Research progress on cleaning quality control of Da Vinci surgical robot system

doi:10.3761/j.issn.0254-1769.2024.10.013

Abstract

Abstract:

With the continuous development of surgery，the amount of Da Vinci robot surgery has increased year by year，and Da Vinci robot has been widely used in the field of surgery. However，due to its structural characteristics，robot surgical instruments are difficult to clean after contamination，which poses a great challenge to the cleaning technology of nurses in central sterile supply department（CSSD）. At present，there are still some problems in the cleaning quality management of Da Vinci robotic surgical instruments，such as inadequate pre-treatment，non-standard manual cleaning process，and inconsistent cleaning quality evaluation methods，which bring great hidden dangers to patients’ medical safety. Therefore，scientific and effective cleaning quality control is very important to prevent nosocomial infection and ensure the life safety of patients.This paper reviews the cleaning process and quality control on Da Vinci robotic surgical instruments by consulting，screening，sorting and summarizing domestic and foreign relevant literature of the cleaning and management，and combining with the actual clinical work of the disinfection supply center，and aims to provide theoretical references for the formulation of guidelines and clinical practice for the personnel of CSSD.

Key words: Central Sterile Supply Department, Da Vinci Robot, Surgical System, Cleaning, Quality Control, Nursing Care

摘要：

随着外科手术技术的不断发展，达芬奇机器人手术量逐年增多，机器人手术器械被广泛应用于外科领域。此类器械因其结构特殊，污染后清洗难度大，给消毒供应中心护士的清洗技术提出了挑战。目前达芬奇机器人手术器械的清洗质量管理仍存在预处理不到位、手工清洗流程不规范、清洗质量评价方法不统一等问题，给患者医疗安全带来了隐患。科学、有效的清洗质量控制对预防医院感染和保障患者生命安全至关重要。该文通过查阅、筛选、整理和归纳国内外达芬奇机器人手术器械清洗质量管理的相关文献，并结合消毒供应中心临床实际工作对其清洗现状、质量控制进行综述，旨在为今后指南的制订和消毒供应中心人员的临床实践提供理论参考。

关键词: 消毒供应中心, 达芬奇机器人, 手术器械, 清洗, 质量控制, 护理

MENG Shanshan, YAO Zhuoya, GENG Junhui, LI Manchun, ZHAN Meng, DING Lina, YIN Yue, WANG Peixi. Research progress on cleaning quality control of Da Vinci surgical robot system[J]. Chinese Journal of Nursing, 2024, 59(10): 1241-1247.

孟闪闪, 姚卓娅, 耿军辉, 李漫春, 詹朦, 丁丽娜, 殷月, 王培席. 达芬奇机器人手术器械清洗质量控制的研究进展[J]. 中华护理杂志, 2024, 59(10): 1241-1247.

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