Medical Devices Agency (MDA) advice regarding “third party” repairers.
 
Recently, the issue of “authority” to carry out repairs to scopes has re-emerged. Thanks largely to “scare” tactics employed by the large manufacturers who often incorrectly quote MDA guidelines as saying that endoscopes should always be returned to the original manufacturer for repair. This is not the case.
 
The MDA  guidelines, as published in June 2000. Ref: - MDA DB2000(02) Medical Devices and Equipment: Repair and Maintenance Provision.
This is a fairly lengthy and broad based document covering many aspects of repair and maintenance of many differing types of equipment, not just endoscopes. To quote the entire document here would not be beneficial as it covers areas in which we are not involved. We would of course, be happy to discuss the contents of the whole document with any interested body or send you the relevant section for your own appraisal.
 
What follows are edited extracts which we consider to be the main points from the MDA document, in relation to the repair and maintenance of rigid endoscopes. We have quoted directly from the document with Custom Optics comments / interpretation in italics and bold.
 

1.2 Introduction.
 
The main objective of the MDA is to take all reasonable steps to ensure that medical devices and equipment in the UK are of safe design, of appropriate quality, perform as intended and are properly used. The repair and maintenance of a medical device or item of equipment has an influence on its safety, quality and performance. It is therefore important that any work is carried out correctly such that the device will continue to meet these criteria….
 
The MDA document goes on to say..
 
Users (Hospitals) should ensure that they carry out both a risk-benefit as well as a cost-benefit analysis in selecting a service organisation for the repair and maintenance of a specific device.
 
Our interpretation of this is that the MDA recognise that with respect to the cost-benefit analysis, using a “third party” repairer such as Custom Optics may have a cost-benefit in saving you money. In so far as the risk-benefit analysis, Custom Optics can answer affirmatively to the following requirements of the MDA.
 
User organisations (i.e. the hospital), should only adopt repair and maintenance organisations which:
 
Can demonstrate appropriate training, knowledge and experience of the repair or maintenance of the device;
 
Have access to appropriate equipment to undertake repair and maintenance;
 
Have a system in place to notify the user organisation of any deviation to the maintenance repair or maintenance method;
 
Take responsibility for the repair or maintenance.
 
Custom Optics can fully meet these criteria.
 
Section 2. 
 
Repairers and Service Providers.
 
2.1 Types Of Organisation.
 
A medical device service provider may be:

Manufacturer service organisation.       

Authorised service agents.

Managed service providers.

In-house service providers.

Multi-vendor service providers;

A Manufacturer who repairs and maintains devices manufactured by another manufacturer in addition to his own.

Third party service providers;

A specialist organisation operating primarily in the field of repair and maintenance. These organisations may also specialise in the repair and maintenance of one particular type of device or equipment, e.g. endoscopes. The organisation may draw on the knowledge and experiences of ex-employees of a manufacturer of this type of device. The organisation may be an intermediate or a small-scale operation…

 
Custom Optics falls into two of the above categories being both a “Multi-vendor” service, (as we manufacture and service our own brand of endoscope), as well as being a “Third party” service provider.
 
If any organisation or individuals other than the manufacturer undertake repair or maintenance work, they should ensure that it is done in accordance with the manufacturer’s instructions. The user organisation should ensure that its chosen service provider has the capability to carry out the work. It is the responsibility of the user organisation to ensure, as far as possible, that equipment continues to operate in accordance with its original specification after repair.
 

 
So, far from advising against using third party repairers, the MDA recognise that there may be cost benefits in doing so. 
The MDA do suggest a number of criteria that staff should consider before using a third party repairer. 
 
Custom Optics can meet and exceed all of these criteria.