Close-up image of contaminant

Eliminate risk of patient infection due to ineffective duodenoscope reprocessing

EXALTTM Model D Single-Use Duodenoscope / Infection Prevention

Innovate, single-use design enhances safety

Despite adherence to rigorous disinfection and reprocessing protocols, multiple infection outbreaks worldwide have been linked to contaminated duodenoscopes used in endoscopic retrograde cholangiopancreatography (ERCP) procedures. As a result, the FDA has called for duodenoscopes with innovative designs to enhance safety, including scopes with disposable components or fully disposable duodenoscopes.1

The EXALTTM Model D Single-Use Duodenoscope completely eliminates the concern for device cross-contamination and the risk of patient-to-patient infection due to ineffective reprocessing.*

*As defined by the American Society for Gastrointestinal Endoscopy.

 

Complex cleaning processes increase post-ERCP infection risk

From pre-cleaning to drying, there can be more than 100 distinct steps to reprocessing a reusable duodenoscope—all of which introduce the opportunity for patient cross-contamination. Only a disposable duodenoscope like EXALT Model D eliminates the risks of cross-contamination associated with ineffective reprocessing. 

 
Icon of hand wiping with scrubber with words "pre-clean". Icon of leaky curved pipe with words "leak test". Icon of hand cleaning with scrubber with words "manual clean". Icon of eye with words "visual inspection". Icon of viruses under cross-out symbol with letters "HLD". Icon of fan with word "drying"
 

Single-use duodenoscopes vs. single-use endcaps

Clinical endoscopy technologies such as single-use endcaps and single-use duodenoscopes are designed to help reduce the risk of cross-contamination due to ineffective reprocessing. Yet, while disposable components like endcaps may lower the risks of infection, only single-use duodenoscopes – like EXALT Model D – completely eliminate post-ERCP infection risks as a result of cross-contamination from ineffective reprocessing.

Benefit*Exalt Model DSingle-Use Endcaps
Eliminates risk of patient infection due to ineffective reprocessingYesNo
Eliminates duodenoscope reprocessing training and complianceYesNo
Decreases waste from reprocessing such as disinfecting consumablesYesNo
Enhances infection prevention efforts aligning with 2022 FDA Safety Communication**YesYes

*As compared to reusable duodenoscopes. Assumes full conversion of all ERCP procedures using reusable duodenoscopes to instead using the EXALT Model D Duodenoscope. 

** FDA News Release

 

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Meta-analysis of reusable duodenoscope contamination 2,3,4

A meta-analysis of 15 studies found that neither double high-level disinfection (HLD) nor ethylene oxide (EtO) gas sterilization eliminated the risk of contamination in reusable duodenoscopes that were considered patient ready.

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15 Studies

People icon with words: 13,112 patient-ready duodenoscope

13,112 Patient-ready duodenoscope

15.3% Contamination rate
   

Duodenoscope safety communications

The environment, equipment and guidelines that inform cleaning procedures are constantly changing, putting duodenoscope reprocessing into a state of transition.
In Europe, ESGE and ESGENA collaborated in 2019 to produce Position Statement on this topic, stressing that regardless of duodenoscope design, there are two crucial points:1,3
- Standardized and validated duodenoscope reprocessing should be performed by appropriately trained, dedicated, and competent staff;

- Microbiological surveillance and regular maintenance of duodenoscopes should be performed to identify any problems at an early stage.

In the United States, FDA recommended in 2019 to transition to duodenoscopes with innovative designs that range from disposable endcaps to fully disposable duodenoscopes.1

FDA Mandated surveillance studies 5,6

Due to a growing concern over the post-ERCP infection risks with reusable scopes, the FDA mandated post-market surveillance studies to monitor the effectiveness of duodenoscope reprocessing.

Reject False Positives

High-concern
organisms

Up to 5.3% of properly collected samples tested positive for high-concern organisms, which cause infectious diseases.1,5,6












High concern organisms banner
high risk org graphic
infection prevention low risk org graphic

Low-concern
organisms

Up to 8.2% of properly collected samples tested positive for enough low-concern organisms to indicate a reprocessing failure. 5,6

*Fujifim 522 site: https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfPMA/pss.cfm?t_id=353&c_id=3725 
**Pentax: https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfPMA/pss.cfm?t_id=355&c_id=3727
***Olympus 522 site: https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfPMA/pss.cfm?t_id=354&c_id=3726
 

EXALT™ Model D

Single-Use Duodenoscope

delivers robust stability, maneuverability
and control in ERCP procedures.

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