1、預處理：內(nèi)鏡使用后即刻使用濕紗布擦拭外表污漬，置于容器中送清洗消毒室，同時檢查鏡子等有無測漏、損壞;

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：用流動水徹底清洗內(nèi)鏡的各個部件，以高壓水槍徹底清洗各管腔;

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：內(nèi)鏡清洗擦干后，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：可拆卸部分必須拆開清洗，并用超聲清洗器清洗5-10分鐘;器械的軸節(jié)部、彎曲部、官腔內(nèi)用軟毛刷刷洗。用毛刷刷洗時注意避免劃傷鏡面。

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、消毒與滅菌：按照內(nèi)鏡的規(guī)格要求選擇正確的消毒方式進行消毒;(負壓吸引器、超聲吸引器、高壓水槍、干燥設備、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.);

拆裝過的鏡子建議采用低溫等離子進行消毒;

It is recommended to use low-temperature plasma for disinfection of disassembled mirrors;

根據(jù)內(nèi)鏡在人體內(nèi)的使用部位不同進行消毒與滅菌，比如，進入人體自然通道的官腔粘膜接觸的內(nèi)鏡及其附件，應用前要采取過高水平的消毒滅菌。

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.

幾個常見的故障修理

Repair several common faults

鉗子管漏水：多數(shù)是由于活檢鉗等附件，使用不當造成活檢管道破損，在視野不模糊時，C 級修理

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

導管束斷：使用例數(shù)多，彎曲管不良造成， C+ 導光束級修理

Broken catheter bundle: caused by numerous use cases and poor bending of the tube, C+beam level repair

鋼絲前端斷：使用粒數(shù)多造成， C 級修理

Broken front end of steel wire: caused by excessive use of particles, C-level repair

彎曲角度不足：鋼絲使用一定時間后鋼絲變長， D 級修理，拆開后剪短相應方向的鋼絲即可，但需判別彎曲管是否良好

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

彎曲橡皮漏水：碰傷造成比較多， D 級修理更換專用橡皮即可

Leakage of bent rubber: more damage caused by collisions, replacement with specialized rubber for D-level repair is sufficient

噴嘴堵塞：清洗不干凈， C 級修理更換噴嘴

Nozzle blockage: cleaning not clean, C-level repair and nozzle replacement

導像束黑點多或龜裂：纖維鏡使用粒數(shù)多， A 級修理

Multiple black spots or cracks in the guiding image beam: Fiber mirrors with a large number of particles are used for A-level repair

具體故障需經(jīng)漏水測試，烘干，拆鏡檢查仔細判別才能定如何修理

Specific faults need to be carefully identified through water leakage testing, drying, and mirror inspection before determining how to repair them