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The success of the reprocessing procedure relies upon both disinfection and cleaning.
Second, the bronchofiberscope reprocessing procedure was not strictly in accordance with the Chinese guidelines for endoscopy cleaning and disinfection [ 23].
The complete reprocessing procedure is documented by the manufacturer of the washer-disinfector using clear key statements in the batch reprocessing record (e.g. "cleaned", "disinfected").
Following a pre-study visit where the disinfection process was observed, a data collection form was developed to objectively capture the time involved in each stage of the reprocessing procedure and to quantify the disposable equipment supplies consumed.
Importantly, four isolates collected directly from the non-disinfected and disinfected bronchofiberscope were also identified as being the outbreak strain, suggesting that serious failure of the bronchofiberscope reprocessing procedure and that the outbreak strain of MDR-Ab might have been transmitted through direct contact with the bronchofiberscope.
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The documentation and archiving of records of properly conducted reprocessing procedures is the last and increasingly important part of the reprocessing cycle for flexible endoscopes.
In light of a recent Food and Drug Administration warning letter to Olympus regarding their closed-channel duodenoscope model TJF-Q180V, the aim of our study was to prospectively evaluate the efficacy and safety of our current reprocessing procedures with regard to the TJF-Q180V duodenoscope models used in our hospital.
This complex of reprocessing procedures is set out in the German and European standard DIN/EN/ISO 15883-4 [ 2, 3].
For this reason, we assessed the activity of different reprocessing procedures against those contaminations in depletion assays that used stainless steel wire grids as surrogates for medical instruments.
The manufacturers of medical products usually stipulate that devices should be overhauled by the manufacturers on their own premises after a specified number of reprocessing procedures.
When discussing this question, data on the efficacy of routinely applicable reprocessing procedures for medical instruments against Aβ-, tau- and α-synuclein aggregates can provide helpful guidance.
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