GI Endoscopy

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October 2018
Home Surgical/Anesthesia > GI Endoscopy

Validate and verify medical devices to ensure safety

Sometimes surgeons ask to have nonmedical devices sterilized, such as spoons, hockey pucks, and fish hooks. Healthcare staff may want to accommodate their requests, but there are times when they cannot do so. A central service (CS) should only sterilize medical devices that have undergone validation testing, which demonstrates that…

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By: Susan Klacik, BS, CRCST, CHL, CIS, ACE, FCS
August 21, 2018
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Slurpee straw inspires smudge-free laparoscopic camera

Editor's Note University of Texas engineering students have created a laparoscopic camera cleaner designed like a 7-Eleven Slurpee straw that keeps a camera smudge-free, the July 17 Medical Design & Outsourcing reports. The “ClearCam” device has a scoop-like shape that acts like a squeegee to clean the camera. Surgeons can…

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By: Judy Mathias
July 17, 2018
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Effectiveness of reprocessing reusable flexible bronchoscopes

Editor's Note In a study on the effectiveness of reprocessing flexible bronchoscopes presented June 14 by Ofstead and Associates at the Association for Professionals in Infection Control’s annual conference in Minneapolis, the majority of bronchoscopes were found to be contaminated and damaged even when cleaned and high-level disinfected according to…

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By: Judy Mathias
June 20, 2018
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Endoscope fluid, contaminants linger after faulty drying

What does it take to get endoscopes dry? That is the question that prompted a new study on endoscope drying effectiveness by Ofstead & Associates (St Paul, Minnesota). “We asked that question after a study we did 2 years ago found that increasing the automated endoscope reprocessor [AER] drying cycle…

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By: Judith M. Mathias, MA, RN
June 20, 2018
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Study finds high rates of infection after colonoscopy, OGD performed in ASCs

Editor's Note Rates of infection after colonoscopies and osophagogastroduodenoscopies (OGDs) performed in ambulatory surgery centers (ASCs) are higher than previously thought and vary widely by facility, this study from Johns Hopkins finds. Rates of postendoscopic infection per 1,000 procedures within 7 days were: 1.1 for screening colonoscopy 1.6 for nonscreening…

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By: Judy Mathias
June 4, 2018
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Study: Residual moisture, waterborne pathogens found inside flexible endoscopes

Editor's Note Inadequate reprocessing and insufficient drying contributed to retained fluid and contamination found inside flexible endoscopes in this study led by noted epidemiologist Cori L. Ofstead. Of 45 endoscopes analyzed at 3 hospitals, fluid was detected in 49%, and the prevalence of moisture varied significantly by site (5%, 83%,…

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By: Judy Mathias
April 19, 2018
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FDA issues letter to healthcare providers on risks of endoscope connectors

Editor's Note The Food and Drug Administration (FDA) on April 18 alerted healthcare providers and facilities about the risk of cross-contamination with 24-hour, multipatient use connectors used in gastrointestinal (GI) endoscopy. Endoscope connectors are small accessories used to connect the auxiliary water channel to a water source and irrigation tubing.…

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By: Judy Mathias
April 19, 2018
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FDA: System 83 Plus AERs complete validation testing

Editor's Note The Food and Drug Administration (FDA) on April 10 notified healthcare facilities that Custom Ultrasonics (Ivyland, Pennsylvania) has completed validation testing of the System 83 Plus (ie, System 83 Plus, System 83 Plus 2, and System 83 Plus 9) automated endoscope reprocessors (AERs) with specific duodenoscopes. The FDA…

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By: Judy Mathias
April 11, 2018
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FDA warns duodenoscope manufacturers on postmarket study noncompliance

Editor's Note The Food & Drug Administration (FDA) on March 9 issued warning letters to all three duodenoscope manufacturers for failing to comply with federal requirements to conduct postmarket surveillance studies to assess the effectiveness of reprocessing their devices. Olympus failed to start data collection, and Pentax and Fujifilm failed…

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By: Judy Mathias
March 9, 2018
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Agencies issue voluntary protocols for duodenoscope surveillance sampling, culturing

Editor's Note The Food & Drug Administration, Centers for Disease Control & Prevention (CDC), American Society for Microbiology, along with other experts on February 26 released voluntary standardized protocols for duodenoscope surveillance sampling and culturing, which update a 2015 CDC interim protocol. For facilities that choose to implement duodenoscope surveillance…

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By: Judy Mathias
February 28, 2018
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