Reprocessing of gastrointestinal endoscopic accessories

Area of Science:

• Gastroenterology
• Medical Device Sterilization
• Infection Control

Background:

• Endoscopic procedures require accessories that must be disinfected to prevent cross-contamination.
• Reusable endoscopic accessories pose disinfection challenges, leading to the development of disposable alternatives.
• Current disinfection standards, such as OMED's Minimal Standards for Disinfection, guide the reprocessing of reusable items.

Purpose of the Study:

• To describe the minimal standards for endoscope and accessory disinfection.
• To compare the economic, disinfection reliability, and functional durability factors of reusable versus disposable endoscopic accessories.
• To evaluate the one-time biopsy cost for both types of accessories.

Main Methods:

• Review and description of OMED's Minimal Standards for Disinfection.
• Comparative analysis of reusable and disposable endoscopic accessories (forceps, ERCP accessories).
• Economic evaluation considering initial cost, disinfection, and durability.

Main Results:

• Disposable accessories are desirable due to disinfection difficulties with reusable ones, but are less economical.
• Reusable and disposable forceps are available; reusable forceps require adherence to minimal disinfection standards.
• Endoscopic retrograde cholangiopancreatography accessories are less reliably disinfected, less expensive, and less durable than biopsy forceps.

Conclusions:

• The choice between single-use and reusable accessories depends on factors like cost-effectiveness, disinfection efficacy, and functional lifespan.
• Endoscopic retrograde cholangiopancreatography accessories present greater challenges in disinfection reliability, cost, and durability compared to biopsy forceps.
• Adherence to established disinfection protocols is crucial for the safe and effective use of reusable endoscopic accessories.