Perclose血管缝合器使用过程中常见问题及解决方法课件

,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,ProGlide Troubleshooting,April 2007,LT2925875,*,Company Confidential 2007 Abbott Laboratories,Perclose ProGlide,使用过程中常见问题及解决方法,Perclose ProGlide使用过程中常见问题及解决,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,内容,最常见的,5,种操作失败状况,解决办法,减少失败的注意事项,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,最常见的失败状况,连接失败,长针连接失败,短针连接失败,白色连接线断裂,鞘发生扭曲打折,蓝色缝线断裂,标记腔（透明塑料管）无喷血或血流不足,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,连接失败,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,连接失败是最常见的失败现象,只有长针短针都与其相对应的连接口对接后，才会使带有线结的缝线穿过穿刺口两端的正常组织,短针尖端,短针连接口,Rail Suture,长针,长针连接口,白色连接线,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,缝线的路径,Device prior to deployment,操作前状态,Device deployed,suture in place,操作后状态,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,打针前的状态,Device prior to deployment.,操作前状态,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,开脚后的状态,Foot deployed.,开脚,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,打针时的状态,Depressing the plunger.,打针,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,长短针与连接口连接,Needles engage cuffs within foot.,针脚连接,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,拔针时的最初状态,Plunger withdrawal begins.,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,拔针时的绷紧时状态,Plunger removed from device.,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,线脚收回时的状态,Lever is down,Foot is parked.,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,缝合器完全撤出股动脉的状态,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,连接失败,The tip(s)of the Needle(s)did not make contactwith Cuff(s).,针不能与线脚中的接口对接,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,连接失败的外观,长针脱扣；空针状态,白色连接线,连接口,短针脱扣；长针连接,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,连接失败后的解决办法,解决办法,退出缝合器,换新的缝合器,如果确认穿刺部位血管钙化明显，无必要换新的缝合器，改手压,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,降低连接失败的关键步骤,打针时，左手扶稳缝合器至关重要,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,连接线断裂,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,连接线断裂,-,第二个常见的失败现象,连接线断裂,:,连接口与针尖相连,无蓝色缝线相连,可以看到连接线的断裂处,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,引起断裂的原因,连接线已经断裂,其他原因,:,推进力量过大,操作快速顿挫现象,周围出现尖刺，造成缝合线的损伤,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,连接线断裂时的处理方法,具体方法,退出缝合器,更换新的缝合器,改进办法,拔针的最初阶段忌用力过猛,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,鞘的扭曲打折,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,鞘打折,野蛮推进缝合器,肥胖的病人,病人穿刺周围瘢痕组织明显,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,打折后的处理办法；减少打折的措施,处理办法,退出缝合器,换新的缝合器,如果确认穿刺部位血管钙化明显，无必要换新的缝合器，改手压,减少打折的措施,采用右手稳定缝合器，左手推进的方法,忌用力推送,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,蓝色缝线断裂,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,蓝色缝线断裂,缝线,:,线本身的问题,牵拉时张力过大,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,处理办法,处理方法,缝合器未完全撤出,更换新的缝合器,缝合器撤出,手压,预防措施,S.C.I.T.,(Slow,constant,increasing tension),ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratories,标记腔不出血,/,血流缓慢,ProGlide TroubleshootingCompan,ProGlide Troubleshooting,April 2007,LT2925875,Company Confidential 2007 Abbott Laboratorie