In the realm of healthcare, ensuring the safety and sterility of medical equipment is paramount, especially for endoscopes that are frequently used in minimally invasive procedures. Automatic Endoscope Reprocessors (AERs)—also widely referred to as endoscope washer disinfectors, AER machines, or endoscope reprocessing systems—have become indispensable tools. These endoscope disinfection equipment streamline the reprocessing workflow while upholding the highest standards of infection control, making hospital endoscope reprocessing more efficient and reliable. Below is a detailed guide to the top 10 AERs available today, each offering unique features to meet the diverse needs of healthcare facilities.

Product Type: Automatic Endoscope Reprocessor
The Medivators Advantage Plus stands out as a versatile endoscope reprocessing system, ideal for busy GI centers and medium-sized hospitals. The base model features a single-sided system with a no-touch workflow, minimizing the risk of cross-contamination—a critical advantage for facilities prioritizing infection control. Equipped with dual basins, it allows for asynchronous processing of endoscopes, enabling healthcare providers to clean and perform high-level disinfection (HLD) individually in approximately 35 minutes. This AER machine supports validated cleaning claims and comes with practical features such as a foot switch for hands-free lid operation, a barcode scanner for efficient data entry, and remote diagnostics for quick technical support. The Pass-Thru variant offers a pass-through design, requiring manual cleaning prior to HLD, with a cycle time ranging from 35 to 39 minutes, further enhancing workflow efficiency in high-volume medical settings. It is particularly suitable for facilities seeking a balance between speed, usability, and cross-contamination prevention.
Product Type: Automatic Endoscope Reprocessor Series
Official Link: https://www.steris.com/healthcare/products/endoscope-reprocessing/automated-endoscope-reprocessors
STERIS Reliance/Systems is a comprehensive endoscope reprocessing system series that caters to both liquid chemical sterilization (LCS) and high-level disinfection needs, making it a top choice for large hospitals and multi-specialty medical centers. For LCS, models like the enspire™ 3000 Series, System 1™, and System 1E™ are designed for heat-sensitive medical devices, eliminating all viable microbial life including bacterial spores—their cycle times range from 18 to 38 minutes, ensuring rapid and effective sterilization. On the HLD front, models such as the enspire™ 300 Series and DSD EDGE offer flexible configurations (single-sided or pass-thru) and can handle multiple endoscopes simultaneously or asynchronously, with cycle times between 22 and 34 minutes. A key advantage of this AER series is its versatility, as it adapts to various reprocessing requirements, from critical sterilization to standard disinfection. It is ideal for facilities with diverse endoscope types and high patient volumes, as it ensures consistent compliance with strict infection control protocols.
Product Type: Automatic Endoscope Reprocessor
Official Link: https://medical.olympusamerica.com/oer-elite
The Olympus OER-Elite is a user-friendly endoscope washer disinfector, perfectly suited for ASC (Ambulatory Surgery Centers) and specialized endoscopy clinics that prioritize ease of use and compatibility with Olympus equipment. It features smart navigation via an intuitive touch screen, guiding users through the reprocessing steps seamlessly—an advantage that reduces training time and operational errors. The device utilizes a powerful combination of ultrasonic cleaning, alkaline detergent, and fast-acting high-level disinfectant to deliver reliable results in approximately 28 minutes. Key functionalities include pre-treatment of leaking endoscopes, channel monitoring to prevent operational errors, consumables management with replacement indicators, and comprehensive log data management for traceability. As a dedicated endoscope disinfection equipment, it is specifically optimized for Olympus flexible endoscopes and other approved devices, ensuring compatibility and long-term durability of the equipment. It is an excellent choice for facilities that use Olympus endoscopes and require a streamlined, efficient reprocessing workflow.
Product Type: Automatic Endoscope Reprocessor
Official Link: https://www.asp.com/en-us/products/high-level-disinfection/asp-aeroflex-automatic-endoscope-reprocessor
ASP AEROFLEX is a cost-effective AER machine, ideal for small to medium-sized hospitals and urgent care facilities looking for fast, compliant endoscope reprocessing. With a complete cycle time of just 22 minutes, it offers one of the fastest reprocessing speeds in the market, accelerating endoscope turnaround—a key advantage for facilities with high endoscope utilization. It integrates an MRC monitor that eliminates the need for manual test strips, providing definitive pass/fail results and enhancing compliance. The intuitive user interface makes operation straightforward, and the system supports RFID scanning to ensure only validated chemistry is used. Additionally, this endoscope reprocessing system enables automated record-keeping and seamless integration with facility servers and instrument tracking systems, simplifying documentation and workflow management. It is particularly suitable for budget-conscious facilities that do not want to compromise on speed or compliance.
Product Type: Automatic Endoscope Reprocessor
Official Link: https://www.getinge.com/int/products/ed-flow
Getinge ED-Flow is a high-capacity endoscope reprocessing system designed for large endoscopy departments and academic medical centers, where separating soiled and clean areas is critical for infection control. It is a true barrier system, featuring two independent asynchronous chambers that allow for the simultaneous processing of two endoscopes in a fast 23-minute cycle, with a maximum capacity of 6 endoscopes per hour—its key advantage lies in its ability to handle high volumes while maintaining strict safety protocols. The interlocked doors ensure safety by only allowing unloading from the clean side once a complete and approved cycle is finished; in case of errors, the doors open only on the dirty side. The system also offers a user-friendly interface, hands-free operation, easy and secure chemical handling, and automatic process documentation for full traceability. As a reliable endoscope washer disinfector, it is compatible with major types and brands of flexible endoscopes, supported by a wide range of certified connectors. It is ideal for facilities with high patient throughput and a focus on maintaining separate clean and dirty workflows.
Product Type: Automatic Endoscope Reprocessor
Official Link: https://www.steris.com/healthcare/products/endoscope-reprocessing/automated-endoscope-reprocessors
As a legacy endoscope disinfection equipment, Cantel/Medivators RapidAER remains a reliable option for small hospitals and long-term care facilities that require a straightforward, low-maintenance solution for hospital endoscope reprocessing. While it does not have a dedicated product page, its core functionality revolves around automating the cleaning and disinfection workflow of endoscopes, with a key advantage in its proven reliability and compatibility with standard endoscope models. Built on trusted technology, it ensures consistent and effective reprocessing, adhering to industry standards to minimize the risk of infections. This AER machine is designed for facilities with moderate endoscope usage and limited technical resources, as it requires minimal training and upkeep. Healthcare facilities can refer to the broader AER section on the STERIS website for additional resources and support.
Product Type: Automatic Endoscope Reprocessor
Official Link: https://www.steris.com/healthcare/products/endoscope-reprocessing/automated-endoscope-reprocessors/dsd-edge-dual-basin-aer
Medivators DSD Edge is a high-performance endoscope reprocessing system, perfect for busy GI centers and large clinics that need flexible, fast, and safe reprocessing. Its dual basins allow for either simultaneous or asynchronous processing of endoscopes, with a high-level disinfection cycle as short as 22 minutes—its key advantage is the combination of speed and flexibility, enabling facilities to adapt to varying workloads. It uses RAPICIDE PA High-Level Disinfectant, which is environmentally friendly and compatible with most endoscope materials. The system includes features such as automated alcohol flush for efficient drying, continuous monitoring of cycle parameters with alarm alerts for reprocessing deficiencies, programmable self-disinfection, and a three-stage water filtration system. As a user-centric AER machine, it also offers operator safety features like no mixing of disinfectant solution and floating lids to contain vapors, with an optional vapor management system available. It is suitable for facilities that prioritize both operational efficiency and staff safety.
Product Type: Automatic Endoscope Reprocessor
Official Link: https://www.wassenburgmedical.com/products/wd440-2
Wassenburg WD440 is a precision-focused endoscope washer disinfector, ideal for specialized medical facilities, research labs, and hospitals that require meticulous process control and traceability. It features a unique basin and helical tube system that ensures a 360° free flow of water and process chemicals around the endoscope, guaranteeing complete cleaning and disinfection—a key advantage for facilities handling complex or high-risk endoscopes. The core of the system is the proven individual channel pump and connection technology, which processes and controls each endoscope channel independently for flow, pressure, and blockage. It supports RFID technology for safe and traceable application of process chemicals and bacterial filters. Using EndoHigh® process chemicals (detergent combined with PAA or GTA), this endoscope reprocessing system achieves a quick reprocessing cycle of 22 minutes (for PAA). Fully compliant with ISO 15883, it includes an independent IMS to monitor critical process parameters and provides detailed traceability with reports sent to an integral printer or dedicated software. It is suitable for facilities that require strict adherence to international standards and comprehensive process documentation.
Product Type: Automatic Endoscope Reprocessor
Official Link: https://www.steelcogroup.com
Steelco EW1, part of the Miele Group, is a customizable endoscope reprocessing system designed for large hospitals, pharmaceutical facilities, and biomedical research labs that need tailored cleaning and sterilization solutions. Its key advantage is its modular design, which allows it to be adapted to specific project requirements—whether for high-volume hospital endoscope reprocessing or specialized lab equipment sterilization. The product is backed by the Steelco Academy, which provides specialized technical training for distributors, customers, and end-users to ensure optimal use of the equipment. As a premium AER machine, it is engineered to deliver excellent cleaning and sterilization performance, adhering to the highest industry standards, and is suitable for a wide range of applications including hospitals, dental clinics, and biomedical research facilities. It is ideal for facilities with unique reprocessing needs that cannot be met by standard off-the-shelf systems.
Product Type: Endoscope Washer-Disinfector
Official Link: https://www.soluscope.com/eng/page/endoscope-washer-disinfector-serie-4
Soluscope Serie 4/Serie XS offers high-level endoscope reprocessing with cutting-edge technology, making it a great fit for small to medium-sized clinics, ASC, and regional hospitals with limited space. The Serie 4 PA model utilizes a unique patented dual-wash technique, completing a full reprocessing cycle in just 21 minutes—its key advantage is its speed and compact design, which maximizes efficiency in space-constrained environments. It processes one endoscope per cycle using flooding-immersion, operating at a temperature range of 35 to 40°C with a 3-minute disinfection contact time. Equipped with a large 7'' touch screen and an intuitive graphic interface, this endoscope disinfection equipment allows for easy access to all functions, optimizing work organization. The system supports traceability through barcode readers, printers, memory cards, and optional EP-Digital integration. With a modern design and smooth, easy-to-clean surfaces, it ensures safety for operators, patients, and endoscopes, and complies with ISO 15883-1 & -4 standards. The Serie XS variant, a derivative of the series, focuses on a compact design for facilities with limited space while maintaining efficient reprocessing capabilities. It is suitable for facilities that need a fast, user-friendly, and space-saving AER solution.
When selecting an automatic endoscope reprocessor—whether referred to as an endoscope washer disinfector, AER machine, or endoscope reprocessing system—healthcare facilities should consider factors such as cycle time, processing capacity, disinfection/sterilization type (HLD or LCS), compatibility with existing endoscopes, ease of use, traceability features, compliance with industry standards, and after-sales support. Each of the top 10 AERs highlighted in this guide offers distinct advantages, and the right choice will depend on the specific needs, workflow, and budget of the facility. By investing in a high-quality endoscope disinfection equipment, healthcare providers can ensure the safety of patients and staff while optimizing operational efficiency in hospital endoscope reprocessing.
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As a leading provider of medical infection control solutions in China since 2016, Jiajing Medical specializes in comprehensive endoscope reprocessing systems and infection prevention technologies.
This guide compares the top endoscope reprocessing workstation manufacturers—STERIS, Steelco, Mystaire, and Pentax Medical— based on automation level, vapor protection, compliance, and suitability for different clinical volumes.
Below is a detailed guide to the top 10 AERs available today, each offering unique features to meet the diverse needs of healthcare facilities.