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: Colonoscopes

Biofilms Bronchoscopes Case Study Colonoscopes Disease Transmission Disinfection Endoscope Sampling Gastrointestinal Endoscopy GI Endoscopes High-Level Disinfection Infection Prevention Instrument Reprocessing Outbreak Investigations Semicritical Devices

Case Study: A “Dirty” Gastrointestinal Endoscope

January 2, 2013 Lawrence F Muscarella PhD

January 2, 2013 — This article presents a case study, for the purpose of education, that details events at a fictional facility known as “Hospital X.” Breaches in reprocessing protocols…

Auxiliary Water Channel Colonoscopes Disease Transmission Disposable Irrigation Tubing Gastrointestinal Endoscopy GI Endoscopes High-Level Disinfection Infection Prevention MAJ-855 Water Tube Risk Management

How to Reprocess the MAJ-855 Water Tube and the GI Endoscope’s Auxiliary Water Channel

December 14, 2012 Lawrence F Muscarella PhD

August 13, 2013 — As much as any other lesson, the reprocessing breaches identified at the three Veterans Administration Medical Centers (VAMCs) in Murfreesboro (TN), Augusta (FL), and Miami (FL)…

Colonoscopes Disease Transmission Flexible "ENT" Laryngoscopes Gastrointestinal Endoscopy GI Endoscopes Healthcare Quality, Safety High-Level Disinfection Infection Prevention Probes Risk Assessment Risk Management Veterans Health Administration

A Tale of Two Assessments of the Risk of Disease Transmission

December 11, 2012 Lawrence F Muscarella PhD

December 11, 2012 (updated 8-5-2014): The Veterans Health Administration’s (VHA) decision in 2009 not to notify patients of the several infection-control breaches confirmed within the VA Caribbean Healthcare System, which…

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Adverse Event Reports Case Reviews Colonoscopes Colonoscopy Endoscope Reprocessing Risk Assessment Salmonella

17 U.S. Patients Were Exposed in December to a Colonoscope Contaminated with Salmonella Bacteria, FDA Reports Reveal

January 24, 2024 Lawrence F Muscarella PhD
Adverse Event Reports Ambu Centers for Medicare and Medicaid Services (CMS) COVID-19 Endoscope Reprocessing Rebuttals Single-Use TPT Medicare Payment Status

In Support of Patient Safety, Healthcare Access, and Medicare Payment for a Single-Use Bronchoscope Model

January 8, 2024 Lawrence F Muscarella PhD
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