"I need to reduce recovery time,
complications, and resources....
"I need to avoid fluid overload
during resuscitation...
"I need to see cardiac
filling and function...
"I need to know if it's tamponade
or desaturation...
"I need to get my critical
patients off vent faster...
so I use hemodynamic ultrasound."

Handheld Maintenance

Table of Contents

General Cleaning of the Zura Handheld

Note: The ClariTEE is a single patient-use disposable probe provided sterile. The ClariTEE probe should be disposed after single patient use.

Before  cleaning the Zura Handheld,  visually  inspect  the  scanner  to  determine  that  it  is  free  of  any unacceptable deterioration, such as corrosion, discoloration, pitting, or cracked seals. If damage is evident, discontinue use and contact ImaCor support.

Cleaning the scanner requires that you select the proper cleaning level. Before you begin, determine the level of cleaning by referring to Spaulding Classification. Once you have determined the level, have the cleaning solution ready and follow the procedure below. For a list of compatible cleaners, see Cleaners & Disinfectants article.

Cleaning the ImaCor Zura Handheld:

  1. Make sure the ImaCor-Zura Handheld is turned off.
  2. Remove the fan from the scanner. It is important that you clean the two pieces separately.
  3. Dampen a soft cloth using a compatible cleaner. Alternatively, use a pre-moistened disinfectant wipe.
  4. Start at the bottom of the scanner and wipe toward the handle interface. Be sure to remove any gels or particulate matter.
  5. Dispose the cloth and the instrument used to insert the cloth.
  6. Verify that all gel, particulate matter, and bodily fluids have been removed.
  7. Repeat with new cleaning material if necessary.

Cleaning the ImaCor Fan

  1. Remove the fan from the ImaCor Zura Handheld.
  2. Wipe down all surfaces using a premoistened disinfectant wipe.
  3. Repeat with new cleaning material if necessary.
  4. Air-dry the fan. Alternatively, towel-dry with a clean, non-linting cloth.

Cleaning the charger

  1. Unplug the Charger from the power source.
  2. Disconnect the Micro USB cable from the Charger.
  3. Wipe down all surfaces using a pre-moistened disinfectant wipe. Do not submerge the charger in any liquid.
  4. Repeat with new cleaning material if necessary.
  5. Air-dry the Charger. Alternatively, use a non-linting cloth.

Cleaning the removable Battery

  1. Remove the battery from the scanner.
  2. Dampen a soft cloth using a compatible cleaner. Alternatively, use a pre-moistened disinfectant wipe. Use a swab for unreachable areas.
  3. Verify that all gel, particulate matter, and bodily fluids have been removed.
  4. Repeat with new cleaning material if necessary.

When you are done, keep all components separately. You will be disinfecting them individually.

Note: Due to repeated use and cleaning, the cleanliness and sterility of the hardware deteriorates over its service life (five years for the scanner, charger, and fan).

Disinfecting the Zura Handheld

Before you begin disinfecting, make sure you have cleaned the handheld (see Cleaning).

Disinfecting requires that you choose the proper disinfecting level. Once you have determined the required disinfecting level, have the disinfectant ready and follow one of the appropriate procedures below.

Before you begin, examine the handheld for damage, such as cracks or splitting where fluid can enter.  If damage is evident, do not use the scanner and contact ImaCor Support.

Disinfecting the Zura Handheld

If the handheld gets into contact with broken skin, mucosal membranes, or blood, it is classified as semi-critical, and you must perform a high-level disinfection. Refer to the Cleaners and Disinfectants chart for approved high-level disinfectants.   

  1. Once you have the correct level of disinfection determined, disinfect the handheld by wiping with a cloth moistened with a compatible disinfectant. Alternatively, use a pre-moistened disinfectant wipe.
  2. Disinfect the heat sink (the grooves along the body of the handheld) using a thin, disposable instrument, such as a swab, to push a soft cloth lightly dampened with a disinfectant (or use a pre-moistened wipe) across the slot. Move the cloth back and forth from one side of the slot to the other.
  3. Remove the disinfecting wipe from the slot.
  4. Air-dry. Alternatively, towel-dry with a clean, non-linting cloth.

Disinfecting the ImaCor Fan

Before you begin disinfecting, make sure you have cleaned the fan (see Cleaning the ImaCor
Fan
). Refer to Cleaners & Disinfectants for a list of disinfectants recommended for intermediate disinfection of the fan.

  1. Detach the fan from the scanner.
  2. Disinfect the fan by wiping with a cloth moistened with a compatible disinfectant. Alternatively, use a pre-moistened disinfectant wipe.
  3. Air-dry. Alternatively, towel-dry with a clean, non-linting cloth.

Examine the fan for damage, such as cracks or splitting. If damage is evident, do not use the fan and contact ImaCor Support.

Cleaners & Disinfectants

Please consider the following when choosing the cleaning and disinfectant agents:

  1. Use only cleaners and disinfectants recommended by ImaCor. Avoid acetone, Methyl ethyl ketone (MEK), paint thinner, or other strong solvents and abrasive cleaners.
  2. Always use protective eyewear and gloves when cleaning and disinfecting equipment.
  3. Disinfectants are recommended based on their chemical compatibility (not their biological effectiveness) with product materials. For the biological effectiveness of a disinfectant, see the guidelines and recommendations of the disinfectant manufacturer, the U.S. Food and Drug Administration, and the U.S. Centers for Disease Control.
  4. If a pre-mixed solution is used, check the expiry date.
  5. The level of disinfection required for the handheld is determined by the type of tissue it
  6. Ensure the disinfectant is appropriate for the handheld and its application.
  7. Read the disinfectant label instructions and the recommendations of the Association for Professionals in Infection Control, the U.S. Food and Drug Administration, and the U.S. Centers for Disease Control.
  8. Clean the handheld after each use. This is an essential step before disinfection.
  9. When disinfecting the handheld, ensure that the solution’s strength and duration of contact are appropriate for disinfection.
  10. Selecting a non-recommended solution, using an incorrect solution strength, or fully immersing a handheld can damage the handheld and will void warranty.
  11. Follow the manufacturer’s recommendations and instructions when using cleaners and disinfectants.

The following table lists the cleaners and disinfectants compatible with your ImaCor Zura Handheld and accessories. The products listed in the following table are chemically compatible and have been tested for efficacy.

 

Product

Qualified Usea

ImaCor Zura Handheld

ImaCor Fan

ImaCor Dock Charger

Accel® PREVention™ Wipes

LLD, ILD

Accel® TB Wipes

LLD, ILD

CaviWipes

LLD, ILD

CIDEX® OPA

HLD

 

McKesson OPA/28 High-Level
Disinfectant Solution

HLD

 

Sani-Cloth® HB Germicidal
Disposable Wipe

LLD, ILD

Sani-Cloth® Plus Germicidal
Disposable Cloth

LLD, ILD

Tristel Trio Wipes System

HLDb

 

Virox™ AHP® 5 RTU Wipes

LLD, ILD

 

You may also use products not specifically listed in the compatibility table but with similar active ingredients, as indicated in this list, and marketed for medical use.

Because of the large number of available cleaners and disinfectants, it is impossible to have
an all-inclusive list. If you are unsure of the suitability of a particular product, contact
ImaCor for more information.

Cleaner & Disinfectant Details

 

Solution

Origina

Usage

Active Ingredients

 

Accel® PREVention™ Wipes

CA

Wipe

Hydrogen Peroxide

Accel® TB Wipes

CA

Wipe

Hydrogen Peroxide

 

CaviWipes

US

Wipe

Alcohol, Quaternary Ammonia

 

CIDEX® OPA

US

Soak

Ortho-phthalaldehyde

 

McKesson OPA/28 High-Level Disinfectant Solution

US

Soak

Ortho-phthalaldehyde

 

Sani-Cloth® HB Germicidal Disposable Wipe

US

Wipe

Alcohol, Quaternary Ammonia

 

Sani-Cloth® Plus Germicidal Disposable Cloth

US

Wipe

Alcohol, Quaternary Ammonia

 

Tristel Trio Wipes System

UK

Pre-clean wipe, Sporicidal wipe, Rinse wipe

Enzymes, Chlorine Dioxide

Virox™ AHP® 5 RTU Wipes

Peroxide

CA

Wipe

Hydrogen

a.        AU = Australia, CA = Canada, US = United States, UK = United Kingdom

 

Device Maintenance and Storage

The ImaCor Zura Handheld is very low maintenance. The following guidelines will help keep your handheld and associated accessories in good shape:

  • Clean the handheld after every use. Refer to our Cleaning the ImaCor Zura Handheld article for detailed instructions.
  • Avoid using isopropyl alcohol (IPA), acetone, Methyl ethyl ketone (MEK), paint thinner, or other strong solvents and abrasive cleaners to wipe down the scanner and its accessories.
  • Avoid placing the scanner under direct sunlight for prolonged periods of time. This will not impact the handheld’s safety or performancebut may discolor the housing’s finish. 
  • Dry handheld and its accessories completely and thoroughly before storage.
  • Store handheld separately from other equipment.
  • The handheld may degrade in performance or become unusable if stored or transported in
    ambient temperatures below -20°C (-4°F) or above 50°C (122°F).
  • Avoid sharp objects, such as scissors, scalpels, or cauterizing knives, from touching the
  • Avoid bumping the handheld on hard surfaces.
  • Avoid surgeon’s brushes when cleaning handheld. Even soft brushes can be damaging..
  • Do not use:
    • Lotion-based products or gels that contain mineral oil
    • Hand-sanitizing gels
  • Using the handheld in the patient environment may be unsafe if the following conditions
    exist: (1) Extremes in humidity (RH<15% and RH>95%), (2) Ambient temperatures that are
    excessively high (>40°C / 104°F), or excessively low (<-20°C / -4°F).
  • This product has demonstrated EMC compliance under conditions that included the use of compliant peripheral devices. It is important that you use compliant peripheral devices to reduce the possibility of causing interference to radios, televisions, and other electronic devices.
  • Connecting the charger to a power supply that is not manufactured by ImaCor may have the incorrect voltage/current, which could damage the charger.

Zura Handheld Battery Maintenance

Please consider the following:

  1. Do not leave batteries in an unplugged charger for extended periods of time (> 7 days).
  2. Do not leave batteries in the handheld for extended periods of time (> 7 days).
  3. Recharge your batteries whenever possible and either leave them in a plugged charger, or store them separately.
  4. Charge your batteries at least every seven days to maintain longevity of the battery.
  5. If you decide to leave your battery in your Zura Handheld, either close down the App when not using the Handheld, or disconnect the Handheld with the power  button from the scanners selection page of the App.
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