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Olympus has released its revised manual for reprocessing the TJF-Q180V duodenoscope, the model recently linked to several patient-to-patient infections of Carbapenem-resistant Enterobacteriaceae (CRE) bacteria associated with ERCP procedures. Information on cleaning, disinfection and sterilization of the TJF-Q180V from the Olympus website states: "Olympus recommends you pay careful attention to the Supplemental Instructions to the TJF-Q180V Reprocessing Manual, including precleaning and alcohol flushing steps, when using automated endoscope reprocessors (AERs). Please note the setting of the elevator to the intermediate position (half up/half down) when placed in an AER."
Olympus has provided major AER manufacturers with these supplemental instructions, and asks that users contact their AER manufacturers for instructions and information relating to use of their equipment."
Olympus has also posted an instructional video on how to reprocess its ultrasound endoscopes, which have also been linked to patient-to-patient infections following endoscopic ultrasound procedures.
The American Gastroenterological Association (AGA) is also reporting that CMS has introduced new surveyor requirements impacting endoscopes.