Inoraswa Laparoscopic Linear Cutter Stapler uye Zvikamu chikamu 3

Inoraswa Laparoscopic Linear Cutter Stapler uye Zvikamu chikamu 3
(Ndokumbira uverenge bhuku rekuraira zvakanyatsonaka usati waisa uye kushandisa chigadzirwa ichi)

VI.Laparoscopic Linear Kucheka Stapler Contraindications:

1. Mucosal edema yakaoma;

2. Zvinorambidzwa zvachose kushandisa chigadzirwa ichi pachiropa kana spleen tissue.Pamusana pekugadzirisa zvinhu zvezvinyama zvakadaro, kuvharwa kwechigadzirwa kunogona kuva nemigumisiro inoparadza;

3. Haikwanise kushandiswa muzvikamu umo hemostasis isingagoni kuonekwa;

4. Zvikamu zve grey hazvigone kushandiswa kune matishu ane ukobvu husingasviki 0.75mm mushure mekudzvinyirirwa kana kune matissue asingakwanisi kudzvanywa zvakanaka kusvika kuhupamhi hwe1.0mm;

5. Zvikamu zvichena hazvigone kushandiswa kune matishu ane ukobvu husingasviki 0.8mm mushure mekudzvinyirirwa kana matishu asingakwanisi kudzvanywa zvakanaka kusvika kuhupamhi hwe1.2mm;

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7. Zvikamu zvegoridhe hazvigone kushandiswa kune matishu ane ukobvu husingasviki 1.6mm mushure mekudzvinyirirwa kana matishu asingakwanisi kudzvanywa zvakanaka kusvika kuhupamhi hwe2.0mm;

8. Chikamu chegirini hachifanirwe kushandiswa kune tishu isingasviki 1.8mm gobvu mushure mekudzvanyirirwa kana isingakwanise kudzvanywa kusvika kuhukobvu hwe2.2mm.

9. Chikamu chitema hachifanirwe kushandiswa kune tishu iri pasi pe2.0mm gobvu mushure mekutsikirirwa kana isingakwanise kudzvanywa zvakanaka kusvika kuhukobvu hwe2.4mm.

10. Inorambidzwa zvachose kushandisa pamucheka pane aorta.

VII.Laparoscopic Linear Kucheka Stapler Mirayiridzo:

Mirayiridzo yekuisa cartridge:

1. Bvisa chiridzwa uye staple cartridge kubva pamapakeji azvo pasi peaseptic operation;

2. Usati warodha staple cartridge, iva nechokwadi chokuti chiridzwa chiri munzvimbo yakazaruka;

3. Tarisa uone kana staple cartridge ine chivharo chekudzivirira.Kana iyo staple cartridge isina chivharo chekudzivirira, inorambidzwa kuishandisa;

4. Isai iyo staple cartridge nechepasi pejaha staple cartridge seat, iise nenzira inotsvedza kusvika iyo staple cartridge inoenderana ne bayonet, gadzirisa staple cartridge panzvimbo uye bvisa chivharo chekudzivirira.Panguva ino, chiridzwa chakagadzirira kupfuta;(Cherechedza: Isati yaiswa staple cartridge panzvimbo, ndapota usabvisa staple cartridge inodzivirira kavha.)

5. Pakuburutsa staple cartridge, sundidzira staple cartridge yakananga kudivi rechigaro chezvipikiri kuti uisunungure kubva pastaple cartridge seat;

6. Kuisa staple cartridge itsva, dzokorora matanho 1-4 pamusoro.

Intraoperative mirayiridzo:

1. Kuvhara mubato wekuvhara, uye inzwi re "click" rinoratidza kuti mubati wekuvhara wakavharwa, uye occlusal surface ye staple cartridge iri munzvimbo yakavharwa;Cherechedza: Usabate mubato wekupfura panguva ino

2. Paunopinda mumutumbi wemuviri kuburikidza ne cannula kana incision yetrocar, iyo occlusal pamusoro pechiridzwa inofanira kupfuura nekanula pamberi peiyo occlusal surface ye staple cartridge inogona kuvhurwa;

3. Chiridzwa chinopinda mumhango yemuviri, dzvanya bhatani rekuburitsa, vhura iyo occlusal pamusoro pechiridzwa, uye gadzirisa mubato wekuvhara.

4. Shandura knob inotenderera nemunwe wako we index kuti utenderere, uye inogona kugadziriswa 360 degrees;

5. Sarudza nzvimbo yakakodzera (yakadai sechimiro chemuviri, nhengo kana chimwe chiridzwa) senzvimbo yekubatana, dhonza paddle yekugadziridza kumashure nemunwe we index, shandisa simba rekuita nepamusoro pekubatana kuti ugadzirise kona yakakodzera yekukotama, uye ive nechokwadi chekuti staple cartridge iri mukati memunda wekuona.

6. Rongedza kumira kwechiridzwa kune tishu kuti ive anastomosed / kucheka;

Cherechedza: Ita shuwa kuti matishu akaiswa flat pakati pe occlusal surfaces, hapana zvipingamupinyi munzvimbo dze occlusal, senge clips, brackets, guide wires, etc., uye nzvimbo yacho yakakodzera.Dzivisa kuchekwa kusina kukwana, zvimiro zvisina kuumbwa zvakanaka, uye/kana kutadza kuvhura nzvimbo dzakavhurika dzechiridzwa.

7. Mushure mokunge chiridzwa chasarudza chidimbu kuti chiitwe anastomosed, vhara mubato kusvikira wakavharwa uye unzwe / unzwe "click" inzwi;

8. Kupfura mudziyo.Shandisa iyo "3+1" modhi kuumba yakakwana yekucheka uye suturing oparesheni;"3": bata mubato wekupfurisa zvizere nekufamba kwakatsetseka, woisunungura kusvika yakwana mubato wekuvhara.Panguva imwecheteyo, cherechedza kuti nhamba iri pahwindo rinoratidza kupfura "1" "Iri ndiro shamhu, nhamba ichawedzera ne" 1" nekurohwa kwega kwega, huwandu hwezvikamu zvitatu zvakatevedzana, mushure mekurohwa kwechitatu, blade. kutungamira chiratidzo mahwindo pamativi ese echichena chakagadziriswa mubato anonongedza kumagumo echiridzwa, zvichiratidza kuti banga riri muReturn mode, bata uye usunungure mubato wekupfura zvakare, iyo chiratidzo hwindo icharatidza 0, zvichiratidza kuti banga. yadzokera panzvimbo yayo yekutanga;

9. Dzvanya bhatani rekuburitsa, vhura iyo occlusal surface, uye gadzirisazve mubato wekupfura wemubato wekuvhara;

Ongorora: Dzvanya bhatani rekuburitsa, kana iyo occlusal nzvimbo isina kuvhurika, tanga wasimbisa kana hwindo rechiratidzo rinoratidza "0" uye kuti hwindo rinoratidza blade riri kunongedzera kudivi rechiridzwa kuti uve nechokwadi chekuti banga riri pakutanga. chinzvimbo.Zvikasadaro, unofanirwa kusundira pasi bhatani rekuchinja blade kuti udzose kwainoenda blade, uye kubata zvizere mubato wekupfura kusvika wakwana mubato wekuvhara, wobva wadzvanya bhatani rekuburitsa;

10. Mushure mokusunungura mutsara, chengetedza anastomosis effect;

11. Vhara mubato wekuvhara uye bvisa chiridzwa.