Kuongororwa kwakadzama kwekushandisa kunoshanda kwemba yekuvhiya maikorosikopu
Zvikamu zvekuongorora zvakakodzera: 1. Sichuan Provincial People's Hospital, Sichuan Academy of Medical Sciences; 2. Sichuan Food and Drug Inspection and Testing Institute; 3. Dhipatimendi reUrology yeChipiri Affiliated Hospital yeChengdu University of Traditional Chinese Medicine; 4. Cixi Hospital yeTraditional Chinese Medicine, Dhipatimendi reKuvhiya Maoko netsoka
chinangwa
Iyo yemumba CORDER brand ASOM-4 yekuvhiya maikorosikopu yakaongororwazve mushure memusika.Nzira: Zvinoenderana nezvinodiwa zveGB 9706.1-2007 uye GB 11239.1-2005, CORDER yekuvhiya maikorosikopu yakaenzaniswa neyakafanana zvigadzirwa zvekunze. Mukuwedzera kune kuongororwa kwekuwana kuwanikwa kwechigadzirwa, kuongororwa kwakanangana nekuvimbika, kushanda, hupfumi uye mushure mekutengesa sevhisi.Zvigumisiro: CORDER inoshandisa microscope inogona kusangana nezvinodiwa zvehutano hwemaindasitiri akakodzera, uye kuvimbika kwayo, kushanda uye mushure mekutengesa sevhisi inogona kusangana nezvinodiwa zvekiriniki, nepo hupfumi hwayo hwakanaka. Mhedziso: CORDER inoshanda microscope uye microscope yakawanda inowanikwa mune zvehupfumi. Zvakakodzera kurumbidza semudziyo wepamusoro wekurapa mudziyo.
sumo
Iyo microscope inoshanda inonyanya kushandiswa kuita microsurgery yakadai seophthalmology, orthopedics, kuvhiyiwa kwehuropi, neurology uye otolaryngology, uye ndiyo midziyo yekurapa inodiwa ye microsurgery [1-6]. Parizvino, mutengo wemidziyo yakadaro inounzwa kubva kunze kwenyika inodarika 500000 yuan, uye kune mari yakawanda yekushandisa uye mari yekugadzirisa. Zvipatara zvakakura zvishoma chete muChina zvinokwanisa kutenga michina yakadaro, iyo inokanganisa kuvandudzwa kwe microsurgery muChina. Naizvozvo, mamicroscopes ekuvhiya epamba ane mashandiro akafanana uye mutengo wepamusoro wakavapo. Sechikamu chekutanga chezvigadzirwa zvekuratidzira zvekurapa muSichuan Province, iyo ASOM-4 inoshanda maikorosikopu yeCORDER brand ndeye yakazvimiririra yakagadziridzwa maikorosikopu yekushandisa yemapfupa, kuvhiyiwa kwe thoracic, kuvhiyiwa kwemaoko, kuvhiyiwa kwepurasitiki uye kumwe kuvhiyiwa kwechidiki [7]. Nekudaro, vamwe vashandisi vemumba vanogara vasina chokwadi nezvezvigadzirwa zvemumba, izvo zvinomisa mukurumbira we microsurgery. Chidzidzo ichi chine chinangwa chekuita ongororo yeakawanda-yepakati post-yekushambadzira yeASOM-4 yekuvhiya maikorosikopu yeCORDER brand. Pamusoro pekuongororwa kwekuwana kwechigadzirwa kwematekinoroji ma paramita, kuita kwemaziso, kuchengetedzwa uye zvimwe zvigadzirwa, inozotarisa pakuvimbika kwayo, kushanda, hupfumi uye mushure mekutengesa sevhisi.
1 Chinhu uye nzira
1.1 Chinhu chekutsvagisa
Boka rekuyedza rakashandisa ASOM-4 yekuvhiya maikorosikopu yeCORDER brand, iyo yakapihwa nevedzimba Chengdu CORDER Optics&Electronics Co.; Boka rekutonga rakasarudza yakatengwa yekune dzimwe nyika yekuvhiya maikorosikopu (OPMI VAR10700, Carl Zeiss). Midziyo yose yakaendeswa uye yakashandiswa pamberi paJanuary 2015. Munguva yekuongorora, zvigadzirwa muboka rekuedza uye boka rekutonga zvakashandiswa zvakasiyana, sezvinoratidzwa mumufananidzo 1.
1.2 nzvimbo yekutsvagisa
Sarudza chimwe cheKirasi III Kirasi A chipatara (Sichuan Provincial People's Hospital, Sichuan Academy of Medical Sayenzi, ≥ 10 microsurgeries pasvondo) muSichuan Province iyo yakaita microsurgery kwemakore akawanda uye maviri Kirasi II Kirasi A zvipatara muChina izvo zvakaitisa microsurgery kwemakore akawanda (yeChipiri Affiliated Hospital yeChengdu Traditional Hospital, Chinese Traditional Hospital yeChengdu Traditional Hospital uye Cida Traditional Chipatara cheChina cheTraditional Chipatara cheChina cheTraditional Chipatara cheChina cheTraditional Chipatara cheChengdu yeChipatara cheChiredhi uye Chipatara cheTraditional cheChina 5 microsurgeries pavhiki). Iwo tekinoroji zviratidzo zvinotemerwa neSichuan Medical Device Testing Center.
1.3 nzira yekutsvaga
1.3.1 Ongororo yekuwana
Kuchengetedzwa kunoongororwa maererano neGB 9706.1-2007 Medical Electrical Equipment Chikamu 1: General Requirements for Safety [8], uye main optical performance zviratidzo zve microscope inoshanda inofananidzwa uye inoongororwa maererano nezvinodiwa zveGB 11239.1-2005 [9].
1.3.2 Kuvimbika kuongorora
Nyora nhamba yematafura ekushanda uye nhamba yekukundikana kwemidziyo kubva panguva yekuendesa michina kusvika munaJuly 2017, uye enzanisa uye ongorora kukundikana kwehuwandu. Mukuwedzera, iyo data yeNational Center yeClinical Adverse Reaction Detection mumakore matatu achangopfuura yakabvunzwa kuti inyore chiitiko chezviitiko zvakashata zvemidziyo muboka rekuedza uye boka rekutonga.
1.3.3 Ongororo yekushanda
Mushandi wemidziyo, kureva kuti, chiremba, anopa zvibodzwa zvemukati pane kureruka kwekushanda kwechigadzirwa, kunyaradzwa kweanoshanda uye kutungamira kwemirairo, uye inopa chibodzwa pakugutsikana kwese. Pamusoro pezvo, huwandu hwekutadza kushanda nekuda kwezvikonzero zvemidziyo hucharekodhwa zvakasiyana.
1.3.4 Ongororo yehupfumi
Enzanisa mutengo wekutenga michina (mutengo wemuchina wekutambira) uye mutengo wekushandisa, rekodha uye enzanisa mutengo wakakwana wekugadzirisa zvigadzirwa pakati peboka rekuyedza neboka rekutonga panguva yekuongorora.
1.3.5 Mushure mekutengesa sevhisi kuongororwa
Ivo vakuru vemidziyo manejimendi emasangano matatu ekurapa vanozopa zvibodzwa zvekuisa, kudzidziswa kwevashandi uye kugadzirisa.
1.4 Quantitative scoring method
Chinhu chega chega chezviri pamusoro apa chekuongorora chinozopihwa zvibodzwa zvine huwandu hwe100 mapoinzi. Tsanangudzo inoratidzwa muTable 1. Maererano neavhareji yezvibodzwa zvemasangano matatu ezvokurapa, kana musiyano pakati pehuwandu hwezvigadzirwa muboka rekuedza uye zvigadzirwa muboka rekutonga zviri ≤ 5 points, zvigadzirwa zvekuongorora zvinonzi zvakaenzana nezvigadzirwa zvekutonga, uye zvigadzirwa zviri muboka rekuedza (CORDER surgical microscope) inogona kutsiva boka rekuvhiya rinotumirwa kune microscope).
2 mhedzisiro
Huwandu hwe2613 mashandiro akaverengerwa muchidzidzo ichi, kusanganisira zana nemakumi matatu nemaviri emidziyo yemumba uye 1311 michina yakatengwa kunze kwenyika. Vanachiremba gumi vakuru vemapfupa uye pamusoro, 13 weurological murume associate mukuru uye pamusoro pavanachiremba, 7 neurosurgical associate vakuru uye pamusoro pavanachiremba, uye vanokwana makumi matatu vanobatana navo vakuru nepamusoro vanachiremba vakapinda muongororo iyi. Nhamba dzezvipatara zvitatu zvinoverengwa, uye zvibodzwa zvakananga zvinoratidzwa muTable 2. Nhamba yehuwandu yehuwandu hweiyo ASOM-4 inoshandisa maikorosikopu yeCORDER brand ndeye 1.8 points pasi peiyo inotengeswa microscope inoshanda. Ona Mufananidzo 2 wekuenzanisa kwakazara kwezvibodzwa pakati pemidziyo iri muboka rekuyedza nemidziyo iri muboka rekutonga.
3 kurukura
Iyo yakazara index mamakisikopu eiyo ASOM-4 yekuvhiya maikorosikopu yeCORDER brand ndeye 1.8 mapoinzi yakaderera pane iyo yakatengwa kunze kwenyika maikorosikopu yekuvhiya yekutonga, uye mutsauko pakati pezvibodzwa zvechigadzirwa chekutonga neASOM-4 ≤ 5 mapoinzi. Naizvozvo, mhedzisiro yeongororo iyi inoratidza kuti ASOM-4 yekuvhiya maikorosikopu yeCORDER brand inogona kutsiva zvigadzirwa zvinotengeswa kunze kwenyika uye inofanirwa kusimudzirwa semidziyo yemumba.
Radhi chati inoratidza zvakajeka musiyano pakati pemidziyo yemumba nemidziyo inotengeswa kunze kwenyika (Mufananidzo 2). Mukutaura kwezviratidzo zvehunyanzvi, kugadzikana uye mushure mekutengesa-kutsigirwa, izvo zviviri zvakaenzana; Panyaya yekushandiswa kwakazara, michina inotengeswa kunze kwenyika yakati pfuurei zvishoma, zvichiratidza kuti midziyo yemumba ichine nzvimbo yekuenderera mberi kuvandudzwa; Panyaya yezviratidziro zvehupfumi, CORDER brand ASOM-4 yemidziyo yemumba ine mabhenefiti ari pachena.
Mukuongorora kwekubvumirwa, zviratidzo zvakakosha zvemakorosikopu ekuvhiya epamba uye kunze kwenyika zvinosangana nezvinodiwa zveGB11239.1-2005 standard. Iwo akakosha ekuchengetedza maratidziro emakina ese ari maviri anosangana nezvinodiwa zveGB 9706.1-2007. Nokudaro, zvose zvinosangana nezvinodiwa zvemitemo yenyika, uye hapana musiyano uri pachena mukuchengeteka; Panyaya yekushanda, zvigadzirwa zvinotengeswa kunze kwenyika zvine zvimwe zvakanakira pamusoro pemidziyo yekurapa yemumba maererano nekuvhenekesa mwenje maitiro, nepo mamwe optical imaging performance haina mutsauko uri pachena; Mukutaura kwekuvimbika, panguva yekuongorora, kukundikana kwehuwandu hwemhando iyi yemidziyo yakanga iri pasi pe20%, uye zvizhinji zvekukundikana zvakakonzerwa nebhubhu inoda kuchinjwa, uye zvishomanana zvakakonzerwa nekugadziriswa kusina kunaka kwe counterweight. Pakanga pasina kutadza kwakanyanya kana kudzima kwemidziyo.
CORDER brand ASOM-4 yekuvhiya microscope host mutengo ingori inenge 1/10 yeboka rekutonga (inotengeswa kunze kwenyika). Panguva imwecheteyo, nokuti haifaniri kuchengetedza chibatiso, inoda zvishoma zvinoshandiswa uye inonyanya kuenderana nemutemo usina kuberekwa wekuvhiya. Mukuwedzera, rudzi urwu rwekushanda microscope rinoshandisa mwenje we LED wepamba, iyo yakachipawo kupfuura boka rekutonga, uye mari yose yekuchengetedza yakaderera. Naizvozvo, CORDER brand ASOM-4 yekuvhiya maikorosikopu ine hupfumi huri pachena. Mukutaura kwekutsigirwa kwekutengesa, zvigadzirwa muboka rekuedza uye boka rekutonga zvinogutsa zvikuru. Ehe, sezvo chikamu chemusika chemidziyo inotengeswa kunze chiri pamusoro, kukurumidza kwekupindura kwekugadzirisa kunokurumidza. Ndinotenda kuti nekuzivikanwa zvishoma nezvishoma kwemidziyo yemumba, mukaha uri pakati pezviviri uchadzikira zvishoma nezvishoma.
Sechikamu chekutanga chezvigadzirwa zvekuratidzira zvekurapa muSichuan Province, iyo CORDER brand ASOM-4 yekuvhiya maikorosikopu inogadzirwa neChengdu CORDER Optics & Electronics Co. Yakaiswa uye inoshandiswa muzvipatara zvakawanda muChina, uye yakatumirwa kuSoutheast Asia, Middle East, Africa nedzimwe nzvimbo, iyo inofarirwa nevashandisi. CORDER brand ASOM-4 microscope yekuvhiya ine yakakwira-resolution, yakakwirira-tsanangudzo optical system, yakasimba stereoscopic pfungwa, kudzika kwakakura kwemunda, kutonhora kwechiedza sosi dual optical fiber coaxial mwenje, kupenya kwakanaka kwemunda, kudzora tsoka otomatiki micro-focus, yemagetsi inoenderera mberi zoom, uye ine inoona, terevhizheni uye vhidhiyo mabasa ekutora mifananidzo, akakodzera kudzidzisa mizhinji, hunyanzvi hwekuita mapikicha uye kudzidzisa ma microfuurge. kuratidzira.
Mukupedzisa, iyo CORDER brand ASOM-4 yekuvhiya maikorosikopu inoshandiswa muchidzidzo ichi inogona kusangana neakakodzera indasitiri zviyero, kusangana nezvinodiwa zvekiriniki, kushanda uye kuwanikwa, uye ine mari yakawanda kupfuura yekudzora michina. Icho chishandiso chemumba chepamusoro chekurapa chakakodzera kurumbidzwa.
[reference]
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Nguva yekutumira: Jan-30-2023
