Frequently Asked Questions


As the leading developer, manufacturer, and marketer of medical devices designed to provide high-level disinfection of ultrasound TEE/TOE probes, CS Medical continues to innovate through superior technologies and products. We are committed to providing the best possible solutions for infection prevention that support healthcare professionals worldwide.

CS Medical goes beyond high-level disinfection of TEE/TOE probes, CS Medical believes in managing the quality of care given to delicate TEE/TOE probes. Our TEE Complete Care® offering provides solutions for the healthcare facility to minimize TEE/TOE ultrasound probe damage and reduce the potential of contaminating high-level disinfected probes prior to use. These products address the following areas: bedside cleaning, electrical leakage testing, drying, transporting and storing the TEE/TOE ultrasound probe. Our objective is to manage the care given to each TEE/TOE probe thus allowing for a reduction in healthcare associated infections.

A: No, the TD 100 is only FDA cleared for TEE/TOE probes.

A: Yes, It is trademarked as TD-8® and is single-use with no MRC testing required.

A: Both are aldehydes; Glutaraldehyde (TD-5) and OPA (Ortho-phthalaldehyde) (TD-8). They both have the same IFU for use in the TD 100. Both provide 5-minute high-level disinfection per probe.

A: Yes, both the machine and the chemistries have been evaluated and approved by Philips Healthcare, GE HealthCare and Siemens. Contact the individual probe manufacturer for your specific model details.

A: No, both chemistries have the same IFU so the same machine can use either chemistry.

A: No, the TD 100 does not store data but at the conclusion of a successful disinfection a written printout is provided with time, date, operator ID, probe ID, chemical type, lot number, contact time and contact temperature. If the machine does not complete the high-level disinfection, another print out is produced to indicate high-level disinfection has not occurred and diagnostic details of the aborted cycle are provided. The print out can be stored in the HLD TRACKER which holds 200 records per record book. Additionally, the HLD TRACKER allows for documentation of the electrical leakage testing and any other patient details desired by the healthcare facility.

A: An advanced bonded carbon vapor management filter is incorporated inside the main device where all fumes or vapors are captured and neutralized. The vapor management filter has been tested and will last 12 months from the date of installation. Due to the molecular weight of aldehydes, a good mass of carbon is needed to effectively absorb the fumes. Residence time within the filter is critical as well as carbon mass.

A: Either chemical will have the correct MRC to complete high-level disinfection of a TEE/TOE probe for 12 months from the date of manufacturing.

A: This depends on a couple factors. Does your hospital have a method for handling untreated waste before entering into the municipal water supply? What are the requirements or regulations by your municipal water supply in relation to untreated waste? Typically, all waste that is sent to a municipal water supply must be treated due to the potential harm it can cause the overall water system.

A: The IFU outlines methods for incorporating both a betweeen-use surface disinfectant with a more intensive monthly disinfection through low temperature sterilization. Consult the IFU for complete details.

A: No, the TD 100 is only designed to high-level disinfect a TEE/TOE probe after it has been properly bed-side cleaned per TEE/TOE manufacturers' direction.

A: QwikDry is effective in removing moisture from the TEE/TOE probe shaft after high-level disinfection has occurred. A wet probe can capture airborne particulate present in the environment and contaminate the TEE/TOE probe. Storage of a wet TEE/TOE probe can lead to contamination via waterborne bacteria. A properly dried TEE/TOE probe is critical in all aspects of the reprocessing cycle.

A: No, the TD 100 is much like a filtered or ductless hood. The TD 100 has a built-in vapor management system that effectively captures any fugitive high-level disinfectant vapor.

A: The TD 100 is designed to high-level disinfect one TEE/TOE probe in five minutes followed by five cold water rinses. The total cycle time for the TD 100 is 17 minutes. When reviewing the total process time from patient extraction to high-level disinfection you will note the work flow requires about 15 minutes to properly bed-side clean, enzymatic soak for cleaning and rinse prior to high-level disinfection.

A: Yes, cold potable water regulated at 20-25 psi and a 15 Amp 6CFI outlet.

A: Yes, the successful high-level disinfection print out records the following data for retention and can be affixed to the HLD TRACKER: Date, Time, Operator ID, Probe ID, HLD Type, Contact Time, Contact Temperature, HLD Lot number.

A: The TD 100 provides a printed ticket at the conclusion of every cycle; successful or aborted. The ticket can be affixed to the HLD TRACKER sheet for later audit or verification purposes. In addition, the HLD TRACKER allows the technician to verify an electrical leakage test was performed on the TEE/TOE probe and then document the results of this test. HLD TRACKER aids in the proper handling of the TEE/TOE probe though documentation of electrical leakage testing and high-level disinfection.

A: No, bedside cleaning is done when the TEE/TOE probe is removed from the patient's mouth. The use of an enzymatic with an applicator is required to begin the process of removal of inorganic and organic matter than can dry on the TEE/TOE probe and result in biofilm being formed. Cleaning, also known as the manufacturers' recommended cleaning method, is performed prior to high-level disinfection. This process utilizes an enzymatic solution in the form of a bath. This process allows the probe to soak for 2-3 minutes before removing, rinsing and then drying.

A: The TD 100 overall height is 44 inches but the point at where insertion of the distal tip and shaft is only 38 inches.

A: The TD 100 is 24 inches wide and has all the services on the left side of the device to include; power, intake water, discharge waste line and air filter exhaust. Typically, an additional 12 inches is desired to allow for easy setup and maintenance but less has been done depending on specific facility requirements.

A: The foot print of the TD 100 is 24 inches wide and 8 inches deep. Depending on operator or overall work flow functional space will vary. The TD 100 is mounted to the wall by four specialized brackets.

A: A factory trained CS Medical service technician completes the final onsite installation, conducts a performance verification of the device and trains staff on the safe operation and scheduled maintenance for the device prior to handoff of the TD 100 to the healthcare facility.

A: No, the TPorter is designed only for TEE/TOE probes with special compartments to protect and hold all aspects of the TEE/TOE probe safely and securely during transport.

A: The foam is easily removed for surface disinfection. The foam pad is closed cell and will not adsorb moisture or foster bacteria growth. An approved surface disinfectant should be used to ensure material compatibility.

A: CS Medical has validated two hard surface disinfectants for use on the exterior of the TD 100. Solucide® and Sporicidin® are both approved and will not cause damage to the device.

A: The TD 100 heats disinfectant to 38 degrees C and completes high-level disinfection in 5 minutes.

A: The TD 100 is self venting through bonded carbon filtration that captures any vapors generated during the disinfection and rinse cycles. It operates like a ductless hood as outlined in AAMI/ANSI ST.58. The TD 100 does not require either a positive or negative pressure room. Local, state and federal guidelines should be followed for room ventilation requirements.

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