腔镜吻合器使用步骤

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一次性使用腔镜切割吻合器及组件。组件名称:钉仓,钉钻,走刀指示器,关节头,组件安装标记,锁定指示标记器身名称:安装标记,套管,关节调节旋钮,调节钮,钉仓锁定装置,钉仓复位钮,保险装置,手柄,击发手柄。使用步骤:1.从无菌包装中取出器械及组件。2.组件及器身上的安装标记对齐,用力对合,旋至不能移动为止,安装完成。3.取下钉仓保护盖,关闭击发手柄关闭钳口。穿过通路进入手术操作部位。4.向器身方向拉动钉仓复位钮,打开钳口。加持组织和钳口关闭状态不能调整角度与方向。5.平整将组织置入钳口,闭合钳口,击发击发手柄。6.按下保险装置,建议击发保险装置时使器械固定,以避免钳口撕裂组织。7.击发器械前等待15秒,连续击发,不要停留,可以通过走刀指示器观察切割位置。8.回拉钉仓复位钮,打开钳口,器械与组织分离,观察缝钉切口。9.调整调节钮和关节调节旋钮。使其复位。10.关闭钳口,把器械从手术通道中退出。11.向器身尾部拉动钉仓复位钮(注意一定要拉到底),按下保险装置,使击发手柄弹起。12.枪身方向按动钉仓锁定装置,旋转钉仓组件,器身与组件分开,清理套管,如需更换组件,重复以上步骤。注意事项:1.安装组件一定要用力按压到底,旋紧,会听到咔哒声,不然会发生闭合钳口无法打开,打开钳口无法切割的问题。2.在未进入人体前,不要取下钉仓保护盖。不能钳口打开进入手术区域。3.加持组织和钳口关闭状态不能调整角度与方向。否则会拉伤组织。4.手按在击发手柄上,无法打开钳口5.击发前打开保险,会有震感,经过套管的长度会使小震动变大,使组织拉伤,所以要双手按压枪身。5.向枪身尾部拉动钉仓复位钮,注意一定要拉到底,因为不拉到底,钳口还是打不开。6.不把关节调节旋钮复位,会取不下组件,损伤器械。DisposableendoscopeslinearcuttingstaplersandReloadCartridgeReloadCartridge:staplecartridge,naildrill,knifeindicator,jointhead,componentmountingmark,lockindicatorBodyname:installationmark,casing,jointadjustmentknob,adjustmentknob,staplecartridgelockingdevice,staplecartridgeresetbutton,safetydevice,handle,firinghandle.Stepsforusage:1.Removetheinstrumentsandcomponentsfromtheasepticpackage.2.Themountingmarksonthecomponentsandthebodyarealigned,forcefullyengaged,andcannotbemoveduntiltheinstallationiscompleted.3.Removethestaplecartridgecoverandclosethefiringhandletoclosethejaws.Passthroughtheaccesstothesurgicalsite.4.Pullthestaplecartridgeresetbuttontowardthebodytoopenthejaws.Theangleanddirectioncannotbeadjustedbytheholdingtissueandthejawsclosed.5.Flattenthetissueintothejaws,closethejaws,andfirethefiringhandle.6.Pressthesafetydeviceanditisrecommendedtosecuretheinstrumentwhenfiringthesafetydevicetoavoidtearingthetissue.7.Wait15secondsbeforefiringthedevice,continuouslyfire,donotstay,youcanobservethecuttingpositionbytheknifeindicator.8.Pullbackthestaplecartridgeresetbutton,openthejaws,separatetheinstrumentfromthetissue,andobservethestapleincision.9.Adjusttheknobandjointadjustmentknob.Makeitreset.10.Closethejawsandwithdrawtheinstrumentfromthesurgicalchannel.11.Pullthestaplecartridgeresetbuttontotheendofthebody(besuretopullittothebottom),pressthesafetydevicetomakethefiringhandlepopup.12.Pressthestaplecartridgelockingdeviceinthedirectionofthegunbody,rotatethecartridgeassembly,separatethebodyfromtheassembly,cleanthesleeve,andrepeattheabovestepsifyouneedtoreplacetheassembly.Warning:1.Themountingcomponentsmustbepressedhardtotheend,tightened,andyouwillhearaclick,otherwisetheclosingjawswillnotopenandthejawswillnotbecut.2.Donotremovethestaplecartridgecoveruntilyouhaveenteredthebody.Cannotopenthejawintothesurgicalarea.3.Theholdingmechanismandthejawsclosedstatecannotadjusttheangleanddirection.Otherwiseitwillhurtthetissue.4.Thehandispressedonthefiringhandleandthejawcannotbeopened.5.Opentheinsurancebeforefiring,therewillbeashock,thelengthofthecasingwillmakethesmallvibrationbecomelarger,causingthetissuetobeinjured,sopressthegunbodywithbothhands.5.Pullthestaplecartridgeresetbuttontotheendofthegunbody,besuretopullittotheend,becausethejawsstillcan'tbeopened.6.Ifyoudonotresetthejointadjustmentknob,youwillnotbeabletoremovethecomponentsanddamagetheinstrument.

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