Ukusetyenziswa kwezinto ezininzi kunye nophuhliso olukhethekileyo lwemicroscopes yotyando oluchanekileyo

 

Iinkqubo zotyando zanamhlanje zingene ngokupheleleyo kwixesha le-microsurgery. IImikroskopu yotyandoikhulisa intsimi yotyando ngamaxesha e-4-40 ngokusebenzisa i-high-resolution optical system, i-coaxial cold light source illumination, kunye nengalo yerobhothi ehlakaniphile, eyenza oogqirha ukuba basebenze i-microstructures efana nemithambo yegazi kunye nemithambo-luvo ngokuchaneka kwe-0.1 millimeters, ukuguqula ngokupheleleyo imida yotyando lwendabuko. Iimfuno ezizodwa zeengcali ezahlukeneyo zetekhnoloji ye-microscopy ziye zaqhuba uphuhliso olukhethekileyo lweimikroskopu yotyando, ukwenza uhlobo oluninzi olusebenzisanayo lweteknoloji yendalo ephilayo.

 

Ⅰ, Utshintsho olungundoqo lwemakroskopu yotyando lwe-neurosurgical

Iimakroskopu yotyando lwe-neurosurgicalyenzelwe ngokukodwa utyando kwi-cranial kunye ne-spinal cord. Iinzuzo zayo ezingundoqo ziku:

1. Inkcazo ephezulu yomfanekiso wemimandla enzulu yotyando:Ngokusebenzisa i-lens yenjongo yobude obude (200-400mm) kunye nobunzulu obuguquguqukayo beteknoloji yentsimi (i-1-15mm ehlengahlengiswayo), izicubu ezinzulu zobuchopho kunye neenethiwekhi ze-vascular zingabonakaliswa ngokucacileyo;

2. Ukudibanisa imifanekiso esebenzayo:ukudibanisa ukuchasana kwe-fluorescence (okufana nokubhala i-indocyanine eluhlaza) kunye ne-4K yenkcazo yenkcazo ephezulu yokwahlula amathumba avela kwizicubu eziqhelekileyo ngexesha lotyando kunye nokuphepha umngcipheko wokulimala kwemithambo. Umzekelo, isizukulwana esitsha sei-neurosurgery esebenza nge-microscopeiphumelele i-0.2mm yezinga le-vascular imaging, ukunciphisa ukopha kwe-intraoperative ukuya ngaphantsi kwe-30% yotyando oluqhelekileyo;

3. Ukubekwa ngobukrelekrele kwengalo yerobhothi:Idigri emithandathu yenkululeko ye-cantilever yombane ixhasa i-360 ° indawo ezinzileyo ngaphandle kwee-engile ezifileyo. Umsebenzisi unokulawula ukunyakaza kwe-microscope ngelizwi okanye i-foot pedal, ukufezekisa "ukulungelelanisa iliso lesandla" ukusebenza.

 

Ⅱ、 Ukuzivelela okuchanekileyo kweemakroskopu zotyando lwamehlo

Imakroskopu yotyando lwamehloifezekisa inkqubela phambili kwinkalo yotyando lwe-refractive:

- Umsebenzi wokukhangela we3D:Ukuthatha iImakroskopu esebenzayo ye3Dnjengomzekelo, idibanisa i-OCT ye-intraoperative (i-Optical Coherence Tomography) kunye nokuhamba kwedijithali ukulandelela i-angle ye-axial ye-astigmatic artificial lens ngexesha langempela, ukunciphisa impazamo yokumakisha yendabuko ukusuka kwi-5 ° ukuya ngaphakathi kwe-1 °. Kwangaxeshanye ujonge ukuphakama kwe-crystalline lens arch dynamically ukuphepha ukutenxa kwisithuba sokusebenza;

- Isibane esinetyhefu esezantsi:usebenzisa umthombo wokukhanya obandayo we-LED (ubushushu bombala we-4500-6000K) edityaniswe nesihluzo soxinzelelo sokukhanya esibomvu sokunciphisa umngcipheko womonakalo wokukhanya we-retinal kunye nokuphucula intuthuzelo yesigulane ngexesha lotyando;

- Ubunzulu beTekhnoloji yoKwandiswa kweNdawo:Kwimisebenzi yezinga elincinci elifana nokuhlinzwa kwe-macular, ubunzulu obuphezulu bemowudi yentsimi bunokugcina insimu ecacileyo yokujonga kwi-40x yokukhulisa, ukubonelela indawo enkulu yokusebenza kugqirha.

 

Ⅲ, Ukuziqhelanisa nobuchwephesha bemakroskopu yotyando lwamazinyo kunye namathambo

1. Indawo yamazinyo

Imakroskopu yokusebenza kwamazinyoiyimfuneko kunyango lomsele weengcambu:

- Inkqubo yayo yokukhulisa i-4-40 fold infinite infinite infinite magnification system iyakwazi ukuveza ii-microtubules ezibambiseneyo ngaphakathi kweengcambu ezibaliweyo, ezincedisa ekutsalweni kwezixhobo ze-18 millimeter ezide zokuphuka;

- Uyilo lwe-coaxial oluphindwe kabini lomthombo wokukhanya lususa iindawo ezingaboniyo kumlomo womlomo, kwaye ngoncedo lwe-beam splitter prism, ivumelanisa umbono wogqirha kunye nomncedisi, ukuphucula ukusebenza kwentsebenziswano yeqela.

2. I-Orthopedics kunye nebala lomqolo

Imakroskopu yotyando lweOrthodontickunye notyando lomqolo olusebenza ngemakroskopu lugxile kubuchwephesha obuhlasela kancinci:

- Ngokusebenzisa itekhnoloji yemifanekiso ye-narrowband yeImakroskopu yokusebenza komgogodla, i-dual segment lumbar decompression (njenge-synchronous processing ye-L4 / 5 kunye ne-L5 / S1 amacandelo) inokufezekiswa ngaphakathi kwe-2.5-centimeter incision;

- I-lens yenjongo yokusondeza umbane (njenge-Varioskop) ® Inkqubo ivumelanisa nokutshintsha kwe-intraoperative position kwaye inoluhlu lomgama ohlengahlengiswayo wokusebenza we-150-300mm, ukuhlangabezana neemfuno zemisebenzi enzulu yomgogodla.

 

Ⅳ, Ulungelelwaniso olukhethekileyo phakathi kwe-otolaryngology kunye notyando lweplastiki

1. Indlebe, impumlo kunye nomqala

INgemakroskopu yotyandoyenzelwe ngokukodwa imingxuma emxinwa:

- Dibanisa imodyuli yongqamaniso ye-laser ukufezekisa ulungelelwaniso oluzenzekelayo lokugxila kwe-laser kunye nebala lokujonga kwi-microscope kwi-micro resection yomhlaza we-laryngeal;

- I-12.5-fold fold benchmark magnification, edityaniswe nokulungiswa komgama wokusebenza kombane, ifanelekile kwiimfuno zeendawo ezininzi ukusuka kwi-tympanoplasty ukuya kwi-sinus yokuvula utyando.

2. Kwintsimi yotyando lweplastiki

Undoqo weutyando lweplastiki olusebenza ngemakroskopuilele kwi-anastomosis encinci:

- Inqanaba le-0.3mm ukuchaneka kwe-vascular anastomosis, ukuxhasa imisebenzi emihle efana ne-lymphatic vein anastomosis;

- Isibuko somncedisi we-beam esiqhekezayo kunye nomboniso wangaphandle we-3D ufezekisa intsebenziswano emininzi, ukuphucula izinga lokuphumelela kwe-skin flap transplantation.

 

Ⅴ、 Ukwenziwa ngokutsha ngokubanzi kwenkqubo yenkxaso esisiseko

Kungakhathaliseki ukuba banobuchule kangakanani, i-microscope yotyando kunye neimicroscope yokusebenzayabelana ngendaleko ezintathu ezisisiseko:

1. Ukwenziwa ngokutsha kwindlela yofakelo:I Imakroskopu yokusebenza kobambelo lwetafileinikeza ukuguquguquka kokuhamba, isitayela sesilingi sigcina indawo, kunye nesitayela somgangatho silinganisa ukuzinza kunye nenkululeko yokulungelelanisa;

2. Uphuculo lwekhompyutha yabantu:Ukulawulwa kwezwi (njenge-Voice Control 4.0) kunye nokukhusela ukungqubana ngokuzenzekelayo kunciphisa kakhulu ukuphazamiseka kokusebenza;

3. Ukwandiswa kweDijithali:Inkqubo yekhamera ye-4K / 8K isekela ukubonisana okude kunye ne-AI yexesha langempela lokubhaliweyo (ezifana ne-algorithms yokuqaphela umkhumbi wegazi ngokuzenzekelayo), ukuqhuba i-microsurgery kwixesha lentsebenziswano ehlakaniphile.

 

Umkhwa wexesha elizayo: ukusuka kubungcali ukuya kudityaniso lwetekhnoloji

Ubungcali beimikroskopu yotyandokhange ithintele ukudityaniswa kobuchwepheshe bezifundo ezahlukeneyo. Umzekelo, itekhnoloji yokukhangela i-fluorescence kwi-neurosurgery isetyenzisiwe ukujonga imithambo yegazi kwi-retinal.i-ophthalmology esebenzayo nge-microscopes; Iimodyuli zamazinyo ubunzulu obuphezulu ziyadityaniswa kwiNgemakroskopu yotyandoukunyusa ubunzulu bentsimi yotyando ngeempumlo. Kwangelo xesha, izinto ezintsha ezinje ngenyani eyongeziweyo (i-AR) yokwaleka kwemifanekiso yangaphambi kokusebenza kunye nolawulo olukude lweerobhothi ziya kuqhubeka nokukhuthaza ukuqhubela phambili kwe-microsurgery ukuya “kuchaneka, ubukrelekrele, kunye nokuhlasela kancinci”.

 

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Ukuzivelela okukhethekileyo kweiimicroscopes zokusebenzangokuyinyani kukuvakala phakathi kweemfuno zeklinikhi kunye nesakhono sobuchule: ifuna zombini unikezelo lokugqibela lwezakhiwo ezincinci zenziwaImakroskopu yotyando lwamehlokunye nempendulo eguquguqukayo yemingxuma enzulu yiImakroskopu yokusebenza komgogodla. Kwaye xa ukusebenza kakuhle kwamasebe akhethekileyo kufikelela kwindawo ebalulekileyo, ukuhlanganiswa kweteknoloji ye-cross system kuya kuvula i-paradigm entsha ye-microsurgery.