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