IVUS操作课件.pptx

1、1Boston Scientific Confidential - For Internal Use Only. Do Not Copy, Display or Distribute Externally iLabTM操作流程及临床应用波士顿科学公司2013-12-242Boston Scientific Confidential - For Internal Use Only. Do Not Copy, Display or Distribute Externally 目录 iLabTM设备及相关耗材 Atlantis SR Pro超声导管连接 常规手术界面操作步骤 iLabTM在PCI的应

2、用3Boston Scientific Confidential - For Internal Use Only. Do Not Copy, Display or Distribute Externally iLabTM设备及相关耗材 主机 MDU（驱动马达） 超声导管 一次性滑板4Boston Scientific Confidential - For Internal Use Only. Do Not Copy, Display or Distribute Externally 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，驱动马达的无菌套驱动马达的无菌套

3、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。5Boston Scientific Confidential - For Internal Use Only. Do Not Copy, Display or Distribute Externally 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。6Boston Scientific Confidential - For Internal Use Only. Do Not Copy, Display o

4、r Distribute Externally 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。7Boston Scientific Confidential - For Internal Use Only. Do Not Copy, Display or Distribute Externally 超声导管连接 在测验马达可以正常回撤时，可按住马达按住马达上的上的“RELEASE”键键手动在拖板上前后推移马达； 切忌切忌在在拖板拖板上上不按键蛮力不按键蛮力推动马达推动马达，这样极易，这样极易损坏

5、马达损坏马达。8Boston Scientific Confidential - For Internal Use Only. Do Not Copy, Display or Distribute Externally 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。9Boston Scientific Confidential - For Internal Use Only. Do Not Copy, Display or Distribute Externally 常规手术界面操作步骤开关机流程建立新病例病例存档10Bos

6、ton Scientific Confidential - For Internal Use Only. Do Not Copy, Display or Distribute Externally 开机建立新病例 连接电源，打开总开关11Boston Scientific Confidential - For Internal Use Only. Do Not Copy, Display or Distribute Externally 开机建立新病例12Boston Scientific Confidential - For Internal Use Only. Do Not Copy, D

7、isplay or Distribute Externally 采集片段、Review片段 1）Imaging显像2）Pullback Record自动回撤3）Image Review回顾。 a）显像后，b）manual Record键，请台上术者按着马达上的c）Release键手动回撤。13Boston Scientific Confidential - For Internal Use Only. Do Not Copy, Display or Distribute Externally 简单读图和测量 利用LongView，Bookmark，Dynamic Review，Trace As

8、sistant等功能，实现病变位置确认、Lumen/Vessel CSA测量、病变性质说明、斑块负荷以及狭窄率的测量。14Boston Scientific Confidential - For Internal Use Only. Do Not Copy, Display or Distribute Externally 简单读图和测量 利用LongView看长轴（右图），Bookmark做标记，Dynamic Review动态显示该截面，通过声影强弱判断病变性质。15Boston Scientific Confidential - For Internal Use Only. Do Not

9、 Copy, Display or Distribute Externally 简单读图和测量 利用Trace Assistant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/Vessel CSA测量、斑块负荷以及狭窄率的测量。16Boston Scientific Confidential - For Internal Use Only. Do Not Copy, Display or Distribute Externally 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。17Bos

10、ton Scientific Confidential - For Internal Use Only. Do Not Copy, Display or Distribute Externally 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18Boston Scientific Confidential - For Internal Use Only. Do Not Copy, Display or Distribute Externally 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。19B

11、oston Scientific Confidential - For Internal Use Only. Do Not Copy, Display or Distribute Externally iLab指导日常PCI20Boston Scientific Confidential - For Internal Use Only. Do Not Copy, Display or Distribute Externally D2D121Boston Scientific Confidential - For Internal Use Only. Do Not Copy, Display o

12、r Distribute Externally D2D222Boston Scientific Confidential - For Internal Use Only. Do Not Copy, Display or Distribute Externally D223Boston Scientific Confidential - For Internal Use Only. Do Not Copy, Display or Distribute Externally 24Boston Scientific Confidential - For Internal Use Only. Do Not Copy, Display or Distribute Externally D225Boston Scientific Confidential - For Internal Use Only. Do Not Copy, Display or Distribute Externally MSA=4.2mm2 ?Pre-InterventionPost-Stent