Medical Device Reprocessing (MDR)

MDR Standards

Completing medical device reprocessing (MDR) to standard ensures contaminated devices can be reused safely. The MDR standards cover decontamination, packaging, disinfection, sterilization, and other important elements.

Proper MDR is critical to patient and staff safety.

Read our standards for general devices (e.g. scissors, forceps, speculums) and flexible endoscopes.

MDR Standards for General DevicesMDR Standards for Flexible EndoscopesStakeholder Standards Revision Request Form


Disinfection of Devices that Touch the Surface of the Eye – Joint Commission ResourceDisinfection of Devices that Touch the Surface of the Eye – American Academy of Ophthalmology

To stay current and promote patient safety, CPSA is reviewing expectations for medical device reprocessing (MDR) in ophthalmology practices. While we conduct research and find a long term solution with partners, we’re temporarily endorsing guidelines from the Joint Commission and American Academy of Ophthalmology.

We strongly recommend clinics follow both resources, which suggest high-level disinfection of any devices that touch the surface of the eye.

MDR Toolkit

Reprocessing Toolkit

Practical tools for you and your staff to meet best practices when reprocessing medical equipment. Includes suggested supplies required for reprocessing, templates to assist writing policies and procedures, factors to consider when purchasing a sterilizer and much more.


MDR Assessment Process

Check out our flow chart outlining the steps of an MDR assessment from start to finish.


Impact of assessments on sterilization practices

Report 2018


Every community clinic needs to designate one staff member to be responsible for managing medical device reprocessing and occupational health & safety (OH&S). We recommend training your staff using either of the two courses below.

Reprocessing In Community Health Care Settings

These best practices will help you prevent the transmission of infection. If you are responsible for medical device reprocessing in a community clinic, this Public Health Ontario course is for you.

In 9 online modules (2-4 hours total), course participants learn:

  • general concepts in reprocessing
  • basic knowledge and skills for safely reprocessing reusable medical equipment/devices
  • knowledge related to the importance of following best practices and the consequences of inadequate reprocessing
  • best practices in reprocessing

To earn a reprocessing certificate from Public Health Ontario, you must score 100% on each test in this course.

Take the course

MDR In Community Healthcare Settings

This online course from the Canadian Standards Association includes a variety of lessons, a document library, sample procedures and self-assessment quizzes. Participants choose from 4 optional modules categorized by area of expertise.

Participants learn:

  • basic IPAC principles and semi-critical and critical medical device reprocessing
  • “hands-on” skills to increase the effectiveness of their reprocessing procedures
  • theory of decontamination
  • basic concepts of patient safety

Participants who finish the course and pass the quizzes receive a record of course completion.  Participants will receive a record of course completion.

Take the course

Physicians and medical clinic staff can also take a 30 minute module to understand their occupational health & safety (OHS) obligations under provincial legislation. Help ensure a safe working environment for you, your medical clinic staff and patients. CFPC Mainpro participants may claim Mainpro-M2 credits for this activity, while participants of the Royal College MOC Program may use this course as a stimulus to develop a personal learning project.

For more information about physician OHS responsibilities, check out CPSA's free online course.


We want to make your office environment safe for patients and staff. The following resources will help ensure you and your staff are properly putting on and taking off personal protective equipment (PPE) when cleaning and sterilizing medical equipment.

Reprocessing PosterProcedure Manual Instructions


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Benjamin Kung

IPAC Program Manager

780-969-5004 or 1-800-561-3899 ext. 5004 (in Canada)

Fax: 780-424-5859