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:

VSI hand11EndoSheath® Technology applied to cystoscopy.

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?

A quick video explanation
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.

     March 2018

Omar Al-Mula Abed,1 Shaun Trecarten,2 Shahid Islam,3 and Ananda Kumar Dhanasekaran4
1Consultant Urological Surgeon, East Lancashire Hospitals NHS Trust, United Kingdom
2Core Surgical Trainee, East Lancashire Hospitals NHS Trust, United Kingdom
3Consultant Urological Surgeon and Divisional Director for Surgery, East Lancashire Hospitals NHS Trust,
United Kingdom
4Consultant Urological Surgeon, Sandwell and West Birmingham NHS Trust, United Kingdom

A Step by step Endosheath Technology aseptic protocol for fitting and removing sterile sheaths
Link to binder of information on Infection Control
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
Blogs on Infection Control

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

Always Sterile technology for flexible endoscopy
•The EndoSheath® Technology plus an intermediate level disinfection routine provides a safe and always ready instrument
•Over 5 Million EndoSheath® products sold over 15 years without a single reported complaint of patient-to-patient cross-infection
All EndoSheath® Technology on the market is FDA cleared and CE marked
•EndoSheath® Technology is a proven effective barrier to 27 nanometers per FDA requirements and testing
•EndoSheath® Technology is designed to stretch and keep its integrity, and not to tear or break during procedures
•All EndoSheath® models/disposables are 100% leak tested before they are sold
•All barriers, channels, ports, seals, and tubing are sterile and disposable
•Concerns over biofilm, bioburden, and issues of improperly rinsed devices are eliminated, as all patient contact areas are new, sterile, and disposable
•Easy to use and prepare; limiting the complexity of endoscopy preparation routines
For further documentation and general information please call Avia on 0208 451 4100
or email her on