Intuitive Surgical recommends a complex process for cleaning da Vinci robotic instruments. The aim of this study is to validate the cleaning process used in our establishment by demonstrating the absence of residual protein.
Dr. Michels states that in view of the low sensitivity of the residual protein detection methods used, and the heavy protein load identified, one must also ponder whether false positive test results occurred. For example, the destructive test results obtained on using the BCA method are alarmingly poor.
From June 16 - 19, the KIT Congress took place as a purely virtual event. At the opening on the evening of the first day of the congress, RKI head Prof. Lothar Wieler emphasized that public health measures are the core of pandemic control. Many presentations at KIT also dealt with COVID-19, including historical pandemics, SARS-CoV-2 in children, and hygiene and testing concepts.
In his Editorial, Christophe Lambert elaborates on this question and discusses the fact that there is still no “cleaning assurance level”. On this basis, single use appears to have a bright future.
The Congress of the German Society for Hospital Hygiene, which took place from 12 to 14 April as an online-only event, featured two sessions on medical device reprocessing. The first lectures dealt with reprocessing of thermolabile flexible endoscopes.
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Patient infections related to endoscopic procedures have been repeatedly reported in recent years. This has led to ongoing debates whether the current practice of cleaning and disinfection of semi-critical thermolabile endoscopes is sufficient for eliminating the high microbial load after use of the devices.
We have a saying in the UK, “today’s newspaper is tomorrow’s fish and chip wrapper” and it’s perfectly highlighted by the fact that having a Brexit story on the news would now be a welcome change. But very recently the implications of it became once again relevant to our specialist sector.
After SARS in 2003, MERS in 2012, COVID-19 (coronavirus disease) is the third global epidemic of this 21st century. This pandemic shows our vulnerability and our weaknesses in dealing with it. Among our weaknesses the inability to provide personal protective equipment (PPE) (masks, protective gowns, etc.).
That scarcity has given rise to initiatives, attempts and experiments aimed at reprocessing single-use medical devices.
The protocols and recommendations we have seen emerge in this race against time could not of course meet the standards.
The authors of the letter to the editor comment on the following publication: “False positive results of Bowie and Dick type test used for hospital steam sterilizer with slower come-up ramps: A case study”.
The objective of the mentioned article was to determine if the standardized Bowie and Dick (B&D) type test for hospital steam sterilizers is correctly indicating cycle failures in slower come-up ramps cycles.
That scarcity has given rise to initiatives, attempts and experiments aimed at reprocessing single-use medical devices.
The protocols and recommendations we have seen emerge in this race against time could not of course meet the standards.
Often, there is a need for external persons to work in the Reprocessing Unit for Medical Devices (RUMED); such tasks include technical activities, training, inspections, audits and reference visits.
With this recommendation the Quality Task Group aims to create awareness of the role of “external persons” with regard to occupational health and safety and hygiene.
In sterilization departments, manual washing of medical devices is not regulated by any standard.
The control of the preparation of the instruments detergent bath is essentially linked to the quality of the water and detergent distribution system.
Measurement of the conductivity can be used as a control tool of the detergent bath.
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