關節(jié)鏡在臨床上用于檢查和診斷。如果與手術器械和專用設備配合使用,還可以在關節(jié)腔內進行開放視野手術等治療性治療。為了提高設備的利用率、設備的完整率,降低故障率,保障醫(yī)療安全,在使用關節(jié)鏡及相關設備時須做到以下幾點:
Arthroscopy is used in clinical examination and diagnosis. If it is used with surgical instruments and special equipment, it can also be used for therapeutic treatment such as open field surgery in the articular cavity. In order to improve the utilization rate and integrity rate of equipment, reduce the failure rate and ensure medical safety, the following points must be achieved when using arthroscopy and related equipment:
1、醫(yī)院在引進設備時,需要同時進行專業(yè)培訓。
1. When hospitals introduce equipment, they need professional training at the same time.
2、設備安裝調試完成后,用戶須仔細閱讀隨機的相關技術資料,充分了解關節(jié)鏡的結構和基本光學原理,熟悉和掌握設備操作規(guī)程和注意事項。
2. After the installation and commissioning of the equipment, the user must carefully read the accompanying relevant technical data, fully understand the structure and basic optical principle of arthroscopy, and be familiar with and master the equipment operation procedures and precautions.
3、須制定并執(zhí)行嚴格的設備使用、維護、消毒、滅菌管理制度。關節(jié)鏡手術的無菌要求非常嚴格。參照消毒規(guī)范,手術室每天用空氣消毒器消毒1小時,每周按比例氧化高錳酸鉀和福爾馬林,房間密閉熏蒸12小時,定期空氣培養(yǎng)。經醫(yī)院感染管理部檢測各項指標均達標后,方可進行關節(jié)鏡手術。手術器械用環(huán)氧乙烷消毒。
3. Strict equipment use, maintenance, disinfection and sterilization management systems must be formulated and implemented. The aseptic requirements of arthroscopic surgery are very strict. According to the disinfection specification, the operating room is disinfected with an air sterilizer for 1 hour every day, potassium permanganate and formalin are oxidized in proportion every week, the room is sealed and fumigated for 12 hours, and air culture is carried out regularly. Arthroscopic surgery can be carried out only after all indicators meet the standard detected by the hospital infection management department. Surgical instruments are disinfected with ethylene oxide.
4、
內窺鏡設備維修人員建議您,使用前要仔細檢查關節(jié)鏡金屬部分的結構是否光滑,外套管與接口是否緊密,是否有漏水現(xiàn)象;金屬芯與鞘、關節(jié)鏡與鞘的間隙是否對稱;芯棒是否位于中間;鏡筒與護套的鎖定能力如何;鑷子在護套的保護下能否自由開合;關節(jié)鏡鏡面是否損壞或隱藏。
4. The endoscope equipment maintenance personnel suggest that you carefully check whether the metal part of the arthroscope is smooth, whether the outer sleeve is tight with the interface, and whether there is water leakage before use; Whether the gaps between the metal core and sheath, arthroscopy and sheath are symmetrical; Whether the mandrel is in the middle; How about the locking ability of the lens barrel and the sheath; Whether the tweezers can open and close freely under the protection of the sheath; Whether the arthroscopic mirror is damaged or hidden.
5、每次操作后,用軟布蘸軟肥皂水輕輕擦洗金屬部件,并用水沖洗干凈。用紗布條或棉簽擦拭內窺鏡和手術器械的關節(jié),并沖洗干凈。鏡面和鏡片用濕棉輕輕擦拭,不要用力摩擦。然后,酶浸泡10-30分鐘后,用蒸餾水沖洗所有儀器。關節(jié)鏡的金屬部件和手術器械在使用后都需要用硅油潤滑,以起到潤滑和防銹的作用。消毒前用75%酒精擦去硅油。
5. After each operation, gently scrub the metal parts with a soft cloth dipped in soft soapy water, and rinse them with water. Wipe the joints of endoscopes and surgical instruments with gauze strips or cotton swabs and rinse them clean. Gently wipe the mirror and lens with wet cotton, and do not rub them with force. Then, after soaking the enzyme for 10-30 minutes, wash all instruments with distilled water. The metal parts of arthroscopy and surgical instruments need to be lubricated with silicone oil after use to play the role of lubrication and rust prevention. Wipe the silicone oil with 75% alcohol before disinfection.
此外為保證關節(jié)鏡在檢查、診斷和操作過程中能夠正常工作,保障醫(yī)療安全,須根據防雷減災的具體要求,配備安全接地線,并且必須配置穩(wěn)壓電源。更多關于相關設備的信息就來我們網站
http://foxnewsss.com進行獲取吧。
In addition, in order to ensure the arthroscopy can work normally in the process of inspection, diagnosis and operation, and ensure medical safety, a safety grounding wire must be equipped according to the specific requirements of lightning protection and disaster reduction, and a regulated power supply must be configured. For more information about related devices, please visit our website http://foxnewsss.com Get it.