BMJ article from Southampton confirming the use of sheath as a solution to the infection control problems associated with standard endoscopes
Endosheath technology overcomes the infection control difficulties presented by standard scopes as raised in the BMJ article:.
The infection control drawbacks that are overcome include:
•the difficulty of ensuring that, particularly working channels, are free of contamination
•the risks to personnel and the environment posed by toxic chemicals
•the expense and time required to reprocess endoscope Economical considerations:
Lower capital costs because only one scope is needed for a full list
As the working channel is disposed with the sheath, fewer repairs are needed
The sterile disposable sheaths are less costly than standard reprocessing
The solution is elegant:
The EndoSheath protective barrier covers the endoscope from end to end, isolating the cystoscope from patient contact and protecting its controls from contamination during the procedure.
The disposable EndoSheath protective barrier includes a working/operative channel for suction, irrigation and instrument passage. The PrimeSight cystoscope therefore does not have a working channel.
The patient is never in contact with the cystoscope, only with the sterile sheath. Fluids and instruments are passed through the working channel in the sheath and so do not contaminate the cystoscope. After the procedure the sheath with its working channel are disposed of.
How does EndoSheath® Technology work?
Prior to each procedure the endoscope is placed inside a new sterile sheath following an aseptic protocol. After the procedure the sheath is removed from the endoscope and discarded.The sheath eliminates the need for toxic high-level disinfection routines between each patient.The result is a safe, sterile instrument for each patient and rapid equipment turnaround for the practice.
The Complexities of High-level Disinfection: Can we shift to a Simpler and Safer Technology? (a 30 minute video presentation)
American Urology Association white paper on decontaminating cystoscopes
PrimeSight System Advantages slide show (hold curser over slide to stop it moving)
Quick accurate bladder volume readings showing the bladder.
Real time scanning and measuring of prostate, kidney etc
The Sheath includes the working channel
A New Sterile Sheath for each patient
Technology summary of Infection Control considerations