A coroner has ruled that a 68-year-old woman died because a probe used in an operation was not cleaned properly.
Nancy Lane died in June 2011 after contracting Hepatitis B at Swansea's Morriston Hospital.
Toady the coroner issued a narrative verdict and said he was satisfied new procedures introduced after the incident means it shouldn't happen again.
Abertawe Bro Morgannwg Health Board apologised earlier this year, but relatives of Mrs Lane say the events have 'devastated' the family.
– Family of Nancy Lane
We feel that Nancy has been completely let down. She worked for the NHS and had total trust in the people and organisation looking after her. We accept that some changes have been implemented, but we feel that not all the issues behind hospital infections have been addressed, such as poor and inadequate training.