Decontamination
The presentation also discussed the new reporting requirements for manufacturers, which are: l Shorter timescales to report serious incidents l Trend reporting l Post Market Surveillance Report (PMSR) and Periodic Safety Update Report (PSUR) for most devices
Following on from this, BSI will be looking to confirm manufacturers have updated their Quality Management System (QMS) to address the new PMS requirements during surveillance audits.
Decontamination Challenges – Pioneering the Future The second presentation of the afternoon was from John Prendergast, Principal Engineer at NHS Wales Shared Services Partnership/ Specialist. John’s presentation discussed how does decontamination evolve, with many of the current processes having not been developed for differing material compositions of modern devices. The presentation put forward some key challenges/questions faced in decontamination currently: l The equipment may damage the devices l Can the devices be assembled or disassembled for decontamination?
l Are there the correct racks to present the devices to the washer-disinfector?
l Is the device compatible with sterilisation? l The contradiction of manufacturers’ instructions for use
l Are the decontamination professionals involved when purchasing new devices?
The main question of the presentation was: how does decontamination meet evolution? Leading on from this the presentation discussed the evolution of endoscopy and central decontamination units. Other key themes highlighted included single use versus reusable devices, sustainability, validation, testing and monitoring and how new technology could benefit current practices.
Lean trays The final presentation of the day was from Lydia Robb Scottish Clinical Leadership Fellow, Plastic Surgery Trainee, Centre for Sustainable Delivery and Steven Chawk, Project Manager at National Green Theatres Programme, Centre for Sustainable Delivery. The presentation discussed the
background of the Green Theatres Programme and its key role in the Scottish Government’s Climate Emergency and Sustainability Strategy 2022- 2006. The aim of the programme is to achieve a 20% reduction in the overall number of surgical trays in circulation across NHSScotland by March 2026. Some key figures were shared as part of the presentation, stating 75% of surgical instruments are not being used and 90% of decontamination units are working at near full capacity. The benefits of leans trays include: l Instrument lifespan l Reduction in tray size l Environmentally friendly practice l Reusable alternatives l Theatre efficiencies l MSK injuries
The three actions that can be taken to achieve lean trays are: l Rationalise instruments being used
The aim of the programme is to achieve a 20% reduction in the overall number of surgical trays in circulation across NHSScotland by March 2026.
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l Reduce the number of trays in a set l Reduce the size of the tray
The programme has developed a lean tray toolkit which can be utilised to achieve the objective. Additionally, significant progress has been achieved and the next steps have been outlined: l Continue clinical engagement with decontamination support
l Upcoming workshops – speciality specific and board specific
l Grow network of lean tray stewards and champions across specialities
Conclusion Ultimately, Scotland’s Medical Device Seminar 2025 offered the opportunity for shared learning and discussion on various topics, such as new guidance, research outcomes, trials, standards and regulations associated with decontamination of surgical instruments, endoscopes, and primary care instruments. The seminar was a great success and offered all the opportunity to learn from each other, with the aim of improving decontamination practice and patient safety.
CSJ
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