Multidisciplinary application uye hunyanzvi kusimudzira kwepamusoro-chaiyo yekuvhiya maikorosikopu

 

Kuvhiya kwemazuva ano kwakapinda zvizere munguva ye microsurgery. Thekuvhiya maikorosikopuinokudza nzvimbo yekuvhiya ne4-40 nguva kuburikidza ne-high-resolution optical system, coaxial cold light source illumination, uye nehuchenjeri robhoti ruoko, zvichiita kuti vanachiremba vagadzirise microstructures yakadai setsinga dzeropa uye tsinga nekunyatsoita 0.1 millimeters, kushandura zvachose miganhu yekuvhiya kwechinyakare. Izvo zvakasarudzika zvinodikanwa zvehunyanzvi hwakasiyana hwemicroscopy tekinoroji zvakafambisa kusimudzira kwakasarudzika kwemaikorosikopu ekuvhiya, kugadzira akawanda emhando yekudyidzana evolution tekinoroji ecosystem.

 

Ⅰ, Iyo yakakosha kuvandudza yeurourosurgical yekuvhiya maikorosikopu

Theneurosurgical kuvhiya maikorosikopuyakagadzirirwa kuvhiyiwa kwecranial uye spinal cord. Yayo yakakosha mabhenefiti ari mu:

1. Tsanangudzo yepamusoro yekufungidzira yenzvimbo dzakadzama dzekuvhiya:Nokushandisa kureba kwakatarisa kureba chinangwa lens (200-400mm) uye adaptive kudzika kwemunda tekinoroji (1-15mm inogadziriswa), yakadzika uropi tishu uye vascular network inogona kuratidzwa zvakajeka;

2. Multi functional image fusion:kubatanidza fluorescence musiyano (senge indocyanine green labeling) uye 4K yekupedzisira tsananguro yekufungidzira kusiyanisa mapundu kubva kune akajairwa matishu munguva chaiyo panguva yekuvhiyiwa uye kudzivirira njodzi yekukuvadzwa kwevascular. Semuenzaniso, chizvarwa chitsva cheneurosurgery inoshanda maikorosikopuyawana 0.2mm level vascular imaging, kuderedza kubuda kweropa kune isingasviki 30% yekuvhiyiwa kwakajairika;

3. Hungwaru kumira kwerobhoti ruoko:Iyo nhanhatu dhigirii yerusununguko yemagetsi cantilever inotsigira 360 ° yakagadzikana nzvimbo isina makona akafa. Mushandi anogona kudzora kufamba kwemaikorosikopu kuburikidza nezwi kana tsoka pedal, kuwana "ruoko rwekubatana kweziso" kushanda.

 

Ⅱ, Iko kushanduka chaiko kwemaziso ekuvhiya maikorosikopu

Ophthalmic kuvhiya maikorosikopuinowana kubudirira kufambira mberi mumunda wekuvhiya refractive:

- 3D navigation basa:Kutora3D inoshanda maikorosikopusemuenzaniso, inosanganisa intraoperative OCT (Optical Coherence Tomography) uye kufamba kwedhijitari kuronda axial angle yeastigmatic artificial lens munguva chaiyo, ichidzikisa chikanganiso chekumaka kubva pa5 ° kusvika mukati me1 °. Panguva imwe chete tarisa kureba kwekristalline lens arch zvine simba kudzivirira postoperative positional kutsauka;

- Low light toxicity lighting:kushandisa LED inotonhora chiedza sosi (tembiricha yemavara 4500-6000K) yakasanganiswa neyakatsvuka mwenje inoratidzira kudzvanya sefa kuderedza njodzi yekukuvadzwa kweretinal chiedza uye kunatsiridza kunyaradza kwemurwere panguva yekuvhiyiwa;

- Hudzamu hweMunda Wekuwedzera Tekinoroji:Mune micro level mashandiro akadai sekuvhiya macular, iyo yakadzika yakadzika yemunda mode inogona kuchengetedza yakajeka ndima yekuona pa40x magnification, ichipa yakakura nzvimbo yekushanda kune anovhiya.

 

Ⅲ, Technical adaptation yemazino uye orthopedic yekuvhiya maikorosikopu

1. Dental munda

Dental operating microscopeinokosha mumudziyo wekurapa canal:

- Yayo 4-40 fold infinite magnification system inogona kuburitsa collateral microtubules mukati mecalcified root canals, ichibatsira mukubvisa 18 millimeter kureba kutsemuka zviridzwa;

- Iyo coaxial mbiri mbiri sosi dhizaini inobvisa mapofu mapofu mumuromo mhango, uye nerubatsiro rwebeam splitter prism, inowiriranisa chiono chechiremba anovhiya uye mubatsiri, kuvandudza kushanda kwechikwata.

2. Orthopedics uye munda wemusana

Orthodontic kuvhiya maikorosikopuuye kuvhiyiwa kwemusana kunoshanda maikorosikopu inotarisa pane zvishoma zvinopinda maitiro:

- Kuburikidza nenarrowband imaging tekinoroji yespinal inoshanda maikorosikopu, dual segment lumbar decompression (yakadai se synchronous processing yeL4 / 5 uye L5 / S1 zvikamu) inogona kuwanikwa mukati me 2.5-centimeter incision;

- Electric zoom chinangwa lens (zvakadai seVarioskop) ® Iyo inogadzirisa kune intraoperative nzvimbo inoshanduka uye ine inogadziriswa yekushanda kureba kwe150-300mm, inosangana nezvinodiwa zveyakadzika spinal canal operations.

 

Ⅳ, Kugadziriswa kwakasarudzika pakati peotolaryngology uye kuvhiyiwa kwepurasitiki

1. Munda wenzeve, wemhuno nehuro

Thekuvhiya maikorosikopuyakagadzirirwa zvakananga kune yakamanikana cavities:

- Batanidza laser synchronization module kuti uwane otomatiki calibration yelaser yekutarisa uye microscope munda wekuona mune micro resection yegomarara relaryngeal;

- Iyo 12.5-fold benchmark magnification, yakasanganiswa nemagetsi yekushanda kuremerwa kuremerwa, inokodzera kune akawanda masikirwo zvinodiwa kubva pa tympanoplasty kusvika ku sinus kuvhiya yekuvhura.

2. Mumunda wekuvhiya kwepurasitiki

Mwoyo wekuvhiyiwa kwepurasitiki kushanda maikorosikopuiri mu microscopic anastomosis:

- 0.3mm level vascular anastomosis kunyatsoita, kutsigira Ultra yakanaka mashandiro akadai lymphatic mutsinga anastomosis;

- Iyo yakapatsanurwa danda mubatsiri girazi uye 3D yekunze kuratidzwa inowana yakawanda yekuona kubatana, kuvandudza mwero webudiriro yeganda flap transplantation.

 

Ⅴ, General innovation ye basic support system

Hazvina mhosva kuti vakanyanya sei, maikorosikopu yekuvhiya uyemicroscope inoshandagovana zvitatu zvakakosha evolutions:

1. Innovation munzira yekuisa:The table clamp operation maikorosikopuinopa kuchinjika kuchinjika, sirin'i maitiro anochengetedza nzvimbo, uye yepasi style inoyera kugadzikana uye rusununguko rwekugadzirisa;

2. Kuvandudza kombiyuta yevanhu:Kudzora kwezwi (zvakadai seVoice Control 4.0) uye otomatiki kudhumhana kudzivirira kunoderedza zvakanyanya kupindira kwekushanda;

3. Digital Kuwedzera:Iyo 4K/8K kamera sisitimu inotsigira kure kubvunza uye AI chaiyo-nguva kunyora (senge otomatiki yeropa tsinga recognition algorithms), ichityaira microsurgery munguva yekubatana nehungwaru.

 

Ramangwana maitiro: kubva kuhunyanzvi kuenda kukubatanidza tekinoroji

The specialization ofmaikorosikopu ekuvhiyahaina kutadzisa kubatanidzwa kweiyo interdisciplinary tekinoroji. Semuenzaniso, fluorescence navigation tekinoroji mune neurosurgery yakashandiswa kutarisa retinal tsinga dzeropa mukati.ophthalmology inoshandisa maikorosikopu; Dental high deep optical modules ari kubatanidzwa munekuvhiya maikorosikopukuwedzera kudzika kwemunda wekuvhiyiwa kwemhino. Panguva imwecheteyo, hutsva hwakadai seaugmented reality (AR) kuvharika kwemifananidzo yepreoperative uye kudzora kure kwemarobhoti kuchaenderera mberi nekusimudzira kufambira mberi kwemativi matatu e microsurgery yakanangana ne "chaizvo, hungwaru, uye zvishoma zvinopinda".

 

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The specialized evolution ofkushanda maikorosikopukunonyanya kunzwika pakati pezvido zvekiriniki uye kugona kwehunyanzvi: zvinoda zvese zviri zviviri kuratidzwa kwekupedzisira kwezvimiro zvemicroscale neophthalmic kuvhiya maikorosikopuuye mhinduro inoshanduka yemakomba akadzika nespinal inoshanda maikorosikopu. Uye kana kugona kwemadhipatimendi akasarudzika kwasvika padanho rakakosha, kusanganisa tekinoroji yekubatanidza kunovhura paradigm nyowani ye microsurgery.