Endoscope reprocessing


opportunity for commonalities and differences to be uncovered, creative thinking can unravel, and unexpected insights can be generated. This can serve as an invaluable input for the R&D cycle and can create solutions that improve the reprocessing cycle across all fronts.


Empowering practitioners with the Power of Choice Alongside these collaborative approaches to product development, there is one other fundamental component: empowering practitioners with the ‘Power of Choice’. It is essential to critically reflect on the endoscopic field and create new innovations, but it is equally important to provide a portfolio of choices. This enables experts to choose what is best for their patients, and the planet. PENTAX Medical is a strong advocate for this,


which is why the medical device manufacturer offers a range of reusable, semi-disposable and disposable endoscopes.13


This allows


practitioners to treat each patient in the best way possible, while also considering the environmental impacts of a given procedure. The same holds for the reprocessing cycle: multiple options must be available for the cleaning, drying and storage of endoscopes. For this reason, the PENTAX Medical


reprocessing portfolio includes the AquaTYPHOON, but also the PlasmaTYPHOON and PlasmaBAG system and the D60. Hospital units can implement the technologies that work best for their specific setting and needs. Training physicians and reprocessing nurses on the correct use and application of these technologies is the final cornerstone. Medical device manufacturers must provide clear Instructions for Use (IFUs) and end-user training when possible.14


This means that practitioners


are not only aware of the range of choice at their disposal, but they also fully understand how to use every device. This training must also emphasise the importance of endoscopy units working closely together – physicians and reprocessing nurses alike. If a new endoscope, or piece of reprocessing equipment is introduced, all parties must work together to maximise the potential of their units. Prof. Marco Bruno, Head of the Department


of Gastroenterology & Hepatology, Erasmus Medical Center, University Medical Center Rotterdam, was also a guest speaker at the Hygiene Event, and echoed the importance of training. He concluded aptly: “It’s all about awareness, and also about valuing each other’s efforts to help patient safety.”3 Ultimately, smart technologies stem from a strategic approach to R&D, whereby industry,


(ESGENA) – Update 2018. Endoscopy 2018, 15. https://www.esge.com/assets/downloads/ pdfs/guidelines/2018_a_0759_1629.pdf


4. Beilenhoff, U. & Bruno, M. (2023). PENTAX Medical Hygiene Event 2023: Minimising the risk of infection in reprocessing [Video]. https://www.youtube.com/ watch?v=JiITl1aJ3Og.


5. Caesar, P.J., Koch, S. & van den Broek, G. (2023). PENTAX Medical Hygiene Event 2023: Smart and sustainable innovations in reprocessing [Video]. https://www.youtube.com/ watch?v=yrbXwOlbxxM.


Prof. Marco Bruno, Head of the Department of Gastroenterology & Hepatology, Erasmus Medical Center, University Medical Center Rotterdam


physicians and reprocessing nurses must collaborate closely. Codified design principles encourage product development processes that mitigate environmental impacts, while upholding the highest standards of patient safety. Practitioners must be empowered with the


‘Power of Choice’, so they can optimise their decision-making in any situation. Innovations that safeguard patients and the planet are possible - it is up to the entire endoscopy field to make this a reality.


CSJ


To listen to experts deep-dive into these topics further, view the podcast by scanning here.


References 1. Karliner, J., Slotterback, S., Boyd, R., Ashby, B. & Steele, K. (2019). Health Care’s Climate Footprint: How the Health Sector Contributes to the Global Climate Crisis and Opportunities for Action. 48. https://noharm-global.org/ sites/default/files/documents-files/5961/ HealthCaresClimateFootprint_092319.pdf


2. De Groen, P. (2017). History of the Endoscope [Scanning Our Past]. Proceedings of the IEEE, 105(10), pp. 1987-1995. doi: 10.1109/ JPROC.2017.2742858.


3. Beilenhoff, U., Biering, H., Blum, R., Brljak, J. Cimbro, M., Dumonceau, J., Hassan, C., Jung, M., Kampf, B., Neumann, C., Pietsch, M., Pineau, L., Ponchon, T., Rejchrt, S., Rey, J., Schmidt, V., Tillet, J. & van Hooft, J.E. (2018). Reprocessing of flexible endoscopes and endoscopic accessories used in gastrointestinal endoscopy: Position Statement of the European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology Nurses and Associates


6. Caesar, P.J. & Cirisan, M. (2023). White Paper: Automated Pre-Cleaning of Endoscopes. https://cdn.endoscopyonair.com/wp-content/ uploads/2023/05/AquaTYPHOON-Whitepaper. pdf


7. Calculated with 1 filter exchange annually with AquaTYPHOON (= 510 g waste) compared to more than 861 kg waste (single-use syringes, brushes, etc.) in standard manual pre-cleaning.


8. Evaluated in internal tests against standard manual pre-cleaning procedures.


9. UV Smart (n.d.). Smart disinfection of channel- less endoscopes and TEE-probes in 60 seconds. https://www.uvsmart.nl/d60.


10. Eberle, U., Wenzig, J. & Mumm, N. (2022). Assessing the contribution of products to the United Nations’ Sustainable Development Goals: a methodological proposal. International Journal of Life Cycle Assessment, 27, pp. 959–977. https://doi.org/10.1007/s11367-022- 02063-8


11. Huber, H. & Unger, M. (2022). Advancing endoscopy with Blackbox Innovations [Interview]. Clinical Services Journal. https://hygiene.pentaxmedical. com/_Resources/Persistent/b/4/e/8/ b4e80f69f0df0a68e8d68cf7495acdcadb0d0d2f/ CSJ_Oct22_interview%20Huber%20and%20 Unger_DEF.pdf


12. Sebastian, S., Pohl, H. & Bisschops, R. (2023). PENTAX Medical Hygiene Event 2023: Hygiene & Sustainability in Endoscopy – How to become sustainable [Video]. https://www.youtube. com/watch?v=iA7W8lzi1oQ


13. PENTAX Medical (2021). PENTAX Medical Europe expands product offering: Empowering healthcare providers with the power of choice [press release]. https://www.pentaxmedical. com/pentax/en/95/1/PENTAX-Medical- Europe-expands-product-offering-Empowering- healthcare-providers-with-the-power-of-choice


14. Muscarella, L.F. (2014). Risk of transmission of carbapenem-resistant Enterobacteriaceae and related “superbugs” during gastrointestinal endoscopy. World Journal of Gastrointestinal Endoscopy, 6(10), pp. 457-474. doi: 10.4253/wjge. v6.i10.457


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