The facility reported residuals left on a duodenoscope after reprocessing in a medivators dsd-201 automated endoscope reprocessor (aer).The facility has had issues maintaining the appropriate incoming water pressure for their two dsd-201 aers.If endoscopes are not properly rinsed, there is potential for patient and/or handler residual disinfectant exposure.Medivators field service engineer (fse) visited the facility to check the operation of their dsd-201 aers.Both were operating to specification.The fse observed that when both aers were running at the same time, the incoming water pressure fell below the minimum recommended pressure.The fse advised the facility to install a booster pump to help maintain the appropriate water pressure.The facility is currently testing various options to resolve the pressure issues.If the appropriate dsd-201 fluid flow parameters are not met, the aers will alarm.To date, there have been no known reports of patient or handler exposure symptoms or additional reports of scopes with residuals at the facility.This complaint will continue to be monitored by the medivators complaint handling system.
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