1、预处理

1. Preprocessing

内镜从患者体内取出后，在与光源和视频处理器拆离之前，应立即用含有清洗液的湿纱布擦去外表污物，擦拭用品应一次性使用。将内镜的前端置入装有清洗液的容器中，启动吸引功能，抽吸清洗液直至其流入吸引管，反复送气与送水至少十秒；内镜与光源和视频处理器拆离，盖好内镜防水盖，放入密闭运送容器，送至清洗消毒室。

After the endoscope is removed from the patient's body and before being detached from the light source and video processor, the external dirt should be immediately wiped off with a damp gauze containing cleaning solution. The wiping products should be used once. Place the front end of the endoscope into a container containing cleaning solution, activate the suction function, and pump the cleaning solution until it flows into the suction tube. Repeat air and water supply for at least ten seconds; Detach the endoscope from the light source and video processor, cover the waterproof cover of the endoscope, place it in a sealed shipping container, and send it to the cleaning and disinfection room.

2、重视测漏

2. Pay attention to leak detection

a:在内镜进行清洗、消毒前，需要进行常规测漏检测。测漏是早期发现内镜问题的办法，测漏不一定100％可以查出问题，但不做无法预防小问题衍生为大麻烦而送修，甚至报废。

a: Before cleaning and disinfecting the endoscope, routine leak testing is required. Leakage testing is a method for early detection of endoscopic problems. Leakage testing may not be 100% effective in detecting problems, but not doing so cannot prevent small problems from turning into major problems and causing them to be repaired or even scrapped.

b:测漏方法：取下各类按钮和阀门，连接好测漏装置，并注入压力；将内镜全部浸没于水中，使用注射器向各个管道注水以排出管道内气体；观察镜体各部位有无气泡冒出，再观察插入部、操作部、连接部等部分，如发现渗漏，应及时保修送检。

b: Leak detection method: Remove various buttons and valves, connect the leak detection device, and inject pressure; Immerse the endoscope completely in water and use a syringe to inject water into each pipeline to expel gas from the pipeline; Observe whether there are bubbles emerging from various parts of the mirror body, and then observe the insertion part, operation part, connection part, and other parts. If any leakage is found, it should be promptly repaired and sent for inspection.

3、不管是手工清洗还是机械清洗都要经过冲洗—洗涤—漂洗—终末漂洗—消毒—干燥的过程。我们对用过的软镜进行表面大的污渍、蛋白进行低纤维絮布擦拭或流动水冲洗。

3. Whether it is manual cleaning or mechanical cleaning, it must go through the process of rinsing, washing, rinsing, final rinsing, disinfection, and drying. We clean the surface of the used soft mirror with large stains and protein using low fiber wadding cloth or rinse it with flowing water.

4、洗涤用清洗液浓度一定要达标，应根据产品说明书正确配置，需现配现用，活性酶在水温40℃左右活性高，一般4小时就失效。刷洗软式内镜的所有管道，刷洗时应两头见刷头，并洗净刷头上的污物，反复刷洗至没有可见污染物。

4. The concentration of cleaning solution used for washing must meet the standard, and it should be correctly configured according to the product manual. It needs to be prepared and used immediately. The active enzyme has high activity at a water temperature of around 40 ℃, and generally fails within 4 hours. Brush all the pipes of the soft endoscope, and when brushing, the brush head should be visible at both ends. Clean the dirt on the brush head and repeatedly brush until there are no visible pollutants.

连接全管道灌流器，使用动力泵向各管道内灌注清洗液三分钟，浸泡时应遵循产品说明书。每条内镜清洗时所沉淀不同的微生物细菌堆积在清洗槽内，增加感染的机会，所以一条内镜清洗完后应更换洗洗液。

Connect the entire pipeline perfusion device and use a power pump to inject cleaning solution into each pipeline for three minutes. Follow the product manual when soaking. During the cleaning of each endoscope, different microorganisms and bacteria accumulate in the cleaning tank, increasing the chance of infection. Therefore, after cleaning an endoscope, the cleaning solution should be replaced.

5、漂洗及终末漂洗应使用纯化水或灭菌水，使用电导仪进行测试电导率应为≤I5μs/cm（25℃）。

5. Rinsing and final rinsing should use purified or sterilized water, and the conductivity should be ≤ I5 when tested with a conductivity meter μ s/cm（25℃）。

6、消毒：软式内镜消毒剂是否达标与其消毒合格具有密切联系，目前使用多的是浓度为2%的戊二醛浸泡20分钟，其具有消毒效果良好、价格便宜、对内镜及其附件无损害等优点。不同功能内镜清洗消毒应分开进行，其中手工清洗槽和清洗消毒设备应分开设置及使用。消毒后的内镜应采用纯化水或无菌水进行终末漂洗。

6. Disinfection: Whether the soft endoscope disinfectant meets the standard is closely related to its disinfection qualification. Currently, it is commonly used to soak in glutaraldehyde at a concentration of 2% for 20 minutes, which has the advantages of good disinfection effect, low price, and no damage to the endoscope and its accessories. The cleaning and disinfection of endoscopes with different functions should be carried out separately, with manual cleaning tanks and cleaning and disinfection equipment set up and used separately. The disinfected endoscope should be rinsed with purified or sterile water for final rinsing.

7、干燥：内镜管道干燥通常用75％至95％的乙醇或异丙醇注入管道进行干燥。推荐使用酒精是因为它可以净化并促进内镜通道内残留水分的蒸发，从而减少生物负荷积聚的机会。也可用可调压力的过滤空气来干燥内镜管道。外表面用清洁低纤维絮布进行擦拭干燥，干燥时间充足，至少10分钟。

7. Drying: Endoscopic tube drying is usually performed by injecting 75% to 95% ethanol or isopropanol into the tube for drying. The recommended use of alcohol is because it can purify and promote the evaporation of residual water in the endoscopic channel, thereby reducing the chances of biological burden accumulation. Adjustable pressure filtered air can also be used to dry the endoscopic tube. Wipe and dry the outer surface with a clean low fiber wadding cloth, with sufficient drying time of at least 10 minutes.

8、环境终末处理：应保持通风良好。环境应采用机械通风，宜采取"上送下排"方式，换气次数宜10次/h，小新风量宜达到2次/h。物表用500mg/L—1000mg/L的含氯消毒液进行擦拭或喷洒消毒30分钟后，应及时用清水擦洗干净，不耐腐蚀的物体表面用75%乙醇进行擦拭消毒。

8. Environmental final treatment: Good ventilation should be maintained. The environment should adopt mechanical ventilation, preferably using the "up supply and down exhaust" method, with a ventilation rate of 10 times/h and a small fresh air volume of 2 times/h. After wiping or spraying with 500mg/L-1000mg/L chlorine containing disinfectant for disinfection of the surface for 30 minutes, it should be promptly wiped clean with clean water. Non corrosion-resistant surfaces should be wiped and disinfected with 75% ethanol.

以上就是内窥镜设备维修公司为您所讲解的问题解答了，希望能够给您好的帮助，更多事项就来我们网站http://www.jiangrenyiliao.cn咨询吧！

The above is the answer to the question explained by the endoscope equipment maintenance company for you. We hope it can provide you with good help. For more information, please come to our website http://www.jiangrenyiliao.cn Consult!