Monitoring the Manual Cleaning of Flexible Endoscopes with an ATP Detection System

New Delhi Metallo-β-Lactamase–Producing Carbapenem-ResistantEscherichia coliAssociated With Exposure to Duodenoscopes

“…However, previous reports of bacterial transmission via duodenoscopes involved lapses in infection control, reprocessing deficiencies, or a detectable device defect. [13][14][15][16][17][18][19][20][21][22][23][24][25][26] In contrast with other endoscopes, duodenoscopes have an additional channel (elevator channel) that allows for the use and manipulation of a guide wire. At the terminal end of the elevator channel is a mechanical piece containing a cantilevered elevator mechanism; the intricate design surrounding the elevator mechanism makes accessing all surfaces during manual cleaning difficult.…”