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Standards · Standard or regulation

HTM 01-06 / ISO 15883

Decontamination of flexible endoscopes, and washer-disinfector requirements

In plain words

What it covers.

HTM 01-06 is NHS guidance on managing and reprocessing flexible endoscopes: design of the decontamination unit, endoscope washer-disinfectors, drying cabinets, water quality and testing. ISO 15883 sets the performance and test requirements for washer-disinfectors, with Part 4 covering those for thermolabile endoscopes.

Who uses it: Decontamination leads, authorised engineers (decontamination), endoscopy units and clinical engineers.

A summary written by BMEssentia for learning, not the text of the standard. Always work from the current official edition and the manufacturer's instructions.

It covers

  • Endoscope decontamination unit design
  • Endoscope washer-disinfectors (EWDs)
  • Water treatment and final rinse quality
  • Storage and drying cabinets
  • Periodic testing
  • Traceability of endoscope to patient

Key points

What engineers need to know.

  • Reprocessing runs one way: dirty to clean, with physical separation between them.
  • Each endoscope must be traceable to each patient for look-back after a failure.
  • Final rinse water quality is tested because bacteria in rinse water can recontaminate a clean scope.
  • Washer-disinfectors need validation, then periodic tests as set out in ISO 15883.
  • Channel blockage detection is essential: an unflushed channel is not disinfected.
  • A failed cycle means the scope is not used and the look-back process starts.

Devices

Devices it applies to.

Each device in the Medical City Device Lab, with its Device Library course on the Platform.

Medical City

Where you practise it.

  • S1-M057 endoscopy suite
  • S1-M094 decontamination failure
  • S2-M023 and S2-M078 decontamination suite and validation