GREY:TSTIF - Post by User
Comment by
lematou22on May 10, 2016 8:43am
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Post# 24856965
RE:Canadian sterilisation of complex scopes
RE:Canadian sterilisation of complex scopesHats off to echo for his attempt to anwer your questions.
Unfortunately for you, in many instances, there are no definite and precise answers as the roles and responsibilities in the health system are spread among HC, the provincial health departments, the regional health authorities, the individual hospitals, and ultimately the individuals directly involved with the procedures.
A preliminary observation: As I've begun to rummage around, it has become apparent very fast how the problems with the scopes are not of the highest priorities. The Feds are mostly concerned with problems of public health such as the contamination of the stuff we eat and with adverse effects to the pharmaceuticals. Meanwhile, the provincial politicians are pressured by the general population to improve access to family doctors, to hospital emergencies and to cut costs. On a sanitary basis, hospitals are absorbed with the MRSA staphyloccus aureus and with C. difficile.
Question 1; What's available? HC is in charge of licensing both the medical instruments and the pharmaceuticals. There is twist in the system ( in fact, there are many). when it comes to medical instruments, the manufacturers from outside of the country do not have to submit a full file. Their requests for approval are evaluated simply on the basis of the licenses in the country of origin. You can thus conclude that all the major players in the US are in Canada and their licenses have the same breath and limits as in the US. In that perspective, Canada is a carbon copy of the US.
With an exception. Canadian manufacturers have to submit a full application file for a license that covers only the country. It is thus that Tso3 has managed to get to licenses that are vastly more encompassing than the one it currently has in the US.
So to anwer directly to your question, the complex multi-channels scopes are disinfected in the same way they are in the US except where the hospitals have a VP4.
Question 1: How many? There are 18 units at work in Canadian hospitals. However, I have no information as to how many are used at he full range of their capacities. As an aside, one must be carefull not to conclude that Tso3 has sold 18 brand new VP4 to canadian hospitals over the last few months. Most of those VP4 are older 125L+ models that have had their software upgraded.
Be back later for the other questions.