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Appendix C: Infection Prevention and Control Guideline for Flexible Gastrointestinal Endoscopy and Flexible Bronchoscopy – Spaulding Classification System

APPENDIX C – Spaulding Classification System

CLASS USE EXAMPLES OF DEVICES REPROCESSING METHOD
(MINIMUM REQUIREMENT)
NON-CRITICAL Touches intact skin
  • Stethoscopes
  • Blood pressure cuffs
Cleaning followed by intermediate or low level disinfection, depending on degree of contamination
SEMI-CRITICAL Touches mucous membranes and non-intact skin
  • Gastrointestinal endoscopes
  • Bronchoscopes
  • Cystoscopes
Cleaning followed by high level disinfection (HLD)
CRITICAL Enters sterile tissue, vascular system or body space
  • Biopsy forceps
  • Snares / Loop
  • Surgical instruments:
  • Arthroscopes
  • Laparoscopes
Cleaning followed by sterilization

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2026-02-04

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