Kemgbe afọ 1998

Onye na-enye ọrụ nkwụsịtụ maka akụrụngwa ịwa ahụ izugbe
isi_ọkọlọtọ

Laparoscopic Linear Cutter Stapler na akụrụngwa nke enwere ike iwepụ akụkụ 4

Laparoscopic Linear Cutter Stapler na akụrụngwa nke enwere ike iwepụ akụkụ 4

Ngwaahịa ndị emetụtara

Ihe mkpofu Laparoscopic Linear Cutter Stapler na akụrụngwa akụkụ 4

(Biko jiri nlezianya gụọ ntuziaka ntuziaka tupu ịwụnye na iji ngwaahịa a)

VIII.Laparoscopic Linear Cutting Staplerusoro nlekọta na mmezi:

1. Nchekwa: Chekwaa n'ime ụlọ nwere iru mmiri na-erughị 80%, ikuku na-ekpo ọkụ nke ọma, na enweghị gas na-emebi emebi.

2. Ụgbọ njem: Enwere ike ibuga ngwaahịa ngwugwu na ngwá ọrụ nkịtị.N'oge njem, ekwesịrị iji nlezianya na-edozi ya ma zere ìhè anyanwụ kpọmkwem, nkukota ihe ike, mmiri ozuzo na ike ndọda.

IX.Laparoscopic Linear Cutting Staplerụbọchị mmebi:

Mgbe emechara ngwaahịa ahụ site na ethylene oxide, oge ịgba ọgwụ mgbochi ahụ bụ afọ atọ, ụbọchị njedebe ga-egosikwa na label.

X.Laparoscopic Linear Cutting Staplerndepụta ngwa:

onweghi

Akpachara anya na ịdọ aka ná ntị maka XI.Laparoscopic Linear Cutting Stapler:

1. Mgbe ị na-eji ngwaahịa a, nkọwa ọrụ aseptic kwesịrị ịgbaso nke ọma;

2. Biko lelee nkwakọ ngwaahịa a nke ọma tupu ejiri ya, ma ọ bụrụ na ngwugwu nke ọnya mebiri emebi, biko kwụsị iji ya;

3. A na-eme ka ngwaahịa a bụrụ nke ethylene oxide, na ngwaahịa igba ogwu bụ maka ojiji ụlọ ọgwụ.Biko lelee ihe ngosi diski dị n'igbe nkwakọ ngwaahịa sterilization nke ngwaahịa a, "acha anụnụ anụnụ" pụtara na agbazela ngwaahịa a na enwere ike iji ya mee ihe ozugbo;

4. A na-eji ngwaahịa a maka otu ọrụ na enweghị ike igba ogwu mgbe ejiri ya;

5. Biko lelee ma ngwaahịa a dị n'ime oge nkwado tupu ejiri ya.Oge nkwado sterilization bụ afọ atọ.Ngwaahịa gafere oge nkwado bụ nke amachibidoro nke ọma;

6. A ghaghị iji mgbakọ na-egbutu laparoscopic nke ụlọ ọrụ anyị na-emepụta na-ejikọta ya na ụdị kwekọrọ na nkọwapụta nke mkpofu laparoscopic linear cutting stapler nke ụlọ ọrụ anyị na-emepụta.Lee Tebụl 1 na Tebụl 2 maka nkọwa;

7. Ndị natara ọzụzụ zuru oke ma mara usoro mkpasu iwe dị ntakịrị kwesịrị ịrụ ọrụ.Tupu ịme ịwa ahụ ọ bụla dị ntakịrị, a ga-enyocha akwụkwọ ahụike metụtara usoro ahụ, nsogbu ya na ihe egwu ya;

8. The size nke minimally invasive akụrụngwa si dị iche iche emepụta nwere ike dị iche iche.Ọ bụrụ na a na-eji ngwá ọrụ ịwa ahụ na ngwa ndị dị iche iche na-emepụta obere ihe na-arụ ọrụ n'otu oge n'otu oge, ọ dị mkpa iji chọpụta ma ha dabara tupu ọrụ ahụ;

9. Usoro ọgwụgwọ radieshon tupu ịwa ahụ nwere ike ime mgbanwe anụ ahụ.Dịka ọmụmaatụ, mgbanwe ndị a nwere ike ime ka anụ ahụ na-eto eto karịa nke akọwapụtara maka isi ihe ahọpụtara.Ekwesịrị iji nlezianya tụlee ọgwụgwọ ọ bụla nke onye ọrịa tupu ịwa ahụ ma nwee ike ịchọ mgbanwe na usoro ịwa ahụ ma ọ bụ ịbịaru nso;

10. Ahapụla bọtịnụ ruo mgbe ngwa dị njikere ọkụ;

11. Jide n'aka na ị ga-elele nchekwa nke katrij staple tupu agbapụ;

12. Mgbe agbachara, jide n'aka na ị ga-elele hemostasis na ahịrị anastomotic, lelee ma anastomosis zuru oke na ma ọ dị nhịahụ ọ bụla;

13. Gbaa mbọ hụ na ọkpụkpụ anụ ahụ dị n'ime oke a kapịrị ọnụ yana na anụ ahụ na-ekesa nke ọma n'ime stapler.Nnukwu anụ ahụ n'otu akụkụ nwere ike ime ka anastomosis na-adịghị mma, na ntanye anastomotic nwere ike ime;

14. N'ihe banyere ngafe ma ọ bụ nnukwu anụ ahụ, ịnwa ịmanye ihe na-akpata nwere ike ime ka ọkpụkpụ na-ezughị ezu na nkwụsị nke anastomotic ma ọ bụ nkwụsị.Na mgbakwunye, mmebi ngwá ọrụ ma ọ bụ ọdịda ọkụ nwere ike ime;

15. A ga-emecha otu ogbugba.Agbanyekwala ngwa ngwa n'otu akụkụ.Mgba egbe na-ezughị ezu nwere ike ịkpata staples kpụrụ n'ụzọ na-ekwesịghị ekwesị, ahịrị ịkpụ ezughị ezu, ọbara ọgbụgba na ntapu site na suture, na/ma ọ bụ ihe isi ike iwepụ ngwá ọrụ ahụ;

16. Jide n'aka na ị ga-agbanye ọkụ ruo na njedebe iji hụ na a na-emepụta staples nke ọma ma na-egbutu anụ ahụ nke ọma;

17. Apịpịa aka mgbịrịgba ahụ ka ọ kpughepu agụba.Akwụsịla aka ahụ ugboro ugboro, nke ga-emebi saịtị anastomosis;

18. Mgbe ị na-etinye ngwaọrụ ahụ, jide n'aka na nchekwa ahụ dị na ebe a na-emechi emechi iji zere ịgbalite ọkụ ọkụ na-enweghị uche, na-ebute mkpughe nke agụba na mberede ma ọ bụ ntinye zuru ezu nke staples;

19. Oge kachasị ọkụ nke ngwaahịa a bụ ugboro 8;

20. Iji ngwaọrụ a na ihe nkwado ahịrị anastomotic nwere ike ibelata ọnụ ọgụgụ gbaa;

21. Ngwaahịa a bụ ihe eji eme otu ihe.Ozugbo emepere ngwaọrụ ahụ, n'agbanyeghị ma ejiri ya ma ọ bụ na ejighi ya, enweghị ike igba ogwu ọzọ.Jide n'aka na ị kpọchie mkpọchi nchekwa tupu ejiri ya;

22. Nchekwa n'okpuru ọnọdụ ụfọdụ nke resonance magnetik (MR):

Nnwale ndị na-abụghị ụlọ ọgwụ na-egosi na enwere ike iji staples a na-akụnye nwere akara ihe TA2G maka MR n'ọnọdụ ọnọdụ.Enwere ike nyochaa ndị ọrịa n'enweghị nsogbu ozugbo etinyere staple n'ọnọdụ ndị a:

Oghere ndọta static dị naanị n'etiti 1.5T-3.0T.

Ihe kacha elu oghere ndọta bụ 3000 gauss / cm ma ọ bụ n'okpuru.

Sistemu MR kachasi akọ, na-enyocha nkeji iri na ise, oke nnabata ahụ dum (SAR) bụ 2 W/kg.

N'okpuru ọnọdụ nyocha, a na-atụ anya na ịrị elu okpomọkụ nke staples ga-abụ 1.9 Celsius C mgbe nyochachara maka nkeji 15.

Ozi nka

   Mgbe a nwalere na-abụghị nke ụlọ ọgwụ site na iji gradient echo pulse sequence imaging na static field 3.0T MR, staples butere artifacts ihe dịka 5 mm site na saịtị etinyere.

23. Hụ akara maka ụbọchị mmepụta;

24. Nkọwa nke eserese, akara na mkpirisi eji na nkwakọ ngwaahịa na akara:

/endoscopic-stapler-ngwaahịa/

Ngwaahịa ndị emetụtara
Oge nzipu: Jan-20-2023