Reprocessing Recommendations

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Cleaning, Cleaning Products,

Cleaning Brushes

This page includes summaries that should not be used to create policies and procedures. Please refer to the original source documents for exact language. Links can be found here.

Multisociety, 2016

Approved by the endoscope manufacturer, appropriate to the size of the channel, parts, connectors and orifices. Brushes should either be disposable or be cleaned and high-level disinfected between uses.

HICPAC, 2016

Not addressed. Follow manufacturer's IFUs.

AORN, 2016

Follow scope manufacturer's IFUs, using appropriate size and type of brush. Brush should be either disposable or HLD (or sterilized, per manufacturer's IFUs) after each use.

ANSI/AAMI ST91, 2015

Follow scope manufacturer's IFUs, using appropriate size and type of brush. Brush should be either disposable or HLD (or sterilized, per manufacturer's IFUs) after each use.

APIC/JCR, 2017

Follow scope manufacturer's IFUs, using appropriate size and type of brush. Brushing should be done underwater to prevent aerosolization of potentially infectious material. Brush should be either disposable or HLD (or sterilized, per manufacturer's IFUs) at least daily.

CMS, 2016

Brush should be either disposable or HLD (or sterilized, per manufacturer's IFUs) at least daily.

TJC Booster Pak, 2015

All channels and accessories thoroughly brushed with manufacturer recommended brushes. Single-use brushes should be disposed of after use.

Guideline Details

Just as flexible endoscopes undergo regular cleaning, disinfection, and surveillance to mitigate the risk of cross contamination, the same should be done for equipment.