由于内窥镜的构造比较精细，材料相对较为特殊，管腔多且无法采用高温消毒，因此大多数都通过化学消毒剂浸泡仪器及其附件来进行清洗消毒。下面内窥镜设备维修人员来讲讲具体的消毒步骤吧。

Because the structure of the endoscope is fine, the materials are relatively special, and the lumens are too many to be sterilized at high temperature, most of them are cleaned and disinfected by soaking the instrument and its accessories with chemical disinfectants. Next, the endoscope equipment maintenance personnel will talk about the specific disinfection steps.

①预备工作

① Preparatory work

在检查床侧的时候，利用酶洁液纱布将镜身上粘液擦拭干净，并反复地送气及送水到加酶液体中，超过10秒以后将主机的电源关闭，在内窥镜电气接头处盖上防水盖并将之拧紧，把内窥镜卸下来送进洗消间。

At the side of the examination table, use the enzyme detergent gauze to wipe the mucus on the mirror body clean, and repeatedly send air and water to the enzyme adding liquid. After more than 10 seconds, turn off the power of the host, cover and tighten the waterproof cover at the electrical connector of the endoscope, and remove the endoscope and send it to the disinfection room.

②漏水检查

② Water leakage inspection

在防水盖通气的接口上接住测漏器的接口盖，测漏器的接头连接上清洗消毒相关设备的测漏器的连接管，在水中把内窥镜盘旋浸泡其中，并打开测漏开关，在确认了内窥镜已经充气后，查看操弯的曲部是否出现膨胀以及操作部是否持续出现气泡，并把操作部的大小角度调整到至大，然后再次对弯曲橡皮进行观察，如果发现气泡连续的冒出，说明内窥镜出现了漏水，须马上送去立即检修。

Connect the interface cover of the leak detector on the vent interface of the waterproof cover, connect the connector of the leak detector to the connecting pipe of the leak detector for cleaning and disinfecting related equipment, hover the endoscope in water, and turn on the leak detection switch. After confirming that the endoscope has been inflated, check whether there is expansion in the curved part of the operating part and whether bubbles continue to appear in the operating part, and adjust the size angle of the operating part to a large one, Then observe the bent rubber again. If bubbles are found to emerge continuously, it means that the endoscope has water leakage, and it must be sent for immediate maintenance.

③初步清洗

③ Preliminary cleaning

利用清洁布在流动水中对镜身进行反复清洗，把活检帽、送水及送气的按钮以及吸引器的按钮摘下，使用高压水枪对各管道进行冲洗。通过清洗刷对内窥镜刷洗，然后把毛刷上的污浊物清除，正常情况下管道需要冲洗2、3次。

Clean the mirror body repeatedly with a cleaning cloth in flowing water, remove the biopsy cap, the buttons for water and air supply, and the buttons of the aspirator, and use a high-pressure water gun to wash the pipes. Brush the endoscope with a cleaning brush, and then remove the dirt on the brush. Normally, the pipe needs to be flushed 2 or 3 times.

把自动灌流器内的注液口和内窥镜清洗管道连接在一起，同时在槽内连接上吸液导管，启动灌流器，从而给内窥镜全流程进行清水，在灌注超过半分钟以后，把管道里的液体排干净。

Connect the liquid filling port in the automatic perfusion device with the endoscope cleaning pipe, and connect the liquid suction pipe in the tank to start the perfusion device, so as to clean the whole process of the endoscope. After more than half a minute of perfusion, drain the liquid in the pipe.

④酶洗

④ Enzyme washing

把内窥镜放进酶洗槽中，自动灌流器的那个注液口要连接上内窥镜的清洗管道，同时把吸液导管连接到酶洗槽内，将灌流器启动，全流程利用酶液给内窥镜进行半分钟以上灌注，而浸泡时间须超过3分钟，每清洗完一条内窥镜后，就要更换酶液。

Put the endoscope into the enzyme washing tank. The liquid filling port of the automatic perfusion device should be connected to the cleaning pipe of the endoscope. At the same time, connect the suction catheter to the enzyme washing tank. Start the perfusion device. The whole process uses the enzyme solution to inject the endoscope for more than half a minute, while the soaking time must exceed 3 minutes. After each endoscope is cleaned, replace the enzyme solution.

⑤次洗

⑤ Secondary washing

按照初洗时的相关要求，利用流动水把内窥镜上的酶液清洗干净，把灌流器注液口连接上内窥镜的清洗管，同时把吸液导管连接到酶洗槽中，将灌流器启动，给内窥镜全流程进行半分钟以上的酶液灌注，排尽其管道中的液体，并利用高压气枪将各个管道内所残留的酶液吹干，将内窥镜搽拭干净，全程用时大概2~3分钟。

According to the relevant requirements for initial washing, use flowing water to clean the enzyme solution on the endoscope, connect the liquid filling port of the perfusion device to the cleaning tube of the endoscope, and connect the suction catheter to the enzyme washing tank, start the perfusion device, inject the enzyme solution into the whole process of the endoscope for more than half a minute, drain the liquid in the pipeline, blow the residual enzyme solution in each pipeline with a high-pressure air gun, and wipe the endoscope clean, The whole journey takes about 2-3 minutes.

⑥消毒

⑥ Disinfection

利用消毒液完全将内窥镜浸泡，把灌流器注液口连接到内窥镜的清洗管上，同时把吸液导管连接到消毒槽内，将灌流器启动，利用消毒液全流程对内窥镜进行超过半分钟的灌注，在内窥镜浸泡了半个小时以后，把管道中的消毒液全部排干净。

Immerse the endoscope completely with disinfectant, connect the liquid filling port of the perfusion device to the cleaning pipe of the endoscope, connect the suction catheter to the disinfection tank, start the perfusion device, use the whole process of disinfectant to inject the endoscope for more than half a minute, and drain all the disinfectant in the pipeline after soaking the endoscope for half an hour.

⑦终洗

⑦ Final washing

工作人员将手套更换，把经过了浸泡消毒的内窥镜放到终洗槽中，利用流水对内窥镜进行清洗，把灌流器的注液口连接到内窥镜的清洗管上，同时把吸液导管连接到终洗槽中，将灌流器启动，给内窥镜全流程进行清水灌注，在半分钟后，排干净管道里的液体，并将其吹干以备下次再用。

The staff replaced the gloves, put the endoscope that had been soaked and disinfected into the final washing tank, cleaned the endoscope with running water, connected the liquid filling port of the perfusion device to the cleaning pipe of the endoscope, and connected the suction pipe to the final washing tank, started the perfusion device, and filled the whole process of the endoscope with clean water. After half a minute, the liquid in the pipe was drained and dried for next use.

在内窥镜保存前，把所有可以拆卸下来的部件包括防水盖、吸引按钮、送水送气按纽以及活检帽等，将之从内窥镜上面拆下来，并确认内窥镜的表面已经完全干燥，并把内窥镜角度卡锁设置为“F”，终在储镜柜中悬挂保存，其插入部要尽量地伸直。更多相关内容就来我们网站http://www.jiangrenyiliao.cn咨询吧！

Before the endoscope is stored, remove all detachable parts, including waterproof cover, suction button, water and air supply button, and biopsy cap, from the endoscope, and confirm that the surface of the endoscope has been completely dry. Set the angle lock of the endoscope to "F", and hang it in the storage cabinet for storage. The insertion part should be as straight as possible. More relevant content will come to our website http://www.jiangrenyiliao.cn Consult!