Ukusetyenziswa kwezifundo ezininzi kunye nophuhliso olukhethekileyo lweemakroskopu zotyando ezichanekileyo

 

Iinkqubo zotyando zanamhlanje zingene ngokupheleleyo kwixesha lotyando oluncinci.imakroskopu yotyandoikhulisa intsimi yotyando izihlandlo ezi-4-40 ngenkqubo yokukhanya enesisombululo esiphezulu, ukukhanya komthombo wokukhanya okubandayo kwe-coaxial, kunye nengalo yerobhothi ekrelekrele, evumela oogqirha ukuba basebenze izakhiwo ezincinci ezifana nemithambo yegazi kunye nemithambo-luvo ngokuchanekileyo kwe-0.1 millimeters, nto leyo eguqula ngokupheleleyo imida yotyando lwendabuko. Iimfuno ezizodwa zeengcali ezahlukeneyo zobuchwepheshe be-microscopy ziqhubele phambili uphuhliso olukhethekileyo lweiimayikroskopu zotyando, yenze inkqubo ye-ecosystem yetekhnoloji yophuhliso olusebenzisanayo oluneentlobo ezininzi.

 

Ⅰ、Ubuchule obuphambili be-neurosurgical surgical microscope

Iimakroskopu yotyando lwe-neurosurgicalYenzelwe ngokukodwa utyando lwentloko kunye nolwe-spinal cord. Iingenelo zayo eziphambili zikwi:

1. Imifanekiso ecacileyo kakhulu yamacandelo otyando anzulu:Ngokusebenzisa ilensi ende ejolise kubude be-focal (200-400mm) kunye nobunzulu obuhambelanayo beteknoloji yentsimi (ehlengahlengiswayo yi-1-15mm), izicubu zobuchopho ezinzulu kunye neenethiwekhi zemithambo yegazi zinokubonakaliswa ngokucacileyo;

2. Ukuhlanganiswa kwemifanekiso emininzi esebenzayo:ukudibanisa umahluko we-fluorescence (njengokuphawulwa kwe-indocyanine green) kunye ne-4K ultra high definition imaging ukwahlula iithumba kwizicubu eziqhelekileyo ngexesha lotyando kunye nokuphepha umngcipheko wokonakala kwemithambo yegazi. Umzekelo, isizukulwana esitsha seimakroskopu yokusebenza ngotyando lwemithambo-luvoifikelele kwi-0.2mm level vascular imaging, nto leyo enciphisa ukopha kwegazi ngexesha lotyando ukuya ngaphantsi kwama-30% kotyando oluqhelekileyo;

3. Indawo ekrelekrele yengalo yerobhothi:I-cantilever yombane ye-degree six of freedom ixhasa indawo ezinzileyo ye-360 ° ngaphandle kwee-engile ezifileyo. Umsebenzisi unokulawula intshukumo ye-microscope nge-voice okanye i-foot pedal, efezekisa "ulungelelaniso lweliso lesandla".

 

Ⅱ、Inguqu echanekileyo yeemicroscopes zotyando lwamehlo

Imakroskopu yotyando lwamehloifezekisa inkqubela phambili kwicandelo lotyando lokunyanga isifo sofuba:

- Umsebenzi wokukhangela we-3D:UkuthathaImakroskopu yokusebenza ye-3DUmzekelo, idibanisa i-OCT yangaphakathi kotyando (i-Optical Coherence Tomography) kunye ne-digital navigation ukulandelela i-axial angle yelensi yokwenziwa ye-astigmatic ngexesha langempela, inciphisa impazamo yokumakisha yendabuko ukusuka kwi-5 ° ukuya kwi-1 °. Jonga ubude be-crystalline lens arch ngokuguquguqukayo ukuze uphephe ukuphambuka kwesimo emva kotyando;

- Ukukhanya okunobuthi obuphantsi kokukhanya:ukusebenzisa umthombo wokukhanya okubandayo we-LED (ubushushu bombala yi-4500-6000K) kudityaniswe nesihluzo sokunciphisa ukukhanya okubomvu ukunciphisa umngcipheko wokonakala kokukhanya kwe-retina nokuphucula intuthuzelo yesigulana ngexesha lotyando;

- Ubunzulu boKwandiswa kweTekhnoloji yeSithili:Kwiinkqubo zotyando lwe-micro level ezifana notyando lwe-macular, ubunzulu obuphezulu be-field mode bunokugcina umbono ocacileyo kwi-40x magnification, nto leyo enika indawo enkulu yokusebenza kugqirha otyandayo.

 

ⅢUhlengahlengiso lobuchwephesha lweemicroscopes zotyando lwamazinyo kunye nolwe-orthopedic

1. Intsimi yamazinyo

imakroskopu yokusebenza kwamazinyoAkunamsebenzi kunyango lweengcambu zeengcambu:

- Inkqubo yayo yokukhulisa okungapheliyo okuphindwe ka-4-40 inokuveza ii-microtubules ezidibeneyo ngaphakathi kweengcambu ze-calcified, inceda ekukhupheni izixhobo zokuqhekeka ezinobude obuziimilimitha ezili-18;

- Uyilo lomthombo wokukhanya ophindwe kabini we-coaxial lususa amabala angaboniyo emlonyeni, kwaye ngoncedo lwe-beam splitter prism, luvumelanisa umbono wogqirha kunye nomncedisi, nto leyo ephucula ukusebenza kakuhle kwentsebenziswano yeqela.

2. Unyango lwamathambo kunye nomqolo

imakroskopu yotyando lwe-Orthodontickunye ne-microscope yokusebenza ngotyando lomqolo, kugxilwe kwiindlela ezingaphantsi kakhulu:

- Ngokusebenzisa itekhnoloji yomfanekiso we-narrowband yeimakroskopu yokusebenza komqolo, ukuncitshiswa kwe-lumbar segmented dual segment (njengokulungiswa kwe-L4/5 kunye ne-L5/S1 segments) kunokufezekiswa ngaphakathi kwe-2.5-centimeter incision;

- Ilensi yombane yokusondeza (efana neVarioskop) ® Le nkqubo iyaziqhelanisa notshintsho lwendawo yokusebenza ngexesha lotyando kwaye inomgama ohlengahlengiswayo womgama we-150-300mm, ohlangabezana neemfuno zokusebenza komjelo womqolo onzulu.

 

ⅣUhlengahlengiso olukhethekileyo phakathi kwe-otolaryngology kunye notyando lweplastiki

1. Indlebe, impumlo nomqala

Iimakroskopu yotyandoyenzelwe ngokukodwa imingxunya emincinci:

- Hlanganisa imodyuli yokuvumelanisa nge-laser ukuze kufezekiswe ukulinganiswa ngokuzenzekelayo kwe-laser focus kunye ne-microscope field of view kwi-micro resection yomhlaza we-laryngeal;

- Ukwandiswa kwemilinganiselo okuphindwe ka-12.5, kunye nokulungiswa komgama wokusebenza ngombane, kufanelekile kwiimfuno ezininzi zeendawo ezahlukeneyo ukusuka kwi-tympanoplasty ukuya kutyando lokuvula i-sinus.

2. Kwicandelo lotyando lweplastiki

Ingundoqo yeimakroskopu yokusebenza ngotyando lweplastikiilele kwi-microscopic anastomosis:

- Ukuchaneka kwe-anastomosis yemithambo yegazi ekumgangatho we-0.3mm, okuxhasa imisebenzi emincinci kakhulu efana ne-lymphatic vein anastomosis;

- Isibuko esincedisayo semitha eqhekekileyo kunye nesiboniso sangaphandle se-3D zifumana intsebenziswano ebonakalayo emininzi, nto leyo ephucula izinga lempumelelo yokufakelwa kwesikhumba.

 

Ⅴ、 Uphuhliso oluqhelekileyo lwenkqubo yenkxaso esisiseko

Nokuba zikhetheke kangakanani na, imakroskopu yotyando kunyeimakroskopu esebenzayoYabelana ngeenguqu ezintathu ezisisiseko:

1. Uyilo olutsha kwindlela yokufakela:I imakroskopu yokusebenza kwe-clamp yetafileinika ukuguquguquka kokuhamba, isitayile sesilingi sigcina indawo, kwaye isitayile somgangatho silinganisela uzinzo kunye nenkululeko yokulungelelanisa;

2. Ukuphuculwa konxibelelwano phakathi kwekhompyutha yomntu:Ulawulo lwelizwi (olufana noLawulo lwelizwi 4.0) kunye nokhuseleko lokungqubana oluzenzekelayo kunciphisa kakhulu ukuphazamiseka kokusebenza;

3. Ulwandiso lweDijithali:Inkqubo yekhamera ye-4K/8K ixhasa ukubonisana okukude kunye nokulebhelishwa kwe-AI ngexesha langempela (ezifana ne-algorithms yokuqaphela imithambo yegazi ngokuzenzekelayo), okuqhuba utyando lwe-microsurgery kwixesha lentsebenziswano ekrelekrele.

 

Imeko yexesha elizayo: ukusuka kwingcali ukuya ekudityanisweni kwetekhnoloji

Ubuchwephesha beiimayikroskopu zotyandoayikhange iyithintele indlela edibene ngayo iteknoloji eyahlukeneyo. Umzekelo, iteknoloji yokuhamba nge-fluorescence kwi-neurosurgery isetyenzisiwe ukujonga imithambo yegazi ye-retina kwi-iimakroskopu ezisebenzayo ze-ophthalmologyIimodyuli ze-optical ezinzulu kakhulu zamazinyo ziyadityaniswa kwiimakroskopu yotyandoukuphucula ubunzulu bomhlaba wotyando lweempumlo. Kwangaxeshanye, izinto ezintsha ezifana nokufakelwa kwemifanekiso yangaphambi kotyando oluphuculweyo (AR) kunye nolawulo olukude lweerobhothi ziya kuqhubeka nokukhuthaza ukuqhubela phambili kotyando oluncinci olujolise "ekuchanekeni, ebukrelekreleni, nasekungeneni kancinci".

 

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Inguqu ekhethekileyo yeiimakroskopu ezisebenzayongokusisiseko yintsingiselo phakathi kweemfuno zeklinikhi kunye nezakhono zobugcisa: ifuna zombini ukubonakaliswa kokugqibela kwezakhiwo ezincinci yiimakroskopu yotyando lwamehlokunye nempendulo eguquguqukayo yemingxuma enzulu yiimakroskopu yokusebenza komqoloKwaye xa ukusebenza kakuhle kwamasebe akhethekileyo kufikelela kwinqanaba elibalulekileyo, ukuhlanganiswa kwetekhnoloji yeenkqubo ezahlukeneyo kuya kuvula indlela entsha yotyando lwemicrosurgery.