Discussions in Infection Control

An independent site by Lawrence F Muscarella PhD -- a national authority on the causes and prevention of healthcare-associated infections and related errors.

Category: Best Practices

Automated Endoscope Reprocessors Best Practices Bronchoscopes Colonoscopes Cystoscopes Disease Transmission Endoscopic Retrograde Cholangiopancreatography (ERCP) Esophagogastroduodenoscopy (EGD) Food and Drug Administration Gastrointestinal Endoscopy GI Endoscopes Glutaraldehyde High-Level Disinfection Infection Prevention ortho-phthalaldehyde Peracetic Acid Product Labeling Semicritical Devices TEE (Transesophageal Echocardiography) Probes

Recommendations for the Safe and Effective Use of Ortho-phthalaldehyde

May 6, 2013 Lawrence F Muscarella PhD

This is the third of three articles by Lawrence F Muscarella, PhD, discusses the evolution of the labeling of a medical device – namely, of the “Instructions for Use” of…

Automated Endoscope Reprocessors Best Practices Bronchoscopes Colonoscopes Cystoscopes Disease Transmission Endoscopic Retrograde Cholangiopancreatography (ERCP) Esophagogastroduodenoscopy (EGD) Food and Drug Administration Gastrointestinal Endoscopy GI Endoscopes Glutaraldehyde High-Level Disinfection Infection Prevention ortho-phthalaldehyde Peracetic Acid Product Labeling Semicritical Devices TEE (Transesophageal Echocardiography) Probes

ortho-phthalaldehyde: A Tale of Three Labels

May 6, 2013 Lawrence F Muscarella PhD

May 6, 2013 (revised 12-23-2014) — This article discusses the evolution of the labeling of a medical device — namely, of the “Instructions for Use” of Cidex OPA, which is…

Automated Endoscope Reprocessors Auxiliary Water Channel Best Practices Bronchoscopes Case Study Colonoscopes Disease Transmission Disinfection Gastrointestinal Endoscopy GI Endoscopes Healthcare-Acquired Infections Hepatitis (B and C) Viruses High-Level Disinfection HIV Infection Prevention Instrument Reprocessing Joint Commission (JCAHO) MAJ-855 Water Tube Medical Errors Risk Assessment Risk Management Root Causes Analysis Semicritical Devices

Root Cause Analysis of an Endoscope-Reprocessing Breach

April 30, 2013 Lawrence F Muscarella PhD

Initial remarks: This blog, which was written by Lawrence F. Muscarella, Ph.D. and is divided into 2 parts, discusses: a confirmed infection-control breach in a hospital’s Endoscopy Unit; the employment…

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Adulterated Devices Adverse Event Reports Device Recalls Duodenoscopes with Disposable Components Endoscope Reprocessing Endoscopic Retrograde Cholangiopancreatography (ERCP) Esophagogastroduodenoscopy (EGD) FUJIFILM ED-580XT MAJ-2315 Misbranded Devices Olympus TJF-Q190V Single-Use Endcap with Elevator Warning letters (FDA)

Guidance to Prevent Adverse Events, Including Mucosal Tissue Injuries, When Using Duodenoscopes with a Single-Use Endcap

August 2, 2023 Lawrence F Muscarella PhD
Adverse Event Reports Candida auris Carbapenem-Resistant Enterobacteriaceae (CRE) Duodenoscopes Endoscope Reprocessing Escherichia coli Gastroscopes MAUDE Medical Device Reports (MDRs) Risk Assessment Single-Use Disposable Devices

Gastroscopes Have Been Linked to A Cluster of Resistant E. coli Infections — Is the Risk Sufficiently Recognized?

January 6, 2023 Lawrence F Muscarella PhD