腹腔鏡器械的清洗

Cleaning of laparoscopic instruments

腹腔鏡器械的清洗是消毒滅菌的重要環(huán)節(jié)。儀器中90%以上的病原體可以通過清洗去除。目前，腹腔鏡器械的清洗方法有手動和超聲波自動清洗機兩種。最常見的方法是手動清潔。

The cleaning of laparoscopic instruments is an important part of disinfection and sterilization. More than 90% of the pathogens in the instrument can be removed by cleaning. At present, there are two cleaning methods of laparoscopic instruments: manual and ultrasonic automatic cleaning machine. The most common method is manual cleaning.

手術后立即將腹腔鏡器械在1：300中性多酶清洗劑中浸泡10分鐘，因為酶能快速分解蛋白質(zhì)和有機物，使殘留的血液、有機物、粘液等不會凝固，吸附在器械上，因此易于清潔。

Immediately after the operation, immerse the laparoscopic instrument in 1:300 neutral multi enzyme detergent for 10 minutes, because the enzyme can quickly decompose protein and organic matter, so that the residual blood, organic matter and mucus will not solidify and adsorb on the instrument, so it is easy to clean.

并拆下所有可拆卸部件，分開放置，拉出每個套管芯，充分浸泡。然后用流水仔細清洗每個部分。有內(nèi)腔的器械應用軟毛刷反復清洗，刷頭在兩端，以徹底清除所有組織碎片和其他有機物。

Remove all removable parts, place them separately, pull out each casing core and soak it fully. Then wash each part carefully with running water. Instruments with lumen shall be cleaned repeatedly with soft bristle brush with brush head at both ends to completely remove all tissue fragments and other organic matter.

清洗后，放入儀器專用潤滑液中潤滑2分鐘左右，取出，打開各接頭和各鉗口。對于有管腔的器械，用高壓氣槍將壓縮氣體吹入管腔，直至無水排出，并使其充分干燥。將其水平放置或掛在陰涼干燥的專用儲物柜中，以備后用。

After cleaning, put it into the special lubricating fluid of the instrument for lubrication for about 2 minutes, take it out and open all joints and jaws. For instruments with lumen, use a high-pressure air gun to blow compressed gas into the lumen until there is no water to be discharged, and make it fully dry. Place it horizontally or hang it in a cool and dry special storage cabinet for future use.

清洗時，要防止腹腔鏡器械的各種附件丟失。由于腹腔鏡器械的緊湊性和復雜性，許多器械都配備了小配件。因此，在拆卸清洗時，應在洗滌槽內(nèi)鋪設過濾器，以防被沖入下水道而丟失。另外，在清洗消毒過程中，冷光源與攝像機鏡頭的連接也不能打折扣。圓的角度應為鈍角，以免損壞光纖。

When cleaning, prevent the loss of various accessories of laparoscopic instruments. Due to the compactness and complexity of laparoscopic instruments, many instruments are equipped with small accessories. Therefore, during disassembly and cleaning, the filter shall be laid in the washing tank to prevent it from being washed into the sewer and lost. In addition, in the process of cleaning and disinfection, the connection between the cold light source and the camera lens cannot be discounted. The angle of the circle should be obtuse to avoid damaging the optical fiber.

腹腔鏡器械的消毒

Disinfection of laparoscopic instruments

目前常用的方法是安全可靠的過氧化氫等離子體低溫滅菌。與傳統(tǒng)的滅菌方式相比，具有滅菌效果準確、快速、安全、環(huán)保等優(yōu)點，也有效減少了對腹腔的傷害。

At present, the commonly used method is safe and reliable hydrogen peroxide plasma low-temperature sterilization. Compared with the traditional sterilization method, it has the advantages of accurate, rapid, safe and environmental protection, and effectively reduces the injury to the abdominal cavity.

通常，低溫滅菌器由專人負責管理，腹腔鏡器械放置在專用器械箱內(nèi)，并用無紡布包裝。正常選擇的殺菌模式為增強模式，可殺菌69分鐘。

Generally, the low-temperature sterilizer is managed by a specially assigned person, and the laparoscopic instruments are placed in the special instrument box and packaged with non-woven fabrics. The normally selected sterilization mode is enhanced mode, which can sterilize for 69 minutes.

同時，我們對內(nèi)窺鏡設備維修制度進行嚴格檢測，化學指示帶和卡片的監(jiān)控，每個鍋都有生物監(jiān)控，非常嚴格，確實可以達到理想的殺菌效果。

At the same time, we strictly detect the maintenance system of endoscope equipment, monitor the chemical indicator tape and card, and each pot has biological monitoring, which is very strict, which can really achieve the ideal sterilization effect.

監(jiān)測已滅菌器械的消毒效果非常重要。由于腹腔鏡器械的直徑長而窄，以及連接處的緊密性，在浸泡和消毒過程中，個別區(qū)域會出現(xiàn)液體滲透不足的情況。醫(yī)院傳染病科應定期檢測腹腔鏡器械消毒效果，發(fā)現(xiàn)問題及時處理。確保腹腔鏡器械的有效消毒和滅菌。

It is very important to monitor the disinfection effect of sterilized instruments. Due to the long and narrow diameter of laparoscopic instruments and the tightness of joints, insufficient liquid penetration will occur in some areas during soaking and disinfection. The infectious diseases department of the hospital should regularly test the disinfection effect of laparoscopic instruments and deal with problems in time. Ensure the effective disinfection and sterilization of laparoscopic instruments.

腹腔鏡器械的清洗消毒事項必要了解的相關內(nèi)容就到這里了，您可以關注我們的網(wǎng)站www.eixks.cn了解更多產(chǎn)品設備的事項。

That's all for the cleaning and disinfection of laparoscopic instruments. You can pay attention to our website www.jiangrenyiliao.com Cn to learn more about products and equipment.