In Vitro Performance Characteristics of Reused Ablation Catheters

  • Igor Ayzman
  • Samer R. Dibs
  • Jeffrey Goldberger
  • Rod Passman
  • Alan Kadish
Article

Abstract

Background: Prior studies have found that there is a widespread practice of catheter reprocessing in cardiac electrophysiology laboratories. Effects of reprocessing of ablation catheters on temperature sensing and mechanical deflection are not fully known.

Methods: Twenty-four new and used ablation catheters were studied. Deviation of temperature sensing by catheters from the temperature of a heated saline bath was measured. The angle of deflection of digitally scanned catheters at 75% and 100% handle deflection was also measured. New and used catheters were compared with respect to their temperature sensing accuracy and deflection characteristics.

Results: Overall, there was 0.7 ± 0.1°C (mean ± standard error) deviation of the sensed temperature from the bath temperature, with no significant difference between new and used catheters. Similarly, there was no significant difference in the angle of deflection between new (66.7° ± 6.2° and 24.3° ± 6.8° at 75% and 100% deflections, respectively) and used (59.6° ± 5.6° and 28.7° ± 9.9° at 75% and 100% deflections, respectively) catheters. The difference in the angle of deflection between matched new and used catheters was 18.9° ± 4.2° and 10.9° ± 2.4° at 75% and 100% deflections, respectively, with a relatively broad range (5.0°–35.6° and 0.4°–19.0° at 75% and 100% deflections, respectively).

Conclusions: This study found no significant overall difference in temperature sensing accuracy and deflection angle of new and used ablation catheters. Nevertheless, individual differences in deflection characteristics between new and used catheters are occasionally seen and warrant screening of reprocessed catheters prior to their reuse.

equipment reuse catheter ablation 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Dunnigan A, Roberts C, McNamara M, Benson DW Jr, Benditt DG. Success of re-use ofcardiac electrode catheters. American Journal of Cardiology 1987;60:807–810.Google Scholar
  2. 2.
    O'Donoghue S, Platia EV.Reuse of pacing catheters: A survey of safety and efficacy. Pacing & Clinical Electrophysiology 1988;11:1279–1280.Google Scholar
  3. 3.
    Ross DL. Re-use of electrode catheters labelled as single use for clinical cardiac electrophysiological studies.Australian & New Zealand Journal of Medicine 1996;26:632–635.Google Scholar
  4. 4.
    Gilligan DM, Wood MA, Ellenbogen KA. Catheter reuse: Boon or boondoggle? Pacing & Clinical Electrophysiology 1998;21:2558–2562.Google Scholar
  5. 5.
    Charatan F. Controversy erupts over reuse of “single use” medical devices. BMJ 1999;319:1320.Google Scholar
  6. 6.
    Mickelsen S, Mickelsen C, MacIndoe C, Jaramillo J, Bass S, West G, Kusumoto F. Trends and patterns in electrophysiology and ablation catheter reuse in the United States. American Journal of Cardiology 2001;87:351–353.Google Scholar
  7. 7.
    Avitall B, Khan M, Krum D, Jazayeri M, Hare J. Repeated use of ablation catheters: A prospective study.Journal of the American College of Cardiology 1993;22:1367–1372.Google Scholar
  8. 8.
    Blomstrom-Lundqvist C. The safetyof reusing ablation catheters with temperature control and the need for a validation protocol and guidelines for reprocessing. Pacing & Clinical Electrophysiology 1998;21:2563–2570.Google Scholar
  9. 9.
    Bathina MN, Mickelsen S, Brooks C, Jaramillo J, Hepton T, Kusumoto FM. Safety and efficacy of hydrogen peroxide plasma sterilization for repeated use of electrophysiology catheters. Journal of the American College of Cardiology 1998;32:1384–1388.Google Scholar
  10. 10.
    Aton EA, Murray P, Fraser V, Conaway L, Cain ME. Safety of reusing cardiac electrophysiology catheters. American Journal of Cardiology 1994;74:1173–1175.Google Scholar
  11. 11.
    Ferrell M, Wolf CE, 2nd, Ellenbogen KA, Wood MA, Clemo HF, Gilligan DM. Ethylene oxide on electrophysiology catheters following resterilization: Implications for catheter reuse. American Journal of Cardiology 1997;80:1558–1561.Google Scholar
  12. 12.
    Grimandi G, Sellal O, Grimandi F, Crochet D.Risks of reusing coronary angioplasty catheters: Results of an experimental study. Catheterization & Cardiovascular Diagnosis 1996;38:123–130.Google Scholar
  13. 13.
    Luijt DS, Schirm J, Savelkoul PH, Hoekstra A. Risk of infection byreprocessed and resterilized virus-contaminated catheters; an in vitro study. Europian Heart Journal 2001;22:378–384.Google Scholar
  14. 14.
    Turi ZG. Reuse of disposables: Let's not embrace waste. Catheterization & Cardiovascular Diagnosis1996;38:133–134.Google Scholar
  15. 15.
    Fagih B, Eisenberg MJ. Reuse of angioplasty catheters and risk of Creutzfeldt-Jakobdisease. American Heart Journal 1999;137:1173–1178.Google Scholar
  16. 16.
    Barbeau GR. Reuse of coronary catheters: Oldquestions, new environment. American Heart Journal 1999;137:1010–1011.Google Scholar
  17. 17.
    Lindsay BD, Kutalek SP, Cannom DS, Hammill SC, Naccarelli GV. Reprocessing of electrophysiology catheters: Clinical studies, regulations, and recommendations. A report of the NASPE Task Force on Reprocessing of Electrophysiological Catheters. Pacing & Clinical Electrophysiology 2001;24:1297–1305.Google Scholar
  18. 18.
    Mak KH, Eisenberg MJ, Eccleston DS, Brown KJ, Ellis SG, Topol EJ. Cost-efficacy modeling of catheter reuse for percutaneous transluminal coronary angioplasty. Journal of the American College of Cardiology 1996;28:106–111.Google Scholar
  19. 19.
    Lesh MD. Cost efficacy modeling of catheter reuse forpercutaneous transluminal coronary angioplasty. Journal of the American College of Cardiology 1996;28:1640–1641.Google Scholar
  20. 20.
    Brook CW. Re-use of electrode catheters labelled as single use. Australian & New Zealand Journal of Medicine1997;27:353–355.Google Scholar
  21. 21.
    Krause G, Dziekan G, Daschner FD. Reuse of coronary angioplasty balloon catheters:Yes or no? European Heart Journal 2000;21:185–189.Google Scholar

Copyright information

© Kluwer Academic Publishers 2002

Authors and Affiliations

  • Igor Ayzman
    • 1
  • Samer R. Dibs
    • 1
  • Jeffrey Goldberger
    • 1
  • Rod Passman
    • 1
  • Alan Kadish
    • 1
  1. 1.Feinberg Cardiovascular Research Institute and Division of Cardiology, Department of MedicineNorthwestern UniversityChicagoUSA

Personalised recommendations