CN112891592B - Alarm system and method for manual cleaning and perfusion of soft endoscope - Google Patents

Alarm system and method for manual cleaning and perfusion of soft endoscope Download PDF

Info

Publication number
CN112891592B
CN112891592B CN202110204348.2A CN202110204348A CN112891592B CN 112891592 B CN112891592 B CN 112891592B CN 202110204348 A CN202110204348 A CN 202110204348A CN 112891592 B CN112891592 B CN 112891592B
Authority
CN
China
Prior art keywords
perfusion
liquid
pipeline
liquid level
endoscope
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
CN202110204348.2A
Other languages
Chinese (zh)
Other versions
CN112891592A (en
Inventor
陈来娟
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Zhejiang University ZJU
Original Assignee
Zhejiang University ZJU
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Zhejiang University ZJU filed Critical Zhejiang University ZJU
Priority to CN202110204348.2A priority Critical patent/CN112891592B/en
Publication of CN112891592A publication Critical patent/CN112891592A/en
Application granted granted Critical
Publication of CN112891592B publication Critical patent/CN112891592B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • 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
    • A61L2/24Apparatus using programmed or automatic operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/70Cleaning devices specially adapted for surgical instruments
    • 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
    • A61L2/18Liquid substances or solutions comprising solids or dissolved gases
    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B21/00Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
    • G08B21/18Status alarms
    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B21/00Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
    • G08B21/18Status alarms
    • G08B21/24Reminder alarms, e.g. anti-loss alarms
    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B7/00Signalling systems according to more than one of groups G08B3/00 - G08B6/00; Personal calling systems according to more than one of groups G08B3/00 - G08B6/00
    • G08B7/06Signalling systems according to more than one of groups G08B3/00 - G08B6/00; Personal calling systems according to more than one of groups G08B3/00 - G08B6/00 using electric transmission, e.g. involving audible and visible signalling through the use of sound and light sources
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/70Cleaning devices specially adapted for surgical instruments
    • A61B2090/701Cleaning devices specially adapted for surgical instruments for flexible tubular instruments, e.g. endoscopes
    • 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
    • A61L2202/14Means for controlling sterilisation processes, data processing, presentation and storage means, e.g. sensors, controllers, programs
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • General Physics & Mathematics (AREA)
  • Business, Economics & Management (AREA)
  • Epidemiology (AREA)
  • Surgery (AREA)
  • Emergency Management (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Endoscopes (AREA)

Abstract

The invention discloses an alarm system and method for manually cleaning perfusion by a soft endoscope, which comprises the steps of connecting interfaces of perfusion pipelines with cavity interfaces one by one, manually starting perfusion by a worker, and entering a perfusion state; obtaining the residual amount of the current perfusion liquid, outputting a recommended clearing amount according to an endoscope in a killing pool, sending a current shortage warning when detecting that the recommended clearing amount is smaller than the lower limit value of the residual amount, entering an automatic liquid adding state, and responding to the request of entering the perfusion state of the next killing pool after completing automatic liquid adding; when the liquid level in the tank rises to a standard liquid level, starting a drainage pipeline, and adjusting the drainage quantity of the drainage pipeline according to the inflow quantity of the perfusion pipeline so as to dynamically circulate the perfusion liquid in the tank for a standard time; issuing a shut-off alarm when the dynamic loop is detected to be stalled during the duration of the dynamic loop.

Description

Alarm system and method for manual cleaning and perfusion of soft endoscope
Technical Field
The invention relates to the technical field of medical auxiliary instruments, in particular to an alarm system and method for manually cleaning perfusion of a soft endoscope.
Background
According to the WS 507 and 2016 soft endoscope cleaning and disinfection technical specification, the soft endoscope manual cleaning step comprises the steps of bedside pretreatment, side leakage, manual cleaning, rinsing, disinfection, final rinsing and drying. The three steps of rinsing, disinfecting and final rinsing all relate to a perfusion procedure of 3 minutes or 5 minutes, if perfusion faults occur, cleaning workers do not find the perfusion faults in time, the endoscope cleaned manually cannot reach the cleaning and disinfecting standard, and cross infection is easily caused after the endoscope is reused.
According to statistics, most domestic endoscope centers adopt two concurrent modes of manual cleaning and endoscope cleaning and sterilizing machines to carry out disinfection and sterilization treatment on soft endoscopes at present. Investigation also shows that during the manual cleaning process, once perfusion is failed, endoscope clearance is not up to the standard. For partial perfusion faults, such as perfusion pipeline cutoff, washing and disinfecting workers can find the faults through visual observation, but the manual monitoring is easy to generate an inattentive phenomenon, and no related alarm device is used for reminding; for perfusion faults which are difficult to find visually, such as the cutoff of an enzyme adding pipeline and a dilution pipeline, cleaning liquid can not reach the standard and does not meet the clearing standard, so that the clearing is incomplete; during the clearing process of the workers, the appearance of the perfusion faults is not limited to the cutoff of the perfusion pipeline, and various perfusion faults which may occur cannot be monitored in real time.
Because of the above problems in practice and the advent of products that do not solve these problems, there is a need for improvement.
Disclosure of Invention
The invention aims to provide an alarm system and method for manually cleaning perfusion by a soft endoscope, which can monitor the working state and the matching relation among pipelines of perfusion equipment in real time, and send alarm information in time once a fault occurs, and are very important for ensuring the effectiveness of cleaning and disinfecting the endoscope and preventing the endoscope from cross infection among patients.
According to a first aspect of the present invention, an alarm method for perfusion in manual cleaning of a soft endoscope is provided, which includes:
connecting the interfaces of the perfusion pipelines with the cavity interfaces one by one, and manually starting perfusion by a worker to enter a perfusion state;
obtaining the residual amount of the current perfusion liquid, outputting a recommended clearing amount according to an endoscope in a killing pool, sending a current shortage warning when detecting that the recommended clearing amount is smaller than the lower limit value of the residual amount, entering an automatic liquid adding state, and responding to the request of entering the perfusion state of the next killing pool after completing automatic liquid adding;
when the liquid level in the tank rises to a standard liquid level, starting a drainage pipeline, and adjusting the drainage quantity of the drainage pipeline according to the inflow quantity of the perfusion pipeline to dynamically circulate the perfusion liquid in the tank for a standard time;
during the duration of the dynamic cycle, a shut down alarm is issued when the dynamic cycle stall is detected.
Further, the interfaces of the perfusion pipelines are connected with the cavity interfaces one by one, and the perfusion is started manually by a worker to enter a perfusion state, and the method specifically comprises the following steps:
the perfusion pipeline at least comprises a main pipeline, and the main pipeline is provided with a plurality of branch pipes according to each cavity on the endoscope; the end part of the branch pipe is provided with an inner interface according to the outer interface of the corresponding cavity channel;
connecting the inner interfaces of the branch pipes with the outer interfaces of the corresponding cavity channels in a one-to-one correspondence manner, so that the perfusion liquid in the branch pipes can enter the corresponding cavity channels;
the perfusion liquid in each cavity channel can only be converged to flow to a long catheter of the endoscope and is discharged out of the endoscope, so that the internal structure which is internally connected is cleaned and sterilized in all directions;
after the connection of the perfusion pipeline and the endoscope is completed, the endoscope is placed in a disinfection tank, the perfusion of the disinfection tank is controlled by a worker to be started, the endoscope is perfused, and the disinfection tank enters a perfusion state.
Further, the method further comprises a mother liquor self-test before entering the perfusion state, wherein the mother liquor self-test specifically comprises the following steps:
predefining a lower limit liquid level and an upper limit liquid level;
obtaining an initial liquid level of mother liquor in perfusion equipment, and judging whether the initial liquid level is above a lower limit liquid level:
if the initial liquid level is higher than the lower limit liquid level, starting operation of a worker is waited, and the perfusion state is directly entered;
if the initial liquid level is lower than the lower limit liquid level, an enzyme adding warning is directly sent out, and an enzyme adding operation can be carried out by a worker;
detecting the current liquid level of the mother liquor in the enzyme adding operation process, and sending an enzyme full prompt to prompt a worker that the enzyme adding is finished when the current liquid level is detected to reach the upper limit liquid level;
the enzyme adding warning and the enzyme full prompt comprise voice broadcasting and indicator light flashing.
Further, obtain the surplus of current perfusion liquid, recommend the volume of disappearing according to the scope output in the pond of disappearing and killing, when detecting that the volume of disappearing of recommending is less than the lower limit value of surplus, send out the warning of lacking a class to enter automatic liquid feeding state, respond to the request that next pond of disappearing and killing got into the perfusion state again after accomplishing automatic liquid feeding, specifically include:
predefining a standard perfusion value;
after the perfusion pipelines perfuse each cavity of the endoscope, detecting the residual amount of the current perfusion liquid, and calculating the recommended clearing amount of the residual amount according to the standard perfusion value so as to help the staff to estimate the clearing amount of the endoscope;
the lower limit value is established according to the using number of the killing pools entering the perfusion state, and whether the recommended clearing amount is smaller than the lower limit value is judged:
if the recommended clearing amount is not less than the lower limit value, normal perfusion in each current disinfection pool is continued;
if the recommended clearing amount is smaller than the lower limit value, sending a current shortage warning to remind a worker that the residual amount of the perfusion liquid is insufficient, and automatically entering a liquid adding state;
the liquid adding state specifically comprises:
s11: the request of the next killing pool entering the perfusion state is not responded any more, and the perfusion operation of the killing pool in the current perfusion state is continuously executed;
s12: opening a mother liquor pipeline, opening a dilution pipeline, conveying the mother liquor in the mother liquor pipeline and the diluent in the dilution pipeline into a mixing bin according to a ratio to a half-bin state, and uniformly mixing to form the perfusion liquid;
s13: conveying the perfusion liquid into a perfusion liquid tank, detecting the residual amount of the perfusion liquid in the perfusion liquid tank, calculating recommended elimination amount, and judging whether the recommended elimination amount is larger than the upper limit value of the residual amount;
s14: if the recommended clearing amount is smaller than the upper limit value, returning to the step S12; if the recommended extinction amount is greater than the upper limit value, executing step S15;
s15: closing the mother liquor pipeline and the dilution pipeline, and responding to the request of the next disinfection tank for entering a perfusion state again;
the upper limit value is formulated according to the total number of the killing pools, and the flow lacking warning comprises indicator light flickering and voice broadcasting.
Further, the step S12 specifically includes:
predefining a theoretical proportion and an error range;
detecting the mother liquor flow in the mother liquor pipeline in unit time, and detecting the dilution flow in the dilution pipeline in unit time;
calculating the actual proportion of the mother liquor and the diluent in the unit time, calculating the difference value between the actual proportion and the theoretical proportion, and judging whether the difference value falls within the error range:
if the error range is within, directly and uniformly mixing;
if the error value does not fall within the error range, calculating the compensation amount according to the error value, and uniformly mixing after compensation.
Further, when the liquid level in the tank rises to a standard liquid level, a drainage pipeline is started, and the drainage quantity of the drainage pipeline is adjusted according to the inflow of the perfusion pipeline, so that the perfusion liquid in the tank dynamically circulates for a standard time, and the method specifically comprises the following steps:
predefining standard liquid level, predefining standard time and predefining standard flow;
detecting the total inflow rate of the perfusion pipeline in unit time, and judging whether the total inflow rate is less than the standard flow rate:
if the total inflow is smaller than the standard flow, initiating a delay warning to prompt that the current flow in the sterilizing pool is smaller for a worker, and suggesting to overhaul;
if the total inflow is not less than the standard flow, continuing to perform filling perfusion of the current killing pool;
detecting a killing liquid level in the killing pool, finishing filling perfusion when the killing liquid level reaches the standard liquid level, starting a drainage pipeline, and keeping the opening state of the perfusion pipeline;
detecting the flow rate of the perfusion liquid in the perfusion pipeline, and adjusting the drainage speed of the drainage pipeline in real time according to the flow rate to ensure that the perfusion liquid in the disinfection tank is in dynamic circulation;
the duration time of the dynamic circulation is standard time, and the inner diameters of the perfusion pipeline and the drainage pipeline are the same;
and when the duration of the dynamic circulation reaches the standard time, draining the perfusion liquid in the current disinfection tank, and disconnecting the perfusion pipeline from the cavity channel.
Further, in the continuous process of the dynamic loop, when the dynamic loop is detected to be stopped, a shut-off alarm is issued, specifically including:
when the perfusion liquid in the disinfection pond is in a dynamic circulation process, when any one of the following conditions is detected: the perfusion pipeline is cut off, the drainage pipeline is cut off, the perfusion pipeline and the drainage pipeline are both cut off, and the flow difference exists between the perfusion pipeline and the drainage pipeline; the dynamic circulation of the current disinfection pool is considered to be stopped, a cutoff alarm is sent out, a worker is warned that the perfusion liquid in the current disinfection pool has cutoff, and the worker overhauls or replaces the disinfection pool to carry out perfusion again;
the cutoff alarm comprises flashing of an indicator light and voice broadcasting.
According to a second aspect of the invention, an alarm system for manually cleaning perfusion of a soft endoscope is provided, which comprises:
a perfusion starting module: the sterilization pool is controlled to enter a perfusion state and is manually controlled by workers;
a flow-lacking liquid adding module: obtaining the residual amount of the current perfusion liquid, outputting a recommended clearing amount according to an endoscope in a killing pool, sending a current shortage warning when detecting that the recommended clearing amount is smaller than the lower limit value of the residual amount, entering an automatic liquid adding state, and responding to the request of entering the perfusion state of the next killing pool after completing automatic liquid adding;
a perfusion circulation module: when the liquid level in the tank rises to a standard liquid level, starting a drainage pipeline, and adjusting the drainage quantity of the drainage pipeline according to the inflow quantity of the perfusion pipeline, so that the perfusion liquid in the tank is dynamically circulated for a standard time;
cutoff alarm module: during the duration of the dynamic cycle, a shut down alarm is issued when the dynamic cycle stall is detected.
According to a third aspect of the present invention, there is provided an electronic device comprising a memory, a processor and a computer program stored on the memory and executable on the processor, the processor implementing the method steps of any of the above first aspects when executing the computer program.
According to a fourth aspect of the present invention, there is provided a computer readable storage medium having stored thereon a computer program which, when executed by a processor, performs the method steps of any of the above first aspects.
The invention has the beneficial effects that:
1. the invention provides an alarm system and method for manually cleaning perfusion by a soft endoscope, which can monitor perfusion faults in an all-round way, set corresponding alarm response standards and carry out corresponding voice prompt and indicator lamp flashing according to different faults; the cooperation operation state between each pipeline is monitored, the trouble that the disinfection produces the influence can effectively be avoided, the staff does not need to carry out visual observation in real time, reduces energy and consumes.
2. The perfusion operation is intelligently controlled, and liquid adding operation can be automatically carried out to supplement perfusion liquid; meanwhile, a short-flow warning is sent to the staff to inform the staff of corresponding state information, so that the staff can conveniently acquire the internal consumption condition of the perfusion equipment.
3. When the cutoff fault occurs, an alarm can be sent out in time to prompt workers to overhaul or replace the disinfection pool, cutoff is redefined, the cutoff state is considered to be in when the flow value is lower than the standard flow, the disinfection which meets the standard is not enough to be completed, and the effect of blocking cross infection cannot be achieved.
Drawings
The accompanying drawings, which are incorporated in and constitute a part of the specification, illustrate embodiments of the invention and together with the description, serve to explain the principles of the invention. In the drawings, like reference numerals are used to indicate like elements. The drawings in the following description are directed to some, but not all embodiments of the invention. For a person skilled in the art, other figures can be derived from these figures without inventive effort.
FIG. 1 is a flowchart of an alarm method for manually cleaning perfusion of a soft endoscope according to an embodiment of the present invention;
FIG. 2 is a block diagram of an alarm system for manually cleaning perfusion of a soft endoscope according to an embodiment of the present invention;
fig. 3 is a schematic structural diagram of an electronic device according to an embodiment of the present invention.
Detailed Description
In order to more clearly illustrate the embodiments of the present invention and the technical solutions in the prior art, the following description will be made with reference to the accompanying drawings. It is to be understood that the drawings in the following description are merely exemplary of the invention and that other drawings and embodiments can be derived by those skilled in the art without undue burden. The designation of the design orientation merely indicates the relative positional relationship between the respective members, not the absolute positional relationship.
The first embodiment is as follows:
according to a first aspect of the present invention, there is provided a flow chart of an alarm method for manually cleaning perfusion of a soft endoscope, as shown in fig. 1, comprising:
step S101: the interfaces of the perfusion pipelines are connected with the cavity interfaces one by one, and perfusion is started manually by workers to enter a perfusion state.
In the embodiment of the invention, the endoscope can comprise an insertion end and an exposed end, wherein the insertion end is used for being inserted into a corresponding position in a patient body and is of a long catheter structure; the exposed end is used for connecting related equipment and is provided with a plurality of inner cavities. Expose the end and contain a plurality of inner chambers, alone carry out the perfusion to the interface of a chamber way, the perfusate can only fill and can't circulate in a plurality of chamber ways, reach not reaching the washing, the effect and the standard of killing, consequently, carry out the washing of scope, when killing, can be simultaneously to the perfusion that carries out of every inner chamber, only keep an export of the long pipe of scope, the perfusate does not flow out from the chamber way of inner chamber, when the perfusate enters from every inner chamber, can wash away the chamber way, the bulk velocity of flow of perfusate is great, can play good killing effect.
Specifically, the perfusion equipment can be provided with a plurality of pools that kill, and the perfusion pipeline in every pond that kills includes a trunk line at least, and the trunk line can be said according to each chamber on the scope and is provided with a plurality of branch pipes, and the tip of branch pipe sets up the inner joint, and each chamber is said and is set up the external tapping, and the inner joint can form unified cooperation relation with the external tapping that corresponds for the position that the chamber was said is different, but the interface cooperation structure is the same, all can connect, has the universality. The inner diameters of the branched pipes for shunting can be set according to the corresponding cavity channels, and the branched pipes are in one-to-one correspondence.
Before the perfusion operation of the endoscope, all the channel interfaces of the endoscope need to be connected with a perfusion pipeline, so that the internal cavity is cleaned and sterilized in all directions, and omission is avoided. The perfusion operation can be started by manual operation of workers, and meanwhile, a shutdown button is arranged.
In the embodiment of the invention, the starting of perfusion in the current killing pool specifically comprises the following steps:
connecting the inner interfaces of the branch pipes with the outer interfaces of the corresponding cavity channels in a one-to-one correspondence manner, so that the perfusion liquid in the branch pipes can enter the corresponding cavity channels; the branch pipe is connected with the cavity, and perfusion liquid can directly enter the cavity, and filling, washing, sterilizing and the like of the perfusion liquid are carried out on the corresponding cavity.
The perfusion liquid in each cavity channel can only be converged to flow to a long catheter of the endoscope and is discharged out of the endoscope, so that the internal structure which is internally connected is cleaned and sterilized in all directions; it can be understood that each cavity is connected with the branch pipe, and only the port of the long conduit of the endoscope is reserved as the water outlet, so that the perfusion liquid in each cavity can be gradually converged, flows to the long conduit of the endoscope and is discharged from the port of the long conduit of the endoscope. The inner chambers of the endoscopes are filled with flowable perfusion liquid, so that all-around cleaning and disinfection can be realized, and the cleaning and disinfection of the endoscopes are ensured to meet the standard.
After the connection of the perfusion pipeline and the endoscope is finished, placing the endoscope in a disinfection tank, controlling the perfusion start of the disinfection tank by a worker, perfusing the endoscope, and enabling the disinfection tank to enter a perfusion state; it can be understood that after the connection of the perfusion pipeline and the endoscope is completed, the endoscope can be completely placed in the disinfection tank to prepare for perfusion operation, the current perfusion starting of the disinfection tank can be carried out by a worker, the endoscope in the current disinfection tank is perfused, and the current disinfection tank enters a perfusion state.
In the embodiment of the invention, the starting/stopping button can be arranged aiming at each sterilizing pool to form independent control of the perfusion state in the sterilizing pools, and the sterilizing pools do not mutually influence. When the start button is pressed, the current killing pool enters a perfusion state, and perfusion operation can be executed; after the perfusion operation is finished, automatically ending the perfusion state, entering a standby state and waiting for starting; when the stop button is pressed, the current killing pool enters a temporary stop state, and the perfusion operation is stopped. It is understood that after the perfusion state is automatically ended, the worker may clean the current killing tank.
In the embodiment of the invention, as the required content of the perfusion liquid is large and the storage is troublesome, the effective substances can be concentrated into the mother liquid for storage, and when the perfusion liquid is used, the mother liquid is diluted by the diluent and is mixed according to different requirements in proportion, so that a large amount of required perfusion liquid is quickly formed.
Therefore, before entering into the perfusion state, still should carry out the mother liquor self-checking, detect whether the mother liquor content of current perfusion equipment is sufficient, avoid influencing the perfusion, mother liquor self-checking specifically includes:
predefining a lower limit liquid level, marking the lower limit position of the lowest stock of the mother liquid in the mother liquid storage tank, and if the lower limit position is lower than the lower limit position, directly perfusing is not recommended and the mother liquid should be filled first.
Predefining an upper limit liquid level, marking the upper limit position of the stock of the mother liquid in the mother liquid storage tank, and limiting the filling of the full stock of the mother liquid.
Obtaining an initial liquid level of mother liquor in perfusion equipment, and judging whether the initial liquid level is above a lower limit liquid level:
if the initial liquid level is higher than the lower limit liquid level, starting operation of a worker is waited, and the perfusion state is directly entered; the stock of the mother liquor is sufficient, the request of the disinfection pool for entering the perfusion state can be responded, and when a worker presses a start button, the disinfection pool can directly enter the perfusion state.
If the initial liquid level is lower than the lower limit liquid level, an enzyme adding warning is directly sent out, and an enzyme adding operation can be carried out by a worker; if the stock of the mother liquor is not enough, the mother liquor should be added first. Can send out and add enzyme warning, the suggestion staff is current not enough in mother liquor content, can add the enzyme operation by the staff.
Detecting the current liquid level of the mother liquor in the enzyme adding operation process, and sending an enzyme full prompt to prompt a worker that the enzyme adding is finished when the current liquid level is detected to reach the upper limit liquid level; it can be understood that in the process of enzyme adding operation, the stock of the mother liquor is increased, when the liquid level in the mother liquor storage tank reaches the upper limit liquid level, the mother liquor can be considered to be full, and an enzyme full prompt can be sent to prompt a worker to stop adding the enzyme.
It will be appreciated that the type of response to the enzyme addition alert and the enzyme full prompt may include a voice announcement, and flashing lights.
In the embodiment of the invention, the total consumption of the perfusion liquid required by one-time sterilization can be estimated according to the total number of the sterilization tanks and the consumption of the single-time sterilization perfusion, the total consumption of the perfusion liquid required by one-time sterilization is completed under the condition that all the sterilization tanks perform perfusion, the proportion of the mother liquid required by the perfusion liquid of the total consumption is calculated according to the total consumption in proportion, and the lower limit liquid level is set according to the proportion.
Step S102: obtaining the residual amount of the current perfusion liquid, outputting a recommended clearing amount according to an endoscope in the killing pool, sending out a current shortage warning when detecting that the recommended clearing amount is smaller than the lower limit value of the residual amount, entering an automatic liquid adding state, and responding to the request of entering the perfusion state of the next killing pool after completing automatic liquid adding.
In the embodiment of the invention, the perfusion liquid is prestored in the perfusion tank, after the perfusion is started, the perfusion liquid in the perfusion tank is continuously consumed, and when the residual quantity of the perfusion liquid in the perfusion tank is insufficient, a current shortage warning is sent to indicate that the current residual quantity of the perfusion liquid is insufficient, which can affect the subsequent perfusion, so that the perfusion liquid needs to be filled and the residual quantity of the perfusion liquid in the perfusion tank needs to be replenished.
In an embodiment of the present invention, the perfusion fluid filling specifically includes:
pre-defining a standard perfusion value; the standard perfusion value is the consumption of perfusion liquid when the endoscope perfusion is completed in a disinfection tank.
After the perfusion pipelines perfuse each cavity of the endoscope, detecting the residual amount of the current perfusion liquid, and calculating the recommended clearing amount of the residual amount according to the standard perfusion value so as to help the staff to estimate the clearing amount of the endoscope; and calculating the surplus of the perfusion liquid and the number value multiplied by the standard perfusion value, and rounding, wherein the rounded value can be used as the recommended clearing amount to represent the number of times of endoscope perfusion which can be carried out, and the evaluation of the follow-up workload by workers is facilitated.
Determining a lower limit value according to the using number of the killing pools in the perfusion state, and judging whether the recommended clearing amount is less than the lower limit value:
if the recommended clearing amount is not less than the lower limit value, normal perfusion in each current disinfection pool is continued; the residual amount of the perfusion liquid is enough at present, and perfusion can be continued.
If the recommended clearing amount is smaller than the lower limit value, sending a current shortage warning to remind a worker that the residual amount of the perfusion liquid is insufficient, and automatically entering a liquid adding state; the residual amount of the perfusion liquid is insufficient at present, and the perfusion liquid needs to be filled. Can send out the warning of short-flow to the staff, the surplus of perfusion liquid is not enough, gets into automatic liquid feeding state.
In the embodiment of the invention, the lower limit value can be determined according to the using number of the killing pools which enter the perfusion state, and the lower limit value is slightly larger than the using number of the killing pools, so that the residual amount of the perfusion liquid can complete the current perfusion of the current killing pools in the perfusion state.
In the embodiment of the present invention, the liquid adding state specifically includes:
s11: the request of the next killing pool entering the perfusion state is not responded, and the perfusion operation of the current killing pool in the perfusion state is continuously executed;
s12: opening a mother liquor pipeline, opening a dilution pipeline, conveying the mother liquor in the mother liquor pipeline and the diluent in the dilution pipeline into a mixing bin according to a ratio to a half-bin state, and uniformly mixing to form the perfusion liquid;
s13: conveying the perfusion liquid into a perfusion liquid tank, detecting the residual amount of the perfusion liquid in the perfusion liquid tank, calculating recommended clearing amount, and judging whether the recommended clearing amount is larger than the upper limit value of the residual amount;
s14: if the recommended clearing amount is smaller than the upper limit value, returning to the step S12; if the recommended extinction amount is greater than the upper limit value, executing step S15;
s15: closing the mother liquor pipeline and the dilution pipeline, and responding to the request of the next disinfection tank for entering a perfusion state again;
in the embodiment of the invention, when the perfusion tank enters the liquid adding state, in order to prevent the excessive consumption of the residual perfusion liquid and influence the cleaning and killing of the endoscope, the response to the request of the next killing tank for entering the perfusion state can be suspended, but the perfusion operation of the killing tank which has already entered the perfusion state is kept to be continuously executed, and the perfusion is not influenced.
In the embodiment of the invention, after the liquid adding state is entered, because the stock of the perfusion liquid tank is large, half-bin filling of the primary mixing bin cannot fill the perfusion liquid tank, and meanwhile, each killing pool entering the perfusion state still continuously consumes the perfusion liquid, in the filling process, an upper limit value can be set as a comparison standard, the allowance in the perfusion liquid tank after single filling is detected in real time, the recommended clearing amount is calculated, and when the recommended clearing amount is smaller than the upper limit value, half-bin filling of the primary mixing bin is performed again; and when the recommended clearing amount is larger than the upper limit value, stopping filling, and judging that filling is finished.
It can be understood that, half storehouse mixes, and the stirring dynamics can set up great, is favorable to fast, all with mix, forms the perfusion liquid.
In the embodiment of the invention, after filling is completed, the request of the next killing pool for entering the perfusion state can be responded again.
It can be understood that the upper limit value can be formulated according to the total number of the killing pools, and the upper limit value can be a multiple of the total number of the killing pools so as to meet the actual perfusion requirement of the endoscope center; the lack of flow warning comprises flashing of an indicator light and voice broadcasting.
In an embodiment of the present invention, after entering the liquid adding state, the step S12 specifically includes:
and predefining a theoretical proportion, namely the theoretical proportion of the mother liquor and the diluent, and mixing the mother liquor and the diluent according to the theoretical proportion to form the perfusion fluid.
Predefining an error range; an allowable error range is set to limit an error between the injection amount of the mother liquid and the injection amount of the diluent within the allowable range.
Detecting the mother liquor flow in the mother liquor pipeline in unit time, and detecting the dilution flow in the dilution pipeline in unit time; and acquiring the flow in the mother liquor pipeline and the flow in the dilution pipeline in unit time, wherein the flow is related to the inner diameter of the pipeline and the flowing speed of liquid.
Calculating the actual proportion of the mother liquor and the diluent in the unit time, calculating the difference value between the actual proportion and the theoretical proportion, and judging whether the difference value falls within the error range:
if the error range is within, directly and uniformly mixing; the proportion is proper, and the uniform mixing can be directly carried out.
If the error value does not belong to the error range, calculating a compensation amount according to the error value, and uniformly mixing after compensation; when the proportion is not suitable, a large shortage exists in one party, and the compensation amount can be calculated according to the error value, so that the targeted compensation is made, and after the compensation is made, the uniform mixing is carried out.
Step S103: when the liquid level in the tank rises to the standard liquid level, the drainage pipeline is started, and the drainage quantity of the drainage pipeline is adjusted according to the inflow quantity of the perfusion pipeline, so that the perfusion liquid in the tank is dynamically circulated for a standard time.
In the embodiment of the invention, the inner cavity of the endoscope needs to be sterilized, the outer surface of the endoscope also needs to be filled with a certain perfusion liquid, so that the outer surface of the endoscope can be completely soaked in the perfusion liquid, a drainage pipeline can be arranged for preventing the perfusion liquid from overflowing, the perfusion liquid in the sterilization tank is continuously discharged, and when the discharge amount is the same as the inlet amount, the perfusion liquid in the sterilization tank is in dynamic circulation.
In the embodiment of the invention, the dynamic circulation of the perfusion liquid in the disinfection tank specifically comprises the following steps:
predefining a standard liquid level, and marking a basic submerging liquid level in the sterilizing pool, so that an endoscope can be completely submerged; different standard liquid levels can be set according to different endoscopes, or a covering type unified submerged liquid level can be set.
The standard time is predefined, and the corresponding killing time is formulated according to the components of the perfusion liquid, so that the method can be suitable for the buried killing standard and the flushing type killing standard.
Pre-defining standard flow; the basic flow of the perfusion liquid for generating the flushing and sterilizing effects can be limited according to the inner diameter of the pipeline and the flow rate of the liquid.
Detecting the total inflow rate of the perfusion pipeline in unit time, and judging whether the total inflow rate is smaller than the standard flow rate:
if the total inflow is smaller than the standard flow, initiating a delay warning to prompt that the current flow in the disinfection pool is smaller for a worker, and suggesting maintenance; the total input flow has certain defects, the flow is too small to meet the killing standard, and the corresponding killing effect cannot be achieved. And a delay warning can be sent to indicate that the perfusion is continuously carried out at the current total inflow, the required time is long, the sterilization standard does not reach the standard, and a worker needs to intervene to overhaul or replace the sterilization pool. It will be appreciated that the total inflow may be zero, in a flow cutoff condition; the filling effect and the flow rate of the perfusion liquid do not reach the standard, and the sterilization at the moment is not qualified.
If the total inflow is not less than the standard flow, continuing to perform filling perfusion of the current killing pool; the total inflow rate is up to the standard, and perfusion can be normally carried out. The perfusion liquid can be rapidly accumulated in the disinfection tank, so that the liquid level in the disinfection tank reaches a standard liquid level, and the process can be defined as filling perfusion.
Detecting the killing liquid level in the killing tank, finishing filling perfusion when the killing liquid level reaches the standard liquid level, starting a drainage pipeline, and keeping the opening state of the perfusion pipeline; and detecting the liquid level of the killing pool in real time, defining the liquid level as a killing liquid level, finishing filling and perfusion when the killing liquid level reaches a standard liquid level, and entering a dynamic circulation stage. And (5) opening the drainage pipeline and simultaneously keeping the perfusion state of the perfusion pipeline.
Detecting the flow rate of the perfusion liquid of the perfusion pipeline, and adjusting the drainage speed of the drainage pipeline in real time according to the flow rate to enable the perfusion liquid in the sterilizing tank to be in dynamic circulation; the water discharge and inflow are adjusted to be the same, so that dynamic circulation of the perfusion liquid can be formed in the sterilizing pool.
It is understood that the duration of the dynamic cycle may be a standard time to complete the criteria for a flood kill. The inner diameters of the perfusion pipelines and the drainage pipelines are the same, so that only the flow rates of the perfusion pipelines and the drainage pipelines are detected, the flow rate of the drainage pipelines is adjusted, the quantity of influencing variables is controlled, and errors are reduced.
In the embodiment of the invention, after the duration time of the dynamic circulation is detected to reach the standard time, the perfusion liquid in the current disinfection tank is emptied, and the connection between the perfusion pipeline and the cavity channel is disconnected.
Specifically, when the perfusion liquid in the disinfection tank is in a dynamic circulation process, the duration time of the dynamic circulation is detected, and after the duration time reaches the standard time, the perfusion liquid in the tank is drained, and the connection between a perfusion pipeline and a cavity channel is disconnected.
It can be understood that the perfusion liquid in the disinfection tank, the perfusion liquid in the endoscope cavity, the perfusion liquid in the perfusion pipeline and the drainage pipeline are all emptied. The connection between the perfusion pipeline and the cavity interface is not disconnected, the valve of the perfusion pipeline is closed, the perfusion liquid is not conveyed, air conveying is carried out, after continuous bubbles are discharged from the long catheter port of the endoscope, the perfusion liquid in the endoscope cavity is considered to be completely emptied, and the endoscope is taken out to carry out the next operation; and then, opening a drain valve of the sterilizing tank, discharging the perfusion liquid in the sterilizing tank through the drain valve and a drainage pipeline together, and automatically draining the perfusion liquid in the drainage pipeline after the discharge of the perfusion liquid in the sterilizing tank is finished.
Step S104: during the duration of the dynamic cycle, a shut down alarm is issued when a stop of the dynamic cycle is detected.
In the embodiment of the invention, the flow rates of the perfusion pipeline and the drainage pipeline are dynamically followed in the duration of dynamic circulation, and once a fault occurs, the dynamic circulation is destroyed, which can be regarded as dynamic circulation stagnation, and at this time, the liquid level in the disinfection tank may be lowered or raised. When the temperature is reduced, the endoscope is easily exposed out of the liquid level and does not meet the disinfection requirement; when the height of the patient is increased, the perfusion liquid is easy to overflow, so that the environment is polluted and potential safety hazards are caused.
In the embodiment of the invention, when the perfusion liquid in the sterilizing tank is in the dynamic circulation process, when any one of the following conditions is detected: the perfusion pipeline is cut off, the drainage pipeline is cut off, the perfusion pipeline and the drainage pipeline are both cut off, and the flow difference exists between the perfusion pipeline and the drainage pipeline; the dynamic circulation of the current disinfection tank is considered to be stopped, a cutoff alarm is sent out, a worker is warned that the perfusion liquid in the current disinfection tank is cut off, and the worker overhauls or replaces the disinfection tank to carry out perfusion again.
It can be understood that, when the flow rates in the perfusion pipeline and the drainage pipeline are less than the standard flow rate, the current pipeline is considered to be in a cutoff state, and the flow rate of the perfusion liquid in the current pipeline is not enough to complete sterilization meeting the standard, so that pollution residue and cross infection can be caused.
It is understood that the shut off alarm includes flashing of an indicator light, and voice broadcast.
Example two:
according to a second aspect of the invention, an alarm system for manually cleaning perfusion of a soft endoscope is provided. As shown in fig. 2, a block diagram of an alarm system for manually cleaning perfusion in a soft endoscope is shown, which includes:
perfusion start module 11: the device is used for controlling the disinfection tank to enter a perfusion state and is manually controlled by workers. A starting button can be arranged for each disinfection pool, each button independently controls one disinfection pool, and after the perfusion pipeline is connected with the endoscope, the perfusion of the disinfection pool is manually started by a worker.
A flow-lacking liquid adding module 12: obtaining the residual amount of the current perfusion liquid, outputting a recommended clearing amount according to an endoscope in a killing pool, sending a current shortage warning when detecting that the recommended clearing amount is smaller than the lower limit value of the residual amount, entering an automatic liquid adding state, and responding to the request of entering the perfusion state of the next killing pool after completing automatic liquid adding. A liquid level sensor may be provided in the perfusion liquid tank for detecting the residual amount of perfusion liquid.
Perfusion circulation module 13: when the liquid level in the tank rises to the standard liquid level, starting the drainage pipeline, and adjusting the drainage quantity of the drainage pipeline according to the inflow quantity of the perfusion pipeline, so that the perfusion liquid in the tank is dynamically circulated for a standard time. A liquid level sensor can be arranged in the sterilizing tank to detect the liquid level in the sterilizing tank in real time and compare the liquid level with a standard liquid level; further, a trigger can be arranged at the standard liquid level, and when the liquid level reaches the standard liquid level, the trigger is triggered to generate an electric signal, so that the current liquid level in the sterilizing tank is judged to reach the standard liquid level. Flowmeters can be arranged on both the perfusion pipeline and the drainage pipeline, the flow of the drainage pipeline is adjusted according to the flow of the perfusion pipeline, and the liquid level in the disinfection tank is controlled to be kept within a certain height range, so that dynamic circulation is formed.
Cutoff alarm module 14: issuing a shut-off alarm when the dynamic loop is detected to be stalled during the duration of the dynamic loop. The storage amount of the perfusion liquid in the sterilizing tank can be calculated through flowmeters on the perfusion pipeline and the drainage pipeline, the dynamic circulation state is judged by matching with the liquid level change feedback in the sterilizing tank, and when the dynamic circulation stops, an alarm is given out. It is understood that the alarm mode can be various, and can include an indicator light, a voice announcer, a buzzer and the like.
It can be understood that the apparatuses provided in the embodiments of the present invention are all applicable to the method described in the first embodiment, and specific functions of each module may refer to the above method flow, which is not described in detail herein.
Example three:
the electronic device provided by the embodiment of the invention is used for realizing the method in the first embodiment. Fig. 3 is a schematic physical structure diagram of an electronic device according to an embodiment of the present invention. The electronic device may include: the system comprises at least one central processing unit, at least one network interface, a control interface, a memory and at least one communication bus.
The communication bus is used for realizing connection communication and information interaction among the components.
The network interface may optionally include a standard wired interface, a wireless interface (such as a Wi-Fi interface).
The control interface is used for outputting control operation according to the program instruction.
The central processor may include one or more processing cores. The central processor connects various parts within the overall terminal using various interfaces and lines, performs various functions of the terminal and processes data according to the method described in the first embodiment by executing or executing instructions, programs, code sets, or instruction sets stored in the memory, and calling data stored in the memory.
The Memory may include a Random Access Memory (RAM) or a Read-Only Memory (Read-Only Memory). Optionally, the memory includes a non-transitory computer-readable medium. The memory may be used to store an instruction, a program, code, a set of codes, or a set of instructions. The memory may include a program storage area and a data storage area, wherein the program storage area may store instructions for implementing an operating system, instructions for at least one function (such as a touch function, an indicator light flashing function, a voice playing function, etc.), instructions for implementing the above-described method embodiments, and the like; the storage data area may store data and the like referred to in the above respective method embodiments.
The memory may optionally be at least one storage device located remotely from the central processing unit, as shown in fig. 3, and the memory, which is a computer storage medium, may include an operating system, a network communication module, a control interface module, and a liquid level detection program.
The invention also provides a computer-readable storage medium, on which a computer program is stored which, when being executed by a processor, carries out the method of one embodiment. The computer-readable storage medium may include, but is not limited to, any type of disk including floppy disks, optical disks, DVD, CD-ROMs, microdrive, and magneto-optical disks, ROMs, RAMs, EPROMs, EEPROMs, DRAMs, VRAMs, flash memory devices, magnetic or optical cards, nanosystems (including molecular memory ICs), or any type of media or device suitable for storing instructions and/or data.
It should be noted that for simplicity of description, the above-mentioned method embodiments are shown as a series of combinations of acts, but those skilled in the art will recognize that the present invention is not limited by the order of acts, as some steps may occur in other orders or concurrently in accordance with the invention. Further, those skilled in the art will appreciate that the embodiments described in this specification are presently preferred and that no acts or modules are required by the invention.
In the foregoing embodiments, the descriptions of the respective embodiments have respective emphasis, and for parts that are not described in detail in a certain embodiment, reference may be made to related descriptions of other embodiments.
In the embodiments provided in the present invention, it should be understood that the disclosed apparatus can be implemented in other manners. For example, the above-described embodiments of the apparatus are merely illustrative, and for example, the division of the units is only one type of division of logical functions, and there may be other divisions when actually implementing, for example, a plurality of units or components may be combined or may be integrated into another system, or some features may be omitted, or not implemented. In addition, the shown or discussed mutual coupling or direct coupling or communication connection may be an indirect coupling or communication connection of some service interfaces, devices or units, and may be an electrical or other form.
The units described as separate parts may or may not be physically separate, and parts displayed as units may or may not be physical units, may be located in one place, or may be distributed on a plurality of network units. Some or all of the units can be selected according to actual needs to achieve the purpose of the solution of the embodiment. In addition, functional units in the embodiments of the present invention may be integrated into one processing unit, or each unit may exist alone physically, or two or more units are integrated into one unit. The integrated unit can be realized in a form of hardware, and can also be realized in a form of a software functional unit.
The integrated unit, if implemented in the form of a software functional unit and sold or used as a stand-alone product, may be stored in a computer readable memory. Based on such understanding, the technical solution of the present invention may be embodied in the form of a software product, which is stored in a memory and includes several instructions for causing a computer device (which may be a personal computer, a server, a network device, or the like) to execute all or part of the steps of the method according to the embodiments of the present invention. And the aforementioned memory comprises: various media capable of storing program codes, such as a usb disk, a Read-Only Memory (ROM), a Random Access Memory (RAM), a removable hard disk, a magnetic disk, or an optical disk.
Those skilled in the art will appreciate that all or part of the steps in the methods of the above embodiments may be implemented by a program, which is stored in a computer-readable memory, and the memory may include: flash disks, Read-Only memories (ROMs), Random Access Memories (RAMs), magnetic or optical disks, and the like.
The above description is only an exemplary embodiment of the present invention, and the scope of the present invention should not be limited thereby. That is, all equivalent changes and modifications made in accordance with the teachings of the present invention are intended to be included within the scope of the present invention. Other embodiments of the invention will be apparent to those skilled in the art from consideration of the specification and practice of the examples disclosed herein. This application is intended to cover any variations, uses, or adaptations of the invention following, in general, the principles of the invention and including such departures from the present disclosure as come within known or customary practice within the art to which the invention pertains. It is intended that the specification and examples be considered as exemplary only, with a true scope and spirit of the invention being indicated by the following claims.

Claims (10)

1. An alarm method for manually cleaning perfusion of a soft endoscope is characterized by comprising the following steps:
connecting the interfaces of the perfusion pipelines with the cavity interfaces one by one, and manually starting perfusion by a worker to enter a perfusion state;
acquiring the residual amount of the current perfusion liquid, outputting a recommended clearing amount according to an endoscope in a killing pool, sending a current shortage warning when detecting that the recommended clearing amount is smaller than the lower limit value of the residual amount, entering an automatic liquid adding state, and responding to the request of entering the perfusion state of the next killing pool after completing automatic liquid adding;
when the liquid level in the tank rises to a standard liquid level, starting a drainage pipeline, and adjusting the drainage quantity of the drainage pipeline according to the inflow quantity of the perfusion pipeline so as to dynamically circulate the perfusion liquid in the tank for a standard time;
during the duration of the dynamic cycle, a shut down alarm is issued when the dynamic cycle stall is detected.
2. The method for alarming manual cleaning of perfusion by a soft endoscope as claimed in claim 1, wherein the interfaces of the perfusion pipelines are connected with the interfaces of the lumens one by one, and perfusion is started manually by a worker to enter a perfusion state, specifically comprising:
the perfusion pipeline at least comprises a main pipeline, and the main pipeline is provided with a plurality of branch pipes according to each cavity channel on the endoscope; the end part of the branch pipe is provided with an inner interface according to the outer interface of the corresponding cavity channel;
connecting the inner interfaces of the branch pipes with the outer interfaces of the corresponding cavity channels in a one-to-one correspondence manner, so that the perfusion liquid in the branch pipes can enter the corresponding cavity channels;
the perfusion liquid in each cavity channel can only be converged to flow to a long catheter of the endoscope and is discharged out of the endoscope, so that the internal structure which is internally connected is cleaned and sterilized in all directions;
after the connection of the perfusion pipeline and the endoscope is finished, the endoscope is placed in a disinfection tank, the perfusion start of the disinfection tank is controlled by a worker to perfuse the endoscope, and the disinfection tank enters a perfusion state.
3. The method for alarming manual cleaning perfusion of a soft endoscope according to claim 1, further comprising a mother liquor self-check before entering a perfusion state, wherein the mother liquor self-check specifically comprises:
predefining a lower limit liquid level and an upper limit liquid level;
obtaining an initial liquid level of mother liquor in perfusion equipment, and judging whether the initial liquid level is above a lower limit liquid level:
if the initial liquid level is higher than the lower limit liquid level, starting operation of a worker is waited, and the perfusion state is directly entered;
if the initial liquid level is lower than the lower limit liquid level, an enzyme adding warning is directly sent out, and an enzyme adding operation can be carried out by a worker;
detecting the current liquid level of the mother liquor in the enzyme adding operation process, and sending an enzyme full prompt to prompt a worker that the enzyme adding is finished when the current liquid level is detected to reach the upper limit liquid level;
the enzyme adding warning and the enzyme full prompt comprise voice broadcasting and indicator light flashing.
4. The method for alarming manual cleaning perfusion of the soft endoscope according to claim 3, wherein the method comprises the steps of obtaining the current surplus of the perfusion liquid, recommending the clearing amount according to the endoscope output in the disinfection tank, sending a lack-flow warning when detecting that the recommended clearing amount is smaller than the lower limit value of the surplus, entering an automatic liquid feeding state, and responding to the request of the next disinfection tank for entering the perfusion state after completing the automatic liquid feeding, and specifically comprises the steps of:
pre-defining a standard perfusion value;
after the perfusion pipelines perfuse each cavity of the endoscope, detecting the residual amount of the current perfusion liquid, and calculating the recommended clearing amount of the residual amount according to the standard perfusion value so as to help the staff to estimate the clearing amount of the endoscope;
the lower limit value is set according to the using number of the killing pools in the perfusion state, and whether the recommended clearing amount is smaller than the lower limit value is judged:
if the recommended clearing amount is not less than the lower limit value, normal perfusion in each current disinfection pool is continued;
if the recommended clearing amount is smaller than the lower limit value, sending a current shortage warning to remind a worker that the surplus of the perfusion liquid is insufficient, and automatically entering a liquid adding state;
the liquid adding state specifically comprises:
s11: the request of the next killing pool entering the perfusion state is not responded any more, and the perfusion operation of the killing pool in the current perfusion state is continuously executed;
s12: opening a mother liquor pipeline, opening a dilution pipeline, conveying the mother liquor in the mother liquor pipeline and the diluent in the dilution pipeline into a mixing bin according to a ratio to a half-bin state, and uniformly mixing to form the perfusion liquid;
s13: conveying the perfusion liquid into a perfusion liquid tank, detecting the residual amount of the perfusion liquid in the perfusion liquid tank, calculating recommended clearing amount, and judging whether the recommended clearing amount is larger than the upper limit value of the residual amount;
s14: if the recommended clearing amount is smaller than the upper limit value, returning to the step S12; if the recommended extinction amount is greater than the upper limit value, executing step S15;
s15: closing the mother liquor pipeline and the dilution pipeline, and responding to the request of the next disinfection tank for entering a perfusion state again;
the upper limit value is formulated according to the total number of the killing pools, and the flow lacking warning comprises indicator light flickering and voice broadcasting.
5. The method for alarming manual cleaning and perfusion of a soft endoscope according to claim 4, wherein the step S12 specifically comprises:
predefining a theoretical proportion and an error range;
detecting the mother liquor flow in the mother liquor pipeline in unit time, and detecting the dilution flow in the dilution pipeline in unit time;
calculating the actual proportion of the mother liquor and the diluent in the unit time, calculating the difference value between the actual proportion and the theoretical proportion, and judging whether the difference value falls within the error range:
if the error range is within, directly and uniformly mixing;
if the error value does not fall within the error range, calculating the compensation amount according to the error value, and uniformly mixing after compensation.
6. The method for alarming of manual cleaning perfusion of a soft endoscope according to claim 1, wherein,
when the liquid level in the pond rises to standard liquid level, start drainage pipe, according to the inflow adjustment of perfusion pipeline drainage pipe for perfusion liquid dynamic circulation in the pond, dynamic circulation's a standard time that lasts specifically includes:
predefining standard liquid level, predefining standard time and predefining standard flow;
detecting the total inflow rate of the perfusion pipeline in unit time, and judging whether the total inflow rate is smaller than the standard flow rate:
if the total inflow is smaller than the standard flow, initiating a delay warning to prompt that the current flow in the sterilizing pool is smaller for a worker, and suggesting to overhaul;
if the total inflow is not less than the standard flow, continuing to perform filling perfusion of the current killing pool;
detecting a killing liquid level in the killing pool, finishing filling perfusion when the killing liquid level reaches the standard liquid level, starting a drainage pipeline, and keeping the opening state of the perfusion pipeline;
detecting the flow rate of the perfusion liquid in the perfusion pipeline, and adjusting the drainage speed of the drainage pipeline in real time according to the flow rate to ensure that the perfusion liquid in the disinfection tank is in dynamic circulation;
the duration time of the dynamic circulation is standard time, and the inner diameters of the perfusion pipeline and the drainage pipeline are the same;
and when the duration of the dynamic circulation reaches the standard time, draining the perfusion liquid in the current disinfection tank, and disconnecting the perfusion pipeline from the cavity channel.
7. The method for alarming manual soft endoscope cleaning perfusion according to claim 6, wherein during the dynamic circulation, when the dynamic circulation stagnation is detected, a cutoff alarm is issued, and the method specifically comprises:
when the perfusion liquid in the disinfection pond is in a dynamic circulation process, when any one of the following conditions is detected: the perfusion pipeline is cut off, the drainage pipeline is cut off, the perfusion pipeline and the drainage pipeline are both cut off, and the flow difference exists between the perfusion pipeline and the drainage pipeline; the dynamic circulation of the current disinfection pool is considered to be stopped, a cutoff alarm is sent out, a worker is warned that the perfusion liquid in the current disinfection pool has cutoff, and the worker overhauls or replaces the disinfection pool to carry out perfusion again;
the cutoff alarm comprises flashing of an indicator light and voice broadcasting.
8. The utility model provides an alarm system of manual washing perfusion of soft scope which characterized in that includes:
perfusion starting module: the disinfection tank is used for controlling the disinfection tank to enter a perfusion state and is manually controlled by a worker;
a flow-lacking liquid adding module: obtaining the residual amount of the current perfusion liquid, outputting a recommended clearing amount according to an endoscope in a killing pool, sending a current shortage warning when detecting that the recommended clearing amount is smaller than the lower limit value of the residual amount, entering an automatic liquid adding state, and responding to the request of entering the perfusion state of the next killing pool after completing automatic liquid adding;
a perfusion circulation module: when the liquid level in the tank rises to a standard liquid level, starting a drainage pipeline, and adjusting the drainage quantity of the drainage pipeline according to the inflow quantity of the perfusion pipeline, so that the perfusion liquid in the tank is dynamically circulated for a standard time;
cutoff alarm module: issuing a shut-off alarm when the dynamic loop is detected to be stalled during the duration of the dynamic loop.
9. An electronic device comprising a memory, a processor and a computer program stored on the memory and executable on the processor, wherein the processor when executing the computer program implements the steps of the method for alarming a manual perfusion cleaning of a soft endoscope according to any one of the claims 1 to 7.
10. A computer-readable storage medium, on which a computer program is stored, which, when being executed by a processor, carries out the steps of a method for alarming a manual cleaning perfusion of a soft endoscope according to any one of claims 1 to 7.
CN202110204348.2A 2021-02-24 2021-02-24 Alarm system and method for manual cleaning and perfusion of soft endoscope Active CN112891592B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202110204348.2A CN112891592B (en) 2021-02-24 2021-02-24 Alarm system and method for manual cleaning and perfusion of soft endoscope

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202110204348.2A CN112891592B (en) 2021-02-24 2021-02-24 Alarm system and method for manual cleaning and perfusion of soft endoscope

Publications (2)

Publication Number Publication Date
CN112891592A CN112891592A (en) 2021-06-04
CN112891592B true CN112891592B (en) 2022-09-23

Family

ID=76106897

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202110204348.2A Active CN112891592B (en) 2021-02-24 2021-02-24 Alarm system and method for manual cleaning and perfusion of soft endoscope

Country Status (1)

Country Link
CN (1) CN112891592B (en)

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2008173399A (en) * 2007-01-22 2008-07-31 Olympus Medical Systems Corp Endoscope cleaning/disinfection device
CN206239768U (en) * 2016-08-31 2017-06-13 四川大学华西第二医院 A kind of decontamination system
CN210931305U (en) * 2019-07-12 2020-07-07 谢奕 Gastroenterology scope belt cleaning device

Family Cites Families (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP4700397B2 (en) * 2005-04-25 2011-06-15 オリンパスメディカルシステムズ株式会社 Endoscope cleaning and disinfection device
JP4989291B2 (en) * 2007-04-26 2012-08-01 オリンパスメディカルシステムズ株式会社 Endoscope cleaning disinfection device
CN204817367U (en) * 2015-05-29 2015-12-02 宁波市合坤工业设计有限公司 Lumen class medical instrument dual perfusion belt cleaning device that circulates
CN205849846U (en) * 2016-06-08 2017-01-04 山东新华医疗器械股份有限公司 A kind of soft endoscope cleaning decontaminating apparatus
CN106729830A (en) * 2017-01-18 2017-05-31 柳州市人民医院 Endoscope cleaning sterilization method
CN209061703U (en) * 2018-07-25 2019-07-05 南京赛麦尔维斯医疗科技有限公司 A kind of soft endoscope cleaning machine
CN209303376U (en) * 2018-12-25 2019-08-27 广州奥立医疗设备有限公司 A kind of cleaning pipe-line system of sterilizing endoscope machine
CN212442239U (en) * 2019-12-19 2021-02-02 山东威高宏瑞医学科技有限公司 Full-perfusion intelligent monitoring system of full-automatic endoscope cleaning and disinfecting equipment

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2008173399A (en) * 2007-01-22 2008-07-31 Olympus Medical Systems Corp Endoscope cleaning/disinfection device
CN206239768U (en) * 2016-08-31 2017-06-13 四川大学华西第二医院 A kind of decontamination system
CN210931305U (en) * 2019-07-12 2020-07-07 谢奕 Gastroenterology scope belt cleaning device

Also Published As

Publication number Publication date
CN112891592A (en) 2021-06-04

Similar Documents

Publication Publication Date Title
CN204211975U (en) Washing machine
JP3905954B2 (en) Disinfection method of dialysis machine
CN201952271U (en) Intelligent water treatment device
AU2017239616B2 (en) Dynamic disinfectant dosage with concentrate degradation compensation
JP2017169779A (en) Dissolution apparatus
CN112891592B (en) Alarm system and method for manual cleaning and perfusion of soft endoscope
CN215327490U (en) Automatic cleaning and sterilizing device of water treatment system
CN201309865Y (en) Full-automatic agent-feeding device
US20090020142A1 (en) Method of rinsing endoscopes
CN215439819U (en) Online acid dip pickle of aerator
CN209276213U (en) A kind of medical sewage disposal device with from drain function
CN207209983U (en) The emergency automatic medicine adding apparatus of the cold outer cold water of Converter Station Valve based on water quality monitoring
CN112244716A (en) Dish washing machine, control method and device of dish washing machine and readable storage medium
JP6022095B1 (en) Cleaning method for piping for additional cooking
CN216997710U (en) Device for automatically proportioning and adding liquid medicament
CN205108513U (en) Liquid machine is joined in marriage to dislysate
JP2009293861A (en) Device for determining completion of bathtub drainage
CN218579781U (en) Medicine adding equipment for disinfection, sterilization, peculiar smell removal and scale inhibition
CN217938801U (en) Cleaning, disinfecting and flushing device for wound
CN220425030U (en) Quantitative proportioning system for liquid medicine
CN214629010U (en) Automatic hoof bath device
CN212693336U (en) Seawater collection system
RU217387U1 (en) Device for disinfection of endoscopes
CN216155684U (en) Hemodialysis of host computer disinfection with water preparation equipment of can heating
CN214693444U (en) Disinfection powder dissolves measurement and adds feeder apparatus

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant
EE01 Entry into force of recordation of patent licensing contract

Application publication date: 20210604

Assignee: Hangzhou Yiyue Technology Co.,Ltd.

Assignor: ZHEJIANG University

Contract record no.: X2023980042210

Denomination of invention: An alarm system and method for manual cleaning and perfusion of soft endoscopes

Granted publication date: 20220923

License type: Common License

Record date: 20230922

EE01 Entry into force of recordation of patent licensing contract