医用电子内窥镜故障问题分析及预防性管理  

Analysis of faults in medical electronic endoscopes and preventive management

作　　者：罗志才 储晓阳[2] 柏彭开 陈善琼[1] Luo Zhicai;Chu Xiaoyang;Bai Pengkai;Chen Shanqiong(Department of Medical Equipment,Affi liated Hospital of Youjiang Medical University for Nationalities,Baise 533000,China;Department of Medical Engineering,The Second Affi liated Hospital of Guangxi Medical University,Naning 530000,China)

机构地区：[1]右江民族医学院附属医院医疗设备科,百色533000 [2]广西医科大学第二附属医院医学工程部,南宁530000

出　　处：《现代仪器与医疗》2024年第5期50-57,共8页Modern Instruments & Medical Treatment

基　　金：2021年广西医疗卫生适宜技术开发与推广应用项目(S2021113)。

摘　　要：医用电子内窥镜作为精密昂贵的医疗设备,使用维护技术要求高、难度大。文章从内窥镜的结构原理出发,分享3例医用电子内窥镜故障,并对电子内窥镜常见故障和维修费用进行归纳。研究发现,随机抽取81次分析,大修比例达55.56%,人为引起故障大修达到97.78%,小修44.44%,人为引起故障大修达到83.33%。针对每项故障维修产生费用也不同,外观损坏29次,总费用695205.00元,平均费用23972.59元;漏液25次,总费用712410.00元,平均费用28496.40元;图像问题2次,总费用81126元,平均费用40563.00元;角度问题24次,总费用358130.33元,平均费用15570.87元;其他问题2次,总费用8694.00元,平均费用4347.00元。研究针对上述问题,制定相应的预防性维护方案,供同行参考。Medical endoscopes are precision and expensive medical equipment,with high technical requirements and diffi culty in maintenance and use.This article starts from the structure and principle of endoscope,and shares three examples of medical electronic endoscope failure.It also summarizes the common faults and repair costs of electronic endoscope.The study found the proportion of major repairs reached 55.56%,and the proportion of major repairs caused by human error reached 97.78%,while the proportion of minor repairs was 44.44%.The repair costs for each fault are also diff erent.The total cost of 29 cases of appearance damage was 695,205.00 yuan,with an average cost of 23,972.59 yuan;the total cost of 25 cases of leakage was 712,410.00 yuan,with an average cost of 28,496.40 yuan;the total cost of 2 cases of image problems was 81,126.00 yuan,with an average cost of 40,563.00 yuan;the total cost of 24 cases of angle problems was 358,130.33 yuan,with an average cost of 15,570.87 yuan;the total cost of 2 cases of other problems was 8,694.00 yuan,with an average cost of 4,347.00 yuan.The study proposes corresponding preventive maintenance solutions for these problems,which can be used as a reference for peers.

关 键 词：医用电子内窥镜 内窥镜结构原理 内窥镜故障分析 内窥镜预防性管理 内窥镜钳子管道 

分 类 号：TH77[机械工程—仪器科学与技术] R197.39[机械工程—精密仪器及机械]