Implementation of an Anaesthesia Quality Improvement Programme to Reduce Fibreoptic Bronchoscope Repair Incidents

Figure 3

Modification of transport trolley and disinfection container designs for the protection of the fibreoptic bronchoscope (FOB). (a) Transport trolley before modification with high risk of scope damage during transportation. (b) Refined trolley design with installation of a scope holder and a metallic protector for the prevention of dislodgement of FOB from the pole and crashing of FOS against surrounding objects during transportation, respectively. A ruler extending through the length of the bending portion to ensure complete extension of FOB on hanging without kinking inside the plastic bag. (c) Bending during immersion in an enzyme cleaner or Cidex® in a container before improvement. (d) Use of a metal container of adequate length to allow FOB to extend to its full length without bending during immersion in the cleaning process as part of the quality improvement programme.

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