Decontamination
options were identified: l Replace endoscope washer-disinfectors in existing locations
l Create new decontamination area l Install new equipment in satellite hospitals
There were a number of different challenges identified during this process. Thereafter, the decision was made to create a centralised endoscope decontamination unit and a mobile unit was introduced as contingency. The build was completed in phases to aid financial constraints, and blank plates were used for the second and third phase where funds were available.
Case study: the hidden risk of build-up biofilm in reprocessed endoscopes The second case study was shared by Ellie Wishart, Senior Medical Affairs Manager at Nanosonics. Ellie presented on the hidden risk of build-up biofilm in reprocessed endoscopes, highlighting the significance of endoscope-associated outbreaks in healthcare. The presentation referred to recent literature on endoscope-associated outbreaks, stating endoscopes are prone to contamination and adverse events are on
l Cleaning l Disinfection l Drying
Ellie shared new technology currently being developed by Nanosonics to replace the manual cleaning stage of the process and the research undertaken as part of this.
the rise. Ellie discussed the current stages of reprocessing an endoscope: l Bedside preclean l Manual cleaning l High-level disinfection or sterilization l Drying and storage
The presentation shared the challenges in manual endoscope cleaning, including: l Complex design l Human factors l Wear and tear l Possible impact on staff health and safety
Key learning highlighted the resilience of biofilms in an endoscope and their ability to be resistant to environmental stresses including:
Regulatory updates from a UK approved body Gillian Cairns, Global Head of Microbiology at BSI, opened the afternoon session. Her presentation offered attendees a comprehensive update on changes within UK Medical Device Regulation (MDR), and its impact in the healthcare sector. The key take home points highlighted include: l Post-market Surveillance (PMS) applies to the Great Britain Market
l MDR and Invitro Diagnostic Regulation (IVDR) applies in Northern Ireland
l Following a six-month transition period, compliance with the regulation is required from 16th June 2025
l The regulation applies to all devices placed on the market or put into service in Great Britain, regardless of whether device is certified under the UKCA scheme or has CE certification
Amity SCOPE-Flush: Innovation in Endoscope Reprocessing.
Reprocessing flexible endoscopes has long relied on manual flushing, a time-consuming and repetitive process that can slow down work- flows and strain CSSD and endoscopy teams. In 2025, Amity International has launched SCOPE-Flush, a compact, semi-automated solution designed to replace syringes and manual flushing, transforming the way endoscopes are cleaned.
Creating Efficiency in Healthcare Settings SCOPE-Flush is a plug-and-play system engineered to support efficien- cy by streamlining the flushing process. By automating what was once a manual task, healthcare facilities have the potential to process more scopes in a less laborious manner, freeing up staff for other vital work. The system’s self-learning functionality adapts to different scopes, being suitable for reprocessing all endoscope brands, optimising speed without compromising care for delicate instruments. Facilities benefit not only from efficient turnaround times but also reduced staff fatigue, improving overall productivity.
Consistency, Compliance, and Safety Manual syringing can lead to variability in flushing protocols, being a process that relies entirely on human functionality. SCOPE-Flush delivers a controlled, repeatable flush that meets manufacturers’ rec- ommendations for fluid throughput. By flushing detergent, water, and air through every channel, including auxiliary water ports and elevator channels.
Contact us:
sales@amityinternational.com,
(01226) 770787 or visit
www.aihc.co.uk September 2025 I
www.clinicalservicesjournal.com 47
SCOPE-Flush aids reproducibility within endoscope cleaning protocols whilst maintaining safe, standardised pressure and flow. This reduces the risk of human error and supports consistent infection prevention standards across departments.
Compact, Quiet, and Universal Designed with busy, often crowded departments in mind, SCOPE-Flush boasts a small footprint, quiet operation, and universal connectivity. It’s ability to reprocess all endoscope brands, built-in diagnostics, self-cleaning cycle, and competitive pricing, make it a practical upgrade for any reprocessing facility, regardless of size. With Amity SCOPE-Flush, hospitals can say goodbye to manual syringing and embrace a smarter and more automated future for endoscope reprocessing.
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