Hysteroscope Sheaths
Hysteroscope Sheaths are used to introduce Hysteroscopes and Resectoscopes directly into the uterus during Gynecological procedures. It's crucial to ensure these devices are clean and in good working order to minimize any risk of patient injury or introduction of potential contaminants into the uterus or the reproductive tract.
Some points to consider when performing borescope inspections on these sheaths:
Preparation:
- Ensure borescopes are sized appropriately to view inside of all components of the sheath to be inspected
Areas to inspect:
- Hysteroscope/Bridge attachment mechanism
- Drainage/irrigation ports, including entire lumen if possible
- Drainage/irrigation valves
- Scope lumen of sheath
- Instrument channel of sheath
- Tip of sheath
What to look for:
- Damage
- Scope/bridge attachment mechanism loose, worn or broken
- Drainage/irrigation valves loose, worn or broken
- Surfaces scratched or gouged
- Pitting from corrosion
- Same types of damage for hysteroscope/resectoscope bridge(s), if included with hysteroscope sheath
- Debris
- Filaments from cleaning implements
- Tissue fragments
- Blood clots
- Applied chemical powders
- IntraUterine Device or other placed device fragments
- Discoloration
- Dried blood
- Dried chemicals
- Rust/corrosion
- Base metal showing through stainless steel layer
- Hard water/mineral deposits
- Droplets
- Blood
- Irrigation fluid
- Cleaning fluid, including simethicone
- Rinse water
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