No nā makahiki he ʻumi, ua lilo nā lasers i mea hana i hoʻokumu pono ʻia i ka hoʻomohala ʻana a me ka hana ʻana i nā ʻāpana lapaʻau. Maanei, ma ka ʻaoʻao o nā wahi noi ʻoihana ʻē aʻe, ke loaʻa nei i nā lasers fiber kahi māhele mākeke i hoʻonui nui ʻia. No ke ʻoki kino minimally invasive a me nā implants miniaturized, ʻo ka hapa nui o nā huahana hanauna e hiki mai ana e liʻiliʻi ana, e koi ana i ka hana ʻana i nā mea koʻikoʻi loa - a ʻo ka ʻenehana laser ka hopena kūpono e hoʻokō ai i nā koi e hiki mai ana.
ʻO ka ʻoki laser metala lahilahi pololei kahi ʻenehana kūpono no nā koi ʻoki kūikawā i loaʻa i ka hana ʻana o nā mea hana paipu lapaʻau a me nā ʻāpana, e pono ai kahi ʻano o nā hiʻohiʻona ʻoki me nā kihi ʻoi, nā contours, a me nā hiʻohiʻona i loko o nā kihi. Mai nā mea hana ʻokiʻoki i hoʻohana ʻia i ka ʻoki ʻana a me ka biopsy, i nā nila e loaʻa ana nā wēlau ʻokoʻa a me nā puka paia ʻaoʻao, i nā loulou kaulahao puzzle no nā endoscopes maʻalahi, hāʻawi ka ʻoki laser i ka pololei kiʻekiʻe, ka maikaʻi, a me ka wikiwiki ma mua o nā ʻenehana ʻoki i hoʻohana maʻamau ʻia.
ʻO ka mīkini ʻoki laser fiber liʻiliʻi GF-1309 ma Colombia no ka hana ʻana i ka stent metala
Nā pilikia o ka ʻoihana lapaʻau
Hāʻawi ka ʻoihana lapaʻau i nā pilikia kūikawā i nā mea hana ʻāpana kikoʻī. ʻAʻole wale nā noi i ʻoi aku ka ʻoi, akā koi nui hoʻi i ke ʻano o ka hiki ke hahai ʻia, ka maʻemaʻe, a me ka hana hou ʻana. Loaʻa iā Golden laser nā lako, ka ʻike, a me nā ʻōnaehana e hāʻawi i kā mākou mea kūʻai aku me nā huahana kiʻekiʻe loa ma ke ʻano hilinaʻi a me ka maikaʻi loa.
Nā pono o ka ʻoki ʻana i ka laser
He kūpono ka laser no ka ʻoki lapaʻau, no ka mea, hiki ke hoʻohuli ʻia ka laser i lalo i kahi nui kiko 0.001-'īniha ke anawaena e hāʻawi ana i kahi kaʻina ʻoki "mea hana ʻole" maikaʻi ʻole me ka hoʻopili ʻana i ka wikiwiki kiʻekiʻe a me ka hoʻonā kiʻekiʻe. ʻOiai ʻaʻole hilinaʻi ka mea hana ʻoki laser i ka hoʻopā ʻana i ka ʻāpana, hiki ke hoʻonohonoho ʻia e hana i kekahi ʻano a i ʻole ke ʻano, a hoʻohana ʻia e hana i nā ʻano kū hoʻokahi.
ʻAʻohe ʻāpana i hoʻopilikia ʻia ma muli o nā wahi liʻiliʻi i hoʻopilikia ʻia e ka wela
Ka hiki ke ʻoki ʻāpana paʻakikī
Hiki ke ʻoki i ka hapa nui o nā metala a me nā mea ʻē aʻe
ʻAʻohe ʻaʻahu a haehae o ka mea hana
Hana hoʻohālike wikiwiki a emi ke kumu kūʻai
Hoʻemi ʻia ka wehe ʻana o ka burr
Ka wikiwiki kiʻekiʻe
Kaʻina hana pili ʻole
Kiʻekiʻe ke kiko a me ka maikaʻi
Hiki ke hoʻokele a maʻalahi hoʻi
Eia kekahi laʻana, he mea hana maikaʻi loa ka ʻoki laser no nā paipu liʻiliʻi, e like me nā mea i hoʻohana ʻia no nā noi cannula a me hypo tube e pono ai kahi ʻano o nā hiʻohiʻona e like me nā puka makani, nā slots, nā lua a me nā wili. Me ka nui o ka wahi i kālele ʻia o 0.001-ʻīniha (25 microns), hāʻawi ka laser i nā ʻoki hoʻonā kiʻekiʻe e wehe i ka nui liʻiliʻi o ka mea e hiki ai ke ʻoki wikiwiki e like me ka pololei o ka dimensional e pono ai.
Eia kekahi, ʻoiai ʻo ka hana ʻana o ka laser ʻaʻole ia he pili, ʻaʻohe ikaika mechanical i hāʻawi ʻia ma luna o nā paipu - ʻaʻohe paʻi, kauō, a i ʻole kekahi ikaika ʻē aʻe e kūlou ai i kahi ʻāpana a i ʻole e hana i ka flex e loaʻa ai ka hopena maikaʻi ʻole i ka kaohi ʻana i ke kaʻina hana. Hiki ke hoʻonohonoho pono ʻia ka laser i ka wā o ke kaʻina ʻoki e kāohi i ka wela o ka wahi hana. He mea nui kēia, no ka mea, ke emi nei ka nui o nā ʻāpana lapaʻau a me nā hiʻohiʻona ʻoki, a hiki i nā ʻāpana liʻiliʻi ke wela koke a hiki ke wela nui.
Eia kekahi, ʻo ka hapa nui o nā noi ʻoki no nā mea lapaʻau aia ma ka pae mānoanoa o 0.2-1.0 mm. No ka mea he paʻakikī nā geometries ʻoki no nā mea lapaʻau, hana pinepine ʻia nā lasers fiber i hoʻohana ʻia i ka hana ʻana i nā mea lapaʻau ma kahi ʻano pulse modulated. Pono ka pae mana kiʻekiʻe ma luna o ka pae CW e hōʻemi i nā hopena wela i koe ma o ka wehe ʻana i nā mea ʻoi aku ka maikaʻi, ʻoi aku hoʻi i nā ʻāpana kea mānoanoa.
Hōʻuluʻulu manaʻo
Ke hoʻololi mau nei nā lasers fiber i nā manaʻo laser ʻē aʻe i ka hana ʻana i nā mea lapaʻau. ʻO nā manaʻolana mua, ʻaʻole hiki ke hoʻoponopono ʻia nā noi ʻoki e nā lasers fiber i ka wā e hiki mai ana, pono e hoʻoponopono hou ʻia i kekahi manawa i hala. No laila, ʻo nā pono o ka ʻoki laser e kōkua i ka ulu nui ʻana o ka hoʻohana ʻana i ka ʻoki pololei i ka hana ʻana i nā mea lapaʻau a e hoʻomau kēia ʻano i nā makahiki e hiki mai ana.