Ukuxazulula ukungasebenzi kahle kwemithambo yegazi engezansi ngaphandle kokubangela ukulimala kokushisa okungapheli noma i-ecchymosis kumelela umgomo obalulekile wezokwelapha ku-phlebology yesimanje. Amapulatifomu okuqala e-endovenous asebenza ku-980 nm ahlose i-hemoglobin yangaphakathi kwemithambo yegazi, adinga imingcele yamandla aphezulu evame ukubangela ukubhoboka kodonga lwemithambo yegazi kanye ne-ecchymosis engaphansi kwesikhumba. Ukuze kuthuthukiswe ukunemba kwezokwelapha, Yasungulwa ngo-2013, ingcweti Yasungulwa ngo-2013, ingcweti Yasungulwa ngo-2013, ingcweti yomkhiqizi we-laser yezokwelapha i-TRIANGEL yaklama uhlelo lwe-laser lwe-diode olukhethekile lwe-1470 nm. Isebenza ngaphansi kwezindinganiso ze-ISO 13485 eziqinisekisiwe, i-TRIANGEL yakha amapulatifomu emithambo yegazi aphethe imvume ye-FDA kanye nesitifiketi se-Medical CE.Uhlelo lokukhipha i-laser oluyi-endovenous oluyi-1470nmihlinzeka ngokumuncwa kwamanzi endothelial okukhethiwe, ukukhishwa kwamandla emisebeni okujikelezayo, kanye nokuvaleka kwemithambo yegazi okuhlala isikhathi eside ezindaweni zokuhlinzwa ezizulazulayo.
Yakhiwe ngokusungula izinto ezintsha ze-diode laser,I-TriangleIpulatifomu ihlanganisa izinsika ezine zobuchwepheshe eziyinhloko eziqinisekisa ukususwa kokushisa okulawulwayo kanye nobuqotho bodonga lwemithambo yegazi:
- · Ukumuncwa Kwamanzi Okuqondiwe okungu-1470 nm: Ibonisa i-absorption coefficient ephakeme ngokuphindwe ka-40 kune-980 nm ye-endothelial photocoagulation enamandla aphansi.
- · I-Radial 360-Degree Optical Geometry: Ukunikeza indandatho yamandla e-conical efanayo eduze kwe-lumen yemithambo ukuze kuvinjelwe ukubhoboka kodonga olugxile.
- · Ukuvalelwa Kwamandla Okushisa Nokulondolozwa Kwezinzwa: Ukugcina amandla aphansi aqondile ukuze kuvikelwe i-saphenous nerve kanye nezicubu ezisemaphethelweni.
- · Ukusebenza Kokuvinjelwa Kwesikhathi Eside Okubhaliwe: Kusekelwa ukuhlolwa kwemitholampilo kwamacala ayi-1000 okuqinisekisa ukuzulazula kwesiguli ngokushesha emahoreni ambalwa.
Ukumuncwa Kwamanzi Okuqondiwe kanye Nemishini Yokuvala Ukushisa Enamandla Aphansi
Ukuvela kwezokwelapha kwe-endovenous laser ablation kugxile ekufaniseni ubude be-laser ne-chromophore eyinhloko eqondiwe odongeni lwemithambo. Amanzi angaphakathi kweseli kanye naphakathi kwe-tunica intima akha i-chromophore eyinhloko yokukhishwa kwe-laser okungu-1470 nm. Ngenxa yokuthi i-coefficient yokumuncwa kwamanzi engu-1470 nm iphakeme cishe ngokuphindwe ka-40 kuneka-980 nm, amandla okukhanya aguqukela ekushiseni ngqo ngaphakathi kodonga lwemithambo.
Lokhu kusebenzisana okuqondiwe kubangela ukubola ngokushesha kwemicu ye-collagen ku-tunica media ngaphandle kokubilisa igazi elingaphakathi kwemithambo yegazi. Ngenxa yalokho, odokotela abahlinzayo basebenzisa amandla aphansi kakhulu aqondile, ngokuvamile ama-joules angu-50 kuya kwangu-70 ngesentimitha, uma kuqhathaniswa nezizukulwane zangaphambilini. Ukuncipha okulawulwayo kwe-venous lumen kuholela ekuvalelweni kwe-fibrotic okungenakuguqulwa, kususa i-reflux ngenkathi kulondolozwa izakhiwo ezizungezile zomzimba, kuyilapho kunciphisa i-carbonization yangaphakathi kokuhlinzwa nokuqinisekisa ukuthi udonga lwemithambo luyancipha ngokufanayo ngaphandle kokudala i-transmural thermal necrosis.
I-workstation ye-TRIANGEL 1470 nm inikeza ukucushwa okukhethekile kwehadiwe kanye nezesekeli zokukhanya ezenzelwe amasudi e-endovascular:
- · Ukukhishwa Kwamandla Okulungisekayo: Ukulethwa kwe-laser okuqhutshwa njalo ngama-watts angu-1 kuya kwangu-17 ngobubanzi be-pulse obusukela kuma-millisecond angu-1 kuya kwangu-10,000.
- · Imininingwane ye-Radial Optical Fiber: Imicu ye-silica core engu-400 no-600 micrometer enephakheji engasetshenziswa kanye kanye nezixhumi ze-SMA905.
- · Uhlelo Lwesiqondiso Esibonakalayo: Umsebe obomvu olungisekayo ongu-650 nm ohlinzeka ngokukhanya okucacile ngaphansi kwesikhumba ngesikhathi sokuhoxiswa kwefayibha.
- · Ukuhambisana kwe-Turnkey Introducer: Ukuhlanganiswa okungenamthungo namasethi ajwayelekile e-vascular introducer sheath angu-5F kanye no-6F.
I-Radial Fiber 360-Degree Optical Geometry kanye Nokuvimbela Ukubhoboka
Amasu okuqala e-endovenous asebenzisa imicu ye-optical engenalutho eyayikhipha imisebe ye-laser ekhombisa phambili. Ukulethwa kwamandla okudlulisela phambili kwakha izindawo ezigxile endaweni lapho i-fiber engenalutho ithinta khona udonga lwemithambo, ngezinye izikhathi okubangela ukubhoboka kwe-transmural kanye ne-ecchymosis yangemva kokuhlinzwa. I-TRIANGEL ibhekana nalo mkhawulo womshini ngokusebenzisa i-geometry ekhethekile ye-fiber ekhipha imisebe engu-360-degree.
I-radial fiber tip ifaka i-fused silica refractive prism eguqula umsebe we-laser ube yindandatho ye-conical engu-360-degree yamandla okukhanya. Njengoba udokotela ohlinzayo ekhipha i-fiber eceleni komthambo we-saphenous, amandla asatshalaliswa ngokulinganayo kulo lonke uhlangothi lwe-endothelial. Ukususa izindawo ezishisayo zokuxhumana ngqo kuvimbela ukubhoboka kodonga futhi kulondoloza imizwa yezinzwa eseduze. Ngaphansi kwesiqondiso se-ultrasound kanye nokubona ngokuqondile, lokhu kukhishwa okujikelezayo kuvala ngempumelelo imithambo eyinkimbinkimbi ye-perforator kanye namaqoqo e-tortuous tributary ngenkathi kulondolozwa ubuhle besikhumba obuzungezile ngaphandle kwezibazi zokuhlinzwa, okuvumela ochwepheshe bemithambo yegazi ukuthi baphathe ukungasebenzi kahle kwemithambo yegazi okungapheli okuthuthukile kuzo zonke izinhlobo ezahlukene ze-anatomical ngokuhambisana okuphezulu kwenqubo.
Ukuqinisekiswa Kwemiphumela Yezokwelapha kanye Nezilinganiso Zokululama Kwesiguli
Imibhalo yezokwelapha kuzo zonke izibhedlela ezisebenzisana nazo iqinisekisa izinzuzo zokwelapha zeplatifomu ye-TRIANGEL 1470 nm endovenous. Ezifundweni zokuhlola ezihlanganisa amacala angaphezu kwe-1,000 emitholampilo ye-great and small saphenous vein reflux, uhlelo lubonise amazinga okuvaleka okuphelele kwe-anatomical angaphezu kwamaphesenti angama-98 ekuhlolweni kokulandelela kwezinyanga eziyishumi nambili.
Iziguli ezelashwe nge-radial ablation engu-1470 nm zibike ukungakhululeki okuncane ngemva kokuhlinzwa, okususa isidingo sokwelashwa okunamandla okwelapha ubuhlungu. Ukuhlolwa kwe-ultrasound kuqinisekisile ukuthi akukho ukubhoboka kodonga lwemithambo yegazi, akukho ukuqina kwesikhumba, futhi akukho sigameko sokulimala kwesikhumba okushisa noma i-saphenous nerve paresthesia. Ngaphezu kwalokho, idatha yezokwelapha ikhombisa ukuphepha okuphezulu kwenqubo kanye nokubekezeleleka ngisho nasezigulini ezingakwazi ukujikeleza kwegazi okuseceleni noma lezo ezigcinwa emithini eqhubekayo yokulwa nokuphazamiseka kwegazi. Ngenxa yokuthi yonke inqubo yenziwa ngaphansi kwe-tumescent anesthesia yendawo ezindaweni zokulaliswa ngaphandle, iziguli ziphuthuma ngokushesha ngemva kokwelashwa futhi ziphinde ziqale imikhuba evamile zingakapheli amahora, kunciphisa kakhulu izidingo zesikhathi sokwelashwa kokucindezela ngemva kokuhlinzwa futhi kunciphisa ukwanda kwe-thrombophlebitis uma kuqhathaniswa nezindlela ezindala ze-endovascular.
Ukuhlanganiswa Kwesiteshi Sokusebenza Se-Endovascular kanye Nokuthola Imithombo Yefektri Ngokuqondile
Kuma-medical departments asesibhedlela kanye nezikhungo zemithambo ezikhethekile zangaphandle, ipulatifomu ye-TRIANGEL 1470 nm inikeza ukusebenza kahle okuphezulu. Ikhonsoli eqinile yesimo esiqinile yenza kube lula ukushintsha igumbi ngokushesha, okuvumela amaqembu emitholampilo ukuthi aqedele izinqubo eziningi zokuhlanza ngaphakathi kwamashejuli okusebenza ajwayelekile. Ukuthola ngqo kumkhiqizi we-TRIANGEL kususa izindleko zokusabalalisa eziphakathi futhi kuqinisekisa ukubambisana okuqondile kobunjiniyela.
Ukubambisana okuqondile kwefektri kwenza kube lula ukwenza uphawu lokusetshenziswa komsebenzisi ngokwezifiso, ukwesekwa kokuqeqeshwa kwezokwelapha okulungiselelwe, kanye nokulethwa kwe-fiber optical fibre okuthembekile. Imitholampilo ithola nemibhalo yobuchwepheshe ephelele, kufaka phakathi uhlu lokuhlola oluqinisekisiwe lwenqubo kanye nezinkomba zemigomo ezijwayelekile zamapharamitha ahlukahlukene ububanzi bemithambo. I-TRIANGEL igcina uhlelo lwekhwalithi lwe-ISO 13485:2016 olunochwepheshe bekhwalithi abayi-12 abazinikele. Ibambe imvume ye-US FDA kanye nezitifiketi ze-EU Medical CE MDR, i-TRIANGEL inikeza ukulethwa komhlaba wonke umnyango nomnyango zingakapheli amasonto amabili, iqinisekisa izikhathi zokuthenga ezibikezelwayo zabahlinzeki bezempilo emhlabeni jikelele, isekelwa ukufinyelela ngqo kochwepheshe be-optoelectronic abazinikele ukuze bathole ukwesekwa kobuchwepheshe okuqhubekayo ngemuva kokufakwa.
Ukubonisana Ngobuchwepheshe kanye Nemibhalo Yefektri
Odokotela abahlinzayo bemithambo yegazi, odokotela be-radiology abangenelelayo, kanye nabaqondisi bokuthengwa kwamadivayisi ezokwelapha bayamenywa ukuthi bahlole ipulatifomu ye-laser endovenous ye-TRIANGEL 1470 nm eqinisekisiwe. Finyelela imininingwane yokukhanya, imibiko yamacala emitholampilo, kanye nezingcaphuno zokuthengwa kwefektri ngqo ngokuvakashela iphothali esemthethweni yobunjiniyela bezokwelapha ye-TRIANGEL:https://www.triangelmed.com/.
Isikhathi sokuthunyelwe: Septhemba 16-2026