Reprocessing Recommendations

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Cleaning,

Manual Cleaning

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

Before high-level disinfection (HLD). Procedure end time and manual cleaning start time should be documented. Follow device manufacturer's instructions regarding the time frame before reprocessing is considered "delayed", the brushes used, and cleaning agents recommended.

HICPAC, 2016

Before HLD, in the timeframe specified by the endoscope manufacturer. Brush and flush all channels and ports. "The most critical step in the disinfection process."

AORN, 2016

As soon as possible after leak test. If not cleaned immediately after use, follow manufacturer's IFUs for delayed processing when indicated.

ANSI/AAMI ST91, 2015

As soon as possible after leak test. If not cleaned immediately after use, follow manufacturer's IFUs for delayed processing when indicated.

APIC/JCR, 2017

After leak testing. If not cleaned in the timeframe specified by the manufacturer, follow manufacturer's IFUs for delayed processing.

CMS, 2016

Thoroughly cleaned according to device IFUs, prior to HLD.

TJC Booster Pak, 2015

Scope is leak tested; if it fails, follow manufacturer instructions for a failed leak test, remove from service, and send for repair. All accessories are removed for cleaning or discarded if disposable – following manufacturer’s IFUs. Scope & accessories are fully immersed in measured enzymatic detergent. Cleaning solution changed after each scope is cleaned per manufacturer. All channels and accessories thoroughly brushed with manufacturer brush(es).

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.