CN112122242A - Medical instrument disinfection method - Google Patents

Medical instrument disinfection method Download PDF

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Publication number
CN112122242A
CN112122242A CN202010804809.5A CN202010804809A CN112122242A CN 112122242 A CN112122242 A CN 112122242A CN 202010804809 A CN202010804809 A CN 202010804809A CN 112122242 A CN112122242 A CN 112122242A
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China
Prior art keywords
medical
cleaning
drying
medical instrument
putting
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Pending
Application number
CN202010804809.5A
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Chinese (zh)
Inventor
王倩倩
王蕾
高强
叶元元
陆丽丽
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Individual
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Individual
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Priority to CN202010804809.5A priority Critical patent/CN112122242A/en
Publication of CN112122242A publication Critical patent/CN112122242A/en
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    • BPERFORMING OPERATIONS; TRANSPORTING
    • B08CLEANING
    • B08BCLEANING IN GENERAL; PREVENTION OF FOULING IN GENERAL
    • B08B3/00Cleaning by methods involving the use or presence of liquid or steam
    • B08B3/04Cleaning involving contact with liquid
    • B08B3/10Cleaning involving contact with liquid with additional treatment of the liquid or of the object being cleaned, e.g. by heat, by electricity or by vibration
    • B08B3/12Cleaning involving contact with liquid with additional treatment of the liquid or of the object being cleaned, e.g. by heat, by electricity or by vibration by sonic or ultrasonic vibrations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2/00Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/16Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor using chemical substances
    • A61L2/20Gaseous substances, e.g. vapours
    • A61L2/202Ozone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2/00Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/16Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor using chemical substances
    • A61L2/20Gaseous substances, e.g. vapours
    • A61L2/206Ethylene oxide
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B08CLEANING
    • B08BCLEANING IN GENERAL; PREVENTION OF FOULING IN GENERAL
    • B08B3/00Cleaning by methods involving the use or presence of liquid or steam
    • B08B3/04Cleaning involving contact with liquid
    • B08B3/08Cleaning involving contact with liquid the liquid having chemical or dissolving effect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2202/00Aspects relating to methods or apparatus for disinfecting or sterilising materials or objects
    • A61L2202/10Apparatus features
    • A61L2202/17Combination with washing or cleaning means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2202/00Aspects relating to methods or apparatus for disinfecting or sterilising materials or objects
    • A61L2202/20Targets to be treated
    • A61L2202/24Medical instruments, e.g. endoscopes, catheters, sharps

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  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Apparatus For Disinfection Or Sterilisation (AREA)

Abstract

The invention discloses a medical instrument disinfection method, which comprises the following steps: s101: sterilizing; s102: primary cleaning; s103: primary drying; s104: sterilizing; s105: cleaning again; s106: drying again; s107: sealing and packaging; the medical instrument cleaning and sterilizing device sequentially carries out sterilization treatment, primary cleaning, primary drying, sterilization treatment, secondary cleaning, secondary drying and sealing packaging on the medical instrument through a scientific and reasonable method, is simple in method and convenient to operate, not only improves the sterilization effect of the medical instrument, but also has no drug residue on the medical instrument, ensures that medical staff can use the sterilized medical instrument safely, can avoid a large amount of bacteria and viruses in waste water generated by cleaning by carrying out the sterilization treatment first, can remove cleaning liquid carried by the medical instrument during cleaning, and avoids the cleaning liquid carried by the surface of the medical instrument from influencing the sterilization treatment.

Description

Medical instrument disinfection method
Technical Field
The invention relates to the technical field of medical instrument disinfection, in particular to a medical instrument disinfection method.
Background
The medical apparatus refers to instruments, equipment, appliances, in-vitro diagnostic reagents and calibrators, materials and other similar or related articles which are directly or indirectly used for the human body, and comprises required computer software; the effect is mainly obtained through physical and other ways, not through pharmacological, immunological or metabolic ways, or only plays an auxiliary role though the ways are involved; for the purpose of diagnosis, prevention, monitoring, treatment, or amelioration of a disease; diagnosis, monitoring, treatment, mitigation, or functional compensation of injury; examination, replacement, regulation or support of a physiological structure or physiological process; support or maintenance of life; controlling pregnancy; by examining a sample from a human body, information is provided for medical or diagnostic purposes.
The cleaning, disinfection and sterilization of medical instruments are one of the key means for preventing and controlling infection in hospitals and ensuring the medical quality; it can be said that there is no excellent medical instrument disinfection and sterilization technique, so that there is no development of modern surgical technique, and it can not ensure the implementation of various invasive diagnosis and treatment techniques, so that it is impossible for modern medicine to obtain such brilliant achievement.
With the development of modern medical technology, especially modern surgical technology, the requirements for disinfection and sterilization technology are higher and stronger, new technologies and methods are introduced and used in disinfection and sterilization, and the scientific and reasonable use of disinfection and sterilization technology is more and more important.
Medical devices for surgery such as: scalpels, surgical scissors, surgical forceps, surgical scrapers and the like directly enter human bodies, and iatrogenic infection is caused if disinfection is not thorough, so that medical instruments for operation are required to be disinfected before and after the operation, and application number CN201810784908.4 provides a disinfection method for medical instruments for operation, which comprises pretreatment, first impregnation, second impregnation, third impregnation, fourth impregnation, high-concentration ozonized water disinfection, drying and packaging; although the method has no drug residue, the germs killed by multiple times of soaking can not be thoroughly cleaned, and can still be adhered to medical instruments, thus the requirements of people on surgical treatment can not be met.
Disclosure of Invention
The present invention is directed to a method for disinfecting medical instruments to solve the above problems of the prior art.
In order to achieve the purpose, the invention provides the following technical scheme: a method of disinfecting a medical instrument, the method comprising:
s101: and (3) disinfection treatment: placing medical instruments used in the operation into an ozone disinfection cabinet, and disinfecting for 5-10 minutes in the ozone disinfection cabinet;
s102: primary cleaning: injecting cleaning fluid into the ultrasonic cleaning machine, taking out the medical instrument sterilized by ozone, putting the medical instrument into the ultrasonic cleaning machine, adjusting the ultrasonic cleaning machine to a middle ultrasonic wave band, and carrying out vibration cleaning on the medical instrument for 5-10 minutes;
s103: primary drying: taking out the medical apparatus after primary cleaning, then putting the medical apparatus into a drying cabinet, adjusting the temperature of the drying cabinet to 95-100 ℃, and then drying the medical apparatus in the drying cabinet for 10-15 minutes;
s104: and (3) sterilization treatment: mixing ethylene oxide gas and inert gas to form sterilizing gas, filling the sterilizing gas into a high-pressure chamber, putting medical instruments into the high-pressure chamber, sterilizing the medical instruments in the high-pressure chamber for 5-10 minutes, taking out the medical instruments, and putting the medical instruments into high-concentration ozonized water with the concentration of 10-15 mg/L for sterilizing for 10-20 minutes again;
s105: and (3) cleaning again: taking out the sterilized medical apparatus, putting the medical apparatus into an ultrasonic cleaning machine, adjusting the ultrasonic cleaning machine to a high ultrasonic wave band, and carrying out vibration cleaning on the medical apparatus for 10-15 minutes;
s106: and (5) drying again: taking out the cleaned medical apparatus again, then putting the medical apparatus into a drying cabinet, adjusting the temperature of the drying cabinet to 95-100 ℃, and then drying the medical apparatus in the drying cabinet for 10-15 minutes;
s107: and (4) sealing and packaging: and finally, separating the medical devices according to types, orderly putting the medical devices into the medical device box, and hermetically packaging the medical device box by using a packaging bag.
Wherein in the disinfection treatment, the ozone disinfection cabinet adopts an SW-008 ozone disinfection cabinet, and the external dimension of the ozone disinfection cabinet is 100cm multiplied by 50cm multiplied by 120 cm.
In the primary cleaning, the cleaning liquid added into the ultrasonic cleaning machine is an Anbijie rapid multienzyme cleaning liquid, and the volume concentration of the Anbijie rapid multienzyme cleaning liquid is 1-2%.
Wherein, in the primary drying, the drying cabinet adopts a FYL-YS-431L medical appliance drying cabinet.
Wherein, in the sterilization treatment, the inert gas is nitrogen, and the mass ratio of the nitrogen is 80-90%.
Compared with the prior art, the invention has the beneficial effects that:
the invention sequentially carries out disinfection treatment, primary cleaning, primary drying, sterilization treatment, secondary cleaning, secondary drying and sealing packaging on the medical instruments through a scientific and reasonable method, has simple method and convenient operation, not only improves the disinfection effect of the medical instruments, but also has no drug residue on the medical instruments, ensures that medical staff can use the disinfected medical instruments safely, simultaneously carries out the disinfection treatment firstly, can avoid a large amount of bacteria and viruses in waste water generated by cleaning, carries out the primary drying treatment before the disinfection treatment, can remove cleaning fluid carried during the cleaning of the medical instruments, and avoids the cleaning fluid carried on the surfaces of the medical instruments from influencing the disinfection treatment, thereby ensuring the orderly proceeding of the sterilization and disinfection of the medical instruments and improving the disinfection quality of the medical instruments.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
In an embodiment, the present invention provides a technical solution: a method of disinfecting a medical instrument, the method comprising:
s101: and (3) disinfection treatment: placing medical instruments used in the operation into an ozone disinfection cabinet, and disinfecting for 5-10 minutes in the ozone disinfection cabinet;
s102: primary cleaning: injecting cleaning fluid into the ultrasonic cleaning machine, taking out the medical instrument sterilized by ozone, putting the medical instrument into the ultrasonic cleaning machine, adjusting the ultrasonic cleaning machine to a middle ultrasonic wave band, and carrying out vibration cleaning on the medical instrument for 5-10 minutes;
s103: primary drying: taking out the medical apparatus after primary cleaning, then putting the medical apparatus into a drying cabinet, adjusting the temperature of the drying cabinet to 95-100 ℃, and then drying the medical apparatus in the drying cabinet for 10-15 minutes;
s104: and (3) sterilization treatment: mixing ethylene oxide gas and inert gas to form sterilizing gas, filling the sterilizing gas into a high-pressure chamber, putting medical instruments into the high-pressure chamber, sterilizing the medical instruments in the high-pressure chamber for 5-10 minutes, taking out the medical instruments, and putting the medical instruments into high-concentration ozonized water with the concentration of 10-15 mg/L for sterilizing for 10-20 minutes again;
s105: and (3) cleaning again: taking out the sterilized medical apparatus, putting the medical apparatus into an ultrasonic cleaning machine, adjusting the ultrasonic cleaning machine to a high ultrasonic wave band, and carrying out vibration cleaning on the medical apparatus for 10-15 minutes;
s106: and (5) drying again: taking out the cleaned medical apparatus again, then putting the medical apparatus into a drying cabinet, adjusting the temperature of the drying cabinet to 95-100 ℃, and then drying the medical apparatus in the drying cabinet for 10-15 minutes;
s107: and (4) sealing and packaging: and finally, separating the medical devices according to types, orderly putting the medical devices into the medical device box, and hermetically packaging the medical device box by using a packaging bag.
Wherein, disinfect the medical instrument that the operation was used earlier, carry out preliminary treatment with bacterium and virus that medical instrument carried in the operation process, avoid when medical instrument washs, contain a large amount of bacterium and virus in the waste water that washs medical instrument and produce, made things convenient for the clearance of the waste water that washs medical instrument and produce, avoided wasing the waste water polluted environment that medical instrument produced.
Wherein in the disinfection treatment, the ozone disinfection cabinet adopts an SW-008 ozone disinfection cabinet, and the external dimension of the ozone disinfection cabinet is 100cm multiplied by 50cm multiplied by 120 cm.
In the primary cleaning, the cleaning liquid added into the ultrasonic cleaning machine is an Anbijie rapid multienzyme cleaning liquid, and the volume concentration of the Anbijie rapid multienzyme cleaning liquid is 1-2%.
Wherein the mixing proportion of the Anbijie rapid multienzyme cleaning solution and clear water is as follows: 2.5 ML-5 ML Anbitcleaning quick multi-enzyme cleaning solution is mixed in 1L of clean water.
The Anbijie rapid multienzyme cleaning solution is a rapid cleaning solution containing multiple enzymes such as proteolytic enzyme, lipase and the like, and can decompose various secretions of a human body by using the Anbijie rapid multienzyme cleaning solution to clean medical instruments after an operation.
Wherein, in the primary drying, the drying cabinet adopts a FYL-YS-431L medical appliance drying cabinet.
Wherein, in the sterilization treatment, the inert gas is nitrogen, and the mass ratio of the nitrogen is 80-90%.
The medical instrument sterilization device has the advantages that the medical instrument sterilization device is sequentially subjected to sterilization treatment, primary cleaning, primary drying, sterilization treatment, secondary cleaning, secondary drying and sealing packaging, the method is simple, the operation is convenient, the sterilization effect of the medical instrument is improved, no medicine residue exists on the medical instrument, and medical care personnel can use the sterilized medical instrument safely.
Wherein, carry out disinfection earlier and handle, can avoid wasing to have a large amount of bacteriums, virus in the waste water that produces, carry out primary drying before sterilization and handle, the washing liquid that carries when can wasing medical instrument gets rid of, avoids the washing liquid that medical instrument surface carried to influence sterilization and handle to guarantee sterilizing, the orderly the going on of disinfection of medical instrument, improved medical instrument's disinfection quality.
It is noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (5)

1. A method of disinfecting a medical instrument, the method comprising:
s101: and (3) disinfection treatment: placing medical instruments used in the operation into an ozone disinfection cabinet, and disinfecting for 5-10 minutes in the ozone disinfection cabinet;
s102: primary cleaning: injecting cleaning fluid into the ultrasonic cleaning machine, taking out the medical instrument sterilized by ozone, putting the medical instrument into the ultrasonic cleaning machine, adjusting the ultrasonic cleaning machine to a middle ultrasonic wave band, and carrying out vibration cleaning on the medical instrument for 5-10 minutes;
s103: primary drying: taking out the medical apparatus after primary cleaning, then putting the medical apparatus into a drying cabinet, adjusting the temperature of the drying cabinet to 95-100 ℃, and then drying the medical apparatus in the drying cabinet for 10-15 minutes;
s104: and (3) sterilization treatment: mixing ethylene oxide gas and inert gas to form sterilizing gas, filling the sterilizing gas into a high-pressure chamber, putting medical instruments into the high-pressure chamber, sterilizing the medical instruments in the high-pressure chamber for 5-10 minutes, taking out the medical instruments, and putting the medical instruments into high-concentration ozonized water with the concentration of 10-15 mg/L for sterilizing for 10-20 minutes again;
s105: and (3) cleaning again: taking out the sterilized medical apparatus, putting the medical apparatus into an ultrasonic cleaning machine, adjusting the ultrasonic cleaning machine to a high ultrasonic wave band, and carrying out vibration cleaning on the medical apparatus for 10-15 minutes;
s106: and (5) drying again: taking out the cleaned medical apparatus again, then putting the medical apparatus into a drying cabinet, adjusting the temperature of the drying cabinet to 95-100 ℃, and then drying the medical apparatus in the drying cabinet for 10-15 minutes;
s107: and (4) sealing and packaging: and finally, separating the medical devices according to types, orderly putting the medical devices into the medical device box, and hermetically packaging the medical device box by using a packaging bag.
2. The method of claim 1, comprising:
in the disinfection treatment, the ozone disinfection cabinet adopts an SW-008 ozone disinfection cabinet, and the external dimension of the ozone disinfection cabinet is 100cm multiplied by 50cm multiplied by 120 cm.
3. The method of claim 1, comprising:
in the primary cleaning, the cleaning liquid added into the ultrasonic cleaning machine is an Anbijie rapid multienzyme cleaning liquid, and the volume concentration of the Anbijie rapid multienzyme cleaning liquid is 1-2%.
4. The method of claim 1, comprising:
in the primary drying, the drying cabinet adopts a FYL-YS-431L medical appliance drying cabinet.
5. The method of claim 1, comprising:
in the sterilization treatment, the inert gas is nitrogen, and the mass ratio of the nitrogen is 80-90%.
CN202010804809.5A 2020-08-12 2020-08-12 Medical instrument disinfection method Pending CN112122242A (en)

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CN202010804809.5A CN112122242A (en) 2020-08-12 2020-08-12 Medical instrument disinfection method

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Application Number Priority Date Filing Date Title
CN202010804809.5A CN112122242A (en) 2020-08-12 2020-08-12 Medical instrument disinfection method

Publications (1)

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CN112122242A true CN112122242A (en) 2020-12-25

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Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1164214A (en) * 1994-09-23 1997-11-05 金伯利-克拉克环球有限公司 Method of packaging medical article
CN1377708A (en) * 2002-05-09 2002-11-06 王海妮 Sterilizing method for medical equipment and its cleaning sterilizer
CN106338301A (en) * 2016-04-10 2017-01-18 天津海河标测技术检测有限公司 Test method for confirming cleaning mode of reusable medical instrument
CN106729822A (en) * 2016-12-13 2017-05-31 天津盼易科技有限公司 Medicine equipment circulation perfusion cleaning method under a kind of technological service field
CN206745640U (en) * 2017-01-11 2017-12-15 毛希虹 Device cleaning sterilizing device is used in a kind of supply room nursing
CN107952086A (en) * 2017-12-04 2018-04-24 刘溪 A kind of Medical appliance decontaminating apparatus
CN109806424A (en) * 2019-03-22 2019-05-28 常熟荣瑞灭菌技术有限公司 A kind of ethylene oxide sterilizing technique
WO2019182449A1 (en) * 2018-03-23 2019-09-26 Log10 B.V. A method and system for reprocessing reusable medical instruments
CN111114913A (en) * 2019-12-27 2020-05-08 南通市第一人民医院 Manufacturing method of skin test solution storage sterile bottle

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1164214A (en) * 1994-09-23 1997-11-05 金伯利-克拉克环球有限公司 Method of packaging medical article
CN1377708A (en) * 2002-05-09 2002-11-06 王海妮 Sterilizing method for medical equipment and its cleaning sterilizer
CN106338301A (en) * 2016-04-10 2017-01-18 天津海河标测技术检测有限公司 Test method for confirming cleaning mode of reusable medical instrument
CN106729822A (en) * 2016-12-13 2017-05-31 天津盼易科技有限公司 Medicine equipment circulation perfusion cleaning method under a kind of technological service field
CN206745640U (en) * 2017-01-11 2017-12-15 毛希虹 Device cleaning sterilizing device is used in a kind of supply room nursing
CN107952086A (en) * 2017-12-04 2018-04-24 刘溪 A kind of Medical appliance decontaminating apparatus
WO2019182449A1 (en) * 2018-03-23 2019-09-26 Log10 B.V. A method and system for reprocessing reusable medical instruments
CN109806424A (en) * 2019-03-22 2019-05-28 常熟荣瑞灭菌技术有限公司 A kind of ethylene oxide sterilizing technique
CN111114913A (en) * 2019-12-27 2020-05-08 南通市第一人民医院 Manufacturing method of skin test solution storage sterile bottle

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Application publication date: 20201225