1、预处理：内镜使用后即刻使用湿纱布擦拭外表污渍，置于容器中送清洗消毒室，同时检查镜子等有无测漏、损坏;
1. Pretreatment: immediately after the endoscope is used, wipe the surface stains with wet gauze, put it in a container and send it to the cleaning and disinfection room, and check whether the mirror is leak tested and damaged;
2、水洗：用流动水彻底清洗内镜的各个部件，以高压水枪彻底清洗各管腔;
2. Water washing: thoroughly clean all parts of the endoscope with flowing water, and thoroughly clean all lumens with a high-pressure water gun;
3、酶洗：内镜清洗擦干后，置于酶洗槽中浸泡。
3. Enzyme washing: after cleaning and drying the endoscope, soak it in the enzyme washing tank.
4、清洗：可拆卸部分必须拆开清洗，并用超声清洗器清洗5-10分钟;器械的轴节部、弯曲部、官腔内用软毛刷刷洗。用毛刷刷洗时注意避免划伤镜面。
4. Cleaning: the detachable part must be disassembled for cleaning and cleaned with an ultrasonic cleaner for 5-10 minutes; The shaft coupling, bending part and lumen of the instrument shall be brushed with soft hair. When brushing with a brush, pay attention to avoid scratching the mirror.
5、消毒与灭菌：按照内镜的规格要求选择正确的消毒方式进行消毒;(负压吸引器、超声吸引器、高压水枪、干燥设备、计时器等);
5. Disinfection and sterilization: select the correct disinfection method according to the specification requirements of the endoscope; (negative pressure aspirator, ultrasonic aspirator, high-pressure water gun, drying equipment, timer, etc.);
拆装过的镜子建议采用低温等离子进行消毒;
Low temperature plasma is recommended for disinfection of disassembled mirrors;

根据内镜在人体内的使用部位不同进行消毒与灭菌，比如，进入人体自然通道的官腔粘膜接触的内镜及其附件，应用前要采取过高水平的消毒灭菌。
Disinfection and sterilization shall be carried out according to different parts of the endoscope in the human body. For example, the endoscope and its accessories in contact with the official cavity mucosa entering the natural channel of the human body shall be disinfected and sterilized at a high level before application.
几个常见的故障修理
Repair of several common faults
钳子管漏水：多数是由于活检钳等附件，使用不当造成活检管道破损，在视野不模糊时，C 级修理
Leakage of forceps tube: most of them are due to improper use of biopsy forceps and other accessories, resulting in damage of biopsy tube. When the field of vision is not blurred, it shall be repaired at level C
导管束断：使用例数多，弯曲管不良造成， C+ 导光束级修理
Broken catheter beam: due to a large number of use cases and poor bending of the tube, C + guide beam level repair
钢丝前端断：使用粒数多造成， C 级修理
Broken front end of steel wire: caused by a large number of grains, class C repair
弯曲角度不足：钢丝使用一定时间后钢丝变长， D 级修理，拆开后剪短相应方向的钢丝即可，但需判别弯曲管是否良好
Insufficient bending angle: after the steel wire has been used for a certain time, the steel wire becomes longer and is repaired at level D. after disassembly, the steel wire in the corresponding direction can be cut short, but it is necessary to judge whether the bending pipe is good
弯曲橡皮漏水：碰伤造成比较多， D 级修理更换专用橡皮即可
Water leakage of bending rubber: there are many bumps, and the special rubber can be replaced for level D repair
喷嘴堵塞：清洗不干净， C 级修理更换喷嘴
Nozzle blockage: if the cleaning is not clean, repair and replace the nozzle at level C
导像束黑点多或龟裂：纤维镜使用粒数多， A 级修理
There are many black spots or cracks in the image guide beam: the fiber mirror has a large number of particles and is repaired at Grade A