980nm 1470nm ENT Surgery Laser Machine TR-C
I-980nm 1470nm diode laser iyindlela yokuhlinzwa ecishe yadingeka kakhulu emkhakheni wokuhlinzwa kwe-ENT namuhla. Ngenxa yokuthi i-laser diode ingaba nomthelela wokusika noma wokuhlanganisa, ifaneleka kakhulu ezinhlobonhlobo zokwelashwa kwezifo zendlebe/ikhala/umphimbo.
Ngenxa yokuvela kwemithombo ye-laser, indlela yokuhlinzwa ye-otolaryngology iye yashintshwa amandla okwenza kancane kancane, okuholela ekulimazeni okuncane kwezicubu, ukululama ngokushesha, ubuhlungu obuncane kanye nezibazi ezincane kunokuhlinzwa okwenziwa ngokusikwa okuvulekile.
Umshini we-laser we-980nm 1470nm we-diode awususi kuphela izicubu ezithintekile ngokunembile kodwa futhi ongashiyi ngemuva kwanoma yisiphi isibazi esisele noma ukuqina. Azikho ezinye izinkinga ngemva kokuhlinzwa, futhi izinga lokuphinda liphansi.
Uma kuziwa emphinjeni, ukuhlinzwa kuvame ukuba yinselele njengoba kubangela isibazi nokuqina okubangelwa izilonda. Kodwa i-fiber optics eguquguqukayo kanye neziqeshana zesandla eziguquguqukayo zenza ukuhlinzwa okungangeneleli kancane okungenzeka kusikwe izicubu ezithintekile ngaphandle kokulimaza izindawo ezizungezile.
Ngokuvamile, iziguli zipholisa amanxeba azo kahle futhi zidinga ukunakekelwa okulula kokulandelela. Nakuba isikhathi sokululama sihluka ngesiguli ngasinye, ukululama ngokuvamile kuyashesha.
Izinzuzo
*Ukunemba kweMicrosurgical
*Impendulo ethintekayo evela ku-laserfiber
*Ukopha okuncane, ukubuka konke kwe-situ ngesikhathi sokuhlinzwa
*Kudingeka izinyathelo ezimbalwa zangemva kokuhlinzwa
*Isikhathi esifushane sokululama esigulini
Izinhlelo zokusebenza
INDLEBE
Ama-cysts
Isesekeli se-Auricle
Izimila endlebeni yangaphakathi
I-hemangioma
I-Myringotomy
I-Cholesteatoma
I-Tympanitis
Ikhala
I-Nasal Polyp, i-Rhinitis
Ukunciphisa I-Turbinate
I-Papilloma
Ama-cysts nama-Mucoceles
I-Epistaxis
I-stenosis ne-Synechia
Ukuhlinzwa KweSinus
I-Dacryocystorhinostomy (DCR)
UMPILO
Uvulopalatoplasty (LAUP)
I-Glossectomy
I-Vocal Cord Polyps
I-Epiglottectomy
Iziqephu
Ukuhlinzwa KweSinus
Ukuhlinzwa kwe-Endo Nasal
Ukuhlinzwa kwe-Endoscopic kuyinqubo esunguliwe, yesimanje ekwelapheni ukona kwamakhala kanye ne-paranasal.Kodwa-ke, ngenxa yokuthambekela okunamandla ukopha kwe-mucosaltissue, ukwelashwa kule ndawo kuvame ukuba yinselele. Umsebenzi ongasebenzi kahle wokubona ngenxa yokopha ngokuvamile uphumela emsebenzini ongacacile; ukupakishwa kwamakhala isikhathi eside kanye nomzamo omkhulu wesiguli nodokotela ngeke kugwemeke.
Okubalulekile okubalulekile ekuhlinzeni i-endonasal ukugcina izicubu ezizungezile ze-mucosal ngangokunokwenzeka. I-fiber entsha eklanyelwe enethiphu yefiber eyi-conical ekhethekile ekugcineni kwe-distal ivumela ukungena kwe-atraumatic ekhaleni le-turbinate tissue futhi ukuhwamuka kungenziwa ngendlela ye-interstitially ukuvikela i-mucosa ngaphandle ngokuphelele.
Ngenxa yokusebenzisana okuhle kwe-laser nezicubu ze-wavelength 980nm / 1470 nm, izicubu eziseduze zivikelekile ngokufanele. Lokhu kuholela ekubuyekezweni kabusha ngokushesha kwezindawo zamathambo esezivuliwe. Njengomphumela womphumela omuhle we-hemostatic, izinqubo ezinembile zingenziwa ngokubuka okucacile kwendawo yokusebenza.Kusetshenziswa ama-laserfiber optical TR-C® amahle futhi aguquguqukayo anobubanzi obuyingqikithi bamaminithi. 400 μm, ukufinyelela okuphelele kuyo yonke indawo yamakhala kuqinisekisiwe.
Izinzuzo
*Ukunemba kweMicrosurgical
*Ukuvuvukala okuncane kwangemuva kokuhlinzwa kwezicubu
*Ukuhlinzwa ngaphandle kwegazi
*Ukubuka okucacile kwenkambu yokusebenza
*Imiphumela emibi yokusebenza emincane
*Ukuhlinzwa kwesiguli esingaphandle kungenzeka ngaphansi kwe-anesthesia yendawo
*Isikhathi esifushane sokululama
*Ukugcinwa okuphezulu kwe-mucosaltissue ezungezile
Okukodwa kokuhlinzwa okuvamile endaweni ye-oropharynx i-islasertonsillotomy ezinganeni (Amathoni Okuqabula). Ezinganeni ezinezimpawu ze-tonsillar hyperplasias, i-LTT imele enye indlela enengqondo, emnene futhi ephansi kakhulu ye-tonsillectomy (izingane ezifika eminyakeni eyi-8). Ingozi yokopha ngemva kokuhlinzwa incane. Inani elincane lobuhlungu bangemva kokuhlinzwa ngenxa yesikhathi esifushane sokuphulukiswa, ikhono lokwenza ukuhlinzwa kwesiguli esilaliswa ngaphandle (nge-anesthesia ejwayelekile) kanye nokushiywa kwe-tonsillar parenchyma yizinzuzo ezibalulekile ze-lasertonsillotomy.
Ngenxa yokusebenzisana okuhle kwe-laser-tissue, isimila noma i-dysplasias ingasuswa ngaphandle kwegazi kuyilapho kugcinwa izicubu eziseduze zingathinteki. Ingxenye ye-glossectomy canonlybedone under generalI-anesthesia ekamelweni lokulala.
Izinzuzo
*Kungenzeka ukuhlinzwa kweziguli ezingaphandle
*Inqubo ehlaselayo kancane, engenagazi
*Isikhathi esifushane sokululama nobuhlungu obuncane bangemva kokuhlinzwa
Ukugeleza okuvinjiwe koketshezi olukhalayo, okubangelwa ukuvaleka komgudu we-lacrimal, kuyisimo esivamile, ikakhulukazi ezigulini esezikhulile. Indlela yokwelapha yendabuko ukuvula kabusha umgudu we-thelacrimal ngaphandle ngokuhlinzwa. Nokho, le ndlela yinde, inqubo enzima ehambisana namandla aphezulu emithelela engemihle efana nokuqinile, ukopha kwangemva kokuhlinzwa kanye nokumila. I-TR-C®yenza ukuvulwa kabusha kwepayipi le-lacrimal asafer, inqubo ehlasela kancane. I-cannula emincane ene-mandrel emise okwe-atraumatically yethulwa kanye ukuze kwenziwe ukwelashwa ngaphandle kobuhlungu futhi ngaphandle kwegazi. Bese, amanzi adingekayo afakwa endaweni kusetshenziswa i-cannula efanayo. Inqubo ingabakwenziwa ngaphansi kwe-anesthesia yendawo futhi akushiyi izibazi.
Izinzuzo
*Inqubo ye-atraumatic
*Izinkinga ezilinganiselwe kanye nemiphumela engemihle
*Izinzwa zendawo
*Akukho ukopha ngemuva kokuhlinzwa noma ukwakheka kwe-edema
*Azikho izifo
*Azikho izibazi
I-Otology
Emkhakheni we-Otology, amasistimu we-laser we-TR-C®diode anweba ububanzi bezinketho zokwelapha ezingangeneleli kancane. I-Laser PARACENESIUkuhlinzwa kokwelapha okungavamisile futhi ngaphandle kwegazi okuvula isigubhu sendlebe ngohlelo olulodwa lokuxhumana. Imbobo encane eyindilinga enembobo esigumeni sendlebe, eyenziwa i-laser, inenzuzo yokuhlala ivuliwe cishe amasonto amathathu.Ukukhishwa koketshezi kulula ukuphatha ngakho-ke inqubo yokuphulukisa ngemva kokuvuvukala imfushane kakhulu, uma kuqhathaniswa nezinketho zokwelashwa ezijwayelekile zokuhlinzwa.Inani elikhulu leziguli liphethwe yi-OTOSCLEROSIS endlebeni ephakathi. Indlela ye-TR-C®, ehlanganiswe nemicu emincane engu-400 micron evumelana nezimo futhi izacile, inikeza odokotela abahlinza izindlebe izinketho zokwelapha ezingavamisile kancane ze-laser STAPEDECTOMY (i-laser pulse shot eyodwa ukuze ibhoboze i-foot-plate) kanye ne-laser STAPEDOTOMY (ukuvulwa okuyindilinga kwe-stirrup footplate. ukuze athathe ukufakelwa okukhethekile ngemva kwalokho). Uma kuqhathaniswa ne-CO2 laser, indlela yokuxhumana ye-beam inenzuzo yokuqeda ubungozi bokuthi amandla e-laser athinte ngokungafanele ezinye izindawo esakhiweni sendlebe esincane esimaphakathi.
Umphimbo
Okubalulekile ekwelashweni kokuhlinzwa endaweni yomphimbo ukugwema ukwakheka kwesibazi esibalulekile nokulahleka kwezicubu okungafunwa ngoba lokhu kungaba nomthelela omkhulu ekusebenzeni kwefonetiki. Imodi yesicelo se-pulsed diode laser isetshenziswa lapha. Ngale ndlela, ukujula kokungena okushisayo kungancishiswa nakakhulu; ukuhwamuka kwezicubu kanye nokukhishwa kwezicubu kungenziwa ngokunembile nangendlela elawulwayo, ngisho nezakhiwo ezibucayi, kuyilapho kuvikela kahle izicubu ezizungezile.
Izinkomba eziyinhloko: ukuhwamuka kwezimila, i-papilloma, i-stenosis kanye nokususwa kwama-polyps entambo yezwi.
Izifo zezingane
Ezinqubweni zezingane, ukuhlinzwa ngokuvamile kuhilela izakhiwo ezincane kakhulu futhi ezibucayi. Uhlelo lwe-laser lwe-TR-C® lunikeza izinzuzo ezinkulu. Ukusebenzisa imicu ye-laser emincane ngokwedlulele, njengokuxhumene ne-microendoscope, ngisho nalezi zakhiwo zingafinyelelwa kalula futhi ziphathwe ngokunembile. Isibonelo, i-papiloma ephindaphindiwe, inkomba evame kakhulu ezinganeni, iba ukuhlinzwa okungenagazi futhi okungenabuhlungu, ngezinyathelo ezilandelwayo ziyancipha kakhulu.
| Imodeli | I-TR-C |
| Uhlobo lwe-laser | I-Diode Laser Gallium-Aluminium-Arsenide GaAlAs |
| Ubude begagasi | 980nm 1470nm |
| Amandla Okukhiphayo | 47w |
| Izindlela zokusebenza | Imodi ye-CW ne-Pulse |
| Ububanzi be-Pulse | 0.01-1s |
| Libazisa | 0.01-1s |
| Inkomba yokukhanya | 650nm, ukuqina kokulawula |
| I-Fiber | 300 400 600 800 1000(ifayibha engenalutho) |
