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Food and Drug Administration said Thursday in a safety communication.The device contains a hollow channel that allows the injection of contrast dye or the insertion of other instruments to obtain tissue samples for biopsy or treat certain abnormalities. The device also has a movable "elevator" mechanism at the tip, the agency said.Close up view of an ERCP endoscope tipEven meticulously cleaning the devices prior to high level disinfection "may not entirely eliminate" the risk of transmitting infection, the FDA said."Although the complex design of duodenoscopes improves the efficiency and effectiveness of ERCP, it causes challenges for cleaning and high level disinfection. Some parts of the scopes may be extremely difficult to access and effective cleaning of all areas of the duodenoscope may not be possible," the FDA said.None of the companies the FDA identified as duodenoscope manufacturers Fujifilm, Olympus or Pentax could be immediately reached for comment..

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