are recommended for transrectal, intravaginal, and transesophageal
procedures, but in China and Japan, the covers are mandatory. Philips
recommends the use of qualified covers.
• Bite guards are mandatory for TEE transducers. See "Electrical Safety and
TEE Transducers" on page 233.
• Do not apply the transducer cover and gel until you are ready to perform
the procedure. Transducers should not be left soaking in gel.
• In neurosurgical applications, sterilized transducers should be used with
sterile gel and a sterile pyrogen-free transducer cover.
• Transducer covers can contain natural rubber latex, which may cause allergic
reactions in some individuals. See "Latex Product Alert" on page 286.
For information on ordering transducer covers, contact CIVCO Medical Solutions
(see "Supplies and Accessories" on page 23).
Latex Product Alert
For information on allergic reactions to latex-containing medical devices, see
"FDA Medical Alert on Latex" on page 45.
Transmissible Spongiform Encephalopathy
WARNING
If a sterile transducer cover becomes compromised during an intraoperative
application involving a patient with transmissible spongiform encephalopathy,
such as Creutzfeldt-Jakob disease, follow the guidelines of the U.S. Centers for
Disease Control and this document from the World Health Organization:
WHO/CDS/ APH/2000/3, WHO Infection Control Guidelines for Transmissible
Spongiform Encephalopathies. The transducers for your system cannot be
decontaminated using a heat process.
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