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The Value of Lumen Inspection, Communique’, May/June 2015, page 76 - 78


"With today’s lumen inspection systems, departments can now visually confirm that the insides of instruments are as clean as the outside and improve the standard of care.”



Analysis found 100% of 494 suction tubes and 15 arthroscopic hand pieces endoscopically inspected had foreign matter in them.



Multi-Center Lumen Inspection Survey, Poster presented at the 2015 IAHCSMM National Convention


• Number of Participating Hospitals - 71

• Number of Instruments Inspected with a 1 mm or 2 mm waterproof lumen inspection system - 860

• Outcome: 7 out of 10 of the inspected instrument lumens were still dirty after decontamination



“These SSIs were likely related to surgical instrument contamination with P. aeruginosa during instrument reprocessing. Retained tissue in inflow/outflow cannulae and shaver handpieces could have allowed bacteria to survive sterilization procedures.”


“The written IFU of the device manufacturer should always be followed”. ANSI/AAMI ST79:2010 & A1 & A2 & A3, page 59

Recommends a scope an endoscope to inspect their arthroscopic shaver hand piece.

Recommends using  a scope to inspect their arthroscopic shaver hand piece.

“Consider inspecting the inside of the devices (arthroscopic hand pieces) following cleaning to ensure that they have been cleared of any tissue or fluids. There may be multiple ways to accomplish this. As one example, the facility that brought this situation to our attention uses a 3mm video scope to inspect the channels of the shaver hand piece.”

“Thoroughly disinfect duodenoscopes between uses and have in place a comprehensive quality program for reprocessing.”

“Implement a comprehensive reprocessing quality control program. Your reprocessing program should include written procedures for monitoring, training and adherence to the program, and documentation of equipment tests, processes, and quality monitors used during the reprocessing procedure.”

“Recent media reports describe instances of patients being notified that they may be at increased risk for infection due to lapses in basic cleaning, disinfection, and sterilization of medical devices. These events involved failures to follow manufacturers’ reprocessing instructions for critical and semi-critical items and highlight the need for healthcare facilities to review policies and procedures that protect patients.”

“After completing the cleaning process, personnel should visually inspect each item carefully to detect any visible soil. Inspection using magnification might identify residues more readily than the unaided eye.”


Analysis found 100% of 494 suction tubes and 15 arthroscopic hand pieces endoscopically inspected had foreign matter in them.

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