urupapuro - 1

Amakuru

Isuzumabumenyi ryuzuye ryo gushyira mubikorwa mikorosikopi yo kubaga murugo

Ibice bisuzuma bijyanye: 1. Ibitaro byabaturage byo mu Ntara ya Sichuan, Ishuri Rikuru ry’Ubuvuzi rya Sichuan; 2. Ikigo gishinzwe kugenzura ibiryo n'ibiyobyabwenge bya Sichuan; 3. Ishami rya Urology ryibitaro bya kabiri bishamikiye kuri kaminuza ya Chengdu yubuvuzi gakondo bwabashinwa; 4. Ibitaro bya Cixi byubuvuzi gakondo bwabashinwa, ishami ryokubaga amaboko namaguru

intego

Ikirango cya CORDER yo mu gihugu ASOM-4 yo kubaga microscope yongeye kubagwa nyuma yisoko.Uburyo: Ukurikije ibisabwa GB 9706.1-2007 na GB 11239.1-2005, microscope yo kubaga CORDER yagereranijwe n’ibicuruzwa bisa n’amahanga. Usibye isuzuma ryibicuruzwa, isuzuma ryibanze ku kwizerwa, gukora, ubukungu na serivisi nyuma yo kugurisha.Ibisubizo: microscope ikora ya CORDER irashobora kuzuza ibisabwa n’ibipimo ngenderwaho bijyanye n’inganda, kandi ubwizerwe, imikorere ndetse na serivisi nyuma yo kugurisha birashobora kuzuza ibikenewe mu mavuriro, mu gihe ubukungu bwayo ari bwiza. Birakwiye ko dushimangira nkigikoresho cyo murugo cyateye imbere.

Intangiriro

Mikorosikopi ikora ikoreshwa cyane cyane mu kubaga microsphirurgie nk'amaso, amagufwa, kubaga ubwonko, neurologiya na otolaryngologiya, kandi ni ibikoresho by'ubuvuzi bikenewe mu kubaga mikorobe [1-6]. Kugeza ubu, igiciro cyibikoresho nkibi bitumizwa mu mahanga birenga 500.000, kandi hariho amafaranga menshi yo gukora no kubungabunga. Gusa ibitaro binini byo mu Bushinwa birashobora kugura ibikoresho nkibi, bigira ingaruka ku iterambere rya mikorobe yo kubaga mu Bushinwa. Kubwibyo, mikorosikopi yo kubaga murugo ifite imikorere isa nigiciro kinini cyabayeho. Nkicyiciro cya mbere cyibikoresho byubuvuzi byerekana udushya twerekana mu Ntara ya Sichuan, microscope ikora ASOM-4 yerekana ikirango cya CORDER ni microscope ikora yigenga yigenga ya orthopedie, kubaga thoracic, kubaga intoki, kubaga plastique nibindi bikorwa bya mikorosikori [7]. Nyamara, bamwe mubakoresha murugo bahora bashidikanya kubicuruzwa byo murugo, bigabanya gukundwa kwa mikorobe. Ubu bushakashatsi bugamije gukora ibigo byinshi nyuma yisoko ryongeye gusuzuma isuzuma rya microscope yo kubaga ASOM-4 ya marike ya CORDER. Usibye ibicuruzwa byagerwaho byo gusuzuma ibipimo bya tekiniki, imikorere ya optique, umutekano nibindi bicuruzwa, bizibanda kandi ku kwizerwa, gukora, ubukungu na serivisi nyuma yo kugurisha.

1 Ikintu nuburyo

1.1 Ikintu cyubushakashatsi

Itsinda ryubushakashatsi ryakoresheje microscope yo kubaga ASOM-4 yerekana ikirango cya CORDER, yatanzwe na Chengdu CORDER Optics & Electronics Co.; Itsinda rishinzwe kugenzura ryatoranije microscope yo mu mahanga yaguzwe (OPMI VAR10700, Carl Zeiss). Ibikoresho byose byatanzwe kandi bishyirwa mu bikorwa mbere ya Mutarama 2015.Mu gihe cyo gusuzuma, ibikoresho byo mu itsinda ry’igeragezwa hamwe nitsinda rishinzwe kugenzura byakoreshejwe ubundi buryo, nkuko bigaragara ku gishushanyo 1.

amakuru-3-1

1.2 ikigo cyubushakashatsi

Hitamo ibitaro byo mu cyiciro cya III Icyiciro cya gatatu (Ibitaro by’abaturage bo mu Ntara ya Sichuan, Ishuri Rikuru ry’Ubuvuzi rya Sichuan, ≥ 10 microsurgeries buri cyumweru) mu Ntara ya Sichuan imaze imyaka myinshi ikora mikorobe yo kubaga ndetse n’ibitaro bibiri byo mu cyiciro cya kabiri mu cyiciro cya kabiri mu Bushinwa bimaze imyaka myinshi bibaga mikorobe (Ibitaro bya kabiri bishamikiye kuri kaminuza ya Chengdu y’ubuvuzi gakondo) Ibipimo bya tekiniki bigenwa na Sichuan Medical Device Centre.

1.3 uburyo bwubushakashatsi

1.3.1
Umutekano usuzumwa hakurikijwe GB 9706.1-2007 Ibikoresho by’amashanyarazi by’ubuvuzi Igice cya 1: Ibisabwa muri rusange ku mutekano [8], kandi ibipimo nyamukuru byerekana imikorere ya microscope ikora biragereranywa kandi bigasuzumwa hakurikijwe GB 11239.1-2005 [9].

1.3.2 Isuzuma ryizewe
Andika umubare wameza yimikorere numubare wananiwe ibikoresho kuva igihe cyo gutanga ibikoresho kugeza muri Nyakanga 2017, hanyuma ugereranye kandi usuzume igipimo cyatsinzwe. Byongeye kandi, amakuru y’ikigo cy’igihugu gishinzwe kuvura indwara ziterwa n’amavuriro mu myaka itatu ishize yabajijwe kugira ngo yandike ibintu byabaye bibi mu bikoresho mu itsinda ry’ubushakashatsi hamwe nitsinda rishinzwe kugenzura.

1.3.3 Isuzuma ryibikorwa
Ukoresha ibikoresho, ni ukuvuga, umuganga, atanga amanota afatika kubijyanye no koroshya imikorere yibicuruzwa, ihumure ryumukoresha hamwe nubuyobozi bwamabwiriza, kandi atanga amanota kubwibyishimo muri rusange. Byongeye kandi, umubare wibikorwa byatsinzwe kubera impamvu zibikoresho ugomba kwandikwa ukundi.

1.3.4 Isuzuma ry'ubukungu
Gereranya igiciro cyo kugura ibikoresho (ikiguzi cyimashini yakira) nigiciro cyakoreshejwe, andika kandi ugereranye igiciro cyose cyo gufata neza ibikoresho hagati yitsinda ryubushakashatsi nitsinda rishinzwe kugenzura mugihe cyo gusuzuma.

1.3.5 Isuzuma rya serivisi nyuma yo kugurisha
Abayobozi bashinzwe gucunga ibikoresho byibigo bitatu byubuvuzi bazatanga amanota afatika mugushiraho, guhugura abakozi no kubungabunga.

1.4 Uburyo bwo gutanga amanota
Buri kintu cyibintu byavuzwe haruguru bigomba gutangwa amanota hamwe n amanota 100. Ibisobanuro birambuye bigaragara mu mbonerahamwe ya 1. Ukurikije amanota mpuzandengo y’ibigo by’ubuvuzi bitatu, niba itandukaniro riri hagati y’amanota y’ibicuruzwa mu itsinda ry’igeragezwa n’ibicuruzwa biri mu itsinda rishinzwe kugenzura ari amanota 5, ibicuruzwa byo gusuzuma bifatwa nkaho bihwanye n’ibicuruzwa bigenzurwa, kandi ibicuruzwa biri mu itsinda ry’ubushakashatsi (microscope yo kubaga yatumijwe mu mahanga) bishobora gusimbuza ibicuruzwa mu itsinda rishinzwe kugenzura (microscope yo kubaga itumizwa mu mahanga).

amakuru-3-2

Ibisubizo 2

Ibikorwa 2613 byose byashyizwe muri ubu bushakashatsi, harimo ibikoresho byo mu rugo 1302 n’ibikoresho 1311 byatumijwe mu mahanga. Abaganga icumi ba orthopedic bahuza abaganga bakuru n'abari hejuru, abaganga 13 ba urologiya bahuza abaganga bakuru no hejuru yabaganga, abaganga 7 ba neurosurgical Associate abaganga bakuru n'abari hejuru, hamwe nabaganga 30 bose hamwe nabaganga bakuru hamwe nabari hejuru bitabiriye isuzuma. Amanota y'ibitaro bitatu arabaruwe, kandi amanota yihariye arerekanwa mu mbonerahamwe ya 2. Amanota rusange yerekana amanota ya ASOM-4 ya microscope ikora ya marike ya CORDER ni amanota 1.8 ugereranije na microscope ikora yatumijwe mu mahanga. Reba Igishushanyo cya 2 kugirango ugereranye amanota yuzuye hagati yibikoresho biri mumatsinda yubushakashatsi nibikoresho biri mumatsinda yo kugenzura.

amakuru-3-3
amakuru-3-4

3 muganire

Umubare rusange w'amanota ya ASOM-4 yo kubaga microscope yo kubaga ikirango cya CORDER ni amanota 1.8 ugereranije n'iya microscope yo kubaga yatumijwe mu mahanga, kandi itandukaniro riri hagati y'amanota y'ibicuruzwa bigenzurwa na ASOM-4 ni amanota 5. Kubwibyo, ibyavuye muri ubu bushakashatsi byerekana ko ASOM-4 yo kubaga microscope yo kubaga ikirango cya CORDER ishobora gusimbuza ibicuruzwa byatumijwe mu mahanga kandi bikwiye kwamamazwa nkibikoresho byimbere mu gihugu.

Imbonerahamwe ya radar yerekana neza itandukaniro riri hagati yibikoresho byo murugo nibikoresho bitumizwa mu mahanga (Ishusho 2). Kubireba ibipimo bya tekiniki, ituze na nyuma yo kugurisha inkunga, byombi birangana; Kubijyanye no gukoresha byuzuye, ibikoresho byatumijwe mu mahanga birarenze gato, byerekana ko ibikoresho byo murugo bigifite umwanya wo gukomeza gutera imbere; Kubireba ibipimo byubukungu, ikirango cya CORDER ASOM-4 ibikoresho byo murugo bifite ibyiza bigaragara.

Mu isuzuma ry’abinjira, ibipimo byingenzi byerekana imikorere ya microscopes yo mu gihugu no mu mahanga yatumijwe mu mahanga byujuje ibisabwa na GB11239.1-2005. Ibipimo byingenzi byumutekano byimashini zombi byujuje ibisabwa GB 9706.1-2007. Kubwibyo, byombi byujuje ibisabwa mubipimo byigihugu, kandi nta tandukaniro rigaragara mumutekano; Ku bijyanye n’imikorere, ibicuruzwa bitumizwa mu mahanga bifite inyungu zimwe n’ibikoresho by’ubuvuzi byo mu rugo mu bijyanye no kumurika urumuri, mu gihe ibindi bikorwa byo gufata amashusho nta tandukaniro bigaragara; Kubijyanye no kwizerwa, mugihe cyo gusuzuma, igipimo cyo kunanirwa cyubwoko bwibikoresho cyari munsi ya 20%, kandi ibyinshi byananiranye byatewe nigitereko gikeneye gusimburwa, naho bike byatewe no guhindura nabi uburemere. Nta kunanirwa gukomeye cyangwa guhagarika ibikoresho.

CORDER marike ASOM-4 yo kubaga microscope yakira igiciro ni 1/10 gusa cyibikoresho bigenzura (bitumizwa mu mahanga). Muri icyo gihe, kubera ko idakeneye kurinda ikiganza, bisaba ibintu bike bikoreshwa kandi bifasha cyane ihame ridasanzwe ryo kubaga. Mubyongeyeho, ubu bwoko bwa microscope ikora ikoresha itara ryo murugo LED, naryo rihendutse kuruta itsinda rishinzwe kugenzura, kandi amafaranga yo kubungabunga yose ni make. Kubwibyo, ikirango cya CORDER ASOM-4 yo kubaga microscope ifite ubukungu bugaragara. Kubireba inkunga nyuma yo kugurisha, ibikoresho mumatsinda yubushakashatsi hamwe nitsinda rishinzwe kugenzura birashimishije cyane. Nibyo, nkuko umugabane wisoko ryibikoresho byatumijwe hanze ari mwinshi, umuvuduko wo gusubiza byihuse. Nizera ko hamwe nogukwirakwiza buhoro buhoro ibikoresho byo murugo, ikinyuranyo cyombi kizagenda kigabanuka buhoro buhoro.

Nkicyiciro cya mbere cyibikoresho byubuvuzi byerekana udushya mu Ntara ya Sichuan, ikirango cya CORDER ASOM-4 yo kubaga microscope yo kubaga yakozwe na Chengdu CORDER Optics & Electronics Co iri ku rwego mpuzamahanga rwateye imbere ndetse n’imbere mu gihugu. Yashyizwe kandi ikoreshwa mu bitaro byinshi byo mu Bushinwa, kandi byoherezwa mu majyepfo y'uburasirazuba bwa Aziya, Uburasirazuba bwo hagati, Afurika n'utundi turere, ibyo bikaba bitoneshwa n'abakoresha. Ikirangantego cya CORDER ASOM-4 ya microscope yo kubaga ifite sisitemu yo hejuru cyane, isobanura neza sisitemu ya optique, imyumvire ikomeye ya stereoskopique, ubujyakuzimu bunini bwumurima, urumuri rukonje rwitwa optique fibre coaxial itara, urumuri rwiza rwumucyo, kugenzura ibirenge byikora micro-yibanze, amashanyarazi akomeza zoom, kandi ifite ibikorwa byerekana amashusho, televiziyo na videwo, ibikorwa byinshi, cyane cyane bikwiranye na microsurgurgie no kwigisha.

Mu gusoza, ikirango cya CORDER ASOM-4 ya microscope yo kubaga ikoreshwa muri ubu bushakashatsi irashobora kuba yujuje ubuziranenge bw’inganda, igahuza ibikenewe mu mavuriro, ikora neza kandi irahari, kandi ifite ubukungu kuruta ibikoresho byo kugenzura. Nibikoresho byubuvuzi byimbere murugo bikwiye gusabwa.

[Reba]
[1] Gu Liqiang, Zhu Qingtang, Wang Huaqiao. Impuguke zibitekerezo byinama nyunguranabitekerezo ku buhanga bushya bwa anastomose y'amaraso muri microsurgie [J]. Ikinyamakuru cyo mu Bushinwa cya Microsururgie, 2014,37 (2): 105.
[2] Zhang Changqing. Amateka n'icyizere cy'iterambere ry'amagufwa ya Shanghai [J]. Ikinyamakuru cy’ubuvuzi cya Shanghai, 2017, (6): 333-336.
[3] Zhu Jun, Wang Zhong, Jin Yufei, n'abandi. Microscope ifashwa gukosora inyuma no guhuza atlantoaxial ifatanije ninsinga ninkoni - gukoresha ivuriro rya Goel yahinduwe [J]. Ikinyamakuru cyo mu Bushinwa cya Anatomy na siyansi y’ubuvuzi, 2018,23 (3): 184-189.
Li Fubao. Ibyiza bya tekinoroji ya mikorobe mu kubaga umugongo [J]. Ikinyamakuru cyo mu Bushinwa cya Microsururgie, 2007,30 (6): 401.
[5] Tian Wei, Han Xiao, He Da, n'abandi. Kugereranya ingaruka zamavuriro ya microscope yo kubaga no gukuza ibirahuri bifasha lumbar discectomy [J]. Ikinyamakuru cyo mu Bushinwa cy’amagufwa, 2011,31 (10): 1132-1137.
Zheng Zheng. Ingaruka zo kuvura kwa microscope yo kubaga amenyo kubuvuzi bwumuzi wangiritse [J]. Igitabo cy’ubuvuzi cy’Abashinwa, 2018 (3): 101-102.


Igihe cyo kohereza: Mutarama-30-2023