayer solution, ethyl alcohol, or isopropyl alcohol. Bayer has recommends that the same chemicals may be provided a recommendation for a disinfectant used to disinfect any injector in the Spectris compatible with the Spectris System. Line of Products.

Bayer recommends following instructions published recently in the Journal of the American College of Radiology, JACR. The authors recommend for systems The following chemicals have been tested for chemical resistance and determined to be 60721139 Rev. H like Spectris, to either wash with soap and water or MEDRAD® Spectris Solaris EP Warm water and a mild disinfectant such as decontaminate using a low-level or intermediate-level acceptable for the specified system MR Injection System Section 4 and antibacterial hand soap. components: Appendix B disinfectant, such as iodophor germicidal detergent up to 10% Sodium solution, ethyl alcohol, or isopropyl alcohol. Bayer has Hypochlorite Solution, Hydrogen Peroxide, provided a recommendation for a disinfectant and up to 70% isopropyl alcohol. compatible with the Spectris System.

Bayer recommends following instructions published The exterior surface of the monitor, except for the recently in the Journal of the American College of display screen, may be wiped clean with alcohol and Radiology, JACR. The authors recommend for systems Bayer recommends that the user should 3010796 dried with a soft, dry cloth. It is best to use a cotton like Veris, to either wash with soap and water or continue cleaning part as instructed by MEDRAD® Veris MR Rev. 9 cloth to clean the monitor. Paper towels or tissues can decontaminate using a low-level or intermediate-level Monitoring System manual as the manual instructions are in see Appendix A scratch the surface of the display. Clean the display disinfectant, such as iodophor germicidal detergent alignment with COVID-19 decontamination window by wiping it with a clean, soft, lint-free cloth solution, ethyl alcohol, or isopropyl alcohol. Bayer has recommendations. sprayed with common glass cleaner. Do not spray glass provided a recommendation for a disinfectant cleaner directly on the display. compatible with the Veris System. Additional Information: Operations System or Specific Component For Reference, Excerpt of Cleaning/Disinfection View the most up-to-date Manual Bayer Recommendation (if applicable) Instructions from Product Operations Manual information on the EPA website: Reference https://www.epa.gov/pesticide-registration/ list-n-disinfectants-use-against-sars-cov-2

MAGNETIC RESONANCE (MR) (CONTINUED)

The reusable blood pressure cuff may be cleaned by wiping it with a damp cloth or sponge. If necessary, the cuff may be disinfected by wiping with 70% alcohol, mild bleach solution, or other disinfectant. Disposable blood pressure cuffs are for single-patient use and are Bayer recommends following instructions published not intended to be disinfected. The cloth cuff and recently in the Journal of the American College of neoprene bag may be sterilized with commercially Radiology, JACR. The authors recommend for systems Bayer recommends that the user should available disinfectants such as ethylene oxide (EtO). MEDRAD® Veris MR 3010796 like Veris, to either wash with soap and water or continue cleaning part as instructed by Rev. 9 Rinse thoroughly to remove any residual disinfectants. decontaminate using a low-level or intermediate-level manual as the manual instructions are in Monitoring System Do not allow liquids to enter the neoprene bag. The > Blood Pressure Cuff see Appendix A disinfectant, such as iodophor germicidal detergent alignment with COVID-19 decontamination cloth cuff may also be sterilized in an autoclave. If the solution, ethyl alcohol, or isopropyl alcohol. Bayer has recommendations. cuffs become grossly soiled with blood or other body provided a recommendation for a disinfectant fluids, the cloth cuffs should be laundered by hand or compatible with the Veris System. machine. The dacron cloth cuff may be laundered or sterilized by first removing the neoprene inflation bag. Feed the inflation tube back through the hole and then pull out the cloth flap.

Bayer recommends following instructions published recently in the Journal of the American College of Radiology, JACR. The authors recommend for systems Bayer recommends that the user should The SpO2 sensor may be wiped clean with alcohol. The MEDRAD® Veris MR 3010796 like Veris, to either wash with soap and water or continue cleaning part as instructed by SpO2 sensor may be disinfected by placing the pads and decontaminate using a low-level or intermediate-level manual as the manual instructions are in Monitoring System Rev. 9 cable in a 2% glutaraldehyde solution. Place only the > Pulse Oximeter Sensors see Appendix A disinfectant, such as iodophor germicidal detergent alignment with COVID-19 sensor paddles and cable in the solution. solution, ethyl alcohol, or isopropyl alcohol. Bayer has decontamination recommendations. provided a recommendation for a disinfectant compatible with the Veris System.

Bayer recommends following instructions published recently in the Journal of the American College of Radiology, JACR. The authors recommend for systems Bayer recommends that the user should Temperature cable and probe may be wiped clean with MEDRAD® Veris MR Monitoring 3010796 like Veris, to either wash with soap and water or continue cleaning part as instructed by alcohol. The temperature cable and probe may be decontaminate using a low-level or intermediate-level manual as the manual instructions are in System Rev. 9 disinfected by wiping the cable and probe in a 2% > Temperature Cable and Probe see Appendix A disinfectant, such as iodophor germicidal detergent alignment with COVID-19 glutaraldehyde solution. solution, ethyl alcohol, or isopropyl alcohol. Bayer has decontamination recommendations. provided a recommendation for a disinfectant compatible with the Veris System. Bayer reserves the right to modify the specifications and features described herein or to discontinue any product or service identified in this publication at any time without prior notice or obligation. Please contact your authorized Bayer representative for the most current information.

Bayer, the Bayer Cross, MEDRAD Mark 7 Arterion, MEDRAD Avanta, MEDRAD Continuum, MEDRAD Envision, MEDRAD Intego, MEDRAD Mark IV, MEDRAD Mark V, MEDRAD Mark V Plus, MEDRAD Mark V ProVis, MEDRAD MCT/MCT Plus, MEDRAD MRXperion, MEDRAD OCS II, MEDRAD Pulsar, MEDRAD Spectris, MEDRAD Spectris Solaris, MEDRAD Spectris Solaris EP, MEDRAD Stellant, MEDRAD Stellant FLEX, MEDRAD Veris, MEDRAD Vistron and MEDRAD XDS, MEDRAD, Avanta, Cetegra, Continuum, Envision, Intego, Mark IV, Mark V, Mark V Plus, Mark V ProVis, Mark 7 Arterion, MCT/MCT Plus, MRXperion, OCS II, Spectris, Spectris Solaris, Spectris Solaris EP, Stellant, Stellant FLEX, Veris, Vistron, and XDS are trademarks owned by and/or registered to Bayer in the U.S. and/or other countries. Other trademarks and company names mentioned herein are properties of their respective owners and are used herein solely for informational purposes. No relationship or endorsement should be inferred or implied.

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