海口污水处理厂伸缩缝堵漏加固及池壁抗渗防腐蚀修复方案和工程预算

1BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyiLabTM操作流程及临床应用波士顿科学公司2013-12-242BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally目录•iLabTM设备及相关耗材•AtlantisSRPro超声导管连接•常规手术界面操作步骤•iLabTM在PCI的应用3BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyiLabTM设备及相关耗材•主机•MDU（驱动马达）•超声导管•一次性滑板4BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally超声导管连接•超声导管包装内包含：超声导管，延长管，注射针管3ml及10ml，驱动马达的无菌套•将显像核心轴完全收回到Telescoping鞘内(如箭头所示)；•连接几个导管部件。5BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally超声导管连接•将包装内取出的3毫升和10毫升的注射器充满肝素生理盐水并完全排气；•术中超声导管使用前后，均用3毫升注射器向显像导管内注肝素生理盐水两次。6BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally超声导管连接•将MDU马达装在随每个IVUS导管提供的无菌袋中,然后将MDU马达连接到一次性马达拖板上；•马达就位良好，其上方的显示屏会显示数字。7BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally超声导管连接•在测验马达可以正常回撤时，可按住马达上的“RELEASE”键手动在拖板上前后推移马达；•切忌在拖板上不按键蛮力推动马达，这样极易损坏马达。8BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally超声导管连接•将导管与马达连接，把超声导管近端固定在拖板的卡槽上；•术前将马达推到滑板左侧，按“RESET”键清零。9BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally常规手术界面操作步骤开关机流程建立新病例病例存档10BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally开机建立新病例•连接电源，打开总开关11BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally开机建立新病例12BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally采集片段、Review片段•1）Imaging显像2）PullbackRecord自动回撤3）ImageReview回顾。•a）显像后，b）manualRecord键，请台上术者按着马达上的c）Release键手动回撤。13BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally简单读图和测量•利用LongView，Bookmark，DynamicReview，TraceAssistant等功能，实现病变位置确认、Lumen/VesselCSA测量、病变性质说明、斑块负荷以及狭窄率的测量。14BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally简单读图和测量•利用LongView看长轴（右图），Bookmark做标记，DynamicReview动态显示该截面，通过声影强弱判断病变性质。15BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally简单读图和测量•利用TraceAssistant自动获得截面积描绘，数字显示管腔面积大小和最大最小直，利用DynamicReiew功能观察边界，手动修改，完成Lumen/VesselCSA测量、斑块负荷以及狭窄率的测量。16BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally保存病例•回撤片段Review，病变评估及测量后，在触控面板上完成存档工作。17BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally视频图片格式导出•完成病变评估后，需要将片段以JPEG,BMP,WMV格式导出储存方式，CD，DVD，移动硬盘18BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally退出系统•关机流程注意：绝不允许不走关机流程直接关电源，这对机器损伤极大。19BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyiLab指导日常PCI20BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally第1步：分析造影结果，确定“路标”D2D121BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternally第2步：测量MLAD2D2MLA2.1mm222BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyD2MLADistalreferenceProximalreference第3步：测量血管直径测量血管大小，决定支架直径23BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyProximalreferenceMLAsiteDistalreference2.6mm2.3mm“支架直径2.5mm?”第3步：测量血管直径24BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyD2根据“正常至正常”的原则，决定支架长度MLA第4步：测量病变长度25BostonScientificConfidential--ForInternalUseOnly.DoNotCopy,DisplayorDistributeExternallyMSA=4.2mm2???Pre-InterventionPost-Stent第5步：PCI后确定MSA