I. Izina ryibicuruzwa, icyitegererezo, ibisobanuro bya arc gukata stapler
Imbonerahamwe 1 Ibipimo fatizo bya arc stapler ikoreshwa: mm
| Icyitegererezo n'ibisobanuro | Uburebure bwa L1 | Ubworoherane | Gukata uburebure | Ubworoherane | Uburebure bwibanze | Ubworoherane |
| PHX-A-45 | 45 | ± 2 | 40 | ± 2 | 4.8 | ± 0.2 |
| PHX-B-40 | 40 | ± 2 | 35 | ± 2 | 4.5 | ± 0.2 |
II.Gukata inkingi yimikorere:
Imikoreshereze imwe ya arc stapler igomba kuba ishobora guteranyirizwa hamwe no gusenywa neza;buri gice cyimuka kigomba gusunikwa byoroshye, kandi ntihakagombye kubaho akajagari cyangwa ubunebwe;intebe yimisumari nibigize bigomba gukomera nyuma yo gushyirwaho, kandi umusumari wimisumari mumisumari ugomba kureba hanze Ntihakagombye kubura imisumari.Ibyingenzi ntibigomba kugwa nyuma yo kunyeganyezwa.Imitwe nyamukuru igomba kuba ityaye.Gukata stapler ya arc igomba kugira anastomose nziza no gukora neza.Ibyingenzi nyuma ya anastomose bigomba kuba bifite B, kandi gukata nyuma ya buri anastomose Bikwiye kuba byiza kandi bitarimo burr.Uburebure bwumurongo wa anastomotique byibura inshuro 1.5 kurenza uburebure bwumurongo uca.Uburebure bw'imisumari bugomba guhinduka kandi bukoreshwa neza.Isoko igomba kugira elastique ihagije kugirango isubizwe vuba mugihe ikiganza kirekuwe.Gufungura ubudodo bwa arc stapler ikoreshwa nyuma yo kudoda bigomba kuba bishobora kwihanganira umuvuduko uri munsi ya 36kPa, kandi ntihakagombye kubaho amazi cyangwa gutemba.
III.Imiterere nyamukuru yo gukata arc:
Ubwoko bwa PHX-A-45 bushobora gukoreshwa arc stapler igizwe ahanini nintebe nyamukuru, igikarito gikuru, igikonjo cyibice, igipande cyerekana umwanya, buto yo guhagarara, buto yo gusubiramo, buto ihamye, ikiganza cyimukanwa, icyuma gikata na suture staples, nibindi bice.
Ubwoko bwa PHX-B-40 bushobora gukoreshwa arc stapler igizwe ahanini nicyicaro gikuru, igikarito cyibanze, ibice bigize ibice, kugarura ibintu, buto ihamye, ikiganza gifunze, ikiganza gifunze, icyuma cyo kurasa, icyuma, hamwe n’ibikoresho.
| Izina ry'igice | Kugenera ibikoresho | Umubare usanzwe | Izina ry'igice | Kugenera ibikoresho | Umubare usanzwe |
| Ikirenge | 06r19Ni10 | GB1220-2007 | Igikoresho gihamye | ABS | GB12672-2009 |
| Ububiko | ABS | GB12672-2009 | Igikoresho cyimuka | Nylon 6 | GB16331—1996 |
| Gutandukanya ibice | 06cr19Ni10 | GB1220-2007 | Igikoresho gifunze | ABS | GB12672-2009 |
| Umwanya | 06cr19Ni10 | GB1220-2007 | Igikoresho cyo kurasa | ABS | GB12672-2009 |
| Shakisha buto | ABS | GB12672-2009 | Igikoresho | TA2 | GB / 13810-2007 |
| gusubiramo buto | PC | HG / T2503 | Gukata icyuma | 06cr19ni10 | GB1220-2007 |
IV.Arc gukata stapler igipimo cya porogaramu:
Ikoreshwa cyane cyane mukubaka inzira yigifu aho umurima wo kubaga bigoye guhishura no gukora anastomose no gufunga ibibyimba cyangwa ibice mugihe cyo kwanga ingingo.
V. Igice cyo gukata stapler igaragara:
Ubwoko nuburinganire bwibanze bwimikorere ya arc stapler irerekanwa mumashusho 1, Ishusho 2 na Imbonerahamwe 1.
1. Ufite imisumari 2. Ibice by'imisumari 3. Gutandukanya ibice 4. Kugarura buto 5. Igikoresho gihamye
6. Igikoresho gifunze 7. Igikoresho cyo kurasa 8. Gukata 9. Ibikoresho
Igishushanyo 2 Koresha inshuro imwe arc ubwoko bwa PHX-B-40 ubwoko
VI.Kurwanya arc gukata stapler:
1. Igice cya arc kigizwe nimisumari 4.8 gikwiranye nuburinganire bwimyanya ya 2.0mm, kandi birabujijwe gukoresha mugihe umubyimba winyama ari munini cyane ugereranije nuburinganire bwimyenda ihwanye cyangwa ntoya cyane ugereranije nubunini bwumubiri.
2. Birabujijwe ku mitsi ya ischemic cyangwa nekrotique;
3. Birabujijwe kumitsi yamaraso idafite ubushobozi bwo kugenzura hafi cyangwa kure.
VIII.Amabwiriza yo gukata arc gukoresha stapler:
Nigute ushobora gukoresha arc stapler ikoreshwa (ubwoko bwa PHX-A-45);
1. Kuramo stapler mumasanduku yapakiwe mugace ka aseptic, hanyuma ushireho tissue kugirango ishushanyirizwe hagati ya cartridge ya staple hamwe nintebe nyamukuru ukurikije Ishusho.
2. Kora ibikorwa bifatika ukurikije Ishusho kugirango ikiganza cyimukanwa gisubire inyuma kugeza hafi kimwe cya kabiri cyimuka.Igikoresho cyimukanwa ntigisubirana mugihe ikiganza kirekuwe.Muri iki gihe, imyenda iri muri stapler cartridge hamwe nintebe nyamukuru irashobora guhinduka muburyo bukwiye.Umwanya uri hagati yabo utuma ishyirahamwe rishyirwa neza, kandi ishyirahamwe ntirishobora guhuzagurika.Nyuma yo guhindura tissue, urashobora gukomeza ibikorwa byo gufata, kugirango ikiganza cyimukanwa kanda kumwanya wanyuma, kandi "kanda" irashobora kumvikana.Muri iki gihe, imyenda idoze irahagarikwa hagati ya karitsiye ya karitsiye hamwe nintebe nyamukuru, hanyuma urugendo rukarekurwa.Igikoresho hamwe nigikoresho cyimukanwa gihita gisubira mumwanya ufunguye, nkuko bigaragara ku gishushanyo: ariko ingirangingo zidodo zafunzwe nintebe nyamukuru na karitsiye.
3. Ongera ukore igikorwa cyo gufata kugirango uzane ikiganza cyimukanwa kumwanya wanyuma, nkuko bigaragara ku gishushanyo (4).Muri iki gihe, ibirindiro biri muri karitsiye ya karitsiye birasa, kandi tissue iradoda hanyuma igacibwa.
4. Igikoresho cyimukanwa gifunze, cyuzuza inzira yo guca suture.
5. Kanda ahanditse reset, ikiganza cyimukanwa kizahita gisohoka, usubize buto ihagaze, hanyuma usohoke.
Igihe cyo kohereza: Ugushyingo-05-2021
