๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ๏ผๆฌ็ฏ๏ผ
้ (NEEDLES)
- ็ธซ็ทๆๆ็จฎ้ก็นๅค๏ผๆไฝ็นๆงใ็ต็นๅๆๆง (tissue reactivity)ใๅธๆถ็นๆง่ๆๆฌๅ็ฐใ้ (needle) ๅฐ็ๆณๆ่ก็ตๆ็้่ฆๆงๅฏ่ฝ่็ธซ็ทๆๆๆฌ่บซ็ธ็ถใ็่ณๆด้ซ๏ผ้ไพ่ฃฝ้ ๅใ็่ณไพ็ธซ็ทๆๆ่ไธๅ๏ผ้ธ็จๆ้ฉ้่ณ้้่ฆใๅณไฝฟๆ็็ทด็่ก่ ๏ผ่ฅๅจๆขฐๆ้ธ้ๆ็ผบ้ท๏ผ่กจ็พไนๆไธๅฆ็ๆณใ
- ๅคๆธ็จๆผ็ฎ่่่ป็ต็น้ๅปบ็้็บ 3/8 ๅผงๅฝข (3/8 circle)ใๅๅๅๅฒๅ (reverse cutting)๏ผFig. 6-1๏ผ๏ผไฝๆ้่ฆไพๅค๏ผๅๅๅฝข P-2 ้ๅฏ็จๆผ็น็ช็ธซๅ๏ผๅฆ้ผป้จ๏ผ๏ผๅๅฒ้ (cutting needle)๏ผ้ณ็ทฃไฝๆผๅผงๅ งๅด๏ผๅฐ้ผป้จ้ๅปบๆ็จ๏ผๅ ๅๅๅๅฒ้่กจๆทบ่ตฐ่ก็ๅค็ทฃๅฏ่ฝๅฒๅท่่่็ธฎ็็็ฎ (atrophic dermis)ใ
- ็ฎ่ๆ่ก็จ็ธซ็ทๅ ฉๅคง่ฃฝ้ ๅ็บ Ethicon ่ Covidien๏ผๅฆๆ่จฑๅคๅ ฌๅธไบฆ็็ข้ซๅ่ณช็ขๅใ็ธซ็ทๅฐบๅฏธ็ฑ USP ่ฆ็ฏ๏ผ้ถ่ถๅคใ็ธซ็ท่ถ็ดฐ๏ผ๏ผไฝ้็ๅฐบๅฏธ่ๆงๅๅค็บๅๅฎถๅฐๆ๏ผ่ก่ ้ ็ๆๅ่ฃฝ้ ๅ็้ๅใ็ธซ็ทๅ ่ฃๅซ้็ๆฉซๆท้ขๅ๏ผๅฏไพ่ทจๅป ๆฏ่ผใ
- ๆณจๆ๏ผCovidien๏ผ้คๅฎ็ถฒๅค๏ผไธๅฐๅ ถ้็จฑ็บ reverse cutting๏ผๅฎๅฐ cutting ้ๆจ็บ conventional cutting๏ผๅฐ reverse cutting ้ๆจ็บ cuttingใ่จฑๅค็ธซ็ทๅ่่้็็ตๅๅ ๆๆ้็ๆๅๅฏ้ธใ
- ๅๅฒ้่ๅๅๅๅฒ้้ๅฐ็บไธ่งๅฝข๏ผๅๅฒ็ซฏๆนๅ็ฑ็ไธไธ่งๅฝขๆๅๅคๅฎ๏ผๆไธ็บๅๅฒ (cutting)ใๆไธ็บๅๅๅๅฒ (reverse cutting)ใ
- ่ฃฝ้ๆๆๅๅฎถๅทฎ็ฐๅคง๏ผไฝฟ็จๅฐๆๅ้ (proprietary alloys) ไปฅๆๅคงๅๅผทๅบฆ่่็จๅบฆใEthicon ่ Covidien ็ขๅๆๅธธ็จๆผ็ฎ่่่ป็ต็น้ๅปบ๏ผไฝๅ ถไปไฟก่ญฝ่ฏๅฅฝๅ ฌๅธไบฆ่ฃฝ้ ็ธซ็ท๏ผๅไบบๅๅฅฝๅทฎ็ฐ็ๅคงใ
ๅ 6-1๏ผ็ธซๅ้ (The suture needle)ใ