UKUSUSELA ngo-1998

Umboneleli wenkonzo yotyando oluqhelekileyo lwezixhobo zonyango
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I-Trocar entsha yokusetyenziswa komntu omnye

I-Trocar entsha yokusetyenziswa komntu omnye

  • Sebenzisa enye Trocar isambuku Smail
  • Sebenzisa enye Trocar umthengisi Smail
  • Ukusebenzisa enye iTrocar ixabisa iSmail
  • I-Single Use Trocar yokuthengisa i-Smail
  • Sebenzisa enye iTrocar umenzi Smail
  • Ukusebenzisa enye iTrocar thenga iSmail
  • I-Trocar entsha yokusetyenziswa komntu omnye
  • I-Trocar entsha yokusetyenziswa komntu omnye
  • I-Trocar entsha yokusetyenziswa komntu omnye
  • I-Trocar entsha yokusetyenziswa komntu omnye
  • I-Trocar entsha yokusetyenziswa komntu omnye
  • I-Trocar entsha yokusetyenziswa komntu omnye

Iimpawu zemveliso:

Intshayelelo yeMveliso yeTrocar eLahlwayo:

Ukusetyenziswa okukodwa kuphela, kunqande ukuguquguquka okunqamlezayo;
Uyilo olulodwa, ukwenzakala okuncinci, ukuchacha ngokukhawuleza;
Uyilo lwentambo, ukugcina ngokugqibeleleyo i-vess;
Ivalve yokutywina ithatha idizayini enemigangatho emine kunye neshumi elinesithandathu loyilo olucandekileyo ukuqinisekisa ngcono ukuxinana komoya;


Intshayelelo yemveliso

Incwadi yomyalelo ye-laparoscopy elahlayo

Ukugqobhoza iiNaliti zeCannula Iimpawu:
.Sebenzisa ngolonwabo nangempumelelo uthintele ukudibana ne-infection.usetyenziso lwetrektara enye yokuthengisa- Smail
Inaliti yokugqobhoza yetrocar engena knifeless yenzelwe ngencam engacacanga, enokuthintela inaliti yokugqobhoza ekugqobhozeni amalungu.
.Ngesigcina-ntloko esinemilo yombhobhozo sinokukhusela ngokufanelekileyo kwaye sikhusele isigqubuthelo sokukhusela, sitshabalalisa imela.Ngokucinezelwa, kunye namaqhosha okhuseleko, i-elastic inokwandisa kwaye inkontileka ngokukhululekile.
.I-Catheter Umbhobho we-catheter yenzelwe intambo ekhethekileyo, enokumelana okuphantsi ngexesha lokudlala kwaye inokulungiswa kwisisu emva koko, inokuqinisekisa ukusebenza kakuhle kokusebenza.
.Iindidi ezahlukeneyo zemitha yetyhubhu kunye neenkcukacha ezahlukeneyo zezixhobo zinokuvulwa kwizicubu zomntu ukuze kube lula ukungena nokuphuma kwezixhobo ezahlukeneyo zotyando.
.Ukungangeni komoya okulungileyo kunye neepropati zokuthintela igesi kunokuthintela ngokufanelekileyo ukuvuza kwe-intra-abdominal outlet.

Ukusebenzisa enye iTrocar ixabisa iSmail

Ukusebenzisa olunye utyando olusebenzayo lwetrocar:
Izixhobo zotyando zotyando lwe-intracavitary kwizicubu zodonga lwesisu somntu ngexesha lokuhlolwa kwe-laparoscopic kunye notyando.

Ukusebenzisa enye iTrocar thenga iSmail

Ngaphambi kokufaka kunye nokusebenzisa le mveliso, nceda ufunde incwadana yomyalelo ngononophelo

Incwadi yomyalelo ye-laparoscopy elahlayo

I. Igama lemveliso, imodeli, iinkcukacha

Iyunithi yetrocar elahlayo ye-laparoscopic (mm)

IiNkcazo zeModeli

Ikhowuni yokugqobhoza idayamitha yangaphandle D1

Idayimitha yangaphakathi yeCasing D

Ubude bebhokisi L

Ukugqobhoza ubude be-cannula L1

Ukugqobhoza ubude bekhowuni L2

ubukhulu

ukunyamezelana

ubukhulu

ukunyamezelana

ubukhulu

ukunyamezelana

ubukhulu

ukunyamezelana

ubukhulu

ukunyamezelana

I-P-TC-5

5.5

+0.3

0

6

+0.3

0

112

±2.0

160

±2.0

205

±2.0

P-TC-10

10.3

10.4

P-TC-12

12.8

12.9

I-P-TC-15

15.2

15.7

 

II.Ukusebenza kwe-laparoscopic ye-trocar elahlayo

Isixhobo sokugqobhoza sisetyenziswa njengesixhobo sotyando lwe-laparoscopic.I-pneumoperitoneum kufuneka isungulwe kuqala, kwaye emva koko i-5-12 mm ye-skin incision kufuneka yenziwe kwindawo efanelekileyo kwisisu.Lungisa i-trocar ngesandla kwi-angle efanelekileyo kwi-pneumoperitoneum-ephakanyisiweyo yesisu.Ngokusikwa kwesikhumba, cinezela ezantsi phezulu kwesixhobo sokugqobhoza ngentende yesandla sakho, kwaye ufake isixhobo sokugqobhoza kwisikhuseli solusu.Xa isixhobo sokugqobhoza singena kumngxuma wesisu, ngoko nangoko khupha ikhowuni yokugqobhoza ukwenza umjelo osebenzayo, uze ufake i-laparoscope/isixhobo sokujongwa kunye nokuSebenza.

III.Ukulahlwa kwe-laparoscopic trocar engundoqo yesakhiwo sokwakheka

Isixhobo sokugqobhoza esilahlwayo se-laparoscopic senziwe ikakhulu sisivalo sokutywina, isivalo sokutshixa kunye nokulungisa, ivalve yesitofu somoya, i-cannula, i-puncture cone, ivalve yokuthintela umoya kunye nesivalo sokuzilungisa esizilungisayo.

Phakathi kwazo: i-cap yokutywina, i-cap yokuvala kunye ne-cap, i-valve ye-injection yegesi, i-casing, kunye ne-puncture cone yenziwe ngezinto ze-PC, kunye ne-valve yokuthintela umoya kunye ne-self-adjusting cap captioning yenziwe ngezinto ze-silicone.

IV.I-laparoscopic trocarscope elahlayo yokusetyenziswa

Isetyenziselwa ukugqobhoza izicubu eludongeni lwesisu somzimba womntu ngexesha le-laparoscopy kunye notyando, kunye nokuseka umjelo osebenzayo wotyando lwesisu.

V. Isakhiwo sembonakalo ye-laparoscopy elahlayo

https://www.smailmedical.com/single-use-trocar-product/1.Ukutywina i-cap 2. Ukutshixa kunye nokulungisa i-cap 3. I-valve yokutofa 4. Umkhono

5. Ikhowuni yokugqobhoza 6. Ivalve evalela umoya 7. Umnqwazi ozilungisayo wokutywina

1.umzobo 1P-TC-(5/10/12/15itrocar

 

VI.I-laparoscopic trocar elahlayo Contraindications

Ayinakusetyenziswa kwizigulane ezisandula ukuzala, kwaye kufuneka isetyenziswe ngokuqaphela kubasetyhini abakhulelweyo.

VII.Ufakelo lwe-laparoscopic trocar olulahlwayo

akukho nanye

VIII.I-laparoscopic trocar elahlayo Imiyalelo yokusetyenziswa

1. Ngaphambi kokusebenzisa i-cannula ye-puncture elahlayo yenkampani yethu, kuyacetyiswa ukuba kusekwe i-pneumoperitoneum kuqala, kwaye emva koko wenze i-skin incision kwi-canula yesisu enkulu ngokwaneleyo ukuba ifake i-cannula.Enye indlela yokuqinisekisa ukuba ulwakhiwo lwesikhumba lukhulu ngokwaneleyo kukucinezela ityhubhu yangaphandle yetrocar ezantsi eludongeni lomzimba, udala ushicilelo lwesetyhula, kwaye emva koko usike ngedayamitha eyandisiweyo ngokufanelekileyo yoshicilelo ukulungiselela ukungena kwecannula, umz. 5mm ukugqobhoza. kufuneka kwandiswe ububanzi nge-2mm.Qaphela ukuba amanxeba amancinci angabangela ukuxhathisa kwesikhumba se-cannula, ukwandisa amandla okungena kunye nokunciphisa ulawulo lwengcibi kwi-cannula ngexesha lokufakwa.

2. Lungisa i-puncture cannula kwi-angle efanelekileyo kwisisu esiphakanyisiweyo emva kwepneumoperitoneum.Iitrocars ezilahlayo zibukhali kuneetrocars eziphinda zisetyenziswe kwaye ke ngoko ngokubanzi zifuna amandla amancinci okufaka.Kodwa lumka: Ukungabi nayo igesi eyaneleyo, ukungasikweki kwesikhumba esikhulu ngokwaneleyo, okanye ukusebenzisa amandla amaninzi kunokwandisa ingozi yokwenzakala kwamalungu angaphakathi.

3. Phambi kokuba ungenise i-cannula yokugqobhoza ngokusikwa kwesikhumba, faka ikhowuni yokugqobhoza kwi-cannula yokugqobhoza.

4. Cinezela ezantsi phezu kwecannula egqobhozayo ngentende yesandla sakho.Kwangaxeshanye, ukugcina uxinzelelo kwisibambo rhoqo, faka i-puncture cannula elahlayo kwindawo yokusikwa kwesikhumba.Faka uxinzelelo oluqhubekayo lokuhla ngexesha lokungena kwi-cannula.

5. Nje ukuba i-cannula ingene kumngxuma wesisu, kufuneka kuthathelwe ingqalelo ukuba ungayisebenzisi kwakhona i-cannula.Ukuba ugqirha ucinga ukuba i-puncture cannula ikwindawo yesisu, i-cone yokubhoboza kufuneka isuswe ngokukhawuleza kwaye ifakwe kwi-laparoscope ukuze ijongwe.

6. Ukuba i-puncture ayigqitywanga, phinda amanyathelo ama-3-5.

7. Ukuba i-puncture incision i-10 mm okanye inkulu emva kokusebenza, i-fascia enzulu kufuneka ivalwe ukunciphisa umngcipheko we-hernia ye-incisional nge-suturing.

8. Emva kokuba i-puncture iphumelele, ngaphambi kokusebenzisa isixhobo se-endoscopic, sebenzisa i-lubricant yonyango kumphezulu wesixhobo se-endoscopic okanye umsesane wokutywina we-puncturer ukunciphisa ukuchasana kunye nokwenza umsebenzi ube lula kwaye ukhawuleze.

IX.Iendlela ezilahlayo ze-laparoscopic trocar zokugcinwa kunye nokugcinwa kweendlela

1. Ugcino: Gcina kwigumbi elinobumanzi obungekho ngaphezulu kwama-80%, elingena umoya, kwaye akukho zigesi ezidliwayo.

2. Ukuthutha: Imveliso epakishweyo inokuthuthwa ngezixhobo eziqhelekileyo.Ngexesha lokuthutha, kufuneka liphathwe ngononophelo kwaye ugweme ukukhanya kwelanga, ukungqubana okunobundlobongela, imvula kunye ne-gravity extrusion.

X.Umhla wokuphelelwa kwexesha le-laparoscopic trocar

Emva kokuba le mveliso ivalwe nge-ethylene oxide, ixesha lokuvala inzala yiminyaka emithathu, kwaye umhla wokuphelelwa kwawo ubonisiwe kwileyibhile.

XI.Uluhlu lwezixhobo ze-laparoscopy ezilahlwayo

      akukho nanye

XII.Izilumkiso zetrocar ezilahlayo kunye nezilumkiso

1. Xa usebenzisa le mveliso, iinkcukacha zokusebenza kwe-aseptic kufuneka zilandelwe ngokungqongqo;

2. Nceda uhlolisise ukupakishwa kwale mveliso ngononophelo ngaphambi kokusetyenziswa, ukuba ukupakishwa kwe-blister konakaliswe, nceda uyeke ukuyisebenzisa;

3. Le mveliso ifakwe inzalo nge-ethylene oxide, kwaye imveliso eyenziwe inzalo isetyenziselwa ukusetyenziswa kweklinikhi.Nceda ujonge isalathisi sediski kwibhokisi yokupakisha inzalo yale mveliso, "i-blue" ibonisa ukuba imveliso ifakwe inzalo nge-ethylene oxide kwaye inokusetyenziswa ngokuthe ngqo kwiklinikhi;

4. Le mveliso yeyokusetyenziswa kwexesha elinye kwaye ayinakwenziwa inzala emva kokusetyenziswa;

5. Nceda ujonge ukuba imveliso ingaphakathi kwexesha elisemthethweni ngaphambi kokusetyenziswa.Ixesha lokuqinisekisa ukuvala inzala yiminyaka emithathu.Iimveliso ezingaphaya kwexesha lokuqinisekisa zithintelwe ngokungqongqo ukuba zisetyenziswe;

6. Ukungaphumeleli ukwenza kunye nokugcina i-pneumoperitoneum efanelekileyo ngexesha lotyando lwesisu kunokunciphisa indawo yokusebenza ekhoyo, ngaloo ndlela kuthintele ukuhamba phambili kwe-puncture cone kunye nokwandisa umngcipheko wokulimala kwezicubu ze-visceral.

7. Kuphela abanamava kwaye baqhelene neendlela ze-endoscopic bangenza utyando lwe-endoscopic.Ngaphambi kokuhlinzwa, oogqirha kufuneka badibane neencwadi ezifanelekileyo kunye neencwadi ukuqonda ubuchule, iingxaki kunye nobungozi be-endoscopy.

8. Ikhowuni yokugqobhoza emilise enye ibukhali kwaye ikhuselekile, ngoko ke amandla amancinci afunekayo ngexesha lokufakwa.Amandla amaninzi anokunciphisa ulawulo lomsebenzisi kwi-angle yokufaka kunye nobunzulu be-cone ye-puncture, ukwandisa umngcipheko wokulimala kwezicubu zangaphakathi.

9. Ukubambelela, ukungahambi kakuhle kwe-anatomical okanye ezinye izithintelo kunokuthintela okanye ukulibazisa, okuya kubangela ukuba i-puncture cone yonakalise isakhiwo somzimba wangaphakathi ngexesha lokuhlatywa kwemfama.Kunconywa ukusebenzisa utyando oluvulekileyo lwe-laparoscopic, kwaye emva koko usebenzise le mveliso emva kokongeza i-sutures kwi-fascia yesisu sokungenisa ukusetyenziswa.

10. Ngaphambi nasemva kokususa i-cannula elahlayo kwi-canula yesisu, khangela indawo yotyando lwe-hemostasis.Ukopha kunokulawulwa nge-cautery okanye i-sutures yesandla.Ngokwengqiqo kagqirha, i-laparotomy ingafuneka.

11. Xa sele ukwindawo yesisu, kufuneka kuthathwe unonophelo ukuba ungaphindi ucinezele i-cannula.Ukuba kusetyenziswe amandla okwaneleyo kwisiphelo sangaphambili ukuhambisa i-cone phambili, kuya kubangela umonakalo kwizicubu zangaphakathi.

12. Xa usebenzisa izixhobo ze-endoscopic kunye nezixhobo eziveliswa ngabavelisi abahlukeneyo ngexesha elifanayo kwi-endoscopic utyando, ukuhambelana phakathi kwezixhobo ezahlukeneyo kufuneka kuhlolwe, kwaye ukufakwa kombane kunye nokuphantsi kufuneka kuhlolwe.

13. Ukuba i-skin incision incision yi-10mm okanye ngaphezulu, i-fascia enzulu kufuneka ivalwe ukuze kuncitshiswe amathuba okuba ne-incisional hernia.

14. Ngethuba lotyando lwe-laparoscopic, isigulane kufuneka sibe kwindawo yokulala kunye nentloko kunye neenyawo phezulu.Xa usebenzisa i-cannula yokuqala yokugqobhoza, phakamisa udonga lwesinyi esisezantsi ngesandla esinye, usebenzise i-cannula yokugqobhoza ngesinye isandla, wenze i-cannula kwi-umbilicus skin, kwaye uyifake ngakwisinye nge-angle ye-45-degree.

15. Iimveliso ezifakwe iisterilized kufuneka zigcinwe kwindawo epholileyo, eyomileyo, ecocekileyo, engenamoya ococekileyo ngaphandle kweegesi ezidliwayo.

16. Emva kokuba i-puncture iphumelele, sebenzisa i-lubricant yonyango kumphezulu wesixhobo se-endoscopic okanye iringi yokutywina yesixhobo sokuhlatywa ngaphambi kokusebenzisa isixhobo se-endoscopic ukunciphisa ukuxhathisa kunye nokwenza umsebenzi ube lula kwaye ukhawuleze.

17. Jonga ileyibhile yomhla wokuvelisa

18. Ingcaciso yemizobo, iisimboli kunye nezifinyezo ezisetyenziswa ekupakishweni nakwiilebhile

https://www.smailmedical.com/


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