Why is the INSPEKTOR® a necessary tool for every sterile processing department?
You cannot clean what you cannot see. You can guess that it is clean, but you will not know until it is inspected. The INSPEKTOR® technology allows the technician to visually confirm the inside of the instrument is as clean as the outside.
If I see debris/foreign matter in a lumen, how will I know what I am looking at?
A simple test to ask yourself is if you saw the same debris on the outside of the instrument, would you send it back to decontamination? To be sterile, the inside of the instrument needs to be as clean as the outside.
What is being found in instrument lumens when inspected with the INSPEKTOR®?
It is amazing inspecting instrument lumens. The INSPEKTOR® is finding foreign matter of multiple types of cannulated instruments. The debris includes:
➢ Bone Cement
➢ Human Hair
➢ Brush bristles
➢ Unidentifiable debris
Do you need a computer to be able to use the INSPEKTOR®?
No, the INSPEKTOR® comes in two different models. The Direct View System allows the technician to inspect surgical instruments by looking directly through the eyepiece. It is a quick, easy and a cost effective method of inspecting instrument lumens.
Can you get the INSPEKTOR® wet?
Yes, unlike digital camera technology, the INSPEKTOR® endoscope is 100% waterproof. As we know, instruments and endoscopes coming out of the washer can have water still in the lumens and in hidden areas. It will not affect the INSPEKTOR®.
If digital technology is the wave of the future. Why has not SP Concepts embraced this technology?
We have been following digital technology for years. It is the technology of the future, but the size of the camera is three times larger than the INSPEKTOR® and not waterproof. The 1 mm & 2mm INSPEKTOR® flexible endoscopes fit in most cannulated instruments endoscopes. When the INSPEKTOR endoscopes encounter water in the lumens, it is not a factor. Getting a digital endoscope wet is like getting your cell phone wet. The electronics can fail. That is why digital endoscopes IFU state do not get them wet.
If you slide the INSPEKTOR® through a dirty lumen, how do you clean it?
The INSPEKTOR® is waterproof and can be cleaned in enzymatic solution. Most people who use it just disinfect it by wiping it down with a hospital approved disinfectant
Are there any guidelines as to how to clean instruments if debris is found inside?
As of today, the answer is still no. The FDA commissioned the University of Michigan to analyze the cleanliness of lumens. They took 144 suction tubes and used an endoscope to inspect the cleanliness of the instruments. They found 100% had foreign matter in the lumens. Initially they soaked the instruments in enzymatic solution for 20 minutes and found only 25% of the instruments passed. They were able to get 80% of the instruments clean by soaking them for 40 minutes, re-brushing and putting them through the ultrasonic cleaner. The 20% that were not cleaned were soaked overnight in enzymatic solution and still did not pass inspection.
How much time does inspecting lumens add to inspecting instruments?
A time analysis using the INSPEKTOR® to inspect lumens found that it only added 5 seconds per instrument to the inspection process. This is based on an ergonomically designed workspace where the technician has an INSPEKTOR® at their workstation. It is also based on the technician being acclimated to lumen inspection.
Are hospitals using the INSPEKTOR® to inspect all lumen instruments?
There are hospitals that have purchased ISNPEKTOR systems for each work station and strive to have all lumen instruments inspected.
In an ideal world, the answer is yes. ST79 7.5.5 states:
“After the cleaning process, personnel should visually inspect each item carefully to detect any visible soil. Inspection using magnification might identify residues more readily than the unaided eye.”
If the inside of the instrument is supposed to be as clean as the outside, then the only way you will know is to inspect the inside of instruments.
Can the INSPEKTOR® inspect a daVinci Endowrist?
Yes it can inspect most of the daVinci Endowrists. The new daVinci XI has a right angle at the proximal end that stops in depth visual inspection.
If I purchase the Direct View and want to add a camera in the future, is this possible?
Yes, the Direct View is our number #1 selling INSPEKTOR® System. Adding a camera onto the Direct View INSPEKTOR® System is very easy. A ll you need is a computer (PC or Mac) that has a USB port. All you would need to do is purchase a camera, connect it to the INSPEKTOR® and download the software.
What arthroscopic shaver handpiece’s IFUs state to use an endoscope in to inspect lumens?
At the time of this writing, Stryker and Arthrex both state to use an endoscope to inspect the handpiece lumens to confirm, they are clean. ST79 7.2.2 states “The written IFU should always be followed.” The INSPEKTOR® is a perfect tool for this inspection.
Will inspecting lumens slow down turnaround time?
This can be true. We have all heard there is no such thing as sterile debris. The writer of this blog believes the INSPEKTOR® is a necessary tool to make sure
Is there clinical documentation that dirty lumens can cause surgical site infections?
Yes. You may be familiar with the December 2011 clinical in Infection Control and Hospital Epidemiology documenting that arthroscopic shaver handpeices were found to infect multiple patients (http://www.jstor.org/stable/10.1086/662712). Many of the U.S. media reported this to the public (CBS, NBC, FOX + more) and the FDA recently (October 6, 2014) issued a safety bulletin on the necessity to inspect.
More recently at the 2013 annual conference for the Assn. for Professionals in Infection Control and Epidemiology, in Fort Lauderdale, FL, it was reported that rates for bio dirt were as high as 30% for reusable endoscopes used for upper gastrointestinal exams.
Can the INSPEKTOR® break?
Yes, it is a 2mm fiber optic endoscope and can be broken. It was designed with extra polymer to protect the fibers and is durable if the IFU is followed. The INSPEKTOR’s design team designed the fibers to be removed from the eye piece if broken. Customers can purchase replacement fibers for approximately 2/3 the price of a new INSPEKTOR flexible endoscope.
Digital systems have the same problem if the wires are kinked. Their IFU states “Do NOT over bend the flexible device shaft to a point of kinking. It may cause damages to electronic components and render the camera inoperative”.
In comparison, the cost to replace a damaged digital endoscope can be over 2 ½ times more expensive.