Abstract
Background: Although previous studies have documented that single-channel sphincterotomes can
be sterilized and used up to 10 times, no studies have prospectively evaluated the
reuse of disposable sphincterotomes. Methods: Five- and six-French double-channel sphincterotomes marketed as one-time-use only
were manually cleaned, sterilized with ethylene oxide, and used up to 10 times. Over
a 1-year period, total number of uses as a cannulation or cutting device, reason for
sphincterotome dysfunction, possible infectious complications were evaluated, and
cost-savings associated with reuse were evaluated. Results: The mean number of times sphincterotomes could be used in our institution was 3.4;
a broken or stiff cutting wire was the main reason for discard. There were two infectious
complications during the study period. Both were experienced by patients with unrelieved
obstruction treated with new sphincterotomes. Contingent on the method used, total
savings related to sphincterotome reuse was approximately $66,000. Conclusions: Double-channel sphincterotomes marketed as one-time-use items can be reused safely
when properly cleaned. Reuse was associated with significant cost savings in our institution.
(Gastrointest Endosc 1999;49:39-42.)
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Article info
Publication history
Accepted:
June 16,
1998
Received in revised form:
March 5,
1998
Received:
October 29,
1997
Footnotes
☆Reprint requests: Richard A. Kozarek, MD, Section Head, Section of Gastroenterology, Virginia Mason Medical Center, 1100 Ninth Ave., PO Box 900 (C3-GAS), Seattle, WA 98111.
☆☆37/1/92452
Identification
Copyright
© 1999 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.
