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Quality control of rigid endoscopes: a comparative study between ScopeControl® and surgeons' evaluation
Pierre Courault1, Stéphane Emery1, Sofia Boudour1
1Hospices Civils de Lyon, Stérilisation Centrale, 1060 rue Nicéphore Niepce, 69800, Saint-Priest, France.
Surgical Endoscopy
|January 5, 2021
Summary
ScopeControl® offers automated quality control for rigid endoscopes, identifying defects before surgeons do. This system provides objective endoscope assessment, improving surgical quality by preventing the use of faulty equipment.
Area of Science:
- Medical Device Quality Control
- Surgical Instrument Reprocessing
- Endoscope Functionality Assessment
Background:
- Rigid endoscopes are complex, fragile reusable surgical devices requiring quality control.
- Current visual inspection in central sterile services departments (CSSD) is subjective and complex.
- ScopeControl® was developed for automated quality control of rigid endoscopes.
Purpose of the Study:
- To assess ScopeControl®'s ability to detect endoscope defects pre-emptively.
- To compare automated quality control with surgeon evaluations.
- To evaluate the reliability of ScopeControl® in identifying endoscope malfunctions.
Main Methods:
- Evaluated 51 endoscopes (166 controls) using ScopeControl® and surgeon scoring during surgery.
- ScopeControl® categorized endoscopes into 'passed,' 'in danger,' and 'failed' groups.
- Correlated ScopeControl® results with surgeon evaluations of image and brightness quality.
Main Results:
- Surgeons found 78.9% (image) and 80.7% (brightness) satisfactory.
- ScopeControl® classified 13.3% 'passed,' 31.3% 'in danger,' 55.4% 'failed' with poor correlation to surgeons.
- Light transmission (LT) and fibers transmission (FT) caused 95.2% of ScopeControl® failures.
Conclusions:
- ScopeControl® provides objective and consistent endoscope quality control.
- The system identified defects missed by surgeons, validating its pre-emptive detection capability.
- ScopeControl® can enhance surgical quality by preventing the use of defective endoscopes.
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