EXALTTM Model D Single-Use Duodenoscope / Infection Prevention
Reducing duodenoscope infection risk
Complex cleaning processes increase post-ERCP infection risk
From pre-cleaning to drying, there can be more than 100 distinct steps to reprocessing a reusable duodenoscope—all of which introduce the opportunity for patient cross-contamination. Only a disposable duodenoscope like EXALT Model D eliminates the risks of cross-contamination associated with ineffective reprocessing.

Single-use duodenoscope vs. single-use endcaps
New clinical endoscopy technologies such as single-use endcaps and single-use duodenoscopes are designed to help reduce the risk of cross-contamination due to ineffective reprocessing. However, only single-use or disposable duodenoscopes, like the EXALT Model D, completely reduce the post-ERCP infection risks as a result of cross-contamination due to ineffective reprocessing.
Benefit* | Exalt Model D | Single-Use Endcaps |
Eliminates risk of patient infection due to ineffective reprocessing | Yes | No |
Eliminates duodenoscope reprocessing training and compliance | Yes | No |
Decreases waste from reprocessing such as disinfecting consumables | Yes | No |
Enhances infection prevention efforts | Yes | Yes |
*As compared to reusable duodenoscopes. Assumes full conversion of all ERCP procedures using reusable duodenoscopes to instead using the EXALT Model D Duodenoscope.
Meta-analysis of reusable duodenoscope contamination1
A meta-analysis of 15 studies found that neither double high-level disinfection (HLD) nor ethylene oxide (EtO) gas sterilization eliminated the risk of contamination in reusable duodenoscopes that were considered patient ready.
15 Studies
13,112 Patient-ready duodenoscope
15.25% Contamination rate
Physician perspectives
Dr. Kenneth Binmoeller
Going Disposable
Dr. Binmoeller discusses points for adopting single-use duodenoscope technology.