腹腔镜器械的清洗

Cleaning of laparoscopic instruments

腹腔镜器械的清洗是消毒灭菌的重要环节。仪器中90%以上的病原体可以通过清洗去除。目前，腹腔镜器械的清洗方法有手动和超声波自动清洗机两种。最常见的方法是手动清洁。

The cleaning of laparoscopic instruments is an important part of disinfection and sterilization. More than 90% of the pathogens in the instrument can be removed by cleaning. At present, there are two cleaning methods of laparoscopic instruments: manual and ultrasonic automatic cleaning machine. The most common method is manual cleaning.

手术后立即将腹腔镜器械在1：300中性多酶清洗剂中浸泡10分钟，因为酶能快速分解蛋白质和有机物，使残留的血液、有机物、粘液等不会凝固，吸附在器械上，因此易于清洁。

Immediately after the operation, immerse the laparoscopic instrument in 1:300 neutral multi enzyme detergent for 10 minutes, because the enzyme can quickly decompose protein and organic matter, so that the residual blood, organic matter and mucus will not solidify and adsorb on the instrument, so it is easy to clean.

并拆下所有可拆卸部件，分开放置，拉出每个套管芯，充分浸泡。然后用流水仔细清洗每个部分。有内腔的器械应用软毛刷反复清洗，刷头在两端，以彻底清除所有组织碎片和其他有机物。

Remove all removable parts, place them separately, pull out each casing core and soak it fully. Then wash each part carefully with running water. Instruments with lumen shall be cleaned repeatedly with soft bristle brush with brush head at both ends to completely remove all tissue fragments and other organic matter.

清洗后，放入仪器专用润滑液中润滑2分钟左右，取出，打开各接头和各钳口。对于有管腔的器械，用高压气枪将压缩气体吹入管腔，直至无水排出，并使其充分干燥。将其水平放置或挂在阴凉干燥的专用储物柜中，以备后用。

After cleaning, put it into the special lubricating fluid of the instrument for lubrication for about 2 minutes, take it out and open all joints and jaws. For instruments with lumen, use a high-pressure air gun to blow compressed gas into the lumen until there is no water to be discharged, and make it fully dry. Place it horizontally or hang it in a cool and dry special storage cabinet for future use.

清洗时，要防止腹腔镜器械的各种附件丢失。由于腹腔镜器械的紧凑性和复杂性，许多器械都配备了小配件。因此，在拆卸清洗时，应在洗涤槽内铺设过滤器，以防被冲入下水道而丢失。另外，在清洗消毒过程中，冷光源与摄像机镜头的连接也不能打折扣。圆的角度应为钝角，以免损坏光纤。

When cleaning, prevent the loss of various accessories of laparoscopic instruments. Due to the compactness and complexity of laparoscopic instruments, many instruments are equipped with small accessories. Therefore, during disassembly and cleaning, the filter shall be laid in the washing tank to prevent it from being washed into the sewer and lost. In addition, in the process of cleaning and disinfection, the connection between the cold light source and the camera lens cannot be discounted. The angle of the circle should be obtuse to avoid damaging the optical fiber.

腹腔镜器械的消毒

Disinfection of laparoscopic instruments

目前常用的方法是安全可靠的过氧化氢等离子体低温灭菌。与传统的灭菌方式相比，具有灭菌效果准确、快速、安全、环保等优点，也有效减少了对腹腔的伤害。

At present, the commonly used method is safe and reliable hydrogen peroxide plasma low-temperature sterilization. Compared with the traditional sterilization method, it has the advantages of accurate, rapid, safe and environmental protection, and effectively reduces the injury to the abdominal cavity.

通常，低温灭菌器由专人负责管理，腹腔镜器械放置在专用器械箱内，并用无纺布包装。正常选择的杀菌模式为增强模式，可杀菌69分钟。

Generally, the low-temperature sterilizer is managed by a specially assigned person, and the laparoscopic instruments are placed in the special instrument box and packaged with non-woven fabrics. The normally selected sterilization mode is enhanced mode, which can sterilize for 69 minutes.

同时，我们对内窥镜设备维修制度进行严格检测，化学指示带和卡片的监控，每个锅都有生物监控，非常严格，确实可以达到理想的杀菌效果。

At the same time, we strictly detect the maintenance system of endoscope equipment, monitor the chemical indicator tape and card, and each pot has biological monitoring, which is very strict, which can really achieve the ideal sterilization effect.

监测已灭菌器械的消毒效果非常重要。由于腹腔镜器械的直径长而窄，以及连接处的紧密性，在浸泡和消毒过程中，个别区域会出现液体渗透不足的情况。医院传染病科应定期检测腹腔镜器械消毒效果，发现问题及时处理。确保腹腔镜器械的有效消毒和灭菌。

It is very important to monitor the disinfection effect of sterilized instruments. Due to the long and narrow diameter of laparoscopic instruments and the tightness of joints, insufficient liquid penetration will occur in some areas during soaking and disinfection. The infectious diseases department of the hospital should regularly test the disinfection effect of laparoscopic instruments and deal with problems in time. Ensure the effective disinfection and sterilization of laparoscopic instruments.

腹腔镜器械的清洗消毒事项必要了解的相关内容就到这里了，您可以关注我们的网站www.jiangrenyiliao.cn了解更多产品设备的事项。

That's all for the cleaning and disinfection of laparoscopic instruments. You can pay attention to our website www.jiangrenyiliao.com Cn to learn more about products and equipment.