Does anyone have any experience of using disposable bronchoscopes. My trust is currently looking into purchasing these, my colleague who leads on endoscopic procedures has been very impressed with them and feels they are clinically superior to the re-usable scopes we currently have. However, my instant reaction was to be concerned about introducing yet another single-use item into our practice, which is a complex piece of engineering full of mixed materials and electronics.
I contacted my colleague who put me in touch with the sustainability lead for the company who make them, who very kindly arranged to meet me via teams to discuss. They had a very impressive presentation, and were keen to highlight the environmental impact of cleaning re-usable scopes (water, chemicals, energy, +/- transport if off site) which I have to say I hadn't considered. They also talked about their recycling pilot in the UK, which they report recycles 95% of the material of the scope (the plastic and metal, sadly not the electronics and light source).
They provided data showing similar or in some cases lower carbon footprints per procedure for disposable scopes (eg https://www.researchgate.net/publication/330284318_Comparative_Study_on…) , but the data upon which the conclusions were based were all very variable, with alot of assumptions. It was really difficult to understand how that would relate to our own practice. There was also at least one industry authored study. And it was difficult to understand how feasible the recycling pilot would actually be, as whilst they are paying the costs for it for the pilot, they weren't able to give an estimated cost to enrolling in this once the pilot is complete (and unless the price was competitive with disposal, most NHS trust's would be forced to choose disposal).
I am really keen that the environmental impact is taken into account when our trust makes the decision about whether to switch or not, but am struggling to establish what the impact would be. My gut instinct still says disposable has to be worse, but if I can't evidence that, it would be hard to overrule a clinical benefit. I would be really keen to hear from anyone who has already made the switch (or chosen not to), and what your conclusion was/is about the environmental impact?
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