CaviCide1™ & CaviWipes1™

• 1-minute contact time for TB, virucidal, bactericidal, fungicidal activity
• Available in multiple configurations for your office needs
• Fragrance free
• Bleach free
• Multi-purpose cleaner / disinfectant for everyday use

Although considered noncritical items, environmental surfaces in the dental operatory can become contaminated with infectious agents and contribute to the spread of health-care associated infections (CDC 2008 – pg 29) In their 2008 Guideline for Disinfection and Sterilzation in Healthcare Facilities, the CDC states that, "for this reason, noncritical medical equipment surfaces should be disinfected with an EPA-registered low- or intermediate level disinfectant".

READ THE LABEL! There are some key things you want to look for when selecting a surface disinfectant.

Is the product an intermediate-level disinfectant?

Your product label may not say “low-level disinfectant” or “intermediate-level disinfectant”. According to the CDC, “Intermediate-level disinfectants might be cidal for mycobacteria, vegetative bacteria, most viruses, and most fungi but do not necessarily kill bacterial spores.” The key is that intermediate-level disinfectants have a tuberculocidal claim.¹

You want your surface disinfectant to be effective for every situation; a low-level disinfectant won’t always be able to deal with the kinds of pathogens you may encounter on your clinical contact surfaces.²

Is the product EPA registered?

EPA registered products ensure the highest standards of safety to protect human health and the environment. Only products that are EPA approved as "disinfectants for use in hospital or medical environments" have a demonstrated ability to kill Staphylococcus aureus, Pseudomonas aeruginosa, and Salmonella enterica. ^3,4

What is the active ingredient?

Knowing the active ingredient in your surface disinfectant is important to understanding its efficacy and its impact on your clinical contact surfaces. For example, products classified as "high-alcohol" are less effective at cleaning blood or organic material from a surface, which compromises their ability to disinfect.⁵ Products that use hydrogen peroxide as their active ingredient have been demonstrated to be corrosive to certain surfaces and materials.^6,7 Quaternary-based, low-alcohol surface disinfectants are a good alternative to high-alcohol and hydrogen peroxide based products because they are proven to be a good cleaner and disinfectant.

What is the contact time for TB?

The Environmental Protection Agency (EPA) requires the destruction of M. tuberculosis as the benchmark for intermediate-level disinfectants. M. tuberculosis is used as the resistance standard for disinfectants because of its innate resistance to chemical germicides. Killing M. tuberculosis also destroys other pathogens of occupational significance, including HBV, HCV, HIV, Influenza viruses, Staphylococcus aureus, and others.⁸

The longer the TB kill time of your product, the longer it takes you to turn over your operatory. Do you have 10 minutes to spare in between patients?

"An important issue concerning use of disinfectants for noncritical surfaces in health-care settings is that the contact time specified on the label of the product is often too long to be practically followed. The labels of most products registered by EPA for use against HBV, HIV, or M. tuberculosis specify a contact time of 10 minutes. Such a long contact time is not practical for disinfection of environmental surfaces in a health-care setting...."⁶

Can the product clean as well as disinfect?

If your surface disinfectant is not also labeled for cleaning, you will need to purchase a separate pre-cleaning product.

"Disinfectants may be selected for rapid antimicrobial effectiveness, but may have inferior cleaning capabilities and require a separate, compatible cleaning product. [Health Care Workers] may mistakenly use only the disinfectant without the cleaner. Selecting a single product that both cleans and disinfects effectively in two steps may avoid this problem."⁹

"Products with high amounts of alcohol may be less effective cleaners of organic material and are often sold with separate pre-cleaning products such as foaming cleaners. In contrast, most water-based products, with or without alcohol, can be used for both cleaning and disinfection, avoiding the need for two products."¹⁰

Is the product compatible with my surfaces and equipment?

The CDC states that the ideal surface disinfectant "should not corrode instruments and metallic surfaces and should not cause the deterioration of cloth, rubber, plastics, and other materials." Make sure the product label lists the surfaces it is compatible with, and make sure the list includes the surfaces in your operatory.⁶

1 “When bloodborne pathogens other than HBV or HIV are of concern, OSHA continues to require use of EPA-registered tuberculocidal disinfectants.” CDC, "Guideline for Disinfection and Sterilization in Healthcare Facilities", November 2008.

2 “Use intermediate-level disinfectants to disinfect clinical contact surfaces with or without visible blood.” (Emphasis added.) OSAP, “CDC Guidelines: From Policy to Practice”, 2004-2007.

3 (DIS/TSS-5 Sept. 22, 1982. "Confirmatory Efficacy Data Requirements". http://www.epa.gov/oppad001/dis_tss_docs/dis-05.htm) "[The CDC] guideline clearly states that only commercially available EPA-registered agents should be used on clinical contact surfaces in dental health care facilities."

4 OSAP, "2003 CDC Guidelines Offer More Choices for Managing Operatory Surfaces", CDA Journal, November 2004

5 F. Prior, K. Fernie, A. Renfrew, G. Heneaghan. "Alcoholic fixation of blood to surgical instruments — a possible factor in the surgical transmission of CJD?" Journal of Hospital Infection 2004; 58, 78-80.

6 CDC, "Guideline for Disinfection and Sterilization in Healthcare Facilities", November 2008.

7 Metrex Research, LLC internal test data. Available upon request.

8 John A. Molinary, PhD. "Environmental Surface Asepsis: Principles, Applications, and Issues". http://www.cdeworld.com/courses/4407

9 John A. Molinari, PhD, and Nancy Andrews, RDH, BS. "Committing to Best Infection Control Practices: An Evidence Based Approach to Keeping the Dental Operatory Safe." Dimensions of Dental Hygiene, September 2008.

10 Nancy Andrews, "Surface Disinfection - Still Vitally Important", First Impressions Magazine, June 2008

CaviCide1™/CaviWipes1™ are multi-purpose disinfectant/decontaminant cleaners for use on hard, non-porous inanimate surfaces.

Recommended for use in health care settings such as hospitals hospital operating rooms, emergency departments, emergency medical settings, [medical related facilities, ambulatory surgical centers ambulatory surgery centers (ASC), Life Science Laboratories, surgical centers, surgery centers, surgical suites, out-patient surgical centers (OPSC), endo suites, endoscopy centers, GI suites, GI centers, sterile processing departments, central services department, isolation areas, neonatal units, anesthesia, Cath labs, CCU, ICU, Central Supply, laboratories, clinics, patient care areas, nursing homes, ophthalmic offices, home health care, hospices, isolation areas, laboratory, laundry rooms, Neonatal Intensive Care Units (NICU), Newborn nursery, nursing homes, ophthalmic and optometric facilities, eye surgical centers, Orthopedics, out-patient surgical centers, patient care areas, pediatrics, Pediatric Intensive Care Units (PICU), physical therapy, Physicians’ offices, Radiology, Recovery rooms, Rehabilitation, Respiratory Therapy, Schools, Transport vehicles, buses, cruise ships, drug preparation rooms, pharmacy clean rooms, clean rooms, X-Ray, dialysis centers, donation centers (blood, plasma, semen, milk, apheresis), dental offices, dental operatories, animal care facilities, veterinary facilities, kennels, animal dental operatory, beauty salons, salon settings, manicure salons, skin care salons, tattoo parlors, barber shops, tanning salons, emergency vehicles, ambulances, emergency medical settings, Emergency Rooms, ER, police and fire vehicles, health club facilities, kitchens*, food preparation areas*, bathrooms, daycare centers, correctional facilities, prisoner detention facilities, jails, prisons, morgues, prisoner lockups, mortuaries, cadaver processing areas, funeral homes, laundry rooms, pet areas,and other critical care areas where control of cross contamination between treated surfaces is important.

Use on hard non-porous surfaces and equipment listed on this label made of stainless steel, plastic, Formica, and glass.

CaviCide1/CaviWipes1 will effectively clean and disinfect, when used as directed, such items as interior and exterior surfaces of infant incubators, bassinets, cribs and warmers, infant/child care equipment surfaces, diaper changing stations, baby cribs, diaper pails, toys, high chairs, isolettes, lab equipment and surfaces, oxygen hoods, diaper pails, operating room tables and lights, slit lamps, laboratory equipment and surfaces, physical therapy (PT) equipment surfaces, oxygen hoods, exterior surfaces of dialysis machines, patient monitoring equipment, patient support equipment, patient delivery equipment, physical therapy (PT) equipment surfaces, stretchers, wheelchairs, walkers, stethoscopes, spine back boards, KED, Kendrick Extrication Device, ambulance equipment surfaces, eye glasses (do not use on contact lenses), loupes, bed railings, stethoscopes, hard, non-porous exterior surfaces of ultrasound transducers or probes, exam tables, gurneys, stretchers, defibrillators, resuscitators, IV poles, dental unit instrument trays, operatory light switches, exterior surfaces of amalgamators and dental curing lights, exterior surfaces of anesthesia machines and respiratory therapy equipment, exterior surfaces of diagnostic equipment, SilkPeel™ with DermalInfusion™, workstations, dental countertops, dental chairs, non-porous dental impression material, dental impression trays, dental equipment tubing, dental equipment lines, exterior surfaces of dental operatories, digital x-ray sensors, digital phosphor plates, dental curing lights, dental intra-oral cameras, exterior surfaces of endodontic equipment, such as apex locators, pulp testers and motors, stools, counters, dental unit instrument trays, endodontic equipment such as apex locators, animal cages, Veterinary care surfaces, nail/hair care implements, tanning beds, hair dryers, hair clippers, shears, dental impression material, razors, hair cutting implements, clipper blades, salon surfaces, scissors, combs, brushes, manicure tables, manicure implements, washable nail files, hair rollers, kennels, animal cages, non-food contact surfaces, exterior surfaces of refrigerator units*, exterior surfaces of appliances such as refrigerators, microwaves, food processors and stoves*, cafeteria trays*, dining tables*, sinks*, counter tops*, food service countertops, food serving trays, vanity tops*, tiles*, floors, walls, handrails, door knobs, bed railings, tables, chairs, faucets, bathroom fixtures, exterior toilet surfaces, bathing units, bathtubs, shower stalls, cabinets, shampoo bowls, garbage cans, computers, keyboards, computer mouse, fax machines, filing cabinets, filing doors, filing handles, headsets, workstations, trash cans, carts, chairs, baskets, grocery carts, shopping carts, hard surface weight-lifting surfaces, drained whirlpool tank surfaces, cabinets, lights, telephones, which are made of plastic (i.e., polycarbonate, polypropylene, polyvinylchloride, polystyrene), and use sites listed on this label consisting of non-porous vinyl, stainless steel, painted surfaces, Plexiglas®, Formica® and glass., Bathroom(s) or public restrooms:, Basins, Bathtubs, bathroom fixtures, cabinets, countertops, doorknobs, faucets, handles, hampers, handrails, shower stalls, showers, sinks, glazed tiled walls, glazed tiles, toilet, handle, rim, seats, tank, and other exterior surfaces of, urinals, exterior surfaces of, and vanity tops, and other non-porous surfaces listed on this label., Transport vehicles, school busses, fire trucks, police cars, hard non-porous surfaces of vehicles including steering wheel, hard plastic or metal flooring, seats, and walls.

* A thorough rinse with potable water is required for surfaces in direct contact with food.

Proven 1-minute Efficacy Against:

• Mycobacterium tuberculosis var: bovis (BCG) (TB)
• Burkholderia cepacia
• Enterobacter cloacae
• Klebsiella pneumoniae
• Pseudomonas aeruginosa
• Salmonella enterica
• Staphylococcus aureus
• Candida albicans
• Carbapenem-Resistant Klebsiella pneumonia [(CRKP)] ][CRE]
• ESBL Escherichia coli [ESBL E. coli]
• Methicillin Resistant Staphylococcus aureus (MRSA)
• Methicillin Resistant Staphylococcus epidermidis (MRSE)
• Multi-drug resistant [MDR] Acinetobacter baumannii
• Vancomycin Resistant Enterococcus faecalis (VRE)
• Vancomycin Intermediate Staphylococcus aureus (VISA)
• Duck Hepatitis Virus Surrogate for Hepatitis B Virus (HBV)
• Bovine Viral Diarrhea Virus Surrogate for Hepatitis C Virus (HCV)
• Herpes Simplex Virus Type 1
• Herpes Simplex Virus Type 2
• Human Coronavirus
• Human Immunodeficiency Virus (HIV-1)
• Influenza A Virus

Additional kill claims for CaviCide1 only:

• Rotavirus
• Feline Calicivirus
• Acinetobacter baumannii
• Trichophyton mentagrophytes