內(nèi)窺鏡出現(xiàn)故障如何進(jìn)行排除?
How to remove the trouble of endoscope?
1.噴嘴堵塞后的處理:將水氣管道注滿濃度較高的酶液,其濃度為正常濃度的2-3倍,將內(nèi)鏡浸泡在40℃左右的酶液中2-3小時(shí),然后進(jìn)行全管道灌流加壓沖洗。如果堵塞是突然形成的,則不宜強(qiáng)行進(jìn)行加壓沖洗內(nèi)管道,否則容易造成管道內(nèi)部接頭爆裂。在無法解決噴嘴堵塞的情況下,務(wù)必通知廠家的工程技術(shù)人員進(jìn)行處理,以免造成更嚴(yán)重的后果。因不正確的維修措施可能會(huì)導(dǎo)致鏡頭漏水,甚至導(dǎo)致短路燒毀成像芯片或者導(dǎo)致醫(yī)療事故。
1. Treatment after nozzle blockage: fill the water gas pipeline with high concentration of enzyme solution, whose concentration is 2-3 times of the normal concentration, immerse the endoscope in enzyme solution at about 40 ℃ for 2-3 hours, and then flush the whole pipeline with perfusion and pressure. If the blockage is formed suddenly, it is not suitable to flush the inner pipe by pressure, otherwise it is easy to cause the joint burst inside the pipe. In the case that the nozzle blockage cannot be solved, it is necessary to inform the engineering and technical personnel of the manufacturer to deal with it, so as to avoid more serious consequences. Improper maintenance measures may lead to water leakage of the lens, or even short circuit, burning the imaging chip or medical accidents.
2.送水、送氣不暢處理:
2. Treatment of poor water and air supply:
操作內(nèi)鏡時(shí)要小心,宜經(jīng)常送氣送水,以清洗物鏡及防止噴嘴堵塞。
Be careful when operating the endoscope. Air and water should be supplied frequently to clean the objective lens and prevent nozzle blockage.
使用標(biāo)準(zhǔn)的內(nèi)鏡清洗程序。
Use standard endoscopic cleaning procedures.
擦拭鏡面時(shí)應(yīng)順著噴嘴的方向。
Wipe the mirror in the direction of the nozzle.
清洗內(nèi)鏡前應(yīng)徹查清洗附件有否毛病。
Before cleaning the endoscope, thoroughly check if there is any problem with the cleaning accessories.
與噴嘴堵塞的處理辦法一樣,規(guī)范的維護(hù)和操作是預(yù)防的基礎(chǔ)。
As with the treatment of nozzle blockage, standard maintenance and operation are the basis of prevention.
水瓶使用前應(yīng)認(rèn)真檢查它的密封性。
The seal of water bottle should be checked carefully before use.
3.附件插入困難處理:
3. Difficulties in inserting attachments:
在操作、運(yùn)送、清洗和保存內(nèi)鏡的時(shí)候應(yīng)注意保護(hù)好內(nèi)鏡,避免過度彎曲內(nèi)鏡,以防內(nèi)鏡的活檢管道受折。
During the operation, transportation, cleaning and preservation of endoscopy, attention should be paid to protect endoscopy and avoid excessive bending of endoscopy, so as to prevent the biopsy tube of endoscopy from being broken.
內(nèi)鏡必須正確地清洗消毒:經(jīng)過嚴(yán)格的清洗程序,避免雜質(zhì)淤積,酶洗可避免活檢管道內(nèi)蛋白質(zhì)結(jié)晶,保證通暢的附件通道。
Endoscopy must be cleaned and disinfected correctly: through strict cleaning procedures, impurities can be avoided from silting up, enzyme washing can avoid protein crystallization in biopsy tube, and ensure unobstructed accessory channel.
附件使用前應(yīng)認(rèn)真檢查:如果附件已經(jīng)損壞切忌勉強(qiáng)插入,以免對(duì)內(nèi)鏡造成損害,應(yīng)更換正常的附件。
The accessories should be carefully checked before use: if the accessories have been damaged, do not force to insert them to avoid damage to the endoscope, and replace the normal accessories.
良好的操作習(xí)慣:插入附件時(shí)要小心,切忌魯莽的插入動(dòng)作,當(dāng)內(nèi)鏡出于大角度彎曲狀態(tài)時(shí)須將鏡身取直,插入附件后再進(jìn)行操作。
Good operating habits: be careful when inserting the accessory, and avoid reckless insertion. When the endoscope is bent at a large angle, straighten the mirror body, and then insert the accessory.
4.內(nèi)鏡漏水處理:
4. Treatment of endoscope leakage:
內(nèi)鏡的清洗消毒程序必須正確,每次操作完成后清洗之前進(jìn)行測(cè)漏
The cleaning and disinfection procedure of endoscope must be correct, and leakage detection should be carried out after each operation and before cleaning
提倡高質(zhì)量的維護(hù)保養(yǎng)
Advocate high quality maintenance
內(nèi)鏡清洗前必須經(jīng)過漏水測(cè)試
The endoscope must be tested for water leakage before cleaning
電子內(nèi)鏡在清洗前必須先蓋上防水蓋
The electronic endoscope must be covered with waterproof cover before cleaning
使用質(zhì)量好與內(nèi)鏡匹配性好的內(nèi)鏡附件,在挑選附件前把控好質(zhì)量關(guān)
The quality of the accessories should be controlled before selecting the accessories
對(duì)正確維護(hù)好治療附件,使用前檢查是否已經(jīng)損壞,否則須更換新附件
For properly maintained treatment accessories, check whether they are damaged before use, otherwise they must be replaced with new accessories
運(yùn)送時(shí)小心,避免碰撞和擠壓
Be careful during transportation to avoid collision and extrusion
將內(nèi)鏡保存到掛鏡柜里的時(shí)候當(dāng)心柜門夾到鏡子
When storing the endoscope in the mirror hanging cabinet, be careful to clamp the door to the mirror
醫(yī)生在操作時(shí)勿向手術(shù)床上按壓內(nèi)鏡
Doctors should not press the endoscope on the operating table during operation
在電子內(nèi)鏡清洗之前漏蓋防水蓋導(dǎo)致內(nèi)鏡進(jìn)水也是常見的情況,因此需記住一定要蓋上防水蓋
Before cleaning the electronic endoscope, it is also common to leak the waterproof cover and cause the endoscope to enter water, so it is necessary to remember to cover the waterproof cover
5.內(nèi)鏡與附件的損壞處理:
5. Damage treatment of endoscope and accessories
內(nèi)鏡與附件消毒前必須徹底洗凈
Endoscope and accessories must be thoroughly cleaned before disinfection
對(duì)附件進(jìn)行超聲清洗
Ultrasonic cleaning of accessories
避免使用非指定的清洗消毒方法
Avoid using non specified cleaning and disinfection methods
避免使用非指定的自動(dòng)清洗消毒機(jī)
Avoid using non specified automatic cleaning and disinfection machine
不要光顧非指定的代理店進(jìn)行購買與維修
Do not patronize the non designated agency for purchase and maintenance
6.吸引故障處理:
6. Troubleshooting:
在刷洗管道的時(shí)候注意手法,盡量避免清洗刷的金屬部分與安裝座摩擦
Pay attention to the method when brushing the pipeline, and try to avoid the friction between the metal part of the cleaning brush and the mounting seat
內(nèi)鏡使用前應(yīng)檢查吸引功能
Suction function should be checked before using endoscopy
日常維護(hù)嚴(yán)格按規(guī)范程序進(jìn)行,防止漏水,如有漏水也可及時(shí)發(fā)現(xiàn)
Daily maintenance shall be carried out in strict accordance with the standard procedures to prevent water leakage. If there is water leakage, it can be found in time
聯(lián)系內(nèi)鏡廠家進(jìn)行檢修
Contact the endoscope manufacturer for maintenance
7.光亮度調(diào)節(jié)故障處理:
7. Troubleshooting of brightness adjustment:
把內(nèi)鏡插入光源前,必須確認(rèn)導(dǎo)光桿頭部是否徹底干燥。
Before inserting the endoscope into the light source, it is necessary to confirm whether the head of the light guide rod is completely dry.
保持光源插座干燥。
Keep the light socket dry.
避免內(nèi)鏡碰撞。
Avoid endoscope collision.
內(nèi)鏡使用前應(yīng)檢查調(diào)光功能是否正常。
The dimming function of endoscope should be checked before use.
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