Together we shape the future of HPB

Facilitate infection prevention after​ the procedure

Reprocessing is complex, time-sensitive, and resource-intensive​

Reprocessing materials
  • Manual cleaning of the endoscope must start immediately after it has been withdrawn from the patient​

  • The system must then be transported to the reprocessing area, where manual cleaning should start within ~30 minutes.¹

  • ​Duodenoscope reprocessing manuals can average  >100 pages and >150 steps.²

Preparing the scope for re-use is demanding, requiring the time and dedication of trained staff and thereby taking them away from more direct forms of patient care. ​

It is also ineffective​

In a study, only 1.4% of trained staff were found to perform the reprocessing steps correctly.³

​15% of patient-ready scopes were found to be contaminated in a nationwide study in the Netherlands that tested >150 duodenoscopes at >70 centers.⁴

​In a 2015 outbreak of drug resistant KI. pneumoniae (MRKP) in a Netherlands medical center, two duodenoscopes were responsible for attack rates* of 35% and 29% respectively.⁵

​*Attack rate: Number of infected or colonized cases/number of exposed persons.​

Postprocedural control can be as simple as disposing of a single-use scope​

EXALT-Model D3 scope hand portrait

The Boston Scientific single-use portfolio eliminates duodenoscope reprocessing servicing and repairs. ​

It also minimizes the risk of infection and its associated costs. ​

All your department will need is a biohazard waste disposal protocol.​

Facilitating infection prevention in the HPB (hepato-pancreato-biliary) pathway

At Boston Scientific, we understand the array of obstacles you face in ensuring that your patients undergoing ERCP avoid infection. That is why we have developed solutions for every step in the process.​

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1. Beilenhoff U, Biering H, Blum R, et al. 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 (ESGENA) - Update 2018. Endoscopy. 2018;50(12):1205–1234.​


​3. Ofstead CL, Wetzler HP, Snyder AK, Horton RA. Endoscope Reprocessing Methods: A Prospective Study on the Impact of Human Factors and Automation. Gastroenterol Nurs. 2010;33(4):304–311.​

​4. Rauwers AW, Voor AF, Buijs JG, et al. High prevalence rate of digestive tract bacteria in duodenoscopes: a nationwide study. Gut. 2018;67(9):1637–1645.​

​5. Rauwers AW, Troelstra A, Fluit AC, et al. Independent root-cause analysis of contributing factors, including dismantling of 2 duodenoscopes, to investigate an outbreak of multidrug-resistant Klebsiella pneumoniae. Gastrointest Endosc. 2019;90(5):793–804.​

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