Keep it simple and ensure safety with the Endoprime system
The reprocessing of flexible endoscopes places high personnel and organizational demands on endoscopy departments and reprocessing units for medical devices. Time pressure, complex processes, extensive training and ergonomic stress make it difficult for specialist staff to consistently comply with all hygiene guidelines.
As the Robert Koch Institute states in its official communication “Annex 8: Hygiene requirements for the reprocessing of thermolabile endoscopes”, most endoscopy-related infections are still attributable to non-compliance with existing guidelines and therefore also to the human factor.
Automated cleaning instead of manual brush cleaning significantly minimizes these risks and sources of error. It ensures reproducible results, reduces staff workload and at the same time increases process reliability for those responsible. For this reason, we have developed Endoprime, a standardized cleaning process that ensures greater hygiene, efficiency and safety in everyday reprocessing.
The problem
The reprocessing of flexible endoscopes poses major challenges for specialist staff on a daily basis. Manual brush cleaning is labor-intensive, time-consuming and difficult to validate.
The narrow working channels as well as connections, junctions and material transitions are often almost impossible to reach with brushes.
However, only residue-free reprocessing enables safe automated cleaning, disinfection and, if necessary, sterilization. Careless work can lead to residues or damage to the inner channels and increase the risk of cross-contamination.
The solution
The use of Comprex® reliably removes deposits such as dried blood, tissue residues and biofilms from the endoscope channels. The impulse flushing process using water and air works much more efficiently and hygienically than conventional manual brush cleaning – without any consumables or process chemicals. Even artificially introduced soiling such as lubricants and contrast agents, blood stains or color markers are safely removed.
The system can be seamlessly integrated into existing workflows and infrastructures. Instead of intensive brushing, only the endoscope connections need to be connected to the Endoprime system via a distributor.
The result
With Endoprime, we offer an automated, validatable and reproducible solution for the safe reprocessing of flexible endoscopes. The entire cleaning process is recorded digitally, enabling seamless documentation. Both the endoscope and the personnel are registered via barcode or RFID. At the same time, the system automatically and individually adjusts the cleaning performance to the channel sizes, lengths and branches of the endoscopes.
By cleaning all channels with fresh water, the separate cleaning discharge and the integrated leak test, demonstrably better cleaning results are achieved. The manifold and the endoscope can then be reprocessed as usual in the automated cleaning and disinfection process.
We stand behind the Endoprime innovation
Comprex® Medical GmbH is a Hammann GmbH company and uses the proven Comprex® process specifically for the medical sector. Van Vliet Healthcare is an experienced partner that plays a key role in organizing the development, production and distribution of the system. The close cooperation between the two companies represents an important step in driving forward the international scaling of Endoprime while ensuring the highest quality standards and maximum customer satisfaction.
Fast, automated, sustainable
Up to 100x stronger
Up to 90% less
Up to 10x faster
Without chemicals
and brushes
Log reduction
Automated endoprime cleaning achieves a log reduction of up to 4 levels and leads to a total log reduction of up to 13 levels after automated cleaning and disinfection in accordance with (DIN EN ISO 15883).
This achieves a reproducible and higher standard of hygiene than the previous manual brush cleaning method.
The cleaning performance of Endoprime was tested in accordance with the EN ISO 15883-4 / EN ISO 15883-5 standard without chemicals or cleaning agents.
The test results confirm the outstanding cleaning performance of Endoprime and show
that the same cleaning standards are met as for machine cleaning (pre-disinfection):
a) Removal of Geobacillus stearothermophilus (ATCC 7953) spores according to EN ISO 15883-4:2019, B.3.4
b) Evaluation of the cleaning efficiency according to EN ISO 15883-4:2019, 6.11 by protein and total organic carbon (TOC)
Detection after contamination of the endoscope according to EN ISO 15883-5
Automated cleaning process in just 5 minutes
- Easy integration into existing workflows and environments – wall-mounted or upright
- User-friendly instructions support simple use and employee training
- All channels are cleaned with fresh water – including an integrated leak test
- The endoscope is stored in a filled cleaning basin during cleaning
- Separation of the drain of the inner endoscope channels to improve hygiene in the sink
- Digital documentation of the process and results
- Suitable for the demanding cleaning of all flexible endoscopes as well as duodenoscopes and endosono-endoscopes
Proven process - even more efficient and user-friendly
The previous pre-cleaning in the examination room remains in place – including wipe cleaning of the outer surfaces and the first flushing of the inner ducts.
Simple user and endoscope registration via RFID or barcode directly on the Endoprime system.
Connecting all endoscope connections to the Endoprime distributor, including leak test. The distributor is compatible with all commercially available adapters from various manufacturers.
Connecting the distal end to the drain adapter for separate discharge and improved hygiene. The endoscope is stored in a filled sink during cleaning.
Automated cleaning of all channels with the Comprex® impulse flushing process. Digital documentation of all cleaning parameters and results.
The endoscope is then reprocessed as usual in the automated cleaning and disinfection process. The Endoprime distributor can also be reprocessed daily in the automated cleaning and disinfection process.
Benefit now from the Endoprime system!
The reprocessing of medical instruments such as flexible endoscopes requires the highest standards of hygiene, validation and process reliability. With the expertise of Van Vliet Healthcare, we offer a cleaning solution that meets medical standards, can be validated and reliably delivers safe results.
Strong advantages for your reprocessing processes - with Endoprime and Comprex® you simply clean more efficiently
Cleaning with air and water only - no risks to people, material or the environment from escaping cleaner vapors.
User and endoscope registration via RFID or barcode enables automatic documentation of the cleaning results. The data can be transmitted via a WLAN or USB interface.
There is no risk of splashing or contamination, while clear visual instructions enable simple operation and quick training. At the same time, the automatic selection of the appropriate cleaning parameters ensures a smooth process.
Continue to use your existing space - simply integrate and use it directly
The appliance is 25 cm wide, 35 cm high and 20 cm deep and can be installed with a weight of 4.5 kg upright or suspended next to existing cleaning basins.
All you need is a power connection, a water connection with 2 bar and a compressed air connection with 4 bar.
The Comprex® impulse pressure of approx. 3 bar is safe for the endoscope channels during cleaning and is effectively below the pressure of commercially available mechanical flushing processes.
Comprex® can be used to effectively remove deposits such as dried blood, tissue residues, biofilms and artificially added soiling such as lubricants and contrast agents from the channels of flexible endoscopes. This ensures safe automated cleaning and disinfection in the washer-disinfector. The pressure load on the endoscope channels during the Comprex® process corresponds to the usual flushing processes in the washer-disinfector, so that the system can be used safely and gently.
Thanks to the automated cleaning of all channels with individually adapted cleaning parameters, all commercially available endoscopes – regardless of type or manufacturer – can be cleaned reliably and reproducibly. Specialized cleaning programs remove even stubborn residues in complex structures, such as in connections, branches or hard-to-access shadow gaps, without leaving any residue and in a validatable manner. The entire cleaning process, including the responsible specialist, the endoscope and all cleaning parameters, is then digitally documented.
The application is simple: the endoscope is identified via RFID or QR code, the appropriate adapters are connected
and the system automatically selects the optimum cleaning parameters.
Brushless cleaning of PTFE test specimens as surrogate of endoscope channels
Hygiene & Medicine | Volume 45 | 12/2020
Reprocessing of endoscope channels - substitution of manual pre-cleaning with the Comprex® impulse flushing procedure
Hygiene & Medicine, Issue: 03/2017
A new technique for endoscope reprocessing - the Comprex® procedure
DeviceMed, Issue: 05/2008