ʻO ka noi multidisciplinary a me ka hoʻomohala kūikawā o nā microscopes ʻokiʻoki kiʻekiʻe

 

Ua komo piha nā kaʻina hana o kēia wā i ke au o ka microsurgery. ʻO kamicroscope ʻokiʻokihoʻonui i ke kahua kaʻina hana e 4-40 mau manawa ma o ka ʻōnaehana optical kiʻekiʻe, ka hoʻomālamalama kumu kukui coaxial, a me ka lima robotic akamai, e hiki ai i nā kauka ke hoʻoponopono i nā microstructures e like me nā kīʻaha koko a me nā aʻalolo me ka pololei o 0.1 millimeters, e hoʻololi loa i nā palena o ka hana kahiko. ʻO nā koi kūikawā o nā mea kūikawā likeʻole no kaʻenehana microscopy i alakaʻi i ka hoʻomohala kūikawā omicroscopes hana, e hana ana i kaiaola kaiaola evolution collaborative evolution.

 

Ⅰ、ʻO ka hana hou o ka microscope neurosurgical surgical

ʻO kamicroscope ʻokiʻoki neurosurgicalua hoʻolālā kūikawā ʻia no nā ʻokiʻoki ʻāʻī a me ke kuamoʻo. ʻO kāna mau pōmaikaʻi nui aia ma:

1. ʻO ke kiʻi wehewehe kiʻekiʻe o nā kahua ʻokiʻoki hohonu:Ma ka hoʻohana ʻana i kahi lens pahuhopu lōʻihi (200-400mm) a me ka hohonu adaptive o ka ʻenehana kahua (1-15mm hiki ke hoʻololi ʻia), hiki ke hōʻike maopopo ʻia ka ʻiʻo o ka lolo hohonu a me nā ʻupena vascular;

2. Hoʻohui kiʻi hana nui:ka hoʻohui ʻana i ka ʻokoʻa fluorescence (e like me ka indocyanine green labeling) a me ka 4K ultra high definition imaging e hoʻokaʻawale i nā ʻōpū mai nā ʻiʻo maʻamau i ka manawa maoli i ka wā o ke kaʻe ʻana a pale i ka pilikia o ka pōʻino vascular. No ka laʻana, ka hanauna hou omicroscope hana neurosurgeryua loaʻa i ka 0.2mm pae kiʻi vascular imaging, e hōʻemi ana i ke koko intraoperative ma lalo o 30% o ka hana maʻamau;

3. Hoʻonohonoho naʻauao o ka lima robotic:Kākoʻo ka ʻeono degere o ke kūʻokoʻa uila cantilever i 360 ° kūlana kūpaʻa me ka ʻole o nā kihi make. Hiki i ka mea hoʻohana ke hoʻomalu i ka neʻe ʻana o ka microscope ma o ka leo a i ʻole ka wāwae wāwae, e hoʻokō ai i ka hana "lima maka lima".

 

Ⅱ、ʻO ka holomua pololei o nā microscopes ophthalmic surgical

ʻOphthalmic surgical microscopeloaʻa i ka holomua holomua ma ke kahua o ka ʻokiʻoki refractive:

- Hana hoʻokele 3D:Lawe i kaMicroscope hana 3De like me ka laʻana, hoʻohui ia i ka intraoperative OCT (Optical Coherence Tomography) a me ka hoʻokele kikohoʻe e ʻimi i ke kihi axial o ka lens artificial astigmatic i ka manawa maoli, e hōʻemi ana i ka hewa kuhi kuʻuna mai 5 ° a i loko o 1 °. I ka manawa like e nānā pono ai i ke kiʻekiʻe o ka pahu aniani kristal e pale i ka neʻe ʻana o ke kūlana postoperative;

- ʻO nā kukui ʻona haʻahaʻa haʻahaʻa:me ka hoʻohana ʻana i ke kumu kukui anuanu o LED (4500-6000K) i hui pū ʻia me ka kānana hoʻomaʻamaʻa ʻulaʻula no ka hoʻohaʻahaʻa ʻana i ka pōʻino o ka retinal a hoʻomaikaʻi i ka hōʻoluʻolu o ka poʻe maʻi i ka wā o ka hana ʻana;

- Hohonu o ka ʻenehana hoʻonui kahua:Ma nā hana micro-level e like me ka macular surgery, hiki i ke kiʻekiʻe kiʻekiʻe o ke ʻano o ke kahua ke mālama i kahi ākea o ka ʻike ma 40x magnification, e hāʻawi ana i kahi wahi hana nui no ke kauka.

 

Ⅲ、Ka hoʻololi ʻenehana o nā microscopes niho a me ka orthopedic

1. kahua niho

Microscope hana nihohe mea nui ia i ka mālama ʻana i ke kahawai aʻa:

- Hiki i kāna ʻōnaehana hoʻonui palena ʻole 4-40 ke hōʻike i nā microtubules collateral i loko o nā aʻa aʻa calcified, e kōkua ana i ka unuhi ʻana i nā mea haʻihaʻi 18 millimeter lōʻihi;

- Hoʻopau ka hoʻolālā kumu kukui coaxial i nā wahi makapō i loko o ka waha waha, a me ke kōkua o kahi beam splitter prism, synchronizes i ka ʻike o ke kauka lapaʻau a me ke kōkua, e hoʻomaikaʻi i ka hana hui pū ʻana.

2. Orthopedic a me ka iwi kuamoʻo

ʻO ka microscope ʻokiʻoki kinoa me ka ʻokiʻoki ʻana i ka iwi spinal microscope e nānā ana i nā ʻenehana invasive liʻiliʻi:

- Ma o ka ʻenehana kiʻi narrowband o kamicroscope hana spinal, hiki ke ho'okō 'ia ka lua o ka lumbar decompression (e like me ka hana synchronous o L4 / 5 a me L5 / S1) i loko o ka 2.5-centimeter incision;

- Hiki ke hoʻololi i ke kūlana intraoperative a loaʻa iā ia kahi mamao hana hiki ke hoʻololi ʻia o 150-300mm, e hoʻokō i nā pono o ka hana ʻana o ka ʻāʻī kuamoʻo hohonu.

 

Ⅳ、 Hoʻololi kūikawā ma waena o ka otolaryngology a me ka ʻoki plastik

1. Ma ka pepeiao, ka ihu a me ka puu

ʻO kamicroscope opuua hoʻolālā kūikawā ʻia no nā lua haiki:

- Hoʻohui i ka module synchronization laser no ka hoʻokō ʻana i ka calibration maʻalahi o ka nānā ʻana i ka laser a me ke kahua ʻike microscope i ka micro resection o ka laryngeal cancer;

- ʻO ka 12.5-fold benchmark magnification, i hui pū ʻia me ka hoʻoponopono ʻana i ka mamao o ka hana uila, kūpono ia no nā koi he nui mai ka tympanoplasty a hiki i ke ʻoki wehe sinus.

2. Ma ke kahua o ka ʻoki kino

ʻO ke kumu oʻokiʻoki ʻana i ka microscopeAia i loko o ka anastomosis microscopic:

- 0.3mm pae vascular anastomosis pololei, kākoʻo ultra fine hana e like me lymphatic vein anastomosis;

- ʻO ke aniani kōkua split beam a me ka hōʻike waho 3D e hoʻokō i ka hui like ʻana o nā hiʻohiʻona lehulehu, e hoʻomaikaʻi ana i ka helu kūleʻa o ka hoʻololi ʻana i ka ʻili.

 

Ⅴ、Ka hana hou o ka ʻōnaehana kākoʻo kumu

ʻAʻohe mea kūikawā o lākou, ʻo ka microscope ʻokiʻoki a me kamicroscope hanakaʻana like i ʻekolu mau hoʻololi kumu:

1. Hana hou i ke ʻano hoʻonohonoho:ʻO ka microscope hana pipili papahāʻawi i ka maʻalahi o ka neʻe ʻana, mālama ke ʻano o ke kaupaku i ka lewa, a ʻo ke ʻano o ka papahele ke kaulike i ke kūpaʻa a me ke kūʻokoʻa hoʻoponopono;

2. Hoʻomaikaʻi hou ʻia ka pilina kamepiula kanaka:ʻO ka hoʻomalu leo ​​(e like me ka Voice Control 4.0) a me ka pale hoʻokuʻi maʻalahi e hōʻemi nui i ka hoʻopili hana;

3. Hoʻonui Kikohoʻe:Kākoʻo ka ʻōnaehana kāmela 4K/8K i ke kūkākūkā mamao a me ka hōʻailona manawa maoli ʻo AI (e like me nā algorithms e ʻike ai i ka moku koko), e hoʻokele ana i ka microsurgery i ke au o ka hana naʻauao.

 

ʻO ke au o ka wā e hiki mai ana: mai ka hana kūikawā a hiki i ka hoʻohui ʻenehana

ʻO ka hana kūikawā omicroscopes hanaʻaʻole i keakea i ka hoʻohui ʻana o nā ʻenehana interdisciplinary. No ka laʻana, ua hoʻohana ʻia ka ʻenehana hoʻokele fluorescence i ka neurosurgery e nānā i nā kīʻaha koko retinal i lokoophthalmology hana microscopes; Hoʻohui ʻia nā modula optical hohonu hohonu i loko o kamicroscope opue hoʻonui i ka hohonu o ke kahua no ka ʻoki ihu. Ma ka manawa like, e hoʻomau nā mea hou e like me ka augmented reality (AR) overlay o nā kiʻi preoperative a me ka mana mamao o nā robots e hoʻomau i ka holomua ʻekolu-dimensional o ka microsurgery i ka "pololei, naʻauao, a me ka liʻiliʻi invasive".

 

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ʻO ka hoʻomohala kūikawā omicroscopes hanaʻO ka mea nui he resonance ma waena o nā pono lapaʻau a me nā hiki ʻenehana: pono ia i ka hōʻike hope loa o nā hale microscale e kamicroscope opthalmic surgicala me ka pane maalahi o na lua hohonu e kamicroscope hana spinal. A i ka hiki ʻana o ka pono o nā keʻena kūikawā i kahi koʻikoʻi, e wehe ka hoʻohui ʻenehana ʻenehana i kahi paradigm hou o ka microsurgery.