A facility reported that after a medivators fse repaired the printer for their advantage plus automated endoscope reprocessor, it was recognized that an endoscope was not properly reprocessed and was used during a patient procedure, thus there is potential for patient harm.The facility determined that the endoscope was not properly reprocessed while reviewing the print-outs from previous cycles when the printer was not working.It is the facility's responsibility to review cycle logs after each cycle to ensure endoscopes achieved adequate high level disinfection.Even in the event where the printer is not functioning, the aer monitor clearly displays all the necessary information for each reprocessing cycle.Medivators district manager followed up with the facility about this incident in which they confirmed only one endoscope was impacted.The facility indicated they did not need further in-service training, as offered by medivators.There was no report of patient harm.This complaint will continue being monitored in medivators complaint handling system.
|
A facility reported that after a medivators fse repaired the printer for their advantage plus automated endoscope reprocessor, it was recognized that an endoscope was not properly reprocessed and was used during a patient procedure, thus there is potential for patient harm.
|