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This site is intended for residents of European Countries, as well as Middle East and Africa only. Approved product indications, registrations, and presentations may differ between countries. For any other country, visit our company's global website at www.olympus-global.com or the company website for your country for information about the availability of our products where you live and to obtain the most current registration details and approved product label.
olympus cv 240 processor pdf download
Positive air insufflation during endoscopic procedures in the oropharynx could be associated with aerosolization and potential risk of SARS-CoV-2 diffusion in the close environment of patients (fomites) and in the air. Numerous infectious agents (tuberculosis, measles, chickenpox, SARS-CoV-1, MERS-CoV) are also recognized to be transmissible via the airborne route, either by short- or longer-range aerosols. Airborne transmission recently has been identified as a route for the spread of SARS-CoV-2 virus. Because gastrointestinal endoscopes have a dedicated system for inflating air into the gut lumen, we decided to investigate air circulation into gastrointestinal endoscopes from the light source and the processor box to the tip of the endoscopes.
Our study shows that the system for ventilation of air into the light source or the processor box could favor mobilization of fomites in the area surrounding patients and the endoscopic system and could promote air dispersion of virus in the endoscopic room. The absence of a HEPA filter in the light source box could be associated with contamination of the box and/or the air pump and then could be a vector for air transmission of SARS-CoV-2 or other viruses to health care workers or to others patients because it has been demonstrated that patients with respiratory manifestations of SARS-Cov-2 produce aerosols in the absence of aerosol-generating procedures that contain viable SARS-CoV-2, and these aerosols may serve as a source of transmission of the virus11.
However, demonstrating that endoscopic procedure can generate aerosols and that it is possible to recover viral RNA from air does not prove aerosol-based transmission of SARS-CoV-2 during endoscopy. Ten years ago, Van den Broek PJ12in an editorial published in Endoscopy suggested risk of bacterial aerosol during removal of biopsy forceps during colonoscopy despite having no hard data showing that air was a relevant route of transmission in the endoscopic room. The number of microorganisms present in the air of an endoscopic room depends on the quality of air, the number of people present, the type of activities going on in the room and probably the type of patients present. Our proposition for a plastic film around the endoscopic system to create a barrier around the aspiration and the ventilation of air and the endoscopic room is only aimed at limiting the risk of diffusion of microorganisms in the endoscopic room. Ideally, it seems necessary to urgently imagine a new system for circulating HEPA-filtered air around the light source and processor box used in endoscopy as has has been done for insufflation of CO2in laparoscopic surgery.
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