Disposable laparoscopic trocar yekuraira bhuku

Usati waisa uye kushandisa chigadzirwa ichi, ndapota verenga bhuku rekuraira zvakanyatsonaka

Disposable laparoscopic trocar yekuraira bhuku

I. Zita rechigadzirwa, muenzaniso, tsanangudzo

Inoraswa laparoscopic trocar unit (mm)

II.Disposable laparoscopic trocar performance

Iyo puncture mudziyo unoshandiswa se laparoscopic yekuvhiya chiridzwa.Iyo pneumoperitoneum inofanira kugadzwa kutanga, uye ipapo 5-12 mm yeganda incision inofanira kuitwa panzvimbo yakakodzera mudumbu.Gadzirisa trocar neruoko pakona yakakodzera pane pneumoperitoneum-yakakwirira dumbu.Kuburikidza nekuchekwa kweganda, dzvanya pasi pamusoro pechidzitiro chekubaya nechanza cheruoko rwako, wopinza mudziyo wekupinza mukati meganda.Kana iyo puncture ikapinda mudumbu remukati, bvisa iyo puncture koni kuti uite chiteshi chekushanda, wobva waisa laparoscope/chiridzwa chekutarisa uye Kushanda.

III.Disposable laparoscopic trocar main chimiro kuumbwa

Iyo inoraswa laparoscopic puncture mudziyo unonyanya kuumbwa nevhavha yekuvharisa, yekukiya nekuvhara kavha, mhepo jekiseni vharafu, cannula, puncture koni, mhepo inovharira vharafu uye yekuzvigadzirisa yekuvharisa chivharo.

Pakati pazvo: chivharo chekuisa chisimbiso, kukiya uye kugadzirisa chivharo, gasi jekiseni vharafu, casing, uye puncture koni inogadzirwa nePC zvinhu, uye mhepo inovharira vharafu uye yekuzvigadzirisa seal cap inogadzirwa nesilicone zvinhu.

IV.Disposable laparoscopic trocar scope yekushandiswa

Inoshandiswa kubaya dumbu remadziro emuviri wemunhu panguva ye laparoscopy uye kuvhiyiwa, uye kumisikidza nzira yekushanda yekuvhiya mudumbu.

V. Inoraswa laparoscopic trocar chitarisiko chimiro

1.Kuvhara chivharo 2. Kuvhara nekugadzirisa chivharo 3. Injection valve 4. Sleeve

5. Kuboora koni 6. Air blocking valve 7. Self-adjusting sealing cap

1.mufananidzo 1P-TC-(5/10/12/15）trocar

VI.Disposable laparoscopic trocar Contraindications

Haikwanise kushandiswa muvarwere vane neonatal, uye inofanira kushandiswa nekuchenjerera muvakadzi vane pamuviri.

VII.Disposable laparoscopic trocar installation

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VIII.Disposable laparoscopic trocar Mirayiridzo yekushandisa

1. Usati washandisa kambani yedu inoraswa puncture cannula, zvinokurudzirwa kuti utange pneumoperitoneum kutanga, uye wozogadzira ganda mudumbu redumbu rakakura zvakakwana kuti rigadzikane cannula.Imwe nzira yekuona kuti kuchekwa kweganda kwakakura zvakakwana kudzvanya chubhu yekunze yetrocar pasi pamadziro emuviri, kugadzira chinyorwa chedenderedzwa, uye wozochekerera nedhayamita yakawedzerwa yakaringana yeinodhinda kuti igone kupinda cannula, semuenzaniso 5mm puncture Iyo casing. inoda kuwedzera dhayamita ne2mm.Ziva kuti zvidiki zvidiki zvinogona kukonzera ganda rekudzivirira kwecannula, kuwedzera simba rekupinda uye kuderedza kudzora kwachiremba we cannula panguva yekuiswa.

2. Gadzirisa puncture cannula pakona yakakodzera padumbu rakasimudzwa mushure mepneumoperitoneum.Matrocars anoraswa akapinza kupfuura anogona kushandiswazve trocars uye saka kazhinji anoda mashoma simba kuisa.Asi chenjera: Kusava negasi rakakwana, kusacheka ganda rakakura zvakakwana, kana kushandisa simba rakawandisa kunogona kuwedzera njodzi yekukuvadza nhengo dzomukati.

3. Usati waunza puncture cannula kuburikidza neganda rekucheka, isa iyo puncture koni mu puncture cannula.

4. Dzvanya pasi pamusoro pekanula inoboora nechanza cheruoko rwako.Panguva imwecheteyo, kuchengetedza kudzvanywa kwemubato kusingachinji, isa iyo inoraswa cannula mumucheka weganda.Isa zvinoramba zvichidzika zvichidzika panguva yekupinda cannula.

5. Kana iyo cannula yapinda mudumbu remudumbu, kungwarira kunofanirwa kutorwa kusaisa zvakare cannula.Kana chiremba anovhiya achifunga kuti puncture cannula iri mugomba redumbu, iyo puncture koni inofanira kubviswa nekukasira uye kuiswa mu laparoscope kuti ionekwe.

6. Kana puncture isati yapera, dzokorora matanho 3-5.

7. Kana iyo puncture incision iri 10 mm kana yakakura mushure mekushanda, iyo yakadzika fascia inofanira kuvharwa kuti kuderedze njodzi ye incisional hernia ne suturing.

8. Mushure mekunge puncture yabudirira, usati washandisa endoscopic chiridzwa, shandisa mushonga wezvokurapa pamusoro peiyo endoscopic chiridzwa kana chisimbiso mhete yepuncturer kuderedza kushorwa uye kuita kuti kushanda kuve nyore uye nekukurumidza.

IX.Disposable laparoscopic trocar kugadzirisa uye kugadzirisa nzira

1. Kuchengeta: Chengetedza muimba ine mwando usingapfuuri 80%, inofefetera zvakanaka, uye isina magasi anoparadza.

2. Kutakura: Chigadzirwa chakaputirwa chinogona kutakurwa nemidziyo yakajairika.Panguva yekufambisa, inofanirwa kubatwa nekuchenjerera uye kudzivirira zuva rakananga, kudhumhana kwechisimba, mvura uye giravhiti extrusion.

X.Disposable laparoscopic trocar expiration date

Mushure mekunge chigadzirwa ichi chaitwa sterilized ne ethylene oxide, nguva ye sterilization ndeye makore matatu, uye zuva rekupera rinoratidzwa pane iyo label.

XI.Inoraswa laparoscopic trocar accessories list

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XII.Inoraswa laparoscopic trocar precautions uye yambiro

1. Paunenge uchishandisa chigadzirwa ichi, aseptic oparesheni yakatarwa inofanira kunyatsoteverwa;

2. Ndapota chengetedza kurongedza kwechigadzirwa ichi zvakanyatsonaka usati washandisa, kana blister packaging yakakuvadzwa, tapota rega kuishandisa;

3. Ichi chigadzirwa chinoitwa sterilized ne ethylene oxide, uye sterilized chigadzirwa ndeyekushandiswa kwekliniki.Ndokumbira utarise chiratidzo che disc pane sterilization packaging box yechigadzirwa ichi, "blue" inoratidza kuti chigadzirwa chave sterilized ne ethylene oxide uye inogona kushandiswa zvakananga kukiriniki;

4. Ichi chigadzirwa ndechekushandiswa kwekamwe chete uye hachigone kuvharwa mushure mekushandisa;

5. Ndokumbira utarise kana chigadzirwa chiri mukati menguva yechokwadi isati yashandiswa.Iyo sterilization yechokwadi nguva ndeye makore matatu.Zvigadzirwa zvinopfuura nguva yechokwadi zvinorambidzwa zvachose kushandisa;

6. Kukundikana kuumba nekuchengetedza pneumoperitoneum yakakodzera panguva yekuvhiyiwa kwepamuviri kunogona kuderedza nzvimbo yekushanda iripo, nokudaro ichidzivisa kufamba mberi kwepuncture cone uye kuwedzera ngozi yekukuvara kwezvisceral tissue.

7. Vane ruzivo chete uye vanoziva nezve endoscopic maitiro vanogona kuita endoscopic kuvhiyiwa.Vasati vavhiyiwa, vanachiremba vanofanira kubvunza mabhuku akakodzera uye mabhuku kuti vanzwisise maitiro, matambudziko uye njodzi dze endoscopy.

8. Iyo imwe-shaped puncture cone inopinza uye yakachengeteka, saka simba shoma rinodiwa panguva yekuisa.Simba rakawandisa rinogona kuderedza kutonga kwemushandisi pamusoro pekona yekuisa uye kudzika kweiyo puncture cone, zvichiwedzera njodzi yekukuvadza mukati mematishu.

9. Adhesions, anatomical abnormalities kana zvimwe zvipingamupinyi zvinogona kudzivirira kana kunonoka, izvo zvichaita kuti puncture cone ikuvadze chimiro chemukati chemukati panguva yebofu.Inokurudzirwa kushandisa yakavhurika laparoscopic kuvhiyiwa, uye wozoshandisa chigadzirwa ichi mushure mekuwedzera sutures kune abdominal fascia import kushandiswa.

10. Usati wabvisa uye mushure mekubvisa cannula inoraswa kubva mudumbu remukati, tarisa nzvimbo yekuvhiya yehemostasis.Kubuda ropa kunogona kudzorwa necautery kana hand sutures.Pakufunga kwechiremba, laparotomy inogona kudiwa.

11. Pane imwe nguva mudumbu remudumbu, kutarisirwa kunofanira kutorwa kuti usatsigire zvakare cannula.Kana simba rakakwana rikaiswa kumucheto wepamberi kufambisa koni mberi, zvinokonzeresa kukuvadzwa kwemukati menyama.

12. Paunenge uchishandisa endoscopic zviridzwa uye zvigadzirwa zvinogadzirwa nevagadziri vakasiyana-siyana panguva imwechete mukuvhiya endoscopic, kuwirirana pakati pezviridzwa zvakasiyana kunofanira kuongororwa, uye kuvhara kwemagetsi uye pasi kunofanira kuongororwa.

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14. Panguva yekuvhiyiwa kwelaparoscopic, murwere anofanira kunge ari panzvimbo yepamusoro nemusoro pasi uye tsoka kumusoro.Paunenge uchishandisa kanula kekutanga, simudza madziro epazasi peguvhu neruoko rumwe, shandisa kanula yekubaya nerumwe ruoko, cheka kubva paganda reguvhu, woipinza yakananga kudundira ne45-degree angle.

15. Zvigadzirwa zvesterilized zvinofanira kuchengetwa munzvimbo inotonhorera, yakaoma, yakachena, inofefetera zvakanaka pasina magasi anoparadza.

16. Mushure mekunge puncture yabudirira, shandisa mafuta ezvokurapa pamusoro pechimbo che endoscopic kana mhete yekuisa chisimbiso chemudziyo wepuncture usati washandisa endoscopic chiridzwa kuderedza kushorwa uye kuita kuti kushanda kuve nyore uye nekukurumidza.

17. Ona label yezuva rekugadzira

18. Tsananguro yemifananidzo, zviratidzo uye zvipfupiso zvinoshandiswa mukurongedza uye mavara