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，置于容器中送清洗消毒室，同时检查镜子等有无测漏、损坏;
1. Pre treatment: Immediately after using the endoscope, use a damp gauze to wipe off external stains, place it in a container and send it to a cleaning and disinfection room. At the same time, check the mirror for leaks or damage;
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: Thoroughly clean all components of the endoscope with flowing water, and thoroughly clean each lumen with a 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 an 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 an ultrasonic cleaner for 5-10 minutes; Use a soft bristle brush to brush and wash the axis, curvature, and internal cavity of the instrument. When brushing with a brush, be careful not to scratch the mirror surface.
5、消毒与灭菌：按照内镜的规格要求选择正确的消毒方式进行消毒;(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 specifications of the endoscope for disinfection; (Negative pressure suction device, ultrasonic suction device, 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消毒;
It is recommended to use low-temperature plasma for disinfection of disassembled mirrors;
根据内镜在人体内的使用部位不同进行消毒与灭菌，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消毒灭菌。
Disinfection and sterilization should be carried out according to the different parts of the endoscope used in the human body. For example, endoscopes and their accessories that come into contact with the natural channels of the human body should be disinfected and sterilized at a high level before application.
The endoscope equipment maintenance personnel will now talk about several common troubleshooting repairs:
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
Water leakage in the forceps tube: Most cases are caused by improper use of biopsy forceps and other accessories, resulting in damage to the biopsy tube. When the visual field is not blurred, C-level repair is required
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: caused by numerous use cases and poor bending of the tube, C+beam level repair
钢丝前端断：使用粒数多造成，C级修理
Broken front end of steel wire: caused by excessive use of particles, C-level 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: After using the steel wire for a certain period of time, the steel wire becomes longer. For D-level repair, simply cut the steel wire in the corresponding direction after dismantling, but it is necessary to determine whether the bent 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
Leakage of bent rubber: more damage caused by collisions, replacement with specialized rubber for D-level repair is sufficient
喷嘴堵塞：清洗不干净，C级修理更换喷嘴
Nozzle blockage: cleaning not clean, C-level repair and nozzle replacement
导像束黑点多或龟裂：纤维镜使用粒数多，A级修理
Multiple black spots or cracks in the guiding image beam: Fiber mirrors with a large number of particles are used for A-level repair
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
Specific faults need to be carefully identified through water leakage testing, drying, and mirror inspection before determining how to repair them
That's all for the cleaning and disinfection operations of endoscopes, as well as the repair of common faults. We hope to provide you with assistance. For more information, please visit our website http://www.jiangrenyiliao.cn Consulting!
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