Uhlalutyo lwepanoramic lwendaleko yetekhnoloji kunye nokusetyenziswa kwemisebenzi emininzi yeemicroscopes yotyando

 

Imakroskopu yotyando sesona sixhobo siphambili sokuphumeza imisebenzi echanekileyo kumayeza anamhlanje. Njengesixhobo sonyango esidibanisa iisistim ze-optical high-resolution, izakhiwo ezichanekileyo zomatshini, kunye neemodyuli zokulawula ezihlakaniphile, imigaqo yayo engundoqo ibandakanya ukukhuliswa kwe-optical (ngokuqhelekileyo 4 × -40 × adjustable), intsimi ye-stereo yokujongaImakroskopu yokusebenza ngebhayinotyhula, i-coaxial ebandayo yomthombo wokukhanya ukukhanya (ukunciphisa umonakalo we-thermal we-tissue), kunye nenkqubo yengalo yerobhothi ekrelekrele (ixhasa i-360 ° indawo). Ezi mpawu zivumela ukuba iphule imida ye-physiological yeso lomntu, iphumelele ukuchaneka kwe-0.1 millimeters, kwaye inciphise kakhulu ingozi yokulimala kwe-neurovascular.

 

Ⅰ、 Imigaqo yobugcisa kunye nemisebenzi engundoqo

1. Iinkqubo zamehlo kunye nemifanekiso:

- Inkqubo yebhinotyhutyhutyhutyhume ibonelela ngaxeshanye intsimi stereoscopic yokujonga ugqirha wotyando kunye nomncedisi ngokusebenzisa prism, ngebala lokujonga ububanzi 5-30 millimeters, kwaye ikwazi ukuziqhelanisa nemigama umfundi ezahlukeneyo kunye namandla refractive. Iindidi zamehlo zibandakanya intsimi ebanzi yokujonga kunye nohlobo lweprothrombin, leyo yokugqibela inokuphelisa ukuphambuka kunye nokuqinisekisa ukucaca kwe-edge imaging.

- Inkqubo yokukhanyisa ithatha isikhokelo se-fiber optic, kunye nobushushu bombala we-4500-6000K kunye nokukhanya okuguquguqukayo (10000-150000 Lux). Idityaniswe neteknoloji yokunciphisa ukukhanya okubomvu, inciphisa umngcipheko wokulimala kokukhanya kwe-retinal. Umthombo wesibane we-Xenon okanye i-halogen edityaniswe noyilo lokukhanya okubandayo ukunqanda umonakalo wobushushu.

- I-spectroscope kunye nemodyuli yokwandisa idijithali (efana nenkqubo yekhamera ye-4K / 8K) ixhasa ukuhanjiswa komfanekiso wexesha langempela kunye nokugcinwa, okwenza kube lula ukufundisa kunye nokubonisana.

2. Ubume bomatshini kunye noyilo lokhuseleko:

- Imikroskopu yokusebenza imilezahlulwe phantsi ukuma kwayeiimakroskopu ezisebenza nge-clamp yetafile. Eyangaphambili ifanelekile kumagumbi amakhulu okusebenza, ngelixa le yokugqibela ifanelekile kumagumbi okubonisana anendawo encinci (njengeekliniki zamazinyo).

- Idigri emithandathu yenkululeko ye-cantilever yombane inokulinganisa okuzenzekelayo kunye nemisebenzi yokukhusela ukungqubana, kwaye iyayeka ukuhamba ngokukhawuleza xa idibana nokuchasana, iqinisekisa ukhuseleko lwangaphakathi.

 

Ⅱ、 Iimeko ezikhethekileyo zesicelo kunye nokulungelelaniswa kweteknoloji

1. I-Ophthalmology kunye notyando lorhatyazo:

Ii-ophthalmology esebenzayo nge-microscopeummeli kwintsimi yeI-microscope yokusebenza yamehlo. Iimfuno zayo eziphambili ziquka:

- Isisombululo esiphezulu se-Ultra (enyuke nge-25%) kunye nobunzulu obukhulu bentsimi, ukunciphisa inani lokugxila kwi-intraoperative;

- Uyilo lokukhanya okuphantsi (okunjeI-ophthalmic cataract operation microscope) ukomeleza intuthuzelo yesigulana;

- Ukuhamba kwe-3D kunye nomsebenzi we-OCT wangaphakathi uvumela ulungelelwaniso oluchanekileyo lwe-crystal axis ngaphakathi kwe-1 °.

2. I-Otolaryngology kunye noNyango lwamazinyo:

- IImakroskopu yokusebenza kwe-ENTidinga ukulungiswa ukwenzela imisebenzi yomngxunya onzulu (ofana nokufakelwa kwe-cochlear), ixhotyiswe nge-lens yenjongo yobude obude (250-400mm) kunye nemodyuli ye-fluorescence (efana ne-ICG angiography).

- IImakroskopu yokusebenza kwamazinyo ithatha uyilo oluhambelanayo lwendlela yokukhanya, kunye nomgama ohlengahlengiswayo wokusebenza we-200-500mm. Ixhotyiswe nge-lens yenjongo yohlengahlengiso elungileyo kunye nelensi ethambekileyo ye-binocular ukuhlangabezana neemfuno ze-ergonomic zemisebenzi emihle efana nonyango lweengcambu.

3. I-Neurosurgery kunye noTyando loMnqonqo:

- Ii-neurosurgical operating microscope idinga i-autofocus, i-robotic joint locking, kunye ne-fluorescence imaging technology (ukusombulula imithambo yegazi kwinqanaba le-0.1 millimeter).

- Iutyando lomqolo olusebenza ngemakroskopuifuna ubunzulu obuphezulu bemowudi yentsimi (1-15mm) ukuqhelanisa nemimandla enzulu yotyando, idityaniswe nenkqubo yokukhangela i-neuro ukufezekisa ukunyanzeliswa ngokuchanekileyo.

4. Iplastiki kunye notyando lwentliziyo:

- Iutyando lweplastiki olusebenza ngemakroskopuifuna ubunzulu obandisiweyo bentsimi kunye nomthombo wokukhanya ophantsi oshushu ukukhusela amandla e-flap kunye nokuxhasa uvavanyo lwexesha lokwenyani lokuhamba kwegazi nge-FL800 intraoperative angiography.

- II-microscope yokusebenza kwentliziyoigxile ekuchanekeni kwe-anastomosis ye-microvascular kwaye ifuna ukuguquguquka kunye nokumelana nokuphazamiseka kwe-electromagnetic yengalo yerobhothi.

 

Ⅲ、 Iindlela zophuhliso lwetekhnoloji

1. Ukuhamba nge-intraoperative navigation kunye noncedo lwerobhothi:

- Itekhnoloji ye-Augmented reality (AR) inokugqithisa imifanekiso ye-CT / MRI yangaphambili kwintsimi yotyando ukuphawula iindlela ze-vascular kunye ne-neural ngexesha langempela.

- Iinkqubo zerobhothi ezikude (ezifana ne-microscopes elawulwayo yovuyo) ziphucula uzinzo lokusebenza kunye nokunciphisa ukudinwa kwabaqhubi.

2. Ukudityaniswa kwesisombululo esiphezulu kunye ne-AI:

- Itekhnoloji emibini ye-photon microscopy ifezekisa i-imaging level level, idityaniswe ne-AI algorithms ukuchonga ngokuzenzekelayo izakhiwo zezicubu (ezifana nemida ye-tumor okanye i-nerve bundles), kwaye incedise ekuhlaziyeni ngokuchanekileyo.

3. Ukuhlanganiswa komfanekiso we-Multimodal:

-I-Fluorescence i-imaging ye-Fluorescence (ICG / 5-ALA) idibaniswe ne-OCT ye-intraoperative isekela ixesha langempela lokuthatha isigqibo "sokubukela ngelixa usika".

 

Ⅳ, Ukukhetha ubumbeko kunye nokuqwalaselwa kweendleko

1. Umba wexabiso:

- IsisekoImakroskopu yokusebenza kwamazinyo(ezifana nenkqubo yokukhanya ye-zoom enemigangatho emithathu) ixabisa malunga nesigidi seeyuan;

- Umgangatho ophezului-neural operation microscope(kuquka ikhamera ye-4K kunye ne-fluorescent navigation) inokubiza ukuya kwi-4.8 yezigidi zeeyuan.

2. isincedisi semicroscope esebenzayo:

-Izixhobo eziphambili ziquka ukubamba inzalo (ukumelana nokushisa okuphezulu kunye noxinzelelo oluphezulu), i-eyepiece egxininisekileyo, i-beam splitter (ukuxhasa izibuko ezincedisayo / zokufundisa), kunye nesimbozo esizinikezeleyo esiyinyumba.

 

Ⅴ, Isishwankathelo

Iimakroskopu zotyando ziye zavela kwisixhobo esinye sokwandisa ukuya kwiqonga lotyando elichanekileyo lezinto ezininzi. Kwixesha elizayo, ngokudityaniswa okunzulu kwe-AR navigation, ukuqaphela i-AI, kunye neteknoloji yerobhothi, ixabiso layo eliphambili liya kugxininisa "kwintsebenziswano yomatshini womntu" - ngelixa uphucula ukhuseleko lotyando kunye nokusebenza kakuhle, oogqirha basafuna ulwazi oluqinileyo lwe-anatomical kunye nezakhono zokusebenza njengesiseko. Uyilo olukhethekileyo (njengomahluko phakathiImakroskopu yokusebenza komgogodlakwayeI-microscope yokusebenza yamehlo) kunye nokwandiswa okukrelekrele kuya kuqhubeka nokutyhala imida yotyando oluchanekileyo ukuya kwi-sub millimeter era.