Mailei Polypectomy e Fa'aaoga e Leai se Mea — Endoscopic Polyp Resection Loop mo le Polypectomy Vevela ma le Malulu
Mailei Polypectomy e Fa'aaoga e Leai se Mea — Endoscopic Polyp Resection Loop mo le Polypectomy Vevela ma le Malulu
Fa'amatalaga o le oloa
1. O se li'o mo fa'asologa uma o manu'a
2. O se uaea manifinifi e lava lona malosi e tipi ai, ma e lava lona malosi e uu ai. I le 0.30 mm (0.012 inisi)
3. Malulu pe vevela, i luga o le fata e tasi.
4. Ua fa'amamāina i le EO i totonu o se taga e mafai ona sae ese ta'itasi, e tolu tausaga le umi e teu ai — leai se toe fa'agasologa o le fa'agasologa, leai se fa'atali se'ia mae'a ona tu'uina atu.
5. Ufiufi pito i fafo o le PTFE e fa'amafanafana ai.
6. Foliga Fa'ata'amilosaga: Hexagonal, Oval, Crescente
Talosaga:
✅ Fa'aoga Autū:
O se mailei endoscopic e fa'aaoga tasi mo le aveeseina ma/po'o le susunuina o polyps laiti, sessile, ma pedunculated i totonu o le auala gastrointestinal - malulu pe vevela.
●La'ititi (≤ 5 mm) — mailei malulu, matasele 10–15 mm, fa'alava fa'amekanika, leai se sosolo fa'avevela.
●La'ititi le nofo mau (6–10 mm) — malulu pe vevela, 15–20 mm le lautele o le matasele, mafolafola le tulaga o le nofoa.
●E iai ona pedunculated — mailei vevela, matasele 20–27 mm, o le nofoa loloto o le au e tipi ma fa'aputu.
●O le mailei e tele atu ona mautu/mafolafola — o le mailei vevela, o le matasele e 25–33 mm le umi, o se ufi e fa'amafanafana ai.
●EMR adjunct — si'i ma tipi pe a uma ona tui, tipi atoa pe tipi vaega.
Fa'amatalaga
| Leai. | FA'ATA'ITA'IGA | FA'AMATALAGA | Lapo'a o le Li'o D（mm） | Umi o le Galuega L±10%（mm） | Alavai Maualalo Lapo'a d±0.1（mm） | Galuega fa'ata'amilo |
| 1 | OVAL（RA） | ZRH-RA-1812-10 | 10 | 1200 | Ø1.8 | leai se tasi |
| 2 | ZRH-RA-1812-15 | 15 | 1200 | Ø1.8 | leai se tasi | |
| 3 | ZRH-RA-1812-20 | 20 | 1200 | Ø1.8 | leai se tasi | |
| 4 | ZRH-RA-1812-25 | 25 | 1200 | Ø1.8 | leai se tasi | |
| 5 | ZRH-RA-1812-30 | 30 | 1200 | Ø1.8 | leai se tasi | |
| 6 | ZRH-RA-1812-35 | 35 | 1200 | Ø1.8 | leai se tasi | |
| 7 | ZRH-RA-1816-10 | 10 | 1600 | Ø1.8 | leai se tasi | |
| 8 | ZRH-RA-1816-15 | 15 | 1600 | Ø1.8 | leai se tasi | |
| 9 | ZRH-RA-1816-20 | 20 | 1600 | Ø1.8 | leai se tasi | |
| 10 | ZRH-RA-1816-25 | 25 | 1600 | Ø1.8 | leai se tasi | |
| 11 | ZRH-RA-1816-30 | 30 | 1600 | Ø1.8 | leai se tasi | |
| 12 | ZRH-RA-1816-35 | 35 | 1600 | Ø1.8 | leai se tasi | |
| 13 | ZRH-RA-2418-10 | 10 | 1800 | Ø2.4 | leai se tasi | |
| 14 | ZRH-RA-2418-15 | 15 | 1800 | Ø2.4 | leai se tasi | |
| 15 | ZRH-RA-2418-20 | 20 | 1800 | Ø2.4 | leai se tasi | |
| 16 | ZRH-RA-2418-25 | 25 | 1800 | Ø2.4 | leai se tasi | |
| 17 | ZRH-RA-2418-30 | 30 | 1800 | Ø2.4 | leai se tasi | |
| 18 | ZRH-RA-2418-35 | 35 | 1800 | Ø2.4 | leai se tasi | |
| 19 | ZRH-RA-2423-10 | 10 | 2300 | Ø2.4 | leai se tasi | |
| 20 | ZRH-RA-2423-15 | 15 | 2300 | Ø2.4 | leai se tasi | |
| 21 | ZRH-RA-2423-20 | 20 | 2300 | Ø2.4 | leai se tasi | |
| 22 | ZRH-RA-2423-25 | 25 | 2300 | Ø2.4 | leai se tasi | |
| 23 | ZRH-RA-2423-30 | 30 | 2300 | Ø2.4 | leai se tasi | |
| 24 | ZRH-RA-2423-35 | 35 | 2300 | Ø2.4 | leai se tasi | |
| 25 | Hexagon (RB) | ZRH-RB-1812-10 | 10 | 1200 | Ø1.8 | leai se tasi |
| 26 | ZRH-RB-1812-15 | 15 | 1200 | Ø1.8 | leai se tasi | |
| 27 | ZRH-RB-1812-20 | 20 | 1200 | Ø1.8 | leai se tasi | |
| 28 | ZRH-RB-1812-25 | 25 | 1200 | Ø1.8 | leai se tasi | |
| 29 | ZRH-RB-1812-30 | 30 | 1200 | Ø1.8 | leai se tasi | |
| 30 | ZRH-RB-1812-35 | 35 | 1200 | Ø1.8 | leai se tasi | |
| 31 | ZRH-RB-1816-10 | 10 | 1600 | Ø1.8 | leai se tasi | |
| 32 | ZRH-RB-1816-15 | 15 | 1600 | Ø1.8 | leai se tasi | |
| 33 | ZRH-RB-1816-20 | 20 | 1600 | Ø1.8 | leai se tasi | |
| 34 | ZRH-RB-1816-25 | 25 | 1600 | Ø1.8 | leai se tasi | |
| 35 | ZRH-RB-1816-30 | 30 | 1600 | Ø1.8 | leai se tasi | |
| 36 | ZRH-RB-1816-35 | 35 | 1600 | Ø1.8 | leai se tasi | |
| 37 | ZRH-RB-2418-10 | 10 | 1800 | Ø2.4 | leai se tasi | |
| 38 | ZRH-RB-2418-15 | 15 | 1800 | Ø2.4 | leai se tasi | |
| 39 | ZRH-RB-2418-20 | 20 | 1800 | Ø2.4 | leai se tasi | |
| 40 | ZRH-RB-2418-25 | 25 | 1800 | Ø2.4 | leai se tasi | |
| 41 | ZRH-RB-2418-30 | 30 | 1800 | Ø2.4 | leai se tasi | |
| 42 | ZRH-RB-2418-35 | 35 | 1800 | Ø2.4 | leai se tasi | |
| 43 | ZRH-RB-2423-10 | 10 | 2300 | Ø2.4 | leai se tasi | |
| 44 | ZRH-RB-2423-15 | 15 | 2300 | Ø2.4 | leai se tasi | |
| 45 | ZRH-RB-2423-20 | 20 | 2300 | Ø2.4 | leai se tasi | |
| 46 | ZRH-RB-2423-25 | 25 | 2300 | Ø2.4 | leai se tasi | |
| 47 | ZRH-RB-2423-30 | 30 | 2300 | Ø2.4 | leai se tasi | |
| 48 | ZRH-RB-2423-35 | 35 | 2300 | Ø2.4 | leai se tasi | |
| 49 | Crescent (RC) | ZRH-RC-1812-10 | 10 | 1200 | Ø1.8 | leai se tasi |
| 50 | ZRH-RC-1812-15 | 15 | 1200 | Ø1.8 | leai se tasi | |
| 51 | ZRH-RC-1812-20 | 20 | 1200 | Ø1.8 | leai se tasi | |
| 52 | ZRH-RC-1812-25 | 25 | 1200 | Ø1.8 | leai se tasi | |
| 53 | ZRH-RC-1812-30 | 30 | 1200 | Ø1.8 | leai se tasi | |
| 54 | ZRH-RC-1812-35 | 35 | 1200 | Ø1.8 | leai se tasi | |
| 55 | ZRH-RC-1816-10 | 10 | 1600 | Ø1.8 | leai se tasi | |
| 56 | ZRH-RC-1816-15 | 15 | 1600 | Ø1.8 | leai se tasi | |
| 57 | ZRH-RC-1816-20 | 20 | 1600 | Ø1.8 | leai se tasi | |
| 58 | ZRH-RC-1816-25 | 25 | 1600 | Ø1.8 | leai se tasi | |
| 59 | ZRH-RC-1816-30 | 30 | 1600 | Ø1.8 | leai se tasi | |
| 60 | ZRH-RC-1816-35 | 35 | 1600 | Ø1.8 | leai se tasi | |
| 61 | ZRH-RC-2418-10 | 10 | 1800 | Ø2.4 | leai se tasi | |
| 62 | ZRH-RC-2418-15 | 15 | 1800 | Ø2.4 | leai se tasi | |
| 63 | ZRH-RC-2418-20 | 20 | 1800 | Ø2.4 | leai se tasi | |
| 64 | ZRH-RC-2418-25 | 25 | 1800 | Ø2.4 | leai se tasi | |
| 65 | ZRH-RC-2418-30 | 30 | 1800 | Ø2.4 | leai se tasi | |
| 66 | ZRH-RC-2418-35 | 35 | 1800 | Ø2.4 | leai se tasi | |
| 67 | ZRH-RC-2423-10 | 10 | 2300 | Ø2.4 | leai se tasi | |
| 68 | ZRH-RC-2423-15 | 15 | 2300 | Ø2.4 | leai se tasi | |
| 69 | ZRH-RC-2423-20 | 20 | 2300 | Ø2.4 | leai se tasi | |
| 70 | ZRH-RC-2423-25 | 25 | 2300 | Ø2.4 | leai se tasi | |
| 71 | ZRH-RC-2423-30 | 30 | 2300 | Ø2.4 | leai se tasi | |
| 72 | ZRH-RC-2423-35 | 35 | 2300 | Ø2.4 | leai se tasi | |
| 73 | Crescent (RCR) | ZRH-RC-1812-10-R | 10 | 1200 | Ø1.8 | ioe |
| 74 | ZRH-RC-1812-15-R | 15 | 1200 | Ø1.8 | ioe | |
| 75 | ZRH-RC-1812-20-R | 20 | 1200 | Ø1.8 | ioe | |
| 76 | ZRH-RC-1812-25-R | 25 | 1200 | Ø1.8 | ioe | |
| 77 | ZRH-RC-1812-30-R | 30 | 1200 | Ø1.8 | ioe | |
| 78 | ZRH-RC-1812-35-R | 35 | 1200 | Ø1.8 | ioe | |
| 79 | ZRH-RC-1816-10-R | 10 | 1600 | Ø1.8 | ioe | |
| 80 | ZRH-RC-1816-15-R | 15 | 1600 | Ø1.8 | ioe | |
| 81 | ZRH-RC-1816-20-R | 20 | 1600 | Ø1.8 | ioe | |
| 82 | ZRH-RC-1816-25-R | 25 | 1600 | Ø1.8 | ioe | |
| 83 | ZRH-RC-1816-30-R | 30 | 1600 | Ø1.8 | ioe | |
| 84 | ZRH-RC-1816-35-R | 35 | 1600 | Ø1.8 | ioe | |
| 85 | ZRH-RC-2418-10-R | 10 | 1800 | Ø2.4 | ioe | |
| 86 | ZRH-RC-2418-15-R | 15 | 1800 | Ø2.4 | ioe | |
| 87 | ZRH-RC-2418-20-R | 20 | 1800 | Ø2.4 | ioe | |
| 88 | ZRH-RC-2418-25-R | 25 | 1800 | Ø2.4 | ioe | |
| 89 | ZRH-RC-2418-30-R | 30 | 1800 | Ø2.4 | ioe | |
| 90 | ZRH-RC-2418-35-R | 35 | 1800 | Ø2.4 | ioe | |
| 91 | ZRH-RC-2423-10-R | 10 | 2300 | Ø2.4 | ioe | |
| 92 | ZRH-RC-2423-15-R | 15 | 2300 | Ø2.4 | ioe | |
| 93 | ZRH-RC-2423-20-R | 20 | 2300 | Ø2.4 | ioe | |
| 94 | ZRH-RC-2423-25-R | 25 | 2300 | Ø2.4 | ioe | |
| 95 | ZRH-RC-2423-30-R | 30 | 2300 | Ø2.4 | ioe | |
| 96 | ZRH-RC-2423-35-R | 35 | 2300 | Ø2.4 | ioe | |
| 97 | OVAL（RAR） | ZRH-RA-1812-10-R | 10 | 1200 | Ø1.8 | ioe |
| 98 | ZRH-RA-1812-15-R | 15 | 1200 | Ø1.8 | ioe | |
| 99 | ZRH-RA-1812-20-R | 20 | 1200 | Ø1.8 | ioe | |
| 100 | ZRH-RA-1812-25-R | 25 | 1200 | Ø1.8 | ioe | |
| 101 | ZRH-RA-1812-30-R | 30 | 1200 | Ø1.8 | ioe | |
| 102 | ZRH-RA-1812-35-R | 35 | 1200 | Ø1.8 | ioe | |
| 103 | ZRH-RA-1816-10-R | 10 | 1600 | Ø1.8 | ioe | |
| 104 | ZRH-RA-1816-15-R | 15 | 1600 | Ø1.8 | ioe | |
| 105 | ZRH-RA-1816-20-R | 20 | 1600 | Ø1.8 | ioe | |
| 106 | ZRH-RA-1816-25-R | 25 | 1600 | Ø1.8 | ioe | |
| 107 | ZRH-RA-1816-30-R | 30 | 1600 | Ø1.8 | ioe | |
| 108 | ZRH-RA-1816-35-R | 35 | 1600 | Ø1.8 | ioe | |
| 109 | ZRH-RA-2418-10-R | 10 | 1800 | Ø2.4 | ioe | |
| 110 | ZRH-RA-2418-15-R | 15 | 1800 | Ø2.4 | ioe | |
| 111 | ZRH-RA-2418-20-R | 20 | 1800 | Ø2.4 | ioe | |
| 112 | ZRH-RA-2418-25-R | 25 | 1800 | Ø2.4 | ioe | |
| 113 | ZRH-RA-2418-30-R | 30 | 1800 | Ø2.4 | ioe | |
| 114 | ZRH-RA-2418-35-R | 35 | 1800 | Ø2.4 | ioe | |
| 115 | ZRH-RA-2423-10-R | 10 | 2300 | Ø2.4 | ioe | |
| 116 | ZRH-RA-2423-15-R | 15 | 2300 | Ø2.4 | ioe | |
| 117 | ZRH-RA-2423-20-R | 20 | 2300 | Ø2.4 | ioe | |
| 118 | ZRH-RA-2423-25-R | 25 | 2300 | Ø2.4 | ioe | |
| 119 | ZRH-RA-2423-30-R | 30 | 2300 | Ø2.4 | ioe | |
| 120 | ZRH-RA-2423-35-R | 35 | 2300 | Ø2.4 | ioe | |
| 121 | Hexagon (RBR) | ZRH-RB-1812-10-R | 10 | 1200 | Ø1.8 | ioe |
| 122 | ZRH-RB-1812-15-R | 15 | 1200 | Ø1.8 | ioe | |
| 123 | ZRH-RB-1812-20-R | 20 | 1200 | Ø1.8 | ioe | |
| 124 | ZRH-RB-1812-25-R | 25 | 1200 | Ø1.8 | ioe | |
| 125 | ZRH-RB-1812-30-R | 30 | 1200 | Ø1.8 | ioe | |
| 126 | ZRH-RB-1812-35-R | 35 | 1200 | Ø1.8 | ioe | |
| 127 | ZRH-RB-1816-10-R | 10 | 1600 | Ø1.8 | ioe | |
| 128 | ZRH-RB-1816-15-R | 15 | 1600 | Ø1.8 | ioe | |
| 129 | ZRH-RB-1816-20-R | 20 | 1600 | Ø1.8 | ioe | |
| 130 | ZRH-RB-1816-25-R | 25 | 1600 | Ø1.8 | ioe | |
| 131 | ZRH-RB-1816-30-R | 30 | 1600 | Ø1.8 | ioe | |
| 132 | ZRH-RB-1816-35-R | 35 | 1600 | Ø1.8 | ioe | |
| 133 | ZRH-RB-2418-10-R | 10 | 1800 | Ø2.4 | ioe | |
| 134 | ZRH-RB-2418-15-R | 15 | 1800 | Ø2.4 | ioe | |
| 135 | ZRH-RB-2418-20-R | 20 | 1800 | Ø2.4 | ioe | |
| 136 | ZRH-RB-2418-25-R | 25 | 1800 | Ø2.4 | ioe | |
| 137 | ZRH-RB-2418-30-R | 30 | 1800 | Ø2.4 | ioe | |
| 138 | ZRH-RB-2418-35-R | 35 | 1800 | Ø2.4 | ioe | |
| 139 | ZRH-RB-2423-10-R | 10 | 2300 | Ø2.4 | ioe | |
| 140 | ZRH-RB-2423-15-R | 15 | 2300 | Ø2.4 | ioe | |
| 141 | ZRH-RB-2423-20-R | 20 | 2300 | Ø2.4 | ioe | |
| 142 | ZRH-RB-2423-25-R | 25 | 2300 | Ø2.4 | ioe | |
| 143 | ZRH-RB-2423-30-R | 30 | 2300 | Ø2.4 | ioe | |
| 144 | ZRH-RB-2423-35-R | 35 | 2300 | Ø2.4 | ioe |
Fesili e Masani Ona Fesiligia
Mai le vailaʻau faʻafomaʻi ZRH.
Taimi e Faia ai le Taʻitaʻiga: 2-3 vaiaso talu ona maua le totogi, e faʻalagolago i le aofaʻi o lau oka
Auala e Tu'uina Atu ai:
1. E ala i le Express: Fedex, UPS, TNT, DHL, SF express 3-5 aso, 5-7 aso.
2. I le Auala: I totonu o le atunuu ma le atunuu tuaoi: 3-10 aso
3. I le Sami: 5-45 aso i le lalolagi atoa.
4. I le ea: 5-10 aso i le lalolagi atoa.
Uafu e Utaina ai:
Shenzhen, Yantian, Shekou, Hong Kong, Xiamen, Ningbo, Shanghai, Nanjing, Qingdao
E tusa ai ma lau manaʻoga.
Tuutuuga o le Tu'uina Atu:
EXW, FOB, CIF, CFR, C&F, DDU, DDP, FCA, CPT
Pepa o Felauaiga:
B/L, Inivoisi Faapisinisi, Lisi o Afifiina
● O le mamanu o le li'o ua fausia mo le pu'eina, ae le mo le fa'alavelaveina.
● Fa'atulagaga o uaea: tipi manifinifi, fa'alava mautu.
● Taofiofia o le vevela.
● Pulea o le matasele i le lima e tasi.
● Feso'ota'iga masani monopolar.
● Tele o le lapo'a e fa'atatau i le manu'a
● Fa'amaonia le le mama mo le fa'aaogaina fa'atasi
Tasi le masini, tolu fa'ai'uga — foliga, tele, metotia. O mailei polypectomy e fa'aaoga tasi e mama mo polyps laiti, sessile, ma pedunculated i luga o le GI tract.
Fa'aoga Fa'afoma'i
● Aveeseina o polyps laiti (≤ 5 mm) — Cold Snare Polypectomy (CSP).
● Ave'esea o ni tama'i polip (6–10 mm) — Metotia Malulu po'o le Vevela (e tusa ai ma le fa'ata'ita'iga).
● Aveeseina o polyps ua tumu i pedunculated — Hot Snare Polypectomy (HSP).
● Ave'esea o polyps sessile ma manu'a mafolafola — Hot Snare ma se ufi e fa'amafanafana ai.
● Fa'amama / fa'amamāina o le mucosal tissue ua toe fa'aaogaina
● Faiga o galuega e fesoasoani i le polypectomy i le EMR (Endoscopic Mucosal Resection)
● Toe maua mai o faʻataʻitaʻiga mo le histopathology
● Fa'aaogā i le colonoscopy, gastroscopy, ma le duodenoscopy
