How to remove the trouble of endoscope?

1.噴嘴堵塞后的處理：將水氣管道注滿濃度較高的酶液，其濃度為正常濃度的2-3倍，將內鏡浸泡在40℃左右的酶液中2-3小時，然后進行全管道灌流加壓沖洗。如果堵塞是突然形成的，則不宜強行進行加壓沖洗內管道，否則容易造成管道內部接頭爆裂。在無法解決噴嘴堵塞的情況下，務必通知廠家的工程技術人員進行處理，以免造成更嚴重的后果。因不正確的維修措施可能會導致鏡頭漏水,甚至導致短路燒毀成像芯片或者導致醫療事故。

1. Treatment after nozzle blockage: fill the water gas pipeline with high concentration of enzyme solution, whose concentration is 2-3 times of the normal concentration, immerse the endoscope in enzyme solution at about 40 ℃ for 2-3 hours, and then flush the whole pipeline with perfusion and pressure. If the blockage is formed suddenly, it is not suitable to flush the inner pipe by pressure, otherwise it is easy to cause the joint burst inside the pipe. In the case that the nozzle blockage cannot be solved, it is necessary to inform the engineering and technical personnel of the manufacturer to deal with it, so as to avoid more serious consequences. Improper maintenance measures may lead to water leakage of the lens, or even short circuit, burning the imaging chip or medical accidents.

2.送水、送氣不暢處理：

2. Treatment of poor water and air supply:

操作內鏡時要小心，宜經常送氣送水，以清洗物鏡及防止噴嘴堵塞。

Be careful when operating the endoscope. Air and water should be supplied frequently to clean the objective lens and prevent nozzle blockage.

使用標準的內鏡清洗程序。

Use standard endoscopic cleaning procedures.

擦拭鏡面時應順著噴嘴的方向。

Wipe the mirror in the direction of the nozzle.

清洗內鏡前應徹查清洗附件有否毛病。

Before cleaning the endoscope, thoroughly check if there is any problem with the cleaning accessories.

與噴嘴堵塞的處理辦法一樣，規范的維護和操作是預防的基礎。

As with the treatment of nozzle blockage, standard maintenance and operation are the basis of prevention.

水瓶使用前應認真檢查它的密封性。

The seal of water bottle should be checked carefully before use.

3.附件插入困難處理：

3. Difficulties in inserting attachments:

在操作、運送、清洗和保存內鏡的時候應注意保護好內鏡,避免過度彎曲內鏡，以防內鏡的活檢管道受折。

During the operation, transportation, cleaning and preservation of endoscopy, attention should be paid to protect endoscopy and avoid excessive bending of endoscopy, so as to prevent the biopsy tube of endoscopy from being broken.

內鏡必須正確地清洗消毒:經過嚴格的清洗程序，避免雜質淤積，酶洗可避免活檢管道內蛋白質結晶，保證通暢的附件通道。

Endoscopy must be cleaned and disinfected correctly: through strict cleaning procedures, impurities can be avoided from silting up, enzyme washing can avoid protein crystallization in biopsy tube, and ensure unobstructed accessory channel.

附件使用前應認真檢查:如果附件已經損壞切忌勉強插入，以免對內鏡造成損害,應更換正常的附件。

The accessories should be carefully checked before use: if the accessories have been damaged, do not force to insert them to avoid damage to the endoscope, and replace the normal accessories.

良好的操作習慣:插入附件時要小心，切忌魯莽的插入動作，當內鏡出于大角度彎曲狀態時須將鏡身取直，插入附件后再進行操作。

Good operating habits: be careful when inserting the accessory, and avoid reckless insertion. When the endoscope is bent at a large angle, straighten the mirror body, and then insert the accessory.
               

4.內鏡漏水處理：

4. Treatment of endoscope leakage:

內鏡的清洗消毒程序必須正確,每次操作完成后清洗之前進行測漏

The cleaning and disinfection procedure of endoscope must be correct, and leakage detection should be carried out after each operation and before cleaning

提倡高質量的維護保養

Advocate high quality maintenance

內鏡清洗前必須經過漏水測試

The endoscope must be tested for water leakage before cleaning

電子內鏡在清洗前必須先蓋上防水蓋

The electronic endoscope must be covered with waterproof cover before cleaning

使用質量好與內鏡匹配性好的內鏡附件,在挑選附件前把控好質量關

The quality of the accessories should be controlled before selecting the accessories

對正確維護好治療附件,使用前檢查是否已經損壞,否則須更換新附件

For properly maintained treatment accessories, check whether they are damaged before use, otherwise they must be replaced with new accessories

運送時小心,避免碰撞和擠壓

Be careful during transportation to avoid collision and extrusion

將內鏡保存到掛鏡柜里的時候當心柜門夾到鏡子

When storing the endoscope in the mirror hanging cabinet, be careful to clamp the door to the mirror

醫生在操作時勿向手術床上按壓內鏡

Doctors should not press the endoscope on the operating table during operation

在電子內鏡清洗之前漏蓋防水蓋導致內鏡進水也是常見的情況,因此需記住一定要蓋上防水蓋

Before cleaning the electronic endoscope, it is also common to leak the waterproof cover and cause the endoscope to enter water, so it is necessary to remember to cover the waterproof cover

5.內鏡與附件的損壞處理：

5. Damage treatment of endoscope and accessories

內鏡與附件消毒前必須徹底洗凈

Endoscope and accessories must be thoroughly cleaned before disinfection

對附件進行超聲清洗

Ultrasonic cleaning of accessories

避免使用非指定的清洗消毒方法

Avoid using non specified cleaning and disinfection methods

避免使用非指定的自動清洗消毒機

Avoid using non specified automatic cleaning and disinfection machine

不要光顧非指定的代理店進行購買與維修

Do not patronize the non designated agency for purchase and maintenance

6.吸引故障處理：

6. Troubleshooting:

在刷洗管道的時候注意手法,盡量避免清洗刷的金屬部分與安裝座摩擦

Pay attention to the method when brushing the pipeline, and try to avoid the friction between the metal part of the cleaning brush and the mounting seat

內鏡使用前應檢查吸引功能

Suction function should be checked before using endoscopy

日常維護嚴格按規范程序進行,防止漏水,如有漏水也可及時發現

Daily maintenance shall be carried out in strict accordance with the standard procedures to prevent water leakage. If there is water leakage, it can be found in time

聯系內鏡廠家進行檢修

Contact the endoscope manufacturer for maintenance

7.光亮度調節故障處理：

7. Troubleshooting of brightness adjustment:

把內鏡插入光源前，必須確認導光桿頭部是否徹底干燥。

Before inserting the endoscope into the light source, it is necessary to confirm whether the head of the light guide rod is completely dry.

保持光源插座干燥。

Keep the light socket dry.

避免內鏡碰撞。

Avoid endoscope collision.

內鏡使用前應檢查調光功能是否正常。

The dimming function of endoscope should be checked before use.

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