I-Laparoscopic Linear Cutter Stapler Elahlwayo kanye Nezingxenye ingxenye 4

I-Laparoscopic Linear Cutter Stapler elahlayo kanye nezingxenye ingxenye 4

(Sicela ufunde incwadi yeziqondiso ngokucophelela ngaphambi kokufaka nokusebenzisa lo mkhiqizo)

VIII.I-Laparoscopic Linear Cutting Staplerizindlela zokunakekela nokunakekela:

1. Isitoreji: Gcina ekamelweni elinomswakama olinganiselwe ongekho ngaphezu kuka-80%, elinomoya ohlanzekile, futhi elingenawo amagesi ezonakalisayo.

2. Ezokuthutha: Umkhiqizo opakishiwe ungathuthwa ngamathuluzi avamile.Ngesikhathi sokuthutha, kufanele kuphathwe ngokucophelela futhi ugweme ilanga eliqondile, ukungqubuzana okunamandla, imvula kanye ne-gravity extrusion.

IX.I-Laparoscopic Linear Cutting Staplerusuku lokuphelelwa isikhathi:

Ngemuva kokuthi umkhiqizo usufakwe inzalo nge-ethylene oxide, isikhathi sokuvala inzalo iminyaka emithathu, futhi usuku lokuphelelwa yisikhathi luboniswa kulebula.

X.I-Laparoscopic Linear Cutting Stapleruhlu lwezinsiza:

akukho

Izinyathelo zokuphepha nezixwayiso ze-XI.I-Laparoscopic Linear Cutting Stapler:

1. Uma usebenzisa lo mkhiqizo, imininingwane yokusebenza kwe-aseptic kufanele ilandelwe ngokuqinile;

2. Sicela uhlole ukupakishwa kwalo mkhiqizo ngokucophelela ngaphambi kokusetshenziswa, uma ukupakishwa kwamabhamuza konakalisiwe, sicela uyeke ukuyisebenzisa;

3. Lo mkhiqizo uvalwa inzalo nge-ethylene oxide, futhi umkhiqizo ovalwe inzalo owokusetshenziswa emtholampilo.Sicela uhlole inkomba yediski ebhokisini lokupakisha lokuvala inzalo lalo mkhiqizo, “okuluhlaza okwesibhakabhaka” kusho ukuthi umkhiqizo uvalwe amagciwane futhi ungasetshenziswa ngokuqondile emtholampilo;

4. Lo mkhiqizo usetshenziselwa ukuhlinzwa okukodwa futhi awukwazi ukuvalwa inzalo ngemva kokusetshenziswa;

5. Sicela uhlole ukuthi umkhiqizo ungaphakathi kwesikhathi sokuqinisekisa ngaphambi kokusetshenziswa.Isikhathi sokuqinisekisa ukuvala inzalo iminyaka emithathu.Imikhiqizo engaphezulu kwesikhathi sokuqinisekisa inqatshelwe ngokuphelele;

6. Umhlangano wokusika i-laparoscopic okhiqizwe yinkampani yethu kufanele usetshenziswe ngokuhambisana nohlobo oluhambisanayo kanye nokucaciswa kwe-laparoscopic linear cutting stapler ekhiqizwa yinkampani yethu.Bheka iThebula 1 kanye neThebula 2 ukuze uthole imininingwane;

7. Imisebenzi ehlasela kancane kufanele yenziwe abantu abathole ukuqeqeshwa okwanele futhi abajwayelene namasu amancane ahlaselayo.Ngaphambi kokwenza noma yikuphi ukuhlinza okuncane kakhulu, izincwadi zezokwelapha ezihlobene nenqubo, izinkinga zayo kanye nezingozi kufanele kuboniswane nazo;

8. Usayizi wemishini engenele kancane evela kubakhiqizi abahlukene ungahluka.Uma amathuluzi okuhlinza angangeneleli kancane kanye nezinsiza ezikhiqizwe abakhiqizi abahlukene zisetshenziswa ekuhlinzeni okukodwa ngesikhathi esisodwa, kuyadingeka ukuthi kubhekwe ukuthi ziyahambisana yini ngaphambi kokuhlinzwa;

9. Ukwelashwa ngemisebe ngaphambi kokuhlinzwa kungase kubangele ukushintsha kwezicubu.Isibonelo, lezi zinguquko zingabangela ukuqina kwezicubu ngaphezu kwalokho okushiwo kusisekelo esikhethiwe.Noma yikuphi ukwelashwa kwesiguli ngaphambi kokuhlinzwa kufanele kucatshangelwe ngokucophelela futhi kungadinga izinguquko endleleni yokuhlinza noma indlela;

10. Ungaliyeki inkinobho kuze kube yilapho insimbi isilungele ukuvutha;

11. Qiniseka ukuthi ubheka ukuphepha kwekhatriji eliyisisekelo ngaphambi kokudubula;

12. Ngemuva kokudubula, qiniseka ukuthi uhlola i-hemostasis emgqeni we-anastomotic, hlola ukuthi i-anastomosis iphelele nokuthi kukhona ukuvuza;

13. Qinisekisa ukuthi ukujiya kwezicubu kungaphakathi kwebanga elishiwo nokuthi izicubu zisabalaliswa ngokulinganayo ngaphakathi kwe-stapler.Izicubu eziningi kakhulu ohlangothini olulodwa zingabangela i-anastomosis embi, futhi ukuvuza kwe-anastomotic kungase kwenzeke;

14. Endabeni yezicubu ezingaphezu noma eziwugqinsi, ukuzama ukuphoqelela i-trigger kungase kubangele ama-sutures angaphelele kanye nokuphuka kwe-anastomotic noma ukuvuza okungenzeka.Ngaphezu kwalokho, ukulimala kwensimbi noma ukwehluleka ukushisa kungase kwenzeke;

15. Kumele kuqedwe ukudubula okukodwa.Ungalokothi ushise insimbi kancane.Ukudubula okungaphelele kungase kubangele izisekelo ezakhiwe ngendlela engafanele, umugqa wokusika ongaphelele, ukopha nokuvuza kumthungo, kanye/noma kube nzima ukukhipha ithuluzi;

16. Qinisekisa ukuthi ushisa kuze kube sekugcineni ukuze uqinisekise ukuthi izisekelo zakhiwe ngendlela efanele futhi izicubu zisikwa ngendlela efanele;

17. Cindezela isibambo sokudubula ukuze uveze i-blade yokusika.Ungacindezeli isibambo ngokuphindaphindiwe, okuzodala umonakalo endaweni ye-anastomosis;

18. Lapho ufaka idivayisi, qinisekisa ukuthi ukuphepha kusendaweni evaliwe ukuze ugweme ukwenza kusebenze ngokungazi kwe-lever yokudubula, okuholela ekuvezweni kwe-blade ngengozi kanye nokusetshenziswa okuyingxenye ngaphambi kwesikhathi noma okugcwele kwezisekelo;

19. Izikhathi eziphezulu zokudubula zalo mkhiqizo izikhathi ezingu-8;

20. Ukusebenzisa lolu cingo ngezinto zokuqinisa ulayini we-anastomotic kungase kunciphise inani lamashothi;

21. Lo mkhiqizo uyidivayisi esetshenziswa kanye.Uma idivayisi isivuliwe, kungakhathaliseki ukuthi isetshenzisiwe noma cha, ngeke iphinde inzalwe.Qiniseka ukuthi ukhiya ilokhi yokuphepha ngaphambi kokuphatha;

22. Iphephile ngaphansi kwezimo ezithile ze-nuclear magnetic resonance (MR):

·Ukuhlola okungekhona okomtholampilo kubonisa ukuthi okuyisisekelo okugxilile okunebanga le-TA2G lezinto ezibonakalayo kungasetshenziswa ku-MR ngokwemibandela.Iziguli zingaskenwa ngokuphephile ngokushesha ngemva kokufakwa okuyisisekelo kulezi zimo ezilandelayo:

·Ibanga lenkundla kazibuthe emile liphakathi kuka-1.5T-3.0T kuphela.

·Ubukhulu bendawo kazibuthe begradient bungu-3000 gauss/cm noma ngaphansi.

·Isistimu ye-MR enkulu kunazo zonke ebikiwe, iskena imizuzu engu-15, isilinganiso sokumunca okumaphakathi komzimba wonke (SAR) singu-2 W/kg.

·Ngaphansi kwezimo zokuskena, ukukhuphuka kwezinga lokushisa okuphezulu kwama-staples kulindeleke ukuthi kube ngu-1.9°C ngemva kokuskena imizuzu engu-15.

Ulwazi lwe-artifact:

   Lapho kuhlolwa okungahloliwe kusetshenziswa isithombe sokulandelana kwe-gradient echo pulse kanye nesistimu kazibuthe ye-3.0T MR, okuyisisekelo kubangele ama-artifact acishe abe ngu-5 mm ukusuka endaweni yokufakelwa.

23. Bheka ilebula ngosuku lokukhiqiza;

24. Incazelo yezithombe, izimpawu nezifinyezo ezisetshenziswa emaphaketheni nasemalebula: