强生超声切割止血刀(豪韵 Chinese).pptVIP

Q A * The Harmonic Scalpel blade vibrates longitudinally at 55,500 Hz per second. The blade travels from 50 to 100 microns per stroke. Rapid acceleration of tissues moving with the blade breaks the hydrogen bonds that give protein structure, which results in a protein coagulum that seals coapted vessels. Deep coagulation of large vessels results when the effect is prolonged. * Hemostasis is achieved by denaturation of tissue protein and formation of coagulum; these effects occur at the operating tissue temperature of the Harmonic Scalpel - temperatures less than 100oC. The higher temperatures associated with electrosurgery and laser result in tissue dessication and eschar. * * Cavitational bubbles resulting from low pressure at the blade tip cause fluids to vaporize at low temperatures, separating tissue planes. This facilitates tissue dissection. Force-directed energy, a result of UltraCision technology — unlike electrosurgery and laser — permits the surgeon to dissect in a tissue plane without burning through tissue layers. When in a tissue plane, the Harmonic Scalpel can incise a tissue layer hemostatically without coagulating or damaging underlying tissues and structures because no energy is conducted when the surgeon does not apply pressure to tissue. * 27 * 28 * 29 * 30 * 29 * * * * * * 2005 will launch the 36cm lap ACE with Pistol grip The other 4 codes will launch late 2005, early 2006 * ACE will decrease operative time. Vessels and bundles will be sealed and divided in 4 to 6 seconds (compared to 8 seconds for the current LCS range) ACE will seal a broader range of vessels, the claim has been increased from 3mm to 5mm. Therefore sealing an expanded range or vessels and decreasing need for instrument exchanges. More intuitive – has an integrated ‘clicker’ to allow surgeons to recognise grip force required to seal and transect vessels safely. Hand activation provides enhanced control and reduces fatigue, rotation force has been decreased by 30% and ACE has 2