While performing in-service training, medivators clinical education specialist (ces) reported a facility had not been performing water line disinfection (wld) cycles for their eight advantage plus automated endoscope reprocessors (aers).There is potential risk of contamination of the endoscopes reprocessed in the aers from not performing wld in accordance with the aer user manual.Medivators ces discovered the facility was not performing wld and estimated it has not occurred since as early as 2014.The number of endoscopes reprocessed during this time is unknown.Medivators ces retrained the facility on the importance of completing a wld as instructed in the aer user manual.After the in-service training visit, the facility reported to medivators ces that additional processes are now in place to ensure wld is completed per the aer user manual.There have been no reports of patient adverse events.This complaint will continue to be monitored in medivators complaint handling system.
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