Background
Approximately 20 million GI endoscopic procedures are performed annually in the United States. Transmission of infectious agents by endoscopes is considered extremely rare, occurring with an estimated frequency of 1 in 1.8 million procedures.
Technical Considerations
AERs are machines designed for the cleaning and high-level disinfection (HLD) of heat-sensitive endoscopes. They automate and standardize several important reprocessing steps, thereby eliminating the possibility of missed steps due to human error.
Safety
It is important that users follow manufacturers’ recommendations when reprocessing endoscopes using AERs. This will decrease the risks associated with the use of AERs.
Financial Considerations
The costs associated with AERs include the unit price, installation, maintenance, chemicals, and consumable items such as filters and test strips.
Future Directions
Future changes are needed in both AER and endoscope design to facilitate HLD and further reduce the risk of transmission of infections related to endoscopy.
Summary
AERs can enhance the efficiency, consistency, and reliability of endoscope reprocessing by automating and standardizing several important reprocessing steps, thereby reducing the possibility of human error.
Manual:
Download: Status Evaluation Report: Automated Endoscope Reprocessors
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