Cystoscope flexible à gaine stérile à usage unique : impact organisationnel et économique et sécurité bactériologique

Coste, Anne; Ruffion, A.; Lechevallier, É.; Devonec, M.; Paparel, P.; Champetier, D.; Vinet, M.; Adam, E.; Briant, Pierre; Vendin, C. de; Coulange, C.; Delaporte, V.; Gaillet, S.; Faïs, Pierre-Olivier; Monges, A; Arnoux, V.; Armoiry, Xavier; Gardes, S.; Bin, Sylvie; Karsenty, G.

doi:10.1016/j.purol.2013.01.013

Cited by 7 publications

(1 citation statement)

References 9 publications

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“…19,20 Other solutions have been recently marketed to simplify DJ removal procedure (Table 3): a profitable option for in-office DJ removal could be represented by disposable slide-on sheaths to be applied to the scope, that is sterilized only at the beginning and end of the day list. 5,[21][22][23] However, these sheaths might affect the vision during the procedure, and great care must be paid to the barrier protection against bacterial and viral contamination, particularly related to the working channel. Amer et al has recently proposed ultrasound-guided stent removal with simple straight forceps, 24 but this approach can be used only on females, is not devoid of discomfort for the patient and can be risky in case of encrusted stents.…”

Section: Discussionmentioning

confidence: 99%

The impact of single-use digital flexible cystoscope for double J removal on hospital costs and work organization: A multicentric evaluation

Oderda,

Amato,

de la Rosette

et al. 2023

Urologia

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Background: Isiris-α® is a single-use digital flexible cystoscope with an integrated grasper designed for double J (DJ) stent removal. Aim of this study was to conduct a multicentric evaluation of the costs and criticalities of stent removals performed with Isiris®-α in different hospitals and health systems, as compared to other DJ removal procedures. Methods: After gathering 10 institutions worldwide with experience on Isiris-α®, we performed an analysis of the reported costs of DJ removal with Isiris-α®, as compared to the traditional reusable equipment used in each institution. The cost evaluation included instrument purchase, Endoscopic Room (EnR)/ Operatory Room (OR) occupancy, medical staff, instrument disposal, maintenance, repairs, decontamination or sterilization of reusable devices. Results: The main factor affecting the costs of the procedure was OR/EnR occupancy. Decontamination and sterilization accounted for a less important part of total costs. Isiris-α® was more profitable in institutions where DJ removal is usually performed in the EnR/OR, allowing to transfer the procedure to outpatient clinic, with a significant cost saving and EnR/OR time saving to be allocated to other activities. In the only institution where DJ removal was already performed in outpatient clinics, there is a slight cost difference in favor of reusable instruments in high-volume institutions, given a sufficient number to guarantee the turnover. Conclusion: Isiris-α® leads to significant cost benefit in the institutions where DJ removal is routinely performed in EnR/OR, and brings significant improvement in organization, cost impact and turnover.

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