Inspection of endoscope instrument channels after reprocessing using a prototype borescope

Gastrointestinal Endoscopy
Adarsh M ThakerV Raman Muthusamy

Abstract

Visual inspection of the instrument channel has been proposed as a quality assurance step during endoscope reprocessing. However, the nature and severity of findings in a broad array of endoscopes (gastroscopes, colonoscopes, duodenoscopes, and echoendoscopes) after systemic implementation of an inspection protocol remain unknown. In addition, a study using borescope inspection in upper endoscopes and colonoscopes raised concerns about persistent simethicone residue despite full reprocessing. A pilot inspection study using a prototype borescope (SteriCam Inspection Scope; SteriView Inc, San Rafael, Calif) was performed on routinely used endoscopes after high-level disinfection, manual forced-air dry of the instrument channel, and overnight vertical storage. Video recordings 1.5 to 2 minutes in duration were reviewed for visible moisture, debris, discoloration, scratches, channel shredding (scratches that result in strips or filaments of the channel lining protruding into the lumen), and visible evidence of biofilm or simethicone residue. A total of 97 inspections of 59 endoscopes were reviewed. The most common finding was scratches, seen in 51 devices (86%). Channel shredding was found in 35 devices (59%). Intrachannel debris w...Continue Reading

Citations

Oct 23, 2018·Journal of Gastroenterology and Hepatology·Benedict M DevereauxRajvinder Singh
Feb 18, 2019·Gut·Ji Young BangShyam Varadarajulu
Nov 28, 2019·AORN Journal·Lisa Croke
Mar 19, 2020·Biomedical Instrumentation & Technology·Cori L Ofstead, Krystina M Hopkins
Sep 5, 2019·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·Gheorghe G BalanAnca Trifan
Jun 27, 2019·Journal of Gastroenterology and Hepatology·Benedict M DevereauxDianne M Jones
Dec 28, 2019·International Journal of Environmental Research and Public Health·Maria Luisa CristinaAnna Maria Spagnolo
Jul 19, 2019·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Marguerite J KutylaGerald J Holtmann
Aug 11, 2020·World Journal of Gastroenterology : WJG·Tao-Chieh LiuWei-Kuo Chang
Dec 5, 2020·Journal of Gastroenterology and Hepatology·Chen-Ling PengWei-Kuo Chang
Dec 4, 2020·Endoscopy International Open·Cori L OfsteadDavid R Lichtenstein
Sep 7, 2020·Gastrointestinal Endoscopy Clinics of North America·Jennifer T Higa, Andrew S Ross
Sep 7, 2020·Gastrointestinal Endoscopy Clinics of North America·Neil B Marya, Raman V Muthusamy
Sep 7, 2020·Gastrointestinal Endoscopy Clinics of North America·Monique T Barakat, Subhas Banerjee
Mar 14, 2021·Gastrointestinal Endoscopy·Arvind J TrindadeDavid R Lichtenstein
Oct 27, 2020·Techniques and Innovations in Gastrointestinal Endoscopy·Tiffany ChuaSofiya Reicher
Jun 16, 2021·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Mariusa Gomes Borges PrimoKaren Vickery
Dec 24, 2020·Gastrointestinal Endoscopy·Lukejohn W DaySachin Wani
Sep 7, 2021·Gastrointestinal Endoscopy·Mark A Gromski, Stuart Sherman
Sep 7, 2021·Respiration; International Review of Thoracic Diseases·Sameer K AvasaralaAtul C Mehta

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