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硬性内窥镜的维修成本控制靠保养

来源:http://www.jiangrenyiliao.cn/ 发布时间:2022-07-14 浏览量:0

硬性内窥镜的使用是被观察物体经物镜所成的倒像通过转像系统转为正像,并传输到目镜,再由目镜放大后为人眼所观察。照明传输系统由光导纤维组成,工作原理是:将冷光源的光经过光导纤维传输到内窥镜前端,照亮被观察物。那么为什么会说硬性内窥镜的维修成本控制靠保养呢?下面来讲讲吧。
The use of rigid endoscope is that the inverted image formed by the observed object through the objective lens is converted into a positive image through the image conversion system, which is transmitted to the eyepiece, and then magnified by the eyepiece and observed by the human eye. The lighting transmission system is composed of optical fibers. Its working principle is to transmit the light from the cold light source to the front end of the endoscope through the optical fibers to illuminate the observed object. So why do we say that the maintenance cost of rigid endoscopes depends on maintenance? Now let's talk about it.
镜体与工作管的连接处是硬镜的主要受力处,容易出现弯折现象。平时在拿取存放时应采取正确的持镜方法,一手握住镜体,另一手托住镜管,轻拿轻放。在手术过程中,尽量避免与带有刃口的手术器械放在一起。禁止镜子垂直摆放,禁止敲击镜身。
The connection between the mirror body and the working tube is the main force bearing part of the hard mirror, which is prone to bending. At ordinary times, when taking and storing, you should take the correct method of holding the mirror, holding the mirror body with one hand and holding the mirror tube with the other hand, and handle it gently. During the operation, try not to put it together with surgical instruments with cutting edges. It is forbidden to place the mirror vertically and knock the mirror body.
正确的保养方法
Correct maintenance method
(1)严格遵循镜子的保养原则,轻拿轻放,单独摆放,不能碰撞。
(1) Strictly follow the maintenance principle of the mirror, handle it with care, place it separately, and do not collide.
(2)防止镜子起雾。手术前用温热水浸泡,涂防雾油,术中可以在肝或肠壁上蹭一下。
(2) Prevent the mirror from fogging. Soak in warm water before operation and apply antifogging oil. You can rub it on the liver or intestinal wall during operation.
(3)不能使用超声波清洗内窥镜。
(3) Do not use ultrasound to clean the endoscope.
(4)控制预真空压力蒸汽灭菌的时间。通常可以使用预真空压力蒸汽灭菌的镜子会在内镜上标注Autoclave。温度在132~134℃时灭菌时间应少于5min,温度在121℃时灭菌时间应少于20min,且在预真空压力蒸汽灭菌后一定要自然冷却。
(4) Control the time of pre vacuum pressure steam sterilization. Generally, mirrors that can be sterilized with pre vacuum pressure steam will be marked with autoclave on the endoscope. The sterilization time should be less than 5min when the temperature is 132~134 ℃, and less than 20min when the temperature is 121 ℃, and it must be naturally cooled after pre vacuum pressure steam sterilization.
内窥镜设备维修
(5)不要频繁地更换灭菌方法,否则会破坏镜子的密封性。
(5) Do not change the sterilization method frequently, otherwise the tightness of the mirror will be damaged.
(6)内镜在任何溶液中的浸泡时间不能超过60min。
(6) The immersion time of endoscope in any solution shall not exceed 60min.
大部分内窥镜的损坏都是人为造成的,所以控制维修成本就是控制人为的故障率。所有接触内窥镜的工作人员,必须对内窥镜的结构有清楚的认识,熟练掌握内窥镜的正确使用方法。
Most of the damage of the endoscope is caused by human beings, so controlling the maintenance cost is to control the artificial failure rate. All staff who contact the endoscope must have a clear understanding of the structure of the endoscope and be proficient in the correct use of the endoscope.
这就要求我们对工作人员进行相关专业知识的学习和培训,制定相关的制度并严格遵守[3]。为此,可以在每台机器上粘贴了简易的操作说明,方便大家随时阅读。
This requires us to study and train our staff in relevant professional knowledge, formulate relevant systems and strictly abide by them [3]. For this reason, simple operating instructions can be pasted on each machine, which is convenient for everyone to read at any time.
联系厂家进行不定期的集中式培训,强化使用及消毒灭菌时的注意事项,禁止未经培训的人员接触镜子。手术室安排专人对内窥镜进行管理,负责内窥镜日常的清洗、消毒灭菌及存放。
Contact the manufacturer for irregular centralized training, strengthen the precautions during use and sterilization, and prohibit untrained personnel from contacting the mirror. The operating room arranges special personnel to manage the endoscope, and is responsible for the daily cleaning, disinfection, sterilization and storage of the endoscope.
内窥镜设备维修人员认为应该加强专职人员与维修工程师的相互交流和沟通。工程师在内窥镜的维修模式上应强化自行维修和预防性维修,弱化外送维修和故障后维修。定期对镜子进行巡检,发现小故障及时排除,防止故障扩大,大限度地节省维修成本。
Endoscope equipment maintenance personnel believe that the communication between full-time personnel and maintenance engineers should be strengthened. Engineers should strengthen self maintenance and preventive maintenance in the maintenance mode of endoscope, and weaken delivery maintenance and post failure maintenance. Inspect the mirror regularly, and eliminate small faults in time if found, so as to prevent the expansion of faults and greatly save maintenance costs.
以上就是今天为大家介绍的关于问题以及注意事项的全部内容,希望对大家能有所帮助,想要了解更多内容可以电话联系我们或者关注我们的网站http://www.jiangrenyiliao.cn,我们的工作人员会及时与您取得联系。
The above is all about the problems and precautions introduced to you today. I hope it can help you. If you want to know more, you can contact us by phone or follow our website http://www.jiangrenyiliao.cn , our staff will contact you in time.
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