Stapler ndiyo yekutanga stapler munyika, yakashandiswa gastrointestinal anastomosis kweanoda kusvika zana.Kusvikira 1978, tubular stapler yakashandiswa zvakanyanya mukuvhiya kwegumbo.Iyo inowanzo kupatsanurwa kuva anoraswa kana akawanda-kushandisa staplers, kunze kwenyika kana epamba staplers.Icho chishandiso chinoshandiswa mukurapa kutsiva yechinyakare bhuku suture.Nekuda kwekuvandudzwa kwesainzi yemazuva ano uye tekinoroji uye kuvandudzwa kwehunyanzvi hwekugadzira, iyo stapler inoshandiswa mukiriniki yekudzidzira ine zvakanakira zvemhando yakavimbika, kushandiswa kuri nyore, kusimba uye kusimba kwakakodzera.Kunyanya, ine zvakanakira kukurumidza suture, nyore kushanda uye mashoma mhedzisiro uye kuvhiya matambudziko.Iyo zvakare inogonesa kutariswa kwekutarisa kusinga gadziriswe bundu kuvhiya munguva yakapfuura.
Nhanganyaya kune stapler
Stapler chishandiso chinoshandiswa mukurapa kutsiva manual suture.Yayo huru yekushanda misimboti ndeye kushandisa titanium zvipikiri kubvisa kana anastomose tishu, zvakafanana ne stapler.Zvinoenderana neyakasiyana chiyero chekushandiswa, inogona kukamurwa kuita ganda stapler, digestive turakiti (esophagus, gastrointestinal, nezvimwewo) denderedzwa stapler, rectal stapler, denderedzwa hemorrhoid stapler, kudzingiswa stapler, vascular stapler, hernia stapler, mapapu ekucheka stapler, nezvimwe .
Kuenzaniswa neyechinyakare bhuku suture, chiridzwa suture chine zvinotevera zvakanakira:
Iko kushanda kuri nyore uye kwakanakira, kuchengetedza nguva yekushandisa.
Kushandisa kamwe chete, dzivisa utachiona hwemuchinjikwa.
Shandisa zvipikiri zvetitanium kana zvipikiri zvesimbi isina tsvina (skin stapler) kusona zvakasimba uye nekusimba kuri pakati nepakati.
Iine migumisiro shoma uye inobudirira inoderedza kuvhiyiwa kwezvinetso.
Iyo stapler yeganda ine zvinotevera zvinoshamisa maitiro: nyore kushanda uye nekukurumidza suture;Kupfupisa nguva yekushanda uye kuvandudza chiyero chekuchinja kwekamuri yekushandisa;Vanga idiki uye vanga rakanaka;Special yekusona mbambo, yakakodzera kune tension ronda, yakanaka histocompatibility, wireless head reaction;Iko hakuna kunamatira neropa rescab, uye kurwadziwa kwekupfeka kuchinja uye kubviswa kwembambo idiki;Hapana chipikiri chinonamatira uye kusvetuka, kuita kwakagadzikana.
Zvinoumba prepuce yekucheka stapler: nyore kushanda uye pfupi kushanda nguva;Kuderera kweropa uye kurwadziwa kuduku;Postoperative edema yakanga iri nyoro;Mishonga yakadonha pakarepo mushure mekuvhiyiwa, uye pakanga pasina chikonzero chekudzokera kuchipatara kuti ubvise mashizha uye zvindori;Iyo yekuvhiya incision inogara uye yakanaka mushure mekuporesa.
Zvimiro zvechikwama tambo stapler: inoraswa kudzivirira hutachiona hwemuchinjikwa;Iine yakavakirwa-mukati chikwama waya uye titanium chipikiri, chikwama chinoumbwa otomatiki pasina shinda, iyo inokurumidza uye iri nyore Kushanda kuri nyore uye nguva yekushanda inopfupiswa.
Zvimiro zveanorasa linear stapler: iyo stapling nzira iri nyore uye iri nyore, uye nguva yekushanda yakapfupikiswa;Mitsara mitatu yezvipikiri zvesuture zvakarongwa zvakabatanidzwa kudzivirira kubuda ropa;Kupinzwa kunze titanium waya inoshandiswa kupa simba riri nani uye kusimba kwesimba;Iyo yakabatanidzwa yekumisikidza tsono inogona kushanda nemaoko kana otomatiki, iri nyore kugadzirisa anastomotic tishu.
Mamiriro ezvinhu e stapler
Iyo stapler inosanganisira goko, tsvimbo yepakati uye push chubhu.Tsvimbo yepakati inoiswa muchubhu yekusundidzira.Iyo yekumberi yekupedzisira yepakati tsvimbo yakashongedzerwa nevhavha yembambo, uye iyo yekumashure inobatana neinogadzirisa knob pamagumo egoko kuburikidza ne screw.Iyo yekunze pamusoro pegoko yakashongedzerwa nemubato wekukurudzira, uyo unofambiswa wakabatana negoko kuburikidza nehinge.Chimiro chayo ndechekuti: iyo stapler yakashongedzerwa neyekubatanidza tsvimbo meshini, uye matanda matatu ekubatanidza akabatanidzwa zvakateerana nemubato wekusimudzira, madziro emukati megoko uye push chubhu, Uye imwe magumo eatatu ekubatanidza tsvimbo akabatana. hinge imwe chete inofambiswa;Matunhu matatu ekubatanidza enzira yekubatanidza anosanganisira tsvimbo yemagetsi, tsigiro uye tsvimbo inofamba;Iyo tsvimbo yemagetsi inosungirirwa nemubato wekukurudzira;Tsvimbo yekutsigira uye goko zvakabatanidzwa nehinge inofambiswa;Tsvimbo inofamba yakabatana nechubhu yekusundidzira nehinge inofambiswa.Iyo stapler yeiyo utility modhi ine zvakanakira chimiro chakareruka, kushanda kuri nyore uye kugadzikana kwakasimba.
Chimiro chekubatanidza pakati petsvimbo yekusundidzira uye annular banga rekugaya turakiti stapler inosanganisira inosundidzira tsvimbo uye annular banga rakabatana zvakabatanidzwa netsvimbo yekusundidzira.Kuwanda kwezvipikiri zvinosundidzira zvidimbu zvakarongwa pamwe chete nedenderedzwa zvakarongwa kunze kwebanga regore.Imwe mugumo we annular banga yakanyudzwa pane inosundidzira tsvimbo.Nekuti imwe mugumo webanga regore rakaiswa patsvimbo yekusundidzira, iyo concentricity yebanga reannular uye tsvimbo yekusundidzira yakakwirira.Mukuita kwekucheka tishu, banga re annular rinogona kugara pakati zvakanaka, Kubudirira kwekushanda kwakakwira.
Iyo mbambo yekusundira mbambo yekudya kwekudya stapler inosanganisira chipikiri bhini muviri 6 uye chipikiri kusunda sheet sheet muviri 1. Migumo miviri yemadziro ekutanga edivi 7 yenail bin gomba 5 zvakateerana akapihwa yekutanga gidhi madziro 9, uye iyo magumo maviri emadziro echipiri emadziro 8 anopiwa maererano nechipiri chidziro chemadziro 10. Yokutanga giraidhi rusvingo 9 uye yechipiri giraidhi rusvingo 10 pamagumo akafanana intersect uye arc shanduko pamharadzano.Yekutanga gwara madziro 9 uye yechipiri gwara madziro 10 pamagumo akafanana akarongwa zvine symmetrically;Kana paine shanduko diki muhukuru hwejometri yeiyo staple, inogona zvakare kuve yakagadzikana iri mune staple bin gomba nekushanda kwechidziro chegwara, kuitira kuti ive nechokwadi chekuti hupamhi hwepini yekusundidzira yakakura kupfuura hupamhi hwe. korona yezvinyorwa, kuitira kuti chidimbu chigadziriswe zvakanaka.
Iyo yekubatanidza chimiro pakati peiyo puncture cone uye mbambo yezvipikiri ye digestive tract stapler inosanganisira chigadziko chembambo uye puncture cone.Nheyo yezvipikiri inogadziriswa ne snap spring, iyo puncture cone inoiswa pakati pezvitubu zve snap, uye snap spring inosunga puncture cone.Kuvimbika pane chitubu clamping simba re snap chitubu, chigaro chembambo chinogona kubatanidzwa zvakavimbika kana kuparadzaniswa kubva kune puncture koni, iyo yakachengeteka kushandisa uye nyore kuisa.
Nguva yekutumira: Jul-04-2022
