Laparoscopic equipment maintenance and maintenance of the twelve skills!

（1）器械宜轻取轻放，不得摩擦、相互碰撞及同时一手拿多样器械，保持轴节灵活合拢良好、锐利器械刃而锋利。

(1) The instruments should be handled with care, without friction, collision and holding various instruments in one hand at the same time. The shaft should be flexible and the tip should be well closed, sharp and sharp.

（2）注意镜面的保护。

(2) Pay attention to the mirror protection.

（3）导线清洁后存放时，不可拆迭，盘旋弯曲度应大于90度，以防止光纤折损，影响使用效果及缩短使用寿命。

(3) When the conductor is stored after cleaning, it shall not be disassembled and overlapped, and the winding bending degree shall be greater than 90 degrees, so as to prevent the damage of optical fiber, affect the service effect and shorten the service life.

（4）对各类钳子要经常检查，活动关节，注意钳端的闭合情况，关节处涂上专用润滑剂。

(4) All kinds of forceps should be checked frequently, the joint should be moved, the clamp end should be closed, and the joint should be coated with special lubricant.

（5）锐利器械保存应套上橡皮保护套。

(5) Sharp instruments should be protected by rubber.

（6）戳卡、转换器、旋切器上的密封圈如有老化、裂口是应及时更换，以免造成术中漏气影响气腹效果。

(6) If the sealing rings on the punch card, converter and rotary cutter are aged or cracked, they should be replaced in time to avoid air leakage during operation and affect the effect of pneumoperitoneum.

（7）冲洗器上的阀门，应定期拆卸进行清洁、上油、以保持阀门的灵活性。

(7) The valve on the flushing device should be removed regularly for cleaning and oiling to maintain the flexibility of the valve.
               

（8）所有器械在使用、清洗、保养过程中，关节不应强扳，不能碰及硬物，器械小部件不能丢失。

(8) During the use, cleaning and maintenance of all instruments, the joints should not be forced, the tips should not touch hard objects, and the small parts of the instruments should not be lost.

（9）光源和摄像头在分离前应先确定主机电源关闭方可拔出。

(9) Before the light source and camera are separated, make sure that the host power is off before pulling out.

（10）关机后的15分钟内不宜重启腔镜系统。

(10) Do not restart the endoscope system within 15 minutes after shutdown.

（11）内窥镜的优先考虑低温或等离子法，若用高压法，一定要让镜子自然冷却，禁止用冷水冷却，不然会导致镜头的破裂，目前，不提倡用戊二醛浸泡，因为浸泡后镜面接口处的液体不易擦净，使用过程中会产生雾状的蒸汽影响镜面的清晰度，尽量不要经常变换镜子的方法，这样对镜子的密封有好处。

(11) Low temperature or plasma sterilization is preferred for endoscope sterilization. If high-pressure sterilization is used, the mirror must be naturally cooled, and cold water is not allowed to cool, otherwise the lens will be broken. At present, glutaraldehyde immersion sterilization is not recommended because the liquid at the interface of the mirror surface is not easy to be wiped clean after immersion, and foggy steam will be generated during the use, which will affect the clarity of the mirror, Try not to change the sterilization method of the mirror frequently, which is good for the sealing of the mirror.

（12）镜子与手术器械要分开清洗，镜面用湿的脱脂棉球沿一个方向擦干净后，以擦镜纸擦干，镜身可用湿软布擦净，禁止用超声波清洗镜子，尽量不用生理盐水清洗镜子，否则容易产生锈迹。

(12) The mirror and surgical instruments should be cleaned separately. The mirror surface should be wiped with wet absorbent cotton ball along one direction, and then dried with wiping paper. The mirror body can be wiped with a wet soft cloth. It is forbidden to clean the mirror with ultrasonic wave, and try not to clean the mirror with normal saline, otherwise rust will easily occur.