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Dexus XCP sterilization protocol

I should explain my dilemma more fully. We currently use Dexus sensor XCP X-ray system as most offices are now. We are having mixed protocol of how to sterilize pieces. One hygienist continues to spray pieces with Birex spray. The type which is mixed with Birex packet and water ( active for 2 weeks). Including clip to hold plastic protector bag. The rest of office no longer uses this spray. We use Cavicide wipes for surface disinfection only. i have ordered enough XCP kits to cover turnover for patients in between autoclave processing. I have checked from Dexus and auto claving is rec. method. However, one of assistants has mentioned at another office she worked at this caused plastic rings and bite blocks to break down faster. We also use sandwich fold over type bags to cover sensor,bite block,rod with mini hair type clip to hold bag tightly twisted to rod. Clip goes in cold sterile( glutaraldehyde) for 24 hrs. I replace them as they break, but has worked effectively. The Rep. from Dexus has suggested sandwich bag method over just the sheath protector purchased from supply companies( do not like to use too many corporate names). Any feed back would be helpful. Trying to be up to standards and this can be difficult with many strong opinions circulating offices everywhere. Just want to “do the right thing” for patients. I get very frustrated when I know these healthcare “professionals” have had the same training I’ve had through the years. I’d appreciate any feedback.



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5 Answers

Thank you very much for the info. Are the wipes from SciCan called Optim one step?
We most likely should not be running XCP kits through ultrasonic either? This will most likely wear, scratch, discolor pieces faster too. Will wash with soap and water, then bag, autoclave. We have Cavicide wipes now and will avoid wiping sensor, but will continue wiping off cord portion. Alcohol in Cavicide is a drawback, but seems to be best choice for surface disinfection.
This is such a resourceful site to read and learn from everyone!

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I sterilize anything that can take it. COX rings, rods and bites are included, although I use disposable bites nowadays. The sensor is covered with a tight fitting plastic sheath but I still wipe everything with cavicide. 🙂

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Would try not to wipe the sensor part that is covered with the barrier. Using universal precautions and only touching the XCP and barrier areas you do not need to wipe much except the exposed cord if you contaminated it. Sandwich bags may not protect like the true barriers. We don’t know how the bags are processed and treated asepticly because it’s use is not to put in your mouth as a dental/medical barrier. The XCP Kits should be wiped with Cavi wipe and then rinsed with water so the disinfectant doesn’t get baked on and cause stain or a disgusting taste to pt. We bag the plastic parts and place on higher auticlave racks because the lowest rack has melted ours some. We bag and run the metal rods separate from plastic as the metal would Heat to high and melt the plastic rings. SciCan has wipes that are safe to use on safety glasses, SurgiTel loupes and X-ray sensor because it does not have harsh alcohol in it……but if you’ve wiped things with Cavi wipes and then start using SciCan wipes just for those items mentioned above….it will create a sulfur smell until all the Cavi residue is removed.

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Optim is correct. I would not run in ultrasonic bath. Just wipe with cavi wipe and rinse, dry, bag. No need to wipe the cord if you practice only touching the barrier area and then have someone hold the cord with clean hands while you let the sensor drop out of the contaminated barrier. That cord isn’t going to go in patients mouth ever……the less you wipe the cord, sensor, usb cord the longer the life. Think this way: why use a barrier if I’m going to wipe everywhere the barrier covers etc… If you are using the SciCan Optim Wipes for the sensor you can also use it on the sensor cord no need to switch out and use Cavi Wipe.

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Thank you very much for ALL the info. Very helpful : )))

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