GI Endoscopy

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March 2021
Home Surgical/Anesthesia > GI Endoscopy

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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New guideline focuses on high-level disinfection safety

The new year brings a newly updated Guideline for Manual Chemical High-Level Disinfection (formerly the Guideline for High-Level Disinfection). This AORN guideline, which is based on a comprehensive, systematic review of research- and non-research-based evidence, recommends best practices for safe and effective high-level disinfection (HLD) performed manually when automated methods…

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By: Susan Klacik, BS, CRCST, CHL, CIS, ACE, FCS
February 22, 2018
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Testing reprocessing procedures with PCR based method

Editor's Note A real-time polymerase chain reaction (PCR) sampling method for monitoring reprocessing of colonoscopes was successfully applied in this multicenter Italian study. PCR allowed identification of contaminated (59) and fully reprocessed (52) colonoscopes in 10 endoscopy units with high sensibility (98 %) and specificity (98%), within 3 to 4…

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By: Judy Mathias
February 8, 2018
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FDA clears updated design, labeling for Pentax duodenoscope

Editor's Note The Food and Drug Administration (FDA) on February 7 announced that it had cleared the updated design and labeling for Pentax Medical's duodenoscope Model ED-3490TK. Pentax replaced the forceps elevator mechanism, O-ring seal, and distal end cap, and updated the Operation Manual to recommend annual maintenance. The design…

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By: Judy Mathias
February 7, 2018
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Study: Manual, automated cleaning equally effective for laparoscopes

Editor's Note In this experimental laboratory study, all cleaning and rinsing methods tested were effective in reducing the levels of organic residues on laparoscopic instruments. Four methods were examined: manual-only cleaning and rinsing with potable tap water manual cleaning and rinsing with potable tap water, followed by ultrasonic cleaning without…

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By: Judy Mathias
January 24, 2018
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