硬性內(nèi)窺鏡種類繁多,臨床應(yīng)用最多的有腹腔鏡、胸腔鏡、血管鏡、關(guān)節(jié)鏡、椎間盤鏡、喉鏡、泌尿系統(tǒng)內(nèi)鏡、宮腔鏡、腦內(nèi)鏡。由于它們的光學(xué)成像系統(tǒng)、機械系統(tǒng)以及光源系統(tǒng)基本近似,所以各種硬性內(nèi)鏡使用與保養(yǎng)大致相同。接下來內(nèi)窺鏡設(shè)備維修的小編先給大家分享一下腹腔內(nèi)窺鏡的維護(hù)保養(yǎng)方法。
There are many kinds of rigid endoscopes, and the most commonly used ones are laparoscope, thoracoscopy, angioscope, arthroscopy, discoscope, laryngoscope, urology endoscopy, hysteroscopy and brain endoscopy. Because their optical imaging system, mechanical system and light source system are basically similar, the use and maintenance of various hard endoscopes are basically the same. Next, I will share the maintenance methods of the abdominal endoscope with you.
(1)器械宜輕取輕放,不得沖突、彼此碰撞及一起一手拿多樣器械,保持軸節(jié)靈敏尖端合攏良好、銳利器械刃而尖利。
(1) The instruments should be handled with care, without conflict, collision and multiple instruments in one hand. Keep the sensitive tip of the coupling well closed, sharp and sharp.
?。?)留意鏡面的保護(hù)。
(2) Pay attention to the protection of the mirror.、
?。?)導(dǎo)線清潔后寄存時,不可拆迭,盤旋彎曲度應(yīng)大于90度,以防止光纖折損,影響運用效果及縮短運用壽命。
(3) When the conductor is stored after cleaning, it shall not be disassembled and overlapped, and the turning curvature shall be greater than 90 degrees, so as to prevent the optical fiber from being damaged, affect the application effect and shorten the service life.
?。?)對各類鉗子要常常查看,活動關(guān)節(jié),留意鉗端的閉合狀況,關(guān)節(jié)處涂上專用潤滑劑。
(4) For all kinds of pliers, always check and move the joints, pay attention to the closing condition of the clamp end, and apply special lubricant to the joints.
?。?)銳利器械保存應(yīng)套上橡皮保護(hù)套。
(5) Sharp instruments shall be protected with rubber protective cover.
?。?)戳卡、轉(zhuǎn)換器、旋切器上的密封圈如有老化、裂口是應(yīng)及時更換,以免造成術(shù)中漏氣影響氣腹效果。
(6) If the sealing ring on the card, converter and rotary cutter is aged or cracked, it shall be replaced in time to avoid air leakage during operation and affect the pneumoperitoneum effect.
?。?)沖洗器上的閥門,應(yīng)定期拆卸進(jìn)行清潔、上油、以保持閥門的靈敏性。
(7) The valve on the rinser shall be regularly disassembled for cleaning and oiling to keep the sensitivity of the valve.
(8)一切器械在運用、清洗、保養(yǎng)過程中,關(guān)節(jié)不該強扳,尖端不能碰及硬物,器械小部件不能丟失。
(8) During the use, cleaning and maintenance of all instruments, the joints shall not be forced, the tips shall not touch hard objects, and the small parts of instruments shall not be lost.
?。?)光源和攝像頭在別離前應(yīng)先確認(rèn)主機電源封閉方可拔出。
(9) Before leaving the light source and camera, make sure that the host power supply is closed before unplugging.
?。?0)關(guān)機后的15分鐘內(nèi)不宜重啟腔鏡系統(tǒng)。
(10) It is not advisable to restart the mirror system within 15 minutes after shutdown.
?。?1)內(nèi)窺鏡的滅菌優(yōu)先考慮低溫或等離子消毒法,若用高壓滅菌法,必定要讓鏡子自然冷卻,制止用冷水冷卻,不然會導(dǎo)致鏡頭的決裂,目前,不發(fā)起用戊二醛浸泡滅菌,因為浸泡后鏡面接口處的液體不易擦凈,運用過程中會發(fā)生霧狀的蒸汽影響鏡面的清晰度,盡量不要常常變換鏡子的滅菌方法,這樣對鏡子的密封有優(yōu)點。
(11) Low temperature or plasma sterilization is preferred for endoscope sterilization. If high-pressure sterilization is used, the mirror must be allowed to cool naturally to prevent cooling with cold water, otherwise the lens will crack. At present, glutaraldehyde immersion sterilization is not initiated, because the liquid at the interface of the mirror after immersion is not easy to clean, and foggy steam will occur during the use process, which will affect the clarity of the mirror, Try not to often change the sterilization method of the mirror, so the sealing of the mirror has advantages.
?。?2)鏡子與手術(shù)器械要分隔清洗,鏡面用濕的脫脂棉球沿一個方向擦潔凈后,以擦鏡紙擦干,鏡身可用濕軟布擦凈,制止用超聲波清洗鏡子,盡量不用生理鹽水清洗鏡子,不然簡單發(fā)生銹跡。
(12) The mirror and the surgical instrument shall be cleaned separately. After the mirror is cleaned in one direction with a wet absorbent cotton ball, it shall be wiped dry with a wiping paper. The mirror body can be wiped clean with a wet soft cloth. It is forbidden to clean the mirror with ultrasonic wave. It is not necessary to clean the mirror with normal saline as far as possible, otherwise, rust will simply occur.
The above are 12 tips about the maintenance of abdominal endoscope, which are provided by endoscope equipment maintenance. If you want to know more, please contact us http://m.tukouzhao.cn Website.