Kuongororwa kwakakwana kwekushandiswa kwemaikorosikopu yekuvhiya yepamba
Zvikamu zvekuongorora zvine chekuita nazvo: 1. Sichuan Provincial People's Hospital, Sichuan Academy of Medical Sciences; 2. Sichuan Food and Drug Inspection and Testing Institute; 3. Dhipatimendi reUrology reChipiri Chipatara Chinobatanidzwa cheChengdu University of Traditional Chinese Medicine; 4. Cixi Hospital of Traditional Chinese Medicine, Dhipatimendi reKuvhiya Maoko neTsoka
chinangwa
Maikorosikopu yekuvhiya yemuno yeCORDER brand ASOM-4 yakaongororwazve mushure memusika. Nzira: Zvichienderana nezvinodiwa zveGB 9706.1-2007 uye GB 11239.1-2005, maikorosikopu yekuvhiya yeCORDER yakaenzaniswa nezvigadzirwa zvekunze zvakafanana. Pamusoro pekuongororwa kwekuwana chigadzirwa, kuongororwa kwacho kwakatarisana nekuvimbika, kushanda, hupfumi uye sevhisi yekutengeswa mushure mekutengesa. Mhedzisiro: Maikorosikopu inoshanda yeCORDER inogona kusangana nezvinodiwa zvemazinga akakodzera eindasitiri, uye kuvimbika kwayo, kushanda kwayo uye sevhisi yekutengeswa mushure mekutengesa zvinogona kusangana nezvinodiwa zvekiriniki, nepo hupfumi hwayo hwakanaka. Mhedziso: Maikorosikopu inoshanda yeCORDER inoshanda uye inowanikwa muma microsurgery akasiyana-siyana, uye inodhura zvishoma pane zvigadzirwa zvinotengeswa kunze kwenyika. Zvakakosha kukurudzirwa sechishandiso chekurapa chemuno chepamberi.
sumo
Maikorosikopu yekushandisa inonyanya kushandiswa pakuvhiya mikorosikopu senge ophthalmology, orthopedics, brain surgery, neurology uye otolaryngology, uye ndiyo michina yekurapa inodiwa pakuvhiya mikorosikopu [1-6]. Parizvino, mutengo wemidziyo yakadaro inotengwa kubva kunze kwenyika inodarika 500000 yuan, uye kune mari yakawanda yekushanda uye yekugadzirisa. Zvipatara zvidiki chete muChina zvinokwanisa kutenga michina yakadaro, izvo zvinokanganisa kukura kwekuvhiya mikorosikopu muChina. Nokudaro, maikorosikopu ekuvhiya emuno ane mashandiro akafanana uye mashandiro epamusoro akatanga kuvapo. Sechikamu chekutanga chezvigadzirwa zvitsva zvekurapa muSichuan Province, maikorosikopu anoshanda eASOM-4 eCORDER brand imicroscope yakagadzirwa yakazvimiririra yekurapa mikorosikopu, kuvhiya kwechifuva, kuvhiya nemaoko, kuvhiya kwepurasitiki uye mamwe mabasa emicrosurgical [7]. Zvisinei, vamwe vashandisi vemuno vanogara vachikahadzika nezvezvigadzirwa zvemuno, izvo zvinoderedza kufarirwa kwemicrosurgery. Chidzidzo ichi chine chinangwa chekuita ongororo yekuongororazve maikorosikopu yekuvhiya yeASOM-4 yeCORDER brand mushure mekushambadzira. Pamusoro pekuongororwa kwezviyero zvehunyanzvi, mashandiro ekuona, kuchengetedzeka nezvimwe zvigadzirwa, ichatarisawo kuvimbika kwayo, mashandiro ayo, kuchengetedza kwayo uye sevhisi yayo mushure mekutengesa.
1 Chinhu uye nzira
1.1 Chinhu chekutsvagisa
Boka rekuyedza rakashandisa maikorosikopu ekuvhiya eASOM-4 emhando yeCORDER, ayo akapihwa neChengdu CORDER Optics&Electronics Co. yemuno; Boka rekutonga rakasarudza maikorosikopu yekuvhiya yekunze yakatengwa (OPMI VAR10700, Carl Zeiss). Midziyo yese yakaunzwa ndokushandiswa pamberi paNdira 2015. Munguva yekuongorora, michina iri muboka rekuyedza neboka rekutonga zvakashandiswa zvichichinjana, sezvakaratidzwa muMufananidzo 1.
1.2 nzvimbo yekutsvagisa
Sarudza chipatara chimwe cheClass III Class A (Sichuan Provincial People's Hospital, Sichuan Academy of Medical Sciences, ≥ 10 microsurgeries pasvondo) muSichuan Province chave chichiita microsurgery kwemakore mazhinji uye zvipatara zviviri zveClass II Class A muChina zvave zvichiita microsurgery kwemakore mazhinji (Second Affiliated Hospital of Chengdu University of Traditional Chinese Medicine neCixi Hospital of Traditional Chinese Medicine, ≥ 5 microsurgeries pasvondo). Zviratidzo zvehunyanzvi zvinosarudzwa neSichuan Medical Device Testing Center.
1.3 Nzira yekutsvagisa
1.3.1 Kuongorora mukana wekuwana
Kuchengetedzeka kunoongororwa zvichienderana neGB 9706.1-2007 Medical Electrical Equipment Chikamu 1: Zvinodiwa Zvekuchengetedza [8], uye zviratidzo zvikuru zvekushanda kwemaoptical zvemaikorosikopu anoshanda zvinoenzaniswa uye zvinoongororwa zvichienderana nezvinodiwa neGB 11239.1-2005 [9].
1.3.2 Kuongorora kuvimbika
Nyora nhamba yematafura ekushanda uye nhamba yekukundikana kwemidziyo kubva panguva yekuendeswa kwemidziyo kusvika muna Chikunguru 2017, uye enzanisa uye ongorora huwandu hwekukundikana. Pamusoro pezvo, data reNational Center for Clinical Adverse Reaction Detection mumakore matatu achangopfuura rakabvunzwa kuti rinyore kuwanda kwezviitiko zvakashata zvemidziyo muboka rekuyedza neboka rekutonga.
1.3.3 Kuongorora mashandiro
Mushandi wemidziyo, kureva chiremba, anopa mamaki emunhu pachake pamusoro pekushanda nyore kwechigadzirwa, kunyaradzwa kwemushandi uye nhungamiro yemirairo, uye anopa mamaki ekuti chigadzirwa chave nyore sei kushanda. Pamusoro pezvo, huwandu hwemabasa akakundikana nekuda kwezvikonzero zvemuchina hunofanira kunyorwa zvakasiyana.
1.3.4 Kuongorora hupfumi
Enzanisa mari yekutenga michina (mutengo wemuchina wemuchina) nemari yekushandisa, nyora pasi uye enzanisa mari yese yekugadzirisa michina pakati peboka rekuyedza neboka rekutonga panguva yekuongorora.
1.3.5 Kuongororwa kwebasa rekutengesa mushure mekutengesa
Mapoka ekutarisira michina yezvipatara zvitatu achapa mamakisi ekuzvisarudzira ekuisa, kudzidziswa kwevashandi uye kugadziriswa.
1.4 Nzira yekuyera huwandu hwemapoinzi
Chinhu chimwe nechimwe chezviri pamusoro apa chinofanira kupihwa mamaki akaenzana nehuwandu hwemapoinzi zana. Ruzivo rwuri muTafura 1. Zvichienderana neavhareji yemapoinzi ezvipatara zvitatu, kana musiyano uri pakati pemapoinzi ezvigadzirwa muboka rekuyedza nezvigadzirwa muboka rekutonga uri ≤ mapoinzi mashanu, zvigadzirwa zvekuongorora zvinoonekwa sezvakaenzana nezvigadzirwa zvekutonga, uye zvigadzirwa muboka rekuyedza (CORDER surgical microscope) zvinogona kutsiva zvigadzirwa muboka rekutonga (imported surgical microscope).
mhedzisiro miviri
Kuvhiyiwa kwevanhu vanosvika 2613 kwakabatanidzwa muchidzidzo ichi, kusanganisira michina yemumba 1302 uye michina yakabva kunze kwenyika 1311. Vanachiremba gumi vepamusoro vemapfupa emapfupa epamusoro, vanachiremba gumi nevatatu vezvemazamu emudumbu, vanachiremba vanomwe vezvemazamu europi, uye vanachiremba makumi matatu vepamusoro vakatora chikamu muongororo iyi. Mapoinzi ezvipatara zvitatu akaverengwa, uye mapoinzi chaiwo anoratidzwa muTafura 2. Chibodzwa chose cheASOM-4 operating microscope yeCORDER brand idiki nemapoinzi 1.8 pane chemicroscope operating yakabva kunze. Ona Mufananidzo 2 kuti uwane kuenzanisa kwakakwana kwepoinzi pakati pemidziyo iri muboka rekuyedza nemidziyo iri muboka rekutonga.
3 kurukura
Chiyero chose cheASOM-4 surgical microscope yeCORDER chiri pasi pemapoinzi 1.8 pane cheASOM-4 surgical microscope yakabva kunze kwenyika, uye musiyano uripo pakati pechiyero chechigadzirwa che control neASOM-4 i ≤ mapoinzi mashanu. Nokudaro, mhedzisiro yechidzidzo ichi inoratidza kuti ASOM-4 surgical microscope yeCORDER inogona kutsiva zvigadzirwa zvinobva kunze kwenyika uye yakakodzera kushambadzirwa sechishandiso chepamberi chemuno.
Chati yeradar inoratidza zvakajeka musiyano uripo pakati pemidziyo yemumba nemidziyo inotengeswa kunze kwenyika (Mufananidzo 2). Panyaya yezviratidzo zvehunyanzvi, kugadzikana uye rutsigiro rwekutengeswa mushure mekutengesa, zviviri izvi zvakaenzana; Panyaya yekushandiswa kwakazara, michina inotengeswa kunze kwenyika iri nani zvishoma, zvichiratidza kuti michina yemumba ichiri nemukana wekuvandudzwa nguva dzose; Panyaya yezviratidzo zvehupfumi, michina yemumba yeCORDER brand ASOM-4 ine zvakanakira zviri pachena.
Mukuongorora kwekupinda muchipatara, zviratidzo zvikuru zvekushanda kwemamaikorosikopu ekuvhiya emumba neanopinzwa kunze kwenyika zvinosangana nezvinodiwa zveGB11239.1-2005 standard. Zviratidzo zvikuru zvekuchengetedza zvemichina yese miviri zvinosangana nezvinodiwa zveGB 9706.1-2007. Saka, zvose zvinosangana nezvinodiwa zvemitemo yenyika, uye hapana musiyano uri pachena mukuchengetedzeka; Panyaya yekushanda, zvigadzirwa zvinopinzwa kunze kwenyika zvine zvakanakira pamusoro pemidziyo yekurapa yemumba maererano nehunhu hwemwenje, nepo mamwe mashandiro ekuona mifananidzo asina musiyano uri pachena; Panyaya yekuvimbika, panguva yekuongorora, mwero wekukundikana kwemhando iyi yemichina waive pasi pe20%, uye kukundikana kwakawanda kwakakonzerwa negirobhu kunofanirwa kutsiviwa, uye kumwe kwakakonzerwa nekugadziriswa kusina kunaka kwehuremu hwemuchina. Pakanga pasina kukundikana kwakanyanya kana kudzimwa kwemichina.
Mutengo weCORDER brand ASOM-4 surgical microscope host inongova 1/10 yemidziyo yeboka rekudzora (inopinzwa kunze kwenyika). Panguva imwe chete, nekuti haidi kuchengetedza mubato, inoda zvinhu zvishoma zvinoshandiswa uye inobatsira zvikuru kumutemo wekusaparadzira wekuvhiya. Pamusoro pezvo, rudzi urwu rwemaikorosikopu ekushandisa runoshandisa rambi re LED remumba, iro rakachipawo pane boka rekudzora, uye mari yese yekugadzirisa yakaderera. Saka, maikorosikopu yekuvhiya yeCORDER brand ASOM-4 ine hupfumi hwakajeka. Panyaya yekutsigira mushure mekutengesa, michina iri muboka rekuyedza neboka rekudzora zvinogutsa zvikuru. Ehe, sezvo musika wemidziyo inopinzwa kunze wakakwira, kumhanya kwekugadzirisa kunokurumidza. Ndinotenda kuti nekupararira zvishoma nezvishoma kwemidziyo yemumba, musiyano uri pakati pezviviri uchadzikira zvishoma nezvishoma.
Sekutanga kwezvigadzirwa zvitsva zvekuratidzira michina yekurapa muSichuan Province, maikorosikopu ekuvhiya eCORDER brand ASOM-4 yakagadzirwa neChengdu CORDER Optics&Electronics Co. iri padanho repamusoro-soro repasi rose uye remuno. Yakaiswa uye yakashandiswa muzvipatara zvakawanda muChina, uye yakatumirwa kuSoutheast Asia, Middle East, Africa nedzimwe nzvimbo, iyo inofarirwa nevashandisi. Maikorosikopu ekuvhiya eCORDER brand ASOM-4 ine system ye optical ine resolution yepamusoro, high-definition, stereoscopic sensor yakasimba, kudzika kukuru kwemunda, light cold light dual optical fiber coaxial lighting, good field brightness, foot control automatic micro-focus, electric continuous zoom, uye ine mabasa ekuona, terevhizheni nemavhidhiyo, multi-function rack, mabasa akazara, akakodzera kunyanya microsurgery uye kudzidzisa.
Mukupedzisa, maikorosikopu yekuvhiya yeCORDER brand ASOM-4 yakashandiswa muchidzidzo ichi inogona kusangana nezvinodiwa neindasitiri, kusangana nezvinodiwa zvekiriniki, kushanda zvakanaka uye kuwanikwa, uye inodhura zvishoma pane michina yekudzora. Ichi chishandiso chekurapa chemhando yepamusoro chinofanirwa kukurudzirwa.
[chirevo]
[1] Gu Liqiang, Zhu Qingtang, Wang Huaqiao. Maonero enyanzvi pamusoro pemusangano wehurukuro pamusoro penzira itsva dzekurapa vascular anastomosis mukuvhiya kwe microsurgery [J]. Chinese Journal of Microsurgery, 2014,37 (2): 105.
[2] Zhang Changqing. Nhoroondo uye tarisiro yekuvandudzwa kwenyanzvi dzemapfupa dzeShanghai [J]. Shanghai Medical Journal, 2017, (6): 333-336.
[3] Zhu Jun, Wang Zhong, Jin Yufei, nevamwe. Kugadzika kwepashure kweatlantoaxial joint ne screws netsvimbo - kushandiswa kwekiriniki kweGoel operation yakagadziriswa [J]. Chinese Journal of Anatomy and Clinical Sciences, 2018,23 (3): 184-189.
[4] Li Fubao. Mabhenefiti e tekinoroji inopinza mumasero emusana mukuvhiyiwa kwemusana [J]. Chinese Journal of Microsurgery, 2007,30 (6): 401.
[5] Tian Wei, Han Xiao, He Da, nevamwe. Kuenzanisa kwemigumisiro yekiriniki ye microscope yekuvhiya uye magnifying glass assisted lumbar discectomy [J]. Chinese Journal of Orthopedics, 2011,31 (10): 1132-1137.
[6] Zheng Zheng. Kushandiswa kwekiriniki kwemaikorosikopu ekuvhiya mazino pakurapa kwemidzi yemeno isingashande [J]. Chinese Medical Guide, 2018 (3): 101-102.
Nguva yekutumira: Ndira-30-2023
