ESGE-ESGENA technical specification for process validation and routine testing of endoscope reprocessing in washer-disinfectors according to EN ISO 15883, parts 1, 4, and ISO/TS 15883-5

Author:

Beilenhoff Ulrike1,Biering Holger2,Blum Reinhard3,Brljak Jadranka4,Cimbro Monica5,Dumonceau Jean-Marc6,Hassan Cesare7,Jung Michael8,Neumann Christiane9,Pietsch Michael10,Pineau Lionel11,Ponchon Thierry12,Rejchrt Stanislav13,Rey Jean-François14,Schmidt Verona15,Tillett Jayne16,van Hooft Jeanin17

Affiliation:

1. ESGENA Scientific Secretary, Ulm, Germany

2. Grevenbroich, Germany

3. Olympus Europa, Hamburg, Germany

4. University Hospital KBC-Zagreb-Rebro, Zagreb, Croatia

5. CBC (Europe), Nova Milanese, Italy

6. Gedyt Endoscopy Center, Buenos Aires, Argentina

7. Digestive Endoscopy Unit, Catholic University, Rome, Italy

8. 2nd Department of Internal Medicine, Katholisches Klinikum, Mainz, Germany

9. ESGENA Past President, Birmingham, UK

10. Department of Hygiene and Infection Prevention, Medical Center, University Hospital, Mainz, Germany

11. Biotech Germande, Marseille, France

12. Digestive Diseases Department, Hôpital Edouard Herriot, Lyon, France

13. 2nd Department of Internal Medicine, Charles University Teaching Hospital, Hradec Králové, Czech Republic

14. Institut Arnault Tzanck, St. Laurent du Var, France

15. Microbiology and Hygiene Department, Chemische Fabrik Dr. Weigert, Hamburg, Germany

16. St. Woolos Hospital, Newport, UK

17. Department of Gastroenterology and Hepatology, Academic Medical Center, Amsterdam, The Netherlands

Abstract

Statements 1 Prerequisites. The clinical service provider should obtain confirmation from the endoscope washer-disinfector (EWD) manufacturer that all endoscopes intended to be used can be reprocessed in the EWD. 2 Installation qualification. This can be performed by different parties but national guidelines should define who has the responsibilities, taking into account legal requirements. 3 Operational qualification. This should include parametric tests to verify that the EWD is working according to its specifications. 4 Performance qualification. Testing of cleaning performance, microbiological testing of routinely used endoscopes, and the quality of the final rinse water should be considered in all local guidelines. The extent of these tests depends on local requirements. According to the results of type testing performed during EWD development, other parameters can be tested if local regulatory authorities accept this. Chemical residues on endoscope surfaces should be searched for, if acceptable test methods are available. 5 Routine inspections. National guidelines should consider both technical and performance criteria. Individual risk analyses performed in the validation and requalification processes are helpful for defining appropriate test frequencies for routine inspections.

Publisher

Georg Thieme Verlag KG

Subject

Gastroenterology

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