rigid endo final-aorn-2010

Rigid Endoscopes:

The Care and Handling

7/20/2010

1Copyright 2010, AORN Inc.1

Rigid Endoscopes:Rigid Endoscopes:

The Care and HandlingThe Care and Handling

Rigid Endoscopes:Rigid Endoscopes:

The Care and HandlingThe Care and HandlingKay Ball, PhD, RN, CNOR, FAANKay Ball, PhD, RN, CNOR, FAAN

[email protected]@aol.com7/20/20107/20/2010

Disclosure InformationDisclosure Information

AORN’s policy is that the subject matter experts for this product must disclose any financial AORN’s policy is that the subject matter experts for this product must disclose any financial

relationship in a company providing grant funds and/or a company whose product(s) may be relationship in a company providing grant funds and/or a company whose product(s) may be

discussed or used during the educational activity.discussed or used during the educational activity. Financial disclosure will include the name of the Financial disclosure will include the name of the

company and/or product and the type of financial relationship, and includes relationships that are in company and/or product and the type of financial relationship, and includes relationships that are in

place at the time of the activity or were in place in the 12 months preceding the place at the time of the activity or were in place in the 12 months preceding the

activity.activity. Disclosures for this activity are indicated according to the following numeric categories:Disclosures for this activity are indicated according to the following numeric categories:

1. Consultant/Speaker’s Bureau 1. Consultant/Speaker’s Bureau 2. Employee 2. Employee

3. Stockholder 3. Stockholder 4. Product Designer 4. Product Designer

5. Grant/Research Support 5. Grant/Research Support 6. Other relationship (specify) 6. Other relationship (specify)

7. Has no financial interest7. Has no financial interest

Speaker: Kay Ball, PhD, RN, CNOR, FAAN

1. Consultant/Speaker’s Bureau 1. Consultant/Speaker’s Bureau

Planning Committee:

Susan Bakewell, MD, RN-BC

2. AORN Employee2. AORN Employee

Accreditation

AORN is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on

Accreditation.

AORN is provider-approved by the California Board of Registered Nursing, Provider Number CEP 13019.

AORN IS PLEASED TO PROVIDE THIS WEBINAR ON THIS IMPORTANT TOPIC. HOWEVER, THE VIEWS EXPRESSED IN THIS WEBINAR ARE THOSE OF THE

PRESENTERS AND DO NOT NECESSARILY REPRESENT THE VIEWS OF, AND SHOULD NOT BE ATTRIBUTED TO AORN.

ObjectivesObjectivesObjectivesObjectives

1. Discuss the evolution of rigid 1. Discuss the evolution of rigid

endoscopy, including the history and endoscopy, including the history and

components of rigid endoscopes.components of rigid endoscopes.

2. Describe reprocessing, storage, and 2. Describe reprocessing, storage, and

handling concerns associated with handling concerns associated with

rigid endoscopes.rigid endoscopes.

Rigid Endoscopes:


7/20/2010


ReferencesReferencesReferencesReferences

AORN RPs

Alexander’s Care

of the Patient in

Surgery

EndoscopyEndoscopyInspection of body organs or Inspection of body organs or

cavities by means of an cavities by means of an

endoscope, which is a device endoscope, which is a device

consisting of a tube and consisting of a tube and

optical systemoptical system

Evolution of EndoscopyEvolution of EndoscopyEvolution of EndoscopyEvolution of Endoscopy

Hippocrates II (460-375BC)-looked into rectum

Rigid Endoscopes:


7/20/2010


1012 AD Abulkasim-used

mirror to deflect light into

vagina

1585 Tulio Caesare Aranzi-

nasal cavity

1800’s1800’s1800’s1800’s

1805 Bozzani-large

tube, candles,

urethra (censored)

1826 Segalas-

obturator, mirrors

1835 Desmoreaux-

”Father of

endoscopy”

urethroscopy

1850’s1850’s1850’s1850’s

Louis Pasteur Louis Pasteur --

Infection ControlInfection Control

Rigid Endoscopes:


7/20/2010


Late 1800’sLate 1800’sLate 1800’sLate 1800’s

1869 Cmdr Panteleoni-

birth of hysteroscopy

1877 Nitze-crude optical

system

1880 Edison-

incandescent light bulb

1887 Dittel-add light

bulb to endoscope

End of 1800’sEnd of 1800’sEnd of 1800’sEnd of 1800’s

Done in most med centrs:Done in most med centrs:

�� CystoscopyCystoscopy

�� ProctoscopyProctoscopy

�� LaryngoscopyLaryngoscopy

�� EsophagoscopyEsophagoscopy

1900’s1900’s1900’s1900’s

1901 Ott-Ventroscopy

1901 Kelling-

coleoscopy (dog)

1907 1st Gastroscope

1910 Jacobaues-

laparoscopy human

Rigid Endoscopes:


7/20/2010


1900’s1900’s1900’s1900’s1912 Trendelenburg

1918 Arthroscopy

1924 CO2 insufflation

1929 Kalk-135° lens -

better visualization

1932 Semiflex

gastroscope

Mid 1900’sMid 1900’sMid 1900’sMid 1900’s1933 Lap (Dx to Rx)

1941 1st fulg of tubes

1952 Quartz rods

1967 Harold Hopkins

1968 Fiberoptics

1977 Insufflator (Semm)

Lap CholeLap Chole

Mid 1980’sMid 1980’s

Rigid Endoscopes:


7/20/2010


Clinical Applications TodayClinical Applications Today

Rigid endoscopy moving into Endo Suite

Rigid scopesRigid scopes��ArthroscopesArthroscopes

��CystoscopesCystoscopes

��LaparoscopesLaparoscopes

��Sinus scopesSinus scopes

��Pediatric scopesPediatric scopes

��HysteroscopesHysteroscopes

Rigid Endoscopes:


7/20/2010


CystoscopyCystoscopy

HysteroscopyHysteroscopyHysteroscopyHysteroscopy

LaparoscopyLaparoscopy

Rigid Endoscopes:


7/20/2010


ArthroscopyArthroscopy

New endoscopes

Semi-rigid endoscopes

Instrumentation AdvancementsInstrumentation Advancements

Components of Rigid Components of Rigid

EndoscopesEndoscopes

Components of Rigid Components of Rigid

EndoscopesEndoscopes

Rigid Endoscopes:


7/20/2010


Rigid EndoscopeRigid Endoscope

�� Eye pieceEye piece

�� BodyBody

�� Light guide connectorLight guide connector

�� ShaftShaft

�� Distal endDistal end

Handling tipsHandling tips

Eye PieceEye Piece

Rigid Endoscopes:


7/20/2010


Eye PieceEye Piece

Diopter GaugeDiopter Gauge

Rigid Endoscopes:


7/20/2010


Oils from skinOils from skin

Cloudy ImageCloudy Image

Cloudy Clear

Decrease FoggingDecrease Fogging

�� Use antiUse anti--fogging solutionsfogging solutions

�� Heat scope to body tempHeat scope to body temp

�� Use endoscope warmer Use endoscope warmer

�� Warm irrigation solutionWarm irrigation solution

�� Warm Warm insufflationinsufflation gas gas

�� Replace faulty sealsReplace faulty seals

Rigid Endoscopes:


7/20/2010


DeFogger

Scope Scope

WarmerWarmer

Warmer

Warmer

Video technology for

rigid endoscopy

Video technology for

rigid endoscopy

Rigid Endoscopes:


7/20/2010


White BalancingWhite Balancing

�� Method for the camera to reference Method for the camera to reference

white so it can properly identify all white so it can properly identify all

primary colorsprimary colors

Rigid Endoscopes:


7/20/2010


VideoconferencingVideoconferencing

Continuing EducationContinuing EducationContinuing EducationContinuing Education

BodyBody

Rigid Endoscopes:


7/20/2010


ConnectorsConnectors

Light Guide ConnectorLight Guide Connector

Rigid Endoscopes:


7/20/2010


IlluminationIlluminationIlluminationIllumination

Light Cable Connection

Glass Fibers

Rigid Endoscopes:


7/20/2010


Decreased light outputDecreased light output

�� Damaged light cableDamaged light cable

�� Debris on ends of light cableDebris on ends of light cable

�� Mixed brands of adapters Mixed brands of adapters

�� Wrong adapterWrong adapter

�� Old or dirty light bulbOld or dirty light bulb

�� Wrong light bulbWrong light bulb

Rigid Endoscopes:


7/20/2010


Replace when

>33% broken fibers

Rigid Endoscopes:


7/20/2010


Rigid Endoscopes:


7/20/2010


ECRIECRIECRIECRILabel all fiberoptic light sources with:Label all fiberoptic light sources with:

“Warning: High“Warning: High--intensity fiberoptic light intensity fiberoptic light

sources and cables can ignite drapes and sources and cables can ignite drapes and

other materials. Complete all fiberoptic other materials. Complete all fiberoptic

cable connections before activating the cable connections before activating the

light source.”light source.”

Light SourcesLight Sources

�� Xenon Xenon (higher cost, focus down to small (higher cost, focus down to small

area, preferred for video)area, preferred for video)

�� Metal halide Metal halide (Less expensive, shorter (Less expensive, shorter

life, easy to handle)life, easy to handle)

�� Halogen Halogen (popular in Dr offices, low light, (popular in Dr offices, low light,

not for video)not for video)

Rigid Endoscopes:


7/20/2010


Xenon LampsXenon LampsXenon LampsXenon Lamps

Metal Halide LampsMetal Halide LampsMetal Halide LampsMetal Halide Lamps

Rigid Endoscopes:


7/20/2010


Light Source BrightnessLight Source BrightnessLight Source BrightnessLight Source Brightness

�� ManualManual

�� Automatic (adjusts Automatic (adjusts

according to video image)according to video image)

ShaftShaft

Rigid Endoscopes:


7/20/2010


Internal Shaft LumensInternal Shaft LumensInternal Shaft LumensInternal Shaft Lumens

Rigid Endoscopes:


7/20/2010


Rigid Endoscopes:


7/20/2010


Distal EndDistal End

Rigid Endoscopes:


7/20/2010


Rigid Scope

Prism LensNegative

Lens

30 degree

objective lensRod

Lens

Lens SystemLens System�� 00--degree angle: straight forwarddegree angle: straight forward

�� 3030--degree angle: forward obliquedegree angle: forward oblique

�� 7070--degree angle: lateraldegree angle: lateral

�� 9090--degree angle: lateraldegree angle: lateral

�� 120120--degree angle: retrospectivedegree angle: retrospective

Rigid Endoscopes:


7/20/2010


Rigid Video EndoscopeRigid Video EndoscopeRigid Video EndoscopeRigid Video Endoscope

Rigid Video EndoscopeRigid Video EndoscopeRigid Video EndoscopeRigid Video Endoscope

�� 5 mm5 mm

�� Image and brightness of Image and brightness of

a 10 mm scopea 10 mm scope

�� OneOne--Piece Piece VideoScopeVideoScope

TechnologyTechnology

�� No ScopeNo Scope

�� No CameraNo Camera

�� No CouplerNo Coupler

�� No Light CableNo Light Cable

Rigid Endoscopes:


7/20/2010


Rigid Endoscope with Rigid Endoscope with

Flexible TipFlexible Tip

Rigid Endoscope with Rigid Endoscope with

Flexible TipFlexible Tip

ReprocessingReprocessing

Trends Guiding ReprocessingTrends Guiding ReprocessingTrends Guiding ReprocessingTrends Guiding Reprocessing

�� Technology advancementsTechnology advancements

�� Complexity of devicesComplexity of devices

Rigid Endoscopes:


7/20/2010


Trends Guiding ReprocessingTrends Guiding ReprocessingTrends Guiding ReprocessingTrends Guiding Reprocessing

�� Instrument technology Instrument technology --

FDA requirementsFDA requirements

Reusables must have Reusables must have reprocessing reprocessing instructionsinstructions

Decontamination during the procedureDecontamination during the procedure

During TransportationDuring Transportation

Rigid Endoscopes:


7/20/2010


DecontaminationDecontamination

NO SalineNO Saline

AttireAttireAttireAttire

Rigid Endoscopes:


7/20/2010


DisassemblyDisassembly

Rigid Endoscopes:


7/20/2010


Solutions & ToolsSolutions & Tools

Chemical SolutionsChemical Solutions

�� Protease will break apart proteinProtease will break apart protein

�� Lipase will break apart fatsLipase will break apart fats

�� Amylase will break apart starchesAmylase will break apart starches

�� CarbohydraseCarbohydrase will break apart will break apart

carbohydratescarbohydrates

Proper Cleaning SuppliesProper Cleaning Supplies

Rigid Endoscopes:


7/20/2010


Brushes and DevicesBrushes and DevicesBrushes and DevicesBrushes and Devices

Various Sizes of CleanersVarious Sizes of CleanersVarious Sizes of CleanersVarious Sizes of Cleaners

Ultrasonic CleaningUltrasonic CleaningUltrasonic CleaningUltrasonic Cleaning

Rigid Endoscopes:


7/20/2010


CleaningCleaningCleaningCleaning

No ultrasonic cleaners No ultrasonic cleaners --

damage tiny glass fibersdamage tiny glass fibers

RinsingRinsingRinsingRinsing

Manual vs. AutomatedManual vs. Automated

Rigid Endoscopes:


7/20/2010


Automated CleaningAutomated CleaningAutomated CleaningAutomated Cleaning

Drying EndoscopeDrying EndoscopeDrying EndoscopeDrying Endoscope

Impact of Sterile DirtImpact of Sterile DirtImpact of Sterile DirtImpact of Sterile Dirt

��Increases adhesion formationIncreases adhesion formation

��Increases immune responseIncreases immune response

��Delays healingDelays healing

Rigid Endoscopes:


7/20/2010


Checking Integrity & FunctionalityChecking Integrity & Functionality

Checking Integrity & FunctionalityChecking Integrity & Functionality

Disinfection vs. Sterilization

Rigid Endoscopes:


7/20/2010


Spaulding’s ClassificationsSpaulding’s Classifications

�� Critical (Sterilize) Critical (Sterilize)

�� SemiSemi--critical (Disinfect)critical (Disinfect)

�� NonNon--critical (Clean)critical (Clean)

Glutaraldehyde DisinfectionGlutaraldehyde Disinfection

GLUT

Broad spectrum antimicrobial “cold” disinfectantBroad spectrum antimicrobial “cold” disinfectant

Thorough cleaning first!!Thorough cleaning first!!

Device PreparationDevice Preparation

Rigid Endoscopes:


7/20/2010


Glut Test StripsGlut Test StripsGlut Test StripsGlut Test Strips

Glut ActionGlut ActionGlut ActionGlut Action

Bonds ProteinBonds Protein

Rigid Endoscopes:


7/20/2010


Exposure LevelsExposure LevelsExposure LevelsExposure Levels

�� 0.04 0.04 ppmppm Detect odorDetect odor

�� 0.2 0.2 ppmppm Exposure levelExposure level

�� 0.3 0.3 ppmppm IrritantIrritant

�� 0.4 0.4 ppmppm PouringPouring

Rigid Endoscopes:


7/20/2010


VentilationVentilation

Glut

Vent

Processing Area

Glut Ventilation SystemGlut Ventilation SystemGlut Ventilation SystemGlut Ventilation System

Rigid Endoscopes:


7/20/2010


Soak Time ControversySoak Time Controversy

ControversyControversy

FDAFDA

45 min soak45 min soak

25 degrees C.25 degrees C.

Prof. OrgProf. Org

20 min soak20 min soak

Room temp.Room temp.

Glove RecommendationsGlove RecommendationsGlove RecommendationsGlove Recommendations

??

Rigid Endoscopes:


7/20/2010


Spill ProcedureSpill Procedure

AmmoniaAmmonia

Other “cold soak” solutionsOther “cold soak” solutionsOther “cold soak” solutionsOther “cold soak” solutions

Hydrogen peroxide?

Phosphoric acid?Phosphoric acid?

8 min. soak for HLD?

25 min. soak for HLD?

Automatic ProcessorAutomatic ProcessorAutomatic ProcessorAutomatic Processor

Rigid Endoscopes:


7/20/2010


Sterilization OptionsSterilization Options

�� SteamSteam

�� Ethylene OxideEthylene Oxide

�� PeraceticPeracetic AcidAcid

�� Hydrogen Hydrogen

Peroxide Peroxide (Plasma (Plasma

or vapor)or vapor)

�� OzoneOzone

Sterilize

Steam SterilizationSteam SterilizationSteam SterilizationSteam Sterilization

Autoclavable ScopesAutoclavable Scopes

Number of

sterilizations?

Best sterilization

method?

Rigid Endoscopes:


7/20/2010


Action of Steam SterilizationAction of Steam SterilizationAction of Steam SterilizationAction of Steam Sterilization

Types of Steam SterilizationTypes of Steam SterilizationTypes of Steam SterilizationTypes of Steam Sterilization

�� Gravity Gravity

displacementdisplacement

�� PrevacuumPrevacuum

Monitoring

Bacillus Bacillus StearothermophilusStearothermophilus

Rigid Endoscopes:


7/20/2010


Flash SterilizationFlash SterilizationFlash SterilizationFlash Sterilization

Autoclavable ScopesAutoclavable Scopes

How are they marked if steam sterilizable?

Ethylene Oxide SterilizationEthylene Oxide SterilizationEthylene Oxide SterilizationEthylene Oxide Sterilization

Rigid Endoscopes:


7/20/2010


Heat /Moisture Sensitive DevicesHeat /Moisture Sensitive Devices

Ethylene Oxide SterilizationEthylene Oxide SterilizationEthylene Oxide SterilizationEthylene Oxide Sterilization

�� Instrument preparationInstrument preparation

�� Wash, rinse, dryWash, rinse, dry

ETO + H2O = Ethylene GlycolETO + H2O = Ethylene Glycol

ETO + Saline = Ethylene ETO + Saline = Ethylene ChlorhydrineChlorhydrine

Ethylene Oxide SterilizationEthylene Oxide Sterilization

Sterilization ParametersSterilization Parameters

�� ConcentrationConcentration

�� HumidityHumidity

�� TemperatureTemperature

�� TimeTime

ConcernsConcerns

�� AerationAeration

Biological Monitoring�Bacillus Atropheus

(formerly Bacillus Subtilis)

Rigid Endoscopes:


7/20/2010


EO AdvantagesEO AdvantagesEO AdvantagesEO Advantages

�� Effective sterilizer for heat & Effective sterilizer for heat &

moisture sensitive devicesmoisture sensitive devices

�� EO readily diffuses at low tempsEO readily diffuses at low temps

�� No lumen restrictionsNo lumen restrictions

�� Compatible with materialsCompatible with materials

�� Low costLow cost

EO LimitationsEO LimitationsEO LimitationsEO Limitations

�� Long cycle length and aeration Long cycle length and aeration

�� Installation requirementsInstallation requirements

�� FlammabilityFlammability

�� ToxicityToxicity

�� Cost of ensuring safetyCost of ensuring safety

Peracetic Acid SterilizationPeracetic Acid Sterilization

STERIS System 1TM

to

STERIS System 1ETM

Rigid Endoscopes:


7/20/2010


Peracetic Acid SterilizationPeracetic Acid SterilizationPeracetic Acid SterilizationPeracetic Acid Sterilization

�� Low tempLow temp

�� ImmersibleImmersible devicesdevices

PA AdvantagesPA AdvantagesPA AdvantagesPA Advantages

�� Short cycle timeShort cycle time

�� JITJIT

�� Variety of trays and containersVariety of trays and containers

�� Quick connects for lumensQuick connects for lumens

�� Closed system, ventilation not Closed system, ventilation not

requiredrequired

Rigid Endoscopes:


7/20/2010


VHP Vaporized Hydrogen Peroxide


�� Uses HUses H22OO22 vapor to destroy vapor to destroy

microbes without using plasmamicrobes without using plasma

�� Free radicals disrupt & destroy Free radicals disrupt & destroy

microbesmicrobes

�� NonNon--toxic byproducts (water toxic byproducts (water

vapor, Ovapor, O22))

�� Sterilization < 1 hourSterilization < 1 hour

O O

H

H

�� Series of pulses in processSeries of pulses in process

�� Evacuation phaseEvacuation phase

�� HH22OO22 injection phaseinjection phase

�� HH22OO22 hold phasehold phase

�� Transition phaseTransition phase

�� Phases repeat x 4Phases repeat x 4



VHP CyclesVHP CyclesV-PRO 1 Sterilization Cycle

0.100

1.000

10.000

100.000

1000.000

0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 50 52 54 56

Time (min)

Pre

ssu

re (

mm

Hg

)

Condition Sterilize Aerate

Pulse 4Pulse 3Pulse 2Pulse 1

Sterilization Cycle

Rigid Endoscopes:


7/20/2010




�� Chemical indicator and challenge packChemical indicator and challenge pack

�� GeobacillusGeobacillus stearothermophilusstearothermophilus –– most most

resistant to VHP processresistant to VHP process

�� Compatible with a variety of materials to Compatible with a variety of materials to

be sterilizedbe sterilized

Lumen restrictions:Lumen restrictions:



Inner Diameter Length

> 1mm (3Fr) < 125mm

> 2mm (6Fr) < 250mm

> 3mm (9Fr) < 400mm

•Lumen cycle = 55 min

•Nonlumen cycle = 28 min

What can NOT be processed in the VHP System?What can NOT be processed in the VHP System?

� PAPER or CELLULOSE PRODUCTS

� Count Sheets

� Huck Towels

� Gauze

� LIQUIDS or POWDERS

� SINGLE USE or IMPLANTS

� COPPER or MATED NYLON

� ITEMS or MATERIALS that ABSORB LIQUID

� Foam, Sponges

Rigid Endoscopes:


7/20/2010


VHP Advantages

Press start

�Easy to use

VHP Advantages VHP Advantages

� Short cycle time compared to EO

� Simple installation

� Shelf-life with wrapped devices

� Non-toxic, environmentally friendly

(byproducts are water vapor and O2)

� Conditioning phase – minimizes aborts due to

moisture

� H2O2 cup sealed and vented – easy to insert,

automated

2. Injection system

punctures cartridge

3. One cycle’s

worth of

sterilant is

drawn into

a reservoir1. Close the cartridge

interface door

VHP Advantages

Rigid Endoscopes:


7/20/2010


VHP LimitationsVHP Limitations

� Can’t process cellulose or paper (must

use nonwoven or polypropylene wraps)

� Must use containers and trays cleared for

this sterilizer

� Lumen restrictions – no flexible

endoscopes, no long narrow lumens

Gas Plasma SterilizationGas Plasma Sterilization

19931993

Rigid Endoscopes:


7/20/2010


Gas Plasma ActionGas Plasma Action

Free radicals + collisional byproducts sterilize

PLASMAPLASMA

Gas Plasma SterilizationGas Plasma Sterilization

�� Low temp H2O2 in gas plasma to Low temp H2O2 in gas plasma to

inactivate microorganisms without inactivate microorganisms without

harmful residuesharmful residues

�� Heat and moisture sensitive devicesHeat and moisture sensitive devices

�� 45 45 --75 minute cycles, different with each 75 minute cycles, different with each

system modelsystem model

�� H2O2 cassette enclosedH2O2 cassette enclosed

�� Lumen restrictions depending on modelLumen restrictions depending on model

Ozone SterilizationOzone Sterilization

Rigid Endoscopes:


7/20/2010



�� Natural processNatural process

�� O2 exposed to intense electrical fieldO2 exposed to intense electrical field

�� Separates oxygen molecules into Separates oxygen molecules into atomic oxygen (O)atomic oxygen (O)

�� O combines with other oxygen O combines with other oxygen molecules (O2) to form molecules (O2) to form triatomictriatomicoxygen (O3) or Ozoneoxygen (O3) or Ozone

�� Sterilization in approximately 4 Sterilization in approximately 4 hourshours

�� No toxic residuals No toxic residuals –– O2 + water O2 + water vaporvapor


Ozone AdvantagesOzone Advantages

�� Easy to Use Easy to Use

�� Low TemperatureLow Temperature

�� Safe, No Toxic ResidualsSafe, No Toxic Residuals

�� Cost EffectiveCost Effective

�� Compatible with Anodized Compatible with Anodized

Aluminum ContainersAluminum Containers

�� Cleared for multiple channel flexible Cleared for multiple channel flexible

endoscopesendoscopes

Rigid Endoscopes:


7/20/2010


Ozone LimitationsOzone Limitations

�� Long cycle time (compared to H2O2)Long cycle time (compared to H2O2)

�� Need source of oxygen or O2 tanks to Need source of oxygen or O2 tanks to

supply systemsupply system

�� Not widely acceptedNot widely accepted

�� Material compatibility??Material compatibility??

StorageStorage

TransportingTransporting

Rigid Endoscopes:


7/20/2010


Wet

Storage?

Wet

Storage?

Sheath ProtectorsSheath Protectors

COMMON CAUSES OF

ENDOSCOPE DAMAGE

COMMON CAUSES OF

ENDOSCOPE DAMAGE

95% of repairs are procedure related!

Rigid Endoscopes:


7/20/2010


Original

Manufacturer

vs. 3rd Party

Repairs

Original

Manufacturer

vs. 3rd Party

Repairs

Repairs

Mobile Repair ServicesMobile Repair ServicesMobile Repair ServicesMobile Repair Services

Mobile Repairs

SummarySummary

Rigid Endoscopes:


7/20/2010


Questions??Questions??Questions??Questions??

To receive 1 contact hour for this activity, To receive 1 contact hour for this activity,

return the evaluation and verification of return the evaluation and verification of

participation form as indicated on the forms. participation form as indicated on the forms.

If more than one person listened to this If more than one person listened to this

webinar at your site, copy the forms for each webinar at your site, copy the forms for each

person to complete individually.person to complete individually.

Contact HoursContact Hours

rigid endo final-aorn-2010

Education

components of rigid

srigid endoscopes

handlingrigid endoscopes

rectumrigid endoscopes

handlingthe care

aorn employeeaccreditationaorn

aorn employee2

evolution of rigid endoscopy