KUGEZA 1998

Serivisi imwe itanga ibikoresho byubuvuzi rusange
Umutwe

Ikoreshwa rya Laparoscopic Linear Cutter Stapler hamwe nibigize igice 3

Ikoreshwa rya Laparoscopic Linear Cutter Stapler hamwe nibigize igice 3

Ibicuruzwa bifitanye isano

Ikoreshwa rya Laparoscopic Linear Cutter Stapler hamwe nibigize igice 3
(Nyamuneka soma igitabo cyamabwiriza witonze mbere yo gushiraho no gukoresha iki gicuruzwa)

VI.Laparoscopic Linear Cutting Stapler Kurwanya:

1. Indwara ikabije;

2. Birabujijwe rwose gukoresha iki gikoresho ku mwijima cyangwa mu mitsi.Bitewe no kwikuramo ibintu nkibi, gufunga igikoresho bishobora kugira ingaruka mbi;

3. Ntishobora gukoreshwa mubice aho hemostasis idashobora kugaragara;

4. Ibice byijimye ntibishobora gukoreshwa kumyenda ifite umubyimba uri munsi ya 0,75mm nyuma yo kwikuramo cyangwa kubice bidashobora guhagarikwa neza kugeza kubyimbye bya 1.0mm;

5. Ibice byera ntibishobora gukoreshwa kumyenda ifite umubyimba uri munsi ya 0.8mm nyuma yo kwikuramo cyangwa ingirangingo zidashobora guhagarikwa neza kugeza mubugari bwa 1.2mm;

6. Ibigize ubururu ntibigomba gukoreshwa kumyenda iri munsi ya 1,3mm yubugari nyuma yo kwikuramo cyangwa idashobora guhagarikwa neza kugeza mubwimbye bwa 1.7mm.

7. Ibice bya zahabu ntibishobora gukoreshwa mubice bifite umubyimba uri munsi ya 1,6mm nyuma yo kwikuramo cyangwa ingirangingo zidashobora guhuzwa neza kugeza mubyimbye bya 2.0mm;

8. Ibice byicyatsi ntibigomba gukoreshwa kumyenda iri munsi ya 1.8mm yubugari nyuma yo kwikuramo cyangwa idashobora guhagarikwa neza kubyimbye bya 2,2mm.

9. Ibigize umukara ntibigomba gukoreshwa mubice bitarenze 2.0mm z'ubugari nyuma yo kwikuramo cyangwa bidashobora guhagarikwa neza kugeza kubyimbye bya 2,4mm.

10. Birabujijwe rwose gukoresha kuri tissue kuri aorta.

VII.Laparoscopic Linear Cutting Stapler Amabwiriza:

Staple cartridge amabwiriza yo kwishyiriraho:

1. Kuramo igikoresho na cartridge ya staple mubipaki yabyo munsi ya aseptic;

2. Mbere yo gupakira igikarito nyamukuru, menya neza ko igikoresho kiri kumugaragaro;

3. Reba niba igikarito nyamukuru ifite igifuniko gikingira.Niba igikarito nyamukuru idafite igifuniko kirinda, birabujijwe kuyikoresha;

4. Fata igikarito ya staple hepfo yintebe ya jap staple cartridge, uyinjizemo muburyo bwo kunyerera kugeza igihe karitsiye ya staple ihujwe na bayonet, ikosore igikarito cya staple mu mwanya wawe hanyuma ukureho igifuniko kirinda.Muri iki gihe, igikoresho cyiteguye gucana;.

5. Mugihe upakurura igikarito nyamukuru, kanda igikarito nyamukuru werekeza ku cyerekezo cyintebe yimisumari kugirango urekure kuntebe ya karitsiye;

6. Kugirango ushyireho cartridge nshya, subiramo intambwe 1-4 hejuru.

Amabwiriza yo gukorana:

1. Funga ikiganza cyo gufunga, kandi ijwi rya "kanda" ryerekana ko ikiganza cyo gufunga cyafunzwe, kandi ubuso bwihariye bwa karitsiye ya karitsiye iri muburyo bufunze;Icyitonderwa: Ntugafate icyuma cyo kurasa muri iki gihe

2. Iyo winjiye mu cyuho cyumubiri unyuze muri cannula cyangwa gutemagura trocar, ubuso bwihariye bwigikoresho bugomba kunyura muri cannula mbere yubuso bwihariye bwa karitsiye ya karitsiye;

3. Igikoresho cyinjira mu cyuho cyumubiri, kanda buto yo kurekura, fungura ubuso bwihariye bwigikoresho, hanyuma usubize icyuma gifunga.

4. Hindura knob izengurutsa urutoki rwawe rwo kuzunguruka, kandi irashobora guhinduka dogere 360;

5. Hitamo ubuso bukwiye (nk'imiterere y'umubiri, urugingo cyangwa ikindi gikoresho) nk'ubuso bwo guhuza, gukurura paddle yoguhindura inyuma ukoresheje urutoki rwerekana, koresha imbaraga zifatika hamwe nubuso bwo guhuza kugirango uhindure inguni ikwiye, kandi menya neza ko igikarito nyamukuru iri murwego rwo kureba.

6. Hindura umwanya wigikoresho kuri tissue kugirango anastomose / gukata;

Icyitonderwa: Menya neza ko urugingo rushyizwe hagati yubuso butagaragara, nta mbogamizi ziri hejuru yimiterere, nka clips, imirongo, insinga ziyobora, nibindi, kandi umwanya urakwiye.Irinde gukata kutuzuye, ibintu byubatswe nabi, na / cyangwa kunanirwa gufungura ubuso bwibikoresho.

7. Igikoresho kimaze gutoranya tissue kugirango anastomose, funga ikiganza kugeza gifunze hanyuma wumve / wumve ijwi "kanda";

8. Igikoresho cyo kurasa.Koresha uburyo bwa "3 + 1 ″ kugirango ukore ibikorwa byuzuye byo gukata no kudoda;“3.Muri icyo gihe, reba neza ko umubare uri ku idirishya ryerekana umuriro ari “1 ″“ Iyi ni inkoni, umubare uziyongera kuri “1 ″ hamwe na buri nkoni, inshuro 3 zose zikurikiranye, nyuma y’igitero cya gatatu, icyuma icyerekezo cyerekana Windows kumpande zombi zumutwe wera uzerekanwa werekeza kumpera yigikoresho, byerekana ko icyuma kiri muburyo bwo Kugaruka, gufata no kurekura icyuma cyo kurasa, idirishya ryerekana ryerekana 0, byerekana ko icyuma yagarutse aho itangiriye;

9. Kanda buto yo kurekura, fungura ubuso butagaragara, hanyuma usubize urutoki rwo gufunga;

Icyitonderwa: Kanda buto yo kurekura, niba ubuso butagaragara, banza wemeze niba idirishya ryerekana "0 ″ kandi niba idirishya ryerekana icyerekezo cyerekana icyerekezo cyegereye igikoresho kugirango umenye neza ko icyuma kiri mu ntangiriro umwanya.Bitabaye ibyo, ugomba gusunika hasi icyerekezo cyo guhinduranya icyuma kugirango uhindure icyerekezo cyicyuma, hanyuma ufate neza icyuma cyo kurasa kugeza gihuye nigikoresho cyo gufunga, hanyuma ukande buto yo kurekura;

10. Nyuma yo kurekura tissue, reba ingaruka za anastomose;

11. Funga ikiganza cyo gufunga hanyuma ukuremo igikoresho.

/ endoscopic-stapler-ibicuruzwa /

Ibicuruzwa bifitanye isano
Igihe cyoherejwe: Mutarama-19-2023