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Hi brains trust,
I would like to know if any of you can please point me in the right direction for guidance on whether an intra oral scanner (semi-critical camera that takes images inside the mouth to create a digital impression of the teeth) that is used on a cadaver can be then used on a live patient.
Are simply following the manufacturer’s directions for reprocessing this equipment sufficient for use on a cadaver and then a live patient? What other considerations are there or is there a blanket rule that once the equipment is used on a cadaver or animal (model) then that’s it – no more human use after this contact.
I would value your insights to learn more about this aspect of IPC.
KylieKylie Robb
Practice Services Manager
MHSM (Clinical Leadership), CICP-P
Australian Dental Association NSW Branch
Level 1, 1 Atchison Street, St Leonards, New South Wales 2065
t: 02 8436 9936 m: 0438 628 664
E: kylie.robb@adansw.com.au | W: http://www.adansw.com.au[cid:image002.png@01D256B6.FEBE80E0] [cid:image003.png@01D256B6.FEBE80E0] [cid:image004.png@01D256B6.FEBE80E0]
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Hi Kylie
I won’t comment on any emotional response you might encounter (which may actively form part of any policy making), but on a purely microbiological level cadavers are not really different from live patients. All you would need to establish is that the reprocessing specified by the manufacturer was suitable for rendering the item safe for use on the next patient (live or cadaver) according to Spaulding’s classification, and follow that process after each use.
If it is an item that only comes into contact with mucous membranes (not sterile tissue), then it would only require high level disinfection (destruction of all microorganisms except spores). The process would need to be validated to ensure that the required parameters were met, the same as any reprocessing process.
Hope this helps. Good luck!
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]Hi brains trust,
I would like to know if any of you can please point me in the right direction for guidance on whether an intra oral scanner (semi-critical camera that takes images inside the mouth to create a digital impression of the teeth) that is used on a cadaver can be then used on a live patient.
Are simply following the manufacturer’s directions for reprocessing this equipment sufficient for use on a cadaver and then a live patient? What other considerations are there or is there a blanket rule that once the equipment is used on a cadaver or animal (model) then that’s it – no more human use after this contact.
I would value your insights to learn more about this aspect of IPC.
KylieKylie Robb
Practice Services Manager
MHSM (Clinical Leadership), CICP-P
Australian Dental Association NSW Branch
Level 1, 1 Atchison Street, St Leonards, New South Wales 2065
t: 02 8436 9936 m: 0438 628 664
E: kylie.robb@adansw.com.au | W: http://www.adansw.com.au[cid:image002.png@01D256B6.FEBE80E0] [cid:image003.png@01D256B6.FEBE80E0] [cid:image004.png@01D256B6.FEBE80E0]
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This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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Hi Kylie,
Whilst I agree with Michael’s rationale, in AS/NZS4187 and AS/NZS4815, there has always been a statement included regarding the interchange of items used on dead or living humans, and animals as well.
This statement is from AS/NZS4187:2014 [in the Scope Section]
Infection prevention and control practices preclude the interchange of RMDs between postmortem examinations and live patient health care. Infection prevention and control practices also preclude the interchange of RMDs between veterinary and human health care, including RMDs used in preclinical training on animal tissue.
In AS/NZS4815:2006 that statement is in Section 12 and is as follows
12.2.2 Interchange and reprocessing of instruments used for necropsy, human and animal use
Instruments shall not be interchanged between necropsy, humans and animals.
Instruments used on animals shall not be reprocessed in sterilizers, associated equipment and environments used for reprocessing instruments used for humans.The rationale for these statements was based on the premise that you may not know what disease the person had died from and there may be infectious agents present that cannot be inactivated by routine reprocessing procedures [think prion diseases here]. These statements were supported by the representative from the Royal College of Pathologists Australasia, Dr Joan Faoagali.
Kind Regards
Terry McAuley
Director
MSc Medical Device DecontaminationPO BOX 2249, Greenvale, VIC Australia 3059
[cid:image001.png@01D557FD.53D3A7A0]
I endeavour to achieve a sensible work-life balance: There is no need to reply to this email from you outside of your normal working hours. Please expect the same from me.
CONFIDENTIAL COMMUNICATION: The information contained in this message may contain confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or duplication of this transmission is strictly prohibited. If you have received this communication in error, please notify us by telephone or email immediately and return the original message to us or destroy all printed and electronic copies. Nothing in this transmission constitutes an agreement of any kind unless otherwise expressly indicated.
Hi brains trust,
I would like to know if any of you can please point me in the right direction for guidance on whether an intra oral scanner (semi-critical camera that takes images inside the mouth to create a digital impression of the teeth) that is used on a cadaver can be then used on a live patient.
Are simply following the manufacturer’s directions for reprocessing this equipment sufficient for use on a cadaver and then a live patient? What other considerations are there or is there a blanket rule that once the equipment is used on a cadaver or animal (model) then that’s it – no more human use after this contact.
I would value your insights to learn more about this aspect of IPC.
KylieKylie Robb
Practice Services Manager
MHSM (Clinical Leadership), CICP-P
Australian Dental Association NSW Branch
Level 1, 1 Atchison Street, St Leonards, New South Wales 2065
t: 02 8436 9936 m: 0438 628 664
E: kylie.robb@adansw.com.au | W: http://www.adansw.com.au[cid:image001.png@01D55796.8E08CCF0] [cid:image002.png@01D55796.8E08CCF0] [cid:image003.png@01D55796.8E08CCF0]
[cid:image004.png@01D55796.8E08CCF0]
This e-mail may contain confidential information. If you are not the intended recipient, please notify the sender immediately and delete it from your system and do not disclose or use the email’s content. Any opinions expressed in this email may not represent those of the Australian Dental Association (NSW Branch) Limited (ADA NSW). ADA NSW does not guarantee that email transmission is secure or error or virus free and ADA NSW accepts no liability arising out of the transmission or receipt of this email.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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Kylie,
Agree with Leslie and Terry as per Standard
Items used in the teaching lab on animals or Cadavers are not used to treat patients or reprocessed in the CSSD.
We have been asked to but CSSD staff know not to accept these items for reprocessing. The few times it has been tried in past 10 years the CSSD staff have notified me immediately.Wendy
Wendy Bacalja
Principal Nursing Officer
Infection Control Consultant – StatewideDental Health Services Victoria
oral health for better healthThe Royal Dental Hospital of Melbourne
720 Swanston Street | Carlton | VIC 3053
T: 03 9341 1151 | M: 0401979497 | F: 03 9341 1234
http://www.dhsv.org.au
DHSV acknowledge the traditional custodians as the people of the Kulin nations and pay respect to all elders past and present and the elders of other Victorian Aboriginal communities, whose cultures we celebrate as among the oldest continuing cultures in human historyHi Kylie,
Whilst I agree with Michael’s rationale, in AS/NZS4187 and AS/NZS4815, there has always been a statement included regarding the interchange of items used on dead or living humans, and animals as well.
This statement is from AS/NZS4187:2014 [in the Scope Section]
Infection prevention and control practices preclude the interchange of RMDs between postmortem examinations and live patient health care. Infection prevention and control practices also preclude the interchange of RMDs between veterinary and human health care, including RMDs used in preclinical training on animal tissue.
In AS/NZS4815:2006 that statement is in Section 12 and is as follows
12.2.2 Interchange and reprocessing of instruments used for necropsy, human and animal use
Instruments shall not be interchanged between necropsy, humans and animals.
Instruments used on animals shall not be reprocessed in sterilizers, associated equipment and environments used for reprocessing instruments used for humans.The rationale for these statements was based on the premise that you may not know what disease the person had died from and there may be infectious agents present that cannot be inactivated by routine reprocessing procedures [think prion diseases here]. These statements were supported by the representative from the Royal College of Pathologists Australasia, Dr Joan Faoagali.
Kind Regards
Terry McAuley
Director
MSc Medical Device DecontaminationPO BOX 2249, Greenvale, VIC Australia 3059
[cid:image001.png@01D557FD.53D3A7A0]
I endeavour to achieve a sensible work-life balance: There is no need to reply to this email from you outside of your normal working hours. Please expect the same from me.
CONFIDENTIAL COMMUNICATION: The information contained in this message may contain confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or duplication of this transmission is strictly prohibited. If you have received this communication in error, please notify us by telephone or email immediately and return the original message to us or destroy all printed and electronic copies. Nothing in this transmission constitutes an agreement of any kind unless otherwise expressly indicated.
Hi brains trust,
I would like to know if any of you can please point me in the right direction for guidance on whether an intra oral scanner (semi-critical camera that takes images inside the mouth to create a digital impression of the teeth) that is used on a cadaver can be then used on a live patient.
Are simply following the manufacturer’s directions for reprocessing this equipment sufficient for use on a cadaver and then a live patient? What other considerations are there or is there a blanket rule that once the equipment is used on a cadaver or animal (model) then that’s it – no more human use after this contact.
I would value your insights to learn more about this aspect of IPC.
KylieKylie Robb
Practice Services Manager
MHSM (Clinical Leadership), CICP-P
Australian Dental Association NSW Branch
Level 1, 1 Atchison Street, St Leonards, New South Wales 2065
t: 02 8436 9936 m: 0438 628 664
E: kylie.robb@adansw.com.au | W: http://www.adansw.com.au[cid:image001.png@01D55796.8E08CCF0] [cid:image002.png@01D55796.8E08CCF0] [cid:image003.png@01D55796.8E08CCF0]
[cid:image004.png@01D55796.8E08CCF0]
This e-mail may contain confidential information. If you are not the intended recipient, please notify the sender immediately and delete it from your system and do not disclose or use the email’s content. Any opinions expressed in this email may not represent those of the Australian Dental Association (NSW Branch) Limited (ADA NSW). ADA NSW does not guarantee that email transmission is secure or error or virus free and ADA NSW accepts no liability arising out of the transmission or receipt of this email.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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 acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
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Click here to report this email as spamMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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