Tšebeliso ea li-multidisciplinary le nts'etsopele e khethehileng ea li-microscopes tsa ho buoa tse nepahetseng haholo

 

Mekhoa ea morao-rao ea ho buoa e kene ka ho feletseng mehleng ea microsurgery. Themicroscope ea ho buoae hōlisa sebaka sa ho buoa ka makhetlo a 4-40 ka tsamaiso ea optical e phahameng-resolution, coaxial cold light source illumination, le bohlale robotic arm, ho nolofalletsa lingaka ho sebetsana le microstructures tse kang methapo ea mali le methapo ka ho nepahala ha limilimithara tse 0,1, ho fetola ka ho feletseng meeli ea ho buuoa ka setso. Litlhoko tse ikhethang tsa litsebo tse fapaneng tsa theknoloji ea microscopy li tsamaisitse nts'etsopele e khethehileng eamicroscopes ea ho buoa, ho theha mofuta oa mefuta e mengata e kopanetsoeng ea theknoloji ea ho iphetola ha lintho.

 

Ⅰ, Nchafatso ea mantlha ea maekerosekoupo ea ho buoa ea neurosurgical

Themicroscope ea ho buoa ea methapo ea kutloe etselitsoe ka ho khetheha liopereishene tsa cranial le lesapo la mokokotlo. Melemo ea eona ea mantlha e ka ho:

1. Litšoantšo tse nang le tlhaloso e phahameng ea libaka tse tebileng tsa ho buoa:Ka ho sebelisa lense e telele ea sepheo sa nako e telele (200-400mm) le botebo bo feto-fetohang ba theknoloji ea tšimo (1-15mm e ka fetoloang), lisele tse tebileng tsa boko le marang-rang a vascular li ka hlahisoa ka ho hlaka;

2. Ho kopanya litšoantšo tse ngata tse sebetsang:ho kopanya phapang ea fluorescence (e kang indocyanine green labeling) le 4K ultra high definition imaging ho khetholla lihlahala ho tloha liseleng tse tloaelehileng ka nako ea sebele nakong ea ho buuoa le ho qoba kotsi ea ho senyeha ha methapo. Ka mohlala, moloko o mocha oamicroscope e sebetsang ea neurosurgerye fihletse 0.2mm boemo ba ho nahana ka methapo ea mali, ho fokotsa mali a tsoang ka har'a opereishene ho ea tlase ho 30% ea opereishene e tloaelehileng;

3. Sebaka se bohlale sa letsoho la robotiki:Li-degree tse tšeletseng tsa tokoloho ea cantilever ea motlakase e ts'ehetsa boemo bo tsitsitseng ba 360 ° ntle le li-angles tse shoeleng. Opereishene e ka laola motsamao oa microscope ka lentsoe kapa leoto la maoto, ho fihlela ts'ebetso ea "ho hokahanya ha mahlo".

 

Ⅱ、 Phetoho e nepahetseng ea li-microscopes tsa ophthalmic tsa ho buoa

Maekerosekoupo ea ho buoa ea mahloe fihlela tsoelo-pele e kholo lefapheng la opereishene ea refractive:

- Mosebetsi oa 3D navigation:Ho nka3D microscope e sebetsange le mohlala, e kopanya Intraoperative OCT (Optical Coherence Tomography) le navigation ditsitithale ho Track angle axial ea astigmatic artificial lense ka nako ea sebele, ho fokotsa tloaelo tšoaea phoso ho tloha 5 ° ho ka hare ho 1 °. Ka nako e le 'ngoe lekola bophahamo ba lense ea kristale ka matla ho qoba ho kheloha ha postoperative;

- Mabone a chefo e tlase:ho sebelisa mohloli oa leseli le batang la LED (mocheso oa 'mala 4500-6000K) o kopantsoe le filthara ea khatello ea khanya e khubelu ho fokotsa kotsi ea tšenyo ea leseli la retinal le ho ntlafatsa matšeliso a mokuli nakong ea ho buuoa;

- Botebo ba Thekenoloji ea Katoloso ea Tšimo:Lits'ebetsong tse nyenyane tse kang opereishene ea macular, botebo bo phahameng ba mokhoa oa tšimo bo ka boloka sebaka se hlakileng sa pono ho 40x magnification, ho fana ka sebaka se seholo sa ho sebetsa bakeng sa ngaka e buoang.

 

Ⅲ、 Ho ikamahanya le maemo a mahlale a microscopes ea meno le ea masapo

1. Sebaka sa meno

microscope ea tšebetso ea menoe bohlokoa haholo kalafong ea methapo ea methapo:

- Sistimi ea eona ea magnification e sa feleng ea 4-40 e ka pepesa li-microtubules tsa collateral ka har'a likotopo tsa metso e baliloeng, e thusang ho ntšoa ha lisebelisoa tsa fracture tse bolelele ba limilimithara tse 18;

- Moralo oa coaxial dual light source o tlosa matheba a foufetseng molomong oa molomo, 'me ka thuso ea beam splitter prism, o lumellana le pono ea ngaka e buoang le mothusi, ho ntlafatsa katleho ea tšebelisano ea sehlopha.

2. Orthopedics le tšimo ea mokokotlo

Maekerosekoupo ea ho buoa ea Orthodonticle microscope ea ts'ebetso ea opereishene ea lesapo la mokokotlo e shebana le mekhoa e fokolang haholo:

- Ka theknoloji ea narrowband imaging eamicroscope ea ts'ebetso ea mokokotlo, likarolo tse peli tsa lumbar decompression (tse kang synchronous processing ea L4 / 5 le L5 / S1 likarolo) li ka finyelloa ka hare ho 2.5-centimeter incision;

- Lense ea sepheo sa zoom ea motlakase (e kang Varioskop) ® Sistimi e ikamahanya le liphetoho tsa boemo ba intraoperative mme e na le sebaka sa ho sebetsa se feto-fetohang sa 150-300mm, se finyella litlhoko tsa ts'ebetso e tebileng ea mokokotlo oa mokokotlo.

 

Ⅳ、 Ho ikamahanya ka mokhoa o khethehileng pakeng tsa otolaryngology le opereishene ea polasetiki

1. Sebaka sa tsebe, nko le 'metso

Themicroscope ea ho buuoae etselitsoe ka ho khetheha bakeng sa li-cavities tse moqotetsane:

- Kopanya mojule oa synchronization oa laser ho fihlela tlhahlobo ea othomathike ea laser focus le microscope ea pono ho micro resection ea mofets'e oa laryngeal;

- Ho holisa benchmark ea makhetlo a 12.5, ho kopantsoe le phetoho ea sebaka sa ho sebetsa ka motlakase, e loketse litlhoko tse ngata tsa liketsahalo ho tloha ho tympanoplasty ho ea ho opereishene ea ho bula sinus.

2. Lefapheng la ho buuoa ka polasetiki

Moko oamicroscope ea opereishene ea polasetikie hlaha ho anastomosis ea microscopic:

- 0.3mm boemo ba vascular anastomosis ho nepahala, ho tšehetsa ts'ebetso e ntle haholo e kang lymphatic vein anastomosis;

- Seipone sa mothusi oa beam e arohaneng le ponts'o ea kantle ea 3D e fihlella tšebelisano-mmoho ea pono e mengata, e ntlafatsang sekhahla sa katleho ea phetisetso ea letlapa la letlalo.

 

Ⅴ、 Tlhahiso e akaretsang ea sistimi ea ts'ehetso ea mantlha

Ho sa tsotelehe hore na li ikhethile hakae, microscope ea ho buoa lemicroscope e sebetsangarolelana lintlafatso tse tharo tsa mantlha:

1. Mokhoa o mocha oa ho kenya:The microscope ea ts'ebetso ea clamp tafolenge fana ka ho feto-fetoha ha maemo, mokhoa oa siling o boloka sebaka, 'me mokhoa oa fatše o leka-lekanya botsitso le tokoloho ea ho fetola;

2. Ntlafatso ea tšebelisano ea khomphutha ea batho:Taolo ea lentsoe (joalo ka Voice Control 4.0) le ts'ireletso ea othomathike ea ho thulana ho fokotsa haholo tšitiso ea ts'ebetso;

3. Katoloso ea Dijithale:Sistimi ea kh'amera ea 4K/8K e ts'ehetsa lipuisano tse hole le ho ngola mabitso a nako ea nnete ea AI (joalo ka li-algorithms tsa ho lemoha methapo ea mali), ho khanna microsurgery nakong ea tšebelisano e bohlale.

 

Mokhoa oa ka moso: ho tloha ho tse ikhethang ho isa ho kopanyo ea theknoloji

The specialization ofmicroscopes ea ho buoaha e-so sitise ho kopanngoa ha litheknoloji tse fapaneng. Mohlala, theknoloji ea fluorescence navigation ho neurosurgery e sebelisitsoe ho lekola methapo ea mali ea retinalmicroscopes e sebetsang ea ophthalmology; Li-module tsa optical tse tebileng tsa meno li ntse li kopanngoa homicroscope ea ho buuoaho matlafatsa botebo ba lebala la ho buoa nko. Ka nako e ts'oanang, lintlafatso tse joalo ka 'nete e netefalitsoeng (AR) ea litšoantšo tsa pele ho ts'ebetso le taolo e hole ea liroboto li tla tsoelapele ho khothaletsa tsoelo-pele ea likarolo tse tharo ea "microsurgery" ho isa "ho nepahala, bohlale, le ho hlasela hanyane".

 

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Phetoho e khethehileng eamicroscopes e sebetsangHa e le hantle, ho na le kamano pakeng tsa litlhoko tsa bongaka le bokhoni ba tekheniki: e hloka tlhahiso ea mantlha ea libopeho tse nyane kemicroscope ea opthalmicle karabelo e tenyetsehang ea likoti tse tebileng ka homicroscope ea ts'ebetso ea mokokotlo. 'Me ha bokhoni ba mafapha a khethehileng bo fihla boemong bo boima, ho kopanya theknoloji ea cross system ho tla bula paradigm e ncha ea microsurgery.