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Reprocessing of Savary Gilliard dilators

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  • #69728
    Joanna Harris
    Participant

    Author:
    Joanna Harris

    Position:

    Organisation:

    State:

    We are currently reviewing our reprocessing of Savary-Gilliard oesophageal dilators.

    Please could you tell me;

    1. What process / machine / disinfectant agent are you currently using for reprocessing these items?

    2. If a Steris machine is being used, do you use alcohol to flush the lumen prior to storage?

    3. How do you store the items, and for how long after processing and before their re-use?

    4. Do you consider the Sterrad system (using hydrogen peroxide) to be a gas steriliser?

    Thanks

    Joanna Harris

    Manager, | Infection Management and Control Service (IMACS)
    Level 1 Lawson House, Wollongong Hospital, Wollongong 2500, NSW
    Tel 02 4222 5898 | Fax 02 4222 5367 | joanna.harris@sesiahs.health.nsw.gov.au
    http://www.islhd.health.nsw.gov.au

    [cid:image001.jpg@01CE10EF.8F8CF190]

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    #69732
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:

    Hi Joanna

    1. We process our oesophageal dilators through our Soluscope 3 machines using glutaraldehyde, only in our Endoscopy Department.

    2. We use a terminal rinse in the Soluscope 3 which includes an alcohol rinse through the lumens.

    3. They are stored flat in their cases, and processed immediately before use. Emergency use is extremely rare here, but it would be almost impossible to process them immediately before emergency use.

    4. Sterrad does provide sterilisation, but would possibly be unsuitable for these items due to composition and lumen length/diameter. We would need to get Sterrad and dilator manufacturer agreement they could be appropriately processed in Sterrad.

    Michael Wishart
    CNC Infection Control
    Holy Spirit Northside Private Hospital
    627 Rode Road, Chermside, Qld 4032
    t: (07) 3326 3068 | f: (07) 3607 2226
    e: Michael.Wishart@hsn.org.au
    w:www.holyspiritnorthside.org.au
    Please consider the environment before printing this email

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Joanna Harris
    Sent: Friday, 22 February 2013 10:27 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Reprocessing of Savary Gilliard dilators

    We are currently reviewing our reprocessing of Savary-Gilliard oesophageal dilators.

    Please could you tell me;

    1. What process / machine / disinfectant agent are you currently using for reprocessing these items?

    2. If a Steris machine is being used, do you use alcohol to flush the lumen prior to storage?

    3. How do you store the items, and for how long after processing and before their re-use?

    4. Do you consider the Sterrad system (using hydrogen peroxide) to be a gas steriliser?

    Thanks

    Joanna Harris

    Manager, | Infection Management and Control Service (IMACS)
    Level 1 Lawson House, Wollongong Hospital, Wollongong 2500, NSW
    Tel 02 4222 5898 | Fax 02 4222 5367 | joanna.harris@sesiahs.health.nsw.gov.au
    http://www.islhd.health.nsw.gov.au

    [http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Master.jpg]

    ———————————————————————————————

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    This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.

    Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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    #69736
    Joanna Harris
    Participant

    Author:
    Joanna Harris

    Position:

    Organisation:

    State:

    Thanks for your reply Michael. I may have not have written it clearly enough, but my question about the Sterrad relates to whether, in Australia, the Sterrad is considered a gas steriliser. My colleagues and I have always understood that the term gas steriliser refers to processing using Ethylene oxide rather than hydrogen peroxide in a Sterrad. I’m interested to hear others’ views
    Jo
    ________________________________________

    Hi Joanna

    1. We process our oesophageal dilators through our Soluscope 3 machines using glutaraldehyde, only in our Endoscopy Department.

    2. We use a terminal rinse in the Soluscope 3 which includes an alcohol rinse through the lumens.

    3. They are stored flat in their cases, and processed immediately before use. Emergency use is extremely rare here, but it would be almost impossible to process them immediately before emergency use.

    4. Sterrad does provide sterilisation, but would possibly be unsuitable for these items due to composition and lumen length/diameter. We would need to get Sterrad and dilator manufacturer agreement they could be appropriately processed in Sterrad.

    Michael Wishart
    CNC Infection Control
    Holy Spirit Northside Private Hospital
    627 Rode Road, Chermside, Qld 4032
    t: (07) 3326 3068 | f: (07) 3607 2226
    e: Michael.Wishart@hsn.org.au
    w:www.holyspiritnorthside.org.au
    Please consider the environment before printing this email

    We are currently reviewing our reprocessing of Savary-Gilliard oesophageal dilators.

    Please could you tell me;

    1. What process / machine / disinfectant agent are you currently using for reprocessing these items?

    2. If a Steris machine is being used, do you use alcohol to flush the lumen prior to storage?

    3. How do you store the items, and for how long after processing and before their re-use?

    4. Do you consider the Sterrad system (using hydrogen peroxide) to be a gas steriliser?

    Thanks

    Joanna Harris

    Manager, | Infection Management and Control Service (IMACS)
    Level 1 Lawson House, Wollongong Hospital, Wollongong 2500, NSW
    Tel 02 4222 5898 | Fax 02 4222 5367 | joanna.harris@sesiahs.health.nsw.gov.au
    http://www.islhd.health.nsw.gov.au

    [cid:image001.jpg@01CE10EF.8F8CF190]

    ———————————————————————————————

    Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice

    This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.

    This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.

    Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

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    Report this message as spam

    WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.

    Message protected by MailGuard: e-mail anti-virus, anti-spam and content filtering.
    http://www.mailguard.com.au/mg

    Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

    To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

    You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

    ———————————————————————————————

    Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice

    This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.

    This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.

    Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

    To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

    You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

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