User Guide Addendum
HP Healthcare Edition for Print
Disinfection and Sterilization Guide
This guide is for the following
Healthcare Edition multifunction
printer models:
HP PageWide Managed Color Flow MFPs:
E77650z/zs/z+
E77660z/zs/z+
E58650z
HP Color LaserJet Managed Flow MFPs:
E67660z
E57540c
HP LaserJet Managed Flow MFPs:
E52645c
E62665h/z
CONTENTS & NAVIGATION
1
Combatting Pathogen
Transmission in Healthcare IT
Environments
Responsibility
Cleaning and Disinfection
Guidance
2
Cleaning and Disinfection
Guidance (continued)
3
Recommended Heathcare Edition
for Print Cleaning Formulas
4
Sterilization Guidance
Denition of Terms
HP Healthcare Edition Solutions - Supporting your Infection Prevention Protocol
Computers, displays, MFPs, and accessories (e.g., keyboards and mice) are valuable clinical
and instructional tools for healthcare clinicians to view and transmit patient data, access and
print healthcare literature, provide patient and family education, and facilitate learning. As
these electronic devices are used at the point of care (e.g., emergency department, operating
room, intensive care, hemodialysis, and long-term care) or in common areas where patient
care is delivered, contamination of pathogenic bacteria and epidemic viruses from the hands
of healthcare providers or the environment has been demonstrated in numerous studies.
1,2,3,4
Ensuring the cleaning and disinfecting of these IT and IoT devices is a critical component of
environmental hygiene.
The Centers for Disease Control and Prevention (CDC) recommends cleaning surfaces, followed
by disinfection, as a best practice to reduce the transmission of pathogenic bacteria, viral
pathogens, and other viral respiratory illnesses in hospital, ambulatory, long-term care and
other healthcare settings.
5
Responsibility
The responsibility for routine cleaning and disinfection of the Healthcare Edition for Print
devices and accessories shall be dictated by the healthcare facility and clearly communicated
along with appropriate training as defined in this disinfection and sterilization guide.
Collaboration between epidemiologist(s), infection prevention and control, nursing,
environmental services (EVS), cleaning/janitorial staff and information technology (IT) is critical
for defining this responsibility and ensuring that training occurs.
Footnotes
1
Cleaning and Disinfection Guidance
In addition to routine care (defined by the healthcare facility’s infection prevention protocol), if
the Healthcare Edition multifunction print devices become visibly soiled or contaminated with
blood and/or other bodily fluids, it is the responsibility of the user of the device(s) to perform
cleaning and disinfection using the following recommended protocols.
User Guide Addendum
CONTENTS & NAVIGATION
1
Combatting Pathogen
Transmission in Healthcare IT
Environments
Responsibility
Cleaning and Disinfection
Guidance
2
Cleaning and Disinfection
Guidance (continued)
3
Recommended Heathcare Edition
for Print Cleaning Formulas
4
Sterilization Guidance
Denition of Terms
Footnotes
Cleaning
1. Perform hand hygiene.
2. Don clean (non-sterile) disposable gloves made of latex (or nitrile gloves if you are latex-sensitive).
3. Turn off the device and disconnect AC power. Never clean a product while it is powered on or plugged in.
4. Disconnect or remove any external items such as USB memory sticks or media.
5. Remove soil from the device with a manufacturer-approved cleaning or cleaning and disinfecting germicidal wipe (commonly
used formulations listed in the attached Recommended Healthcare Edition for Print cleaning formulas table), or a waterdampened cloth. The cloth/wipe should be moist, but not dripping wet. Microfiber cloths, chamois (static-free cloth without
oil), or static-free cloth wipes are preferred.6 Do not use fibrous materials, such as paper towels or toilet paper.
6. Do not spray any liquids directly onto the product.
7. Do not use disinfecting/germicidal wipes on the scanner/copier glass.
8. Gently wipe the moistened cloth on the surfaces to be cleaned. Do not allow any moisture to drip into areas like keyboards,
display/control panels or USB ports, as moisture entering the inside of an electronic product can cause extensive damage.
9. Start with the display/control panel, continue with keyboard, and end with power and/or network cables if applicable.
10. Each Healthcare Edition MFP is equipped with sanitizable/sterilizable drapes. These can be cleaned and disinfected without
removal with a manufacturer-approved cleaning or cleaning and disinfecting germicidal wipe (commonly used formulations
listed in Table 1: HP Healthcare Edition compatibility-tested formulations for cleaning and disinfecting).
11. When cleaning a display screen or printer control panel, carefully wipe in one direction, moving from the top of the display to
the bottom.
Disinfection
1. Additional disinfection should be performed using germicidal wipes. Refer to the germicidal wipe manufacturer’s
recommended instructions for use (IFU) for the product(s) used at the facility to ensure appropriate application and contact
time of the product.
2. Disinfect all surfaces covered with drapes. Additionally, disinfect the surface of the control panel and keyboard of the device.
• Ensure that the germicidal wipe remains wet during the application process. Replace, if necessary.
• Make sure that the surfaces remain treated with the disinfectant for the contact time specified by the germicidal wipe
manufacturer.
3. Determine that surfaces have completely air-dried before turning the device on after cleaning. No moisture should be visible
on the surfaces of the product before it is powered on.
4. Gloves should be discarded after each cleaning. Perform hand hygiene immediately after gloves are removed.
NOTE: If contamination with Clostridioides Difficile is suspected, a sporicidal agent (e.g., hypochlorite or bleach) is required.
Do not use cleaners that contain any petroleum based materials such as benzene, thinner, or any volatile
substance to clean the device. These chemicals may damage the device.
If you are not sure whether a cleaning product is suitable, or if it is not specifically listed in this document, do
not use it as it may cause permanent damage to the product. The following table lists the cleaning formulas
approved for HP Healthcare Edition for Print devices.
2
User Guide Addendum
CONTENTS & NAVIGATION
1
Combatting Pathogen
Transmission in Healthcare IT
Environments
Responsibility
Cleaning and Disinfection
Guidance
2
Cleaning and Disinfection
Guidance (continued)
3
Recommended Heathcare Edition
for Print Cleaning Formulas
4
Sterilization Guidance
Denition of Terms
Footnotes
Recommended Healthcare Edition for Print cleaning formulas
Recommended cleaning formulas
Type of agents Select HP Healthcare Edition for Print
compatibility-tested products
Cleaning agents*
Ethyl alcohol: 0.10–1.00% and cellulose
Isopropanol: 60–70% and water
Cleaning and disinfection agents: one-step products*
Alcohol-free
quaternary
ammonium
compounds (QAC)
QAC/alcohol Isopropanol: 10–20%, 2-Butoxyethanol:
Benzyl-C12-18-Alkyldimethyl ammonium
chlorides: < 0.1%, Quaternary ammonium
compounds, C12-14-alkyl[(ethylphenyl)methyl]
di methyl, chlorides: < 0.1%
Quaternary ammonium compounds, C1218-alkyl [(ethylphenyl) methyl] dimethyl,
chlorides: < 0.5%, Benzyl-C12-18-alkyldimethyl
ammonium chlorides: < 0.5%
< 5%, Quaternary ammonium compounds,
C12-18-alkyl [(ethylphenyl) methyl] dimethyl,
chlorides: < 0.5% Benzyl-C12-18-alkyldimethyl
ammonium chlorides: < 0.5%
Isopropyl alcohol: 55.0%, Alkyl dimethyl benzyl
ammonium chlorides: 0.250%, Alkyl (68% C12,
32% C14) dimethyl ethylbenzyl ammonium
chloride: 0.250%
Isopropanol: 10–20%, Ethylene Glycol
Monobutyl Ether (2-Butoxyethanol): 1–5%,
Diisobutylphenoxyethoxyethyl dimethyl benzyl
ammonium chloride: 0.1–0.5%
Manufacturer
contact time for
Select HP Healthcare
Edition for Print
compatibility-tested
products
Not applicable Required only if
10 minutes**
3 minutes**
3 minutes**
2 minutes**
2 minutes**
Comments
multifunction printer
is visibly soiled.
Hypochlorite (bleach) Sodium hypochlorite 0.1%–1.0% 3 minutes**
Improved hydrogen
peroxide
Hydrogen peroxide: <1% 3 minutes**
Tested Germicidal Towelettes
Sani-Cloth® Plus Germicidal Disposable Cloth
(EPA Reg. No. 9480-6)
Sani-Cloth® AF3 Germicidal Disposable Wipe
(EPA Reg. No. 9480-9)
Super Sani-Cloth® Germicidal Disposable Wipes
(EPA Reg. No. 9480-4)
CaviWipes® (EPA Reg. No. 46781-8)
Clorox Healthcare® Bleach Germicidal Wipes
(EPA Reg. No. 67619-12)
** Contact times listed correlate to the germicidal wipe products that are HP-compatibility tested. Refer to manufacturer Instructions for Use (IFU) and
product labels to determine the recommended contact time for products used at your facility.
NOTE: Use of wipes soaked in peracetic acid or hydrogen peroxide may be an alternative to quaternary ammonium compounds
(QAC) and bleach for low-level surface disinfection, but studies supporting their effectiveness have only recently emerged.
Augmentation of manual surface cleaning and disinfection with automated disinfection technologies (e.g., UV light and hydrogen
peroxide vapor machines) is being adopted for use in operating rooms and patient rooms where electronic devices may be present.
9
HP Healthcare Edition
multi-function printers have
been tested to simulate
up to 10,000 wipes with
germicidal towelettes on
Control Panel and Keyboard
over a 3-year period.
Repeated use of these
germicidal wipes may cause
some cosmetic changes
to the product. Testing
completed as of September
2019. Germicidal towelette
chemical composition is
subject to change.
7,
3
User Guide Addendum
CONTENTS & NAVIGATION
1
Combatting Pathogen
Transmission in Healthcare IT
Environments
Responsibility
Cleaning and Disinfection
Guidance
2
Cleaning and Disinfection
Guidance (continued)
3
Recommended Heathcare Edition
for Print Cleaning Formulas
4
Sterilization Guidance
Denition of Terms
Footnotes
Sterilization Guidance
HP Healthcare Edition for Print devices are equipped with at least one set of sterilizable, sanitizable drapes (made of VMQ silicone).
In addition to the cleaning and disinfection guidance previously detailed, these drapes can be removed, immersed in soap and
water or a recommended disinfectant solution (please refer to included table: Recommended Healthcare Edition for Print cleaning
formulas). For further sterilization purposes, these drapes can be exposed to Hydrogen Peroxide Vapour (HPV). Also, the drapes
are sterilizable in an autoclave or thermo disinfector at temperatures up to 134 ºC (270 ºF). HP recommends that the drapes
be replaced after 200 sterilization cycles in an autoclave. Please contact your HP representative for replacement drapes when
necessary.
Approved and tested cleaning and disinfectant formulas for VMQ silicon-based drapes covering surfaces for HP Healthcare Edition
for Print include:
• Chlorine based, up to 100,000 ppm (10%) bleach content
• Formaldehyde based, up to 370,000 ppm (37%) formaldehyde content
• Oxidizing, such as Hydrogen Peroxide, up to 30,000 (3%) ppm content
• Quaternary Ammonium, up to 20,000 ppm (2%) content.
Note: Customers may experience some visible changes to cosmetic finishes over time as a result of the cleaning techniques
mentioned in this document.
Definition of terms
Contact time: A specific length of time a chemical disinfectant must remain in contact with a microorganism to achieve complete
inactivation. Contact times for each microorganism are clearly listed on the label of U.S. Environmental Protection Agency (EPA)—
registered liquid disinfectants. The treatment time for a wipe and spray disinfectant consists of the wet time plus wiping as well as
the undisturbed “dry” time.
Hydrogen peroxide: Improved hydrogen peroxide is a disinfectant. Manufacturers will add cleaning agents to improve cleaning
efficiency. These agents are bactericidal, virucidal, fungicidal, and tuberculocidal.
Hypochlorite (bleach): These agents are bactericidal, fungicidal, virucidal, mycobactericidal, and sporicidal.
Used to disinfect blood spills.
Quaternary ammonium compound products (QAC): These agents are bactericidal, virucidal against enveloped viruses (e.g.,
HIV), and fungicidal. They are not sporicidal and generally not mycobactericidal or virucidal against nonenveloped viruses
(e.g., norovirus). Healthcare facilities commonly use EPA-approved QAC products for routine cleaning and disinfection of the
environment and non-critical medical equipment.
7,8
8
NOTE: Customers may experience some visible changes to cosmetic finishes over time as a result of the cleaning techniques
mentioned in this document.
Footnotes
1. Neely AN, Weber JM, Daviau P, et al. Computer equipment used in patient care within a multihospital system: Recommendations for cleaning and
disinfection. Am J Infect Control. May 2005; 33(4):233-7.
2. Po JL, Burke R, Sulis C, et al. Dangerous cows: an analysis of disinfection cleaning of computer keyboards on wheels. Am J Infect Control. 2009
Nov; 37(9):778-80.
3. Rutala, WA, White M, Gergen MF, Weber DJ. Bacterial Contamination of Keyboards: Efficacy and Functional Impact of Disinfectants. Infect Control
Hosp Epidemiol 2006; 27(4):372-377.
4. Contamination of healthcare workers’ mobile phones by epidemic viruses, https://www.clinicalmicrobiologyandinfection.com/article/S1198-
743X(15)01034-4/fulltext
5. Rutala WA, Weber DJ, Healthcare Infection Control Practices Advisory Committee. Guideline for disinfection and sterilization in healthcare facilities,
2008. Atlanta (GA): Centers for Disease Control and Prevention (CDC); 2008.
6. Engelbrecht K, Ambrose D, Sifuentes L, Gerba C, et al. Decreased activity of commercially available disinfectants containing quaternary ammonium
compounds when exposed to cotton towels. Am J Infect Control 2013; 41:908-911.
7. Leas BF, Sullivan N, Han JH, Pegues DA, Kaczmarek JL, Umscheid CA. Environmental Cleaning for the Prevention of Healthcare-Associated
Infections. Technical Brief No. 22 (Prepared by the ECRI Institute – Penn Medicine Evidence-based Practice Center under Contract No. 290-201200011-I.) AHRQ Publication No. 15-EHC020-EF. Rockville, MD: Agency for Healthcare Research and Quality; August 2015. www.effectivehealthcare.
ahrq.gov/reports/final/cfm.
8. Rutala WA and Weber DJ. Surface Disinfection: Treatment Time (Wipes and Sprays) Versus Contact Time (Liquids). Infect Control Hosp Epidemiol
2018; 39(3):329-331.
9. Investigation into the cleaning methods of smartphones and wearables from infectious contamination in a patient care environment (I-SWIPE),
https://www.ajicjournal.org/article/S0196-6553(19)30845-4/pdf
© Copyright 2020 HP Development Company, L.P. The information contained herein is subject to change without notice. The only warranties for HP products and services are
set-forth in the express warranty statements accompanying such products and services. Nothing herein should be construed as constituting an additional warranty. HP shall
not be liable for technical or editorial omissions contained herein.
4AA7-8533ENW, October 2020
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