Ti a lo lati ṣe asopọ awọn ohun elo ẹjẹ ni iṣelọpọ.Endoclip jẹ ohun elo ẹrọ onirin ti a lo ninu endoscopy lati le pa awọn ipele mucosal meji laisi iwulo fun iṣẹ abẹ ati suturing.Iṣẹ rẹ jọra si suture kan ninu awọn ohun elo iṣẹ-abẹ nla, bi o ṣe nlo lati darapọ mọ awọn ipele meji ti o ya sọtọ, ṣugbọn, le ṣee lo nipasẹ ikanni endoscope labẹ iworan taara.Endoclips ti rii lilo ni ṣiṣe itọju ẹjẹ inu ikun (mejeeji ni apa oke ati isalẹ GI), ni idilọwọ ẹjẹ lẹhin awọn ilana itọju ailera bii polypectomy, ati ni pipade awọn perforations ikun ikun ati inu.
Awoṣe | Iwon Ṣii Agekuru (mm) | Gigun iṣẹ (mm) | Ikanni Endoscopic (mm) | Awọn abuda | |
ZRH-HCA-165-9-L | 9 | 1650 | ≥2.8 | Gastro | Ti a ko bo |
ZRH-HCA-165-12-L | 12 | 1650 | ≥2.8 | ||
ZRH-HCA-165-15-L | 15 | 1650 | ≥2.8 | ||
ZRH-HCA-235-9-L | 9 | 2350 | ≥2.8 | Ìwọ̀n | |
ZRH-HCA-235-12-L | 12 | 2350 | ≥2.8 | ||
ZRH-HCA-235-15-L | 15 | 2350 | ≥2.8 | ||
ZRH-HCA-165-9-S | 9 | 1650 | ≥2.8 | Gastro | Ti a bo |
ZRH-HCA-165-12-S | 12 | 1650 | ≥2.8 | ||
ZRH-HCA-165-15-S | 15 | 1650 | ≥2.8 | ||
ZRH-HCA-235-9-S | 9 | 2350 | ≥2.8 | Ìwọ̀n | |
ZRH-HCA-235-12-S | 12 | 2350 | ≥2.8 | ||
ZRH-HCA-235-15-S | 15 | 2350 | ≥2.8 |
Imudani Apẹrẹ Ergonomically
Onirọrun aṣamulo
Isẹgun Lilo
A le gbe hemoclip si inu ọna Gastro-oporoku (GI) fun idi ti hemostasis fun:
Awọn abawọn mucosal / sub-mucosal<3 cm
Awọn ọgbẹ ẹjẹ, -Alọ<2 mm
Polyps<1.5 cm ni iwọn ila opin
Diverticula ni #colon
Agekuru yii le ṣee lo bi ọna afikun fun pipade awọn perforations luminal GI tract<20 mm tabi fun siṣamisi #endoscopic.
(1) Samisi, lo lila abẹrẹ tabi argon ion coagulation lati samisi agbegbe isọdọtun pẹlu 0.5cm electrocoagulation ni eti ọgbẹ;
(2) Ṣaaju ki o to abẹrẹ submucosal ti omi, awọn olomi ti o wa ni ile-iwosan fun abẹrẹ submucosal pẹlu saline physiological, glycerol fructose, sodium hyaluronate ati bẹbẹ lọ.
(3) Ṣaju-ge awọn mucosa ti o wa ni ayika: lo awọn ohun elo ESD lati ge apakan ti mucosa ni ayika ọgbẹ pẹlu aaye isamisi tabi eti ita ti aaye isamisi, lẹhinna lo ọbẹ IT lati ge gbogbo mucosa agbegbe;
(4) Gẹgẹbi awọn ẹya oriṣiriṣi ti ọgbẹ ati awọn iṣe iṣe ti awọn oniṣẹ, ESD ẹrọ IT, Flex tabi HOOK ati awọn ohun elo yiyọ kuro ni a yan lati peeli ọgbẹ pẹlu submucosa;
(5) Fun itọju ọgbẹ, iṣọn-ẹjẹ argon ion ni a lo lati ṣe itanna gbogbo awọn ohun elo ẹjẹ kekere ti o han ni ọgbẹ lati ṣe idiwọ ẹjẹ ti o tẹle.Ti o ba jẹ dandan, awọn clamps hemostatic ni a lo lati di awọn ohun elo ẹjẹ.