Reuse of single use medical devices in Canada: Clinical and economic outcomes, legal and ethical issues, and current hospital practice

Hailey, David; Jacobs, Philip; Ries, Nola M.; Polisena, Julie

doi:10.1017/s0266462308080562

Cited by 41 publications

(37 citation statements)

References 16 publications

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“…[1][2][3][4][5][6][7] However, serious concerns about safety and even efficacy have been raised about this practice. [8][9][10][11][12][13] A few studies have reported on this issue in recent years and found no solid evidence against this procedure. [1][2][3][4][5][6][7] In our institution, a tertiary referral center, cadaveric donation with subsequent resterilization and implantation of these reused pacemaker has been a common practice for patients for whom a new device cannot be obtained by other means or strategies.…”

mentioning

confidence: 99%

Reuse of Pacemakers

et al. 2013

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Background-In developing economies, there are patients in whom pacemaker implantation is delayed because they cannot afford one. Reused devices have been a solution. To address concerns about safety, a cohort of consecutive patients implanted with a reused pacemaker was compared with a control group. Methods and Results-A cohort of 603 consecutive patients from 2000 to 2010 was studied in an ambispective noninferiority study. The study group patients (n=307) received resterilized pacemakers, and the control group patients (n=296) received a new pacemaker. A combined end point of 3 major outcomes-unexpected battery depletion, infection, and device dysfunction-was analyzed. A total of 85 pacemakers had to be explanted, 31 in the control group (10.5%) and 54 in the study group (17.6%; relative risk, 1.68; 95% confidence interval, 1.

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confidence: 99%

Reuse of Pacemakers

et al. 2013

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“…Evidences for the possibility to sterilize the single use devices even with the contamination-challenge are present [25]. For economic issues we safely re-used vessel sealing bipolar devices several times which could be cost-effective [22] [26] [27]. The cost has been reduced by about 70% that means 500 US Dollars at the time of the study which is a good financial benefit regarding Egypt economy.…”

Section: Discussionmentioning

confidence: 99%

“…The judicious choice of disposable and reusable instruments could provide the best possible tools for the surgeons in developing countries to perform laparoscopic procedures provided that patient safety and oncologic feasibility could be maintained [27] [28].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopy Assisted Distal Gastrectomy for Cancer at a Tertiary Center in Egypt. Is It Safe and Feasible?

Amin¹,

Salem²,

Fakhry³

et al. 2017

JCT

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Background: Laparoscopic radical gastrectomy for cancer has significant short-and long-term advantages. The feasibility and safety of laparoscopicdistal gastrectomy for cancer (LADG) is unclear in low to middle income countries as resources are limited. Therefore, the aim of this study was to evaluate the safety and feasibility of (LADG) in low to middle income countries; Egypt as an example. Methods: Thirty four Patients with stage I-II cancer at the pylorus and antrum have been enrolled for LADG between 2012 and 2015 with the reuse of single use vascular sealing device has been evaluated. Results: Finally 27 patients had been included in the study and successful LADG has been done for all selected cases. The average operative time was 151 ± 10 minutes. The average estimated blood loss was 73.3 ± 13 ml. No intra-operative complications have been recorded. The average time for postoperative patient ambulation was 9 hours (SD ± 1.8) and for oral fluid intake was 3.5 SD ± 1 days. The average duration of the hospital stay was 9.3 ± 1.2 days. The average number of retrieved lymph nodes was 21.7 ± 3.8 days. All the cases had free surgical margin. The median number of reuse of the vascular sealing device was 3.8 times (3 -5 times). Conclusion: Laparoscopic distal gastrectomy for cancer could be safe and feasible in developing countries and give similar results for that of developed countries. Safe reuse of single use expensive parts of some instruments for laparoscopy could help in utilization of these advanced surgeries in low to middle income countries. Long term follow up as well as comparative studies with open surgery are required.

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“…The list includes surgical saw blades, surgical drills, laparoscopy scissors, orthodontic braces, electrophysiology catheters, electrosurgical electrodes, respiratory therapy and anesthesia breathing circuits, endotracheal tubes, balloon angioplasty (PTCA) catheters and biopsy forceps. But, there is still uncertainty regarding the safety and effectiveness of the reuse of single use devices (Hailey et al, 2008).…”

Section: Re-use Of Single Use Devicesmentioning

confidence: 99%

“…Some of them are the surveys of medical device accidents and user errors (Carol, 2003;Hijazi, 2011;Brennan, 1991;Sawyer, 1997;Sezdi, 2009a). Some of them are focused on only electrical safety (Barbosa et al, 2010;Osman et al, 1996;Chakrabartty et al, 2010;Bakes, 2007;Sezdi, 2009b), whereas the others examined both the sterilization and reusage of single use devices related to the patient safety (Yoleri, 2011;Rice et al, 2009;Quirk, 2002;Northrup, 2000;Day, 2004;Koh, 2005;Buchdid Amarante, 2008;Hailey et al, 2008). There are also studies that explain the classification of clean rooms by measuring particles (Sezdi, 2009c).…”

mentioning

confidence: 99%

Medical Technology Management and Patient Safety

Sezdi¹

2012

A Roadmap of Biomedical Engineers and Milestones

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Reuse of single use medical devices in Canada: Clinical and economic outcomes, legal and ethical issues, and current hospital practice

Cited by 41 publications

References 16 publications

Reuse of Pacemakers

Reuse of Pacemakers

Laparoscopy Assisted Distal Gastrectomy for Cancer at a Tertiary Center in Egypt. Is It Safe and Feasible?

Medical Technology Management and Patient Safety

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