Civco ASTRA Setup guide

ASTRA
Training Guide
For Transesophageal (TEE)
and Vaginal/Rectal (VR)
Ultrasound Probes
1
2
3
4
5
Dirty Transportation
Pre-Clean
High Level Disinfection
Clean Transportation
Storage
CONFIDENT COMPLIANCE

Supplies and Environment
Supplies for reprocessing are readily available:
PPE, as defined by HLD manufacturer
and facility procedures.
Pre-Clean/Drying Supplies, as defined
by probe manufacturer and
facility procedures.
High-level disinfection supplies
compatible with ASTRA:
HLD Solution
MetriCide®OPA,
Cidex®OPA, and
Revital-Ox™RESERT®
MRC test strips
Area should be clean and free from clutter as
defined by facility procedures.
Daily Checks / Prior to Operation
of ASTRA
ASTRA unit is always left on to maintain
appropriate temperature. If system power has
been turned o operator must wait until bottle
reaches temperature.
Visually inspect water lines, electrical
connections, fan operation, and exterior of the
unit daily.
For details on daily inspection, refer to “Daily
Check / Prior to Operation” in the ASTRA TEE or
ASTRA VR Operator’s Manual.
Identify laminated ASTRA Quick Start
Instructions and ASTRA Troubleshooting
Handout delivered with your ASTRA unit.
NOTE: CIVCO recommends taping instructions
above the machine, on inside of ASTRA door,
or on side of machine.
Transportation of Dirty Probe
Post-exam, transport ultrasound probe
according to the manufacturer’s IFU.
For TEE probes using CIVCO’s transport tray,
place the dirty probe in the clean tray & flip
lid to dirty. Transport probe to reprocessing
location and dispose of tray.
Pre-clean
Reference your ultrasound probe manufacturer’s
IFU for pre-cleaning instructions.
Visually inspect entire ultrasound probe to
ensure it is clean.
CIVCO oers dry and enzymatic sponges,
disinfecting wipes, and lint-free cloths to aid a
compliant pre-clean process.
Pre-Cleaning Sponges & Wipes
REF #610-1351
REF #610-1352
REF #610-1353
REF #610-1354
Simplify your TEE probe cleaning process by
contacting 800.445.6741.
REF #610-1418 and #610-1471

High-Level Disinfection
NOTE: You may refer to the laminated ASTRA
Quick Start Instructions for the following high-
level disinfection steps.
At rest, the display reads:
Press ENTER. Display will read:
Entering Exam ID is optional, but you must
scan ID or press ENTER to continue.
Display will read:
Scan barcode on probe electrical connector
and place into the wall-mounted Connector
Holder. Display will read:
Insert probe into disinfection chamber. Display
will read:
Ready for Use: Press Enter to Start
Scan Probe
Scan Exam ID: Enter = skip
Close Door or Scan Second Probe
Scan Operator ID or press ENTER to Skip.
Display will read:
Scan TS Bottle: MENU = Cancel
Once level is reached, display will read:
MRC Countdown Timer: Skip < > Start
Install second probe (if required) following
same instructions or close door. Barcode
scanner will remain illuminated until door is
closed, or second probe is scanned.
Display will read:
Scan Operator ID: ENTER = Skip
Insert Probe
ASTRA TEE ASTRA VR
NOTE: It does not matter which chamber is
loaded first.
NOTE: You may not add a second probe once
the high-level disinfection cycle has started.
Filling chamber with HLD, please wait
Scanning a new Test Strip bottle will start the
disinfection cycle. Display will read:
Utilizing the MRC Countdown Timer is
optional, but you must press either Skip or
Start to continue. If you plan to use the timer,
open disinfection chamber blue door. Before
pressing Start, ensure test strip is in hand,
ready to use. Press Start and dip an MRC test
strip into HLD, holding it submerged for dip
time. Remove test strip and close door. Display
will read:
TS Dip XXs Read XXs
Once the countdown timer is complete (or
skipped), the results of the MRC test may be
read and documented. Display will read:
Test MRC: PASS < > FAIL

Compare test strip to color chart on
manufacturer’s bottle. Press PASS or FAIL
using the corresponding arrows.
NOTE: Pressing FAIL requires a new bottle of
HLD and will exit the disinfection cycle.
Conduct leak testing according to manufacturer’s
instructions. Press PASS or FAIL using
corresponding arrows. Data will be logged.
For ASTRA TEE only, display will read:
Test Probe Leakage: PASS < > FAIL
After removal, display will read:
Ready for Use: Press Enter to Start
Display will read:
Disinfecting: XX minutes remaining
On successful completion of disinfection and
rinse cycles, display will read:
Successful Cycle: Remove Probe(s)
Test Probe Leakage: Left < > Right
NOTE: For two probes, select which probe to test
first using the corresponding arrows. Process will
need to be repeated to test Left and Right probes.
NOTE: If you do not return as soon as the
cycle ends, there is no risk of damage to the
ultrasound probe(s). However, the ASTRA is not
intended to be used for long-term storage of
ultrasound probes.
NOTE: You do not need to turn the ASTRA o at
the end of the day or at the end of a cycle.
Select Your Leak Test Kit
To perform leak testing with ASTRA, you need a leakage tester
meter and conductivity probe, and an ultrasound leakage
tester adapter compatible with your ultrasound system.
REF #610-2054 and #610-2245
The probe(s) are disinfected and should be
removed. Carefully dry probe according to
manufacturer’s instructions.
TrueCare
Sterile Lint-Free Wipes
REF #610-1354
Transportation of Clean Probe
Post disinfection, transport ultrasound probe
according to the manufacturer’s IFU.
For TEE probes using CIVCO’s transport tray,
use a clean tray to transport the disinfected
probe to its storage cabinet.
Simplify your TEE probe cleaning process by
contacting 800.445.6741.
REF #610-1418 and #610-1471

Storage of Clean Probe
TEE, VR, and GP Ultrasound Probe Storage Cabinets
REF #610-1323 REF #610-1327
Store ultrasound probe according to the
manufacturer’s IFU
“Store the device in a manner that will protect
from damage or contamination… Hanging
vertically in a cabinet and storing in a clean
environment.” – The Joint Commission
ASTRA Maintenance
Replacing HLD Bottle
Unit will prompt “Change Disinfectant” every
14 days or 21 days (depending on HLD type)
or if the MRC test fails. Follow unit prompts to
change bottle. Ensure connector fittings are
snapped into place.
For more information on replacing HLD bottle, refer
to “Replacing HLD Bottle” Section on the laminated
ASTRA Troubleshooting Handout.
Replacing Filters
Unit will prompt “Change Air Filter” and
“Change Water Filter” every 6 months. Follow
unit prompts to change filters.
Test Strip Quality Control
Quality Control must be performed when a
new bottle of test strips is opened. Test strips
can be used for the number of days after
opening specified by the manufacturer or the
expiration date, whichever occurs first. Discard
any test strip bottle left open longer than
allowed by manufacturer’s instructions.
Downloading Log File
To download a cycle report, insert a USB into
the ASTRA, press the menu button to get to
the “download cycle log” screen, and press
ENTER to begin the download process.
Once download process is complete, you can
review the report by removing the USB and
plugging it into a computer.
NOTE: ASTRA automatically tracks use life of
the following consumables:
• Air Filter
• Water Filter
• HLD Bottle
Cycle report should be downloaded as your
hospital policy dictates.
NOTE: A WILD (Water Inlet Line Disinfection)
cycle is required after a water filter change
and after 14 days of inactivity and requires
replacement of HLD bottle.
NOTE: The ASTRA Ultra model will mandate
the quality control of new test strip bottles,
track the open use life, and log qualified test
strip bottles. For more information, refer to
the ASTRA IFU or the “Load Qualified Test
Strip Bottle” section on the laminated ASTRA
Troubleshooting Handout.

Competency Evaluation
Your training is complete, you are ready to be certified.
To earn your certification, go to “ASTRA Training
Certification” at:
CIVCO.com/ASTRA-Training
Complete the electronic quiz to receive your
ASTRA End User Certification through email.
If further training is necessary, watch the short
ASTRA Training videos to review the following:
• Running a Disinfection Cycle
• Six Month Maintenance
• Changing HLD Solution
• Downloading Log File
• Tracking Disinfection Consumables
You can also download ASTRA resources, such as:
• ASTRA TEE and ASTRA VR
Operator’s Manual
• ASTRA TEE and ASTRA VR
Installation Manual
• ASTRA TEE and ASTRA VR
Quick Start Guide
• Troubleshooting Guide
For the latest copy of this
training aid, refer to:
CIVCO.com/ASTRA-Training
Please refer to your ASTRA Operator’s
Manual for specific details related
to the care and reprocessing of your
ultrasound probes.

Operator Training Log
ASTRA Operator ID / Facility ID Name Trained Date Trained By Notes

CERTIFICATE OF COMPLETION
ASTRA LEAD TRAINING PROGRAM
is is to certify that
Name
Facility
Date
Trainer Signature Trainee Signature
Successfully completed the
on
As Part of CIVCO Medical Solutions Training Program

CUSTOMER, NOT CIVCO, IS RESPONSIBLE FOR CORRECTLY PERFORMING THE STEPS DOCUMENTED IN THIS TRAINING. IN NO EVENT WILL CIVCO BE LIABLE FOR ANY SPECIAL,
INCIDENTAL, CONSEQUENTIAL, PUNITIVE, EXEMPLARY OR OTHER INDIRECT LOSSES OR DAMAGES OF ANY KIND, INCLUDING BUT NOT LIMITED TO LOSS OF USE, LOSS OF BUSINESS
OR PROFITS, OR LOSS OF OR DAMAGE TO DATA, HOWEVER CAUSED, WHETHER BASED ON CONTRACT, TORT, STRICT LIABILITY, OR OTHER LEGAL THEORY, WHETHER FORESEEABLE
OR NOT, EVEN IF ADVISED OF THE POSSIBILITY THEREOF. CIVCO’S TOTAL LIABILITY FOR DIRECT DAMAGES OR OTHERWISE WILL NOT EXCEED THE TOTAL AMOUNTS PAID OR
PAYABLE FOR THE PRODUCT(S) THAT GAVE RISE TO THE CLAIM. THESE LIMITATIONS WILL APPLY NOTWITHSTANDING THE FAILURE OF THE ESSENTIAL PURPOSE OF ANY LIMITED
REMEDY. BUYER ACKNOWLEDGES THAT THESE LIMITATIONS OF LIABILITY ARE A MATERIAL PART OF THE BARGAIN BETWEEN THE PARTIES AND ARE REFLECTED IN PRODUCT
PRICING, WHICH WOULD BE HIGHER WITHOUT THESE LIMITATIONS.
COPYRIGHT © 2020. ALL RIGHTS RESERVED. ASTRA AND CIVCO ARE REGISTERED TRADEMARKS OF CIVCO MEDICAL SOLUTIONS. ALL OTHER TRADEMARKS ARE THE PROPERTY OF
THEIR RESPECTIVE OWNERS. ALL PRODUCTS MAY NOT BE LICENSED IN ACCORDANCE WITH CANADIAN LAW. PRINTED IN USA. 2019R-3149 REV 2
CIVCO.COM | [e-mail] | 1.800.445.6741