AAMI Endoscope Reprocessing

NEWS from AAMI: FDA Releases Recommendations to Combat Cross-Contamination from Endoscopes
FDA Releases Recommendations to Combat Cross-Contamination from Endoscopes

Posted November 30, 2016

The Food and Drug Administration (FDA) has published guidance for medical device manufacturers that is intended to mitigate the risk of cross-contamination from valves and accessories used with flexible gastrointestinal endoscopes. This is the latest in a series of recommendations the agency has released following an outbreak of infections linked to flexible endoscopes.

Between 2012 and the spring of 2015, endoscopes caused at least 250 life-threatening infections worldwide, including infections with the superbug carbapenem-resistant enterobacteriaceae, according to the results of an investigationconducted by a U.S. Senate committee.

In its most recent guidance, which was first proposed in January 2015, the FDA aims to highlight the cross-contamination risk associated with specific irrigation valves and accessories used with flexible gastrointestinal endoscopes, clarify terminology related to these devices, and outline risk mitigation strategies.

During a colonoscopy or esophagogastroduodenoscopy, stool, blood, or other fluids can travel from the patient back through the endoscope channels and tubing to contaminate the water bottle or other accessories used for irrigation. Clinicians typically use the same water bottle for multiple procedures, potentially transferring harmful substances or disease-causing agents from one patient to another.

“FDA has received reports of backflow from irrigation channels into the water bottle and tubing when the irrigation channel did not have a backflow-prevention mechanism in place,” the agency wrote in its guidance document. “Although FDA has not yet received reports of infection that can be attributed to backflow, the risk of cross-contamination should be mitigated by following the measures recommended.”

The FDA recommends that endoscopes contain at least one device component in the irrigation system that has a backflow-prevention valve or another backflow-prevention feature. If the device doesn’t have one of these, the FDA states that “all components of the irrigation system should be reprocessed or discarded after being used during a procedure in one patient and before starting one in the next patient.”

The FDA also recommends that device components in the distal irrigation system—the tubes closest to the patient—should either be reprocessed or discarded between procedures, with labeling that identifies these components as “single-use” or “reusable,” among other options.

The agency specified that its device design recommendations were limited to irrigation systems for flexible gastrointestinal endoscopes because irrigation systems for other devices, such as arthroscopes, may require different risk mitigation strategies due to the need to aseptically handle their irrigation systems.

© Association for the Advancement of Medical Instrumentation

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New Scope Drying Cabinet from Logiquip

Houston Hospital Services is the proud distributor for Logiquip Storage Solutions. At the IAHCSMM Conference and Expo, Logiquip launched a newly designed Endoscope drying cabinet. Logiquip is proud to offer a full line of endoscope cabinets, the Endo Dri-Stor series. Fabricated using high-quality stainless steel and available with a broad range of options including channel air purge. Designed to stylishly protect and manage scopes.


• All welded type 304 stainless steel fabrication.

• Every surface is non-porous and can withstand hospital-grade disinfectants.

• Hinged glass doors with stainless steel 1-1 /2″ tubular frame and piano hinge.

• Innovative side-compartment design allows easy access for to interior components and cabinet modularity. Two storage cabinets can attach to one component cabinet, which provides significant space and cost savings

• The modular design allows for options to be added later, expanding with your needs.

• Removable bottom stainless steel drip tray allows access to adjustable leveling feet and also to clean the floor beneath the cabinet.

• LED Lighting

• More ventilation options than any other cabinet made in North America. Choose from: – Ambient without filter – Power vent with HEPA Filter – Channel Air Purge with HEPA Filter – Power vent with HEPA Filter and Individual Channel Purge

• Premium HEPA filter: removes 99:97% of particulate 0.3 micron in size

The Industry Demands REAL Channel Purge Drying Cabinets! 

Drying is a critical element in reprocessing … Endoscopes must be stored in an area that is clean, well­ ventilated and dust-free in order to keep the endoscopes dry and free of microbial contamination …. Drying cabinets are designed to control air quality and humidity, and access to endoscopes” SGNA, Standards of Infection Prevention in Reprocessing of Flexible Gastrointestinal Endoscopes, 2015

For more information or to contact us for a quote, please call 713-640-5393 or email

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Video Of The Week: Flexible Inspection Scope Verification


Did you know that your flexible scope cleaning station could be equipped with a flexible inspection scope verification tool like this one? It’s a small price to pay to ensure that all the ‘nooks and crannies’ are being scrubbed and cleaned of bio-burden. No human eye can possibly detect all the possible places bio-burden may be hiding. Why put your patient and your hospital at risk? Take the extra step and get a better view of your scopes once they have been “cleaned”. Need further verification? Healthmark Industries is the leader is cleaning verification tools for these scopes. With EndoCheck™, ChannelCheck™, Pro-Check™ and HemoCheck™. Click here to learn more or call Houston Hospital Services, Inc at 713-640-5393 for more information!

Endoscope Reprocessing News IAHCSMM Infection Control Tips

Reprocessing Risks: A Surging Hot Topic in Healthcare


FISIf you find yourself anywhere near the healthcare industry, you are sure to find yourself inundated with white papers, a newspaper articles and magazine covers touching on the challenges, education and healthcare changes necessary to ensure patient safety regards to endoscope reprocessing techniques within hospital systems nationwide. According to a recent article in Communiqué Magazine, steps for success and safety – as set forth by agencies such as the CDC/FDA (HAN 00383) and ANSI/AAMI ST79 – must be carefully followed.

The temperature continues to rise on the topic of dirty endoscopes and reprocessing risks associated with all types of reusable instruments. The good news? Top lines such as Healthmark, Sterile Services and Applied Logic (Abacus 2) continue their quest to create products to verify cleaning, verify steam sterilizer functions and create accountability through instrument tracking to the patients. All of these lines are direct partners of Houston Hospital Services, Inc. We care about the infection control. We care about proper device handling. We care about patient safety and we care about your hospital.


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Spotlight on Endoscopy Cleaning Verification

If you work in or around the hospital heathcare industry, you know the hot button today is the verification of flexible scope cleanliness. Houston Hospital Services is developing a service for hospitals in the Texas Medical Center and surround hospital systems in Houston using ProFormance Cleaning Verification – EndoCheck from Healthmark Industries.

With patient safety and hospital procedures in mind, HHS intends to develop an easy to read / easy to implement verification check for flexible scopes without adding a ton of additional work to the SPD or Endoscopy departments.

With that in mind, can you safely answer the question “Are your Flexible scopes ready for the next step”? All scopes should be verified “clean” from Protein, Blood and Carbohydrates before placing the scope in your AER. Houston Hospital Services, Inc. along with Healthmark Industries has created a “program” that is simple and easy to follow. It adds very little time, effort and money to each procedure keeping patient safety in mind. Let our team provide you with tools to check and verify the cleanliness of your scopes. (713) 640-5393



Endoscope Reprocessing News

OR Today: Cover Story

cover-coverThe medical community is highly focused on the issues surrounding Endoscope Reprocessing. This article from OR Today covers some important reasons why. At Houston Hospital Services, our Cleaning Verification Stations are equipped to enhance the quality check and ensure proper cleaning of such scopes. Contact us to learn more and stay tuned later this week for our first video tutorial on the Cleaning Verification Stations and how they will benefit your hospital.