In the surgical process fiber optic endoscopic instruments should be used in a timely manner after the use of sterile water to wipe off the blood, do not disassemble the instruments to soak so as not to lose or left behind in the body.
Postoperative endoscopic cleaning and maintenance
Equipped with the appropriate cleaning equipment and supplies, instrument cleaning solution, enzyme, rust solution and lubricant. Cleaning equipment includes: flowing water cleaning and disinfection tank (three tanks: cleaning tank, enzyme washing tank, rust removal tank) high-pressure water gun, drying equipment, timer, ventilation facilities, various brushes, gauze, cotton swabs.
Residue flushing and washing: endoscopes and instruments are unloaded immediately after the completion of surgery, removable parts, cleaning tanks with flowing water to thoroughly clean, remove blood, mucus and other residual substances and dry; Quka and various types of surgical forceps, clippers, joints off with soft bristles brushing, high-pressure water gun flushing of various lumens, catheters, tubes and lumens, etc..
Disinfecting enzyme washing: the endoscope and instruments after drying are placed in 1:270 full enzyme washing liquid tank, soaking time is 30 min or vibration cleaning with ultrasonic cleaning machine for 5 min~10 min.
Rinsing: after soaking in full enzyme washing liquid, endoscope and instruments are put into the rinsing tank to wash thoroughly with flowing water, and there are tubular lumens and instruments which are applied with high-pressure water jet in the process of rinsing to remove the lumen in the tube. Rinse to remove the full effect enzyme liquid and loose dirt in the pipe. When cleaning the disassembled part of the instrument, not only flush the outer surface of the instrument, but also use a soft brush to thoroughly brush the axial section of the instrument, the curved section, and the lumen, and avoid scratches on the surface of the mirror when scrubbing the endoscope.
Anti-rust and descaling: after the above treatment, the instruments are put into the 1:7 descaling solution and soaked for 10 minutes, and then rinsed with clean water.
Lubrication and maintenance: after rinsing, the instruments are put into 1:15 lubricating solution and soaked for 2 min~3 min, then picked up and dried or dried.
When using endoscopes, try to use professionals to operate, and under appropriate conditions, the training of relevant personnel can be carried out. Fiber-optic endoscope belongs to the precision, valuable equipment and instruments, there should be special management, before use, strictly according to the manufacturer's instructions for pre-service training, familiar with its performance, characteristics, principles, operating procedures, use and maintenance methods to reduce the damage to the instrument.