CN114468958A - Integrated reprocessing device and method for flexible endoscope - Google Patents
Integrated reprocessing device and method for flexible endoscope Download PDFInfo
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- CN114468958A CN114468958A CN202210095604.3A CN202210095604A CN114468958A CN 114468958 A CN114468958 A CN 114468958A CN 202210095604 A CN202210095604 A CN 202210095604A CN 114468958 A CN114468958 A CN 114468958A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/12—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements
- A61B1/121—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements provided with means for cleaning post-use
- A61B1/123—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements provided with means for cleaning post-use using washing machines
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/12—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements
- A61B1/121—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements provided with means for cleaning post-use
- A61B1/125—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements provided with means for cleaning post-use using fluid circuits
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/70—Cleaning devices specially adapted for surgical instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/70—Cleaning devices specially adapted for surgical instruments
- A61B2090/701—Cleaning devices specially adapted for surgical instruments for flexible tubular instruments, e.g. endoscopes
Abstract
The invention relates to a soft endoscope integrated reprocessing device and a method thereof, and the reprocessing device comprises a main body frame, wherein a tank body table top is arranged at the top of the main body frame, a pretreatment tank is arranged at one end of the tank body table top, a drying table is arranged at the other end of the tank body table top, a partition board is arranged on the tank body table top between the pretreatment tank and the tank body table top, a full-automatic decontamination device is arranged below the drying table, an automatic full-pipeline perfusion unit and an ultrasonic cleaning tank are arranged beside the pretreatment tank, the full-automatic decontamination device comprises a cleaning cabin, an upper sprayer is arranged at the top of the cleaning cabin, and a lower sprayer is arranged at the lower part of the cleaning cabin. The area occupied by the reprocessing equipment of the soft endoscope is reduced, the space utilization rate of the decontamination chamber of the soft endoscope is greatly improved, and the cleaning efficiency is improved.
Description
Technical Field
The invention belongs to the technical field of soft endoscope cleaning, and particularly relates to an integrated reprocessing device and method for a soft endoscope.
Background
The soft endoscope is a medical device which is commonly used at present, and needs to be strictly cleaned and disinfected before and after use, so that the soft endoscope is prevented from having germs and influencing subsequent use, but in the traditional soft endoscope reprocessing process, a plurality of treatment tanks are arranged, and pretreatment cleaning, initial cleaning, rinsing, disinfection and final rinsing procedures are manually carried out in the plurality of treatment tanks respectively, but the occupied area of the used equipment is larger, the connection distance of the reprocessing steps of the soft endoscope is larger, and the labor intensity and the moving distance of decontamination personnel are increased; the space utilization of the decontamination chamber is not sufficient, and the cleaning is carried out manually in the formal cleaning stage, so that the labor intensity is high, and the efficiency is low.
Disclosure of Invention
The invention aims to provide an integrated reprocessing device of soft endoscopes, which solves the problems that the existing equipment occupies a large area, the splicing distance of reprocessing steps of the soft endoscopes is large, and the labor intensity and the moving distance of decontamination personnel are increased; the space utilization of the decontamination chamber is not sufficient, and the cleaning is carried out manually in the formal cleaning stage, which not only has high labor intensity, but also has low efficiency.
The invention relates to a soft endoscope integrated reprocessing device, which comprises a main body frame, wherein a tank body table surface is arranged at the top of the main body frame, a pretreatment tank is arranged at one end of the tank body table surface, a drying table is arranged at the other end of the tank body table surface, a partition plate is arranged on the tank body table surface between the pretreatment tank and the tank body table surface, a full-automatic decontamination device is arranged below the drying table, an automatic full-pipeline perfusion unit and an ultrasonic cleaning tank are arranged beside the pretreatment tank, the full-automatic decontamination device comprises a cleaning cabin, an upper spray unit is arranged at the top of the cleaning cabin, a lower spray unit is arranged at the lower part of the cleaning cabin, a water inlet pipe and a device connecting pipe orifice are arranged on the cleaning cabin, a lateral leakage pipe, a gas inlet pipe and an inner perfusion pipeline are connected to a device connector, a circulating pipe for connecting the upper spray unit, the lower spray unit and the inner perfusion pipeline is arranged at the bottom of the cleaning cabin, a circulating pump is arranged on the circulating pipe, and a first electric ball valve is arranged on the circulating pipe, the circulating pipe is connected with drain pipe and connecting pipe, the inlet tube is connected to the connecting pipe, the inlet tube, be equipped with second electric ball valve on drain pipe and the connecting pipe respectively, third electric ball valve, fourth electric ball valve, be equipped with the admission valve in the intake pipe, be equipped with the leak hunting valve on the leak hunting pipe, pressure relief valve and pressure differential changer, the leak hunting union coupling has the leak hunting pump, be equipped with level sensor in the cleaning chamber, the access connection of circulating pump has enzyme liquid stoste to advance the pipe and the antiseptic solution advances the pipe, enzyme liquid stoste advances to be equipped with first peristaltic pump and second peristaltic pump on pipe and the antiseptic solution advances to manage respectively, above-mentioned all valves, the pump, level sensor and pressure differential changer are connected with the controller.
Preferably, the circulating pipe is connected with an upper spray pipe and a lower spray pipe which are respectively connected with the upper sprayer and the lower sprayer. The rapid spraying and washing are convenient.
Preferably, the inner perfusion pipeline is provided with a one-way valve and a flowmeter, and the water inlet pipe is also provided with a one-way valve. The backflow of liquid and gas is prevented, the flowmeter can monitor the flow rate of the inner perfusion in real time, and prevent the damage of the inner mirror caused by the blockage of a pipeline or the incomplete cleaning and disinfection caused by small flow rate.
Preferably, the water inlet pipe is also provided with a filtering type water purifier and an end-washing water sampling pipe, and the end-washing water sampling pipe is provided with an electromagnetic valve connected with the controller. The filtration type water purifier can ensure the cleanness of inlet water.
Preferably, the circulating pipe is connected with a disinfectant sampling pipe, and the disinfectant sampling pipe is provided with a third peristaltic pump. Can sample the antiseptic solution, make things convenient for the concentration of sample detection antiseptic solution.
Preferably, a cleaning tray is arranged in the cleaning cabin, guide sliding blocks are fixed to two sides of the cleaning tray, guide sliding rails are arranged on the guide sliding blocks, the guide sliding rails are fixed to the inner wall of the cleaning cabin, an opening is formed in the cleaning cabin on one side in the direction of the guide sliding rails, a door plate is hinged to the lower portion of the opening, a connecting rod is hinged to the door plate, the other end of the connecting rod is hinged to the cleaning tray, and a sealing strip is arranged on the outer side of the opening. This kind of structure accessible electromagnetic lock opens the door and turns over the door plant through self gravity and drive the washing tray and take out after opening the door, need not to contact the door plant and wash the tray, practices thrift medical personnel's labour, reduces medical personnel's hand and the contact of washing the equipment that disappears, reduces cross infection's risk. The hospital sensing and controlling requirements are better met.
Preferably, be equipped with the stopper on the direction slide rail, it is fixed with the stand to wash the cabin outside, the door plant lower extreme articulates through the round pin axle has the fixed plate, the fixed plate is fixed on the stand, the door plant is fixed with connecting piece one, connecting piece one is articulated with the connecting rod, the connecting rod other end articulates there is connecting piece two, connecting piece two is fixed with the washing tray, it is equipped with the electromagnetic lock to wash cabin upper portion, the outside of door plant is fixed with the handle, the bottom of stand is fixed with the bottom plate, the bottom of bottom plate is fixed with the walking wheel, main body frame's bottom is fixed with removes the wheel. The device is convenient to move.
The invention also provides a reprocessing method of the soft endoscope integrated reprocessing device, which comprises the following steps of: s1, pretreating and cleaning, manually cleaning the flexible endoscope after diagnosis and treatment in a pretreatment tank, cleaning the inner lumen through an automatic full-pipeline irrigator, cleaning the accessory of the flexible endoscope in an ultrasonic cleaning tank by ultrasonic, S2, fully automatically cleaning and disinfecting, placing the flexible endoscope after pretreatment and cleaning in a cleaning cabin, connecting a pipeline connector of the flexible endoscope to an equipment connecting port, sequentially detecting leakage, primarily cleaning, rinsing, disinfecting and finally rinsing by using a fully-automatic cleaning and disinfecting device, cleaning and disinfecting, S3, taking the flexible endoscope out of the cleaning cabin after cleaning and disinfecting, and placing the flexible endoscope on a drying table for finishing and drying for later use.
Preferably, the specific step of S2: s21, leak detection stage: the leak detection pump M2 is started, the leak detection valve is started to carry out real-time leak detection on the endoscope through the pressure difference transducer AP, the leak detection is carried out in an allowable range after the pressurization and pressure maintaining stage, the pressure relief valve is started to release the pressure in the endoscope body, the next stage is carried out, and if the leak detection is not in the allowable range after the pressurization and pressure maintaining stage, the equipment is stopped and gives an alarm; s22, initial washing stage: at the moment, the second electric ball valve for total inflow is opened, water is fed into the cleaning cabin through the filter type water purifier, when the working liquid level is reached, the first electric ball valve is opened, the circulating pump M1 is simultaneously opened, the outer surface of the soft endoscope is washed through the upper sprayer and the lower sprayer, the water enters the inner perfusion pipeline through the circulating pipeline, passes through the one-way valve, enters the inner perfusion pipeline, monitors the inner perfusion flow in real time through the flow meter FE, and enters the inner endoscope inner tube cavity through the equipment connecting port; after the liquid level reaches the high water level and the liquid level is exhausted, the third electric ball valve is closed, and the next stage is automatically switched to; s23, cleaning: at the moment, the second electric ball valve is opened, water is fed into the cleaning cabin through the filter type water purifier, the first peristaltic pump M3 is started to pump enzyme liquid stock solution into the cleaning cabin, when the working liquid level is reached, the first electric ball valve is started, the circulating pump M1 is started at the same time, the outer surface of the soft endoscope is washed through the upper sprayer and the lower sprayer, the soft endoscope enters the inner perfusion pipeline through the circulating pipeline through the one-way valve, the inner perfusion flow is monitored in real time through the FE (flow rate) flowmeter, and the soft endoscope enters the inner lumen of the inner endoscope through the equipment connecting port; after the liquid level reaches the high water level and the liquid level is drained, the third electric ball valve is closed, and the next stage is automatically shifted to; s24, rinsing stage: at the moment, the second electric ball valve is opened, water is fed into the cleaning cabin, when the working liquid level is reached, the first electric ball valve 5 is opened, the circulating pump M1 is simultaneously opened, the outer surface of the soft endoscope is washed by the upper sprayer and the lower sprayer, the inner perfusion flow enters the inner perfusion pipeline through the circulating pipeline, the one-way valve passes through the flow meter FE to monitor the inner perfusion flow in real time, and the inner perfusion flow enters the inner lumen of the endoscope through the equipment connecting port; after the liquid level reaches the high water level and the liquid level is drained, the third electric ball valve is closed, and the next stage is automatically shifted to; s25, disinfection stage: at the moment, the second electric ball valve is opened, water is fed into the cleaning cabin, the second peristaltic pump M4 is started to pump disinfectant stock solution into the cleaning cabin, when the disinfectant stock solution reaches the working liquid level, the first electric ball valve is started, the circulating pump M1 is started at the same time, the outer surface of the soft endoscope is washed by the upper sprayer and the lower sprayer, the disinfectant stock solution enters the inner perfusion pipeline through the circulating pipeline, passes through the one-way valve, enters the inner perfusion pipeline, monitors the inner perfusion flow rate in real time through the flow meter FE, and enters the inner endoscope lumen through the equipment connecting port; after the liquid level reaches the high water level and the liquid level is drained, the third electric ball valve is closed, and the next stage is automatically shifted to; s26, final rinsing stage: at the moment, the second electric ball valve 3 is opened, the first electric ball valve is opened, water is fed into the cleaning cabin through the filter type water purifier, when the water reaches the working liquid level, the circulating pump M1 is opened, the outer surface of the soft endoscope is washed through the upper sprayer and the lower sprayer, the water enters the inner perfusion pipeline through the circulating pipeline, passes through the one-way valve, enters the inner perfusion pipeline, monitors the inner perfusion flow in real time through the flow meter FE, and enters the inner endoscope inner tube cavity through the equipment connecting port; and after the liquid level reaches the high water level, the second electric ball valve is closed, the liquid spraying and inner perfusion time reaches the preset time and then enters a gas injection stage, the gas inlet valve is opened at the moment, gas enters the inner lens inner tube cavity from the inner perfusion pipeline to discharge liquid in the lens, the first electric ball valve is closed, the third electric ball valve is opened to discharge water, and after the liquid level reaches the lower water level and is emptied, the third electric ball valve is closed, and the cleaning and disinfection are finished.
Preferably, before the step S2, a pipeline disinfection step is required to be performed at intervals, the second electric ball valve is opened, water is fed into the cleaning cabin through the filter type water purifier, the second peristaltic pump M4 is started to pump disinfectant stock solution into the cleaning cabin, when the working liquid level is reached, the first electric ball valve is started, the circulating pump M1 is started at the same time, the cleaning cabin is flushed through the upper sprayer and the lower sprayer, the circulating pipeline passes through the one-way valve, enters the inner perfusion pipeline, the inner perfusion flow is monitored in real time through the FE (FE) flowmeter, and the perfusion enters the equipment perfusion pipe through the equipment connecting port; after the high water level liquid level is reached, the second electric ball valve is closed, the fourth electric ball valve is opened, the liquid spraying and inner perfusion time reaches the preset time and then enters a gas injection stage, the gas inlet valve is opened at the moment to discharge the liquid in the inner perfusion pipeline, the first electric ball valve is closed, the third electric ball valve is opened to discharge the water, and after the liquid level reaches the lower water level and is drained, the third electric ball valve is closed; after the liquid level reaches the lower water level and is emptied, the pipeline disinfection is finished; and after the pipeline is disinfected, discharging the final washing water for 15S, and sampling, wherein when the proportioning in the disinfection stage in the step S25 is finished, the third peristaltic pump M5 is turned on to sample the disinfectant.
Compared with the prior art, the invention has the advantages that:
the whole set of equipment integrates the reprocessing flow of the whole soft endoscope, the distance of each step in the reprocessing process of the soft endoscope is greatly shortened, and the labor intensity and the moving distance of decontamination personnel are greatly reduced. The area occupied by the soft endoscope reprocessing equipment is reduced, the space utilization rate of the soft endoscope decontamination chamber is greatly improved, and after the soft endoscope reprocessing equipment is cleaned through manual pretreatment, full-automatic disinfection is carried out through a full-automatic decontamination device, so that the labor intensity is reduced, and the cleaning efficiency is improved.
The full-automatic cleaning device integrates a water supply pipeline system, a drainage pipeline system, a liquid supply pipeline system and a self-sterilization pipeline system into a set of comprehensive pipeline system suitable for reprocessing of the soft endoscope, so that the application of parts is greatly reduced, and the self-cleaning and disinfection failure of equipment caused by the breeding of residual microorganisms due to the fact that the equipment cannot be cleaned and disinfected due to the existence of a large number of sensing and controlling dead angles when a plurality of sets of pipelines are formed is avoided; cross-infection caused by failure of lens reprocessing.
The accessible electromagnetic lock that opens the door of washing cabin turns over the door plant through self gravity and drives the tray and take out after opening the door, need not to contact door plant and tray, practices thrift medical personnel's labour, reduces medical personnel's hand and the contact of washing equipment that disappears, reduces cross infection's risk. The hospital sensing and controlling requirements are better met.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic diagram of the structure of the fully automatic decontamination apparatus;
FIG. 3 is a schematic front side view of the pipes of the full-automatic decontamination apparatus;
FIG. 4 is a schematic diagram of the rear side structure of each pipeline of the full-automatic decontamination apparatus;
FIG. 5 is a schematic perspective view of the cleaning tank;
FIG. 6 is a schematic front view of the cleaning chamber;
FIG. 7 is a schematic cross-sectional view of B-B in FIG. 6;
in the figure: 1. a back plate, 2, a tank body table-board, 3, a main body frame, 4, a pretreatment tank, 5, an ultrasonic cleaning tank, 6, a partition plate, 7, a drying table, 8, a full-automatic decontamination device, 801, a door plate, 802, a pin shaft, 803, a fixing plate, 804, a first connecting piece, 805, a connecting rod, 806, a second connecting piece, 807, a guide sliding block, 808, a cleaning tray, 809, a guide sliding rail, 810, a limiting block, 811, a cleaning cabin, 812, a handle, 813, a sealing strip, 814, a stand column, 815, a bottom plate, 816, a traveling wheel, 9, an automatic full-pipeline irrigator, 10, a moving wheel, 11, a leakage detection valve, 12, a pressure relief valve, 13, a second electric ball valve, 14, an inner perfusion pipeline, 15, a first electric ball valve, 16, an air inlet valve, 17, a third electric ball valve, 18, a fourth electric ball valve, 19, an electromagnetic valve, 20, a drain pipe, 21, an air inlet pipe, 22, an inlet pipe, 23, a filtering type water purifier, 24. the device comprises an upper spray pipe, a 25 upper spray device, a 26 lower spray device, a 27 disinfectant sampling pipe, a 28 disinfectant inlet pipe, a 29 disinfectant inlet pipe, an enzyme liquid stock solution inlet pipe, a 30 lower spray pipe, a 31 circulating pipe, M1 circulating pumps, M2 leak detection pumps, M3 first peristaltic pumps, M4 second peristaltic pumps, M5 third peristaltic pumps, FE, a flowmeter, AP and a differential pressure transmitter.
Detailed Description
The following describes embodiments of the present invention in further detail with reference to the accompanying drawings.
Upper and lower shower pipes 24 and 30 respectively connected to upper and lower showers 25 and 26 are connected to circulation pipe 31.
The inner perfusion pipeline 14 is provided with a one-way valve and a flow meter FE, and the water inlet pipe 22 is also provided with a one-way valve.
The water inlet pipe 22 is also provided with a filtering type water purifier 23 and an end washing water sampling pipe, and the end washing water sampling pipe is provided with an electromagnetic valve 19 connected with a controller.
The circulating pipe 31 is connected with a disinfectant sampling pipe 27, and the disinfectant sampling pipe 27 is provided with a third peristaltic pump M5.
A cleaning tray 808 is arranged in the cleaning cabin 811, guide sliding blocks 807 are fixed on two sides of the cleaning tray 808, guide sliding rails 809 are arranged on the guide sliding blocks 807, the guide sliding rails 809 are fixed on the inner wall of the cleaning cabin 811, an opening is arranged on the cleaning cabin along one side of the direction of the guide sliding rails 809, a door plate 801 is hinged below the opening, the door plate 801 is hinged with a connecting rod 805, the other end of the connecting rod 805 is hinged with the cleaning tray 808, and a sealing strip 813 is arranged on the outer side of the opening.
A limiting block 810 is arranged on the guide sliding rail 809, a vertical column 814 is fixed on the outer side of the cleaning cabin 811, a fixing plate 803 is hinged to the lower end of the door panel 801 through a pin shaft 802, the fixing plate 803 is fixed on the vertical column 814, a first connecting piece 804 is fixed on the door panel 801, the first connecting piece 804 is hinged to a connecting rod 805, a second connecting piece 806 is hinged to the other end of the connecting rod 805, the second connecting piece 806 is fixed on the cleaning tray 808, an electromagnetic lock is arranged on the upper portion of the cleaning cabin 811, a handle 812 is fixed on the outer side of the door panel 801, a bottom plate 815 is fixed at the bottom of the vertical column 814, a walking wheel 816 is fixed at the bottom of the bottom plate 815, and a moving wheel 10 is fixed at the bottom of the main body frame 3.
Embodiment 2, the present invention further provides a reprocessing method for the soft endoscope integrated reprocessing device, including the following steps: s1, preprocessing and cleaning, putting the soft endoscope after diagnosis and treatment in a preprocessing groove 4 for manual cleaning, cleaning the inner lumen through an automatic full-pipeline perfusion unit 9 to finish the manual preprocessing and cleaning step, putting the accessory of the soft endoscope in an ultrasonic cleaning groove (5) for ultrasonic cleaning, S2, full-automatic cleaning and sterilizing, putting the soft endoscope after preprocessing and cleaning in a cleaning cabin 811, connecting the pipeline connector of the soft endoscope to an equipment connector, then using a full-automatic cleaning and sterilizing device 8 to sequentially perform leakage detection, initial cleaning, rinsing, sterilizing and final rinsing to finish cleaning and sterilizing, S3, taking out the soft endoscope from the cleaning cabin 811 after cleaning and sterilizing, putting the soft endoscope on a drying table 7 for finishing and drying for later use. The automatic full-pipeline perfusion device 9 is provided with an automatic gas injection system and an automatic enzyme supply system, when the pretreatment is carried out, the soft endoscope is connected with the automatic full-pipeline perfusion device, then the automatic enzyme supply system is started, enzyme liquid stock solution is filled into the soft endoscope, one end of the time is then closed by the automatic enzyme supply system, the automatic gas injection system is started, gas is injected into the soft endoscope, liquid is blown out, and the pretreatment cleaning is completed. The automated full-line irrigator 9 is an existing device.
The specific step of S2: s21, leak detection stage: the leak detection pump M2 is started, the leak detection valve 11 is started to carry out real-time leak detection on the endoscope through the pressure difference transducer AP, the leak detection is carried out in an allowable range after the pressurization and pressure maintaining stage, the pressure relief valve 12 is started to release the pressure in the endoscope body, the next stage is carried out, and if the leak detection is not in the allowable range after the pressurization and pressure maintaining stage, the equipment is stopped and alarms; s22, initial washing stage: at the moment, the second electric ball valve 13 for total inflow is opened, water is fed into the cleaning cabin 811 through the filter type water purifier 23, when the working liquid level is reached, the first electric ball valve 15 is opened, the circulating pump M1 is simultaneously opened, the outer surface of the soft endoscope is washed through the upper sprayer 25 and the lower sprayer 26, the water enters the inner perfusion pipeline 14 through the circulating pipeline through the one-way valve, the inner perfusion flow is monitored in real time through the flow meter FE, and the water enters the inner lumen of the endoscope through the equipment connecting port; after the liquid level reaches the high water level, the second electric ball valve 13 is closed, the liquid spraying and inner perfusion time reaches the preset time, the gas injection stage is started, the gas inlet valve 16 is opened, the gas enters the inner endoscope lumen from the inner perfusion pipeline 14 to discharge the liquid in the endoscope, the first electric ball valve 15 is closed, the third electric ball valve 17 is opened to discharge the water, after the liquid level reaches the lower water level and is emptied, the third electric ball valve 17 is closed, and the next stage is automatically started; s23, cleaning: at the moment, the second electric ball valve 13 is opened, water is fed into the cleaning cabin 811 through the filter type water purifier 23, the first peristaltic pump M3 is started to pump enzyme solution stock solution into the cleaning cabin 811, when the working solution level is reached, the first electric ball valve 15 is started, the circulating pump M1 is started at the same time, the outer surface of the soft endoscope is washed through the upper sprayer 25 and the lower sprayer 26, the soft endoscope enters the inner perfusion pipeline 14 through the circulating pipeline through the one-way valve and then is monitored in real time through the flow meter FE, and the soft endoscope enters the inner lumen of the inner endoscope through the equipment connecting port; after the high water level liquid level is reached, the second electric ball valve 13 is closed, the liquid spraying and inner perfusion time reaches the preset time, the gas injection stage is started, the gas inlet valve 16 is opened, gas enters the inner endoscope tube cavity from the inner perfusion pipeline 14 to discharge the liquid in the endoscope, meanwhile, the first electric ball valve 15 is closed, the third electric ball valve 17 is opened to discharge the water, after the liquid level reaches the lower water level and is drained, the third electric ball valve 17 is closed, and the next stage is automatically switched to; s24, rinsing stage: at the moment, the second electric ball valve 13 is opened, water is fed into the cleaning cabin 811, when the working liquid level is reached, the first electric ball valve 155 is opened, the circulating pump M1 is simultaneously opened, the outer surface of the soft endoscope is washed by the upper sprayer 25 and the lower sprayer 26, the water enters the inner perfusion pipeline 14 through the circulating pipeline and the one-way valve, the inner perfusion flow is monitored in real time through the flow meter FE, and the water enters the inner lumen of the endoscope through the equipment connecting port; after the high water level liquid level is reached, the second electric ball valve 13 is closed, the liquid spraying and inner perfusion time reaches the preset time, the gas injection stage is started, the gas inlet valve 16 is opened, gas enters the inner endoscope tube cavity from the inner perfusion pipeline 14 to discharge the liquid in the endoscope, meanwhile, the first electric ball valve 15 is closed, the third electric ball valve 17 is opened to discharge the water, after the liquid level reaches the lower water level and is drained, the third electric ball valve 17 is closed, and the next stage is automatically switched to; s25, disinfection stage: at the moment, the second electric ball valve 13 is opened, water is fed into the cleaning cabin 811, the second peristaltic pump M4 is started to pump disinfectant stock solution into the cleaning cabin 811, when the disinfectant stock solution reaches the working liquid level, the first electric ball valve 15 is started, the circulating pump M1 is started at the same time, the outer surface of the soft endoscope is washed by the upper sprayer 25 and the lower sprayer 26, the disinfectant stock solution enters the inner perfusion pipeline 14 through the circulating pipeline and the one-way valve, the inner perfusion flow is monitored in real time by the flow meter FE, and the disinfectant stock solution enters the inner cavity of the endoscope through the equipment connecting port; after the high water level liquid level is reached, the second electric ball valve 13 is closed, the liquid spraying and inner perfusion time reaches the preset time, the gas injection stage is started, the gas inlet valve 16 is opened, gas enters the inner endoscope tube cavity from the inner perfusion pipeline 14 to discharge the liquid in the endoscope, meanwhile, the first electric ball valve 15 is closed, the third electric ball valve 17 is opened to discharge the water, after the liquid level reaches the lower water level and is drained, the third electric ball valve 17 is closed, and the next stage is automatically switched to; s26, final rinsing stage: at this time, the second electric ball valve 133 is opened, the first electric ball valve 15 is opened, water is fed into the cleaning cabin 811 through the filter type water purifier 23, when the water reaches the working liquid level, the circulating pump M1 is opened, the outer surface of the soft endoscope is washed through the upper sprayer 25 and the lower sprayer 26, the water enters the inner perfusion pipeline 14 through the circulating pipeline through the one-way valve, the inner perfusion flow is monitored in real time through the flow meter FE, and the water enters the lumen of the inner endoscope through the equipment connecting port; after the liquid level reaches the high water level, the second electric ball valve 13 is closed, the liquid spraying and inner perfusion time reaches the preset time, the gas injection stage is started, the gas inlet valve 16 is opened at the moment, the gas enters the inner endoscope lumen from the inner perfusion pipeline 14 to discharge the liquid in the endoscope, the first electric ball valve 15 is closed, the third electric ball valve 17 is opened to discharge the water, after the liquid level reaches the lower water level and is emptied, the third electric ball valve 17 is closed, and the cleaning and disinfection are finished.
Before the step S2, a pipeline disinfection step is required to be carried out at intervals, the second electric ball valve 13 is opened, water is fed into the cleaning cabin 811 through the filter type water purifier 23, the second peristaltic pump M4 is started to pump disinfectant stock solution into the cleaning cabin 811, when the working liquid level is reached, the first electric ball valve 15 is started, the circulating pump M1 is started at the same time, the cleaning cabin 811 is flushed through the upper sprayer 25 and the lower sprayer 26, the disinfectant stock solution enters the inner perfusion pipeline 14 through the circulating pipeline through the one-way valve, the inner perfusion flow is monitored in real time through the flow meter FE, and the fluid enters the equipment perfusion pipe through the equipment connecting port; after the high water level liquid level is reached, the second electric ball valve 13 is closed, the fourth electric ball valve 18 is opened, after the liquid spraying and inner perfusion time reaches the preset time, the gas injection stage is started, the gas inlet valve 16 is opened at the moment to discharge the liquid in the inner perfusion pipeline 14, the first electric ball valve 15 is closed, the third electric ball valve 17 is opened to discharge the water, and after the liquid level reaches the lower water level and is drained, the third electric ball valve 17 is closed; after the liquid level reaches the lower water level and is emptied, the pipeline disinfection is finished; and after the pipeline is disinfected, discharging the final washing water for 15S, and sampling, wherein when the proportioning in the disinfection stage in the step S25 is finished, the third peristaltic pump M5 is turned on to sample the disinfectant.
In conclusion, the whole set of equipment integrates the whole reprocessing process of the soft endoscope, the distance of each step during reprocessing of the soft endoscope is greatly shortened, and the labor intensity and the moving distance of decontamination personnel are greatly reduced. The area occupied by the soft endoscope reprocessing equipment is reduced, the space utilization rate of the soft endoscope decontamination chamber is greatly improved, and after the soft endoscope reprocessing equipment is cleaned through manual pretreatment, full-automatic disinfection is carried out through a full-automatic decontamination device, so that the labor intensity is reduced, and the cleaning efficiency is improved.
The full-automatic cleaning device integrates a water supply pipeline system, a drainage pipeline system, a liquid supply pipeline system and a self-sterilization pipeline system into a set of comprehensive pipeline system suitable for reprocessing of the soft endoscope, so that the application of parts is greatly reduced, and the self-cleaning and disinfection failure of equipment caused by the breeding of residual microorganisms due to the fact that the equipment cannot be cleaned and disinfected due to the existence of a large number of sensing and controlling dead angles when a plurality of sets of pipelines are formed is avoided; cross-infection caused by failure of lens reprocessing.
The accessible electromagnetic lock that opens the door of washing cabin turns over the door plant down and drives the tray and take out through self gravity after opening the door, need not to contact door plant and tray, practices thrift medical personnel's labour, reduces medical personnel's hand and the contact of washing the equipment that disappears, reduces cross infection's risk. The hospital sensing and controlling requirements are better met.
Furthermore, it should be understood that although the present description refers to embodiments, not every embodiment may contain only a single embodiment, and such description is for clarity only, and those skilled in the art should integrate the description, and the embodiments may be combined as appropriate to form other embodiments understood by those skilled in the art.
In the description of the present invention, the terms "inside", "outside", "longitudinal", "lateral", "up", "down", "top", "bottom", and the like indicate orientations or positional relationships based on those shown in the drawings, and are for convenience only to describe the present invention without requiring the present invention to be necessarily constructed and operated in a specific orientation, and thus, should not be construed as limiting the present invention.
Claims (10)
1. The utility model provides a soft scope integrated form reprocessing device, includes main body frame (3), and the top of main body frame (3) is equipped with cell body mesa (2), its characterized in that: one end of the tank body table board (2) is provided with a pretreatment tank (4), the other end of the tank body table board (2) is provided with a drying table (7), a partition board (6) is arranged on the tank body table board (2) between the pretreatment tank (4) and the tank body table board (2), a full-automatic decontamination device (8) is arranged below the drying table (7), one side of the pretreatment tank (4) is provided with an automatic full-pipeline perfusion device (9) and an ultrasonic cleaning tank (5), the full-automatic decontamination device (8) comprises a cleaning cabin (811), the top of the cleaning cabin (811) is provided with an upper sprayer (25), the lower part of the cleaning cabin (811) is provided with a lower sprayer (26), the cleaning cabin (811) is provided with a water inlet pipe (22) and an equipment connecting pipe orifice, the equipment is connected with a side leakage pipe, an air inlet pipe (21) and an inner perfusion pipeline (14), the bottom of the cleaning cabin (811) is provided with a circulating pipe (31) for connecting the upper sprayer (25), the lower sprayer (26) and the inner perfusion pipeline (14), a circulating pump (M1) is arranged on the circulating pipe (31), a first electric ball valve (15) is arranged on the circulating pipe (31), the circulating pipe (31) is connected with a drain pipe (20) and a connecting pipe, the connecting pipe is connected with a water inlet pipe (22), the water inlet pipe (22), a second electric ball valve (13) is arranged on the drain pipe (20) and the connecting pipe respectively, a third electric ball valve (17), a fourth electric ball valve (18), an air inlet valve (16) is arranged on the air inlet pipe (21), a leak detection valve (11) is arranged on the leak detection pipe, a pressure relief valve (12) and a pressure difference transmitter are arranged on the leak detection pipe, a leak detection pump (M2) is connected with the leak detection pump, a liquid level sensor is arranged in the cleaning cabin (811), an inlet of the circulating pump (M1) is connected with an enzyme solution inlet pipe (29) and a disinfectant inlet pipe (28), a first peristaltic pump (M3) and a second disinfectant pump (M4) are arranged on the enzyme solution inlet pipe (29) and the disinfectant inlet pipe (28) respectively, all the valves, the pump, the liquid level sensor and the differential pressure transmitter are connected with a controller.
2. The integrated reprocessing device according to claim 1, wherein: the circulating pipe (31) is connected with an upper spray pipe (24) and a lower spray pipe (30) which are respectively connected with an upper spray thrower (25) and a lower spray thrower (26).
3. The integrated reprocessing device according to claim 2, wherein: the inner perfusion pipeline (14) is provided with a one-way valve and a flowmeter, and the water inlet pipe (22) is also provided with a one-way valve.
4. The integrated reprocessing device according to claim 3, wherein: the water inlet pipe (22) is also provided with a filtering type water purifier (23) and an end washing water sampling pipe, and the end washing water sampling pipe is provided with an electromagnetic valve (19) connected with a controller.
5. The integrated reprocessing device according to claim 4, wherein: the circulating pipe (31) is connected with a disinfectant sampling pipe (27), and the disinfectant sampling pipe (27) is provided with a third peristaltic pump (M5).
6. The integrated reprocessing device according to claim 1, wherein: be equipped with in washing cabin (811) and wash tray (808), the both sides of washing tray (808) are fixed with direction slider (807), be equipped with direction slide rail (809) on direction slider (807), direction slide rail (809) are fixed on washing cabin (811) inner wall, be equipped with the opening on the washing storehouse along direction slide rail (809) direction one side, the opening below articulates there is door plant (801), door plant (801) articulate has connecting rod (805), connecting rod (805) other end articulates with washing tray (808), the opening outside is equipped with sealing strip (813).
7. The integrated reprocessing apparatus according to claim 6, wherein: be equipped with stopper (810) on direction slide rail (809), washing cabin (811) outside is fixed with stand (814), door plant (801) lower extreme articulates through round pin axle (802) has fixed plate (803), fixed plate (803) are fixed on stand (814), door plant (801) are fixed with connecting piece (804), connecting piece (804) are articulated with connecting rod (805), connecting rod (805) other end articulates there is connecting piece two (806), connecting piece two (806) are fixed with washing tray (808), washing cabin (811) upper portion is equipped with the electromagnetic lock, the outside of door plant (801) is fixed with handle (812), the bottom of stand (814) is fixed with bottom plate (815), the bottom of bottom plate (815) is fixed with walking wheel (816), the bottom of main body frame (3) is fixed with removes wheel (10).
8. A reprocessing method for the integrated reprocessing device according to any of claims 1-7, comprising the steps of: s1, preprocessing and cleaning, putting the soft endoscope after diagnosis and treatment in a preprocessing groove (4), manually cleaning the inner lumen through an automatic full-pipeline perfusion unit (9) to finish the manual preprocessing and cleaning step, putting the accessory of the soft endoscope in an ultrasonic cleaning groove (5) to perform ultrasonic cleaning, S2, fully automatically cleaning and sterilizing, putting the soft endoscope after preprocessing and cleaning in a cleaning cabin (811), connecting a pipeline connector of the soft endoscope to an equipment connecting port, then sequentially performing leak detection, initial cleaning, rinsing, sterilizing and final rinsing by using a fully-automatic cleaning and sterilizing device (8) to finish cleaning and sterilizing, S3, taking out the soft endoscope from the cleaning cabin (811) after cleaning and sterilizing, putting the soft endoscope in a drying table (7) to finish and dry for later use.
9. The reprocessing method for the soft endoscope integrated reprocessing device according to claim 8, wherein: the specific step of S2: s21, leak detection stage: the leak detection pump (M2) is started, the leak detection valve (11) is started to carry out real-time leak detection on the inner mirror through the pressure difference transmitter (AP), the leak detection is carried out in an allowable range after the pressurization and pressure maintaining stage, the pressure relief valve (12) is started to release the pressure in the mirror body, the next stage is carried out, and if the leak detection is not in the allowable range after the pressurization and pressure maintaining stage, the equipment is stopped and gives an alarm; s22, initial washing stage: at the moment, the second electric ball valve (13) for total inflow is opened, water is fed into the cleaning cabin (811) through the filter type water purifier (23), when the working liquid level is reached, the first electric ball valve (15) is opened, meanwhile, the circulating pump (M1) is opened, the outer surface of the soft endoscope is washed through the upper sprayer (25) and the lower sprayer (26), the water enters the inner perfusion pipeline (14) through the circulating pipeline through the one-way valve, the inner perfusion flow is monitored in real time through the flow meter (FE), and the water enters the inner lumen of the endoscope through the equipment connector; after the high water level liquid level is reached, the second electric ball valve (13) is closed, the liquid spraying and inner perfusion time reaches the preset time and then enters a gas injection stage, at the moment, the gas inlet valve (16) is opened, gas enters the inner endoscope inner tube cavity from the inner perfusion pipeline (14) to discharge the liquid in the endoscope, the first electric ball valve (15) is closed, the third electric ball valve (17) is opened to discharge water, and after the liquid level reaches the lower water level and is drained, the third electric ball valve (17) is closed and automatically shifts to the next stage; s23, cleaning: at the moment, the second electric ball valve (13) is opened, water is fed into the cleaning cabin (811) through the filter type water purifier (23), the first peristaltic pump (M3) is started to pump enzyme liquid stock solution into the cleaning cabin (811), when the working liquid level is reached, the first electric ball valve (15) is started, the circulating pump (M1) is started at the same time, the outer surface of the soft endoscope is washed through the upper sprayer (25) and the lower sprayer (26), the enzyme liquid stock solution enters the inner perfusion pipeline (14) through the circulating pipeline and the one-way valve, the inner perfusion flow is monitored in real time through the flow meter (FE), and the enzyme liquid stock solution enters the inner lumen of the inner endoscope through the equipment connecting port; after the high water level liquid level is reached, the second electric ball valve (13) is closed, the liquid spraying and inner perfusion time reaches the preset time and then enters a gas injection stage, at the moment, the gas inlet valve (16) is opened, gas enters the inner endoscope inner tube cavity from the inner perfusion pipeline (14) to discharge the liquid in the endoscope, meanwhile, the first electric ball valve (15) is closed, the third electric ball valve (17) is opened to discharge water, after the lower water level liquid level is reached and the liquid is drained, the third electric ball valve (17) is closed, and the next stage is automatically shifted; s24, rinsing stage: at the moment, the second electric ball valve (13) is opened, water is fed into the cleaning cabin (811), when the working liquid level is reached, the first electric ball valve (15) is opened, the circulating pump (M1) is simultaneously opened, the outer surface of the soft endoscope is washed by the upper sprayer (25) and the lower sprayer (26), the inner perfusion flow enters the inner perfusion pipeline (14) through the circulating pipeline and the one-way valve, then the inner perfusion flow is monitored in real time through the flow meter (FE), and the inner perfusion flow enters the inner endoscope lumen through the equipment connecting port; after the high water level liquid level is reached, the second electric ball valve (13) is closed, the liquid spraying and inner perfusion time reaches the preset time and then enters a gas injection stage, at the moment, the gas inlet valve (16) is opened, gas enters the inner endoscope inner tube cavity from the inner perfusion pipeline (14) to discharge the liquid in the endoscope, meanwhile, the first electric ball valve (15) is closed, the third electric ball valve (17) is opened to discharge water, after the lower water level liquid level is reached and the liquid is drained, the third electric ball valve (17) is closed, and the next stage is automatically shifted; s25, disinfection stage: at the moment, the second electric ball valve (13) is opened, water is fed into the cleaning cabin (811), the second peristaltic pump (M4) is started to pump disinfectant stock solution into the cleaning cabin (811), when the disinfectant stock solution reaches the working liquid level, the first electric ball valve (15) is started, the circulating pump (M1) is started at the same time, the outer surface of the soft endoscope is washed by the upper sprayer (25) and the lower sprayer (26), the disinfectant stock solution enters the inner perfusion pipeline (14) through the circulating pipeline and the one-way valve, the inner perfusion flow is monitored in real time by the Flowmeter (FE), and the disinfectant stock solution enters the inner lumen of the inner endoscope through the equipment connecting port; after the high water level liquid level is reached, the second electric ball valve (13) is closed, the liquid spraying and inner perfusion time reaches the preset time and then enters a gas injection stage, at the moment, the gas inlet valve (16) is opened, gas enters the inner endoscope inner tube cavity from the inner perfusion pipeline (14) to discharge the liquid in the endoscope, meanwhile, the first electric ball valve (15) is closed, the third electric ball valve (17) is opened to discharge water, after the lower water level liquid level is reached and the liquid is drained, the third electric ball valve (17) is closed, and the next stage is automatically shifted; s26, final rinsing stage: at the moment, the second electric ball valve (13)3 is opened, the first electric ball valve (15) is opened, water is fed into a cleaning cabin (811) through a filter type water purifier (23), when the working liquid level is reached, a circulating pump (M1) is opened, the outer surface of the soft endoscope is washed through an upper sprayer (25) and a lower sprayer (26), the water enters an inner perfusion pipeline (14) through a circulating pipeline through a one-way valve, the inner perfusion flow is monitored in real time through a Flowmeter (FE), and the water enters an inner endoscope lumen through an equipment connecting port; after the high water level liquid level is reached, the second electric ball valve (13) is closed, liquid spraying and inner perfusion time reach preset time and then enter a gas injection stage, at the moment, the gas inlet valve (16) is opened, gas enters the inner lens inner tube cavity through the inner perfusion pipeline (14) to discharge liquid in the lens, meanwhile, the first electric ball valve (15) is closed, the third electric ball valve (17) is opened for drainage, after the water level liquid level is emptied, the third electric ball valve (17) is closed, and cleaning and disinfection are finished.
10. The reprocessing method of the soft endoscope integrated reprocessing device according to claim 9, wherein: before the step S2 is carried out, a pipeline disinfection step is required, the second electric ball valve (13) is opened, water is fed into the cleaning cabin (811) through the filter type water purifier (23), the second peristaltic pump (M4) is started to pump disinfectant stock solution into the cleaning cabin (811), when the working liquid level is reached, the first electric ball valve (15) is started, the circulating pump (M1) is started at the same time, the interior of the equipment cabin is washed through the upper sprayer (25) and the lower sprayer (26), the inner perfusion flow rate is monitored in real time through the circulating pipeline and the one-way valve, the inner perfusion flow rate enters the inner perfusion pipeline (14) through the flow meter (FE), and the inner perfusion flow rate enters the equipment connecting port through the equipment; after the high water level liquid level is reached, the second electric ball valve (13) is closed, the fourth electric ball valve (18) is opened, the gas injection stage is started after the liquid spraying and internal perfusion time reaches the preset time, the gas inlet valve (16) is opened at the moment, the liquid in the internal perfusion pipeline (14) is discharged, meanwhile, the first electric ball valve (15) is closed, the third electric ball valve (17) is opened for drainage, and after the liquid level reaches the lower water level and is drained, the third electric ball valve (17) is closed; after the liquid level reaches the lower water level and is emptied, the pipeline disinfection is finished; after the pipeline is disinfected, discharging the final washing water for 15S and then sampling; and step S25, when the sterilizing stage is completed, the third peristaltic pump (M5) is turned on to sample the sterilizing liquid.
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