Kuwunika kwathunthu kwa momwe ntchito ya maikulosikopu ya opaleshoni yapakhomo imagwiritsidwira ntchito
Magawo oyenerera owunikira: 1. Chipatala cha Anthu cha Sichuan Provincial, Sichuan Academy of Medical Sciences; 2. Sichuan Food and Drug Inspection and Testing Institute; 3. Dipatimenti ya Urology ya Chipatala Chachiwiri Chogwirizana cha Chengdu University of Traditional Chinese Medicine; 4. Chipatala cha Cixi cha Traditional Chinese Medicine, Dipatimenti ya Opaleshoni ya Manja ndi Mapazi
cholinga
Maikulosi yopangira opaleshoni ya CORDER ya m'dziko muno ya ASOM-4 inawunikidwanso pambuyo poti yagulitsidwa pamsika. Njira: Malinga ndi zofunikira za GB 9706.1-2007 ndi GB 11239.1-2005, maikulosi yopangira opaleshoni ya CORDER inayerekezeredwa ndi zinthu zina zofanana zakunja. Kuphatikiza pa kuwunika kwa kupeza zinthu, kuwunikako kunayang'ana kwambiri kudalirika, magwiridwe antchito, ndalama ndi ntchito yogulitsa pambuyo pogulitsa. Zotsatira: Maikulosi yogwira ntchito ya CORDER imatha kukwaniritsa zofunikira za miyezo yoyenera yamakampani, ndipo kudalirika kwake, magwiridwe antchito ndi ntchito yogulitsa pambuyo pogulitsa zimatha kukwaniritsa zosowa zachipatala, pomwe chuma chake chili bwino. Kutsiliza: Maikulosi yogwira ntchito ya CORDER ndi yothandiza ndipo imapezeka m'mafakitale osiyanasiyana opangira ma microsurgery, ndipo ndi yotsika mtengo kuposa zinthu zotumizidwa kunja. Ndikoyenera kuyilimbikitsa ngati chipangizo chachipatala chapamwamba cha m'dziko muno.
chiyambi
Maikulosi yogwiritsira ntchito imagwiritsidwa ntchito makamaka pa opaleshoni ya microsurgery monga ophthalmology, orthopedics, opaleshoni ya ubongo, neurology ndi otolaryngology, ndipo ndi zida zofunika zachipatala pa opaleshoni ya microsurgery [1-6]. Pakadali pano, mtengo wa zida zotere zomwe zimatumizidwa kuchokera kunja ndi zoposa 500000 yuan, ndipo pali ndalama zambiri zogwirira ntchito komanso ndalama zokonzera. Zipatala zazikulu zochepa ku China zokha ndi zomwe zimatha kugula zida zotere, zomwe zimakhudza chitukuko cha opaleshoni ya microsurgery ku China. Chifukwa chake, maikulosi ochitira opaleshoni am'nyumba omwe ali ndi magwiridwe antchito ofanana komanso magwiridwe antchito okwera mtengo adapangidwa. Monga gulu loyamba la zinthu zatsopano zowonetsera zida zamankhwala ku Sichuan Province, maikulosi ochitira opaleshoni a ASOM-4 a CORDER ndi maikulosi ochitira opaleshoni odziyimira pawokha a orthopedics, opaleshoni ya chifuwa, opaleshoni yamanja, opaleshoni ya pulasitiki ndi opaleshoni zina za microsurgical [7]. Komabe, ogwiritsa ntchito ena am'nyumba nthawi zonse amakayikira zinthu zapakhomo, zomwe zimalepheretsa kutchuka kwa opaleshoni ya microsurgery. Kafukufukuyu akufuna kuchita kafukufuku wobwerezabwereza wa maikulosi ochitira opaleshoni a ASOM-4 a CORDER pambuyo pa malonda. Kuwonjezera pa kuwunika momwe zinthu zilili pa ukadaulo, magwiridwe antchito a kuwala, chitetezo ndi zinthu zina, idzayang'ananso kudalirika kwake, magwiridwe antchito, ndalama zomwe zimagwiritsidwa ntchito komanso ntchito yogulitsa pambuyo pogulitsa.
1 Chinthu ndi njira
1.1 Cholinga cha kafukufuku
Gulu loyesera linagwiritsa ntchito maikulosikopu ya opaleshoni ya ASOM-4 ya mtundu wa CORDER, yomwe inaperekedwa ndi kampani yaku Chengdu CORDER Optics&Electronics Co.; Gulu lowongolera linasankha maikulosikopu ya opaleshoni yakunja yogulidwa (OPMI VAR10700, Carl Zeiss). Zipangizo zonse zinaperekedwa ndikugwiritsidwa ntchito Januwale 2015 asanafike. Munthawi yowunikira, zida zomwe zinali mu gulu loyesera ndi gulu lowongolera zinagwiritsidwa ntchito mosinthana, monga momwe zasonyezedwera pa Chithunzi 1.
1.2 malo ofufuzira
Sankhani chipatala chimodzi cha Gulu III cha Gulu A (Sichuan Provincial People's Hospital, Sichuan Academy of Medical Sciences, ≥ ma microsurgeries 10 pa sabata) ku Sichuan Province chomwe chakhala chikuchita opaleshoni ya microsurgery kwa zaka zambiri ndi zipatala ziwiri za Gulu II za Gulu A ku China zomwe zakhala zikuchita opaleshoni ya microsurgery kwa zaka zambiri (Chipatala Chachiwiri Chogwirizana cha Chengdu University of Traditional Chinese Medicine ndi Cixi Hospital of Traditional Chinese Medicine, ≥ ma microsurgeries 5 pa sabata). Zizindikiro zaukadaulo zimatsimikiziridwa ndi Sichuan Medical Device Testing Center.
1.3 Njira yofufuzira
1.3.1 Kuwunika mwayi wopeza
Chitetezo chimayesedwa malinga ndi GB 9706.1-2007 Zida Zamagetsi Zachipatala Gawo 1: Zofunikira Zonse Zachitetezo [8], ndipo zizindikiro zazikulu zogwirira ntchito za maikulosikopu yogwira ntchito zimayerekezeredwa ndikuyesedwa malinga ndi zofunikira za GB 11239.1-2005 [9].
1.3.2 Kuwunika kudalirika
Lembani chiwerengero cha matebulo ogwiritsira ntchito ndi chiwerengero cha kulephera kwa zida kuyambira nthawi yomwe zida zinaperekedwa mpaka Julayi 2017, ndikuyerekeza ndikuwunika kuchuluka kwa kulephera. Kuphatikiza apo, deta ya National Center for Clinical Adverse Reaction Detection m'zaka zitatu zapitazi idafunsidwa kuti ilembe kuchuluka kwa zochitika zoyipa za zida mu gulu loyesera ndi gulu lowongolera.
1.3.3 Kuwunika momwe ntchito ikuyendera
Wogwiritsa ntchito zida, ndiko kuti, dokotala, amapereka zigoli zomwe munthu angagwiritse ntchito mosavuta, chitonthozo cha wogwiritsa ntchitoyo ndi malangizo ake, ndipo amapereka zigoli zomwe munthu wakhutira nazo. Kuphatikiza apo, chiwerengero cha ntchito zomwe zalephera chifukwa cha zida ziyenera kulembedwa padera.
1.3.4 Kuwunika zachuma
Yerekezerani mtengo wogulira zida (mtengo wa makina osungira) ndi mtengo wa zinthu zogwiritsidwa ntchito, lembani ndikuyerekeza mtengo wonse wosamalira zida pakati pa gulu loyesera ndi gulu lowongolera panthawi yowunikira.
1.3.5 Kuwunika ntchito yogulitsa pambuyo pa malonda
Akuluakulu oyang'anira zida m'mabungwe atatu azachipatala adzapereka zigoli zomwe zimachokera kwa iwo pa kukhazikitsa, kuphunzitsa antchito ndi kukonza.
1.4 Njira yowerengera kuchuluka
Chinthu chilichonse chomwe chili pamwambachi chiyenera kuwerengedwa molingana ndi kuchuluka kwa mfundo 100. Tsatanetsatane wa nkhaniyi wawonetsedwa mu Gome 1. Malinga ndi kuchuluka kwa zipatala zitatuzi, ngati kusiyana pakati pa zipatala zomwe zili mu gulu loyesera ndi zinthu zomwe zili mu gulu lowongolera kuli ≤ mfundo 5, zinthu zowunikira zimaonedwa kuti ndizofanana ndi zinthu zowongolera, ndipo zinthu zomwe zili mu gulu loyesera (CORDER surgical microscope) zitha kulowa m'malo mwa zinthu zomwe zili mu gulu lowongolera (microscope yolowera kunja).
Zotsatira ziwiri
Kafukufukuyu anaphatikizapo maopaleshoni okwana 2613, kuphatikizapo zida zapakhomo 1302 ndi zida zotumizidwa kunja 1311. Madokotala khumi a opaleshoni ya mafupa ndi apamwamba, madokotala 13 a opaleshoni ya mkodzo, madokotala 7 a opaleshoni ya mitsempha ndi apamwamba, ndi madokotala 30 a opaleshoni ndi apamwamba omwe adatenga nawo mbali pakuwunikaku. Ziwerengero za zipatala zitatuzi zawerengedwa, ndipo ziŵerengero zenizeni zawonetsedwa mu Table 2. Chiŵerengero chonse cha maikulosikopu ogwirira ntchito a ASOM-4 a mtundu wa CORDER ndi 1.8 points zochepa kuposa za maikulosikopu ogwirira ntchito ochokera kunja. Onani Chithunzi 2 kuti muwone kufananiza kwa zigoli pakati pa zida zomwe zili mu gulu loyesera ndi zida zomwe zili mu gulu lowongolera.
3 kukambirana
Chiwerengero chonse cha maikulosikopu ya opaleshoni ya ASOM-4 ya mtundu wa CORDER ndi 1.8 points yocheperapo kuposa ya maikulosikopu ya opaleshoni yochokera kunja ya wowongolera, ndipo kusiyana pakati pa chiwerengero cha chinthu chowongolera ndi ASOM-4 ndi ≤ 5 points. Chifukwa chake, zotsatira za kafukufukuyu zikusonyeza kuti maikulosikopu ya opaleshoni ya ASOM-4 ya mtundu wa CORDER ikhoza kulowa m'malo mwa zinthu zotumizidwa kunja za mayiko akunja ndipo ndiyofunika kutsatsa ngati zida zapamwamba zapakhomo.
Tchati cha radar chikuwonetsa bwino kusiyana pakati pa zida zapakhomo ndi zida zotumizidwa kunja (Chithunzi 2). Ponena za zizindikiro zaukadaulo, kukhazikika ndi chithandizo chogulitsa pambuyo pogulitsa, ziwirizi ndizofanana; Ponena za kugwiritsidwa ntchito kwathunthu, zida zotumizidwa kunja ndizabwino pang'ono, zomwe zikusonyeza kuti zida zapakhomo zikadali ndi malo oti zipitirire kusintha; Ponena za zizindikiro zachuma, zida zapakhomo za mtundu wa CORDER ASOM-4 zili ndi zabwino zoonekeratu.
Mu kuwunika kolowera, zizindikiro zazikulu za magwiridwe antchito a maikulosikopu apakhomo ndi ochokera kunja zimakwaniritsa zofunikira za muyezo wa GB11239.1-2005. Zizindikiro zazikulu zachitetezo cha makina onsewa zimakwaniritsa zofunikira za muyezo wa GB 9706.1-2007. Chifukwa chake, zonse ziwiri zimakwaniritsa zofunikira za miyezo ya dziko, ndipo palibe kusiyana koonekeratu pachitetezo; Ponena za magwiridwe antchito, zinthu zotumizidwa kunja zili ndi ubwino wina kuposa zida zamankhwala zapakhomo pankhani ya mawonekedwe a kuwala, pomwe magwiridwe antchito ena owunikira alibe kusiyana koonekeratu; Ponena za kudalirika, panthawi yowunikira, kuchuluka kwa kulephera kwa zida zamtunduwu kunali kochepera 20%, ndipo kulephera kwakukulu kunayambitsidwa ndi babu kuyenera kusinthidwa, ndipo zina zinayamba chifukwa cha kusintha kosayenera kwa counterweight. Panalibe kulephera kwakukulu kapena kuzimitsidwa kwa zida.
Mtengo wa makina opangira opaleshoni a CORDER ASOM-4 ndi pafupifupi 1/10 ya zida zowongolera (zotumizidwa kunja). Nthawi yomweyo, chifukwa sichifunika kuteteza chogwirira, chimafuna zinthu zochepa zogwiritsidwa ntchito ndipo chimagwirizana bwino ndi mfundo yoyera ya opaleshoni. Kuphatikiza apo, mtundu uwu wa makina opangira opaleshoni umagwiritsa ntchito nyali ya LED yakunyumba, yomwe ndi yotsika mtengo kuposa gulu lowongolera, ndipo ndalama zonse zokonzera ndizochepa. Chifukwa chake, makina opangira opaleshoni a CORDER ASOM-4 ali ndi ndalama zodziwikiratu. Ponena za chithandizo chogulitsa pambuyo pogulitsa, zida zomwe zili mu gulu loyesera ndi gulu lowongolera ndizokhutiritsa kwambiri. Zachidziwikire, popeza gawo la msika wa zida zotumizidwa kunja ndi lalikulu, liwiro loyankhira kukonza limathamanga. Ndikukhulupirira kuti ndi kufalikira pang'onopang'ono kwa zida zapakhomo, kusiyana pakati pa ziwirizi kudzachepa pang'onopang'ono.
Monga gulu loyamba la zinthu zatsopano zowonetsera zida zamankhwala ku Sichuan Province, maikulosikopu ya CORDER ASOM-4 yopangidwa ndi Chengdu CORDER Optics&Electronics Co. ili pamlingo wapamwamba padziko lonse lapansi komanso wapakhomo. Yakhazikitsidwa ndikugwiritsidwa ntchito m'zipatala zambiri ku China, ndikutumizidwa ku Southeast Asia, Middle East, Africa ndi madera ena, zomwe ogwiritsa ntchito amakonda. Maikulosikopu ya CORDER ASOM-4 yochita opaleshoni ili ndi makina owunikira apamwamba, omveka bwino, mphamvu ya stereoscopic, kuya kwakukulu kwa munda, kuwala kozizira komwe kumachokera ku ulusi wowala wa coaxial, kuwala kwabwino kwamunda, kuyang'anira mapazi kokha, kuyang'ana kosalekeza kwamagetsi, ndipo ili ndi ntchito zowonera, kanema wawayilesi ndi makanema, choyikira cha ntchito zambiri, ntchito zonse, makamaka zoyenera kuwonetsa microsurgery ndi kuphunzitsa.
Pomaliza, maikulosikopu ya opaleshoni ya mtundu wa CORDER ASOM-4 yomwe yagwiritsidwa ntchito mu kafukufukuyu ikhoza kukwaniritsa miyezo yoyenera yamakampani, kukwaniritsa zosowa zachipatala, kukhala yothandiza komanso yopezeka, komanso yotsika mtengo kuposa zida zowongolera. Ndi chipangizo chamankhwala chapamwamba chapakhomo chomwe chikuyenera kuvomerezedwa.
[chilolezo]
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Nthawi yotumizira: Januwale-30-2023
