內窺鏡的清洗消毒流程是一個嚴格的多步驟過程，以確保設備的安全和有效性。以下是標準的清洗消毒流程：

The cleaning and disinfection process of endoscopes is a strict multi-step process to ensure the safety and effectiveness of the equipment. The following is the standard cleaning and disinfection process:

初洗：

Initial washing:

拆開各部件，在流動水下徹底沖洗。

Disassemble each component and thoroughly rinse under flowing water.

使用高壓水槍反復沖洗各孔道，內鏡的軸件部、彎曲部、管腔內用軟毛刷徹底刷洗，刷洗時注意避免劃傷鏡面。

Use a high-pressure water gun to repeatedly rinse each hole, thoroughly brush the shaft, curved part, and lumen of the endoscope with a soft bristled brush, and be careful not to scratch the mirror surface during brushing.

內鏡附件如細胞刷、切開刀、導絲、碎石器、網籃、造影導管、異物鉗等使用后，先放入清水中，用小刷刷洗鉗瓣內面和關節處，清洗后并擦干。

After using endoscopic accessories such as cell brushes, incisors, guide wires, lithotripters, mesh baskets, contrast catheters, foreign body forceps, etc., first place them in clean water, use a small brush to wash the inner surface of the forceps and joints, clean and dry them.

送洗：

Delivery for washing:

內鏡初洗后立即放入專用器械盒。

Immediately put the endoscope into a dedicated instrument box after initial cleaning.

如果是感染器械要在盒蓋上用紅筆注明感染源。

If it is an infectious device, the source of infection should be indicated on the box cover with a red pen.

置于內鏡運送車送至消毒供應中心清洗。

Place it in the endoscope transport vehicle and send it to the disinfection supply center for cleaning.

酶洗：

Enzymatic washing:

根據多酶液的比例正確的配置。

Correctly configure according to the ratio of multiple enzyme solutions.

將擦干后在的內鏡置于酶洗槽中浸泡5分鐘，或超聲清洗器內清洗5-10分鐘。

Soak the dried endoscope in an enzyme bath for 5 minutes or clean it in an ultrasonic cleaner for 5-10 minutes.

鏡頭于酶液中手洗。

The camera is hand washed in enzyme solution.

每清洗一次內鏡更換多酶洗液。

Replace the multi enzyme wash solution every time the endoscope is cleaned.

次洗（脫酶洗）：

Secondary washing (enzymatic washing):

多酶洗液浸泡后的內鏡，用流動水徹底沖洗。

After soaking the endoscope in a multi enzyme washing solution, rinse it thoroughly with running water.

用高壓水槍徹底沖洗管道，以去除管道內的多酶洗液及松脫的污物，同時沖洗內鏡的外表面，沖洗時間要大于5分鐘。

Thoroughly rinse the pipeline with a high-pressure water gun to remove the multi enzyme washing solution and loose dirt inside the pipeline. At the same time, rinse the outer surface of the endoscope for more than 5 minutes.

漂洗：

Rinse:

用純凈水再次沖洗。

Rinse again with purified water.

干燥：

dry:

用紗布將內鏡外表面的水分擦干。

Wipe off the moisture on the outer surface of the endoscope with gauze.

再用高壓水槍將內鏡各管腔內的水分沖干。

Use a high-pressure water gun to flush out the water inside each cavity of the endoscope.

消毒：

disinfect

將消毒后的內窺鏡儲存于干燥、通風、無塵的儲存室內。

Store the disinfected endoscope in a dry, ventilated, and dust-free storage room.

自動清洗/消毒（如果使用自動清洗消毒設備）：

Automatic cleaning/disinfection (if using automatic cleaning and disinfection equipment):

使用符合ISO 15883-1的程序，此程序必須至少達到A0值3000，并且在消毒階段溫度不超過93°C。

Use a program that complies with ISO 15883-1, which must achieve an A0 value of at least 3000 and a temperature not exceeding 93 ° C during the disinfection phase.

在清洗過程中，不得超過55°C以保證達到最優清洗結果。

During the cleaning process, the temperature should not exceed 55 ° C to ensure optimal cleaning results.

在中和以后，沖洗回路以確保無殘留清洗或中和劑從而影響再處理步驟。

After neutralization, rinse the circuit to ensure that there are no residual cleaning or neutralizing agents that may affect the reprocessing steps.

在最后沖洗和消毒必須完全使用去離子水。

Deionized water must be used completely for final rinsing and disinfection.

以上步驟確保了內窺鏡在使

The above steps ensure that the endoscope is functioning properly

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