內(nèi)窺鏡設(shè)備作為醫(yī)療診斷和治療的重要工具，其維修保養(yǎng)直接關(guān)系到設(shè)備使用壽命及患者診療安全。醫(yī)療機(jī)構(gòu)需建立科學(xué)管理體系，確保設(shè)備處于最佳運(yùn)行狀態(tài)。日常維護(hù)需遵循操作規(guī)范，使用后立即進(jìn)行預(yù)處理，防止生物膜形成。預(yù)處理包括流動(dòng)水沖洗表面污物，配合專用軟毛刷輕柔擦拭鏡體，避免劃傷光學(xué)組件。清洗時(shí)應(yīng)拆卸可分離部件，如活檢閥門(mén)、吸引按鈕，使用多酶清洗液浸泡五分鐘，水溫控制在四十?dāng)z氏度以下，防止膠質(zhì)凝固。清洗后采用全管道灌流系統(tǒng)沖洗內(nèi)腔，確保無(wú)組織殘留，

　　As an important tool for medical diagnosis and treatment, the maintenance of endoscopic equipment directly affects the service life of the equipment and the safety of patient diagnosis and treatment. Medical institutions need to establish a scientific management system to ensure that equipment is in optimal operating condition. Daily maintenance should follow operating procedures, and pre-treatment should be carried out immediately after use to prevent biofilm formation. Pre treatment includes rinsing surface dirt with flowing water and gently wiping the mirror body with a specialized soft bristled brush to avoid scratching the optical components. When cleaning, detachable components such as biopsy valves and suction buttons should be disassembled and soaked in a multi enzyme cleaning solution for five minutes. The water temperature should be controlled below 40 degrees Celsius to prevent gel solidification. After cleaning, use a full pipeline irrigation system to flush the inner cavity to ensure no tissue residue,

　　消毒流程需嚴(yán)格參照《醫(yī)療機(jī)構(gòu)消毒技術(shù)規(guī)范》，根據(jù)設(shè)備材質(zhì)選擇低溫等離子滅菌或戊二醛浸泡。采用2%堿性戊二醛浸泡消毒時(shí)，需確保完全浸沒(méi)，消毒時(shí)間不少于四十五分鐘，滅菌時(shí)間達(dá)到十小時(shí)。消毒后使用無(wú)菌蒸餾水徹底沖洗，殘留消毒劑可能引發(fā)患者黏膜刺激，干燥環(huán)節(jié)采用壓力氣槍吹干所有管腔，專用擦拭布吸除表面水分，存放前確認(rèn)各關(guān)節(jié)活動(dòng)自如，無(wú)異常摩擦音。

　　The disinfection process should strictly follow the "Technical Specifications for Disinfection of Medical Institutions", and choose low-temperature plasma sterilization or glutaraldehyde immersion according to the equipment material. When using 2% alkaline glutaraldehyde soaking for disinfection, it is necessary to ensure complete immersion, with a disinfection time of not less than 45 minutes and a sterilization time of ten hours. After disinfection, rinse thoroughly with sterile distilled water. Residual disinfectant may cause irritation to the patient's mucous membranes. In the drying process, use a pressure air gun to blow dry all the lumens, and use a dedicated wiping cloth to absorb surface moisture. Before storage, confirm that all joints move freely and there are no abnormal friction sounds.

　　定期保養(yǎng)需建立設(shè)備檔案，記錄使用次數(shù)和維修情況。每季度進(jìn)行光學(xué)系統(tǒng)檢測(cè)，使用分辨率測(cè)試卡評(píng)估成像清晰度，MTF值低于0.6需進(jìn)行光路校準(zhǔn)。導(dǎo)光東維護(hù)應(yīng)檢查纖維斷裂情況，暗室環(huán)境下觀察光斑均勻性，發(fā)現(xiàn)黑點(diǎn)超過(guò)總面積的5%需更換光纖束。氣密性檢測(cè)每月實(shí)施，將內(nèi)鏡完全浸入水中，連接測(cè)漏器加壓至50kPa，觀察兩分鐘內(nèi)有無(wú)連續(xù)氣泡產(chǎn)生。發(fā)現(xiàn)微小滲漏應(yīng)立即停用，避免液體侵入導(dǎo)致電路短路，

　　Regular maintenance requires the establishment of equipment files, recording the frequency of use and maintenance status. Perform optical system testing every quarter, evaluate imaging clarity using resolution test cards, and perform optical path calibration if MTF value is below 0.6. The maintenance of the light guide should check for fiber breakage and observe the uniformity of the light spot in a dark room environment. If black spots exceed 5% of the total area, the fiber bundle should be replaced. Airtightness testing is conducted monthly, with the endoscope completely immersed in water, connected to a leak detector and pressurized to 50kPa, and observed for continuous bubble formation within two minutes. If a small leak is found, it should be stopped immediately to avoid liquid intrusion causing a short circuit in the circuit,

　　機(jī)械傳動(dòng)部件保養(yǎng)包括關(guān)節(jié)部位潤(rùn)滑，使用醫(yī)用級(jí)硅油每季度保養(yǎng)一次，注意清除舊潤(rùn)滑脂防止結(jié)晶。角度控制系統(tǒng)需定期校驗(yàn)，使用角度測(cè)量?jī)x核對(duì)各方向彎曲角度，偏差超過(guò)5需調(diào)整鋼絲張力。電氣系統(tǒng)檢測(cè)包含光源亮度檢測(cè)，氙燈光源累計(jì)使用五百小時(shí)后光強(qiáng)衰減超過(guò)30%應(yīng)更換燈泡，視頻處理器雲(yún)每半年進(jìn)行色彩校正，使用標(biāo)準(zhǔn)色卡調(diào)試白平衛(wèi)確保圖像色彩還原準(zhǔn)確。

　　Mechanical transmission component maintenance includes joint lubrication, using medical grade silicone oil for quarterly maintenance, and paying attention to removing old lubricating grease to prevent crystallization. The angle control system needs to be regularly calibrated, and the bending angles in all directions should be checked using an angle measuring instrument. If the deviation exceeds 5, the wire tension should be adjusted. Electrical system testing includes light source brightness detection. Xenon lamp light sources should be replaced if the light intensity decays by more than 30% after 500 hours of cumulative use. The video processor cloud performs color correction every six months and uses standard color cards to debug the white flat guard to ensure accurate image color reproduction.

　　故障維修需分級(jí)處理，-級(jí)故障如光源不亮、圖像模糊可由院內(nèi)工程師處理，檢查電源連接或重新插拔視頻接頭。級(jí)故障涉及機(jī)械結(jié)構(gòu)損壞，如彎曲部鋼絲斷裂，需原廠技術(shù)人員更換專用配件。三級(jí)故障如CCD傳感器損壞必須返廠維修，運(yùn)輸過(guò)程需使用防震箱體并保持恒溫環(huán)境。維修后需進(jìn)行完整性能測(cè)試，包括最大彎曲角度測(cè)試、照明強(qiáng)度檢測(cè)和圖像分辨率驗(yàn)證，各項(xiàng)參數(shù)達(dá)標(biāo)后方可重新啟用，

　　Fault repair needs to be handled in a graded manner. Level 1 faults such as light source failure and blurry images can be handled by in-house engineers, who can check the power connection or unplug the video connector. The level fault involves mechanical structural damage, such as steel wire breakage in the bent part, which requires original factory technicians to replace specialized accessories. If the CCD sensor is damaged due to a third level fault, it must be returned to the factory for repair. During transportation, a shockproof box should be used and a constant temperature environment should be maintained. After maintenance, a complete performance test is required, including maximum bending angle testing, lighting intensity testing, and image resolution verification. All parameters must meet the standards before they can be reactivated,

　　保養(yǎng)記錄應(yīng)詳細(xì)記載維護(hù)日期、操作人員、使用耗材批號(hào)及設(shè)備狀態(tài)，數(shù)字化管理系統(tǒng)可設(shè)置自動(dòng)提醒功能，臨近保養(yǎng)周期提前預(yù)警。儲(chǔ)存環(huán)境控制溫度在20-25℃，濕度維持在30-50%，避免陽(yáng)光直射。專用儲(chǔ)存柜配備空氣循環(huán)系統(tǒng)，每月進(jìn)行微生物檢測(cè)，菌落數(shù)不得超過(guò)10CFUm。轉(zhuǎn)運(yùn)過(guò)程使用防撞保護(hù)套，避免劇烈震動(dòng)影響精密光學(xué)元件。

　　The maintenance records should detail the maintenance date, operator, batch number of consumables used, and equipment status. The digital management system can be equipped with automatic reminder function to provide early warning when the maintenance cycle is approaching. The storage environment should be controlled at a temperature of 20-25 ℃, with humidity maintained at 30-50%, and avoid direct sunlight. The dedicated storage cabinet is equipped with an air circulation system and undergoes monthly microbiological testing, with a maximum bacterial count of 10CFU. Use anti-collision protective covers during transportation to avoid severe vibrations affecting precision optical components.

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