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Safety and cost-effectiveness of single-use endolaser probe reprocessing in vitreoretinal surgery
- Source :
- International Journal of Retina and Vitreous, Vol 7, Iss 1, Pp 1-6 (2021), International Journal of Retina and Vitreous
- Publication Year :
- 2021
- Publisher :
- BMC, 2021.
-
Abstract
- Background Endolaser probes have been designed and sold for single-use only. However, in Brazil, they are not included in the list of single-use medical products that are prohibited from being reprocessed and could potentially be reused if safety requirements are accomplished. Therefore, this study aimed to determine and compare the quality, safety and costs of reprocessed versus original single-use endolaser probes of a specific brand and model. Methods The study, conducted at a university hospital in Sao Paulo, Brazil, was divided in two phases. The first one tested the feasibility, sterility and physical integrity of ten reprocessed laser probes. In the second phase, all vitrectomy procedures using endolaser probes (reprocessed and original ones) from August 2017 to October 2019 were evaluated. The operated cases were followed for any signs of infection and number of defective probes for each group were counted. The cost of acquiring a new probe and for all reprocessing stages were evaluated and quantified in US dollars($). Results Microbiologic, residual ethilen oxide and microscopic evaluation of integrity of reprocessed laser probes were all within acceptable range. The second phase of this study included 590 endolaser probes, of which 375 were original and 215 were reprocessed. Functionality rates differed significantly between groups. Among the original probes, 373 (99.47%) were functioning and 2 (0.53%) were non-functioning. Among the reprocessed ones, 201 (93.5%) were functioning and 14 (6.5%) were non-functioning (p Conclusions Our study showed that a single cycle endolaser probe reprocessing was safe and efficient, not associated with increase in endophthalmitis rate and proved to be significantly cost-effective, even considering a greater malfunction rate when compared to the original devices.
- Subjects :
- Cost effectiveness
Infectious endophthalmitis
03 medical and health sciences
0302 clinical medicine
Endophthalmitis
lcsh:Ophthalmology
Vitrectomy
medicine
Cost–Benefit Analysis
Average cost
Single cycle
Single use
Laser Coagulation
030504 nursing
business.industry
Sterilization
Vitreoretinal surgery
medicine.disease
University hospital
Ophthalmology
lcsh:RE1-994
030221 ophthalmology & optometry
Original Article
0305 other medical science
Nuclear medicine
business
Subjects
Details
- Language :
- English
- ISSN :
- 20569920
- Volume :
- 7
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- International Journal of Retina and Vitreous
- Accession number :
- edsair.doi.dedup.....2d3e32ae3a192f8c5ddfa4a0ae3ecb03