胡玉琴刘红松黄天翊陈肖敏



一种自设计漏电检测仪在杆状腔镜器械漏电检测中的应用*

胡玉琴①刘红松①黄天翊①陈肖敏②*

［摘要］目的：设计一种检测腔镜杆状器械漏电的装置，以有效解决因腔镜器械漏电造成的脏器副损伤问题。方法：在专利技术的基础上设计漏电检测仪，实现杆状腔镜手术器械漏电检测与漏电点精确检测，并对2013-2015年期间医院手术腔镜器械进行检测验证。结果：应用漏电检测仪检测6500余件腔镜器械，检测出1138件绝缘层破裂漏电器械，检出率为17.5%，有效降低了腔镜手术器械漏电原因造成的脏器副损伤的发生。结论：新型杆状腔镜器械漏电检测仪具有有效性和实用性，为手术以及器械安全管理与维护提供了检测器具，具有技术推广价值，可为建立腔镜器械使用追溯系统、实现腔镜器械闭环管理打下基础。

［关键词］腔镜手术；漏电检测；杆状腔镜器械；绝缘失败；风险控制

胡玉琴，女，（1970- ），本科学历，主任护师。湖州市中心医院手术室，从事手术室护理工作。

China Medical Equipment，2016，13（5）:12-14.

［Abstract］ Objective: To design a device for detecting laparoscopic equipment electric leakage is to prevent the secondary viscera injury from electric leakage of laparoscopic equipment.

Methods: On the basis of patent technology， the new detector was designed to detect the electric leakage of laparoscopic instrument accurately for leakage detection and leakage point of rod-shaped endoscopic devices. And surgical endoscopic equipments were tested by the new detector in the hospital between 2013 and 2015. Results: We tested over 6500 pieces of laparoscopic instruments by the electric leakage detector and found 1138 pieces of laparoscopic instruments due to insulation cracking. The detection rate was 17.5%. This new device could reduce the electric leakage of surgical laparoscopic instruments to avoided secondary viscera injury significantly. Conclusion: It is effective and practical for operation and safety management and maintenance of surgical laparoscopic instruments. This device could set up the base for establishment of tracing system of endoscopic instrument to achieve closed-loop management of endoscopic equipment. It’s worth to being popularized.

［First-author’s address］ Operating Room， Huzhou Center Hospital， Huzhou， Zhejiang 313000， China.

腹腔镜手术由于其切口小、损伤轻、术后恢复快、手术效果可靠以及住院时间短等优势得到越来越多的青睐［1］。杆状腔镜器械作为手术必用用物，其使用频率高，损耗速度快导致其发生漏电的可能性增大。腔镜器械漏电发生的原因包括直接电损伤、绝缘层破裂、电容耦合及直接耦合，其中绝缘层破裂导致绝缘失败引发患者电损伤最为常见［2］。而此类电损伤一旦发生，不仅给患者带来不必要的痛苦，而且也会引起医疗纠纷，给医院带来一定的经济损失，如何避免因绝缘失败造成手术患者电损伤已经得到广大医务人员的重视。……