CDRH Backs Olympus Updated Reprocessing Instructions

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A CDRH safety alert says Olympus has updated reprocessing instructions for its 160F/VF duodenoscope models to include a more rigorous protocol for pre-cleaning, manual cleaning and high-level disinfection procedures, specifically additional flushing, brushing and increased flushing volume. It also recommends a reusable brush (Model MAJ-1534) to manually clean the distal end of the scope, including the elevator recess area. “This new brush can be sterilized by autoclave following use, as outlined in the updated reprocessing manual,” it says. Olympus sent a letter dated March 14, 2016 to health care facilities and other users about the updated, validated reprocessing instructions.

The Center has been keeping a close watch on duodenoscopes following an outbreak in infections associated with the devices over the past few years. Last year, the agency ordered the three makers to conduct postmarket surveillance studies to better understand how their scopes are reprocessed in real-world settings. “The FDA has undertaken an in-depth investigation into the factors that may play a role in infection transmission associated with duodenoscopes, and is now requiring manufacturers to study the devices in the clinical setting where they are being used,” CDRH chief scientist William Maisel was quoted as saying in a news release at the time. “These studies will provide critical information about the effectiveness of current reprocessing instructions and practices that may provide additional information to inform the FDA’s actions to protect the public health and help reduce the risk of infections.”

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