980nm 1470nm ENT Surgery Laser Machine TR-C
I-980nm 1470nm diode laser yindlela yotyando ephantse yayimfuneko kwicandelo lotyando lwe-ENT namhlanje. Ndiyabulela kwi-laser ye-diode enokuba nefuthe lokusika okanye i-coagulating, ilunge kakhulu kunyango olubanzi lwezifo zendlebe / impumlo / umqala.
Ngenxa yokuguquguquka kwemithombo ye-laser, indlela ye-otolaryngology yotyando iye yatshintshwa ngokukwazi ukwenza i-invasive encinci, ibangele umonakalo omncinci wezicubu, ukuchacha ngokukhawuleza, iintlungu ezingaphantsi kunye nokulimala okuncinci kunotyando olwenziwa ngokusikeka okuvulekileyo.
Umatshini we-laser we-980nm 1470nm we-diode awususi kuphela izicubu ezichaphazelekayo ngokuchanekileyo kodwa ongashiyi ngasemva nasiphi na isiva okanye ukuqina okushiyekileyo. Azikho ezinye iingxaki emva kokusebenza, kwaye izinga lokuphindaphinda liphantsi.
Xa kuziwa emqaleni, utyando luhlala luyingxaki njengoko lubangela isilonda kunye nokuqina okubangelwa yizilonda. Kodwa i-fiber optics eguquguqukayo kunye nezixhobo zezandla eziguquguqukayo zenza utyando olunongenelelo oluncinci olunokwenzeka lokusika izicubu ezichaphazelekayo ngaphandle kokonakalisa indawo ezingqongileyo.
Ngokuqhelekileyo, izigulane ziphilisa amanxeba azo kakuhle kwaye zifuna kuphela ukunakekelwa okulula okulandelwayo. Ngelixa ixesha lokubuyisela lihluka kwisigulane ngasinye, ukuchacha ngokuqhelekileyo kukhawuleza.
Iingenelo
*Ukuchaneka kweMicrosurgical
*Impendulo ebambekayo evela kwi-laserfiber
*Ukopha okuncinci, uphononongo olufanelekileyo kwindawo ngexesha lotyando
*Kufuneka imilinganiselo embalwa yasemva kotyando
*Ixesha elifutshane lokuchacha kwesigulana
Usetyenziso
INDLEBE
Iicysts
Isincedisi Auricle
Amathumba endlebe yangaphakathi
IHemangioma
I-Myringotomy
ICholesteatoma
Tympanitis
Impumlo
Iimpumlo Polyp, Rhinitis
UkuNcitshiswa kweTurbinate
Papilloma
Cysts & Mucoceles
I-Epistaxis
I-stenosis kunye ne-Synechia
Utyando lweSinus
I-Dacryocystorhinostomy (DCR)
UMHLUNGU
Uvulopalatoplasty (LAUP)
Glossectomy
Iipolyps zeVocal Cord
I-Epiglottectomy
Amacandelo
Utyando lweSinus
Uqhaqho lweEndo ngeempumlo
Utyando lwe-Endoscopic yinkqubo emiselweyo, yanamhlanje kunyango lwezono zempumlo kunye ne-paranasal.Nangona kunjalo, ngenxa yokopha okuqinileyo kwe-mucosaltissue, unyango lotyando kule ndawo luhlala lucela umngeni. Indawo yokusebenza engasebenzi kakuhle ngenxa yokopha idla ngokuphumela kumsebenzi ongachanekanga; ukupakishwa kweempumlo ixesha elide kunye nomzamo obalulekileyo wesigulana kunye nogqirha awunakuthintelwa.
Eyona nto ibalulekileyo kuqhaqho lwe-endonasal kukugcina izicubu ze-mucosal ezijikelezileyo kangangoko kunokwenzeka. Ifiber entsha eyilelweyo enencam ekhethekileyo yeconical fiber kwi-distal end ivumela ukungena kwe-atraumatic kwiithishu ze-turbinate zempumlo kunye nomphunga unokwenziwa ngendlela ephakathi ukukhusela i-mucosa ngaphandle ngokupheleleyo.
Ngenxa yentsebenziswano efanelekileyo ye-laser-tissue of wavelength 980nm / 1470 nm, izicubu ezikufutshane zikhuselwe ngokufanelekileyo. Oku kukhokelela kuphinda-phindo olukhawulezileyo lwemimandla yamathambo ethe yavulwa. Njengomphumo wesiphumo esihle se-hemostatic, iinkqubo ezichanekileyo zinokwenziwa ngombono ocacileyo wendawo yokusebenza.Ukusebenzisa i-fine and flexible TR-C® optical laserfibers kunye ne-core diameter ye-min. I-400 μm, ukufikelela ngokufanelekileyo kuyo yonke indawo yeempumlo iqinisekisiwe.
Iingenelo
*Ukuchaneka kweMicrosurgical
*Ukudumba okuncinci kwasemva kotyando
*Utyando ngaphandle kwegazi
*Imbonakalo ecacileyo yendawo yokusebenza
*Iziphumo ebezingalindelekanga zokusebenza kancinci
*Utyando lwezigulana ezingalaliswanga lunokwenzeka ngaphantsi kwe-anesthesia yendawo
*Ixesha elifutshane lokubuyisela
*Ugcino oluphezulu lwe-mucosaltissue ejikelezileyo
Olona tyando luhlala lusenziwa kwindawo ye-oropharynx islasertonsillotomy ebantwaneni (Iithoni Zokuncamisa). Kwi-hyperplasias yabantwana yeempawu ze-tonsillar, i-LTT imele i-asensible, ithambile kwaye iphantsi kakhulu kumngcipheko ongakhethwa kwi-tonsillectomy (abantwana ukuya kwi-8 yeminyaka ubudala). Umngcipheko wokopha emva kotyando umncinci. Ubungakanani obuncinci beentlungu zasemva kotyando ngenxa yexesha elifinyeziweyo lokuphiliswa, ukukwazi ukwenza utyando oluphuma ngaphandle (nge-anesthesia jikelele) kunye nokushiya ngasemva kwe-tonsillar parenchyma ziinzuzo ezibalulekileyo ze-lasertonsillotomy.
Ngenxa yentsebenziswano efanelekileyo ye-laser-tissue, i-tumor okanye i-dysplasias inokususwa ngaphandle kwegazi ngelixa igcina izicubu ezikufutshane zingachaphazeleki. Inxalenye yeglossectomy canonlybedone under generali-anesthesia kwigumbi lokunyanga.
Iingenelo
*Izigulana ezingaphandle ziyenzeka
*Inkqubo encinci engenagazi
*Ixesha elifutshane lokuchacha kunye neentlungu ezincinci zasemva kotyando
Ukukhutshwa okuthintelweyo kolwelo lweenyembezi, olubangelwa kukuvaleka komjelo weLacrimal, yimeko eqhelekileyo, ngakumbi kwizigulane ezisele zikhulile. Indlela yonyango yesiNtu kukuvula kwakhona umbhobho we-thelacrimal ngaphandle. Nangona kunjalo, le nkqubo ithatha ixesha elide, inkqubo enzima eyayanyaniswa neziphumo ebezingalindelekanga ezinjengokuqina, ukopha kwasemva kotyando kunye nokuqhawuka. I-TR-C®yenza ukuvulwa kwakhona kombhobho we-lacrimal asafer, inkqubo engenelelayo encinci. I-cannula ebhityileyo kunye ne-mandrel yayo emise okwe-atraumatically yaziswa kanye ukuze yenze unyango olungenabuhlungu kwaye ngaphandle kwegazi. Emva koko, i-drainage efunekayo iseti ekubekeni i-cannula efanayo. Inkqubo ingabakwenziwa phantsi kwe-anesthesia yendawo kwaye ayishiyi amanxeba.
Iingenelo
*Inkqubo yeAtraumatic
*Iingxaki ezincinci kunye neziphumo ebezingalindelekanga
*I-anesthesia yendawo
*Akukho ukopha emva kotyando okanye ukwakheka kwe-edema
*Akukho usulelo
*Akukho ziva
I-Otology
Kwinkalo ye-Otology, iisistim ze-laser ze-TR-C®diode zandisa uluhlu lweendlela zonyango ezihlasela kancinci. I-Laser PARACENESISilutyando lonyango olungenabungozi kancinci kunye nolungenagazi oluvula indlebe ngobuchule bokudutyulwa okukodwa. Umngxuma omncinci ojikelezayo kwi-eardrum, eyenziwa yi-laser, unenzuzo yokuhlala evulekile malunga neeveki ezintathu.Ukukhutshwa kolwelo kulula ukuphatha kwaye ke inkqubo yokuphilisa emva kokudumba imfutshane kakhulu, xa kuthelekiswa neendlela zonyango oluqhelekileyo lotyando.Inani elikhulu lezigulane ziphethwe yi-OTOSCLEROSIS kwindlebe ephakathi. Indlela ye-TR-C®, edityaniswe ne-flexible kunye ne-400 micron fibers eguquguqukayo, inika oogqirha botyando lwendlebe ukhetho oluncinci lonyango lwe-laser STAPEDECTOMY (i-laser pulse shot shot to perforate foot-plate) kunye ne-laser STAPEDOTOMY (ukuvulwa kwesetyhula ye-stirrup footplate. yokuchola iprosthesis ekhethekileyo emva koko). Xa kuthelekiswa ne-CO2 laser, indlela yokudibanisa i-beam inenzuzo yokuphelisa umngcipheko wokuba amandla e-laser achaphazela ngokungahambi kakuhle kwezinye iindawo kwi-earstructure encinci ephakathi.
ILarynx
Eyona nto ibalulekileyo kunyango lotyando kwindawo ye-larynx kukuthintela ukwakheka kwesiva kunye nokulahleka kwezicubu ezingafunekiyo kuba oku kunokuchaphazela kakhulu imisebenzi yefonetiki. Imowudi ye-pulsed diode laser application isetyenziswa apha. Ngale ndlela, ubunzulu bokungena kwe-thermal bunokuncitshiswa ngakumbi; I-tissue vaporization kunye ne-tissue resection inokwenziwa ngokuchanekileyo nangendlela elawulwayo, nakwizakhiwo ezinobuthathaka, ngelixa likhusela ngokufanelekileyo izicubu ezijikelezileyo.
Iimpawu eziphambili: i-vaporization ye-tumor, i-papilloma, i-stenosis kunye nokususwa kwee-polyp cord cord.
Unyango lwabantwana
Kwiinkqubo zabantwana, utyando luhlala lubandakanya izakhiwo ezimxinwa kakhulu kwaye zibuthathaka. Inkqubo yelaser ye-TR-C® ibonelela ngeenzuzo ezininzi. Ukusebenzisa iintsinga zelaser ezibhityileyo kakhulu, ezinje ngokunxibelelana ne-microendoscope, nezi zakhiwo zinokufikelelwa ngokulula kwaye zinyangwe ngokuchanekileyo. Ngokomzekelo, i-papiloma ephindaphindiweyo, isibonakaliso esixhaphake kakhulu kubantwana, iba lutyando olungenagazi kunye nolungenabuhlungu, kunye namanyathelo emva kokuhlinzwa ancitshiswa kakhulu.
Umzekelo | I-TR-C |
Uhlobo lweLaser | Diode Laser Gallium-Aluminium-Arsenide GaAlAs |
Ubude bamaza | 980nm 1470nm |
Amandla emveliso | 47w |
Iindlela zokusebenza | I-CW kunye ne-Pulse Mode |
Pulse Ububanzi | 0.01-1s |
Ukulibazisa | 0.01-1s |
Ukukhanya kwesalathiso | 650nm, ulawulo lokuqina |
Ifayibha | 300 400 600 800 1000(ifayibha engenanto) |