关节镜在临床上用于检查和诊断。如果与手术器械和专用设备配合使用,还可以在关节腔内进行开放视野手术等性。为了提高设备的利用率、设备的完整率,降低故障率,保障医疗,在使用关节镜及相关设备时须做到以下几点:
Arthroscopy is used in clinical examination and diagnosis. If it is used with surgical instruments and special equipment, it can also be used for therapeutic treatment such as open field surgery in the articular cavity. In order to improve the utilization rate and integrity rate of equipment, reduce the failure rate and ensure medical safety, the following points must be achieved when using arthroscopy and related equipment:
1、医院在引进设备时,需要同时进行培训。
1. When hospitals introduce equipment, they need professional training at the same time.
2、设备安装调试完成后,用户须仔细阅读随机的相关技术资料,充分了解关节镜的结构和基本光学原理,熟悉和掌握设备操作规程和注意事项。
2. After the installation and commissioning of the equipment, the user must carefully read the accompanying relevant technical data, fully understand the structure and basic optical principle of arthroscopy, and be familiar with and master the equipment operation procedures and precautions.
3、须制定并执行严格的设备使用、维护、、管理制度。关节镜手术的无菌要求非常严格。参照规范,手术室每天用空气器1小时,每周按比例氧化高锰酸钾和福尔马林,房间密闭熏蒸12小时,定期空气培养。经医院感染管理部检测各项指标均达标后,方可进行关节镜手术。手术器械用环氧乙烷。
3. Strict equipment use, maintenance, disinfection and sterilization management systems must be formulated and implemented. The aseptic requirements of arthroscopic surgery are very strict. According to the disinfection specification, the operating room is disinfected with an air sterilizer for 1 hour every day, potassium permanganate and formalin are oxidized in proportion every week, the room is sealed and fumigated for 12 hours, and air culture is carried out regularly. Arthroscopic surgery can be carried out only after all indicators meet the standard detected by the hospital infection management department. Surgical instruments are disinfected with ethylene oxide.
4、
内窥镜设备维修人员建议您,使用前要仔细检查关节镜金属部分的结构是否光滑,外套管与接口是否紧密,是否有漏水现象;金属芯与鞘、关节镜与鞘的间隙是否对称;芯棒是否位于中间;镜筒与护套的锁定能力如何;镊子在护套的保护下能否自由开合;关节镜镜面是否损坏或隐藏。
4. The endoscope equipment maintenance personnel suggest that you carefully check whether the metal part of the arthroscope is smooth, whether the outer sleeve is tight with the interface, and whether there is water leakage before use; Whether the gaps between the metal core and sheath, arthroscopy and sheath are symmetrical; Whether the mandrel is in the middle; How about the locking ability of the lens barrel and the sheath; Whether the tweezers can open and close freely under the protection of the sheath; Whether the arthroscopic mirror is damaged or hidden.
5、每次操作后,用软布蘸软肥皂水轻轻擦洗金属部件,并用水冲洗干净。用纱布条或棉签擦拭内窥镜和手术器械的关节,并冲洗干净。镜面和镜片用湿棉轻轻擦拭,不要用力摩擦。然后,酶浸泡10-30分钟后,用蒸馏水冲洗所有仪器。关节镜的金属部件和手术器械在使用后都需要用硅油润滑,以起到润滑和防锈的作用。前用75%酒精擦去硅油。
5. After each operation, gently scrub the metal parts with a soft cloth dipped in soft soapy water, and rinse them with water. Wipe the joints of endoscopes and surgical instruments with gauze strips or cotton swabs and rinse them clean. Gently wipe the mirror and lens with wet cotton, and do not rub them with force. Then, after soaking the enzyme for 10-30 minutes, wash all instruments with distilled water. The metal parts of arthroscopy and surgical instruments need to be lubricated with silicone oil after use to play the role of lubrication and rust prevention. Wipe the silicone oil with 75% alcohol before disinfection.
In addition, in order to ensure the arthroscopy can work normally in the process of inspection, diagnosis and operation, and ensure medical safety, a safety grounding wire must be equipped according to the specific requirements of lightning protection and disaster reduction, and a regulated power supply must be configured. For more information about related devices, please visit our website http://www.jiangrenyiliao.cn Get it.