ASGE Recognized Industry Associate (ARIA) Training Program for Medtronic | March 2025-Duodenoscopes From Risk to Innovation

Video Transcription

Video Summary

The discussion highlights the evolution of ERCP (Endoscopic Retrograde Cholangiopancreatography) safety, focusing on duodenoscopes. With ERCP transition from a diagnostic to a therapeutic procedure, duodenoscopes' complexity and their cleaning challenges emerged as significant issues. Outbreaks of multi-drug resistant organism (MDRO) infections were linked to duodenoscope design flaws, particularly the difficulty in cleaning scopes thoroughly.<br /><br />Adhering to strict cleaning protocols, training endoscopy staff, and standardizing reprocessing practices are crucial. Innovations include disposable scope tips and single-use duodenoscopes to minimize infection risk. Despite initial challenges, such as rigid scope designs causing complications, these innovations are promising.<br /><br />Cost and infrastructure considerations are also discussed, highlighting the need for proper financial planning and equipment inventory to incorporate single-use duodenoscopes effectively.<br /><br />Ultimately, the emphasis is on maximizing patient safety through adherence to reprocessing guidelines and utilizing technological advancements to reduce infection risks, while balancing financial impacts and operational capabilities in healthcare facilities.

Asset Subtitle

Harshit Khara, MD

Keywords

ERCP

duodenoscopes

MDRO infections

single-use duodenoscopes

cleaning protocols

patient safety

healthcare infrastructure