Posted on December 14, 2015 by Cogentix Medical

Increasing Patient Throughput in a Cystoscopy Outpatient Clinic

cogentix-surgeon-writing.jpgFlexible cystoscopy impacts scheduling, staff productivity, practice revenue and, ultimately, patient care.  Urology practices can take flexible cystoscopy to the next level with a new type of cystoscopy system.  PrimeSightTM cystoscopes, combined  with the EndoSheath® protective barrier improves cystoscopy efficiency and cystoscope adaptability, fundamentally changing the clinic’s day-to-day practice.  As a result, clinics can leverage staff time formerly assigned to cleaning into more procedures, more productive practice operation and better patient interaction and care.

Saving Time and Money

Conventional flexible cystoscopes require cleaning and sterilization or high-level disinfection after each procedure, a process that is time-consuming and potentially hazardous to healthcare staff and patients due to substances used in disinfection.

In a randomized control trial performed on a total of 100 patients, cystoscopy using the EndoSheath barrier was proven to save four to 31 minutes of instrument processing time, while avoiding exposure to potentially toxic and allergenic chemicals used for disinfecting conventional flexible cystoscopes.

Conventional reprocessing involves pre-cleaning, leak testing, cleaning, disinfection/sterilization and drying – all of which include a total of 27 steps that can take up to 45 minutes to perform.

Only three rapid steps are involved in scope reprocessing when the EndoSheath barrier is used -- pre-cleaning/cleaning, disinfection/sterilization and drying.  All combined, this process takes less than 10 minutes.

Efficiency Matters

Using the EndoSheath barrier with a PrimeSight endoscope redefines practice efficiency by giving balance to the reprocessing/procedure ratio. The rapid turnover enables practices to schedule more procedures in shorter intervals without having to invest in many endoscopes. For example, instead of performing ten procedures over the course of a day, ten procedures could be completed in a morning. Also, instrument optical quality and patient comfort were similar to those used in standard flexible cystoscopy.

Fewer Scopes

When used with the EndoSheath barrier, one PrimeSight cystoscope can do the work of several conventional instruments. It’s not just the abbreviated reprocessing but also that EndoSheath products are available with different working channel sizes. That means urologists can use a single PrimeSight scope to support a range of diagnostic and therapeutic procedures.

This innovative combination may provide a cost advantage over standard flexible cystoscopes by obviating the need for a backup instrument in a busy urologic practice, while providing the same efficacy and efficiency as standard flexible cystoscopes.

In the aforementioned trial, a cost analysis was performed considering the following expenses:

  • Initial purchase of the cystoscope
  • Cystoscope repair or replacement
  • Disposables (antimicrobial barrier vs. disinfecting agents)
  • Hours of work by the nursing staff

On average, one repair per year (or after every 200 procedures) was required for each cystoscope. The average repair bill for the standard flexible cystoscope was $3,608 compared with the average repair bill for the PrimeSight cystoscope at $700.

Impacting the Entire Practice

The PrimeSight endoscopy system, in combination with the EndoSheath barrier, provides the urologist the ultimate in practice efficiency and high-performance cystoscopy. Due to rapid turnaround, urologists do not have to wait for equipment to go through lengthy and elaborate reprocessing procedures.

This system helps keep the practice’s capital equipment budget low by providing one flexible cystoscope that can do the work of many conventional scopes, reducing the need for turnaround inventory. The reduced inventory and the reduced exposure to toxic chemical disinfection routines also allow for lower service and repair expenses.

The system’s simple preparation routine frees up staff time normally spent on conventional cystoscope reprocessing routines, increasing productivity and allowing the practice’s staff to allocate more time to patient intake and overall care.

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