Three point one Cleaning of laparoscopic equipment

(1)腹腔鏡設(shè)備的清洗：術(shù)后應(yīng)立即拆卸腹腔鏡設(shè)備的可拆卸部分，并對其進行清洗。先用酶劑浸泡，再用流動水沖洗。對帶管腔的器械，每次使用后應(yīng)使用通條刷反復(fù)通刷，再用流水或高壓水槍反復(fù)沖洗。對穿刺器械使用棉簽清洗閥門內(nèi)腔、彈簧、密封圈及穿刺錐的側(cè)孔，吹干后及時將閥門還原，以避免閥門內(nèi)的小部件遺失。清洗抓持器械及剪刀時應(yīng)打開旋轉(zhuǎn)軸輕輕刷洗。若軸節(jié)仍有頑固碎屑則采用超聲清洗器清洗。攝像頭、腹腔鏡視角用軟布擦干晾干，切忌用粗糙的布巾擦拭以免劃傷鏡頭，嚴禁使用超聲波清洗機對內(nèi)鏡進行清洗。

(1) Cleaning of laparoscopic equipment: the detachable part of laparoscopic equipment should be removed immediately after operation and cleaned. Soak in enzyme first, then rinse with flowing water. For instruments with lumen, after each use, it is necessary to use the brush repeatedly, and then use water or high-pressure water gun to wash them repeatedly. Use cotton swab to clean the inner cavity, spring, sealing ring and side hole of the puncture cone of the valve, and restore the valve in time after drying to avoid the loss of small parts in the valve. Open the rotating shaft and brush gently when cleaning the grasping instrument and scissors. If the coupling still has stubborn debris, use ultrasonic cleaner to clean it. The camera and laparoscopic viewing angle shall be dried with soft cloth. It is forbidden to wipe with rough cloth to avoid scratching the lens. It is forbidden to use ultrasonic cleaning machine to clean the endoscope.

(2)腹腔鏡設(shè)備：針對不同的器械可分別采用高溫高壓法、低溫法等進行。攝像頭、電纜和電極不可使用液浸泡法或高溫高壓法，否則對器械會造成嚴重的損傷，只能采用氣體熏蒸法或等離子低溫**法。

(2) Laparoscopic equipment: for different instruments, high temperature and high pressure method and low temperature method can be used respectively. The camera, cable and electrode shall not be immersed in liquid or high temperature and pressure method, otherwise serious damage will be caused to the instrument, and only gas fumigation or plasma low temperature * * method can be used.

3.2腹腔鏡設(shè)備的保養(yǎng)

Three point two Maintenance of laparoscopic equipment

(1)腹腔鏡設(shè)備的放置：腹腔鏡設(shè)備應(yīng)置于腹腔鏡器械臺上，每次使用前后要對其表面進行清潔并罩上防塵罩。各部件必須用專用的器械盒存放，器械存放應(yīng)排列有序。所有尖銳的器械要避免碰撞，取放時應(yīng)做到又輕又穩(wěn)。尤其是光學(xué)系統(tǒng)對光極為敏感，儀器設(shè)備的放置應(yīng)選擇陰暗的房間，避免強光直射。

(1) Placement of laparoscopic equipment: the laparoscopic equipment shall be placed on the laparoscopic instrument table, and its surface shall be cleaned and covered with dust cover before and after each use. Each component must be stored in a special instrument box, and the instruments shall be stored in order. All sharp instruments shall be free from collision, and shall be light and stable when taken and placed. In particular, the optical system is very sensitive to light. The instrument and equipment should be placed in a dark room to avoid direct light.

(2)腹腔鏡設(shè)備的定期檢查：堅持每周對腹腔鏡設(shè)備的功能進行1次檢查，每月對所有器械進行除銹和潤滑保養(yǎng)1次。

(2) Regular inspection of laparoscopic equipment: the function of laparoscopic equipment shall be inspected once a week, and all equipment shall be derusted and lubricated once a month.

3.3腹腔鏡設(shè)備的保管

Three point three Storage of laparoscopic equipment

保管腹腔鏡設(shè)備需做到：①腹腔鏡設(shè)備的保管應(yīng)實現(xiàn)專人專管，責(zé)任到人；②腹腔鏡設(shè)備的維護人員熟練掌握各類腹腔鏡手術(shù)器械，術(shù)前仔細核對器械配件是否完整，耗材準備是否齊全；③手術(shù)結(jié)束后應(yīng)仔細核對器械及配件。

It is necessary to keep the laparoscopic equipment: ① the storage of the laparoscopic equipment shall be under the special management of a specially assigned person, with the responsibility assigned to each person; ② the maintenance personnel of the laparoscopic equipment shall be familiar with all kinds of laparoscopic surgical instruments, carefully check whether the instruments and accessories are complete before operation, and whether the consumables are complete; ③ after the operation, carefully check the instruments and accessories.

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