Tshiab Endoscopic stapler | Laparoscopic stapler

Disposable Laparoscopic Linear Cutter Stapler thiab Cheebtsam

I. Khoom npe, qauv, specification
Khoom npe: Disposable endoscopic linear txiav stapler thiab cov khoom
Qauv specification:Disposable endoscopic linear txiav staplerPESS35, PESS45, PESS60, PESM35, PESM45, PESM60, PESL35, PESL45, PESL60, PEPS35, PEPS45, PEPS60, PEPM35, PEPM45, PEPM60, PEPL40, PE
Disposable endoscopic linear txiav stapler Cheebtsam: PSGST35M, PSGST35W, PSGST35B, PSGST35D, PSGST35G, PSGST35T, PSGST45M, PSGST45W, PSGST45B, PSGST45D, PSGST45G, PSGST0 PSGST6, PSGST4 PSGST60T, PSGST60T, PSGST60T, PSGST60D, PSGST60B, PSGST35G , PSGST60D, PSGST60B PPEPR60D, PPEPR60G, PPEPR60T.
II.Khoom ua haujlwm
Lub stapler yuav tsum tau muab tso rau kom raug, cov khoom hloov pauv yuav tsum yooj yim, ruaj, thiab tsis muaj kev cuam tshuam, thiab yuav tsum muaj suab lossis lwm yam lus ceeb toom thaum cov khoom nyob hauv qhov chaw.Cov staples yuav tsum ruaj khov rau hauv lub rooj sib txoos, thiab cov staples yuav tsum tsis txhob raug rau ntawm qhov chaw ntawm lub staple cartridge tom qab shaken.Qhov qhib thiab kaw ntawm lub puab tsaig ntawm lub stapler yuav tsum yoog raws thiab yuav tsum tsis txhob muaj kev cuam tshuam.Kev sib koom ua ke thiab kev sib hloov qauv ntawm lub stapler yuav tsum hloov tau yooj yim thiab tsis muaj teeb meem.Kev sib txuas ntawm lub cev stapler thiab cov khoom yuav tsum ruaj khov thiab txhim khu kev qha.Tom qab lub stapler swings nws lub taub hau mus rau lub siab tshaj plaws lub kaum sab xis, nws muaj peev xwm ua tiav firing thiab pib dua.Muaj qee qhov clamping quab yuam tom qab lub puab tsaig ntawm lub stapler raug kaw, thiab lub zog clamping yuav tsum tsis pub tsawg dua 4N.Muaj qee qhov kaw quab yuam tom qab lub puab tsaig ntawm lub stapler raug kaw, thiab lub zog kaw yuav tsum tsis pub tsawg dua 30N.Nws muaj qee qhov kev ua haujlwm ib leeg.Lub stapler yuav tsum muaj qhov zoo stapling thiab txiav kev ua tau zoo.Cov khoom hloov pauv tuaj yeem siv rau ntau qhov txiav thiab stapling thiab tsis pub tsawg dua 8 zaug.Kev txiav ntug tom qab txhua qhov stapling yuav tsum zoo huv si thiab tsis muaj burrs, thiab qhov ntev ntawm qhov kawg ntawm txhua txoj kab stapling yuav tsum ntev dua li cov kab txiav Qhov ntev yuav tsum yog tsawg kawg yog 1.5 npaug ntawm tus ntsia thawv ntev, thiab cov staples tom qab txhua anastomosis. yuav tsum zoo li tus "B".Cov kab staple tom qab anastomosis yuav tsum muaj qee yam staple kab suture zog, thiab cov staple kab suture zog yuav tsum tsis txhob tsawg tshaj li 0.1N / hli.Lub stapler yuav tsum muaj cov txheej txheem firing tawm tswv yim ntaus ntawv uas tuaj yeem qhia txog cov txheej txheem tua lossis xwm txheej.
III.Main qauv
Disposable endoscopic linear txiav stapler thiab cov khoom siv yog tsim los ntawm lub cev thiab cov khoom siv, uas lub cev muaj lub taub hau, lub taub hau sib koom, pas nrig, rotary knob, hloov paddle, hniav kev taw qhia switching khawm, firing qhov taw qhia qhov rais, hniav kev taw qhia muaj xws li lub qhov rais qhia, ib lub khawm tso tawm, ib tug kov, ib tug kaw kov, ib tug tua hluav taws, ib tug txiav riam, thiab ib tug staple cartridge lub rooj zaum, lub rooj sib txoos yog tsim los ntawm ib tug staple cartridge thiab staples.
IV.Scope ntawm daim ntawv thov
Nws yog tsim rau resection, transection thiab anastomosis ntawm lub ntsws, bronchial ntaub so ntswg, plab thiab hnyuv nyob rau hauv qhib los yog endoscopic phais.

Saib daim duab 1, Daim duab 2, Table 1, thiab Table 2 rau cov hom thiab qhov loj me ntawm endoscopic linear txiav staplers thiab txiav cov khoom.

V. Khoom muag thiab qauv

1-Lub rooj zaum tiv thaiv, 2-Lub taub hau, 3-Qws;4 - Kev sib hloov khawm;5-Kev hloov paddle; 6-Hloov kev taw qhia khawm khawm;7-Firing indicator window;8- Hniav taw qhia qhov rais;9 - Tso khawm;10 - tuav; 11 - kaw tes;12 - tua phom;13 - txiav riam;14 - ntsia thawv daim cartridge

Daim duab 1 Lub cev ntawm linear txiav stapler rau pov tseg endoscopy

1-Txoj hlua khi 2-staple

Daim duab 2 Linear txiav stapler los ua ke rau pov tseg endoscope

Table 1 Qhov loj me ntawm lub cev

Table 1 Qhov loj me ntawm lub cev

Lus Cim: Cov khoom uas muaj qhov sib txuam ntev ntawm 35 tsuas yog siv tau rau lub cev nrog qhov sib txuam ntev ntawm 35, cov khoom uas muaj qhov sib txuam ntev ntawm 45 tsuas yog siv tau rau lub cev nrog qhov ntev ntawm 45, thiab cov khoom nrog Qhov sib txuam ntev ntawm 60 tsuas yog siv tau rau qhov sib txuam ntev Lub cev yog 60.

Table 2 Basic dimension unit ntawm Cheebtsam: mm

VI.Contraindications
1).Mob hnyav mucosal edema;
2).Nws yog txwv tsis pub siv cov cuab yeej no rau ntawm daim siab lossis tus po.Vim lub compressive zog ntawm cov ntaub so ntswg, kaw ntawm lub cuab yeej yuav muaj kev puas tsuaj;
3).Tsis tuaj yeem siv rau hauv qhov chaw uas tsis tuaj yeem soj ntsuam hemostasis;
4).Grey Cheebtsam tsis tuaj yeem siv rau cov ntaub so ntswg nrog lub thickness tsawg dua 0.75 hli tom qab compression los yog rau cov ntaub so ntswg uas tsis tuaj yeem raug compressed kom tuab ntawm 1.0 hli;
5).Cov khoom dawb tsis tuaj yeem siv rau cov ntaub so ntswg nrog lub thickness tsawg dua 0.8 hli tom qab compression los yog cov ntaub so ntswg uas tsis tuaj yeem raug compressed kom zoo rau lub thickness ntawm 1.2 hli;
6).Cov khoom siv xiav yuav tsum tsis txhob siv rau cov ntaub so ntswg uas tsawg dua 1.3 hli tuab tom qab compression los yog tsis tuaj yeem muab compressed kom zoo rau lub thickness ntawm 1.7 hli.
7).Cov khoom kub tsis tuaj yeem siv rau cov ntaub so ntswg nrog lub thickness tsawg dua 1.6 hli tom qab compression lossis cov ntaub so ntswg uas tsis tuaj yeem muab compressed kom zoo rau lub thickness ntawm 2.0 hli;
8).Cov tshuaj ntsuab yuav tsum tsis txhob siv rau cov ntaub so ntswg uas tsawg dua 1.8 hli tuab tom qab compression los yog tsis tuaj yeem muab compressed kom zoo rau lub thickness ntawm 2.2 hli.
9).Cov khoom siv dub yuav tsum tsis txhob siv rau cov ntaub so ntswg uas tsawg dua 2.0mm tuab tom qab compression los yog tsis tuaj yeem muab compressed kom zoo rau lub thickness ntawm 2.4mm.
10).Nws yog txwv tsis pub siv cov ntaub so ntswg ntawm lub aorta.

VII.Yuav siv li cas
Staple cartridge installation cov lus qhia:
1).Tshem tawm cov twj paj nruag thiab cov staple cartridge los ntawm lawv cov pob khoom raws li kev ua haujlwm aseptic;
2).Ua ntej loading lub staple cartridge, xyuas kom meej tias lub ntsuas nyob rau hauv ib tug qhib lub xeev;
3).Xyuas seb lub staple cartridge puas muaj lub hau npog tiv thaiv.Yog hais tias lub staple cartridge tsis muaj ib tug tiv thaiv npog, nws yog txwv tsis pub siv nws;
4).Txuas lub staple cartridge rau hauv qab ntawm lub puab tsaig staple cartridge lub rooj zaum, ntxig rau hauv ib qho zawv zawg kom txog thaum lub staple cartridge yog raws li tus bayonet, kho cov staple cartridge nyob rau hauv qhov chaw thiab tshem tawm cov ntaub thaiv npog.Lub sijhawm no, qhov ntsuas tau npaj rau hluav taws;(Faj seeb: Ua ntej lub staple cartridge raug ntsia rau hauv qhov chaw, thov tsis txhob tshem tawm cov staple cartridge tiv thaiv npog.)
5).Thaum unloading lub staple cartridge, thawb lub staple cartridge mus rau kev taw qhia ntawm tus ntsia thawv lub rooj kom tso tawm ntawm lub staple cartridge lub rooj;
6).Txhawm rau nruab ib daim cartridge tshiab, rov ua cov kauj ruam 1-4 saum toj no.

Intraoperative cov lus qhia:
1).Kaw qhov kaw, thiab lub suab ntawm "nias" qhia tias lub kaw lus kaw tau kaw lawm, thiab qhov occlusal nto ntawm lub staple cartridge yog nyob rau hauv lub xeev kaw;Lus Cim: Tsis txhob tuav lub tua hluav taws thaum lub sijhawm no
2).Thaum nkag mus rau hauv lub cev kab noj hniav los ntawm cannula los yog incision ntawm lub trocar, lub occlusal nto ntawm lub ntsuas yuav tsum dhau los ntawm lub cannula ua ntej lub occlusal nto ntawm lub staple cartridge yuav qhib;
3).Cov cuab yeej nkag mus rau hauv lub cev kab noj hniav, nias lub pob tso tawm, qhib qhov chaw occlusal ntawm qhov ntsuas, thiab rov pib dua qhov kov.
4).Tig lub pob qhov rooj nrog koj tus ntiv tes ntsuas kom tig, thiab nws tuaj yeem hloov kho 360 degrees;
5).Xaiv qhov chaw tsim nyog (xws li lub cev qauv, lub cev lossis lwm yam cuab yeej) raws li qhov chaw sib cuag, rub lub qhov hloov pauv rov qab nrog tus ntiv tes ntsuas, siv cov tshuaj tiv thaiv quab yuam nrog rau qhov chaw sib cuag los kho lub kaum sab xis, thiab xyuas kom meej tias lub staple cartridge yog nyob rau hauv lub tshav pob ntawm lub zeem muag.
6).Kho qhov chaw ntawm qhov ntsuas rau cov ntaub so ntswg kom anastomosed / txiav;
Nco tseg: Nco ntsoov tias cov ntaub so ntswg muab tso rau hauv nruab nrab ntawm qhov chaw occlusal, tsis muaj qhov cuam tshuam ntawm qhov chaw occlusal, xws li clips, brackets, coj cov xov hlau, thiab lwm yam, thiab txoj haujlwm tsim nyog.Zam kev txiav tsis tiav, ua tsis tau zoo staples, thiab / lossis tsis qhib qhov chaw occlusal ntawm qhov ntsuas.
7).Tom qab lub cuab yeej xaiv cov ntaub so ntswg kom anastomosed, kaw qhov kov kom txog thaum nws raug kaw thiab hnov ​​/ hnov ​​lub suab "nias";
8).Kev tua hluav taws.Siv "3 + 1" hom los ua tiav kev txiav thiab suturing ua haujlwm;"3": tuav lub tua phom tag nrho nrog kev txav mus los, thiab tso nws kom txog thaum nws haum rau qhov kaw.Nyob rau tib lub sijhawm, saib xyuas tias tus lej ntawm qhov ntsuas hluav taws xob yog "1" "Qhov no yog mob stroke, tus lej yuav nce los ntawm "1" nrog rau txhua tus mob stroke, tag nrho ntawm 3 strokes sib law liag, tom qab thib peb stroke, cov hniav. kev taw qhia qhov rais ntawm ob sab ntawm lub qhov rooj ruaj khov dawb yuav taw tes rau qhov kawg ntawm qhov ntsuas, qhia tias rab riam yog nyob rau hauv hom Rov qab, tuav thiab tso tus tua phom dua, qhov taw qhia qhov rai yuav pom 0, qhia tias riam tau rov qab mus rau nws txoj haujlwm pib;
9).Nias lub khawm tso tawm, qhib qhov chaw occlusal, thiab rov pib dua qhov kev tua phom ntawm qhov kov;
Nco tseg: Nias lub khawm tso tawm, yog tias qhov chaw occlusal tsis qhib, thawj zaug paub meej tias qhov ntsuas qhov rai qhia tau hais tias "0" thiab seb qhov kev taw qhia ntawm lub qhov rais yog taw tes rau sab sab ntawm lub ntsuas kom paub meej tias rab riam yog nyob rau hauv thawj zaug. txoj hauj lwm.Txwv tsis pub, koj yuav tsum tau thawb lub pob khawm hloov pauv kom thim rov qab cov kev taw qhia ntawm cov hniav, thiab tuav tag nrho cov tua hluav taws kom txog thaum nws haum rau qhov kaw, thiab tom qab ntawd nias lub pob tso tawm;
10).Tom qab tso cov ntaub so ntswg, xyuas cov nyhuv anastomosis;
11).Kaw qhov kov thiab tshem tawm qhov ntsuas.

VIII.Cov khoom tu thiab kho cov txheej txheem

1. Cia: Khaws rau hauv ib chav nrog cov av noo tsis ntau tshaj 80%, qhov cua zoo, thiab tsis muaj corrosive gases.
2. Kev thauj mus los: Cov khoom ntim tuaj yeem thauj tau nrog cov cuab yeej ib txwm muaj.Thaum lub sij hawm kev thauj mus los, nws yuav tsum tau ua tib zoo saib xyuas thiab tsis txhob raug tshav ntuj ncaj qha, kev sib tsoo hnyav, los nag thiab lub ntiajteb txawj nqus extrusion.
IV.Hnub tas sij hawm
Tom qab cov khoom no sterilized los ntawm ethylene oxide, lub sij hawm kom tsis muaj menyuam yog peb xyoos, thiab hnub tas sij hawm yog qhia rau ntawm daim ntawv lo.

X. Cov npe
tsis muaj

XI, Ceev faj, Ceeb Toom
1. Thaum siv cov khoom no, kev ua haujlwm aseptic yuav tsum tau ua raws li nruj me ntsis;
2. Thov xyuas lub ntim ntawm cov khoom no kom zoo ua ntej siv, yog tias lub hlwv ntim puas lawm, thov tsum tsis txhob siv;
3. Cov khoom no yog sterilized los ntawm ethylene oxide, thiab cov khoom sterilized yog siv rau kev kho mob.Thov kos lub cim disk ntawm lub thawv ntim khoom kom tsis muaj menyuam ntawm cov khoom no, "xiav" txhais tau hais tias cov khoom tau ua kom tsis muaj menyuam thiab tuaj yeem siv ncaj qha rau kev kho mob;
4. Cov khoom no yog siv rau ib qho kev ua haujlwm thiab tsis tuaj yeem ua kom tsis muaj menyuam tom qab siv;
5. Thov xyuas seb cov khoom puas nyob hauv lub sijhawm siv tau ua ntej siv.Lub sijhawm ua kom tsis muaj menyuam yog peb xyoos.Cov khoom dhau lub sijhawm siv tau raug txwv nruj heev;
6. Lub laparoscopic txiav los ua ke uas tsim los ntawm peb lub tuam txhab yuav tsum tau siv nyob rau hauv ua ke nrog cov coj hom thiab specification ntawm pov tseg laparoscopic linear txiav stapler ua los ntawm peb lub tuam txhab.Saib Table 1 thiab Table 2 kom paub meej;
7. Kev ua haujlwm tsawg kawg nkaus yuav tsum tau ua los ntawm cov neeg uas tau txais kev cob qhia txaus thiab paub txog cov txheej txheem kev tawm tsam tsawg.Ua ntej ua ib qho kev phais me me, cov ntaub ntawv kho mob ntsig txog cov txheej txheem, nws cov teeb meem thiab kev phom sij yuav tsum tau sab laj;
8. Qhov loj me me ntawm cov khoom siv los ntawm cov tuam txhab sib txawv yuav txawv.Yog tias cov cuab yeej phais mob me me thiab lawv cov khoom siv uas tsim los ntawm cov tuam txhab sib txawv siv nyob rau hauv ib qho kev ua haujlwm tib lub sijhawm, nws yog ib qho tsim nyog los xyuas seb lawv puas sib haum ua ntej ua haujlwm;
9. Kev kho hluav taws xob ua ntej kev phais yuav ua rau cov nqaij hloov pauv.Piv txwv li, cov kev hloov no yuav ua rau cov ntaub so ntswg thickening tshaj qhov tau teev tseg rau cov staple xaiv.Ib qho kev kho mob ntawm tus neeg mob ua ntej kev phais yuav tsum tau ua tib zoo xav txog thiab yuav tsum tau hloov pauv cov txheej txheem phais lossis txoj hauv kev;
10. Tsis txhob tso lub khawm kom txog thaum lub ntsuas hluav taws xob npaj tau;
11. Nco ntsoov xyuas qhov kev nyab xeeb ntawm cov staple cartridge ua ntej yuav tua;
12. Tom qab tua hluav taws, nco ntsoov xyuas cov hemostasis ntawm txoj kab anastomotic, xyuas seb qhov anastomosis puas tiav thiab seb puas muaj cov pa tawm;
13. Xyuas kom meej tias cov ntaub so ntswg tuab nyob rau hauv qhov ntau thiab tsawg thiab cov ntaub so ntswg sib npaug ntawm cov stapler.Cov ntaub so ntswg ntau dhau ntawm ib sab tuaj yeem ua rau tsis zoo anastomosis, thiab anastomotic to tuaj yeem tshwm sim;
14. Nyob rau hauv cov ntaub ntawv ntawm cov ntaub so ntswg ntau dhau los yog tuab, sim ua kom yuam kev yuav ua rau cov sutures tsis tiav thiab muaj peev xwm anastomotic rupture los yog to.Tsis tas li ntawd, cov cuab yeej puas lossis hluav taws tsis ua haujlwm yuav tshwm sim;
15. Ib qho kev txhaj tshuaj yuav tsum ua kom tiav.Tsis txhob tua hluav taws ib feem.Kev tua tsis tiav tuaj yeem ua rau tsis raug tsim cov staples, cov kab txiav tsis tiav, los ntshav thiab tawm los ntawm cov suture, thiab / lossis nyuaj tshem tawm cov cuab yeej;
16. Nco ntsoov tua hluav taws mus rau qhov kawg kom ntseeg tau tias cov staples raug tsim kom raug thiab cov ntaub so ntswg raug txiav kom raug;
17. Nyem qhov tua phom kom nthuav tawm cov hniav txiav.Tsis txhob nias qhov kov ntau zaus, uas yuav ua rau muaj kev puas tsuaj rau qhov chaw anastomosis;
18. Thaum tso lub cuab yeej, xyuas kom meej tias qhov kev nyab xeeb yog nyob rau hauv qhov chaw kaw kom tsis txhob muaj qhov ua kom tsis muaj zog ntawm lub tshuab hluav taws xob, ua rau cov hniav raug mob thiab ua rau ntxov ntxov ib feem lossis tag nrho ntawm cov staples;
19. Lub sijhawm ua haujlwm siab tshaj plaws ntawm cov khoom no yog 8 zaug;
20. Kev siv cov cuab yeej no nrog cov khoom siv anastomotic cov cuab yeej txhawb nqa tuaj yeem txo cov koob txhaj tshuaj;
21. Cov khoom no yog ib qho khoom siv nkaus xwb.Thaum lub cuab yeej qhib, txawm tias nws siv lossis tsis siv, nws tsis tuaj yeem ua kom tsis muaj menyuam dua.Nco ntsoov ntsuas qhov ntsuas kev nyab xeeb ua ntej tuav;
22. Muaj kev nyab xeeb nyob rau hauv tej yam kev mob ntawm nuclear magnetic resonance (MR):
· Cov kev ntsuam xyuas uas tsis yog kev kho mob qhia tau hais tias implantable staples nrog cov khoom qib ntawm TA2G yuav siv tau rau MR conditionally.Cov neeg mob tuaj yeem raug kuaj xyuas sai sai tom qab staple ntxig rau hauv cov xwm txheej hauv qab no:
· Qhov ntau ntawm static magnetic teb tsuas yog nyob nruab nrab ntawm 1.5T-3.0T.
· Qhov siab tshaj plaws spatial magnetic teb gradient yog 3000 gauss / cm lossis qis dua.
· Qhov loj tshaj plaws qhia MR system, luam theej duab rau 15 feeb, tag nrho lub cev qhov nruab nrab nqus piv (SAR) yog 2 W / kg.
· Raws li kev txheeb xyuas, qhov kub siab tshaj plaws ntawm cov staples yuav tsum yog 1.9 ° C tom qab luam theej duab rau 15 feeb.
Cov ntaub ntawv Artifact:
Thaum nonclinically sim siv gradient echo mem tes sequence imaging thiab ib tug zoo li qub magnetic teb 3.0T MR system, staples tshwm sim artifacts kwv yees li 5 hli los ntawm qhov chaw cog.
23. Saib daim ntawv lo rau hnub tsim khoom;