Stages of processing and disinfection of flexible endoscopes. Stage 1: primary cleaning of the endoscope.

This stage is carried out in the procedure room immediately after the study, before disconnecting the device from the illuminator, aspirator and video processor. It is very important to clean and rinse immediately after procedure, clean and rinse the endoscope, inside and out, to prevent drying and seal contaminants.

Algorithm of actions:

1. With smooth movements, from the from the handle of the endoscope to the distal needle, wipe the flexible part with a lint-free cloth moistened with a solution of detergent (hereinafter referred to as "D.O.";

2. Aspiration channels and air/water channels: distal needle into a beaker with fresh saline solution (200 ml). Aspirate the liquid and air alternately, ending the manipulation by blowing the manipulation with air. For thorough processing of the endoscope, it is recommended to replace the air/water valve with a flushing valve, with with this valve, simultaneously through the water and air channels, a double air/water flow into the distal nozzle flushing head. This is the thinnest part of the structure, so it is important to flush the nozzle thoroughly to prevent it from blockage. Such a valve is included as a standard part of every

Important!  If a different solution was used at the end of cleaning composition, then rinse these channels with water for 10 seconds to avoid

3. C analyses are washed with water and purged according to the instructions from the

4. The endoscope is disconnected from equipment (illuminator, aspirator, and video processor), disconnect the valves, and if you have a video endoscope, put a protective cap on the connector.

5. To move the device to the "dirty zone", place it in a container/tray and cover it with a lid.

Tightness test

It is necessary to visually inspect the endoscope for damage and determine its tightness according to the according to the method described in the instructions of the device manufacturer. This stage is very important, since during the inspection it is possible to prevent breakage in advance and avoid getting detergents on it (flooding) during further DVU, which can lead to repair at half the cost of the endoscope. Testing is performed manually, regardless of the availability of this option in the reprocessor."

Important!  Iif the endoscope is leaky, it will be poorly disinfected and will become a carrier of infection. Also, such an endoscope can cause damage to the patient electric shock to the patientorto the doctor, if electrosurgical instruments are used during treatment.