Move Away from Traditional Duodenoscopes: FDA

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A new FDA safety communication recommends that hospitals and endoscopy facilities transition away from fixed endcap duodenoscopes to those with newer design features that eliminate the need or make it easier to reprocess. The devices are used in more than 500,000 endoscopic procedures associated with the pancreas and bile ducts, and have complex designs that include reusable hard-to-clean components, the notice says. “Failure to correctly reprocess a duodenoscope could result in tissue or fluid from one patient remaining in a duodenoscope when it is used on a subsequent patient,” it says. “In rare cases, this can lead to patient-to-patient disease transmission.”

 

FDA says it continues to work with manufacturers to increase the supply of disposable cap duodenoscopes and to develop new device designs that will reduce or eliminate patient infection risks. “We continue to address challenges with current reprocessing methods and support expanding the types of validated methods available to reprocess duodenoscopes,” the notice says.

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