清洗步骤:
Cleaning steps:
1、预处理:内镜使用后即刻使用湿纱布擦拭外表污渍,置于容器中送清洗室,同时检查镜子等有无测漏、损坏;
1. Pretreatment: wipe the surface stains with wet gauze immediately after the endoscope is used, put it in the container and send it to the cleaning and disinfection room, and check the mirror for leakage and damage at the same time;
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: wash all parts of the endoscope with flowing water and clean the lumen with 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 ultrasonic cleaner for 5-10 minutes; the coupling part, bending part and cavity of the instrument should be brushed with a soft wool brush. Pay attention to avoid scratching the mirror surface when brushing with a brush.
5、与:按照内镜的规格要求选择正确的方式进行;(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 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;
It is suggested to use low temperature plasma to disinfect the disassembled mirrors;
根据内镜在人体内的使用部位不同进行与,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。
Disinfection and sterilization should be carried out according to the different parts of the endoscope used in the human body. For example, the endoscope and its accessories in contact with the official cavity mucosa entering the natural passage of the human body should be disinfected at a high level before application.
几个常见的故障修理
Several common troubleshooting
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
Forceps tube leakage: most of them are due to the biopsy forceps and other accessories, which are damaged due to improper use. When the vision is not blurred, it should be repaired at grade 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 bundle: there are many use cases, and the bending tube is not good, and the C + guiding beam level is repaired
钢丝前端断:使用粒数多造成, C 级修理
Steel wire front end fracture: caused by too many grains, grade 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: the steel wire will grow longer after a certain period of time, and the steel wire in the corresponding direction can be cut short after being disassembled, but it is necessary to judge whether the bending pipe is in good condition
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 bruises, and the special rubber can be replaced by d-level repair
喷嘴堵塞:清洗不干净, C 级修理更换喷嘴
Nozzle clogging: if the cleaning is not clean, the nozzle shall be replaced after class C repair
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 guide image bundle: the number of fiber lenses used is large, and the repair is Grade A
具体故障需经漏水测试,烘干,拆镜检查仔细判别才能定如何修理
The specific fault needs to be carefully identified by water leakage test, drying and mirror removal inspection to determine how to repair