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Laparoscopy Apparatus Good Maintenance Is Particularly Important
Jun 26, 2017

Laparoscopy Apparatus equipment, high precision, complex structure, is a modern electronic, optical and mechanical and other aspects of a comprehensive system, so the daily Laparoscopy Apparatus equipment for good maintenance is particularly important. Good maintenance is not only to extend the life of laparoscopy, reduce maintenance costs, but also reduce the incidence of intraoperative failure is an important prerequisite.

1, the composition of Laparoscopy Apparatus surgical equipment

Laparoscopy Apparatus surgery is a combination of several devices, only a clear understanding of the function and characteristics of each device in order to timely identify problems and solve the problem. A complete set of Laparoscopy Apparatus surgical equipment is usually composed of the following five parts: ① display camera system, including the display, Laparoscopy Apparatus lens, mirror tube, signal converter, its function is used to capture and display body cavity clear, realistic image ; ② cold light source system, its function is to provide lighting for surgery; ③ pneumoperitoneum, its function is to provide adequate space for surgery; ④ high-frequency electric knife, including unipolar and bipolar, its function is to implement the cut target; The negative pressure suction system includes a suction tube, a suction pipe, a suction bottle, and its function is to attract the excrement and intraoperative fluid flow.

2, Laparoscopy Apparatus equipment, common failure and its elimination program

2.1 display camera system failure

(1) black screen phenomenon: the display, cold light source system power connector, camera line connector off, cold light source system bad contact and damage to the lamp and other reasons will cause the display black screen phenomenon. Therefore, the equipment should be carefully checked before surgery, and standing cold light source system replacement lamp.

(2) the image is not clear: the camera focal length deviation or foreign matter on the lens can cause the image is not clear, fine-tuning focal length or wipe the lens with iodine cotton swab to solve such problems.

(3) image shade disorders: surgery in the surgery between the light can not be too bright, should close the shadowless lamp, the cold light source to the automatic position, otherwise it will cause the image is too bright. And the image too dark may be caused by two cases: ① cold light source guide beam and Laparoscopy Apparatus connection loose or cold light source connection slightly loose, as long as the connector slightly forward, the light source can be restored positive system "; ② lighting fiber Part of the broken wire, as long as the replacement of all the optical fiber can be resolved.

(4) Image color imbalance: The camera's white balance error setting will cause the image color to be distorted, so you need to set the white balance automatically or manually before using the camera system.

(5) fog as the phenomenon: the casing into the abdominal cavity before the need for preheating, so that the temperature exceeds the human body cavity temperature to avoid fog, the laparoscope into the 40 ℃ saline preheat for about 5 min The

2.2 pneumoperitoneum machine failure

(1) pneumoperitoneic needle blockage: in the course of pneumoperitoneum needle can be fat particles, blood clots or other tissue debris blocked, the treatment measures for the use of 5 ml syringe suction saline can be washed smooth. Sometimes pneumoperitoneum needle into the peritoneum can also cause pneumoperitoneum needle blockage, this time need to remove the abdominal cavity and re-inserted into the abdominal cavity.

(2) low pressure pneumoperitoneum: moderate CO2 gas pressure to maintain abdominal pressure and create a favorable surgical operation of the visual environment is necessary. However, in the event of leakage will cause pneumoperitoneum pressure is too low, and then difficult to maintain the pressure within the abdominal cavity. A variety of factors can cause pneumoperitoneum pressure is too low, common for the gas pipe joints loose and puncture seal cap damage caused by leakage, the wrong setting C02 pressure parameters can not be ignored. Therefore, under the correct CO22 pressure parameter setting, the gas pipe joint is tightened and the damaged puncture seal cap is replaced in time to achieve the basic premise that the pressure of the pneumoperitoneum is maintained at normal level.

2.3 high frequency electric knife failure

(1) unipolar electric knife failure: electric knife, electrocoagulation wire and the host connection loose will cause both without any output, should promptly check the two connectors and connect it firmly with the host. When the electric knife host negative plate and the host port bad contact, the cut and the coagulation will stop working, the negative plate of the indicator light from green to red and alarm, then need to re-insert the negative plate line host port. In patients with excessive dandruff during surgery can cause electric knife circuit is poor, the need to skin before the skin dander clean. More fur will cause the same effect, need to keep the skin smooth and smooth.

(2) bipolar coagulation failure: bipolar coagulation fault is usually caused by poor contact between the bipolar line and the host, need to adjust the contact surface of the two or replace the new bipolar line can be. Coagulation caused by excessive blood scabs will cause bipolar coagulation failure, the need to promptly clean up.

2.4 Negative pressure suction system failure

(1) the system no negative pressure or suction is small: the center of the negative pressure to attract the pipeline out of the line and to attract the poor sealing of the bottle can cause the system no negative pressure or suction smaller, once found to be promptly investigated.

(2) system blockage: postoperative must be used high pressure gas, water gun to attract the system to repeatedly wash, otherwise the blood clot dry scab or other foreign matter will be deposited in the lumen caused by the suction system blockage. In addition, the suction system to run a long time when not in a period of time to ensure the normal operation of the machine.