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Ukuxhaphaka kotyando lwe-arthroscopic kuye kwanda kwiminyaka engamashumi amabini edlulileyo, kwaye iinkqubo zokucheba i-arthroscopic ziye zaba sisixhobo samathambo esisetyenziswa kakhulu. Nangona kunjalo, uninzi lwee-razors ngokubanzi azibukhali ngokwaneleyo, kulula ukuzinxiba, njl.njl. Injongo yale nqaku kukuphanda iimpawu zesakhiwo se-blade entsha ene-double serrated ye-BJKMC (Bojin◊ Kinetic Medical) arthroscopic razor. Inika isishwankathelo soyilo lwemveliso kunye nenkqubo yokuqinisekisa. I-razor ye-arthroscopic ye-BJKMC inoyilo lwetyhubhu-in-tube, oluquka isingxobo sangaphandle sentsimbi engagqwaliyo kunye netyhubhu yangaphakathi ejikelezayo engenanto. Igobolondo langaphandle kunye negobolondo langaphakathi lineendawo zokufunxa kunye nokusika ezifanelekileyo, kwaye kukho ii-notches kwiigobolondo zangaphakathi nezangaphandle. Ukuqinisekisa uyilo, ithelekiswe ne-Dyonics◊ Incisor◊ Plus insert. Inkangeleko, ubunzima besixhobo, uburhabaxa betyhubhu yesinyithi, ubukhulu bodonga lwesixhobo, iprofayili yamazinyo, i-engile, isakhiwo siphela, ubukhulu obubalulekileyo, njl.njl. zijongiwe kwaye zathelekiswa. umphezulu wokusebenza kunye nencam eqinileyo nencinci. Ke ngoko, iimveliso ze-BJKMC zinokusebenza ngokwanelisayo kutyando.
Ilungu emzimbeni womntu luhlobo lonxibelelwano olungathanga ngqo phakathi kwamathambo. Zizinto ezintsonkothileyo nezizinzileyo ezidlala indima ebalulekileyo kubomi bethu bemihla ngemihla. Ezinye izifo zitshintsha ukusasazwa komthwalo kwilungu, nto leyo ebangela ukuba kubekho umda ekusebenzeni nasekulahlekelweni komsebenzi1. Utyando lwendabuko lwamathambo kunzima ukulunyanga ngokuchanekileyo xa lungena kakhulu, kwaye ixesha lokuchacha emva konyango lide. Utyando lwe-arthroscopic luyinkqubo engaphantsi kakhulu efuna ukunqunyulwa okuncinci, lubangela ukwenzakala okuncinci kunye namanxeba, lunexesha lokuchacha ngokukhawuleza, kwaye luneengxaki ezimbalwa. Ngophuhliso lwezixhobo zonyango, iindlela zotyando ezingaphantsi kakhulu ziye zaba yinkqubo eqhelekileyo yokuxilonga nonyango lwamathambo. Kungekudala emva kotyando lokuqala lwedolo lwe-arthroscopic, lwamkelwe ngokusemthethweni njengendlela yotyando nguKenji Takagi noMasaki Watanabe eJapan2,3. I-Arthroscopy kunye ne-endoprosthetics zezona zimbini zezona zinto zibalulekileyo kwi-orthopedics4. Namhlanje, utyando lwe-arthroscopic olungena ngaphakathi lusetyenziswa ukunyanga iimeko ezahlukeneyo kunye nokwenzakala, kubandakanya i-osteoarthritis, ukwenzakala kwe-meniscal, ukwenzakala kwe-ligament yangaphambili neyasemva, i-synovitis, ukwaphuka kwe-intra-articular, i-patellar subluxation, i-cartilage kunye nezilonda zomzimba ezikhululekileyo.
Ukwanda kotyando lwe-arthroscopic kuye kwanda kwiminyaka engamashumi amabini edlulileyo, kwaye iinkqubo zokusika i-arthroscopic ziye zaba sisixhobo samathambo esisetyenziswa kakhulu. Okwangoku, oogqirha botyando baneendlela ezahlukeneyo ezikhoyo koogqirha botyando, kubandakanya ukwakhiwa kwakhona kwe-cruciate ligament, ukulungiswa kwe-meniscus, i-osteochondral grafting, i-hip arthroscopy, kunye ne-facet joint arthroscopy, kuxhomekeke kukhetho logqirha wotyando1. Njengoko iinkqubo zotyando lwe-arthroscopic zisanda ukuya kumalungu amaninzi, oogqirha banokuhlola amalungu e-synovial kwaye banyange izigulane ngeendlela ezazingenakucingelwa ngaphambili. Kwangaxeshanye, kwaveliswa ezinye izixhobo. Zihlala ziqulathe iyunithi yokulawula, i-handpiece ene-motor enamandla kunye nesixhobo sokusika. Isixhobo sokususa izicubu sivumela ukufunxa kunye nokususa izicubu ngaxeshanye nangokuqhubekayo6.
Ngenxa yobunzima botyando lwe-arthroscopic, kufuneka izixhobo ezininzi rhoqo. Izixhobo eziphambili zotyando ezisetyenziswa kutyando lwe-arthroscopic ziquka i-arthroscopes, izikere ze-probe, ii-punches, ii-forceps, iimela ze-arthroscopic, ii-meniscus blades kunye nee-razors, izixhobo ze-electrosurgical, ii-laser, izixhobo ze-radio frequency kunye nezinye izixhobo 7.
I-razor sisixhobo esibalulekileyo kutyando. Kukho imigaqo emibini ephambili ye-arthroscopic surgery pliers. Eyokuqala kukususa iintsalela ze-cartilage eyonakalileyo, kuquka imizimba ekhululekileyo kunye ne-articular cartilage edadayo, ngokufunxa nokuhlamba ilungu nge-saline eninzi ukususa izilonda zangaphakathi kunye ne-inflammatory mediators. Enye kukususa i-articular cartilage eyahlulwe kwithambo le-subchondral kunye nokulungisa isiphene se-cartilage ebolileyo. I-meniscus ekrazukileyo iyasuswa kwaye kwenziwa i-meniscus ebolileyo nephukileyo. Ii-razor zikwasetyenziselwa ukususa ezinye okanye zonke izicwili ze-synovial ezivuthayo, ezifana ne-hyperplasia kunye nokuqina1.
Uninzi lwee-scalpels ezingafunekiyo zinendawo yokusika ene-cannula yangaphandle engenanto kunye netyhubhu yangaphakathi engenanto. Azinamazinyo asibhozo anee-serrated alungele umphetho wokusika. Iincam ezahlukeneyo zeeblade zibonelela ngamanqanaba ahlukeneyo amandla okusika kwi-razor. Amazinyo e-razor aqhelekileyo e-arthroscopic ahlulwe kwiindidi ezintathu (Umfanekiso 1): (a) iityhubhu zangaphakathi nezangaphandle ezigudileyo; (b) iityhubhu zangaphandle ezigudileyo kunye neetyhubhu zangaphakathi ezinae-serrated; (c) ezinee-serrated (ezinokuba yi-razor blade)) iityhubhu zangaphakathi nezangaphandle. 9. Ubukhali bazo kwizicubu ezithambileyo buyanda. Amandla aphakathi aphezulu kunye nokusebenza kakuhle kokusika kwesarha yenkcazo efanayo kungcono kune-10 flat bar.
Nangona kunjalo, kukho iingxaki ezininzi ngezixhobo zokucheba i-arthroscopic ezikhoyo ngoku. Okokuqala, i-blade ayibukhali ngokwaneleyo, kwaye kulula ukuyivala xa usika izicubu ezithambileyo. Okwesibini, i-razor inokunqumla kuphela izicubu ezithambileyo ze-synovial—ugqirha kufuneka asebenzise i-burr ukupolisha ithambo. Ke ngoko, ii-blades kufuneka zitshintshwe rhoqo ngexesha lokusebenza, nto leyo eyandisa ixesha lokusebenza. Umonakalo wokusika kunye nokuguguleka kwe-razor nazo ziingxaki eziqhelekileyo. Ukulungiswa ngokuchanekileyo kunye nolawulo lokuchaneka ngokwenene kwenze isalathiso esinye sovavanyo.
Ingxaki yokuqala kukuba i-razor blade ayigudi ngokwaneleyo ngenxa yomsantsa omkhulu phakathi kwee-blade zangaphakathi nezangaphandle. Isisombululo sengxaki yesibini kukwandisa i-engile ye-razor blade kunye nokwandisa amandla ezinto zokwakha.
I-razor entsha ye-BJKMC ene-arthroscopic blade ene-double serrated blade inokusombulula iingxaki zemiphetho ebukhali, ukuvaleka lula kunye nokuguguleka kwezixhobo ngokukhawuleza. Ukuvavanya ukusebenza koyilo olutsha lwe-razor ye-BJKMC, ithelekiswe ne-Dyonics◊, i-Incisor◊ Plus Blade.
I-razor entsha ye-arthroscopic inoyilo lwetyhubhu ngaphakathi kwityhubhu, kuquka umkhono wangaphandle wentsimbi engagqwaliyo kunye nombhobho wangaphakathi ojikelezayo ongenanto kunye neendawo zokufunxa kunye nokusika ezifanayo kwityhubhu yangaphandle kunye nombhobho wangaphakathi. Iingxowa zangaphakathi nezangaphandle ziyaqhekeka. Ngexesha lokusebenza, inkqubo yamandla ibangela ukuba umbhobho wangaphakathi ujikeleze, kwaye umbhobho wangaphandle uluma ngamazinyo, udibana nokusika. Ukusikwa kwezicubu ezigqityiweyo kunye nemizimba ekhululekileyo isuswa kwilungu ngetyhubhu yangaphakathi engenamntu. Ukuphucula ukusebenza kunye nokusebenza kakuhle kokusika, kukhethwe isakhiwo samazinyo aqinileyo. Ukuwelda nge-laser kusetyenziswa kwiindawo ezidityanisiweyo. Ulwakhiwo lwentloko yokucheba yamazinyo amabini eqhelekileyo luboniswe kuMfanekiso 2.
Ngokwendlela eyilwe ngayo ngokubanzi, ububanzi bangaphandle besiphelo sangaphambili se-arthroscopic shaver buncinci kancinci kunesiphelo sangasemva. I-razor akufuneki inyanzelwe ukuba ingene kwindawo edibeneyo, kuba zombini incam kunye nomphetho wefestile yokusika ziyahlanjwa kwaye zonakalisa umphezulu we-articular. Ukongeza, ububanzi befestile yokusika kufuneka bube bukhulu ngokwaneleyo. Okukhona ifestile ibanzi, kokukhona i-shaver icwangciswa kwaye ifunxwe, kwaye kokukhona ithintela ukuvaleka kwefestile.
Xoxa ngempembelelo yeprofayili yamazinyo kumandla okusika. Imodeli ye-3D ye-razor yenziwe kusetyenziswa isoftware yeSolidWorks (SolidWorks 2016, SolidWorks Corp., eMassachusetts, e-USA). Iimodeli zeqokobhe langaphandle ezineprofayili zamazinyo ezahlukeneyo zingeniswe kwinkqubo ye-finite element (ANSYS Workbench 16.0, ANSYS Inc., e-USA) ukuze kuhlalutywe i-meshing kunye noxinzelelo. Iipropati ze-mechanical (i-modulus of elasticity kunye ne-Poisson's ratio) zezinto zinikwe kwiTheyibhile. 1. Uxinano lwe-mesh olusetyenziselwa izicubu ezithambileyo yayiyi-0.05 mm, kwaye sicocile ubuso be-planer ezili-11 obudibene nezicubu ezithambileyo (Umzobo 3a). Imodeli yonke inama-node angama-40,522 kunye ne-meshes ezingama-45,449. Kwizicwangciso zemeko yomda, sithintela ngokupheleleyo iidigri ezi-6 zenkululeko ezinikwe amacala ama-4 ezicubu ezithambileyo kwaye i-razor blade ijikeleziswa ngama-20° ujikeleze i-x-axis (Umzobo 3b).
Uhlalutyo lweemodeli ezintathu ze-razor (Umzobo 4) lubonise ukuba indawo yoxinzelelo olukhulu lwenzeka xa utshintsho olukhawulezileyo lwesakhiwo, oluhambelana neempawu zoomatshini. I-razor sisixhobo esilahlwayo4 kwaye akukho mngcipheko mkhulu wokuphuka kweblade ngexesha lokusetyenziswa kanye. Ke ngoko, sigxila kakhulu kubuchule bayo bokusika. Uxinzelelo olulinganayo oluphezulu olusebenza kwizicubu ezithambileyo lunokubonakalisa olu phawu. Phantsi kweemeko ezifanayo zokusebenza, xa uxinzelelo olulinganayo oluphezulu lulona lukhulu, kuqala kucingelwa ukuba iimpawu zayo zokusika zezona zilungileyo. Ngokuphathelele uxinzelelo lwezicubu ezithambileyo, i-razor yeprofayili yamazinyo engama-60° ivelise uxinzelelo oluphezulu lwe-shear tissue shear (39.213 MPa).
Ukusasazwa koxinzelelo lwe-shaver kunye nezicubu ezithambileyo xa iishelufu ze-razor ezineeprofayili zamazinyo ezahlukeneyo zisika izicubu ezithambileyo: (a) iprofayili yamazinyo engama-50°, (b) iprofayili yamazinyo engama-60°, (c) iprofayili yamazinyo engama-70°.
Ukuze kuqinisekiswe uyilo lweblade entsha ye-BJKMC, ithelekiswe neblade efanayo yeDyonics◊ Incisor◊ Plus (Umzobo 5) enentsebenzo efanayo. Kusetyenziswe iintlobo ezintathu ezifanayo zemveliso nganye kuzo zonke iimvavanyo. Zonke iireyiza ezisetyenzisiweyo zintsha kwaye azonakalanga.
Izinto ezichaphazela ukusebenza kwe-razor ziquka ubunzima kunye nobukhulu be-blade, uburhabaxa betyhubhu yesinyithi, kunye neprofayili kunye ne-engile yezinyo. Ukulinganisa ii-contours kunye nee-engile zamazinyo, kukhethwe iprojektha ye-contour enesisombululo se-0.001 mm (Starrett 400 series, Fig. 6). Kwizilingo, iintloko zokucheba zabekwa kwibhentshi yokusebenzela. Linganisa iprofayili yezinyo kunye ne-engile enxulumene nee-crosshair kwisikrini se-projection kwaye usebenzise i-micrometer njengomahluko phakathi kwemigca emibini ukumisela umlinganiselo. Ubungakanani beprofayili yezinyo bokwenyani bufunyanwa ngokwahlulahlula ngokukhulisa injongo ekhethiweyo. Ukulinganisa i-engile yezinyo, lungelelanisa amanqaku azinzileyo kumacala omabini e-engile elinganisiweyo kunye ne-sub-line intersection kwisikrini esiqanduselweyo kwaye usebenzise ii-angle cursors kwitheyibhile ukuze uthathe ukufundwa.
Ngokuphinda olu vavanyo, ubukhulu obuphambili bobude bokusebenza (iityhubhu zangaphakathi nezangaphandle), ububanzi bangaphandle bangaphambili nangasemva, ubude nobubanzi befestile, kunye nokuphakama kwamazinyo kwalinganiswa.
Jonga uburhabaxa bomphezulu nge-pinpener. Incam yesixhobo ishukunyiswa ngokuthe tye ngaphezulu kwesampuli, ijonge kwicala lengqolowa ecutshungulweyo. Uburhabaxa obuqhelekileyo beRa bufumaneka ngqo kwisixhobo. Kumfanekiso 7 ubonisa isixhobo esinenaliti (Mitutoyo SJ-310).
Ubunzima beencakuba zerazor bulinganiswa ngokwe-Vickers hardness test ISO 6507-1:20055. I-diamond indenter icinezelwa kumphezulu wesampuli kangangexesha elithile phantsi kwamandla athile ovavanyo. Emva koko ubude obu-diagonal bokutsalwa bulinganiswa emva kokususwa kwe-indenter. Ubunzima beVickers buhambelana nomlinganiselo wamandla ovavanyo kummandla womphezulu wophawu.
Ubukhulu bodonga lwentloko yokucheba bulinganiswa ngokufaka intloko yebhola esisilinda echanekileyo ye-0.01 mm kunye noluhlu lokulinganisa olumalunga ne-0-200 mm. Ubukhulu bodonga buchazwa njengomahluko phakathi kobubanzi bangaphandle nobangaphakathi besixhobo. Inkqubo yovavanyo yokulinganisa ubukhulu iboniswe kuMfanekiso 8.
Ukusebenza kwesakhiwo se-BJKMC razor kuthelekiswa nokwe-Dyonics◊ razor eneempawu ezifanayo. Idatha yokusebenza kwenxalenye nganye yemveliso ilinganiswa kwaye ithelekiswa. Ngokusekelwe kwidatha yobukhulu, amandla okusika omabini la mveliso aqikelelwa. Zombini ezi mveliso zineempawu ezintle zesakhiwo, uhlalutyo oluthelekisayo lwe-conductivity yombane evela kumacala onke kusafuneka.
Ngokwe-engile experiment, iziphumo ziboniswe kwiTheyibhile 2 kunye neTheyibhile 3. Umahluko phakathi kunye nomgangatho wokuphambuka kwedatha ye-engile yeprofayili kwezi mveliso zimbini zazingahlukanga ngokwezibalo.
Uthelekiso lwezinye iiparameter ezibalulekileyo zeemveliso ezimbini luboniswe kuMfanekiso 9. Ngokuphathelele ububanzi nobude betyhubhu yangaphakathi neyangaphandle, iifestile zetyhubhu yangaphakathi neyangaphandle zeDyonics◊ zinde kwaye zibanzi kancinci kunezo zeBJKMC. Oku kuthetha ukuba iiDyonics◊ zinokuba nendawo enkulu yokusikwa kwaye ityhubhu ayinakwenzeka ukuba ivaleke. Ezi mveliso zimbini azizange zahluke ngokwezibalo kwezinye iinkalo.
Iindawo ze-BJKMC razor ziqhagamshelwe nge-laser welding. Ke ngoko, akukho xinzelelo lwangaphandle kwi-weld. Indawo eza kudityaniswa ayichaphazeleki kuxinzelelo lobushushu okanye kuguquko lobushushu. Indawo yokudityaniswa incinci, ukungena kwayo kukhulu, amandla oomatshini enxalenye yokudityaniswa iphezulu, ukungcangcazela kunamandla, ukumelana nempembelelo kuphezulu. Izinto ezidityaniswe nge-laser zithembeke kakhulu kwi-assembly14,15.
Uburhabaxa bomphezulu buyindlela yokulinganisa ubume bomphezulu. Izinto ezisetyenziswa rhoqo kakhulu kunye namaza amafutshane zomphezulu olinganisiweyo, ezimisela ukusebenzisana phakathi kwento kunye nokusingqongileyo, ziyaqwalaselwa. Umkhono wangaphandle wemela yangaphakathi kunye nomphezulu wangaphakathi wetyhubhu yangaphakathi zezona ndawo ziphambili zokusebenza kwerazor. Ukunciphisa uburhabaxa beendawo ezimbini kunokunciphisa ngempumelelo ukuguguleka kwerazor kwaye kuphucule ukusebenza kwayo.
Uburhabaxa bomphezulu weqokobhe langaphandle, kunye nomphezulu wangaphakathi nowangaphandle weblade yangaphakathi yeetyhubhu ezimbini zesinyithi, zifunyenwe ngovavanyo. Amaxabiso azo aphakathi aboniswe kuMfanekiso 10. Umphezulu wangaphakathi weshedi yangaphandle kunye nomphezulu wangaphandle wemela yangaphakathi zezona ndawo ziphambili zokusebenza. Uburhabaxa bomphezulu wangaphakathi weslabha kunye nomphezulu wangaphandle wemela yangaphakathi ye-BJKMC buphantsi kuneemveliso ezifanayo zeDyonics◊ (inkcazo efanayo). Oku kuthetha ukuba iimveliso ze-BJKMC zinokuba neziphumo ezanelisayo ngokubhekiselele ekusebenzeni kokusika.
Ngokwesi vavanyo sokuqina kweeblade, idatha yovavanyo yamaqela amabini eeblade ze-razor iboniswe kuMfanekiso 11. Uninzi lwee-razor ze-arthroscopic zenziwe ngentsimbi engagqwali ye-austenitic ngenxa yamandla aphezulu, ukuqina kunye nokuguquguquka okufunekayo kwiiblade ze-razor. Nangona kunjalo, iintloko zokucheba ze-BJKMC zenziwe ngentsimbi engagqwali ye-martensitic ye-1RK91. Iintsimbi ezingagqwali ze-Martensitic zinamandla aphezulu kunye nokuqina kuneentsimbi ezingagqwali ze-austenitic17. Izinto zeekhemikhali kwiimveliso ze-BJKMC ziyahlangabezana neemfuno ze-S46910 (ASTM-F899 Surgical Instruments) ngexesha lenkqubo yokubumba. Ezi zinto zivavanyiwe ukuba azinatyhefu kwaye zisetyenziswa kakhulu kwizixhobo zonyango.
Kuyabonakala kwiziphumo zohlalutyo lwezinto ezilinganiselweyo ukuba uxinzelelo lwe-razor lugxile kakhulu kwiprofayili yamazinyo. I-IRK91 yintsimbi engagqwaliyo enamandla aphezulu e-supermartensitic enobunzima obuphezulu kunye namandla okutsalwa kakuhle kubushushu begumbi kunye nobushushu obuphezulu. Amandla okutsalwa kubushushu begumbi anokufikelela ngaphezulu kwe-2000 MPa, kwaye ixabiso eliphezulu loxinzelelo ngokwe-finite element analysis limalunga ne-130 MPa, okukude kakhulu kumda wokuqhekeka kwezinto. Sikholelwa ukuba umngcipheko wokuqhekeka kweblade uncinci kakhulu.
Ubukhulu beblade buchaphazela ngokuthe ngqo amandla okusika kwerazor. Okukhona ubukhulu bodonga buncipha, kokukhona ukusebenza kokusika kungcono. Irazor entsha ye-BJKMC inciphisa ubukhulu bodonga lweebha ezimbini ezijikelezayo ezichaseneyo, kwaye intloko inodonga oluncinci kunezinye ezivela kwiDyonics◊. Iimela ezincinci zinokunyusa amandla okusika encam.
Idatha ekwiTheyibhile 4 ibonisa ukuba ubukhulu bodonga lwe-BJKMC razor elinganiswe ngendlela yokulinganisa ubukhulu bodonga olujikeleziswa ngokucinezelwa buncinci kunobo be-Dyonics◊ razor yenkcazelo efanayo.
Ngokwezilingo zokuthelekisa, i-BJKMC arthroscopic razor entsha ayibonisanga mahluko acacileyo kuyilo oluvela kwimodeli efanayo yeDyonics◊. Xa kuthelekiswa neeDyonics◊ Incisor◊ Plus inserts ngokweempawu zezinto ezibonakalayo, ii-BJKMC double tooth inserts zinomphezulu osebenzayo ogudileyo kunye nencam eqinileyo nencinci. Ke ngoko, iimveliso zeBJKMC zinokusebenza ngokwanelisayo kutyando. Olu phononongo lwenzelwe kwangaphambili kwaye ukusebenza okuthile kufuneka kuvavanywe kwiimvavanyo ezilandelayo.
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Olu phononongo aluzange lufumane inkxaso-mali ethile kuyo nayiphi na i-arhente yokuxhasa ngemali kumacandelo karhulumente, ezorhwebo, okanye angenzi nzuzo.
Isikolo seZixhobo zonyango kunye noBunjineli boKutya, iYunivesithi yeTekhnoloji yaseShanghai, uNombolo 516, iYungong Road, eShanghai, kwiRiphabliki yabantu baseTshayina, ngo-2000 93
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