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Izindaba

Ukuhlolwa okuphelele kokusebenza kwesibonakhulu sokuhlinzwa kwasekhaya

Amayunithi okuhlola afanelekile: 1. Isibhedlela Sabantu Sesifundazwe sase-Sichuan, i-Sichuan Academy of Medical Science; 2. Isikhungo Sokuhlola Ukudla Nezidakamizwa SaseSichuan; 3. Umnyango We-Urology weSibhedlela Esihlanganisiwe Sesibili sase-Chengdu University of Traditional Chinese Medicine; 4. Isibhedlela iCixi Semithi Yendabuko YamaShayina, Umnyango Wokuhlinza Izandla Nezinyawo

inhloso

Umkhiqizo wasekhaya we-CORDER i-ASOM-4 isibonakhulu sokuhlinzwa uphinde wahlolwa ngemva kwemakethe.Izindlela: Ngokwezidingo ze-GB 9706.1-2007 kanye ne-GB 11239.1-2005, isibonakhulu sokuhlinzwa se-CORDER saqhathaniswa nemikhiqizo efanayo yangaphandle. Ngokungeziwe ekuhlolweni kokufinyelela komkhiqizo, ukuhlola kugxile ekuthembekeni, ekusebenzeni, kwezomnotho kanye nesevisi yangemva kokuthengisa.Imiphumela: Isibonakhulu esisebenzayo se-CORDER singahlangabezana nezidingo zamazinga emboni afanelekile, futhi ukuthembeka kwayo, ukusebenza kanye nesevisi yangemuva kokuthengisa ingahlangabezana. izidingo zomtholampilo, kuyilapho umnotho wayo umuhle.Isiphetho: Isibonakhulu esisebenza nge-CORDER siyasebenza futhi sitholakala ekuhlinzweni okuncane okuhlukahlukene, futhi konga kakhulu kunemikhiqizo evela kwamanye amazwe. Kuyafaneleka ukuncoma njengethuluzi lezokwelapha elithuthukile lasekhaya.

isingeniso

I-microscope yokusebenza isetshenziselwa ikakhulukazi ukuhlinza okuncane okufana ne-ophthalmology, i-orthopedics, ukuhlinzwa kobuchopho, i-neurology kanye ne-otolaryngology, futhi iyimishini yezokwelapha edingekayo ye-microsurgery [1-6]. Njengamanje, intengo yamathuluzi anjalo angenisiwe evela phesheya ingaphezu kuka-500000 yuan, futhi kunezindleko eziphakeme zokusebenza nezindleko zokuyilungisa. Izibhedlela ezinkulu ezimbalwa kuphela e-China ezikwazi ukuthenga imishini enjalo, ethinta ukuthuthukiswa kwe-microsurgery e-China. Ngakho-ke, kwavela ama-microscopes okuhlinzwa asekhaya afana nokusebenza okufanayo kanye nokusebenza kwezindleko eziphakeme. Njengeqoqo lokuqala lemikhiqizo yokubonisa yemishini yezokwelapha emisha esiFundazweni saseSichuan, isibonakhulu esisebenzayo se-ASOM-4 somkhiqizo we-CORDER iyisibonakhulu esisebenza ngokuzimela se-orthopedics, ukuhlinzwa kwesifuba, ukuhlinzwa kwesandla, ukuhlinzwa kwepulasitiki nokunye ukuhlinza okuncane [7]. Kodwa-ke, abanye abasebenzisi basekhaya bahlala bengabaza ngemikhiqizo yasekhaya, okunciphisa ukuthandwa kwe-microsurgery. Lolu cwaningo luhlose ukwenza ukuhlolwa kabusha kwangemuva kokumaketha kwezikhungo eziningi kwe-ASOM-4 microscope yokuhlinzwa yomkhiqizo we-CORDER. Ngaphezu kokuhlolwa kokufinyelela komkhiqizo kwemingcele yezobuchwepheshe, ukusebenza kokubona, ukuphepha neminye imikhiqizo, izophinde igxile ekuthembekeni kwayo, ukusebenza, umnotho kanye nesevisi yangemuva kokuthengisa.

1 Into kanye nendlela

1.1 Into yocwaningo

Iqembu lokuhlola lasebenzisa isibonakhulu sokuhlinzwa se-ASOM-4 somkhiqizo we-CORDER, esinikezwe i-Chengdu CORDER Optics&Electronics Co.; Iqembu elilawulayo likhethe isibonakhulu esithengiwe sokuhlinza sangaphandle (OPMI VAR10700, Carl Zeiss). Zonke izinto zokusebenza zalethwa futhi zasetshenziswa ngaphambi kukaJanuwari 2015. Phakathi nesikhathi sokuhlola, okokusebenza eqenjini lokuhlola kanye neqembu lokulawula kusetshenziswe ngokushintshana, njengoba kuboniswe kuMfanekiso 1.

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1.2 isikhungo socwaningo

Khetha isibhedlela esisodwa se-Class III Class A (Isibhedlela Sabantu SesiFundazwe saseSichuan, iSichuan Academy of Medical Sciences, ≥ ama-microsurgery ayi-10 ngesonto) esifundazweni saseSichuan esesihlinze i-microsurgery iminyaka eminingi kanye nezibhedlela ezimbili ze-Class II Class A e-China eziye zenza ukuhlinzwa okuncane. iminyaka eminingi (Isibhedlela Esihlanganisiwe Sesibili sase-Chengdu University of Traditional Chinese Medicine kanye neSibhedlela Sase-Cixi Semithi Yendabuko YamaShayina, ≥ 5 microsurgeries ngesonto). Izinkomba zobuchwepheshe zinqunywa Isikhungo Sokuhlola Idivayisi Yezokwelapha Sichuan.

1.3 Indlela yocwaningo

1.3.1 Ukuhlola ukufinyeleleka
Ukuphepha kuhlolwa ngokuya nge-GB 9706.1-2007 Yezisetshenziswa Kagesi Zezokwelapha Ingxenye 1: Izidingo Ezijwayelekile Zokuphepha [8], kanye nezinkomba zokusebenza eziyinhloko zokubona kwesibonakhulu esisebenzayo ziyaqhathaniswa futhi zihlolwe ngokuvumelana nezidingo ze-GB 11239.1-2005 [9] .

1.3.2 Ukuhlolwa kokwethembeka
Rekhoda inani lamathebula okusebenza kanye nenani lokwehluleka kwezisetshenziswa kusukela ngesikhathi sokulethwa kwemishini kuya kuJulayi 2017, futhi uqhathanise futhi uhlole izinga lokuhluleka. Ngaphezu kwalokho, idatha ye-National Center for Clinical Adverse Reaction Detection eminyakeni emithathu yakamuva yabuzwa ukuze kubhalwe izehlakalo ezimbi zemishini eqenjini lokuhlola kanye neqembu elilawulayo.

1.3.3 Ukuhlola ukusebenza
Umsebenzisi wezisetshenziswa, okungukuthi, umtholampilo, unikeza amaphuzu avumelanayo ngokusebenza kalula komkhiqizo, ukunethezeka komsebenzisi kanye nesiqondiso semiyalelo, futhi unikeza amaphuzu ngokwaneliseka kukonke. Ngaphezu kwalokho, inani lemisebenzi ehlulekile ngenxa yezizathu zemishini izorekhodwa ngokuhlukana.

1.3.4 Ukuhlolwa komnotho
Qhathanisa izindleko zokuthenga okokusebenza (izindleko zomshini wokusingatha) kanye nezindleko ezisetshenziswayo, rekhoda futhi uqhathanise isamba sezindleko zokulungisa okokusebenza phakathi kweqembu lokuhlola neqembu elilawulayo phakathi nesikhathi sokuhlola.

1.3.5 Ukuhlolwa kwesevisi yangemuva kokuthengisa
Abaphathi bemishini yezikhungo zezokwelapha ezintathu bazonikeza amaphuzu aqondile ekufakweni, ukuqeqeshwa kwabasebenzi kanye nokunakekelwa.

1.4 Indlela yokufaka amagoli amaningi
Into ngayinye yokuqukethwe kokuhlola okungenhla izonikezwa inani eliphelele lamaphuzu ayi-100. Imininingwane iboniswa kuThebula 1. Ngokwesilinganiso samaphuzu ezikhungo ezintathu zezokwelapha, uma umehluko phakathi kwamaphuzu emikhiqizo eseqenjini lokuhlola kanye nemikhiqizo eseqenjini lokulawula ingamaphoyinti angu-5, imikhiqizo yokuhlola ithathwa njenge ilingane nemikhiqizo yokulawula, futhi imikhiqizo eseqenjini lokuhlola (i-CORDER surgical microscope) ingangena esikhundleni semikhiqizo eseqenjini lokulawula (isibonakhulu sokuhlinzwa esingenisiwe).

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2 umphumela

Ingqikithi yemisebenzi engama-2613 ifakiwe kulolu cwaningo, okuhlanganisa nemishini yasekhaya eyi-1302 kanye nemishini engu-1311 evela kwamanye amazwe. Odokotela bamathambo abayishumi nangaphezulu, odokotela besilisa abayi-13 abaphezulu nangaphezulu, odokotela abayi-7 abahlinzekwe yizinzwa abaphezulu nangaphezulu, kanye nodokotela abasebenzisana nabo abaphezulu abangama-30 nabangaphezulu ababambe iqhaza ekuhlolweni. Amanani ezibhedlela ezintathu ayabalwa, futhi amaphuzu athile aboniswa kuThebula 2. Ingqikithi yamaphuzu enkomba ye-ASOM-4 yesibonakhulu sokusebenza somkhiqizo we-CORDER ngamaphoyinti angu-1.8 ngaphansi kwaleyo yesibonakhulu esisebenzayo esingenisiwe. Bheka Umfanekiso 2 ukuze uthole ukuqhathanisa okuphelele kwamaphuzu phakathi kwezinto eziseqenjini lokuhlola nokokusebenza eqenjini lokulawula.

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3 xoxa

Isilinganiso senkomba sesibonke semicroscope yokuhlinzwa ye-ASOM-4 yomkhiqizo we-CORDER ngamaphoyinti angu-1.8 ngaphansi kwaleyo yesibonakhulu sokuhlinzwa esingenisiwe sokulawula, futhi umehluko phakathi kwesikolo somkhiqizo olawulayo kanye ne-ASOM-4 ngamaphoyinti angu-≤ angu-5. Ngakho-ke, imiphumela yalolu cwaningo iphakamisa ukuthi isibonakhulu sokuhlinzwa se-ASOM-4 somkhiqizo we-CORDER singangena esikhundleni semikhiqizo engenisiwe yamazwe angaphandle futhi kufanelekile ukukhangiswa njengemishini yasekhaya ethuthukisiwe.

Ishadi le-radar libonisa ngokucacile umehluko phakathi kwemishini yasekhaya nemishini engenisiwe (Umfanekiso 2). Ngokuphathelene nezinkomba zobuchwepheshe, ukuzinza nokusekelwa ngemva kokuthengisa, lezi zibili ziyalingana; Mayelana nesicelo esiphelele, okokusebenza kwamanye amazwe kuphakeme kancane, okubonisa ukuthi impahla yasekhaya isenayo indawo yokuthuthukiswa okuqhubekayo; Ngokwezinkomba zezomnotho, i-CORDER brand ASOM-4 imishini yasekhaya inezinzuzo ezisobala.

Ekuhlolweni kokuvuma, izinkomba zokusebenza ezibalulekile zamamicroscopes okuhlinzwa asekhaya kanye nezingenisiwe zihlangabezana nezidingo ze-GB11239.1-2005 standard. Izinkomba zokuphepha ezibalulekile zayo yomibili imishini zihlangabezana nezidingo ze-GB 9706.1-2007. Ngakho-ke, kokubili kuhlangabezana nezidingo zezindinganiso zikazwelonke, futhi awukho umehluko osobala ekuphepheni; Mayelana nokusebenza, imikhiqizo engenisiwe inezinzuzo ezithile ngaphezu kwemishini yezokwelapha yasekhaya ngokwezici zokukhanya kokukhanyisa, kuyilapho okunye ukusebenza kwe-optical imaging ingenawo umehluko osobala; Mayelana nokuthembeka, ngesikhathi sokuhlola, izinga lokuhluleka kwalolu hlobo lwemishini lalingaphansi kwama-20%, futhi ukwehluleka okuningi kwakubangelwa ukushintshwa kwesibani, futhi okumbalwa kudalwe ukulungiswa ngendlela engafanele kwe-bulb. counterweight. Kwakungekho ukwehluleka okukhulu noma ukuvala imishini.

I-CORDER brand ASOM-4 intengo yokusingatha isibonakhulu sokuhlinzwa cishe i-1/10 kuphela yeqembu lokulawula (elingenisiwe). Ngesikhathi esifanayo, ngenxa yokuthi ayidingi ukuvikela isibambo, idinga izinto ezincane ezisetshenziswayo futhi ihambisana kakhulu nesimiso esiyinyumba sokuhlinzwa. Ngaphezu kwalokho, lolu hlobo lwe-microscope yokusebenza lusebenzisa isibani se-LED sasekhaya, esibuye sishibhile kuneqembu lokulawula, futhi inani lezindleko zokulungisa liphansi. Ngakho-ke, i-CORDER brand ASOM-4 isibonakhulu sokuhlinzwa inomnotho osobala. Mayelana nokusekelwa kwangemva kokuthengisa, okokusebenza eqenjini lokuhlola kanye neqembu lokulawula kuyanelisa kakhulu. Kunjalo, njengoba isabelo semakethe semishini engenisiwe siphezulu, isivinini sokuphendula ngokulungiswa siyashesha. Ngikholelwa ukuthi ngokwanda kancane kancane kwemishini yasekhaya, igebe phakathi kokubili lizoncipha kancane kancane.

Njengeqoqo lokuqala lemikhiqizo emisha yokubonisa idivayisi yezokwelapha esiFundazweni saseSichuan, isibonakhulu sokuhlinzwa somkhiqizo we-CORDER ASOM-4 esikhiqizwe i-Chengdu CORDER Optics&Electronics Co. Ifakwe futhi yasetshenziswa ezibhedlela eziningi eChina, futhi yathunyelwa eNingizimu-mpumalanga ye-Asia, eMpumalanga Ephakathi, e-Afrika nakwezinye izifunda, ethandwa ngabasebenzisi. I-CORDER brand ASOM-4 isibonakhulu esihlinzayo sinesistimu yokubona ephezulu, enencazelo ephezulu, umuzwa oqinile we-stereoscopic, ukujula okukhulu kwenkundla, umthombo wokukhanya okubandayo okabili i-fiber optical coaxial lighting, ukukhanya okuhle kwenkundla, ukulawula unyawo okuzenzakalelayo okuncane, ukugxila okuqhubekayo kukagesi. zoom, futhi inomsebenzi wokuthwebula izithombe, umabonakude kanye nevidiyo, irack enemisebenzi eminingi, imisebenzi ephelele, elungele ikakhulukazi ukuhlinza okuncane nokufundisa. ukuboniswa.

Sengiphetha, isibonakhulu sokuhlinzwa se-CORDER brand ASOM-4 esisetshenziswe kulolu cwaningo singahlangabezana nezindinganiso zomkhakha ezifanele, sihlangabezane nezidingo zomtholampilo, sisebenze futhi sitholakale, futhi siyonga kakhulu kunemishini yokulawula. Kuyidivayisi yezokwelapha ethuthukisiwe yasekhaya efanele ukunconywa.

[inkomba]
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[5] Tian Wei, Han Xiao, He Da, et al. Ukuqhathaniswa kwemiphumela yomtholampilo ye-microscope yokuhlinzwa kanye nengilazi yokukhulisa i-lumbar discectomy [J]. I-Chinese Journal of Orthopedics, 2011,31 (10): 1132-1137.
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Isikhathi sokuthumela: Jan-30-2023