CS CONNECTION
per procedure should be so much higher, meaning that reusable scopes are not nec- essarily cheaper than disposable.” She cites another Ofstead study that investigated all of the variables involved in reprocess- ing, including the water, chemicals, PPE, salaries, time and other resources. “For these reasons, I think most facili-
ties will fi nd that not only are disposable scopes just as good as reusable [scopes] during a procedure, but the quick set-up and low cost (compared to the actual true cost of reprocessing) will make them a no brainer,” she added.
But Reece remains realistic about prog- ress.
“This is healthcare, however, and mak- ing changes is often like moving moun- tains,” she said. “The change is slow and takes time. Oftentimes the silos between decision makers prevent the necessary dot connecting that is needed in order to make
the systemic change toward disposable scopes. Overtime, those who pay out for treating HAIs will incorporate their cost into the mix, and we’ll see that disposable scopes are a no brainer. Lastly, I believe that as these become more prevalent, vendors will be encouraged – or maybe even required; a girl can dream! – to design scopes that have recyclable com- ponents and have a smaller footprint on our landfi lls, though the likelihood of this happening in 10 years is slim.” Mobile Instrument Service & Repair’s Clinical Education and Training Manager Melissa Kubach, homes in on performance quality perceptions.
“We have yet to see widespread adop- tion of disposable scopes largely because they do not match the performance of reus- able scopes at a price point that allows for substitution,” Kubach noted. “As quality and user experience improve, disposables
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will capture market share, provided the cost compares favorably to reusable scopes. Comparable image, performance and maneuverability are important. Loss of technology, such as near focus, specialty light wave applications and endoscope position monitoring may play a role as well. Reimbursement is key, especially when you are requesting insurance com- panies to cover cost for which they were not historically responsible.
“Considerations of a known safe reus- able alternative method may be appealing for higher-risk duodenoscopes but other common models may not make the cut,” she concluded. Yet others anticipate the tide turning more dramatically. Christian Escobar, Director of Market- ing – Visualization, Ambu, contends disposable/single-use endoscopes actually will be a boon both for SPD, which can concentrate on reprocessing and stock- ing the vast array of other devices and instruments needed to deliver patient care.
Christian Escobar
“Where possible, single-use endoscopes System 1 System 3 System 2 System 4 Clam Shell Lock Assembly Modular Double Pane Doors, Shelving Framework Reinforced Hinges
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will continue to offer signifi cant produc- tivity and cost-management benefi ts for hospitals – much the way that other areas in the hospital have long since moved from reusable equipment to fully dispos- able to enable greater efficiencies and patient safety,” Escobar indicated. “This shift will alleviate the potential for device cross-contamination and ensure that each patient has a sterile device used on their procedure. This is highly advantageous to healthcare leaders, such as infection pre- ventionists and healthcare risk managers. Not only will it free SPD to focus energies and investments in reprocessing devices that cannot be disposable, it will also enable hospitals to reduce the extensive investment in purchasing and maintain- ing reusable endoscopes. These devices require an incredible amount of resources to ensure they are ready in a timely manner and adequately prepared for safe use on the next patient.” By Integrated Endoscopy’s measure, the gate has been opened.
“The conversion to single-use is already
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upon us, which started with flexible endoscopy and now is moving into rigid,” said Rob Cripe, hief ommercial ffi cer, Integrated Endoscopy. “We believe that this con- version will be 100 per-
Page 40 Rob Cripe
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