Reprocessing Recommendations

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Cleaning Products, HLD & Sterilization,

AER Use*

This page includes summaries that should not be used to create policies and procedures. Please refer to the original source documents for exact language. Links can be found here.

Multisociety, 2016

Recommended, provided endoscope and components can be reprocessed in an AER, per instructions by manufacturers of endoscope and AER. If part of the endoscope is not effectively disinfected by the AER (eg, the elevator wire channel of some duodenoscopes), process that part manually. Only use connectors approved for that AER model and that endoscope. Obtain and review FDA-cleared model-specific reprocessing protocols for both endoscope and AER. If AER cycle is interrupted, repeat cycle.

HICPAC, 2016

Assess that AER has been validated for reprocessing the endoscope and the endoscope components. Ensure that IFUs of endoscopes and AER are readily available.

AORN, 2016

Mechanical processing may be more efficient and expose staff to fewer toxic chemicals. Automated cleaning is not intended to replace precleaning at the point of use or thorough manual cleaning. Ensure that all connectors are specific to make and model of endoscope being processed. Test at least weekly to make sure solutions are flowing. Adhere to IFUs for recommended water quality, filter changes, etc.

ANSI/AAMI ST91, 2015

Mechanical processing may be more efficient and expose staff to fewer toxic chemicals. Automated cleaning is not intended to replace precleaning at the point of use or thorough manual cleaning. Ensure that all connectors are specific to make and model of endoscope being processed. Test at least weekly to make sure solutions are flowing. Adhere to IFUs for recommended water quality, filter changes, etc.

APIC/JCR, 2017

Manual or AER disnifection is acceptable, in accordance with endoscope and AER's IFUs. Use of an AER does not replace the need for point of use precleaning or thorough manual cleaning, rinsing and visual inspection. Must use correct connectors for any given endoscope.

CMS, 2016

If AER is used, the manufacturer's recommended connectors are used to assure proper cleanining of endoscope channels.

TJC Booster Pak, 2015

If an automated reprocessor is used, place the endoscope in the reprocessor and attach all channel adapters according to the manufacturer’s instructions. Place valves and other removable parts into the soaking basin of the reprocessor unless the reprocessor has a dedicated space for the accessories, reprocess these items separately.

Guideline Details

*aka, mechanical processing