A Pilot Clinical Evaluation of a New Single Use Bronchoscope

O'Reilly, Emily; Sweeney, Anne-Marie; Deasy, K.; Kennedy, Marcus P.

doi:10.1097/lbr.0000000000000904

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…24 Our center has subsequently published a pilot clinical study of 24 patients using the Boston SUFB highlighting the ability to control hemoptysis both in the endoscopy suite and OR. 30 Clinical trials clearly are warranted. In addition to our pilot study of the Boston SUFB, our center has published an evaluation of the Broncolfex SUFB in a quaternary referral center including an interventional pulmonology service.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The robustness of such a trial would be poor given the inability to blind proceduralists and the lack of a sham control. Ultimately, the performance of SUFBS in clinical trials 25 , 30 will provide the most important information for switching from reusable scopes to SUFBs.…”

Section: Discussionmentioning

confidence: 99%

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Single Use or Disposable Flexible Bronchoscopes: Bench Top and Preclinical Comparison of Currently Available Devices

Deasy

Sweeney

Danish

et al. 2023

J Intensive Care Med

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Background Data regarding the risk of infection related to reusable bronchoscopes, the global drive toward disposable technology and the COVID-19 pandemic have led to an increase in the use and production of single use or disposable bronchoscopes. An in-depth comparison of all available devices has not been published. Methods A benchtop comparison of the Ambu®aScopeTM, Boston Scientific® EXALTTM Model B, the Surgical Company Broncoflex© Vortex, Pentax® Medical ONE Pulmo™, and Vathin® H-SteriscopeTM (all 2.8 mm inner dimension other than the Pentax single-use flexible bronchoscope (3 mm)) was undertaken including measurement of maximal flexion and extension angles, thumb force required and suction with and without biopsy forceps. Thereafter, preclinical assessment was performed with data collected including experience, gender, hand size, and scope preference. Results The Vathin single-use flexible bronchoscope had the biggest range of tip movement from flexion to extension with and without forceps. The Boston single-use flexible bronchoscope required the maximal thumb force but had the least reduction of tip movement with forceps. The Boston single-use flexible bronchoscope significantly outperformed all other scopes including the standard Pentax scope and was the only scope capable of suctioning pseudo-mucus around the forceps. Although there was no significant difference in preference in the overall group, females and those with smaller hand size preferred the Pentax and males the Broncoflex single-use flexible bronchoscope. Conclusions Currently available single-use flexible bronchoscopes differ in several factors other than scope sizes and monitor including suction, turning envelope, and handle size. Performance in the clinical setting will be key to their success.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Single Use or Disposable Flexible Bronchoscopes: Bench Top and Preclinical Comparison of Currently Available Devices

Deasy

Sweeney

Danish

et al. 2023

J Intensive Care Med

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Bronchoscopy-Related Infection and the Development of Single-Use Bronchoscopy Technology

Logan,

Yurosko,

Mehta

et al. 2023

Curr Pulmonol Rep

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Purpose of Review Bronchoscopy-related infection is recognized as a leading healthcare hazard, and this review delves into its incidence, causes, and prevention. Recent Findings Due to both the recognition of the scale of bronchoscopy-related infection and the COVID-19 pandemic, single-use or disposable bronchoscopy (SUFB) technology has progressed beyond the ICU setting to the bronchoscopy suite. A review of data related to currently available scopes, bench-top, and clinical data is also presented. Summary Not only does SUFB technology provide a portable and immediately accessible bronchoscope for procedures in the ICU and endoscopy suite, it also is a sterile option for standard bronchoscopy procedures thus avoiding infection related to scope contamination. Cost-effectiveness comparisons vary between single-use and reusable scopes depending on calculated incidence of scope-related infection. Although no one should suffer an infection related to bronchoscopy, SUFB technology lacks proper comparison to reusable scope quality. In the meantime, the most important intervention is proper cleaning and assessment of reusable scopes for damage.

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Can we rely on single use bronchoscopes in central airway obstruction management? A preliminary, open label randomised controlled trial

Popovic,

Glodic,

Baricevic

et al. 2024

Pulmonology

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A Pilot Clinical Evaluation of a New Single Use Bronchoscope

Cited by 3 publications

References 9 publications

Single Use or Disposable Flexible Bronchoscopes: Bench Top and Preclinical Comparison of Currently Available Devices

Single Use or Disposable Flexible Bronchoscopes: Bench Top and Preclinical Comparison of Currently Available Devices

Bronchoscopy-Related Infection and the Development of Single-Use Bronchoscopy Technology

Can we rely on single use bronchoscopes in central airway obstruction management? A preliminary, open label randomised controlled trial

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