醫用內窺鏡是一種常用的醫療器械.由可彎曲部分、光源及一組鏡頭組成。經人體的天然孔道,或者是經手術做的小切口進入人體內,那么醫用內窺鏡有哪些方法維護和清洗呢?我們一起來了解下吧!
Medical endoscope is a common medical instrument, which is composed of flexible part, light source and a group of lenses. Through the natural pores of the human body, or through a small incision made by surgery, what are the methods for maintaining and cleaning the medical endoscope? Let's get to know each other!
配備相應的清洗設備與用物、器械清洗液、溶酶、去銹液及潤滑液等。清洗設備包括:流動水清洗槽(三槽:清洗槽、酶洗槽、除銹槽)高壓水槍、干燥設備、計時器、通風設施、各種刷子、紗布、棉棒。
Provide corresponding cleaning equipment and materials, instrument cleaning fluid, lysozyme, derusting fluid and lubricating fluid, etc. Cleaning equipment includes: mobile water cleaning and disinfection tank (three tanks: cleaning tank, enzyme washing tank and derusting tank), high-pressure water gun, drying equipment, timer, ventilation facilities, various brushes, gauze and cotton stick.
殘留物的沖刷水洗:內鏡及器械手術完畢后立即卸開可卸部分,清洗槽內用流動水徹 底清洗,除去血液、黏液等殘留物質并擦干;曲卡及各類手術鉗、剪類器械、關節脫卸用軟毛刷子刷洗,高壓水槍沖洗各腔道、導管、管腔等。
Washing and washing of residues: immediately remove the detachable part after the operation of endoscopy and instruments, and thoroughly clean the cleaning tank with flowing water to remove residual substances such as blood and mucus and wipe dry; Quka and all kinds of surgical forceps, scissors and joint unloading shall be brushed with soft brush, and each cavity, catheter and lumen shall be washed with high-pressure water gun.
酶洗:將擦干后的內鏡及器械置于1∶270酶洗液槽中浸泡、浸泡時間為30min或用超聲清洗機振動清洗5min~10min。
Disinfection and enzyme washing: soak the dried endoscopes and instruments in a 1 ∶ 270 full effect enzyme washing solution tank for 30min or vibrate with an ultrasonic cleaning machine for 5min ~ 10min.
沖洗:經全 效酶洗液浸泡后的內鏡及器械放沖洗槽中用流動水徹 底清洗,有管腔器械在清洗過程中應用高壓水槍噴射沖洗,以去除管道內的全 效酶洗液及松脫的污物。清洗拆卸部分的器械時不但沖洗器械的外表面,器械的軸節部,彎曲部,管腔內也用軟刷子徹 底刷洗,刷洗內鏡時避免劃傷鏡面。
Flushing: endoscopes and instruments soaked in full effect enzyme lotion are put into the flushing tank and thoroughly cleaned with flowing water. Instruments with lumen shall be sprayed and flushed with high-pressure water gun during the cleaning process to remove full effect enzyme lotion and loose dirt in the pipeline. When cleaning the disassembled part of the instrument, not only wash the outer surface of the instrument, the shaft coupling, bending part and lumen of the instrument, but also brush thoroughly with a soft brush to avoid scratching the mirror when brushing the endoscope.
防銹去銹:器械經上述處理后,放入配好的1∶7去銹液內浸泡,浸泡時間為10min,浸泡完后用清水沖洗。
Rust prevention and derusting: after the above treatment, the instrument shall be soaked in the prepared 1:7 derusting solution for 10min, and then washed with clean water.
潤滑維護:沖洗后的器械放入1∶15潤滑液內浸泡,浸泡2min~3min后撈起晾干或燥干即可。
Lubrication maintenance: put the washed instrument into 1:15 lubricating fluid and soak it for 2min ~ 3min, then pick it up and dry it.
在使內窺鏡的時候,勁量采用人士進行操作,適當的條件下可以進行相關人員的培訓工作。光纖內窺鏡屬于精 密、貴重設備器械,應有專人管理,使用前嚴格按生產廠家的說明書進行崗前培訓,熟悉其性能、特點、原理、操作規程、使用及保養方法以減少對儀器的損壞。
When the endoscope is used, it should be operated by people, and relevant personnel can be trained under appropriate conditions. Optical fiber endoscope is a kind of precision and valuable equipment, which should be managed by a specially assigned person. Before use, carry out pre job training in strict accordance with the manufacturer's instructions, and be familiar with its performance, characteristics, principle, operating procedures, use and maintenance methods, so as to reduce damage to the instrument.