FAQs

We are asked almost every day how much does a used ultrasound table cost?

Unlike other used imaging tables, for example, pain management c-arm tables, vascular c-arm tables or mobile urology surgical imaging tables, very few used ultrasound tables come on the secondary market. When a good echo table or other ultrasound table does appear, it usually sells the same day.

Usually, it pays to get on a dealer’s waitlist or mailing list so that you will be notified before everyone else when a table does become available.

To answer the question “How much does a used ultrasound table cost?” it depends on a lot of things: brand, age of the table, the condition that it is in, length of warranty, what the warranty coversand how rare it is, but normally you will pay approximately 50-70% of what the table cost new.

Ultrasound-guided pain management procedures are becoming more accurate and more popular as reimbursement for c-arm guided pain procedures drops. Reimbursement for ultrasound-guided pain procedures is not as high as most pain management physicians would like, but the ultrasound machines’ ease of use, comparatively low upfront investment, and elimination of exposure to dangerous ionizing radiation are making ultrasound-guided pain management injections a more popular image-guided pain management procedure every day. (Percutaneous Ultrasound-Guided Injections in the Musculoskeletal System)

Normally, the biggest determining factor in the choice of an ultrasound machine for pain management physicians is how much will ultrasound system cost and a close second factor is the quality of the ultrasound image. There are other factors to be considered as well like reliability, ease of use, training on the ultrasound machine, length, comprehensiveness of the warranty, availability of a loaner ultrasound machine during any repair, et cetera.

New ultrasound systems can cost as much as $80,000 or more. I have not been able to calculate an ROI for any pain practice where this even begins to make sense. There are a large number of units in the $20,000-to-$45,000 range that produce fantastic images, but again, any calculation resulting in a desirable ROI (return-on-investment) is virtually impossible. So that leaves ultrasound systems that cost $22,000 and below. Here are a few more popular pain management ultrasound systems in that price range:

• SONON 300L Wireless – $ 2000-3,500*
• Sonosite Mturbo – $8,995*
• GE Venue 40 – $9,800*
• GE Logic-e – $13,750*
• Sigma P5 – New – $14,900*
  *Prices on ultrasound systems are currently fluctuating greatly due to product shortages and long delivery times.
  Click here for pictures and information on the ultrasound systems above

Up until the last year-and-a-half, the most popular price range for ultrasound systems being used for pain management injections was $12,000 to $15,000, with a significant percentage of those being in the $8,000-to-$12,000 price range. The systems in this price range produce a good-to-better-than-average image for most pain management doctors with the biggest variable being the level of expectation of image quality by the doctor.

Physicians just leaving positions where a $45,000 GE ultrasound system or Mindray system might expect a little more in terms of ultrasound image quality than what these lower-cost ultrasound systems can produce, but overall most pain management physicians would be more than satisfied with the image quality.

Over the last decade, ultrasound systems for pain management practices have gone from large console-based machines about the size of an apartment refrigerator down to desktop-based machines and then down to laptop-sized ultrasound machines. Today where there are several ultrasound machines that are hand-held and wireless small enough that you can carry them in your pocket.

The cost of the wireless handheld ultrasound can be as low as $3,000 to $6,500. Many of these wireless transducers can connect to your iPhone, iPad, or Android phone or tablet. The more expensive of these wireless ultrasound transducers have better images, longer warranties, longer battery life, better balance, better ergonomics, and lower weight which can affect the price significantly.

One of the major disadvantages of handheld wireless ultrasound machines is the fact they are normally either a linear transducer or a curved transducer. There is one that has different transducer types on each end. This means you need to either buy two versions of the ultrasound machines or restrict yourself to using them only with shallow injections or deep injections instead of both. Hmmm, probably not something most doctors would accept. I have several pain management physicians who just use one of the better wireless linear probes for most pain procedures and do their hip injections with a c-arm.

Over the last few months, several significant technological innovations have been demonstrated at larger medical imaging conferences across the world. The largest medical imaging conference is the RSNA in Chicago at the end of November. I fully expect these changes to result in better and better wireless ultrasound systems being sold by ultrasound manufacturers in the very near future. There are some manufacturers that will give you a limited guarantee, that if you buy now they will upgrade you to the newer, more advanced ultrasound machines when they come out. If you decide to go this way, make sure you read the contract carefully. Some of the promises are not what they make them out to be.

So, back to the question “What is the most popular ultrasound machine for pain management procedures? It is a pretty even split between the SONOSITE laptop-based systems like the SONOSITE m-TURBO, one of the GE Logiq e ultrasound systems, or one of the GE Venue ultrasound machines.

Nitinol (Nickel-Titanium) and stainless steel are both commonly used materials for radiofrequency (RF) electrodes. The lifespan of an RF electrode is determined by several factors, including the brand, type, and thickness of the connecting wire, the frequency of use, the conditions under which it is used, and maybe most importantly how the RF Probe is cleaned.

In general, Nitinol is a more durable material than stainless steel, and it has the ability to retain its shape and structure even after repeated use. This is because Nitinol has a unique combination of high strength and elasticity, which makes it resistant to deformation and damage.

One of the problems that RF Generator manufacturers have in producing nitinol RF probes is that the connection between the nitinol and the metals in the wires expands at different rates when exposed to heat. This point where the different metals connect can eventually fracture the RF electrode. There has been more than one recall on nitinol electrodes because of this issue.

However, the lifespan of Nitinol RF probes can be affected by factors such as oxidation, corrosion, and biofouling. To minimize these effects, Nitinol electrodes are often coated with a protective layer or treated with a special process to enhance their resistance to degradation.

On the other hand, stainless steel electrodes are known for their corrosion resistance and biocompatibility, but they are less durable than Nitinol electrodes. Over time, stainless steel electrodes can become damaged and lose their conductivity, which can negatively impact their performance and lifespan.

In conclusion, Nitinol RF electrodes tend to have a longer lifespan than stainless steel RF electrodes, but the actual lifespan of an electrode depends on many factors and can vary greatly. It is important to consider the specific application when choosing between nitinol and stainless steel electrodes, as well as the specific requirements of the application, such as biocompatibility, electrical conductivity, and durability. In some cases, nitinol RF electrodes may be a better choice because of their superior properties, while in other cases, stainless steel electrodes may be the better choice due to their lower cost or ease of use.

Nitinol is a shape memory alloy, which is a type of metal that can return to its original shape after being deformed. This property is caused by the movement of atoms within the metal’s crystal structure. Nitinol is an alloy of nickel and titanium, and it is often used in medical devices such as stents and orthodontic wires, RF Electrodes as well as in aerospace and industrial applications.

Both Nitinol and stainless steel are commonly used in medical applications, but they have different properties that make them suitable for different types of devices and procedures.

Nitinol, also known as nickel titanium, is a shape memory alloy that can return to its original shape after being bent or deformed. This property makes it useful for devices such as stents, which are used to prop open blocked or narrowed blood vessels, and for orthodontic wires, which can be adjusted to reposition teeth. Nitinol is also bio-compatible, meaning it does not react with the body, which makes it safe for use in the body.

Stainless steel, on the other hand, is a strong and durable metal that is resistant to corrosion. It is commonly used for surgical instruments such as scalpels, forceps, and needle holders, as well as for implantable devices such as hip and knee replacements. Stainless steel is also bio-compatible and can be sterilized, which makes it easy to maintain and clean.

In summary, Nitinol is used for its shape memory properties while stainless steel is used for its strength, durability and resistance to corrosion.

I get this question a lot. The answer is yes RF probes can be repaired can sometimes. to answer many of you who have asked the question Yes, RF probes and RF electrodes are the same things. whether the radiofrequency ablation probe can be repaired depends on the brand and what is broken. Neurotherm electrodes are the easiest to repair, but Stryker, Halyard, Cosman Baylis, and others can be repaired as well. I recommend saving all of your broken electrodes and <a href="http://“>call us when you need a new RF probe. Our experts will work with you to get an electrode to you asap at a great price.

How to Sterilize reusable Neurotherm RF probes (RF electrodes).

Before Neurotherm reusable electrodes, Test Leads, and Stimulation Test Blocks are used they must be sterilized by autoclaving following to the instructions provided by the autoclave manufacturer’s recommended sterilization procedure.

If in doubt, the sterilizer or autoclave manufacturer should be consulted for a recommendation of loading instructions and drying times.

NOTE: Before sterilization, inspect the Neurotherm RF electrode for any signs of damage or corrosion. Do not use if such damage is noted.

The adapter cable is provided non-sterile. The adapter cable should always be cleaned before sterilization.

RF Electrode Sterilization

To clean the electrode, wipe or rinse the thermocouple electrode with tap water at 30-40°C (86-104°F) before cleaning. Submerse the electrode and protective tube in a lukewarm, blood-dissolving enzymatic solution. Remove gross matter, i.e. blood, mucous, and tissue from the product with a soft lint-free cloth. Using lukewarm tap water at 30-40°C (86-104°F) rinse the probe until the enzymatic solution is removed.

NOTE: Thermal washer disinfectors may be used on a standard cycle between 84° and 90° C for 1 minute.

Autoclave

For (Porous Load) fractionated and pulse cycles, sterilization temperature should be pre- 132°C (270°F) for a minimum of 4 minutes. Do not use a gravity system processing for wrapped instruments.

When sterilizing unwrapped RF electrodes. The temperature range in each case should be:- 1340 – 1370C for a minimum of 4 minutes.

Gravity displacement temperature should be 132°C for a minimum of 15 minutes.

Ensure that any RFA probe cable does not contact the metal housing of the autoclave or other metal instruments during the sterilization cycle, as this may reduce the effective life of the radiofrequency electrode.

RF needles (RF cannula) and disposable RF probes are supplied sterilized, double wrapped and for single-patient use only. It goes without saying, the disposable one-time radiofrequency probes and RF cannula can not be autoclaved or reused.

CAUTION: After sterilization but before each use, connect an electrode to the lesion generator, using the adapter cable, and ensure the readings of the temperature and impedance are within the normal range.

The Autoclave manufacturer should be consulted for a recommendation of loading instructions and drying times.

Sterilization equipment should have validated certification and performance qualification tests of their process cycles for efficient processing.

It is recommended that disposable Neurotherm radiofrequency electrodes (radiofrequency probes) should be used when possible, for added safety of the patient and members of the hospital staff. The downside to this is the cost of the disposable RF electrode.

Yes, to answer everyone who has asked, RF cannula and RF needles are the same thing. Both terms are correct. RF electrodes and RF probes are different from RF cannula or RF needles. RF Cannula or RF needles (whichever term you prefer) are placed on/over an RF probe – RF electrode. RF electrodes and RF probes are the same thing. They are what is plugged into an RF Generator. I hope that was clear. If you are still confused or if I just did not explain it well enough, please text or call me at 858-336-1377. I am also available by email. Just click here.

I am often asked about the different spellings of cannula that people see out there. If you are on the web it won’t be long before you see website editors using cannula, cannulae, and cannulas interchangeably and often incorrectly.  Cannula is the correct spelling for a single RF needle. Cannulae and Cannulas are the two plural forms of cannula. If anyone has seen another spelling out there let us know and we will add it to the list.

Radiofrequency ablation generators (RFA machines) can typically be repaired at a fairly low cost. Most pain management RF generators can be fixed between $495 to about $3,500.

There are two 3 electrode output RF generators for pain management on the market:

• Neurotherm NT1000
• Neurotherm NT1100

There are also single lead RF machines and 4 lead radiofrequency generators available.

Here is a list of RF generators with 4 channels.

• Neurotherm NT2000ix RFA Generator
• Stryker Multigen RF Generator
• Stryker Multigen 2 RF Generator
• Halyard Pain Management RF Generator
• Baylis PMG 115 Radiofrequency Generator
• Kimberly Clark Lesion Generator
• Cosman G4 RF Generator

RF generators also called RFA machines, Lesion generators, radiofrequency generators, pain management generators, and several other names come in single-channel, three-channel, and four-channel models. I get a lot of questions on the terminology used if you can’t tell from the length of the prior sentence:) The number of channels is also the number of RF electrodes that you can use at the same time.

I have been working with radiofrequency generators and pain management equipment in general since 1992 and I have never seen a two-channel RFA generator. If any of you know of one let me know.

If you have one of the Stryker Multigen lesion generators and are seeing an error or the Multigen is just not turning on, call one of our experts and we can help you ASAP. Many times we can even get you up and running over the phone. Same day turn around is available as are loaner RF generators.

OR Support repairs all Neurotherm RF Generators. We can repair the NT1000, NT1100, and NT2000ix. We can repair most of the older single channel Neurotherm lesion generators as well. We will also take your RFA machine in on trade or buy it from you working or not. Please give contact us at 858-336-1377.

Here is a list of single lead RF Generators:

• Stryker 406-800
• Smith & Nephew 20S
• Neurotherm 20S
• Baylis PMG115
• Kimberly Clark PMG 115
• Halyard: PMG 115
• Cosman RFG-1A
• Cosman RFG-1B

Single lead (or single channel) RF Generators are great for pain management physicians that are not looking to treat multiple sites concurrently. They also can be great choices for startup pain practices, second offices, or surgery centers that only do radiofrequency pain procedures a few times a week.

Yes, you can rent an RFA machine for performing pain management procedures. The prices to rent an RFA generator can vary depending on the brand of the lesion generator, the length of the rental period, the number of channels the radiofrequency generator has, and the number of RF electrodes you want with it. Here is a list of RF generators for rent. Feel free to contact one of the pain management equipment experts here.

• There are two 3 electrode output RF generators for pain management on the market:

The most popular pain management RF generator changes every few months, but it is usually one of 3. It is either the Neurotherm NT 2000 RFA machine, the Stryker Multigen radiofrequency generator or the Cosman G4 RF generator. The current RFA (radiofrequency ablation) machines are all 4 lead systems, (some RF generator manufacturers call them 4 lead, 4 channel or 4 RF output, you get the idea). The Halyard pain management RF generator and the Neurotherm NT1100, three RF output, pain management radiofrequency generators are also very popular.

Most pain management physicians who are just starting out often choose to save 50-75% and start with a single lead RF generator or a 3 lead RFA machine.

RF Generators sometimes called Radiofrequency Generators, Lesion Generators or RFA machines can cost as little as $3,500 or as high as $35,000. Mostly it depends on the brand, if it is the latest model, how many outputs the RF generator has, the number of RF electrodes are included and how many watts the generator can produce.

The single RF output (single Lead) radiofrequency generators are the least expensive RFA machines available. They typically cost between $2,000 and $5,500.

The 3 lead spinal RF generators (yes, you are right, 2 channel RF machines were never made), anyway 3 channel radiofrequency generators normally cost between $6500 to about $9,000. And yes you guessed it, the 3 electrode RFA machines are no longer being made either, but are still very popular with pain management physicians.

There are several 4 lead RF generators available, in both new and used models. Neurotherm, Cosman, Stryker, Halyard, and Baylis to name a few. Prices for the top-of-the-line RF generators run from about $5,500  for a used model up to $35,000.

When you are looking to buy an RF generator for pain management many things can affect the price greatly:

• How many RF electrodes you are getting with it?
• Are the RF probes Stainless Steel or Nitinol? Nitinol probes are can be as much as twice as expensive as Stainless Steel Electrodes.
• Sometimes even the size of the RF probes can make a difference in price.
• “Just a note” you can almost always get RF electrodes thrown in for free or at a much lower cost when you buy the RFA machine. I have seen pain management centers save over $20,000 in one year by buying their estimated yearly need for probes with the purchase of their RF Generator.
• Is there any training included?
  • If so for how long?
  • Is the RF generator training going to be over 1 day or multiple days?
  • Is it going to be onsite radiofrequency generator training or online or just over the phone?
• How long is the warranty on the generator?
• What is the warranty on the radiofrequency probes?
• Are the probes:
  • New
  • Demo
  • Recertified
  • Used?
• What brand of electrodes are they including?
• If you are buying a c-arm, ultrasound machine, pain management c-arm table, or autoclave at the same time. A package deal can save you thousands.

O.R. Support gets this question a lot. We are often asked if we can add one or more motorized movements to a physician’s pain management c-arm table. This question normally happens after the pain management doctor has attended a cadaver injection workshop where one of the instructors showed them a new way to do an injection or a faster way to perform some other pain management procedure.

There are 5 standard motorized pain management table movements:

• Height adjustment
• Lateral tilt
• Trendelenburg – Reverse Trendelenburg (most physicians count that as one movement)
• Extend retract (sometimes called head to toe or X motion)
• Side to side slide (Y motion)

Other c-arm table movements:

• Four-way free float (manual movement – mostly used for vascular procedures)
• Four-way motorized float (a combination of X and Y motions)
• Fowler back (a backrest that raises up to 90 degrees)

The good news is yes you can upgrade your current used c-arm table. The price just depends on the brand and type of surgical imaging c-arm table you have. If you have one of the modular PMT 8000 c-arm tables, then it is easy. The factory just sends in a factory trained c-arm table service engineer and they will add motors, pivot points and sometimes linear rails for head to foot movement or side to side slide and you are back up and running (It seems like there should be a good pain management pun here. If you think of one send us a note and we will insert it here and give you credit) ..anyway…it normally takes 1-3 hours. Not very long at all.

Other brands of c-arm imaging tables:

Your pain management c-arm table is never obsolete. O.R. Support is can upgrade any of your PMT 8000 series surgical imaging tables in the field in just a few hours. We can even upgrade your PMT 8000 fixed height table to have motorized movements. We can repair and upgrade other models of c-arm tables as well.

• Durabuilt
• Oakworks
• Stille
• Surgical Tables International (STI)
• Biodex
• Morgan Medesign
• Medstone
• Acoma
• Stryker
• Steris

If you have one of these other brands of c-arm tables or pain management tables just give O.R. Support a call or send a text to 858-336-1377 or contact us by email at service@orsupport.com.

We are open 24 hours a day seven days a week. We will be glad to help you with any of your equipment sales or service needs.

Minimum Height

Doctors and nurses have complained for years that pain management c-arm tables, when lowered to the lowest position, were still too high. They did not feel comfortable trying to support an unstable and overweight patient while the patient climbed onto a two-step step stool to get on and off of a pain management imaging table. The PMT 8000 c-arm tables and the Oakworks surgical imaging tables go lower than other brands of fluoroscopic tables, making it very easy for the patient to get onto the table and lie down without trying to climb onto a stool first.

Patient Weight Limit

Most mobile c-arm tables state that they have a 500-pound weight limit, but if you look close, most of the manufacturers stated table weight limit is really described as “evenly distributed, static load”, not patient weight. Since when is a patient either evenly distributed, or static?

Some c-arm tables with a 500-pound weight limit will tip over with as little as 240 pounds at the unsupported end of the table or less if the patient sits down a little too hard at the head end. You might think that a 650-pound weight capacity would be too high for your needs, but think again.

The surgical c-arm table weight limit is important for two other reasons. Doctors and nurses have complained that these cheaper lower weight limit tables move much too slowly, grind or “bounce” when lifting heavy patients.

The motors for many of the 500-pound tables are cheaper and built with lower-quality, less powerful motors than a table with a 650-pound weight capacity. It is not uncommon for these cheaper less powerful motors to fail, start squeaking or grinding within the first few years of use.

Upgradable (protection from obsolescence)

It is very common for facilities to buy a table with a few movements and within a year or two, need a table with additional movements. This often occurs due to budget considerations, a new doctor joining the practice, or a new technique being taught at a workshop. A table manufacturer that has the ability to upgrade your table in the field with zero downtime can save you the time, trouble and expense of buying a new table or the frustration and lost revenue that can occur if you have to send your table back to the factory.

C-arm Table Applications/In-service

In-service/applications are vitally important when using complex products that support and articulate patients. Even though many of the tables seem simple to use, virtually 100% of all accidents where patients were injured, the equipment was operated by personnel without adequate applications training. This training is so important most facilities have it in their SOP (standard operating procedures) that a table cannot be used with patients until personnel have been in-serviced. The better table manufacturers will either arrange to have an applications engineer provide training or provide a comprehensive training DVD. The DVDs have the advantage of being able to be reviewed anytime for refresher training when questions arise or provide training when new personnel are hired.

Warranty

Many table manufacturers’ warranty statements are very misleading. Some of the imaging table manufacturers will give you a 48-month warranty but will not tell you that all of the electronics are covered for only one to two years. (What are they covering? The metal?) The PMT 8000 fluoro tables currently have the longest and most comprehensive c-arm table warranty in the business: 50 months! Parts and labor for the total table, including the electric motors.

30-Day Money-Back Guarantee

This is an invaluable feature of any table. There is not a single table that is perfect for everyone. Having a 30-day money-back guarantee eliminates the risk of getting stuck with a table that does not work for you.

C-arm Access

We have customers who have purchased expensive tables from other manufacturers only to find out the table is very hard to use with a C-arm and there are angles they cannot get because there is metal in the way or the tabletop does not have enough metal-free imaging area. If the base of the table runs all the way to the head of the table, it is hard (if not impossible) to move the C-arm into the positions that you need. The PMT 8000 series table’s base has the smallest footprint on the market. We have engineered the base to give the maximum amount of C-arm access and still provide the highest weight limit available.

Continuous Metal-Free Area

The amount of continuous metal-free area is very important because this determines how much of the spine you can image without repositioning the patient. The PMT 8000 series gives you the additional clearance you will need for the cranial/caudal angulation of the C-arm.

Scatter radiation & image quality

All of the tables produced by C-arms International/OR Support have the most radiolucent tabletops on the market today. FDA regulations require that tabletops used with imaging systems equivalent to 1 millimeter of aluminum or less.

Ease of movement

One manufacturer has added a very large and extremely heavy counter-weight over the rear wheels making the table steer erratically. It is almost impossible to push that table where you need it to go – even with two people! Even if you plan to put it into a room and leave it there, you will need to move your table from time-to-time.

UL or ETL listing?

This is extremely important because many cities, county governments, and other regulatory agencies require these certifications. This also shows the table meets the minimum safety requirements. There are a few small companies selling cheap tables that do not meet these requirements. All of the electrical components

Options (number & type of movements)

Many table manufacturers have a very limited number of table movement configurations available forcing you to pay for movements that you do not want or need. The PMT 8000 series tables allow you to choose any combination of movements and tabletop shapes saving you thousands of dollars if you do not need all of the movements now or need to add a movement in the future.

References

There are a lot of tables being sold on the market today and the table manufacturer no longer exists. Parts are virtually impossible to get/obtain for those tables. Some brands of tables have a much higher failure rate than others. There are 10 times the number of failures on the least reliable table compared to the most reliable table. We recommend getting at least five references from people that have had their tables for a minimum of two-to-three years. Also, references that have purchased multiple tables over multiple years will have the most experience with the table, service issues and the manufacturer.

Delivery time

It is not unusual for manufacturers to quote a four-to-six week delivery time on tables. This can be further delayed by requisite parts being out-of-stock and inclement weather preventing deliveries to-and-from the factory. The better financed, more stable companies can typically ship a table immediately. This prevents lost revenue from opening day surprises.

Service

It is not unusual for some manufacturers to use an untrained, third-party service organization to repair their tables. This often results in one-to-three days downtime per service incident. They may even require you to ship the c-arm table back to the factory to get it fixed. The companies that provide superior service normally have local factory-trained service engineers backed up by a regional product specialist.

How much do used medical exam tables cost? We hear this question almost every day. The short answer is as low as $300 for a table that looks good and has good upholstery. The prices really depend on the brand; Ritter and Midmark are two of the most popular brands of used and refurbished exam tables. The features: There are fixed height exam tables, motorized height exam tables (sometimes called powered exam tables) and medical speciality exam tables like OB/GYN exam tables that have built-in leg stirrups. There are different height ranges, 21″-34″ is pretty standard although there are models that go higher and lower. Different weight capacities 450 pounds is normal with some of the more expensive “$17,000 list” powered bariatric examinations tables, like the Midmark Ritter 244 exam table having patient weight limits of 850 pounds. Accessories, like lockable casters and paper roll holders, also can make a big difference in the price you would pay for a good, used exam table.

The cost of carbon fiber arm boards for a pain management table can vary depending on several factors, such as the manufacturer, the size of the arm boards, and the features they include. On average, the cost can range anywhere from $525 to $1800 or more. There are single sided and dual sided versions. The cheaper models tend to flex, crack, splinter and break more. The better ones tend to be about twice as thick aore ridged and stable. Carbon fiber prices have gone up in the last few years and shortages are currently bein felt.It’s better to check with the manufacturer or supplier for the most accurate pricing information.

The surgical staff’s total radiation exposure caused by scatter radiation is significantly reduced (by as much as 99%) at the eye, thyroid, groin, knee, and foot levels by using lightweight, flexible lead shields both on top of the patient (TOP SHIELD) and from the c-arm tabletop to the floor (SCATTER SHIELD).

The scatter shield leaded table drape works with the c-arm’s X-ray tube on top or bottom, but the best radiation protection is provided when the x-ray tube is positioned at the bottom of the c-arm table. When both imaging table radiation shields are used together they are effective even when doing laterals and obliques. Easy to use, the ultra-light panels protect physicians and medical staff against scatter radiation while allowing unobstructed positioning of the C-arm. Easy on, easy off. Takes only a few minutes to place on the c-arm table. The Scatter Shield and Top shield are fully adjustable and can easily accommodate any view. The two 12 x 24 panels can be used as additional shielding with the Scatter Shield when not in use.

There is also another type that protects the patient more directly. A leaded C-arm table drape made for patients is a type of protective cover used in medical imaging procedures. It typically consists of a lead-lined material that shields the patient from radiation emitted by a C-arm imaging device. The drape is placed over the examination table and covers the patient’s body, leaving only the area of interest exposed for imaging. This helps to protect the patient from unnecessary radiation exposure and improve the overall safety of the procedure.

After several years of use many radiolucent carbon fiber arm boards break. It can be that a screw comes out, or if you have a pain management clamp-on style armboard, a clamp may no longer hold onto or even fall off of a c-arm table. Sometimes the cheaper ones will even splinter or crack.

Whatever the case, most of these issues can be resolved by a company that specializes in either radiolucent armboards or carbon fiber arm boards. (In case you noticed the inconsistent spelling, some people spell it “armboard” and others, “arm board”) Not all c-arm compatible armboards are made out of carbon fiber (again some people spell it “carbonfiber” or “carbon-fiber”)

If your arm boards are broken or malfunctioning in any way, immediately take them out of patient service and call a repair company. You can save as much as 75% off the price of replacing your arm boards with a new pair.

If you have a broken arm board that and want to know if it can be repaired and how much it will cost, just take a picture of the whole arm board and a closer shot of the broken area and text it to 858-336-1377 or email it to service@orsupport.com and we will get back to you ASAP.

The following are the standard approved products and methods for the cleaning and disinfecting of c-arm table pads and most medical exam tables and medical stretcher pads.

Cleaning a c-arm table or other medical table pad

Option 1.

Wash the table pad with a generous application of neutral soap suds and lukewarm water. Do not immerse the pad. Rinse with water and dry.

Option 2.

Use a diluted bleach solution of 10-parts water to 1-part bleach.
Do not immerse. Bleach MUST be diluted to the 10:1 ratio or the medical table pad may disintegrate or dissolve. The life of the table pad will be greatly reduced if harsh cleaning agents are used. Wipe dry with a clean cloth. Do not let the cleaning agents dry on the pad.

All chemicals/solutions MUST be diluted to the manufacturer’s recommendations (look closely, often the proper dilutions are in “fine print” on the chemical’s container and may often request that you use more than you need to or should use)

After the recommended time has passed to ensure disinfection, the pad surface should be wiped again with a wet cloth to remove any remaining chemical or solution.

Disinfecting a medical table pad.

Option 1.

Use Lysol Brand III I.C. Disinfectant Spray by Reckitt Benckiser Inc, Montvale, NJ per manufacturer’s instructions.

Reference: National Laboratories Item # 36241-95029-3

OPTION 2.

Use a diluted bleach solution of 10-parts water to 1-part bleach.

Wipe dry with a clean cloth.

Do not immerse or soak the pad. Bleach MUST be diluted to the 10:1 ratio.

If you want your medical table pad to last a long time here are some cleaning do’s and don’ts.

Cleaning DO’s

DO clean all stains promptly.

DO use only fabric-safe cleaning agents or disinfectants.

DO use appropriate quaternary or phenolic type disinfectants if nylon fabric needs to be sanitized.

DO dilute all disinfectants and germicides in accordance with the manufacturer’s instructions.

DO wipe fabric clean with neutral soap suds and lukewarm water.

DO rinse thoroughly.

DO allow adequate drying time before returning to service.

DO use a soft sponge with liquid cleaner as specified on the manufacturer’s product label for hard-to-clean areas.

DO clean daily to control or prevent odors on long term incontinent applications.

DO use a scented cleaner or disinfectant that is designed for use on fabrics if needed to control odors on long term incontinent applications.

DO disinfect blood contamination with a 1:10 dilution of household bleach (5.25% sodium hypochlorite) as recommended by the CDC (Center for Disease Control, US Department of Health and Human Service, February 1989); a weaker dilution, e.g. 1:100 can be used, but may not be in accordance with CDC recommendations. CDC’s Guideline for Disinfection and Sterilization in Healthcare Facilities

DO be aware that staining chemicals and cleaning agents can affect fabric strength, finish, longevity and color.

DO inspect mattresses frequently to ensure that new stains can be treated promptly and that there are no rids or tears in the table pad.

DO ask your support surface manufacturer for additional information related to the care and cleaning of the support surface.

Cleaning DON’Ts

DO NOT machine wash or machine dry. Ok, I was forced to say that, but Duh!

DO NOT use harsh cleaners or solvents ( I know I have said it before).

DO NOT use cleaning agents designed for use on hard, non-porous, or metal surfaces.

DO NOT use iodophor type disinfectants, such as Betadine, because they will stain the fabric.

DO NOT use household bleach or concentrated cleaning agents, disinfectants or germicides without diluting the product according to the manufacturer’s instructions.

DO NOT allow any cleaning agent to remain in contact with the fabric or sit on the fabric for a prolonged time.

DO NOT fail to adequately rinse the cleaning agent or disinfectant from the fabric.

DO Not apply tape to any pad. I know this always happens, but try to avoid it if you can. The solvent in the tape’s adhesive dissolves the table pads covering.

The information contained herein is offered as being typical for the indicated product. The customer is solely responsible for determining fitness for use.

This company disclaims liability for any incidental or consequential damages resulting from any breach of the express warranty contained herein. The above cleaning recommendations are offered as information regarding commonly accepted cleaning practices for nylon fabrics. No fabric can be made permanently “stain-proof.”

Dry heat sterilizers and steam sterilizer autoclaves are two common types of sterilizers used in healthcare and laboratory settings. While both are effective at killing microorganisms, they use different methods to achieve sterilization.

Dry heat sterilizers use hot air to sterilize equipment and instruments. The heat is generated by either an electric heating element or a gas burner, and the temperature is typically between 160-180°C (320-356°F) for a period of at least 2 hours. Dry heat sterilization works by denaturing and coagulating proteins within microorganisms, leading to their death.

In contrast, steam sterilizer autoclaves use high-pressure steam to sterilize equipment and instruments. The temperature inside the autoclave is typically between 121-134°C (250-273°F) and the pressure is usually around 15 psi. The high temperature and pressure of the steam kill microorganisms by disrupting their cell membranes and denaturing their proteins.

One advantage of dry heat sterilizers is that they can be used to sterilize items that are sensitive to moisture or heat, such as powders or oils. However, the process takes longer and requires higher temperatures than steam sterilization, which can increase the risk of damage to some equipment.

Steam sterilizer autoclaves, on the other hand, are faster and more efficient at sterilizing most items, but they can damage items that are sensitive to moisture or heat. Additionally, the process can leave some items wet, which may require additional drying time before use.

Ultimately, the choice between a dry heat sterilizer and a steam sterilizer autoclave depends on the type of equipment being sterilized and the specific needs of the facility or laboratory. Both methods are effective at killing microorganisms and ensuring equipment is safe for use.

Dry heat sterilizers and steam sterilizer autoclaves are two common types of sterilizers used in healthcare and laboratory settings. While both are effective at killing microorganisms, they use different methods to achieve sterilization.

Dry heat sterilizers use hot air to sterilize equipment and instruments. The heat is generated by either an electric heating element or a gas burner, and the temperature is typically between 160-180°C (320-356°F) for a period of at least 2 hours. Dry heat sterilization works by denaturing and coagulating proteins within microorganisms, leading to their death.

In contrast, steam sterilizer autoclaves use high-pressure steam to sterilize equipment and instruments. The temperature inside the autoclave is typically between 121-134°C (250-273°F) and the pressure is usually around 15 psi. The high temperature and pressure of the steam kill microorganisms by disrupting their cell membranes and denaturing their proteins.

One advantage of dry heat sterilizers is that they can be used to sterilize items that are sensitive to moisture or heat, such as powders or oils. However, the process takes longer and requires higher temperatures than steam sterilization, which can increase the risk of damage to some equipment.

Steam sterilizer autoclaves, on the other hand, are faster and more efficient at sterilizing most items, but they can damage items that are sensitive to moisture or heat. Additionally, the process can leave some items wet, which may require additional drying time before use.

Ultimately, the choice between a dry heat sterilizer and a steam sterilizer autoclave depends on the type of equipment being sterilized and the specific needs of the facility or laboratory. Both methods are effective at killing microorganisms and ensuring equipment is safe for use.

Both sterilizers and autoclaves are devices used to eliminate bacteria, viruses, fungi, and other microorganisms from equipment, medical instruments, and supplies. However, there are some differences between the two:

1. Method of sterilization: Sterilizers use different methods to eliminate microorganisms, such as dry heat, ultraviolet light, or gas. In contrast, autoclaves use high-pressure steam to sterilize the equipment.
2. Temperature: Sterilizers operate at lower temperatures than autoclaves. For example, a sterilizer that uses dry heat may operate at 160°C (320°F), while an autoclave typically operates at a higher temperature of 121°C (250°F) to 135°C (275°F).
3. Time: Sterilization time in sterilizers can be longer than in autoclaves. Depending on the method used, sterilization time can range from several hours to days. In contrast, autoclaves can sterilize equipment in as little as 15 minutes.
4. Use: Sterilizers are commonly used for non-medical items, such as laboratory glassware, and instruments that cannot withstand the high pressure and temperature of an autoclave. Autoclaves are commonly used in healthcare settings, such as hospitals and dental offices, to sterilize surgical instruments and other medical supplies.
5. Cost: Sterilizers can be less expensive than autoclaves because they use different methods of sterilization that do not require the use of high-pressure steam. Autoclaves can be more expensive due to their more complex design and higher pressure and temperature requirements.

In summary, both sterilizers and autoclaves are used for sterilization purposes, but they differ in the method of sterilization, temperature, time, use, and cost. It’s important to choose the appropriate device depending on the item being sterilized and the intended use.

Yes, dental steam sterilizers can be used in hospitals and surgery centers. Steam sterilization is a commonly used method for sterilizing medical and dental instruments in hospitals, clinics, and dental practices. The sterilization process involves exposing instruments to high-temperature steam under pressure, which kills all forms of microorganisms, including bacteria, viruses, and spores.

However, it’s important to note that not all dental steam sterilizers are suitable for use in hospitals, as some may not meet the necessary standards and requirements for sterilization in a healthcare setting. When choosing a sterilizer for a hospital, surgery center, or medical practice, it’s important to select one that has been tested and validated to meet the standards set by organizations such as the Association for the Advancement of Medical Instrumentation (AAMI) and the European Committee for Standardization (CEN).

1. Gravity displacement autoclaves: These autoclaves use steam to sterilize items by filling the chamber with steam, which pushes out air to create a , allowing steam to penetrate and sterilize the materials.
2. Dynamic air removal autoclaves: These autoclaves use a fan or a mechanical pump to remove air from the chamber, which is then filled with steam, making it more effective than gravity displacement autoclaves.
3. Vacuum autoclaves: These autoclaves use a pump to remove air from the chamber before steam is introduced, followed by steam sterilization. This type of autoclave is commonly used in the pharmaceutical and biotech industries.
4. Portable autoclaves: These autoclaves are small, lightweight, and designed to be transported, making them ideal for use in field settings or other locations where a larger autoclave is not practical.
5. Desktop autoclaves: These autoclaves are smaller than standard autoclaves and are designed to be used on a desktop, countertop, or other flat surfaces, and are commonly used in small-scale surgery instrument sterilization.
6. High-pressure steam autoclaves: These autoclaves use high-pressure steam to sterilize items. They are typically used in industrial settings for the sterilization of large quantities of material.
7. Flash autoclaves: These autoclaves sterilize items quickly by using high-pressure and high-temperature steam. They are often used in medical settings for sterilizing surgical instruments.
8. High-speed sterilizers: These autoclaves use a combination of high pressure and high temperature to sterilize materials in a short amount of time.

No, dry heat sterilizers and autoclaves are not the same things. While both are methods used for sterilization, they differ in the way they achieve sterilization.

An autoclave is a type of sterilizer that uses steam under pressure to kill microorganisms. The high temperature and pressure of the steam penetrate the material and destroy all forms of life, including bacteria, viruses, and spores of DNA. Autoclaves are commonly used to sterilize laboratory equipment, medical instruments, and other materials.

A dry heat sterilizer, on the other hand, uses hot air to sterilize. Dry heat sterilization is typically performed at higher temperatures than steam sterilization and for a longer time period. This method of sterilization is less commonly used due to the longer time required and the potential for thermal damage to heat-sensitive items. Dry heat sterilizers are often used to sterilize heat-resistant items such as glassware and powders.

In summary, while both dry heat sterilizers and autoclaves are used for sterilization, they differ in the method they use to achieve sterilization, with autoclaves using steam and dry heat sterilizers using hot air.

Dry heat sterilizers, also known as hot air sterilizers, use high temperatures to sterilize objects. The objects are subjected to dry, hot air at a high temperature (typically 160-180°C) for a specified length of time. This process works by denaturing the proteins in microorganisms, causing them to die. Dry heat sterilization is often used for heat-resistant materials, such as metal instruments, glassware, and powders, which can withstand high temperatures without being damaged.

It is important to note that dry heat sterilization takes longer and requires higher temperatures compared to other sterilization methods, such as steam sterilization. However, it has the advantage of not requiring a sterilizing agent, such as hydrogen peroxide or ethylene oxide, which can be hazardous to work with and may leave residue on the sterilized objects.

Overall, dry heat sterilization is a reliable and effective method for sterilizing heat-resistant objects in healthcare, laboratory, and industrial settings.

Class N, Class S, and Class B autoclaves are categorizations used to describe the different levels of sterilization performance and validation of autoclaves.

Class N autoclaves are the simplest and most basic type of autoclaves, designed for the sterilization of non-critical items, such as laboratory waste or contaminated clothing. They are typically not validated for sterilization performance, and their cycles may vary widely in terms of temperature, pressure, and duration.

Class S autoclaves are more advanced than class N and are designed for the sterilization of surgical instruments, bed linens, and similar items. They are validated for sterilization performance, typically through the use of biological indicators, and are capable of reaching higher temperatures and pressures than Class N autoclaves.

Class B autoclaves are the most advanced and rigorous type of autoclaves. They are designed for the sterilization of critical items, such as implantable devices, and are subject to strict validation requirements. Class B autoclaves are validated through the use of both physical and biological indicators, and they must meet strict performance criteria in terms of temperature, pressure, and sterilization cycle time.

It’s important to note that the classification of autoclaves can vary between countries and regions, so it’s always best to consult with a local sterilization expert or regulatory agency for guidance.

Yes, there is a difference between a steam sterilizer and an autoclave. An autoclave is a type of steam sterilizer, but not all steam sterilizers are autoclaves.

An autoclave is a pressure chamber that uses steam to sterilize equipment and supplies by eliminating bacteria, viruses, fungi, and spores of DNA. Autoclaves are commonly used in medical and laboratory settings to sterilize surgical instruments, glassware, and other materials. Autoclaves typically use a combination of high pressure and temperature to achieve sterilization.

A steam sterilizer, on the other hand, is a broader term that can refer to any device that uses steam to sterilize. In addition to autoclaves, steam sterilizers can also refer to smaller devices that are commonly used in dental or veterinary offices to sterilize instruments. These types of sterilizers may not use high pressure and may rely solely on temperature and exposure time to achieve sterilization.

In conclusion, while all autoclaves are steam sterilizers, not all steam sterilizers are autoclaves. The term “autoclave” refers specifically to a type of pressure-based steam sterilizer, while “steam sterilizer” is a more general term that can refer to a variety of devices that use steam to sterilize.

The quick answer is no you don’t need any type of plumbing for most desktop autoclaves like the Ritter M9 or the Midmark M11 although other types of sterilizers do require plumbing.

It can depend on the type of desktop autoclave you are using and the specific requirements of the autoclave.

Some desktop autoclaves may require a direct connection to a water supply and a drain for the water used during the sterilization process. These autoclaves have a built-in water reservoir that needs to be filled manually, and the used water needs to be drained out after each cycle.

Other desktop autoclaves are designed to be more portable and don’t require a direct connection to a water supply or drain. These autoclaves typically use a removable reservoir that can be filled and emptied manually.

Many desktop autoclaves have built-in water reservoirs that you can manually fill with water, but this can be time-consuming and may not be practical for frequent or large-scale use. In these cases, it is common to connect the autoclave to a water source via plumbing.

The plumbing setup will depend on the specific autoclave you are using and the water source available. Some autoclaves may come with a kit for connecting to plumbing, while others may require additional parts or modifications to be made to your plumbing system. It is recommended to consult the manufacturer’s instructions and seek the advice of a professional if you are unsure how to set up plumbing for your autoclave.

It’s important to review the manufacturer’s instructions for the specific model you are using to determine if plumbing is necessary. If you’re unsure about the requirements or installation process, it’s always a good idea to consult with a licensed plumber or the manufacturer of the autoclave for guidance.