Laparoscopic equipment maintenance and maintenance of the twelve skills!

（1）器械宜輕取輕放，不得摩擦、相互碰撞及同時一手拿多樣器械，保持軸節靈活尖端合攏良好、銳利器械刃而鋒利。

(1) The instruments should be handled with care, without friction, collision and holding various instruments in one hand at the same time. The shaft should be flexible and the tip should be well closed, sharp and sharp.

（2）注意鏡面的保護。

(2) Pay attention to the mirror protection.

（3）導線清潔后存放時，不可拆迭，盤旋彎曲度應大于90度，以防止光纖折損，影響使用效果及縮短使用壽命。

(3) When the conductor is stored after cleaning, it shall not be disassembled and overlapped, and the winding bending degree shall be greater than 90 degrees, so as to prevent the damage of optical fiber, affect the service effect and shorten the service life.

（4）對各類鉗子要經常檢查，活動關節，注意鉗端的閉合情況，關節處涂上專用潤滑劑。

(4) All kinds of forceps should be checked frequently, the joint should be moved, the clamp end should be closed, and the joint should be coated with special lubricant.

（5）銳利器械保存應套上橡皮保護套。

(5) Sharp instruments should be protected by rubber.

（6）戳卡、轉換器、旋切器上的密封圈如有老化、裂口是應及時更換，以免造成術中漏氣影響氣腹效果。

(6) If the sealing rings on the punch card, converter and rotary cutter are aged or cracked, they should be replaced in time to avoid air leakage during operation and affect the effect of pneumoperitoneum.

（7）沖洗器上的閥門，應定期拆卸進行清潔、上油、以保持閥門的靈活性。

(7) The valve on the flushing device should be removed regularly for cleaning and oiling to maintain the flexibility of the valve.
               

（8）所有器械在使用、清洗、保養過程中，關節不應強扳，尖端不能碰及硬物，器械小部件不能丟失。

(8) During the use, cleaning and maintenance of all instruments, the joints should not be forced, the tips should not touch hard objects, and the small parts of the instruments should not be lost.

（9）光源和攝像頭在分離前應先確定主機電源關閉方可拔出。

(9) Before the light source and camera are separated, make sure that the host power is off before pulling out.

（10）關機后的15分鐘內不宜重啟腔鏡系統。

(10) Do not restart the endoscope system within 15 minutes after shutdown.

（11）內窺鏡的滅菌優先考慮低溫或等離子消毒法，若用高壓滅菌法，一定要讓鏡子自然冷卻，禁止用冷水冷卻，不然會導致鏡頭的破裂，目前，不提倡用戊二醛浸泡滅菌，因為浸泡后鏡面接口處的液體不易擦凈，使用過程中會產生霧狀的蒸汽影響鏡面的清晰度，盡量不要經常變換鏡子的滅菌方法，這樣對鏡子的密封有好處。

(11) Low temperature or plasma sterilization is preferred for endoscope sterilization. If high-pressure sterilization is used, the mirror must be naturally cooled, and cold water is not allowed to cool, otherwise the lens will be broken. At present, glutaraldehyde immersion sterilization is not recommended because the liquid at the interface of the mirror surface is not easy to be wiped clean after immersion, and foggy steam will be generated during the use, which will affect the clarity of the mirror, Try not to change the sterilization method of the mirror frequently, which is good for the sealing of the mirror.

（12）鏡子與手術器械要分開清洗，鏡面用濕的脫脂棉球沿一個方向擦干凈后，以擦鏡紙擦干，鏡身可用濕軟布擦凈，禁止用超聲波清洗鏡子，盡量不用生理鹽水清洗鏡子，否則容易產生銹跡。

(12) The mirror and surgical instruments should be cleaned separately. The mirror surface should be wiped with wet absorbent cotton ball along one direction, and then dried with wiping paper. The mirror body can be wiped with a wet soft cloth. It is forbidden to clean the mirror with ultrasonic wave, and try not to clean the mirror with normal saline, otherwise rust will easily occur.