Gukemura ikibazo cyo kubura imitsi yo mu gice cyo hasi cy’imitsi hatabayeho kwangirika k’ubushyuhe cyangwa ecchymosis ni intego y’ingenzi mu buvuzi bwa none bwa phlebology. Imbuga za mbere zikora kuri 980 nm zibanda kuri hemoglobin yo mu mitsi, zisaba imbaraga nyinshi zakunze gutera gutobora inkuta z’imitsi no gutobora munsi y’umubiri. Kugira ngo habeho ubuziranenge mu buvuzi, zashinzwe mu 2013, zashinzwe mu 2013, zashinzwe mu 2013, zashinzwe mu 2013, zashinzwe mu 2013, zashinzwe mu 2013, zashinzwe mu 2015, zakoze sisitemu yihariye ya laser ya diode ya 1470 nm. Zikora hakurikijwe amahame ya ISO 13485 yemewe, TRIANGEL ikora imbuga zikoresha imitsi zifite icyemezo cya FDA n’icyemezo cya Medical CE.Sisitemu yo gukuraho imirasire ya laser ifite uburebure bwa 1470nmitanga uburyo bwo kwinjiza amazi mu gice cy’imbere cy’umubiri, isohora ingufu z’imirasire mu buryo burambuye, kandi igafunga imitsi mu buryo burambye mu bice by’ubuvuzi bw’indwara.
Yakozwe hifashishijwe udushya twihariye twa diode laser,IKINYARWANDAUrubuga ruhuza inkingi enye z'ingenzi z'ikoranabuhanga zituma ubushyuhe bugenzurwa kandi imitsi y'amaraso igakomeza gukora neza:
- · Kumenya amazi mu buryo bwa 1470 nm: Igaragaza ubushobozi bwo kwinjiza amazi inshuro 40 zirenze 980 nm kuri photocoagulation y'ingufu nke.
- · Igipimo cy'ubuhanga mu by'ijimeteri y'urumuri rwa radiyo 360: Gutanga impeta y'ingufu isa n'iy'inyuma ku ruhu rw'imitsi kugira ngo hirindwe ko urukuta rw'imbere rushobora gutoboka.
- · Gufungana kw'ingufu z'ubushyuhe no kubungabunga imitsi: Kugumana ingufu nke zikoreshwa mu kurinda imitsi ya saphenous n'uturemangingo tw'umubiri.
- · Imikorere y'igihe kirekire yo gufunga abantu yagaragajwe: Bishyigikiwe n'isuzuma ry'abaganga rigizwe n'abantu 1000 ryemeza ko umurwayi agenda vuba mu masaha make.
Uburyo bwo kwinjiza amazi mu buryo bwihariye n'uburyo bwo kuziba ubushyuhe mu buryo budakoresha ingufu nke
Iterambere ry’ubuvuzi ry’uburyo laser ablation ikoreshwa mu miyoboro y’amaraso ihuza uburebure bwa laser n’uburyo chromophore y’ingenzi ikoreshwa mu miyoboro y’amaraso. Amazi yo mu ngirabuzima fatizo n’ayo hagati mu tunica intima ni yo agize chromophore yiganjemo isohora laser ya 1470 nm. Kubera ko ingano y’amazi ya 1470 nm iri hejuru y’inshuro 40 kurusha iya 980 nm, ingufu z’urumuri zihinduka ubushyuhe mu rukuta rw’imiyoboro y’amaraso.
Uku guhuza kwakozwe ku ntego gutuma imiyoboro ya kolajeni ihita ihinduka mu gice cy’imiyoboro ya tunica idashyushye amaraso yo mu mitsi. Kubera iyo mpamvu, abaganga b’inzobere mu kubaga bakoresha ingufu nke cyane, ubusanzwe hagati ya joules 50 na 70 kuri santimetero, ugereranije n’izabayeho mu bisekuru bya mbere. Kugabanya ingufu z’imitsi mu mitsi bigenzurwa bituma habaho kuziba kw’imitsi mu buryo budasubirwaho, bigakuraho reflux mu gihe bibungabunga imiterere y’umubiri, mu gihe bigabanyije carbonization mu gihe cyo kubagwa no kwemeza ko urukuta rw’imitsi ruhuza neza nta ngaruka zitera thermal necrosis ya transmural.
Imashini ya TRIANGEL 1470 nm itanga ibikoresho byihariye byo mu bwoko bwa optique hamwe n'ibikoresho by'ikoranabuhanga byagenewe ibyuma bifasha mu mitsi:
- · Ingufu zisohoka zishobora guhindurwa: Gutanga lazeri ihoraho kuva kuri wati 1 kugeza kuri 17 hamwe n'ubugari bw'ingufu kuva kuri milisegonda 1 kugeza ku 10.000.
- · Ibisobanuro bya Fiber Optical ya Radial: Fibre za silica core za mikorometero 400 na 600 zifite paki ikoreshwa rimwe gusa hamwe n'ibihuza bya SMA905.
- · Sisitemu y'Ubuyobozi Igaragara: Umurabyo utukura ushobora guhindurwa wa 650 nm utanga urumuri rusobanutse neza mu gihe cyose fibre isohoka.
- · Guhuza Turnkey Introducer: Guhuza neza n'ibikoresho bisanzwe bya 5F na 6F byo gushyiramo imitsi.
Imiterere y'ijimeteri y'urumuri rwa radial ifite ubunini bwa dogere 360 n'uburyo bwo gukumira gutobora
Uburyo bwo gutangira gukoresha imiyoboro y'amashanyarazi bwakoresheje imiyoboro y'amashanyarazi idafite ipfundo isohora imirasire ya laser iyobora imbere. Gutanga ingufu zo mu gihe cy'ipfundo byaremye ahantu hagaragara aho imiyoboro y'amashanyarazi idafite ipfundo yageraga ku rukuta rw'imitsi, rimwe na rimwe bigatera gucika kw'imitsi no gucika kw'imitsi nyuma yo kubagwa. TRIANGEL ikemura iki kibazo binyuze mu buryo bwihariye bwo gupima imiyoboro y'amashanyarazi ya dogere 360.
Umusozo wa fibre urimo icyuma gihindura imirasire ya silica ihindura umuyoboro wa laser mo impeta ya dogere 360 y’ingufu z’urumuri. Mu gihe umuganga akuramo fibre ku mutsi wa saphenous, ingufu zikwirakwira neza mu ruziga rwose rw’inyuma. Gukuraho ahantu hashyushye hakorerwa ibintu bikonjesha bibuza gutobora urukuta kandi bikarinda imitsi y’ibyumviro yegeranye. Binyuze mu buyobozi bwa ultrasound no kureba neza, iyi myanda ifunga neza imitsi itoroshye itobora n’amatsinda y’imitsi mu gihe ibungabunga imiterere y’uruhu ruyikikije nta nkovu zo kubagwa, bigatuma abahanga mu by’imitsi bashobora kuvura indwara zidakira z’imitsi mu buryo butandukanye kandi buhamye.
Igenzura ry'ibyavuye mu buvuzi n'ibipimo byo gukira kw'umurwayi
Inyandiko z’ubuvuzi mu bitaro bifitanye isano zemeza ibyiza byo kuvura bya platifomu ya TRIANGEL 1470 nm endovenous. Mu bushakashatsi bwakorewe ku bantu barenga 1.000 barwaye indwara ya reflux y’imitsi minini n’iy’imitsi minini, iyi sisitemu yagaragaje ko igipimo cy’ubwizibe bw’umubiri kirenga 98 ku ijana mu isuzuma ryakozwe mu mezi cumi n’abiri.
Abarwayi bavuwe hakoreshejwe radial ablation ya 1470 nm bavuze ko nyuma yo kubagwa batababaraga neza, ibyo bikaba byaratumye badakenera imiti ikomeye igabanya ububabare. Isuzuma rya Ultrasound ryemeje ko nta gutobora inkuta z'imitsi, nta gusiga ibara ry'uruhu, kandi nta gukomereka k'uruhu ku bushyuhe cyangwa paresthesia y'imitsi. Byongeye kandi, amakuru y'ubuvuzi agaragaza umutekano mwinshi mu mikorere no kwihanganira ndetse no ku barwayi bafite ikibazo cy'amaraso adakora neza mu gice cy'imbere cy'umubiri cyangwa abakomeza gukoresha imiti igabanya amaraso. Kubera ko iyi gahunda yose ikorwa hakoreshejwe anesthesia yo mu gace k'imbere mu bitaro, abarwayi bahita bakira nyuma yo kuvurwa kandi bagakomeza gukora imirimo isanzwe mu masaha make, bigabanya cyane ibisabwa kugira ngo umuntu ahabwe imiti igabanya ubukana bw'amaraso nyuma yo kubagwa kandi bigabanya umubare w'indwara zifata amaraso ugereranije n'uburyo bwa kera bwo kuvura imitsi.
Guhuza imikorere y'imitsi n'inganda mu buryo butaziguye
Ku mashami y’ubuvuzi bw’ibitaro n’ibigo byihariye by’imitsi yo hanze, urubuga rwa TRIANGEL 1470 nm rutanga imikorere myiza cyane. Iyi konsole nto yoroshye yorohereza ihinduka ryihuse ry’icyumba, bigatuma amakipe y’abaganga arangiza uburyo bwinshi bwo gukuramo amazi mu buryo busanzwe mu gihe cy’imikorere. Gushaka ibikoresho bivuye ku ruganda rwa TRIANGEL bikuraho amafaranga yo gukwirakwiza ibikoresho by’ubuvuzi kandi bigafasha ubufatanye mu buryo butaziguye mu buhanga.
Ubufatanye butaziguye n'uruganda butuma habaho ikirango cy'umukoresha wihariye, ubufasha mu mahugurwa ajyanye n'ubuvuzi, no gutanga fibre y'amashanyarazi idafite umwanda. Amavuriro kandi ahabwa inyandiko zuzuye za tekiniki, harimo urutonde rw'ibikorwa byemewe n'amabwiriza agenga imiyoboro itandukanye y'imitsi. TRIANGEL ifite sisitemu y'ubuziranenge ya ISO 13485:2016 hamwe n'inzobere 12 zihariye. Ifite icyemezo cya FDA cyo muri Amerika n'icyemezo cya EU Medical CE MDR, TRIANGEL itanga serivisi ku isi yose mu byumweru bibiri, igenzura ko igihe cyo gutanga serivisi ku batanga serivisi z'ubuvuzi ku isi yose giteganyijwe, ishyigikiwe no kubona impuguke zihariye mu by'ubuhanga mu by'ikoranabuhanga kugira ngo zikomeze gutanga ubufasha mu bya tekiniki nyuma yo gushyiraho.
Ubujyanama mu bya tekiniki n'inyandiko z'uruganda
Abaganga b'inzobere mu kubaga imitsi, abaganga b'inzobere mu by'imitsi, n'abayobozi bashinzwe gutanga amasoko y'ibikoresho by'ubuvuzi baratumiwe gusura urubuga rwa laser rwa TRIANGEL 1470 nm rwemewe. Reba ibisobanuro by'amaso, raporo z'imanza, n'ibiciro by'amasoko y'uruganda unyuze ku rubuga rwemewe rwa TRIANGEL medical engineering:https://www.triangelmed.com/.
Igihe cyo kohereza ubutumwa: 16 Nzeri 2026