一、內鏡漏水：

1、 Endoscopic leakage:

漏水位置—彎曲橡皮

Leakage location - bent rubber

手術中沒有使用口墊或口墊質量差、患者感到緊張,咬住插入部----彎曲橡皮破裂

During the surgery, there was no use of oral pads or the quality of the pads was poor. The patient felt nervous and bit the insertion part, causing the rubber to bend and break

保養不良、彎曲橡皮老化----彎曲橡皮破損

Poor maintenance, aging of bent rubber - bent rubber damaged

漏水位置—鉗子管道

Leakage location - pliers pipeline

插入時遇到阻力,強行將緩解附件推進----鉗子管道被插破

Encountering resistance during insertion, forcefully pushing the relief accessory forward - the pliers pipeline is broken

漏水位置—其它部位

Leakage location - other parts

先端部不小心與硬物碰撞----鏡頭破裂

Accidental collision with a hard object at the front end - lens breakage

內鏡漏水導致的現象：

Phenomena caused by endoscopic leakage:

纖維鏡像束出現龜裂或彩虹現象,視野模糊

Fiber mirror bundle appears cracked or rainbow like, blurry field of view

電子鏡圖像出現不良現象甚至CCD短路沒有圖像

The electronic mirror image shows defects or even CCD short circuit without any image

光束變硬變脆,容易折斷,亮度減弱

The beam becomes hard and brittle, easily broken, and the brightness decreases

螺旋管脫落,打角度鏡身蛇形

Spiral tube detachment, angled mirror body snake shaped

電子鏡開關按鍵短路,不能使用其功能

The electronic mirror switch button is short circuited and its function cannot be used

怎樣避免內鏡漏水的問題：

How to avoid the problem of endoscopic leakage:

操作內鏡時要小心

Be careful when operating the endoscope

內鏡的清洗消毒程序必須正確

The cleaning and disinfection procedures for endoscopes must be correct

提倡高質量的維護保養

Advocate for high-quality maintenance and upkeep

內鏡清洗前一定要通過漏水檢測

Before cleaning the endoscope, it is necessary to pass a leak detection

二、噴嘴堵塞

2、 Nozzle blockage

導致噴嘴堵塞的原因：

Reasons for nozzle blockage:

先端部不小心與硬物碰撞→噴嘴變形→噴嘴堵塞(不適當的內鏡保養是造成堵塞的主要原因

Accidental collision with hard objects at the tip → nozzle deformation → nozzle blockage (improper endoscopic maintenance is the main cause of blockage)

使用內鏡后沒有立即清洗→臟物凝固在噴嘴里→噴嘴堵塞

Not cleaned immediately after using the endoscope → Dirt solidified in the nozzle → nozzle clogged

消毒前沒有用洗滌劑洗凈內鏡→消毒液使蛋白質凝固→噴嘴堵塞

Did not wash the endoscope with detergent before disinfection → Disinfectant coagulated the protein → nozzle clogged

擦拭鏡面時方向錯誤→棉紗塞進噴嘴里→噴嘴堵塞

Wrong direction when wiping the mirror surface → Cotton yarn inserted into the nozzle → nozzle clogged

噴嘴堵塞后用針挑或將噴嘴自行拆除→噴嘴壞損或導致內部管更易堵塞→噴嘴堵塞

After nozzle blockage, use a needle to pick or remove the nozzle on its own → The nozzle is damaged or makes the internal pipe more prone to blockage → The nozzle is blocked

清洗消毒時，使用有問題的清洗附件→臟物隨灌洗送到內鏡中→噴嘴堵塞

When cleaning and disinfecting, use problematic cleaning accessories → the dirt is sent to the inner mirror along with the filling → the nozzle is blocked

怎樣避免噴嘴堵塞

How to avoid nozzle blockage

操作內鏡要小心

Be careful when operating endoscopes

內鏡使用后應立即清洗

Endoscopy should be cleaned immediately after use

內鏡消毒前必須洗凈

Endoscopy must be cleaned before disinfection

擦拭鏡面時應順著噴嘴的方向

When wiping the mirror surface, it should follow the direction of the nozzle

噴嘴堵塞后切勿用針挑或將噴嘴自行拆除

Do not use a needle to pick or remove the nozzle by itself after it is blocked

清洗內鏡前應檢查清洗附件是否有毛病

Before cleaning the endoscope, check if there are any defects in the cleaning accessories

三、送水、送氣不暢

3、 Poor water and air delivery

導致送水、送氣不暢的原因

The reasons for poor water and gas delivery

送水瓶接口里的O型環損壞----水灌到送氣管里送水、送氣不暢

The O-ring in the interface of the water bottle is damaged - water is injected into the air supply pipe, causing poor water and gas delivery

送水瓶里的O型環損壞、遺失、變形氣體從水瓶漏出

The O-ring in the water bottle is damaged, lost, or deformed. Gas leaks out of the water bottle

不正確的清洗消毒程序臟物凝固和結晶形成在管道里

Incorrect cleaning and disinfection procedures. Dirt solidifies and crystallizes in the pipeline

使用損壞的附件，附件在管道里打結

Using damaged attachments, tying knots in the pipeline

怎樣能避免附件插入的問題

How to avoid the problem of inserting attachments

必須正確地清洗消毒內鏡

Endoscopes must be properly cleaned and disinfected

使用前應認真檢查附件

Before use, carefully check the attachments

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