Endoscope: cleaning in Cats (Felis) | Vetlexicon
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Endoscope: cleaning

ISSN 2398-2950

Contributor(s) :


Introduction

  • It is important to keep endoscopes clean to prevent corrosion and clogging which can impair endoscope function.
  • Equipment must be cleaned after every use to prevent the spread of disease between patients.
    It is much easier to remove fresh material than dried blood or mucus.

Uses

  • Endoscopes are used in small animal practice for examination of:
  • Gastrointestinal system.
  • Respiratory system.

Procedure

  • 20 minutes plus time for soaking if necessary.

Requirements

Personnel

Nursing expertise

  • There is little other equipment in the practice that requires so much attention form the Veterinary Technician to keep it in good working order.

Materials required

Minimum equipment

  • Large bowl or soaking bath.
  • A soft tooth brush.

Ideal equipment

  • Endoscope cleaning brush.
  • Leak tester.

Minimum consumables

  • Latex gloves.
  • Swabs.
  • Cotton buds.
  • Instrument cleaning solution (must be approved by endoscope manufacturer).
  • Disinfectant solution (must be approved by endoscope manufacturer).
  • Water.

Ideal consumables

  • Endoscopic cleaning fluid containing proteolytic enzyme cleaner.
  • Contact times for cleaning fluids depends on the types of agent against which protection is required:
  • 10 min contact for bacteriocidal and fungicidal protection.
  • 10 min contact for virucidal protection.
  • 30 min contact for tuberculoicidal protection.
  • 30 min contact for sporocidal protection.
  • 30 min contact for protection of immunocompromized patient.
Always check manufacturer's recommendation for cleaning instructions.
  • Test kit to ensure cleaning fluids will be efficacious.

Preparation

Technique

Approach

Step 1 - Prepare cleaning solutions

  • Prepare proteolytic cleaning solution to manufacturer's recommendations.
    Test efficacy with test kit if available.
  • Disassemble endoscope from light source and suction.
  • Fit watertight caps as directed for your endoscope and immerse in cleaning fluid.
  • For non-immersible scope do not disconnect light source and suction and immerse tip only in fluid.
    Do not immerse endoscope unless manufacturer expressly recommends.
  • Rinse thoroughly with water and drain.

Step 2 - Check for damage

  • Attach a leak detector and immerse the scope in water.
    If bubbles are seen coming from the body of the scope do not continue with the cleaning process.

Core procedure

Step 1 - Disinfect endoscope

  • Prepare 1 l of disinfectant solution at appropriate concentration.
  • Add to large plastic bowl.
  • Place the tip of the endoscope in the bowl below the level of the disinfectant.
  • Suck disinfectant into the scope by using the suction channel.
  • If immersible scope immerse in disinfectant solution for required time.

Step 2 - Clean biopsy channel

  • Remove biopsy valves and clean and disinfect as required, rinse and dry.
  • Pass the cleaning brush through the biopsy channel at least three times.
  • Aspirate disinfectant and then clean water to rinse.

Step 3 -

  • Block the water inlet valve with a finger and depress the air/water button to blow the water out of the channel.
  • Wipe insertion tube with a 4x4 gauze soaked in disinfectant solution.
  • Rinse in clean water.
    Never immerse the endoscope (unless specifically recommended by manufacturer).
  • Dry endoscope channels with a pressurized air-line if available.

Step 4 - Clean outside of endoscope

  • Wash outside of endoscope with 4x4 gauze soaked in disinfectant.
  • Brush tip with soft toothbrush.
  • Rinse thoroughly.
  • Clean lens with a cotton bud dipped in 70% alcohol.

Exit

Step 1 - Drain

  • Dry outside with clean 4x4 gauze if reusing immediately.
  • Hang endoscope on a hook with distal tip downwards to allow any residual fluid to drain out.
    Do not autoclave or dry in hot oven.

Step 2 - Storage

  • Once dry store endoscopes hanging vertically in safe area - ideally padded storage cabinet.
  • They should not be stored coiled in carrying case for prolonged periods.
  • If putting scope into carrying case place a clean plastic sleeve over insertion tube to prevent contamination of the clean scope.
    Take care not to crush or bend scope at an acute angle as this may break optical fibers inside.

Aftercare

Outcomes

Reasons for treatment failure

  • Damage to the fiberoptics (caused by excessive bending) results in a blind spot in the visual field.
  • Clogging of the biopsy channel prevents further biopsy.

Further Reading

Publications

Refereed papers