When should channel and lumen inspection be performed?
The AORN & SGNA both state that visual inspection is a separate step prior to high level disinfection or sterilization for endoscopes. The waterproof INSPEKTOR CT is a perfect tool to use right at the sink. It can help speed up the process. If debris is found in the channel, it can be removed right at the sink.
IN SPD departments, the INSPEKTOR CT allows the technician to visually inspect at the sink to confirm all debris has been removed.
ANSI/AAMI ST79 184.108.40.206 states all instruments should be inspected after the cleaning process. The INSPEKTOR System allows the technician to inspect lumens after they come out of the washer.
If a technician is inspecting only the outside of the instrument or endoscope, they are only inspecting 50% of the instrument and that is the easiest part to clean.
Why is the INSPEKTOR® a necessary tool for every department responsible for cleaning endoscopes and surgical instruments?
Multiple clinicals have documented that dirty channels and lumens can infect patients.
You cannot clean what you cannot see. You can guess that it is clean, but you will not know until it is inspected. The INSPEKTOR® technology allows the technician to visually confirm the inside of the instrument or endoscope is as clean as the outside.
If I see debris/foreign matter in a lumen, how will I know what I am looking at?
A simple test to ask yourself is if you saw the same debris on the outside of the instrument or endoscope, would you send it back to decontamination? To be sterile or high level disinfected, the inside of the instrument needs to be as clean as the outside.
What is being found in instrument lumens when inspected with the INSPEKTOR®?
It is amazing inspecting instrument lumens and endoscopic channels. The INSPEKTOR® is finding foreign matter of multiple types of cannulated instruments. The debris includes:
• Bone Cement
• Human Hair
• Brush bristles
• Unidentifiable debris
Do you need a computer to be able to use the INSPEKTOR®?
No, the INSPEKTOR® comes in four different models. The INSPEKTOR® Standard, Mini & GI Direct View Systems allows the technician to inspect surgical instruments by looking directly through the eyepiece. It is a quick, easy and a cost effective method of inspecting instrument lumens.
The INSPEKTOR® CT does not need a computer as it has a built in monitor.
Can you get the INSPEKTOR® wet?
Yes, all INSPEKTOR® scopes are waterproof.
If you slide the INSPEKTOR® through a dirty lumen, how do you clean it?
The INSPEKTOR® is waterproof and can be cleaned in enzymatic solution. Most people who use it just disinfect it by wiping it down with a hospital approved disinfectant.
Are there any guidelines as to how to clean instruments if debris is found inside?
As of today, the answer is still no.
The FDA commissioned the University of Michigan to analyze the cleanliness of lumens. They took 144 suction tubes and used an endoscope to inspect the cleanliness of the instruments. They found 100% had foreign matter in the lumens. Initially they soaked the instruments in enzymatic solution for 20 minutes and found only 25% of the instruments passed. They were able to get 80% of the instruments clean by soaking them for 40 minutes, re-brushing and putting them through the ultrasonic cleaner. The 20% that were not cleaned were soaked overnight in enzymatic solution and still did not pass inspection.
Are hospitals using the INSPEKTOR® to inspect all lumen instruments and endoscopes?
There are hospitals that have purchased INSPEKTOR® systems for each work station and strive to have all lumen instruments inspected.
In an ideal world, the answer is yes. 2017 ANSI/AMMI ST79 220.127.116.11, 2015 ANSI/AMMI ST91 and all other national organization advocate visual inspection. Most discuss the use of a borescope to confirm the inside is as clean as the outside
If I purchase the Direct View and want to add a camera in the future, is this possible?
Yes, the Direct View is our number #1 selling INSPEKTOR® System. Adding a camera onto the Direct View INSPEKTOR® System is very easy. All you need is a computer (PC or Mac) that has a USB port. All you would need to do is purchase a camera, connect it to the INSPEKTOR® and download the software.
What arthroscopic shaver handpiece IFUs state to use an endoscope in to inspect lumens?
At the time of this writing, Stryker and Arthrex both state to use an endoscope to inspect the handpiece lumens to confirm, they are clean. ST79 7.2.2 states “The written IFU should always be followed.” The INSPEKTOR® is a perfect tool for this inspection.
Is there clinical documentation that dirty lumens can cause surgical site infections?
The oldest clinical we have found documenting that dirty channels infected patients dates back to 1994.
You may be familiar with the December 2011 clinical in Infection Control and Hospital Epidemiology documenting that arthroscopic shaver handpeices were found to infect multiple patients (http://www.jstor.org/stable/10.1086/662712). Many of the U.S. media reported this to the public (CBS, NBC, FOX + more) and the FDA recently (October 6, 2014) issued a safety bulletin on the necessity to inspect. Here is a hand full of clinicals you may review that discusses dirty channels and lumens cause infections.
How durable is the INSPEKTOR® Flexible Scope?
The INSPEKTOR® fiberscopes have been lab tested over 40,000 times passing through a 900 curved lumen and has been used in the field by individual hospitals over 70,000 times.
The INSPEKTOR® CT Scope has been bench tested through a 900 Frazier suction tube 100,000+ times and the sheathing and optics were excellent. Just as with the fiberscope, we designed the INSPEKTOR® CT so customers can purchase just the scope if something happens.
As with all things man made, INSPEKTOR® components can break.
All INSPEKTOR® Systems are sold as components. If one component breaks, it can be replaced without having to purchase a complete system.