Fiber Optic Scope Source

Standard Endoscope

what are the residue standards of glutaraldehyde on reuseable endoscope?

Employee exposure guidelines are given in an OSHA publication at http://www.osha.gov/Publications/glutaraldehyde.pdf but this doesn't address patient exposure standards (exposure due to residual glutaraldehyde).

You may be able to arrive at the right answer based on the ISO standards at http://dmd.nihs.go.jp/iso-tc194/wg/14538.txt

I can only find "FDA Proposed Rule, 43 FR 27482 (June 23, 1978), Maximum Residue Limits for Ethylene Oxide, Ethylene Chlorohydin, and Ethylene Glycol" on FDA's website,

You may also want to look at AAMI / ANSI ST58:2005, Safe use and handling of glutaraldehyde-based products in health care facilities.

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Percutaneous Endoscopic Lumbar Discectomy Surgery In India At Affordable Cost

 

Percutaneous Endoscopic Lumbar Discectomy Surgery

This is unique type of surgery done for prolapsed intervertebral disc prolapse. This truly minimal invasive spine surgery. This surgery is done using YESS scope and done under local anesthesia with conscous sedation. Endoscope is passed under local anesthesia transforaminally in to affected disc and targeted fragmentectomy done. Wound is closed with single stitch. Patient is mobilized and can be discharged same day.

 

• Surgery done under local anesthesia with conscious sedation
• 0.5cm skin incision
• Endoscope used for surgery
• No muscle, ligament or normal tissue damage
• Targeted fragmentectomy (directly prolapsed disc tissue removed.)
•  No blood loss
• Patient can be discharged same day

 

What is Percutaneous Cervical/Lumbar Endoscopic Discectomy with Laser Thermodiskoplasty ?

Percutaneous Cervical Microdecompression Endoscopic Cervical/Lumbar Discectomy with Laser Thermodiscoplasty, is a new procedure to shrink and remove a herniated disc. Using brief general (cervical) or local (lumbar) anesthesia and the help of x-rays for guidance, specially designed micro-instruments, the discectome and a laser probe are inserted into the herniated disk space, and a portion of the offending disk is removed with suction and then vaporization with a laser to shrink the disc further, instead of open surgery.

 

Who Should Consider This Procedure ?

• Pain radiating from the neck or back downward to the limbs
• Symptoms including sensory loss, tingling, numbness, and muscle weakness
• A positive CT or MRI scan for disk herniation
• No improvement of symptoms after six to eight weeks of conservative therapy
• Positive electromyogram study is helpful

 

The Procedure

The procedure is performed under brief general (cervical) or local (lumbar) anesthesia with the patient awake and in a supine (cervical) or lateral (lumbar) position. A small needle is inserted into the disc.

Over this probe, a slightly larger sleeve is inserted to permit a 2mm incision to be made in the disk itself. Using x-ray fluoroscopy control, the micro-instruments (forceps, currets, cutters), the discectome (which is a hollow probe with a cutting knife inside), and the laser probe are inserted into the disk space through a sleeve. Very small pieces of the disk material are removed and suctioned. The laser shrinks the disk bulge further. The procedure takes about 20 minutes, on average. X-ray exposure is minimal....

 

Advantages

The primary advantage of this procedure is that there is no interference with the muscles, bones, joints or manipulation of the nerves in the neck or back areas. Since insertion of the probe through the muscle is the only wound, there is no scarring in or around the nerves postoperatively. Additionally, it is an outpatient procedure. Unfortunately, patients who have large free fragments of disk in the spinal canal, as determined by the x-ray, cannot benefit from this procedure. However, the laser can shrink the bulging disc further for disc decompression....

 

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