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Table 1 Steps observed in the reprocessing of endoscopes

From: Comparative cost-efficiency of the EVOTECH endoscope cleaner and reprocessor versus manual cleaning plus automated endoscope reprocessing in a real-world Canadian hospital endoscopy setting

 

EVOTECH ECR

Manual cleaning plus AER*

Phase 1 - Preparation of scopes for reprocessing*

  

Fill sink with water

x

x

Clean valves

Remove suction, air, water and biopsy valves in sink; brush the valves and other removable parts; place valve parts in the reprocessor.

x

x

Manual wet leak test**

x

x

Add enzymatic detergent to sink

 

x

Brush internal channels three times each

 

x

Connect cleaning adapters/tubing to scope

 

x

Flush interior of scope with enzymatic detergent using hospital-developed automated flushing system

 

x

Drain sink of enzymatic detergent

 

x

Rinse interior of scope with tap water using hospital-developed automated flushing system

 

x

Rinse exterior of scope with tap water spray

 

x

Drain sink and remove scope from sink

x

x

Dry exterior of scope with a blue wipe

 

x

Walk from sink to reprocessor with scope

x

x

Place scope in an unoccupied basin of reprocessor

x

x

Connect colour coded connecting tubing to scope according to specific scope connection diagram

x

 

Enter identification data for operator, physician, scope type, procedure and patient***

x

 

Connect reprocessing adapter/tubing to connection port in basin

 

x

Place lid closure on reprocessor

x

x

Program and start cycle

x

x

Phase 2 - Removal of scopes from reprocessor at conclusion of cycle #

  

Enter operator identification

x

x

Open reprocessor lid

x

x

Disconnect color coded tubing from scope

x

 

Disconnect reprocessing adapter/tubing from connection port in basin with manual check to ensure connections were properly placed

 

x

Return accessories and scope to Cleanascope® transport tray for next procedure or to the storage cupboard if the scope is not required in the short term

x

x

  1. *Included all steps involved in preparing scope for reprocessing and then starting the reprocessing cycle.
  2. **The EVOTECH ECR performs an automated wet and dry leak test. A manual leak test according to the endoscope manufacturer's instructions is also recommended. Thus, although it may not be required with EVOTECH ECR, a manual wet leak test was incorporated in the analysis.
  3. ***Although the Medivators DSD-201 was capable of recording the same information, this procedure was not in place at the study site.
  4. #Included all steps required to remove scope from reprocessor and replace scope in storage.
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BMC Gastroenterology

ISSN: 1471-230X

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