Dɔgɔtɔrɔso sannifeerekɛla dɔ bɛ wele kɛ k’a ɲininka ni aw bɛ pedicle screw system ta min tɛ fɛn caman kɛ. I bɛ sisan fusion da wulilenw tila-tila — SecuFix walima ValuFix-type rod-screw constructs — wa u bɛ ka feere ka ɲɛ. Sisan i b’i yɛrɛ ɲininka ni MIS layini dɔ farali nafa ka bon ni wari bilali ye, walima n’o ye fɛn ye min bɛ i hakili bɔ fɛn dilannen suguya dɔ la min bɛ baara kɛ kaban.
O bɛ na ka tɛmɛ jatebɔlaw bɛ miiri min na. Operelikɛlaw ka fɛɛrɛ bɛ ka wuli sugu caman na, nka a tɛ kɛ cogo kelen na, wa a tɛ kɛ cogo kelen na. Sani ka SKUw fara a kan, a bɛ dɛmɛ ka faamuyali sɔrɔ fɛn min tɛ kelen ye tiɲɛ na — kɛnɛyako ni jago siratigɛ la — o fɛɛrɛ fila ninnu cɛ.
'MIS' bɛ fɛn min Changé tiɲɛ na Operasɔn so kɔnɔ
O daɲɛ bɛ dege cogo la min bɛ mɔgɔ lafiya, o la a nafa ka bon ka kɛ tigitigi ye. MIS pedicle screw system lakika tɛ da wulilen sitɛmu fitinin dɔrɔn ye. Danfara jɔnjɔn minnu bɛ u ni ɲɔgɔn cɛ olu ye:
- Kuru doncogo farikolo la — kurukuruw bɛ don fari tigɛyɔrɔ misɛnninw fɛ minnu ɲɛminɛna ni fluoroscopie ye, sanni ka tɛmɛ da wulilen kelen fɛ ni farikolo kɔseginlen don
- Pre-bent walima reduction-tab rods — bere bɛ tɛmɛ kanulée extension tower system fɛ sanni ka bila ka ɲɛsin foro dafalen dɔ ma, o de y’a to MIS bere systems ka teli ka kɔn ka curve kɛ
- Viru minnu bɛ kɛ ni kanula ye, minnu bɛ ni fenɛstra ye — kurukuruw sɔgɔlenw bɛ sira di ka don a kɔnɔ ni guidewire ye ani tuma dɔw la ka siman bonya koloci kolo la
- Tubular retractor walima extension tower instrumentation — nin ye minɛnw sigilen ye min bɛ kɛ sababu ye ka farikolo yɔrɔ bilali kɛ, wa o ye yɔrɔ ye min tilabaga ka teli ka dɔgɔya musaka ni gɛlɛya siratigɛ la
Sitimɛ dafalenw bɛ nin bɛɛ tɛmɛ. Operelikɛla bɛ ni yecogo tilennen ye, pedicle finders standards ani taps, ani bere tilennen walima contour dɔɔni min bɛ dɔgɔya ni bolo ye a nɔ na. O ye baarakɛcogo ye min sigilen don kosɛbɛ ni kalanbolodacogo ye min ka dun.
Dɔgɔtɔrɔso jagokɛla minnu bɛ u janto tiɲɛ na
Jagokɛlaw mago t’a la ka kɛ kɔkolo operelikɛlaw ye, nka n’i y’a faamu ko fɛn min bɛ operelikɛlaw diyagoya, o b’i dɛmɛ ka baro dafalen kɛ ni sannifeerelaw ni OR baarakɛlaw ye.
A ka ca a la MIS fɛɛrɛw bɛ joli bɔli, farikolojidɛsɛ, ani dɔgɔtɔrɔso sigili janya dɔgɔya mɔgɔ bɛnnenw fɛ — a ka ca a la, 1-2 hakɛ degenerative cases ni fɛnɲɛnamafagalanw tɛ minnu na. O ye kɛnɛyako nafa lakika ye wa o de y’a to ɲinini bɛ yen.
Nka MIS tɛ diɲɛ bɛɛ ka fisa ni tɔw bɛɛ ye. Constructs multi-level, revision surgery, deformité correction significative, ani cases minnu bɛ decompression large decompression, olu bɛ kɛ hali bi da wulilen na, barisa yecogo ni doncogo nafa ka bon ka tɛmɛ tigɛda hakɛ kan o ko kɛlenw na. Operelikɛla min bɛ deformité baara gɛlɛnw kɛ fɔlɔ, a bɛ se ka kɛ ko nafa foyi tɛ MIS screw system la. Operelikɛla min bɛ bana jugumanba kɛ tile kelen opereli yɔrɔ la, a bɛ se ka kɛ ko a tɛ baara kɛ ni fɛn wɛrɛ ye.
Nin ye fɛn fɔlɔ ye min ka kan ka jateminɛ sani i ka inventory (inventaire) kɛ: i ka operelikɛlaw ka basigi bɛ opereli kɛ mun kan tiɲɛ na? Ka MIS layini dɔ fara a kan walasa ka operelikɛla kelen min ɲɛsinnen bɛ farikolojɔli ma, o ka baara kɛ ni a ye tuma dɔw la, min bɛ kɛ ni 1 ye, o ye desizɔn ye min ni a farali tɛ kelen ye kosɛbɛ bawo operelikɛla saba minnu bɛ aw ka dɔgɔtɔrɔso la min ka bon kosɛbɛ, olu b’a ɲini dɔgɔkun o dɔgɔkun.
Yɔrɔ min na musaka danfara lakika bɛ jira — Wa a tɛ Implant ye
Nin ye fɛn ye min bɛ jatebɔlaw minɛ u hakili la: fɛn kelen-kelen bɛɛ doncogo musaka min bɛ MIS ni pedicle screw systems dafalenw cɛ, o tɛ danfaraba don. Muɲu danfara bɛ minɛnko la.
MIS sitɛmu bɛ sankanso janyalenw de wajibiya, ɲɛminɛlanw, pɔnpe minnu bɛ kɛ ni kanula ye, bere tɛmɛbagaw farikolo la, ani tuma caman na, minɛnw bilayɔrɔ min bɛ se ka kɛ ni fluoroscopie ye, o ni sigida dafalen tɛ kelen ye. I tɛ SKUw fara ɲɔgɔn kan dɔrɔn — i bɛ minɛn dafalen dɔ fara a kan min bɛ ni a yɛrɛ ka sterilize cycle ye, a yɛrɛ ka sanubɔlan ɲɛnabɔli, ani a yɛrɛ ka capital cost n’i bɛ consignment minɛnw di dɔgɔtɔrɔsow ma.
Ni jatebɔla min bɛ da wulilen inventɛri baara kaban, o kɔrɔ ye ko:
- Minɛnw sanubɔlan danfaralen min bɛ se ka tugu, ka sterilize, ani ka u ladon (walima ka a di i n’a fɔ jurudonnaw ka seti) .
- Degeli waati wɛrɛ OR baarakɛlaw ye sankanso lajɛcogo ni farikolo baaracogo kan
- Potentially higher upfront capital ni i bɛ ka wari di minɛnw ma dɔgɔtɔrɔso kɔrɔbɔli waatiw kama
- I ka fɛn caman cili dɔɔnin dɔɔnin ni MIS sanubɔlan kelen dɔrɔn de b’i bolo min bɛ jatebɔsɛbɛn caman datugu
O de y’a to jatebɔla dɔw minnu bɛ MIS layiniw fara u kan, olu bɛ laban ka jigitigɛ sɔrɔ margin na — a tɛ kɛ bawo fɛnw doncogo sɔngɔ man ɲi, nka k’a sababu kɛ u ye minɛnw labɛncogo dɔgɔya.
Kɛrɛfɛ: Fɛn minnu bɛ Changé i ka jago
| Factor |
Open Fusion System |
MIS Pedicle Screw System |
| Minɛnw sanubɔlanw mago tun bɛ yen |
1 sanubɔlan standard |
1-2 sanubɔlanw fara sankanso/guidewire sets kan |
| Operelikɛla ka kalan kɛcogo |
A ka dɔgɔn kɔkolo opereli dɔnbagaw fɛ |
Kɔrɔ — a ka c’a la, ko 15-20 ka kɔn dususalo ɲɛ |
| Fluoroscopie (fluoroscopie) tali |
Baara bɛ kɛ ni a ye, nka a ka dɔgɔn ka taa a fɛ |
Kɛrɛnkɛrɛnnenya la, a bɛ to sen na kuru bilali waati |
| Ideal case complexité (ko gɛlɛnba). |
Nivo caman, deformité, revision |
1-2 nivo degenerative, deformité dɔgɔman |
| Dɔgɔtɔrɔso kapitali minɛnw mago bɛ |
Suite standard OR fluoro ye |
O cogo kelen na, nka a ka c’a la, a bɛ fara ɲɔgɔn kan ni O-arm walima navigation ye santiriw la minnu ka bon kosɛbɛ |
| Jagokɛlaw ka kalan nafolodonni |
Low — reps fanba b’a dɔn kaban |
Sanfɛ — reps mago bɛ sankanso lajɛ ni case dɛmɛ fluency |
Segin tɛ sara tuma bɛɛ MIS i n’a fɔ operelikɛlaw bɛ makɔnɔ cogo min na
O nafa ka bon ka wuli k’a ɲɛsin dɔgɔtɔrɔso mɔgɔw ma sani i ka i yɛrɛ bila fɛn dilannen dɔ la, bawo a bɛ danfaraba don sugu la. Jamana dɔw la ani wari sarabagaw ka sigida dɔw la, DRG walima wari sarali faralen ɲɔgɔn kan fusion case la, o ye kelen ye, a kɛra da wulilen ye wo, a kɛra MIS ye wo — dɔgɔtɔrɔso bɛ sara o hakɛ kelen na, nka MIS ko bɛ se ka kɛ ni fɛn sɔngɔ gɛlɛnw ye minnu bɛ kɛ siɲɛ kelen (extension towers, guidewires) ani a bɛ se ka kɛ navigation sara ye. O bɛ dɔgɔtɔrɔso dancɛ digi hali ni banabagatɔ ka kɔlɔlɔ ka fisa tuma caman na.
Sugu minnu na, asiransi kɛrɛnkɛrɛnnenw walima banabagatɔ minnu bɛ u yɛrɛ sara, olu bɛ wari dɔ sara ni fɛɛrɛ ye min tɛ fɛn caman kɛ, dɔgɔtɔrɔsow bɛ wariko dusu don u kɔnɔ ka jɛya walasa ka MIS ta. Sugu minnu bɛ ni wari seginni fla ye, a bɛ se ka fɔ ko denfaya bɛ kɛ operelikɛlaw ka fɛɛrɛw fɛ ani OR baarakɛcogo ɲuman fɛ, a tɛ kɛ dɔgɔtɔrɔso margin fɛ.
Sani i ka MIS minɛnw bila dɔgɔtɔrɔso la, a ka kan k’a faamu o layini fan jumɛn fɛ i ka sugu bɛ bin. Jagokɛla min b’a miiri ko MIS ye dɔgɔtɔrɔso ka sɔrɔko sugandili ye a yɛrɛma, o bɛ se ka jaabi nɛnɛ sɔrɔ min ma labɛn ka bɔ fɛnw ɲɛnabɔjɛkulu dɔ fɛ min sinsinnen bɛ ko kelen-kelen bɛɛ musaka kan.
Cɛmancɛ sira dɔ: Adoption hybride
Jagokɛlaw fanba minnu bɛ MIS fara a kan ka ɲɛ, olu t’u ka da wulilen sitɛmu bila a nɔ na — u bɛ o fila bɛɛ boli, wa u b’a to ko sugandili k’a jira min bɛ dege. A ka c’a la fana, operelikɛlaw yɛrɛ bɛ baara kɛ cogo min na, o fana ye nin ye: MIS ka ɲɛsin 1-2 hakɛ tilennenw ma, da wulilen don fɛn o fɛn kama min ka gɛlɛn ka tɛmɛ o kan.
Tiɲɛ na, o kɔrɔ ye ko:
- Aw bɛ aw ka da wulilen bere-kurunw sigicogo mara i n’a fɔ katalogu fɔlɔ min bɛ kɛ ka ɲɛsin ko gɛlɛnw ma
- Aw bɛ MIS minɛnw fara a kan siɲɛ kelen dɔrɔn ni aw ye operelikɛla kelen walima fila sɔrɔ a dɔgɔyalenba la ni ɲinini lakika ye, min bɛ segin-ka-bɔ — a tɛ kɛ hakilinata nafa ye
- Aw bɛ kumaɲɔgɔnya kɛ minɛnw sago sariyaw kan (cikan ni sanni) ni hakilisigi ye, bawo MIS margin bɛ kɛ yɔrɔ min na tiɲɛ na walima a bɛ tunun o yɔrɔ de la
- Budget kalan waati lakika — i ka feerekɛlaw fɛ i n’a fɔ OR baarakɛlaw ta — bawo MIS ka ko dɛmɛni bɛ bololabaara caman wajibiya a tali daminɛ waati la
Dilanbaga minnu bɛ da wulilenw fila bɛɛ di (i n’a fɔ bere-kurunw jɔcogo i n’a fɔ SecuFix walima ValuFix suguya plateformes) ani MIS layini min bɛ bɛn ɲɔgɔn ma — ni minɛnw ye minnu dilannen don walasa ka juruw jateminɛcogo ni bere cɛmancɛ tila u fila bɛɛ la — o bɛ nin jiginni in nɔgɔya kosɛbɛ ka tɛmɛn fɛnw doncogo juguyali kan ka bɔ fɛn dilanbaga fila la minnu tɛ ɲɔgɔn ta. Cross-compatible screw and rod specifications kɔrɔ ye ko i ka fɛnmarataw tɛ tila ka kɛ sistɛmu fila ye minnu tɛ bɛn ɲɔgɔn ma, wa i ka feerekɛlaw ka kan ka screw-driver interface kelen dɔrɔn dege sanni ka kɛ fila ye.
Ɲininkali minnu ka kan ka kɛ sani i ka Inventory (Inventory) kɛ
- Operelikɛla joli bɛ n ka sisan jatew kɔnɔ minnu bɛ MIS ɲini ni timinandiya ye, ka kɛɲɛ ni mɔgɔ joli y’a kofɔ tɛmɛni na?
- U ka ko hakɛ kɛmɛsarada la joli bɛna wuli tiɲɛ na ka taa MIS la — yala o ye ko 10% ye wa walima 60%?
- Yala ne bɛ se ka fɛnw bilasirali minɛnw sanubɔlan sɔrɔ a dilabaga fɛ k’a lajɛ waati dɔ kɔnɔ sanni n ka sanni kɛ k’a jɛya wa?
- Yala MIS screw system bɛ jateminɛ tila ni n ka open system kɔrɔ ye wa, walima nin inventory fila ninnu bɛ danfara pewu ka ɲɛnabɔ wa?
- A dilannikɛla ka kalan ni a ka dɛmɛni bɛ kɛ cogo di ko 10-15 fɔlɔw la?
Ni aw tɛ se ka jaabi lafiyalenw sɔrɔ ɲininkali fɔlɔ fila la, a ka c’a la, a ka fisa aw ka kɔnɔni kɛ. Ka fɛn dilannen dɔ fara a kan min sinsinnen bɛ operelikɛla ka baro dusuman kelen kan, k’a sɔrɔ i ma a lajɛ n’o bɛ baara kɛ ni ko hakɛ lakika ye, o ye fɛɛrɛ dɔ ye min ka teli ka kɛ sababu ye ka feerekɛlaw laban ni fɛnmarataw ye minnu ma baara kɛ kosɛbɛ, n’u sigilen bɛ sanubɔlan dɔ kɔnɔ, fɛnmarayɔrɔ dɔ kan.
Ka ɲɛsin jatebɔlaw ma minnu bɛ MIS pedicle screw suganditaw jateminɛ sisan u ka kɔkolo katalogu kɔrɔ kɛrɛfɛ, ka bɛnkanw lajɛ MIS Spinal Fixation Systems minnu bɛ da wulilenw ni MIS jɔli bɛɛ lajɛlen ɲɛfɔ, olu bɛ se ka nin latigɛ in nɔgɔya — kɛrɛnkɛrɛnnenya la ni kuru jateminɛcogo ni berew ɲɛfɔcogo bɛ tila ɲɔgɔn na fɛn dilannen fila bɛɛ kɔnɔ sanni u ka fɛnmarayɔrɔw wajibiya pewu.
