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达芬奇机器人手术子宫切除术-套管绝缘故障
视频 - 记录“Prograsp”仪器故障。请注意仪器的电线被撕裂切割。视频描述切成丝,大约5点钟位置的视频监视器的视频剪辑。这表明围在中间的Prograsp仪器的结束,伸出一个直角.. Prograsp通常是改变后10的情况下使用。这种特殊的Prograsp仅用于前一次。没有受伤,在这种情况下发生的,,因为剪切被发现和仪器配置/更换。如果没有发现,它可以有造成肠道损伤浆膜的电位,由于锋利的边缘的切割金属丝。也许,制造商更好地添加一个套筒保护周围的裸线,类似单极热剪切周围的保护套筒。与往常一样,在任何情况下,任何设备,任何手术,随时需要警惕的。
Video - documented "Prograsp" instrument malfunction. Notice the instrument's wire is torn cut. Video depicts cut wire , around 5 o'clock location of the video monitor at the end of the video clip. It shows around the middle of the Prograsp instrument's end ,sticks out in a right angle.. Prograsp is normally changed after 10 case uses. This particular Prograsp was used only once before. No injury happened in this case, because the cut was noticed and instrument disposed/replaced. If not noticed, it could have the potential of causing serosal bowel injury, due to the sharp edge of the cut metal wire. Perhaps, the manufacturer better add a sleeve around the bare wires for protection, similar to the protecting sleeve around the monopolar hot shear. As always, vigilance is needed in any case , any instrument, any surgery ,anytime .
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