CryoDose TA

FAQs & Resources

“TA” stands for topical anesthetic.

Ethyl Chloride is known to be toxic, extremely flammable, and carries inhalation precautions for patients and practitioners. It is listed as “…a chemical known to the State of California to cause cancer” and on restricted lists in other states as well. CryoDose TA is a safer and more economical alternative to Ethyl Chloride. It is non-flammable, non-toxic, HAZMAT-free, and does not carry inhalation precautions. It is a clinical and therapeutic equivalent to Ethyl Chloride and cleared by the FDA with more indications for use. In addition to use on intact skin, it can be used on open wounds and intact oral mucous membranes.

Ethyl Chloride should not be used around or in conjunction with cautery, ultrasound, or laser equipment.

CryoDose TA is non-flammable and is safe to use in these areas where Ethyl Chloride presents hazards, such as minor open wounds and intact oral mucous membranes.

Ethyl Chloride should be stored in a safety cabinet according to toxicity and flammability protocols. Ethyl Chloride should be disposed of with hazardous waste. CryoDose TA contains no hazardous materials and may be stored and disposed of as a normal aerosol.

Ethyl Chloride must be shipped as HAZMAT, requires a Department of Transportation HAZMAT fee, and is shipped separately from routine purchased items. CryoDose TA is shipped under normal conditions and requires no HAZMAT fee.

They are identical including parts and ingredients with one exception: CryoDose TA carries a 100% satisfaction guarantee.

These products are clinical and therapeutic equivalents. The dosage, administration, onset of effect, and duration of effect are the same.

CryoDose TA Mist serves the needs of practitioners who treat with ‘mist’ sprays. CryoDose TA Medium Stream replaces ‘stream’ products.

Practitioners can easily switch to the lower-cost Medium Stream with no change in technique and with minimal concern.

Stream or Mist canister provides approximately 55 applications (at an average of 5 seconds spray time) per container. CryoDose TA is also available in a 35mL Medium Stream or Mist canister.

Refer to the Directions for Use insert located under the product’s cap.

OTC cold sprays are intended to cool and relieve pain associated with sports injuries such as bruises, muscle aches, and strains. They are for surface use only and should not be used on broken skin. They are butane-based products making them extremely flammable. In contrast, CryoDose TA is an FDA approved, non-toxic, non-flammable topical anesthetic spray that can be used on broken skin, minor wounds, and intact mucous membranes. CryoDose TA undergoes USP <61> and USP <62> testing to ensure it is clean (aseptic). It can be used after an antiseptic wipe and will not increase pathogen levels at the procedure site.

CryoDose TA is not sterile but is safe to be used prior to aseptic procedures. It has been tested by an independent laboratory to meet USP <61> and USP <62> standards and proven to be safe with no statistical significance in microbial colonization. In fact, total microbial counts (TAMC) and total mold and yeast plate counts (TYMC) were reported to be <10 cfu/g. Staphylococcus (Staph) aureus and Pseudomonas aeruginosa were tested for and none were detected. Additionally, a published clinical trial demonstrates the ingredients for CryoDose TA will not introduce or add microorganisms to a procedure site prepped with an antiseptic*.

*Source: Dermatol Surg. 2014 Oct; 40 (10):1103-7. Skin sterility after application of a vapocoolant spray. Schleicher WF, Richards BG, Huettner F, Ozturk C, Zuccaro P, Zins JE)

Follow local protocol for cleaning the site with an antiseptic, have all equipment ready for the procedure, and then apply spray prior to performing the procedure.

CryoDose TA should be sprayed on the procedure site at a distance of 3 to 7 inches for approximately 4 to 10 seconds. Average spray times are usually 5 to 7 seconds. If during the spray time the skin turns white or blanches, stop spraying.

The anesthetic numbing effect can last up to 60 seconds.

If a procedure takes longer than anticipated, reapply as necessary.

Rotate the white actuator button approximately 180º, then point the nozzle at the treatment area and press the actuator button firmly.

To reorder, contact your medical supply distributor representative. More information is also available online at CryoDose.com.

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References & Citations

Ethyl Chloride Toxicity

CDC recommends that Ethyl Chloride be treated in the workplace with caution because of its structural similarity to the four chloroethanes (ethylene dichloride; hexachloroethane; 1,1,2,2-tetrachloroethane; and 1,1,2-trichloroethane) shown to be carcinogenic in animals. Click here to learn more.

The American Conference of Governmental Industrial Hygienists (ACGIH®carcinogenicity designation Click here to learn more.

British Journal of Anesthesia article on Ethyl Chloride as a general anesthetic. Click here to learn more.

National Toxicology Program (NTP) study indicated that inhaled Ethyl Chloride is carcinogenic in female mice and may be carcinogenic in rats. Click here to learn more.

The National Capital Poison Center (NCPC), details that in animal studies, Ethyl Chloride exposure was associated with an increase in uterine and liver tumors in female mice. Click here to learn more.

European Chemicals Agency (ECHA), the classification provided by companies to ECHA in REACH registrations identifies that Ethyl Chloride may damage fertility or the unborn child and contains gas under pressure and may explode if heated. Click here to learn more.

 

Ethyl Chloride Occupational Airborne Exposure Limits

OSHA The legal airborne permissible exposure limit (PEL) of Ethyl Chloride is 1,000 ppm averaged over an 8-hour work shift. Click here to learn more.

*OSHA recognizes that many of its permissible exposure limits (PELs) are outdated and inadequate for ensuring protection of worker health. OSHA recommends that employers consider using the alternative occupational exposure limits because the Agency believes that exposures above some of these alternative occupational exposure limits may be hazardous to workers, even when the exposure levels are in compliance with the relevant PELs.

ACGIH® TLV® (Threshold Limit Value) Click here to learn more.

Cal/OSHA The permissible exposure limit of Ethyl Chloride is 100ppm averaged over an 8-hour work shift. Click here to learn more.

ECHA Occupational Exposure Limits of Ethyl Chloride is 100ppm. Click here to learn more.

 

Ethyl Chloride Fact Sheets

EPA, Health Effects Notebook for Hazardous Air Pollutants, Ethyl Chloride Click here to learn more.

World Health Organization, INCHEM, Ethyl Chloride Click here to learn more.

 

Ethyl Chloride Info, State Agencies

California Office of Environmental Health Hazard Assessment (OEHHA), California Proposition 65 warning listing ethyl chloride as causing cancer. Click here to learn more.

New Jersey Department of Health and Senior Services, Toxic Chemical Fact Sheet, Ethyl Chloride Click here to learn more.