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| Package detail: | Poly bag and special shockproof paper box. |
| Delivery detail: | By air |
FAQ
The main difference between micro-laparoscopic surgical instruments and traditional laparoscopic instruments is their size and application range. Micro-laparoscopic instruments usually have a smaller diameter, such as 2mm or less, while the diameter of traditional laparoscopic instruments is generally 5mm or 10mm. This miniaturized design allows micro-laparoscopic instruments to enter the abdominal cavity through a smaller incision, thereby reducing the patient's trauma and postoperative recovery time.
In addition, the application of micro-laparoscopic instruments has also brought about changes in the surgical field of view. Due to the small diameter, the surgical field of the micro-laparoscopy is relatively small, which may cause inconvenience to the surgical operation in some cases. However, with the advancement of technology, modern micro-laparoscopic instruments have been able to be equipped with high-quality cameras and flexible surgical tools, such as grasping forceps, scissors, etc., to meet a variety of surgical needs.
The difference between micro-laparoscopic surgical instruments and traditional laparoscopic instruments is mainly reflected in size, degree of trauma and postoperative recovery. Micro-laparoscopic instruments perform surgery through smaller incisions, reducing patient trauma and postoperative scars, but their surgical field of view is relatively small, and more technical adaptation and experience accumulation may be required.
The latest technological advances in micro-laparoscopic surgical instruments are mainly concentrated in the following aspects:
Enhanced grip: The 3 mm micro-laparoscopic instruments currently on the market have insufficient grip, which is not conducive to delicate surgical operations. Therefore, it is urgent to design and develop micro-laparoscopic operating instruments with more stable performance and stronger grip.
Revolutionary traction technology: The MicroAnchoring technology launched by Virtual-Ports has been approved for marketing by CE. This technology can significantly improve visibility in the surgical space and completely change abdominal surgery.
Miniaturization and portability: The mira® platform is the first micro-robot for laparoscopic surgery, weighing only 900 grams, which is nearly 1,000 times lighter than existing large surgical robots. This portable surgical robot does not require dedicated space or infrastructure and can perform complex minimally invasive single-incision multi-quadrant abdominal surgeries.
Integrated fluorescence imaging system: CMR Surgical has launched the VersiusPlus surgical robot, which integrates the vLimeLite imaging system to provide surgeons with enhanced visualization capabilities.
Application of deep learning technology: Some minimally invasive surgical instruments use deep learning technology to improve surgical precision and efficiency.
Combination of 5G and artificial intelligence: With the development of 5G communication and artificial intelligence technology, laparoscopic surgical robots are constantly progressing in the direction of miniaturization, non-invasiveness, remoteness, and intelligence.
The specific comparative data on postoperative recovery time between micro-laparoscopy and traditional laparoscope are as follows:
Traditional laparoscopic surgery:
Postoperative recovery time: Patients usually need about a week to be discharged from the hospital, and at least 2 weeks to resume basic activities.
Recovery period: Minor surgeries can be discharged from the hospital 3 days after surgery, and the recovery period is 1-3 months; more complex surgeries may require hospitalization for 1-2 weeks after surgery, and full recovery takes 3-6 months.
Mini-laparoscopic surgery (single-port laparoscopy):
Postoperative recovery time: You can move around 6 hours after surgery and be discharged 1-2 days after surgery.
Specific case: The postoperative anal gas discharge time of mini-laparoscopic treatment of adhesive intestinal obstruction in children is 12 to 28 hours (average 22 hours), and eating starts on the second day after surgery, and you can be discharged after 3 to 5 days.
The postoperative recovery time of mini-laparoscopic surgery (such as single-port laparoscopy) is significantly shorter than that of traditional laparoscopic surgery.
The application scope and limitations of mini-laparoscopic surgical instruments in different types of surgery are as follows:
Application scope
Neonatal surgery: Mini-laparoscopic surgical instruments have been used in neonatal surgery, such as the treatment of congenital megacolon and high anorectal malformation. These surgeries have changed from traditional multiple staged laparotomies to a single laparoscopic surgery in the neonatal period.
Gynecological surgery: Micro-laparoscopic surgical instruments are also widely used in gynecological surgery, including endoscopy, laparoscopy and robot-assisted surgery.
Urological surgery: Laparoscopic surgery has become one of the most successful branches of minimally invasive surgery and is widely used in the field of urology.
Other surgeries: Micro-laparoscopic surgical instruments are also used in various types of minimally invasive surgeries such as thyroid surgery and arthroscopy.
Limitations
Limited operating space: The operating space of single-port laparoscopic surgical instruments in the body is limited, which makes it easy for instruments to interfere with each other, affecting the operator's judgment of depth and distance, causing difficulties in surgical operations.
Insufficient force feedback and flexibility: Although surgical robot micro-instruments can partially solve the above problems, there are still limitations of lack of necessary force feedback and flexibility.
Concentrated instrument insertion site: Single-port laparoscopic surgery is difficult to form an operating triangle due to the relatively concentrated instrument insertion site, resulting in interference between instruments, affecting the operation and surgical field of view.
High technical standards: Micro-laparoscopic surgical instruments need to meet top hygiene and application technical standards, which puts higher requirements on the technical level of hospitals and surgeons.
Regarding the cost-effectiveness analysis of micro-laparoscopic surgical instruments, there are several studies and cases for reference:
Comparison of laparoscopic surgery with conventional open surgery: Studies have shown that laparoscopic surgery has advantages in safety, length of hospital stay and cost-effectiveness. For example, Li Zi's study pointed out that no intraoperative deaths occurred in all studies, and included a comparison of conventional micro-laparoscopic surgery with laparoscopic puncture.
Cost-effectiveness of robot-assisted surgery: Although the cost of robot-assisted surgery is high, its precision and flexibility significantly reduce surgical risks and postoperative recovery time, thereby reducing the economic expenditure of patients. For example, the "Da Vinci Robotic Surgery Blue Book" released by Beijing United Family Hospital shows that Da Vinci surgery has small wounds, less blood loss, fast postoperative recovery, and significantly reduced risk of complications, which can reduce patients' economic expenditure and maximize overall benefits.
Comparison of laparoscopic surgery with open surgery: A study compared the cost-effectiveness of laparoscopic surgery and open surgery for the treatment of pediatric hernia. The results showed that although laparoscopic surgery is more expensive, it brings greater benefits and should be used as the preferred surgical method for treating pediatric hernias.
Minimally invasive platforms for colorectal surgery: The study compared the clinical outcomes and cost-effectiveness of laparoscopic and robotic colorectal surgery. The results showed that the minimally invasive platform allowed for smaller incisions, shorter hospital stays, less postoperative pain, and a faster return to normal activities.
Cost analysis of laparoscopic unilateral inguinal hernia repair: A comprehensive cost analysis compared robot-assisted inguinal hernia repair with laparoscopic repair. The results showed that the cost-effectiveness of robot-assisted surgery remains debatable and there is no obvious clinical benefit.
Improving the surgical field of view and operating efficiency of micro-laparoscopic surgical instruments can start from the following aspects:
Automatic adjustment of the laparoscopic field of view: The automatic adjustment method of the laparoscopic field of view based on the blind hole characteristics of the surgical micro-instrument can provide doctors with the best surgical field of view. This method combines the laparoscopic imaging coordinate system, the camera coordinate system, and the coordinate system of each joint of the mirror holding arm, which can effectively reduce the doctor's surgical pressure and improve surgical efficiency.
Use horizontal micro-magnetic anchoring laparoscope: This design uses the "suspension method" to achieve a non-motor-driven 30° inclination angle, which can obtain the target field of view without interfering with the operation of the same-stamped laparoscopic instrument. This method can improve the minimally invasiveness and operability of single-port laparoscopic surgery.
Unmarked surgical instrument visual tracking: Through the multi-instance segmentation model built based on the LinkNet network, the different parts of the surgical instrument in the laparoscope field of view are quickly extracted, and the surgical instrument joints are used as tracking targets, combined with laparoscopes for real-time tracking. This method can improve the positioning accuracy and operating efficiency of surgical instruments.
Master-slave control technology: In robot-assisted minimally invasive surgery, the use of master-slave control technology can save the operating space of surgical instruments and improve surgical efficiency. This force feedback method not only improves the flexibility of operation, but also reduces the workload of doctors.
Reduce the number of instruments: In single-port laparoscopic surgery, by reducing the number of instruments placed through the umbilical single port, the problem of instrument crowding can be alleviated, thereby improving the flexibility, efficiency and safety of the surgery.
Miniaturized surgical robots: The development and application of miniaturized surgical robots, such as the MIRA portable single-port robot, can provide a full-quadrant multi-channel treatment mode in operations such as colectomy, reduce surgical trauma, shorten recovery time, and is expected to be widely used in laparoscopic surgery in the future.
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Company Name: Tonglu Wanhe Medical Instruments Co., Ltd.
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