Flexible Endoscope Reprocessors, Automatic PDF

October 2005
Product Comparison
Flexible Endoscope Reprocessors, Automatic
UMDNS information
This Product Comparison covers the following device terms and product codes as listed in ECRI’s Universal Medical Device
Nomenclature System™ (UMDNS™):
9 Disinfecting Units, Liquid, Flexible Endoscope [11-279]
9 Sterilizing Units, Liquid [18-006]
Table of Contents
Scope of this Product Comparison ...............................................................................................................................3
Purpose..........................................................................................................................................................................3
Principles of operation..................................................................................................................................................4
Reported problems........................................................................................................................................................5
Purchase considerations...............................................................................................................................................5
ECRI recommendations...........................................................................................................................................5
Cost containment .....................................................................................................................................................6
Present Value/Life-Cycle Cost Analyses ............................................................................................................6
Stage of development....................................................................................................................................................7
Bibliography..................................................................................................................................................................7
Standards and guidelines.............................................................................................................................................9
Citations from other ECRI publications ....................................................................................................................10
Supplier information ..................................................................................................................................................10
About the chart specifications....................................................................................................................................14
Product Comparison Chart ........................................................................................................................................16
226193 Flexible Endoscope Reprocessors, Automatic
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October 2005
Flexible Endoscope Reprocessors, Automatic
Scope of this Product Comparison

This Product Comparison covers automated disinfecting and sterilizing units for immersible
flexible endoscopes (e.g., gastroscopes, colonoscopes, bronchoscopes). Some units also include a wash
cycle, although this does not replace the need to manually clean the scopes before automatic
reprocessing. Some of the units covered in this report can also reprocess other devices (e.g., rigid
endoscopes, surgical instruments). Devices intended to aid in manual cleaning of endoscopes are
excluded, as are the disinfecting and sterilizing agents used in these devices. For information on
other disinfecting and sterilizing units, see the following Product Comparisons:
• Sterilizing Units, Ethylene Oxide
• Sterilizing Units, Steam, Bulk
• Sterilizing Units, Steam, Tabletop
• Washers/Decontaminators
These devices are also called: liquid disinfectors, liquid sterilizers.
Purpose
Endoscope reprocessors are designed to
standardize and automate the preparation of a
manually precleaned endoscope so that it is safe for
immediate reuse. Because of the number of
complicated steps involved and the need to
reprocess endoscopes quickly between patient
procedures, manual reprocessing is not always
performed effectively or consistently. Automatic
reprocessors can reduce the likelihood that a crucial
reprocessing step will be skipped, help ensure that
reprocessing is performed consistently using a
recommended protocol, and reduce personnel
exposure to the irritating effects of liquid
disinfectants/sterilants. Endoscopy staff exposure to
2% activated glutaraldehyde has caused respiratory
complications such as asthma and sinusitis, serious
skin sensitivity reactions, and conjunctivitis, thus
precluding the use of glutaraldehyde in many
hospitals.
Medical devices can be divided into three
groups—critical, semicritical, and noncritical—
according to the risk of infection associated with their use. Endoscopy is a minimally invasive
diagnostic and therapeutic procedure; the Centers for Disease Control and Prevention (CDC) and the
Association for Professionals in Infection Control and Epidemiology (APIC) consider flexible
endoscopes semicritical devices because they come in contact with mucous membranes but do not
normally enter sterile tissue. Consequently, CDC and APIC recommend that flexible endoscopes
receive at least high-level disinfection (HLD). Some hospitals may prefer to sterilize their scopes.
Because endoscopes are used repeatedly during the course of a day, they must be reprocessed
quickly between procedures. Therefore, neither ethylene oxide (EtO) sterilization, which can take up
to 36 hours, nor glutaraldehyde cold sterilization, which can take up to 10 hours and possibly

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damage endoscopes, is practical. In addition, no current flexible endoscopes can withstand steam
sterilization without deterioration. Therefore, most hospitals usually choose either HLD or liquid
sterilization. (At present, there is no conclusive evidence indicating that one method is safer than the
other.) Most hospitals use either an activated 2% glutaraldehyde solution for HLD or 6% hydrogen
peroxide or peracetic acid for sterilization. For more information on endoscope manufacturers’
reprocessing recommendations, see the following Product Comparisons:
• Bronchoscopes
• Colonoscopes; Sigmoidoscopes
• Duodenoscopes; Gastroscopes; Choledochoscopes
• Laparoscopes
Principles of operation
Endoscope reprocessors are designed to
either disinfect or sterilize using an automatic
system to soak the endoscope and purge its
channels. All reprocessors have a
disinfect/sterilize and rinse cycle; some units
allow the cycling times to be set by the operator.
Some models also offer wash or predisinfection,
multiple rinse (including alcohol), and air-
purging cycles.
An automatic reprocessor connects to the
facility’s water supply and typically consists of
the following components:
• A basin (with a lid) in which the
endoscope is reprocessed
• Channel tubing with adapters that irrigate most, but not necessarily all, of the
endoscope’s channels
• A timing mechanism to control the time of the reprocessing phases
• Liquid and air pumps
• A reservoir for the disinfectant/sterilant
Using the connectors of the endoscopic reprocessor, the operator attaches the reprocessor to the
endoscope’s channels, places the endoscope in the unit, and starts the reprocessing procedure. (Some
units can reprocess several scopes at a time.) The disinfectant/sterilant is transferred from a
reservoir into the basin containing the endoscope; one processor uses a prepackaged, single-use
sterilant container that is automatically opened, aspirated into the basin, and mixed with sterile,
filtered water. Some models contain a heater to raise the temperature of the disinfectant/sterilant,
allowing a wider variety of solutions to be used.
Most reprocessors provide documentation of the disinfection/sterilization cycle, either in the
system’s memory or as a hard-copy printout. The documentation should indicate either that all the
necessary parameters have been met or that the cycle has been automatically canceled or aborted by
the user and the reason why.
Once the final rinse cycle is complete, the endoscope is ready for reuse. If the endoscope is going
into storage, it may be necessary to purge its channels with forced air to ensure thorough drying,
preventing the proliferation of bacteria. Sometimes an alcohol rinse is performed to facilitate the
drying process.
To reduce the possibility of contaminating an endoscope during reprocessing, the reprocessor itself
should be regularly disinfected or sterilized according to the manufacturer’s recommendations; some
units have programmed cycles that perform this function.
The Society of Gastroenterology Nurses and Associates recommends the use of protective
equipment (e.g., gloves, gown, eyewear) while operating endoscopic reprocessors, having leakage test

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equipment and channel cleaning adapters, and separate rooms for endoscopic procedures and
endoscopic reprocessing.
Reported problems
There are two major ways in which a flexible endoscope can cause nosocomial infection—the
endoscope can autoinoculate a patient with his or her own microbes (i.e., endogenous infection), or a
contaminated endoscope can act as a carrier, transmitting a wide variety of microorganisms to the
patient (or physician) from either a previous patient or the environment. There have been reports of
reprocessors becoming contaminated and subsequently passing contamination to scopes that were
processed in them. (See Bibliography for specific reports.) The microorganisms often found in tap
water can proliferate to significant levels in endoscopes, their accessories, and ancillary equipment
during improper storage or as a result of improper maintenance of a reprocessor.
Glutaraldehyde residues are toxic and can have deleterious effects on a patient’s mucous
membranes when not adequately removed from the endoscope during rinsing. Endoscopy staff must
be aware of possible glutaraldehyde exposure, even with an automated system. Exposure to any
reprocessing agent can result in user injury. Use of any subpotent agents in automatic reprocessors
or failure to follow proper procedures can lead to both failed reprocessing and contamination.
Not all endoscopes are compatible with every endoscope reprocessor. Discrepancies have been
noted between the claims made by automatic endoscope reprocessor manufacturers and by endoscope
manufacturers. Reprocessor manufacturers may claim that endoscopes are compatible with their
products, but endoscope manufacturers may disagree. Compatibility must be guaranteed by both
parties for safe reprocessing.
Purchase considerations
ECRI recommendations
Included in the accompanying comparison chart

are ECRI’s recommendations for minimum
performance requirements for endoscope
reprocessors; recommended specifications have been
categorized into one group including all automated
disinfecting and sterilizing reprocessors for flexible
endoscopes.
Endoscope reprocessors should have an
autodisinfection cycle to optimize efficiency. Also,
all reprocessors should have documentation of cycle
times and results. Audible alarms should alert
technicians in the event of a problem or device
failure.
Before purchasing an endoscope reprocessor,
hospitals should assess their current endoscope-
reprocessing protocol. Hospital staff may want to
consider an automatic reprocessor if they are
experiencing the following problems: (1)
glutaraldehyde exposure complaints, (2)
reprocessing inconsistency, and/or (3) inability to
handle the volume of endoscopes that need
reprocessing.
Several issues need to be considered before purchasing a reprocessor, including the following:
• Whether to choose HLD or sterilization
• The level of disinfectant/sterilant exposure reduction and whether extra

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ventilation may be required by the manufacturer

• Whether the reprocessor requires the endoscopes to be modified by the
manufacturer to fit into the unit
• The ability to abort/skip a cycle without warning the operator
• The number of scopes a unit can process simultaneously
• The time per cycle; length of the rinse and forced-air cycles
• The ease and adequacy of reprocessor disinfection/sterilization
• Reports of reprocessor contamination
• Whether the reprocessor is equipped with a water-filtration system and the life
expectancy and replacement costs of its filters
• The type of disinfectant/sterilant the unit can accommodate and its cost per cycle
• The space required for the unit (i.e., whether it is a tabletop or floor model)
• Special temperature and pressure requirements for the water supply
• The processor’s ability to circulate liquids through channels without producing air
pockets
• The processor’s capacity to self-disinfect/self-sterilize
Cost containment
A life-cycle cost (LCC) analysis can be used to compare high-cost alternatives and/or to determine
the positive or negative economic value of a single alternative. For example, hospitals can use LCC
analysis techniques to examine the cost-effectiveness of leasing or renting equipment versus
purchasing the equipment outright. Because it examines the cash-flow impact of initial acquisition
costs and operating costs over a period of time, LCC analysis is most useful for comparing
alternatives with different cash flows and for revealing the total costs of equipment ownership. One
LCC technique—present value (PV) analysis—is especially useful because it accounts for inflation
and for the time value of money (i.e., money received today is worth more than money received at a
later date). Conducting a PV/LCC analysis often demonstrates that the cost of ownership includes
more than just the initial acquisition cost and that a small increase in initial acquisition cost may
produce significant savings in operating costs. The PV is calculated using the annual cash flow, the
dollar discount factor, and the lifetime of the equipment (in years) in a mathematical equation.
The following represent sample five-year PV/LCC analyses for a disinfecting unit and a sterilizing
unit.
Present Value/Life-Cycle Cost Analyses
Assumptions
• Operating costs are considered for years 2 through 5
• Dollar discount factor is 6.25%
• Inflation rate is 4% for disposables
• Operating and ownership costs are for one unit being used 10 times/day for 365
days/year
Alternative 1 — Disinfecting Unit
Capital Costs
• Disinfecting unit = $32,781
Total Capital Costs = $32,781
Operating Costs
• Disinfectant (2% glutaraldehyde) = $6,388/year
• Service contract = $2,046/year
Total Operating Costs = $8,434/year
PV = ($41,079)

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Alternative 2 — Sterilizing Unit

Capital Costs
• Sterilizing unit = $22,471
Total Capital Costs = $22,471
Operating Costs
• Sterilant = $17,870 for year 1; $18,250/year for years 2 through 5
• Service contract = $1,525/year
Total Operating Costs = $19,395 for year 1; $19,775/year for years 2 through 5
PV = ($109,238)
Other costs not included in the above analyses that should be considered for budgetary planning
include those associated with the following:
• Replacement filters
• Disinfectants other than glutaraldehyde (per cycle)
• Contributions to overhead
• Installation of additional ventilation
• Potential staffing changes
• Personal protective equipment (e.g., gloves, gowns, eyewear)
• Accessory equipment (e.g., leakage test equipment, channel cleaning adapters)
• Use of separate rooms for endoscopic procedures and reprocessing
As illustrated by the above sample PV/LCC analyses, the initial acquisition cost is only a fraction
of the total cost of operation over five years. Therefore, before making a purchase decision based
solely on the acquisition cost of an endoscope reprocessor, buyers should consider operating costs
over the lifetime of the equipment.
For further information on PV/LCC analysis, customized analyses, and purchase decision support,
readers should contact ECRI’s SELECT™ Group.
Stage of development
Automatic flexible endoscope reprocessors were introduced in the 1970s. Since then,
manufacturers and healthcare professionals have become more aware of the potential hazards
associated with contaminated endoscopes and reprocessors and are moving toward producing better
systems for disinfecting/sterilizing them.
One manufacturer offers a sterile disposable outer sheath that fits over its colonoscopes,
sigmoidoscopes, and cystoscopes. The sheath has air, water, and biopsy/suction channels, eliminating
the need to clean and disinfect the endoscope between procedures (only removable control knobs
require cleaning and disinfection).
Future trends will most likely be toward a more automated endoscope-cleaning process to
eliminate the need for manual precleaning. More units may incorporate an alcohol rinse, along with
higher air pressures to facilitate drying. Manufacturers will also investigate new ways of
reprocessing endoscopes, including chlorine dioxide, ozone, vapor-phase hydrogen peroxide, and
plasma sterilization, as well as disposable endoscopes and sheaths.
Bibliography
American Society for Gastrointestinal Endoscopy. Reprocessing of flexible gastrointestinal
endoscopes [position statement]. Gastrointest Endosc 1996 May;43(5):540-6.
Babb JR, Bradley CR. Endoscope decontamination: where do we go from here? J Hosp Infect 1995
Jun;30(Suppl):543-51.
Bradley CR, Babb JR, Ayliffe GA. Evaluation of the Steris System 1 peracetic acid endoscope
processor. J Hosp Infect 1995 Feb;29(2):143-51.

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Brown NM, Hellyar EA, Harvey JE, et al. Mycobacterial contamination of fibreoptic bronchoscopes.
Thorax 1993 Dec;48(12):1283-5.
CS: know thy scopes. Hosp Purch News 1993 Jun 15;17(6):23, 25.
Daschner F, Kralovic RC. STERIS System 1 in Germany [letter and reply]. Infect Control Hosp
Epidemiol 1994 May;5(5):294-5.
DesCôteaux JG, Tye L, Poulin EC. Reuse of disposable laparoscopic instruments: cost analysis. Can
J Surg 1996 Apr;39(2):133-9.
DiMarino AJ, Bond WW. Flexible gastrointestinal endoscopic reprocessing [editorial]. Gastrointest
Endosc 1996 May;43(5):522-4.
Fraser VJ, Jones M, Murray PR, et al. Contamination of flexible fiberoptic bronchoscopes with
Mycobacterium chelonae linked to an automated bronchoscope disinfection machine. Am Rev
Respir Dis 1992 Apr;145(4 Pt 1):853-5.
Fraser VJ, Zuckerman G, Clouse RE, et al. A prospective randomized trial comparing manual and
automated endoscope disinfection methods. Infect Control Hosp Epidemiol 1993 Jul;14(7):383-9.
Glutaraldehyde: FDA holds firm on need for 45-minute soak. OR Manager 1996 Jun;12(6):12-3.
Gurevich I, Qadri SM, Cunha BA. False-positive results of spore tests from improper clip use with
the STERIS chemical sterilant system [letter]. Am J Infect Control 1993 Feb;21(1):42-3.
Heller J. Revising instrument processing practices. AORN J 2001 Nov;74(5):716-21.
Hospital writes FDA on scope infection outbreak. OR Manager 2003 Mar;19(3):7.
Ido K, Ishino Y, Ota Y, et al. Deficiencies of automatic endoscopic reprocessors: a method to achieve
high-grade disinfection of endoscopes. Gastrointest Endosc 1996 Nov;44(5):583-6.
Ishino Y, Ido K, Koiwaii H, et al. Pitfalls in endoscope reprocessing: brushing of air and water
channels is mandatory for high-level disinfection. Gastrointest Endosc 2001 Feb;53(2):165-8.
Jackson J, Leggett JE, Wilson DA, et al. Mycobacterium gordonae in fiberoptic bronchoscopes. Am J
Infect Control 1996 Feb;24(1):19-23.
Lillis K. Scope sterilization tough due to time constraints and complex devices. Health Purch News
2003 Apr;27(4):58-9.
Lynch DA, Parnell P, Porter C, et al. Patient and staff exposure to glutaraldehyde from Keymed
auto-disinfector endoscope washing machine. Endoscopy 1994 May;26(4):359-61.
Martin MA, Reichelderfer M. APIC guideline for infection prevention and control in flexible
endoscopy. Am J Infect Control 1994 Feb;22(1):19-38.
Muscarella LF. Advantages and limitations of automatic flexible endoscope reprocessors. Am J Infect
Control 1996 Aug;24(4):304-9.
Nosocomial outbreaks linked to endoscope cleaning. Hosp Infect Control 1993 Jun;20(6):83-5.
Pineau L, Roques C, Luc J, et al. Automatic washer disinfector for flexible endoscopes: a new
evaluation process. Endoscopy 1997 Jun;29(5):372-9.
Reichert M. Automatic washers/disinfectors for flexible endoscopes. Infect Control Hosp Epidemiol
1991 Aug;12(8):497-9.
Rutala WA, Weber DJ. Disinfection of endoscopes: review of new chemical sterilants used for high-
level disinfection. Infect Control Hosp Epidemiol 1999 Jan;20(1):69-76.
Society of Gastroenterology Nurses and Associates. Standards for infection control and reprocessing
of flexible gastrointestinal endoscopes. Gastroenterol Nurs 1997 Mar-Apr;20(2 Suppl):1-13.

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Urayama S, Kozarek RA, Sumida S, et al. Mycobacteria and glutaraldehyde: is high-level

disinfection of endoscopes possible? Gastrointest Endosc 1996 May;43(5):451-6.
Vesley D, Norlien KG, Nelson B, et al. Significant factors in the disinfection and sterilization of
flexible endoscopes. Am J Infect Control 1992 Dec;20(6):291-300.
Walter V. Reprocessing of flexible gastrointestinal endoscopes—an American Society for
Gastrointestinal Endoscopy white paper. Gastroenterol Nurs 1996 May-Jun;19(3):109-12.
Williamson, JE. Full steam ahead for sterile processing. Health Purch News 2003 Apr;27(4):14-6.
Standards and guidelines

Note: Although every effort is made to ensure that the following list is comprehensive, please note
that other applicable standards may exist.
American National Standards Institute/Association for the Advancement of Medical
Instrumentation. Safe current limits for electromedical apparatus [standard]. 3rd ed. ANSI/AAMI
ES1-1993. 1985 (revised 1993).
Safe handling and biological decontamination of medical devices in health care facilities and in
nonclinical settings [standard]. 2nd ed. ANSI/AAMI ST35-1996. 1996.
American Society for Gastrointestinal Endoscopy. Multi-society guidelines for reprocessing flexible
gastrointestinal endoscopes [position statements]. Gastrointest Endosc 2003 Jul;58(1):1-8.
Technology assessment position paper: transmission of infection by gastrointestinal endoscopy.
Technology Assessment Committee. Gastrointest Endosc 1993 Oct;39(6):885-8.
American Society for Testing and Materials. Practice for cleaning and disinfection of flexible
fiberoptic and video endoscopes used in the examination of the hollow viscera [standard]. ASTM
Committee F04 on Medical and Surgical Materials and Devices. F1518-94. 1994 (revised 2000).
Association for Professionals in Infection Control and Epidemiology. APIC guideline for infection
prevention and control in flexible endoscopy. Am J Infect Control 2000 Apr;28(2):138-55.
APIC guideline for selection and use of disinfectants. Am J Infect Control 1996 Aug;24(4):313-42.
Association for the Advancement of Medical Instrumentation. Chemical sterilants and sterilization
methods: a guide to selection and use, 2nd ed [technology information report]. TIR7-152-EC. 1999
(revised 2000).
Safe handling and biological contamination of medical devices in health care facilities and
nonclinical settings, 2nd ed [standard]. ST35-RC01. 1996.
Association of periOperative Registered Nurses. Recommended practices for cleaning and caring for
surgical instruments and powered equipment. 1988 (revised 2002).
Recommended practices for the cleaning and processing endoscopes and endoscope accessories.
1993 (revised 2003).
International Electrotechnical Commission. Medical electrical equipment—part 1: general
requirements for safety [standard]. IEC 60601-1 (1988-12). 1988.
Medical electrical equipment—part 1: general requirements for safety. Amendment 1 [standard].
IEC 60601-1-am1 (1991-11). 1991.
Medical electrical equipment—part 1: general requirements for safety. Amendment 2 [standard].

IEC 60601-1-am2 (1995-03). 1995.
Medical electrical equipment—part 1-1: general requirements for safety. Collateral standard:
safety requirements for medical electrical systems. 2nd ed. IEC 60601-1-1 (2000-12). 1992

9
(revised 2000).
electromagnetic compatibility—requirements and tests. IEC 60601-1-2 (2001-09). 1993 (revised
2001).
programmable electrical medical systems. IEC 60601-1-4 (2000-04). 1996 (revised 2000).
Society of Gastroenterology Nurses and Associates, Standards for infection control and reprocessing
of flexible gastrointestinal endoscopes [guideline]. 1997 (revised 2000).
Standards Australia. Cleaning, disinfecting and sterilizing reusable medical and surgical
instruments and equipment, and maintenance of associated environments in health care facilities
[standard]. AS 4187-1998. 1994 (revised 1998).
Citations from other ECRI publications

Health Devices
Contamination of the modified Olympus EW-10 and EW-20 automatic flexible endoscope
reprocessors [hazard]. 1994 Apr;23(4):143-5.
Liquid disinfecting and sterilizing reprocessors used for flexible endoscopes [evaluation]. 1994
Jun;23(6):214-53.
Reducing endoscopic contamination levels: are liquid disinfecting and sterilizing reprocessors the
solution? 1994 Jun;23(6):212-3, 252-3.
Liquid disinfecting and sterilizing reprocessors used for flexible endoscopes [evaluation update].
1994 Dec;23(12):477-81.
ECRI’s recommended protocol for reprocessing immersible flexible endoscopes [clarification/update].
1995 Dec;24(12):506-7.
MediVators endoscope disinfector does not alarm for disinfection failures caused by blown fuse
[hazard report]. 1998 Apr-May;27(4-5):171-2.
ECRI responds to Newsweek article on dirty endoscopes [editorial]. 1999 May-Jun;28(5-6):177-9.
Automated LCG reprocessors. An alternative for flexible endoscopes [guidance article]. 1999
Nov;28(11):434.
EndoSheath Endoscopic System [evaluation]. 2000 Jan;29(1):7-13.
Component can detach from B-K Medical transrectal ultrasound probe after sterilization [User
Experience Network™]. 2003 Dec;32(12):486-7.
Health Technology Trends

Endoscope infection control needs more hospital attention. 1994 Feb;6(2):3, 5.
Supplier information
ASP
Advanced Sterilization Products
A Johnson & Johnson Co [186653]
33 Technology Dr

10
Irvine, CA 92618
Phone: (949) 581-5799 (800) 595-0200 Fax: (949) 450-6800
Internet: http://www.sterrad.com
E-mail: [email protected]
Advanced Sterilization Products (Belgium)

c/o Johnson & Johnson Medical NV [307241]
Eikelenbergstraat 20
B-1700 Dilbeek
Belgium
Phone: 32 (2) 4817400 Fax: 32 (2) 4817350
Advanced Sterilization Products (Singapore)

c/o Johnson & Johnson Medical Inc [306945]
3 International Road Jurong
Singapore 2261
Republic of Singapore
Phone: 65 2658922 Fax: 65 2686974
Belimed
Belimed AG [140149]
Dorfstrasse 4
CH-6275 Ballwil
Switzerland
Phone: 41 (41) 4497888 Fax: 41 (41) 4497889
Internet: http://www.belimed.com
Belimed Inc [402798]

13840 SW 119th Ave
Miami, FL 33186-6006
Phone: (305) 252-3338 (800) 457-4117 Fax: (305) 234-1115
Internet: http://www.belimedusa.com
Belimed SAS [416386]

Parc Espale 1 avenue Pierre Pflimlin
F-68390 Sausheim
France
Phone: 33 (3) 89636540 Fax: 33 (3) 89636541
Internet: http://www.belimed.com
BHT
BHT HygieneTechnik GmbH [230341]
Winterbruckenweg 30
D-86316 Friedberg/Derching
Germany
Phone: 49 (821) 2789313 Fax: 49 (821) 784099
Internet: http://www.bht-hygienetechnik.de
Custom Ultrasonics
Custom Ultrasonics Inc [107046]
PO Box 850
Buckingham, PA 18912
Phone: (215) 364-1477 Fax: (215) 364-7674
Internet: http://www.customultrasonics.com

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Endo-Technik
Endo-Technik Wolfgang Griesat GmbH [158099]
Heilingenstock 32
D-42697 Solingen
Germany
Phone: 49 (212) 267430 Fax: 49 (212) 2674350
Internet: http://www.endo-technik.de
Krause
Krause Medizin Technik Service GmbH [279550]
Hoher Holzweg 44
D-30966 Arnum
Germany
Phone: 49 (510) 13006 Fax: 49 (510) 15093
Internet: http://www.kmts.de
Labcaire
Labcaire Systems Ltd [184258]
175 Kenn Road
Clevedon North Somerset BS21 6LH
England
Phone: 44 (1275) 793000 Fax: 44 (1275) 341313
Internet: http://www.labcaire.co.uk
Medivators
Minntech Corp [107711]
14605 28th Ave N
Minneapolis, MN 55447-4822
Phone: (763) 553-3300 (800) 328-3345 Fax: (763) 553-3387
Internet: http://www.minntech.com
Olympus/Medivators
Minntech Corp [107711]
14605 28th Ave N
Minneapolis, MN 55447-4822
Phone: (763) 553-3300 (800) 328-3345 Fax: (763) 553-3387
Internet: http://www.minntech.com
Olympus America Inc, Endoscopy Group [364575]

Two Corporate Center Dr
Melville, NY 11747-3157
Phone: (631) 844-5000 (800) 645-8130 Fax: (631) 844-5442
Internet: http://www.olympus.com
Olympus Beijing [276351]

Room No 3406 Beijing Jing Guang Center Hu Jia Lou Chao Yang Qu
Beijing
People’s Republic of China
Phone: 86 (10) 65012084
Internet: http://www.olympus.co.jp
Olympus (Europa) GmbH [155981]

12
Wendenstrasse 14-18 Postfach 104908

D-20097 Hamburg
Germany
Phone: 49 (40) 23773301 Fax: 49 (40) 23773656
Internet: http://www.olympus-europa.com
Olympus Singapore Pte Ltd [276169]

491B River Valley Road #12-01/04 Valley Point Office Tower
Singapore 248373
Phone: 65 68340010 Fax: 65 68342438
Internet: http://www.olympus.com.sg
Plade
Plade Ltd [397119]
Plade Works Gladstone Ave Barrhead
Glasgow Renfrewshire G78 1QT
Scotland
Phone: 44 (141) 8818241 Fax: 44 (141) 8818143
Internet: http://www.plade.com
Soluscope
Soluscope SAS [398830]
43 boulevard de la Barniere
F-13010 Marseille
France
Phone: 33 (4) 91832122 Fax: 33 (4) 91832110
Internet: http://www.soluscope.com
Sterilox
Sterilox Technologies Inc [363848]
320 King of Prussia Rd Ste 200
Radnor, PA 19087
Phone: (610) 341-1899 (866) 369-3130 Fax: (610) 341-0503
Internet: http://www.sterilox.com
Sterilox Technology International Ltd [358353]

Montrose House Montrose Street Fenton
Stoke-on-Trent Staffordshire ST4 3PB
England
Phone: 44 (1782) 595969 Fax: 44 (1782) 595979
Internet: http://www.sterilox.com
STERIS
STERIS Corp [107114]
5960 Heisley Rd
Mentor, OH 44060-1834
Phone: (440) 354-2600 (800) 548-4873 Fax: (440) 354-2321
Internet: http://www.steris.com
STERIS Corp (Hong Kong) [227264]

Room 301-2 3/Fl Kodak House II
39 Healthy Street East
North Point
People’s Republic of China

13
Phone: 852 25633623 Fax: 852 25637387

STERIS Ltd [355810]

STERIS House Jays Close Viables
Basingstoke Hampshire RG22 4AX
England
Phone: 44 (1256) 840400 Fax: 44 (1256) 466502
STERIS Singapore [320749]

No 61 Geylang Lorong 17 #03-01 Lam Leong Building
Singapore 388574
Phone: 65 8417677 Fax: 65 8417655
Sterozone
Plade Ltd [397119]
Plade Works Gladstone Ave Barrhead
Glasgow Renfrewshire G78 1QT
Scotland
Phone: 44 (141) 8818241 Fax: 44 (141) 8818143
Internet: http://www.plade.com
About the chart specifications

The following terms are used in the chart:
Manual air capability: The ability of the user to force air through the endoscope’s channels.
Autodisinfection: A cycle that disinfects the reprocessor. In some units, this cycle is part of the
overall reprocessing procedure; other units have a separate autodisinfection cycle.
Abbreviations:
The following abbreviations are used in the chart:
ARO—After receipt of order HIRL—Hospital Infection Research
Laboratory
CD—Compact disc
HTM—Health technical memorandum
CE mark—Conformite Europeene mark
ISO—International Organization for
COSHH--Control of Substances Hazardous to
Standardization
Health Regulations (UK)
LCD—Liquid crystal display
CSA—Canadian Standards Association
LCG—Liquid chemical germicide
DGHM—Deutsche Gesellschaft fur Hygiene
und Mikrobiologie LED—Light-emitting diode
EN—European Norm MDD—Medical Devices Directive
ETL—ETL Testing Laboratories ORP—Oxidation-reduction potential
FDA—U.S. Food and Drug Administration UL—Underwriters Laboratories
GERMANDE—French association of UV—Ultraviolet
gastroenterologists working on washer-
disinfectors in Europe to establish a standard
procedure to test these devices

14
Note: The data in the charts derive from suppliers’ specifications and have not been verified
through independent testing by ECRI or any other agency. Because test methods vary, different
products’ specifications are not always comparable. Moreover, products and specifications are subject
to frequent changes. ECRI is not responsible for the quality or validity of the information presented
or for any adverse consequences of acting on such information.
When reading the charts, keep in mind that, unless otherwise noted, the list price does not reflect
supplier discounts. And although we try to indicate which features and characteristics are standard
and which are not, some may be optional, at additional cost.
For those models whose prices were supplied to us in currencies other than U.S. dollars, we have
also listed the conversion to U.S. dollars to facilitate comparison among models. However, keep in
mind that exchange rates change often.
Need to know more?

For further information about the contents of this Product Comparison, contact the HPCS Hotline
at +1 (610) 825-6000, ext. 5265; +1 (610) 834-1275 (fax); or [email protected] (e-mail).
Product Comparison Chart
MODEL ECRI-RECOMMENDED ASP BELIMED BHT

SPECIFICATIONS1
Flexible Endoscope Automatic Endoscope WD 425 INNOVA E 2
Reprocessor Reprocessor (AER)
WHERE MARKETED Worldwide Worldwide Worldwide
FDA CLEARANCE Yes No No
CE MARK (MDD) Yes Yes Yes
CONFIGURATION Floor Floor Freestanding under
counter
DISINFECT/STERILIZE High-level disinfect Disinfect Disinfect
CHAMBER SIZE, H x L x 12.7 x 58.4 x 50.8 (5 x 23 64 x 52 x 58 (25.2 x 20.5 x 55 x 48 x 38 (21.7 x 18.9 x
W, cm (in) x 20) 22.8) 15)
SCOPES/CYCLE 1 or 2 1 or 2 1 or 2 1
CYCLE TIME, min
Wash Programmable 1-166, user-selected Programmable Varies
Disinfect/sterilize Programmable 1-166, user-selected Programmable Varies
Rinse Programmable 3 min, 3 rinses Programmable Varies
Dry Programmable 1 Programmable Varies
GERMICIDAL AGENTS
Types used Orthophthalaldehyde, 2% 2% glutaraldehyde, All
glutaraldehyde peracetic acid
Heater Yes Yes Yes
Temp range, °C 10 to 31 0-99 <55
WATER SUPPLY Tap, optional filter (1 and Tap, filtered, 30 micron Cold, warm, and distilled
0.2 micron) water
Temperature ≤50 20-50 30-60
requirements, °C
DETERGENT LOADING Automatic Automatic Automatic Automatic
RESERVOIR VOLUME, L 18.9 (5) 10 (2.6) Not specified
(gal)
MANUAL AIR Yes Yes No
CAPABILITY
DOCUMENTATION Yes LED display, printer Printer interface/PC Optional printer, barcode
reader
AUTODISINFECTION Yes Yes Yes Yes
AVAILABLE CHEMICAL From chemical germicide Not specified Not specified
PROCESS INDICATORS manufacturer
SCOPE COMPATIBILITY All flexible fiberoptic and All flexible and rigid All flexible, water resistant
video Olympus, Pentax, others
OVERALL SIZE, H x W x 99 x 69.2 x 76.2 (39 x 85 x 90 x 70 (33.5 x 35.4 x 85 x 60 x 60 (33.5 x 23.6 x
D, cm (in) 27.3 x 30) 27.6) 23.6)
WEIGHT, kg (lb) 90.9 (200) 130 (286.7) 80 (176.4)
POWER 115, 230; 50/60 Hz 400; 50 Hz; 3-phase, 208-230, 400; 50/60 Hz;
REQUIREMENTS, VAC others 3-phase
This is the first of two

pages covering the above
model(s). These
specifications continue
onto the next page.

16

MODEL ECRI-RECOMMENDED ASP BELIMED BHT
SPECIFICATIONS1
Flexible Endoscope Automatic Endoscope WD 425 INNOVA E 2
Reprocessor Reprocessor (AER)
PLANNING &
PURCHASE
List price $19,900 $20,000 Not specified
Warranty 1 year, parts/labor 2 years 1 year
Delivery time, ARO 2-4 weeks 4-8 weeks 4-6 weeks
Service contract Options available Per agreement Available
Training w/purchase On-site Full service with Included
installation; included in
price
Year first sold 1989 1999 1999
Number installed
USA Not specified 0 >500
Worldwide Not specified ~120 Not specified
Fiscal year January to December January to December January to December
OTHER Audible/visual alarms. Large basin capacity; Multiple use; with rack Stainless steel;
SPECIFICATIONS hydrodynamic spray coding; thermal microprocessor controlled;
tower; thermostatic disinfection possible; built- LCD; leakage testing;
disinfectant reservoir; 6- in exhaust air condenser. thermal disinfection of
channel perfusion ports; final rinsing; sterile drying.
custom-fit lid; portable or Meets requirements of
permanent installation; CSA, German Association
optional water-filtration of Endoscopy, and ISO
system (1 and 0.2 9001.
micron).
1
Supplier Footnotes These recommendations
are the opinions of ECRI's
technology experts. ECRI
assumes no liability for
decisions made based on
this data.
Model Footnotes
Data Footnotes

17

MODEL BHT CUSTOM CUSTOM CUSTOM
ULTRASONICS ULTRASONICS ULTRASONICS
INNOVA E 3 83 Plus 10 DT 83 Plus 2 DT 83 Plus 9 DT
WHERE MARKETED Worldwide USA, UK, Europe USA, UK, Europe USA, UK, Europe
FDA CLEARANCE Submitted Yes Yes Yes
CE MARK (MDD) Yes Yes Yes Yes
CONFIGURATION Freestanding under Floor with mobile casters Floor with mobile casters Floor with mobile casters
counter
DISINFECT/STERILIZE Disinfect Validated wash cycle, Validated wash cycle, Validated wash cycle,
high-level disinfection high-level disinfection high-level disinfection
CHAMBER SIZE, H x L x 54 x 53.5 x 51 (21.3 x [48.3 or 41.9] diameter x [48.3 or 41.9] diameter x [48.3 or 41.9] diameter x
W, cm (in) 21.1 x 20.1) 19 depth ([19 or 16.5] x 19 depth ([19 or 16.5] x 19 depth ([19 or 16.5] x
7.5) 7.5) 7.5)
SCOPES/CYCLE 1 or 2 1 or 2 per chamber; 3 1 or 2 per chamber; 1 1 or 2 per chamber; 2
chambers chamber chambers
CYCLE TIME, min
Wash Varies 3 3 3
Disinfect/sterilize Varies Based on LCG label Based on LCG label Based on LCG label
claim1 claim1 claim1
Rinse Varies 2 or 3 @ 1-1.5, based on 2 or 3 @ 1-1.5; based on 2 or 3 @ 1-1.5, based on
LCG label claim1 LCG label claim1 LCG label claim1
Dry Varies 40 seconds 40 seconds 40 seconds
GERMICIDAL AGENTS
Types used All All All All
Heater Yes Computerized Computerized Computerized
temperature control temperature control temperature control
Temp range, °C <55 Preset based on LCG Preset based on LCG Preset based on LCG
requirements and scope requirements and scope requirements and scope
compatibility1 compatibility1 compatibility1
WATER SUPPLY Cold, warm, and distilled Tap, filtered at 5 microns Tap, filtered at 5 microns Tap, filtered at 5 microns
water for sediment and 0.1 for sediment and 0.1 for sediment and 0.1
micron for bacteria; other micron for bacteria; other micron for bacteria; other
sediment options available sediment options available sediment options available
Temperature 30-60 46 ±5 46 ±5 46 ±5
requirements, °C
DETERGENT LOADING Automatic Automatic Automatic Automatic
RESERVOIR VOLUME, L Not specified 30.4 (8), 19" chamber; 30.4 (8), 19" chamber; 30.4 (8), 19" chamber;
(gal) 22.7 (6); 16 1/2" chamber 22.7 (6), 16 1/2" chamber 22.7 (6), 16 1/2" chamber
MANUAL AIR No Manual, automatic Manual, automatic Manual, automatic
CAPABILITY
DOCUMENTATION Printer, optional barcode Printer, database Printer, database Printer, database
reader
AUTODISINFECTION Yes Yes Yes Yes
AVAILABLE CHEMICAL Not specified From chemical germicide From chemical germicide From chemical germicide
PROCESS INDICATORS manufacturer manufacturer manufacturer
SCOPE COMPATIBILITY All flexible, water resistant All channels of all scopes All channels of all scopes All channels of all scopes
OVERALL SIZE, H x W x 88 x 80 x 68 (34.6 x 31.5 x Model dependent Model dependent Model dependent
D, cm (in) 26.8)
WEIGHT, kg (lb) 160 (352.8), depending on Model dependent Model dependent Model dependent
configuration
POWER 208-230, 400; 50/60 Hz; 3 @ 120; 60 Hz; 20 A 120; 60 Hz; 20 A (USA) 2 @ 120; 60 Hz; 20 A
REQUIREMENTS, VAC 3-phase (USA) (USA)

model(s). These
onto the next page.

18

MODEL BHT CUSTOM CUSTOM CUSTOM
ULTRASONICS ULTRASONICS ULTRASONICS
INNOVA E 3 83 Plus 10 DT 83 Plus 2 DT 83 Plus 9 DT
PLANNING &
PURCHASE
List price Not specified $22,100-57,600 $22,100-57,600 $22,100-57,600
Warranty 1 year 1 year 1 year 1 year
Delivery time, ARO 4-6 weeks 8-10 weeks 8-10 weeks 8-10 weeks
Service contract Available Available by independent Available by independent Available by independent
service organizations service organizations service organizations
Training w/purchase Included 2 days on-site 2 days on-site 2 days on-site
Year first sold 1997 1980 1980 1980
Number installed
USA >500 Not specified Not specified Not specified
Worldwide Not specified >3,000 >3,000 >3,000
Fiscal year January to December July to June July to June July to June
OTHER Stainless steel; Flow indicators for each Flow indicators for each Flow indicators for each
SPECIFICATIONS microprocessor controlled; scope channel, LCGs can scope channel, LCGs can scope channel, LCGs can
LCD; foam-control feature; be introduced to reservoir be introduced to reservoir be introduced to reservoir
leakage testing; thermal without raising lid and without raising lid and without raising lid and
disinfection of final rinsing; pouring, footpedal- pouring, footpedal- pouring, footpedal-
sterile drying. Meets operated power lids operated power lids operated power lids
requirements of CSA, available; PC controlled available; PC controlled available; PC controlled
German Association of with proprietary, patented with proprietary, patented with proprietary, patented
Endoscopy, and ISO software; wash-disinfect software; wash-disinfect software; wash-disinfect
9001. validated with patented validated with patented validated with patented
worst-case scenario worst-case scenario worst-case scenario
testing protocol; hard-copy testing protocol; hard-copy testing protocol; hard-copy
(paper) and electronic (paper) and electronic (paper) and electronic
documentation; low- documentation; low- documentation; low-
intensity ultrasound (safe intensity ultrasound (safe intensity ultrasound (safe
for scopes). Meets for scopes). Meets for scopes). Meets
requirements of CE, CSA, requirements of CE, CSA, requirements of CE, CSA,
ETL. ETL. ETL.
Supplier Footnotes
Model Footnotes
1 1 1
Data Footnotes Type and parameters of Type and parameters of Type and parameters of
LCG are changeable; LCG are changeable; LCG are changeable;
temperature, number of temperature, number of temperature, number of
rinses are adjustable by rinses are adjustable by rinses are adjustable by
factory reprogramming. factory reprogramming. factory reprogramming.

19

MODEL ENDO-TECHNIK ENDO-TECHNIK KRAUSE (FAILED TO LABCAIRE
(FAILED TO RESPOND)1 (FAILED TO RESPOND)1 RESPOND)1
SCOPE-full, automatic WashMaster/CleanMaster Profi 2000 Autoscope F2
table model
WHERE MARKETED Egypt, Europe, Hong Not specified Europe, other countries on Asia, Australasia, Europe,
Kong, Morocco, Russia, demand Middle East, UK
Saudi Arabia, Tunisia
FDA CLEARANCE Submitted No Not specified No
CE MARK (MDD) Yes Not specified Not specified Yes
CONFIGURATION Tabletop; optional cabinet Not specified Floor Cart
DISINFECT/STERILIZE Disinfect Not specified Disinfect Both
CHAMBER SIZE, H x L x 12 x 63 x 47 (4.7 x 24.8 x 30 x 52 x 68 (11.8 x 20.5 x 23 x 2.5 x 2.5 (9 x 1 x 1) Molded tray, 61 (24) W x
W, cm (in) 18.5) 26.8) 65 (26) depth
SCOPES/CYCLE 1 1 1 or 2 (≤18 cm) 1 or 2
CYCLE TIME, min
Wash Variable Not specified 1-60 2 washes @ 2 each
Disinfect/sterilize Variable Not specified 1-60 4-599, variable
Rinse 5 Not specified 1-60 2 rinses @ 2 each
Dry 2 Not specified 1-60 1
GERMICIDAL AGENTS
Types used Glutaraldehyde Glutaraldehyde Liquids after DGHM Glutaraldehyde, peracetic
acid, super-ionized water,
chlorine dioxide,
orthophthalaldehyde
Heater No Not specified Yes Optional
Temp range, °C NA Cold disinfection 20-40 20-25
WATER SUPPLY Filtered Not specified UV-sterilized water Multistage filtration to 0.22
micron
Temperature Cold water Cold water 0-40 Ambient
requirements, °C
DETERGENT LOADING Manual Manual Automatic Semiautomatic with full
fume containment
RESERVOIR VOLUME, L 15 (4) 15 (4) 12 (3.2) 15 (4)
(gal)
MANUAL AIR No No Yes Yes
CAPABILITY
DOCUMENTATION Optional printer Optional printer Possible printer Printer
connection
AUTODISINFECTION Yes Yes Yes Fully automatic
AVAILABLE CHEMICAL Schulke & Mayr, Johnson Recommended by the Endozyme Low-flow alarms, lock-out
PROCESS INDICATORS & Johnson, others endoscope manufacturers when chemical exceeds
maximum-use life
SCOPE COMPATIBILITY All flexible scopes of Not specified All flexible fiberoptic and All flexible
Olympus, Pentax, and video
Fujinon
OVERALL SIZE, H x W x 30 x 68 x 51.5 (11.8 x 30 x 52 x 68 (11.8 x 20.5 x 240 x 58.5 x 62 (94.5 x 23 154 x 82 x 72 (60.6 x 32.3
D, cm (in) 26.8 x 20.3) 26.8) x 24.4) x 28.3)
WEIGHT, kg (lb) 25 (55.1) Not specified ~86 (189.6) 130 (286.7)
POWER 220-230; 50 Hz 220-230; 50 Hz 230; 60 Hz; 6 A 110, 230; 50/60 Hz
REQUIREMENTS, VAC

model(s). These
onto the next page.

20

MODEL ENDO-TECHNIK ENDO-TECHNIK KRAUSE (FAILED TO LABCAIRE
(FAILED TO RESPOND)1 (FAILED TO RESPOND)1 RESPOND)1
SCOPE-full, automatic WashMaster/CleanMaster Profi 2000 Autoscope F2
table model
PLANNING &
PURCHASE
List price ~€5,000 (US$5,915) with ~€4,655 (US$5,507) ~$43,200 for 1, ~$64,800 £16,500 (US$23,352)
all accessories for 2
Warranty 1 year Not specified 1 year, parts/labor 1 year
Delivery time, ARO 6-8 weeks 8 weeks 8 weeks 4-6 weeks
Service contract No No ~$2,664/year Depends on location
Training w/purchase No No Not specified 2 days on-site
Year first sold 1980 Not specified Not specified 1999
Number installed
USA NA NA Not specified NA
Worldwide 5,000 >400 Not specified Not specified
Fiscal year January to December January to December Not specified July to June
OTHER None specified. None specified. Ring nozzle washes tube Automatic detergent
SPECIFICATIONS of endoscope "lift up" loading (enzyme cleaner).
system; magnetic tapes Tested and passed by
for doors; 1-channel HIRL; full COSHH
steering; reuse of compliance assured
disinfection solvent. (independent test report
available).
1 1 1
Supplier Footnotes Specifications current as Specifications current as Specifications current as
of September 2004. of September 2004. of February 2000.
Model Footnotes
Data Footnotes

21

MODEL LABCAIRE LABCAIRE LABCAIRE LABCAIRE
Autoscope F4 Autoscope Guardian G2 Autoscope Guardian G4 Autoscope RF2
WHERE MARKETED Asia, Australasia, Europe, Asia, Australasia, Europe, Asia, Australasia, Europe, Asia, Australasia, Europe,
Middle East, UK Middle East, UK Middle East, UK Middle East, UK
FDA CLEARANCE No No No No
CONFIGURATION Cart Cart Cart Cart
DISINFECT/STERILIZE Both Both Both Both
CHAMBER SIZE, H x L x 2 molded trays, 55 (21.7) Molded tray, 61 (24) W x 2 molded trays, 55 (21.7) Stainless steel, 61 (24) W
W, cm (in) W x 65 (26) depth 65 (26) depth W x 65 (26) depth x 65 (26) depth
SCOPES/CYCLE 1 or 2/tray 1 or 2 1 or 2 1 or 2 and/or selection of
rigid scopes
CYCLE TIME, min
Wash 2 washes @ 2 each 2 washes @ 2 each 2 washes @ 2 each 2 washes @ 2 each
Disinfect/sterilize 4-599, variable 4-599, variable 4-599, variable 4-599, variable
Rinse 2 rinses @ 2 each 2 rinses @ 2 each 2 rinses @ 2 each 2 rinses @ 2 each
Dry 1 1 1 1
GERMICIDAL AGENTS
Types used Glutaraldehyde, peracetic Glutaraldehyde, peracetic Glutaraldehyde, peracetic Glutaraldehyde, peracetic
acid, super-ionized water, acid, super-ionized water, acid, super-ionized water, acid, super-ionized water,
chlorine dioxide, chlorine dioxide, chlorine dioxide, chlorine dioxide,
orthophthalaldehyde orthophthalaldehyde orthophthalaldehyde orthophthalaldehyde
Heater Optional Optional Optional Optional
Temp range, °C 20-25 20-25 20-25 20-25
WATER SUPPLY Multistage filtration to 0.22 Multistage filtration to 0.22 Multistage filtration to 0.22 Multistage filtration to 0.22
micron micron micron micron
Temperature Ambient Ambient Ambient Ambient
requirements, °C
DETERGENT LOADING Semiautomatic with full Semiautomatic with full Semiautomatic with full Semiautomatic with full
fume containment fume containment fume containment fume containment
RESERVOIR VOLUME, L 15 (4)/tray 15 (4) 15 (4)/tray 15 (4)
(gal)
MANUAL AIR Yes Yes Yes Yes
CAPABILITY
DOCUMENTATION Printer Printer, smart-card data Printer, smart-card data Printer
recorder recorder
AUTODISINFECTION Fully automatic Fully automatic Fully automatic Fully automatic
AVAILABLE CHEMICAL Low-flow alarms, lock-out All channels individually All channels individually Low-flow alarms, lock-out
PROCESS INDICATORS when chemical exceeds monitored for flow and monitored for flow and when chemical exceeds
maximum-use life connection connection maximum-use life
SCOPE COMPATIBILITY All flexible All flexible All flexible All flexible and rigid
OVERALL SIZE, H x W x 154 x 150 x 72 (60.6 x 59 154 x 82 x 72 (60.6 x 32.3 154 x 150 x 72 (60.6 x 59 154 x 82 x 72 (60.6 x 32.3
D, cm (in) x 28.3) x 28.3) x 28.3) x 28.3)
WEIGHT, kg (lb) 200 (441) 130 (286.7) 200 (441) 130 (286.7)
POWER 110, 230; 50/60 Hz 110, 230; 50/60 Hz 110, 230; 50/60 Hz 110, 230; 50/60 Hz
REQUIREMENTS, VAC

model(s). These
onto the next page.

22

MODEL LABCAIRE LABCAIRE LABCAIRE LABCAIRE
Autoscope F4 Autoscope Guardian G2 Autoscope Guardian G4 Autoscope RF2
PLANNING &
PURCHASE
List price £25,000 (US$35,383) £25,000 (US$35,383) £39,000 (US$55,197) £17,000 (US$24,062)
Service contract Depends on location Depends on location Depends on location Depends on location
Training w/purchase 2 days on-site 2 days on-site 2 days on-site 2 days on-site
Year first sold 1999 2001 2001 1999
Number installed
USA NA NA NA NA
Worldwide Not specified Not specified Not specified Not specified
Fiscal year July to June July to June July to June July to June
OTHER Automatic detergent All variable cycle All variable cycle Automatic detergent
SPECIFICATIONS loading (enzyme cleaner). parameters assessed and parameters assessed and loading (enzyme cleaner).
Tested and passed by reported; automatic reported; automatic Tested and passed by
HIRL; full COSHH detergent loading detergent loading HIRL; full COSHH
compliance assured (enzyme cleaner). (enzyme cleaner). compliance assured
(independent test report Designed to ensure Designed to ensure (independent test report
available). compliance with HTM compliance with HTM available).
2030 and prEN ISO 2030 and prEN ISO
15883; tested and passed 15883; tested and passed
by HIRL; full COSHH by HIRL; full COSHH
compliance assured compliance assured
(independent test report (independent test report
available). available).
Supplier Footnotes
Model Footnotes
Data Footnotes

23

MODEL LABCAIRE MEDIVATORS OLYMPUS/MEDIVATORS OLYMPUS/MEDIVATORS
Autoscope RF4 MDS DSD-201 DSD-201LT
WHERE MARKETED Asia, Australasia, Europe, Europe, Asia Worldwide (marketed in Worldwide (marketed in
Middle East, UK USA by Olympus America) USA by Olympus America)
FDA CLEARANCE No No Yes Yes
CONFIGURATION Cart Free-standing on floor Free-standing on floor Free-standing on floor
DISINFECT/STERILIZE Both High-level disinfection or High-level disinfection or High-level disinfection or
sterilization sterilization sterilization
CHAMBER SIZE, H x L x 2 stainless steel trays, 55 17 L (4.5 gal), unit has 2 13 L (3.5 gal) per side, 13 L (3.5 gal) per side,
W, cm (in) (21.7) W x 65 (26) depth chambers unit has 2 chambers unit has 2 chambers
SCOPES/CYCLE 1 or 2 and/or selection of 1 or 2 1 or 2, 1 scope per 1 or 2, 1 scope per
rigid scopes chamber chamber
CYCLE TIME, min
Wash 2 washes @ 2 each Programmable 0-90, variable 0-90, variable
Disinfect/sterilize 4-599, variable Programmable Programmable Programmable
Rinse 2 rinses @ 2 each Programmable Programmable Programmable
Dry 1 Programmable 0-99, 3 default, 0-99, 3 default,
programmable programmable
GERMICIDAL AGENTS
Types used Glutaraldehyde, peracetic 2.4-2.6% glutaraldehyde, 2.4-2.6% glutaraldehyde, 2.4-2.6% glutaraldehyde,
acid, super-ionized water, orthophthalaldehyde orthophthalaldehyde orthophthalaldehyde
chlorine dioxide,
orthophthalaldehyde
Heater Optional NA Yes Yes
Temp range, °C 20-25 NA Ambient-52°C Ambient-52°C
WATER SUPPLY Multistage filtration to 0.22 Portable tap, filtered Portable tap, filtered Portable tap, filtered
micron
Temperature Ambient Ambient-43°C Ambient-43°C Ambient-43°C
requirements, °C
DETERGENT LOADING Semiautomatic with full Manual Manual Manual
fume containment
RESERVOIR VOLUME, L 15 (4) per tray 20 (5) (reusable- 15 (4) 15 (4)
(gal) disinfectant model only)
MANUAL AIR Yes Optional integrated air Manual, automatic Manual, automatic
CAPABILITY compressor or facility air
DOCUMENTATION Printer Printer; onboard database Printer; RS-232 port for Printer; RS-232 port for
with capability to download to PC download to PC
download to facility
database
AUTODISINFECTION Fully automatic Yes Yes Yes
AVAILABLE CHEMICAL Low-flow alarms, lock-out Contact high-level Contact high-level Contact high-level
PROCESS INDICATORS when chemical exceeds disinfectant supplier for disinfectant or sterilant disinfectant or sterilant
maximum-use life chemical indicators supplier for chemical supplier for chemical
indicators indicators
SCOPE COMPATIBILITY All flexible and rigid All flexible All flexible All flexible
OVERALL SIZE, H x W x 154 x 150 x 72 (60.6 x 59 115 x 96 x 80 (45 x 38 x 117 x 91 x 53 (46 x 36 x 117 x 91 x 53 (46 x 36 x
D, cm (in) x 28.3) 31) 21) 21)
WEIGHT, kg (lb) 200 (441) 150 (330) 182 (400) 182 (400)
POWER 110, 230; 50/60 Hz 220 110; 15 A 110; 15 A
REQUIREMENTS, VAC

model(s). These
onto the next page.

24

MODEL LABCAIRE MEDIVATORS OLYMPUS/MEDIVATORS OLYMPUS/MEDIVATORS
Autoscope RF4 MDS DSD-201 DSD-201LT
PLANNING &
PURCHASE
List price £27,000 (US$38,220) Varies depending on $29,175 $31,500
features desired
Warranty 1 year 1 year 1 year on-site 1 year on-site
Service contract Depends on location Optional Optional Optional
Training w/purchase 2 days on-site Full in-service Full in-service Full in-service
Year first sold 1999 2003 2001 2001
Number installed
USA NA Not specified Not specified Not specified
Worldwide Not specified Not specified Not specified Not specified
Fiscal year July to June April to March April to March April to March
OTHER Automatic detergent None specified. Includes 2-stage Includes 2-stage
SPECIFICATIONS loading (enzyme cleaner). prefiltration system. prefiltration system and
Tested and passed by leak tester.
HIRL; full COSHH
compliance assured
(independent test report
available).
Supplier Footnotes
Model Footnotes
Data Footnotes

25

MODEL OLYMPUS/MEDIVATORS OLYMPUS/MEDIVATORS OLYMPUS/MEDIVATORS PLADE (FAILED TO
RESPOND)1
MV-1 MV-2 SSD-102 PLADE 2000
WHERE MARKETED Worldwide (marketed in Worldwide (marketed in Worldwide (Marketed in UK
USA by Olympus America) USA by Olympus America) USA by Olympus America)
FDA CLEARANCE Yes Yes Yes No
CONFIGURATION Tabletop, optional cart Tabletop, optional cart Freestanding on floor Floorstanding cabinet
DISINFECT/STERILIZE High-level disinfection High-level disinfection High-level disinfection or Disinfect
sterilization
CHAMBER SIZE, H x L x 13 L (3.5 gal) 17 L (4.5 gal) 13 L (3.5 gal) 60 x 84 x 64 (23.6 x 33.1 x
W, cm (in) 25.2)
SCOPES/CYCLE 1 1 or 2 1 1 or 2
CYCLE TIME, min
Wash 3-5 3-5 0-90, programmable All times programmable
using IBM or PC controller
Disinfect/sterilize 5, 12, 22, 32, 47, 5, 12, 22, 32, 47, Programmable All times programmable
programmable programmable using IBM or PC controller
Rinse Programmable @ 3-5 Programmable @ 3-5 Programmable All times programmable
Dry Optional 10 minute air dry Optional 10 minute air dry 0-99, 3 default, All times programmable
with alcohol purge with alcohol purge programmable using IBM or PC controller
GERMICIDAL AGENTS
Types used 2.4-2.6% glutaraldehyde, 2.4-2.6% glutaraldehyde, 2.4-2.6% glutaraldehyde, 2% peracetic acid, 2%
orthophthalaldehyde orthophthalaldehyde orthophthalaldehyde, glutaraldehyde, 5%
peracetic acid formaldehyde
Heater Yes Yes Yes Optional
Temp range, °C Ambient-52°C Ambient-52°C Ambient-52°C Not specified
WATER SUPPLY Portable tap, filtered Portable tap, filtered, Portable tap, filtered, As delivered to machine;
reverse osmosis water reverse osmosis water bacteria filters available
supplies are all compatible supplies are all compatible
with reprocessor with reprocessor
Temperature Ambient-43°C Ambient-43°C Ambient-43°C Ambient
requirements, °C
DETERGENT LOADING Manual Manual Manual Automatic
RESERVOIR VOLUME, L 15 (4) 19 (5) 15 (4) 2, each 15 (4)
(gal)
MANUAL AIR Manual Manual Manual, automatic Yes
CAPABILITY
DOCUMENTATION Requires manual log Requires manual log Printer, RS-232 port for Standard printer, resident
download to PC database in PC
AUTODISINFECTION Yes Yes Yes Overnight automatic
program
AVAILABLE CHEMICAL Contact high-level Contact high-level Contact high-level Proprietary indicators from
PROCESS INDICATORS disinfectant supplier for disinfectant supplier for disinfectant supplier for chemical supplier
chemical indicators chemical indicators chemical indicators recommended
SCOPE COMPATIBILITY All flexible All flexible All flexible All flexible
OVERALL SIZE, H x W x 36 x 56 x 51 (14 x 22 x 20) 36 x 56 x 51 (14 x 22 x 20) 129 x 58 x 58 (49 x 23 x 235 x 112 x 98 (92.5 x
D, cm (in) 23) 44.1 x 38.6)
WEIGHT, kg (lb) 30 (66) 32 (70) 100 (220) ~200 (441) depending on
fitted components and
machine's working
conditions
POWER 110; 60 Hz 110; 60 Hz 110, 220 220-240; 50 Hz
REQUIREMENTS, VAC

model(s). These
onto the next page.

26

MODEL OLYMPUS/MEDIVATORS OLYMPUS/MEDIVATORS OLYMPUS/MEDIVATORS PLADE (FAILED TO
RESPOND)1
MV-1 MV-2 SSD-102 PLADE 2000
PLANNING &
PURCHASE
List price $11,800 $19,975 $18,000; $19,500 LT ~$50,000 depending on
chemical disinfection
Warranty 1 year 1 year 1 year, parts/labor 1 year
Delivery time, ARO 1-2 weeks 1-2 weeks 1-2 weeks 6 weeks
Service contract Optional Optional Optional 10% of new machine
value per year
Training w/purchase Full in-service Full in-service Full in-service 2 days on-site
Year first sold 1996 1996 2001 1990
Number installed
USA Not specified Not specified Not specified NA
Worldwide Not specified Not specified Not specified ~50
Fiscal year April to March April to March August to July April to March
OTHER Includes 2-stage Includes 2-stage filtration None specified. Integral fume containment
SPECIFICATIONS prefiltration system. system. and filtration system for
operator protection.
Approved by HIRL.
1
Supplier Footnotes Specifications current as
of September 2004.
Model Footnotes
Data Footnotes

27

MODEL PLADE (FAILED TO SOLUSCOPE SOLUSCOPE STERILOX (FAILED TO
RESPOND)1 RESPOND)1
PLADE 2004R Soluscope 2 Soluscope 3 GTA : SAFER
Soluscope 3 PAA
WHERE MARKETED UK Asia, Australia, Europe Asia, Australia, Europe Worldwide
FDA CLEARANCE No No No (expected in 2006 ) No
CONFIGURATION Floorstanding cabinet Tabletop, optional cart Trolley, water treatment, Cart
barcode reader
DISINFECT/STERILIZE Disinfect Disinfect Disinfect Sterilize
CHAMBER SIZE, H x L x 60 x 84 x 64 (23.6 x 33.1 x Not specified Not specified 19 x 19 (7.5 x 7.5)
W, cm (in) 25.2)
SCOPES/CYCLE 2 flexible or 2 independent 1 1 Option for 2
CYCLE TIME, min
Wash All times programmable 2 2 3
Disinfect/sterilize All times programmable 5 5 5
Rinse All times programmable 3 4 1
Dry All times programmable 1 1 30 seconds
GERMICIDAL AGENTS
Types used 2% peracetic acid, 2% Soluscope D Peracetic acid or Sterilox
glutaraldehyde, 5% glutaraldehyde, Soluscope glutaraldehyde
formaldehyde E enzyme cleaner
Heater Optional Yes Yes No
Temp range, °C Not specified 45 40-45 depending on the NA
chemistry
WATER SUPPLY As delivered to machine; Prefiltered water Prefiltered tap, 0.2-micron Bacteria-free water
bacteria filters available recommended terminal filter generated from dilute
Sterilox
Temperature Ambient 45 40-45 depending on the Not specified
requirements, °C chemistry
DETERGENT LOADING Automatic Automatic, single shot Automatic, single shot Manual sachet, machine
prompt for confirmation
RESERVOIR VOLUME, L 2, each 25 (6.6) 9.7 (2.2) 9.7 (2.2) 15 (4)
(gal)
MANUAL AIR Yes Yes Yes Yes
CAPABILITY
DOCUMENTATION Standard printer, resident Yes Yes Printer, serial port
database in PC hyperterminal, Steritrax
AUTODISINFECTION Overnight automatic Chlorine and Chlorine, glutaraldehyde : Yes
program glutaraldehyde Peracetic acid
AVAILABLE CHEMICAL Proprietary indicators from Yes Yes LCD printer, serial port
PROCESS INDICATORS chemical supplier log, lock-out if insufficient
recommended auto
SCOPE COMPATIBILITY All flexible and rigid All All All flexible
OVERALL SIZE, H x W x 235 x 112 x 98 (92.5 x 80 x 90 x 170 (31.5 x 35.4 80 x 90 x 170 (31.5 x 35.4 113 x 95 x 60 (44.5 x 37.4
D, cm (in) 44.1 x 38.6) x 67) x 67) x 23.6)
WEIGHT, kg (lb) ~250 (551.2) depending 45 (99.2) 50 (110.3) Model dependent
on fitted components and
machine's working
conditions
POWER 220-240; 50 Hz 220-240; 50 Hz 220-240; 50 Hz 110-240; 50/60 Hz
REQUIREMENTS, VAC

model(s). These
onto the next page.

28

MODEL PLADE (FAILED TO SOLUSCOPE SOLUSCOPE STERILOX (FAILED TO
RESPOND)1 RESPOND)1
PLADE 2004R Soluscope 2 Soluscope 3 GTA : SAFER
Soluscope 3 PAA
PLANNING &
PURCHASE
List price ~$60,000 depending on €17,000 (US$20,111) €23,000 (US$27,209) €16,500 (US$19,519),
chemical disinfection €20,750 (US$24,547)
Delivery time, ARO 6 weeks 4 weeks 4 weeks 4-5 weeks
Service contract 10% of new machine Yes Yes Various levels, including
value per year HTM 2030, details
available on request
Training w/purchase 2 days on-site Yes Yes On-site and in-house
Year first sold 1993 1994 2002 2002
Number installed
USA NA NA NA Not specified
Worldwide ~30 1,200 400 >40 total
Fiscal year April to March July to June July to June Not specified
OTHER Integral fume containment 15 min leak test; 8 cycle Channel control; double Connected to dedicated
SPECIFICATIONS and filtration system for programs; oval form fits all sensors for critical Sterilox solution
operator protection. endoscopes except parameters; includes generator, all dispensers
Approved by HIRL. echoendoscopes. trolley air-brake tank, of fluid are measured at all
Validated by AML prefiltration, printer, times. Designed by HTM
(Australia), GERMANDE barcode; oval form fits all 2030 accredited
(France), and HIRL endoscopes (except engineers.
(England). echoendoscopes).
Complies with EN 1588-4,
UK HTM 2030, French
prion regulations.
1 1
Supplier Footnotes Specifications current as Specifications current as
of September 2004. of September 2004.
Model Footnotes
Data Footnotes

29

MODEL STERIS STEROZONE (FAILED STEROZONE (FAILED STEROZONE (FAILED
TO RESPOND)1 TO RESPOND)1 TO RESPOND)1
SYSTEM 1 P1000 : SELECTA 2000 Mobile STEROZONE Mobile SUPER AQUA 2000
P6000 Mobile
WHERE MARKETED Worldwide UK UK UK
FDA CLEARANCE Yes No No No
CONFIGURATION Tabletop Cart Cart Cart
DISINFECT/STERILIZE Sterilize Disinfect Washer/disinfect Washer/disinfect
CHAMBER SIZE, H x L x Flexible scope tray 53 x 18 x 45 x 38 (7.1 x 17.7 x 18 x 45 x 38 (7.1 x 17.7 x 18 x 45 x 38 (7.1 x 17.7 x
W, cm (in) 50 (21 x 19.7) 15) 15) 15)
SCOPES/CYCLE 1 2 flexible or rigid 2 flexible or rigid 2 flexible or rigid
scopes/instruments scopes/instruments scopes/instruments
CYCLE TIME, min
Wash NA Variable Variable Variable
Disinfect/sterilize 12, standardized Variable Variable Variable
Rinse 4 (sterile water) Variable Variable Variable
Dry NA Variable Variable Variable
GERMICIDAL AGENTS
Types used Peracetic acid 2% peracetic acid, 2% Ozone in water solution Anolyte with an ORP
glutaraldehyde, 5% (single use) 1150-1152 mv (single
formaldehyde use)
Heater Yes No Accepts hot water Accepts hot water
Temp range, °C 50-56 (standardized) NA 40 40
WATER SUPPLY Potable tap water, filtered As delivered to machine; As delivered to machine; As delivered to machine;
bacteria filters available; bacteria filters available; bacteria filters available;
use of sterile bags with use of sterile bags with use of sterile bags with
program control optional program control optional program control optional
Temperature 43-48 Ambient Ambient Ambient
requirements, °C
DETERGENT LOADING Prepackaged, Manual Automatic Automatic
premeasured container.
RESERVOIR VOLUME, L NA 15 (4) 15 (4) 15 (4)
(gal)
MANUAL AIR No Yes Yes Yes
CAPABILITY
DOCUMENTATION Printer Optional printer Printer Printer
AUTODISINFECTION Sterilizes all fluid Self-disinfection includes Self-disinfection includes Self-disinfection includes
pathways during each trailing lines trailing lines trailing lines
cycle
AVAILABLE CHEMICAL Chemical indicator strips, Proprietary indicators from Integral ozone-level Integral ORP metering
PROCESS INDICATORS biological monitor kits chemical supplier metering
recommended
SCOPE COMPATIBILITY All leading manufacturers All flexible and rigid All flexible and rigid All flexible and rigid
OVERALL SIZE, H x W x 81 x 97 x 61 (32 x 38 x 105 x 96 x 54 (41.3 x 37.8 142 x 92 x 100 (55.9 x 142 x 92 x 100 (55.9 x
D, cm (in) 24) x 21.3) 36.2 x 39.4) 36.2 x 39.4)
WEIGHT, kg (lb) 68 (150) 50 (110.3) depending on 70 (154.4) 70 (154.4)
fitted components and
machine's working
conditions
POWER 120; 20 A 220-240; 50 Hz 220-240; 50 Hz 220-240; 50 Hz
REQUIREMENTS, VAC

model(s). These
onto the next page.

30

MODEL STERIS STEROZONE (FAILED STEROZONE (FAILED STEROZONE (FAILED
TO RESPOND)1 TO RESPOND)1 TO RESPOND)1
SYSTEM 1 P1000 : SELECTA 2000 Mobile STEROZONE Mobile SUPER AQUA 2000
P6000 Mobile
PLANNING &
PURCHASE
List price $16,200 : $18,200; $24,000 depending on $60,000 $60,000
sterilant costs $135/case chemical disinfection
Warranty 1 year, parts/labor 1 year 1 year 1 year
Delivery time, ARO Stock 4 weeks 4 weeks 4 weeks
Service contract $2,780 after warranty 10% of new machine 10% of new machine 10% of new machine
value per year value per year value per year
Training w/purchase On-site operator training, 2 days on-site 2 days on-site 2 days on-site
CD, online training
available
Year first sold 1988 1995 2004 2004
Number installed
USA >16,000 NA NA NA
Worldwide >20,000 ~60 <10 <10
Fiscal year April to March April to March April to March April to March
OTHER Meets requirements of UL. Chemical transfers carried Chemical transfers carried Chemical transfers carried
SPECIFICATIONS out under vacuum using out under vacuum using out under vacuum using
an integral fume-filtration an integral fume-filtration an integral fume-filtration
system for operator's system for operator's system for operator's
maximum protection. maximum protection. maximum protection.
1 1 1
Supplier Footnotes Specifications current as Specifications current as Specifications current as
of September 2004. of September 2004. of September 2004.
Model Footnotes
Data Footnotes

31

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October 2005

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Scope of this Product Comparison

These devices are also called: liquid disinfectors, liquid sterilizers.

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Included in the accompanying comparison chart

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ventilation may be required by the manufacturer

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Alternative 2 — Sterilizing Unit

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Urayama S, Kozarek RA, Sumida S, et al. Mycobacteria and glutaraldehyde: is high-level

Standards and guidelines

Medical electrical equipment—part 1: general requirements for safety. Amendment 2 [standard].

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Citations from other ECRI publications

Health Technology Trends

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Advanced Sterilization Products (Belgium)

Advanced Sterilization Products (Singapore)

Belimed Inc [402798]

Belimed SAS [416386]

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Olympus America Inc, Endoscopy Group [364575]

Olympus Beijing [276351]

Olympus (Europa) GmbH [155981]

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Wendenstrasse 14-18 Postfach 104908

Olympus Singapore Pte Ltd [276169]

Sterilox Technology International Ltd [358353]

STERIS Corp (Hong Kong) [227264]

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Phone: 852 25633623 Fax: 852 25637387

STERIS Ltd [355810]

STERIS Singapore [320749]

About the chart specifications

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