A few questions
A time out, please, before you push that propofol. Mr. Lavanchy has a
few questions about his favorite subject: endoscope reprocessing, his
life's work for more than 20 years at ECRI Institute, the suburban
Philadelphia laboratory where he tests medical products and investi-
gates scope reprocessing failures. Mr. Lavanchy knows all too well
how difficult it is to clean and disinfect the flexible endoscope you're
about to use on him. He's peeled back the smooth black insertion
tube and seen the fiber-optic light bundles, the camera cables, and the
air, water and biopsy channels that run along its entire length. He
knows that the slightest departure from recommended practices can
lead to the survival of disease-causing organisms and the risk of infec-
tion. So he wants to ask about your facility's scope disinfection prac-
tices before you start his colonoscopy, just a few questions to assess
the adequacy of your reprocessing equipment, staffing and workflow.
• What kind of AER do you use? Some AER designs are more reli-
able than others. You'll find varying degrees of automation in today's
3 6 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • M A R C H 2 0 1 7
THE SUREST way to prevent cross contamination and the high cost
of reprocessing is the use of sterile and single-use endoscopes.
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