Provided among other things is a sampling system for determining an amount or type of contamination a narrow, elongated passageway in a medical device, said sampling system comprising: (a) a fluid supply system that supplies to said passageway a sampling liquid for flowing through said passageway and a gas for flowing through said passageway; and (b) a receiving container that receives liquid from said passageway, wherein said sampling liquid is sterile, wherein said sampling liquid is configured to allow recovery of viable pathogens from the passageway, and wherein said sampling liquid comprises an amount and selection of surfactant effective to enhance the dislodgement of Enterococcus faecalis and Pseudomonas aeruginosa bacteria from the narrow passageways.

A washing tool includes a washing tool main body and a supplier. The washing tool main body is attached to a distal framing section of an insertion section of an endoscope in place of a cover, the cover being configured to be attached to the distal framing section. The washing tool main body accommodates the distal framing section in an inside of the washing tool main body in a state where the washing tool main body is attached to the distal framing section. The supplier is configured to supply a fluid to the inside of the washing tool main body.

A cleaning indicator including a substrate having an image upon it that can be interrogated to assist in monitoring a process for washing articles in a washing machine system. The image can be a printed image, which in turn is covered at least partially by a test soil to be removed by the washing process. Alternatively, the test soil can be formed into an image on the substrate. The cleaning indicator can be imaged before the start of a washing process to allow the washing process to proceed only if the appropriate image is observed. The cleaning indicator can be imaged during operation of the washing process, and when a criterion for cleanliness is met, the washing process can be automatically terminated. A washing system for using the cleaning indicator in an automated washing process is also disclosed.

Embodiments of the invention are directed to apparatuses and methods for cleaning and disinfecting probes. A cleaner is utilized to remove foreign materials (e.g., bioburden, soil, and other like material) from the probe after it is removed from the patient by soaking and/or flushing the foreign materials from the probe. The cleaner may be an enzymatic detergent that has bacteriostatic properties to inhibit bacterial growth within the apparatus. The multiple enzymes in the cleaner attack the foreign material, and include low-foam properties for effective recirculation across cycles within the cleaning step. The probe is rinsed after the cleaning step, and after rinsing a disinfectant process is applied to the probe. The disinfectant soaks and/or flushes the probe for a specified amount of time across cycles of recirculation to disinfect the surface of the probe, and afterwards the probe is rinsed thoroughly to remove the disinfectant from the probe.

A method is provided for reprocessing an internal channel of a medical device with a reprocessing system having a valve, a fluid line fluidly coupled with the valve, and at least one sensor coupled with the fluid line. The method includes performing an actuation of the valve to direct liquid through the fluid line and into the internal channel, and detecting with the at least one sensor a predetermined condition within the fluid line while the liquid is being directed into the internal channel. In response to detecting the predetermined condition, a time duration measured from the actuation of the valve is recorded. The method further includes purging the liquid from the internal channel, and directing liquid through the fluid line and into the internal channel for the time duration.

Embodiments of the present invention provide a method, system and assembly each adapted for enabling an imaging element cleaning apparatus to be placed through an abdominal wall of the patient without the use of a trocar or cannula. By eliminating the need for and use of a cannular or trocar, such embodiments advantageously overcome dimensional compatibility issues exhibited between the inside diameter of the central passage of commercially-available trocars and cannulas and the outside diameter of the sheath of an imaging element cleaning apparatus comprising such a sheath. Such dimensional compatibility issues are overcome by enabling an imaging element cleaning apparatus of the present disclosures to be placed through the abdominal wall of a patient without the use of a trocar or cannula. As a result, the sheath of the aforementioned imaging element cleaning apparatus can be in direct contact with the abdominal wall tissue.

An endoscope reprocessor for reprocessing an endoscope. An actuation mechanism of the reprocessor includes an actuator housing and a plunger removably attachable to an elevator guidewire lever of the endoscope. A receiving chamber receives pressurized fluid from a pump to impart a pressurized fluid biasing force that displaces the plunger relative to the actuator housing in a first direction and a return actuator that imparts a return biasing force that displaces the plunger relative to the actuator housing in a second direction. A controller controls the pump to provide the pressurized fluid at a first pressure at which the pressurized fluid biasing force is greater than the return biasing force to displace the plunger lever in the first direction and a second pressure at which the return biasing force is greater than the pressurized fluid biasing force to displace the plunger and the lever in the second direction.

A method and device for high-pressure, high-temperature steam sterilization of endoscopes includes pressure resistant fittings to attach a steam generator to the ports of an endoscope. The method and device allows for high-pressure, high-temperature steam to circulate throughout the endoscope, exposing various surfaces to steam for sterilization. The method and device also allows for high-pressure, high-temperature steam to circulate selectively through the channels of the endoscope, selectively sterilizing the channels and allowing for use of this method with current high-level disinfection methods. The method and device also allows for movement of the scope elevator channel during the sterilization process, allowing for steam to reach the crevices around the elevator and other moving parts of an endoscope.

An endoscope leak test connector includes: a rotating body configured to cause a ventilation member to project from a leak test pipe sleeve by rotating in a positive direction and cause the ventilation member to be buried into the leak test pipe sleeve by rotating in a negative direction; a gas inlet configured to be connected with a gas supply source; a facing member configured to face the ventilation member projecting from the leak test pipe sleeve; a gas outlet that is open on the facing member; and a seal portion configured to seal the gas outlet and the ventilation member so that the gas outlet and the ventilation member liquid-tightly communicate with each other.

An endoscope with a handle and an insertion shaft. The insertion shaft has solid state illumination and imaging circuitry at or near a tip designed to provide illumination and imaging of a body cavity for a surgeon during surgery. At least a portion of the insertion shaft is flexible or articulated. Controls on the handle permit control of flex or articulation of the insertion shaft to permit direction of illumination and field of view of the imaging circuitry. Control force transfer elements permit a surgeon to direct a direction of the imaging circuitry by transfer of mechanical force directed by a surgeon to the bendable distal portion to cause the bendable portion to bend under the surgeon's control.