The case states that medivators technical service representative (tsr) received reports of the facility's medivators dsd-201 automated endoscope reprocessor (aer) not printing the entire cycle information at the end of scope reprocessing cycles.Medivators dsd-201 in-service training and user manual requires verification that the printout says completed at the end of the aer cycle to demonstrate that the reprocessing cycle completed successfully and high level disinfection was achieved.It was reported that the facility ran reprocessing cycles with improper printouts for at least one day; this would indicate that endoscopes have not been properly disinfected, which could lead to cross-contamination.Medivators tsr and field service engineer have been in contact with this facility.The printout issue and system operation problems have been resolved.During this communication, the facility was reminded that the operator needs to verify that the printout for each cycle has completed properly before using the endoscope on a patient.The facility states that they have implemented a tracking system and/or printout data logbook.Medivators technical service department stated that if their machine had not completed the cycles correctly, they would have had an error and the machine would have beeped and flashed until they manually cleared the error.It was reported by the facility that the aer did not alarm, therefore there is a low probability of cycles failing.However, it cannot be confirmed that the reprocessing cycles performed correctly with the printouts saying completed.Medivators has not been notified of any patient illness or injury as a result of this incident.This complaint will continue to be monitored in the medivators complaint handling system.
|