Introducing new challenges for processing medical devices, including increased time for 4 processing, selection of appropriate transport carrier and vehicle, separation of contaminated items from 5 those that have been processed, cleaning and disinfection of transport carrier and vehicle, the safety and 6 training of transport personnel, and other considerations.

Guidelines for point of use treatment, transporting, leak testing (where indicated), cleaning, packaging (where indicated), high-level disinfecting and/or sterilizing, storage, and quality control procedures.

Guidance to perioperative, endoscopy, and sterile processing personnel for processing all types of reusable flexible endoscopes and accessories

Guidelines for selecting the water quality necessary for the processing of categories of medical devices.

Guidance for cleaning surgical instruments, including point-of-use cleaning, selecting cleaning chemicals, and determining water quality.

Guidance for achieving safe and effective high-level disinfection (HLD) of reusable instruments and equipment.