Kɔdzi ƒe nuƒleƒe ƒe kadodo aɖe ƒo ka hebiae be ètsɔ pedicle screw system si mexɔa ame boo o ɖe asi hã. Fifia miema ʋuʋu fusion ɖoɖowo — SecuFix alo ValuFix-ƒomevi atikplɔ-screw xɔtuɖoɖowo — eye wole dzram nyuie. Fifia èle eŋu bum nenye be MIS ƒe fli aɖe tsɔtsɔ kpe ɖe eŋu sɔ na gadede eme hã, alo ɖe wònye susuhenuwo tso adzɔnuwo ƒe hatsotso aɖe si wɔa dɔ xoxo gbɔ hã.
Esia va doa mo ɖa wu alesi numalawo kpɔa mɔe. Amekola ƒe didi le tɔtrɔm le asi geɖe me, gake menye le ɖekawɔwɔ me o, eye menye le dɔdamɔnu ɖesiaɖe gome o. Hafi woatsɔ SKUwo akpe ɖe eŋu la, ekpena ɖe ame ŋu be woase nusi tututu to vovo — le dɔdamɔnu kple asitsatsa gome — le mɔnu eveawo dome gɔme.
Nusi 'MIS' Trɔna Le Amekokoxɔa Me Ŋutɔŋutɔ
Nya la va zãna le mɔ si mebɔbɔ o nu, eyata enyo be nàgblɔe pɛpɛpɛ. MIS pedicle screw system vavãtɔ menye ɖoɖo si le ʋuʋu ɖi ƒe akpa sue aɖe ko o. Vovototo vevitɔwoe nye:
- Percutaneous screw insertion — screws gena ɖe eme to ŋutigbalẽ ƒe lãɖeɖe sue siwo wofia mɔe to fluoroscopy dzi, ke menye to ʋuʋu zi ɖeka si woɖe ɖe go kple lãmeka si wogbugbɔ ɖe megbe me o
- Pre-bent alo reduction-tab rods — wotsɔa atikplɔa toa cannulated extension tower system me tsɔ wu be woatsɔe aɖo agble si le ʋuʋu ɖi me tẽ, si tae MIS rod systems nyea do ŋgɔ zi geɖe
- Cannulated, fenestrated screws — hollow screw shafts ɖea mɔ na guidewire-si wotu ɖe insertion kple ɣeaɖewoɣi cement augmentation le osteoporotic ƒu
- Tubular retractor alo extension tower instrumentation — esia nye dɔwɔnu ƒe ɖoɖo si na be percutaneous placement te ŋu dzɔna, eye enye akpa si mamalawo bua nu tsɛe zi geɖe le gazazã kple nusiwo sesẽ gome
Nuɖoanyi siwo le ʋuʋu ɖi la doa kpo esiawo katã. Amekolaa ƒe nukpɔkpɔ tẽ, pedicle finders kple pɔmpi siwo wozãna ɖaa, kple atikplɔ si le dzɔdzɔe alo si ƒe nɔnɔme le abe alesi wòle vie ene si wotsɔa asi ɖea edzi va ɖoa teƒea. Enye dɔwɔwɔ ƒe ɖoɖo si woɖo anyi wu si me nusɔsrɔ̃ ƒe mɔnu si me goglo wu le.
Dɔnɔdzikpɔƒe ƒe Asitsatsa Si Amekolawo Kpɔa Be Na Ŋutɔŋutɔ
Mehiã be mamalawo nazu akɔtadɔdalawo o, gake nusi ʋãa amekola ƒe didi gɔmesese kpena ɖe ŋuwò be nàɖo dze si dzi kakaɖedzi le kple nuƒlelawo kple OR dɔwɔlawo.
Zi geɖe la, MIS mɔnuwo ɖea ʋu ƒe bu, lãmekawo ƒe abi, kple kɔdzi nɔnɔ ƒe didime dzi kpɔtɔna na amesiwo sɔ — zi geɖe la, 1-2 level degenerative cases without significant deformity. Ema nye dɔdamɔnu ƒe viɖe ŋutɔŋutɔ eye esia tae didi li ɖo.
Gake MIS menyo wu le xexeame katã o. Wogawɔa xɔtuɖoɖo siwo le ɖoƒe vovovowo, amekoko si wogbugbɔ trɔa asi le, ɖɔɖɔɖo vevi aɖe le nɔnɔme madeamedziwo ŋu, kple nya siwo hiã be woaɖe nutete si keke ta la enuenu le ʋuʋu ɖi, elabena nukpɔkpɔ kple mɔɖeɖe ɖe nu ŋu le vevie wu lãɖeɖe ƒe lolome le nɔnɔme mawo me. Ðewohĩ viɖe aɖeke manɔ amekola si wɔa nuwɔametɔnyenyedɔ sesẽwo koŋ ŋu na MIS-gavi ƒe ɖoɖo aɖeke kloe o. Amekola si le dɔléle si gblẽa nu le ame ŋu ƒe agbɔsɔsɔ gã aɖe wɔm le amekokoƒe si wowɔa dɔ le ŋkeke ɖeka dzi ate ŋu mazã nu bubu aɖeke kloe o.
Esiae nye nu gbãtɔ si wòle be nàbu hafi nàtsɔ nudzraɖoƒewo ade asi na ame: nuka ŋutɔŋutɔe wò amekolawo ƒe dɔwɔƒea wɔa dɔ le? MIS fli tsɔtsɔ kpe ɖe eŋu be wòasubɔ amekola ɖeka si ƒe susu nɔa nuwɔametɔnyenye ŋu ƒe dɔléle si nye 1-level ɣeaɖewoɣi la nye nyametsotso si to vovo kura na etsɔtsɔ kpee elabena amekola etɔ̃ siwo le wò kɔdzi si ƒe lolome de ŋgɔ wu la le biabiam kwasiɖa sia kwasiɖa.
Afisi Gazazã ƒe Vovototo Vavãtɔ Fia — Eye Menye Nusi Wotsɔ De Ame Mee O
Nusi léa mamalawo le vome enye si: ga si wozãna ɖe nudede ame ŋu le nu ɖeka me le MIS kple pedicle screw systems siwo le ʋuʋu ɖi dome la meto vovo kura o. Gazazã ƒe vovototoa le dɔwɔnuwo zazã me.
MIS-ɖoɖo aɖe bia be woatsɔ xɔ kɔkɔ siwo kekena ɖe enu, mɔfiamekawo, pɔmpi siwo me woɖea tsi le, atikplɔ siwo toa ŋutigbalẽ me, kple zi geɖe la, dɔwɔnuwo ƒe agba si sɔ kple fluoroscopy si to vovo tso ɖoɖo si le ʋuʋu ɖi gbɔ. Menye ɖeko nèle implant SKUs kpem ɖe eŋu o — èle dɔwɔnu blibo aɖe kpem ɖe eŋu si si eya ŋutɔ ƒe sterilization cycle le, eya ŋutɔ ƒe tray dzikpɔkpɔ, kple eya ŋutɔ ƒe capital cost ne èle consignment instruments nam kɔdziwo.
Le mamala si le open-system inventory zãm xoxo gome la, esia fia be:
- Dɔwɔnuwo ƒe agba si le vovo si dzi woalé ŋku ɖo, awɔ dɔlékuiwutike, ahalé be nɛ (alo anae abe fenyilawo ƒe hatsotsowo ene) .
- Hehenaɣi bubu na OR dɔwɔlawo le xɔ kɔkɔwo ƒoƒo ƒu kple dɔwɔwɔ to ŋutigbalẽ me ŋu
- Potentially higher upfront capital ne èle ga nam dɔwɔnuwo ƒe hatsotsowo na kɔdzi dodokpɔɣiwo
- Na ŋɔŋlɔdzesiwo ƒe tɔtrɔ blewu ne MIS tray ɖeka koe le asiwò si tsyɔ akɔnta geɖe dzi
Esia tae mamala aɖewo siwo tsɔa MIS fliwo kpena ɖe eŋu la va zua dziɖeleameƒo le vovototoa ta — menye le esi implant ƒe asi menyo o ta o, ke boŋ le esi wobu dɔwɔnu ƒe ɖoɖowɔwɔ nu tsɛe ta.
Side-by-Side: Nusiwo Trɔna Na Wò Dɔwɔƒe
| Factor |
Open Fusion System |
MIS Pedicle Screw System |
| Dɔwɔnuwo ƒe agbawo hiã |
1 ƒe tray si wozãna ɖaa |
1-2 trays kpe ɖe tower / guidewire ɖoɖowo ŋu |
| Amekola ƒe nusɔsrɔ̃ ƒe ʋuʋudedi |
Nu suetɔ kekeake na akɔtadɔdala bibiwo |
Gɔmesese le eŋu — zi geɖe la, nya 15-20 hafi akɔfafa |
| Fluoroscopy ƒe ŋuɖoɖo ɖe ame ŋu |
Wozãnɛ, gake womezãnɛ nenema gbegbe o |
Kloe-madzudzɔmadzudzɔe le screw ɖoɖo me |
| Ideal case complexity |
Multi-level, nɔnɔme madeamedzi, gbugbɔgaɖɔɖo |
1-2 dzidzenu degenerative, nuwɔametɔ si bɔbɔ |
| Kɔdzi ƒe fiadu dɔwɔnuwo hiã |
Standard ALOO fluoro ƒe xɔdɔme |
Nenema ke, gake zi geɖe la, wotsɔa O-arm alo mɔzɔzɔ le teƒe siwo gbeɖiɖi ƒe sesẽme lolo wu kpena ɖe eŋu |
| Mamãlawo ƒe hehenana gadede |
Low — reps akpa gãtɔ nyae xoxo |
Kɔkɔtɔ — reps hiã tower kpekpe kple case support fluency |
Gagbugbɔɖoɖo Meɖoa eteƒe Ɣesiaɣi O MIS Abe Alesi Amekolawo Kpɔa Mɔ Na Ene O
Esia sɔ be nàdoe ɖe dzi tẽ kple kɔdzi kadodowo hafi nàtsɔ ɖokuiwò ana be yeawɔ adzɔnuwo ƒe hatsotso aɖe, elabena eto vovo ŋutɔ le asi nu. Le dukɔ aɖewo kple fexelawo ƒe ɖoɖowo me la, DRG alo fexexe si woƒo ƒu ɖe fusion case ta la sɔ eɖanye be wowɔe le gaglãgbe alo MIS o — kɔdzia xɔa fetu ma ke, gake MIS nya la ate ŋu abia nusiwo wotsɔ ƒua gbe siwo xɔ asi wu (extension towers, guidewires) eye ɖewohĩ woaxe mɔfiafewo. Ema tsia kɔdzi ƒe vovototo me togbɔ be zi geɖe la, dɔnɔa me tsonu nyona ɖe edzi hã.
Le asi siwo me nugblẽfexeha siwo menye dziɖuɖua tɔ o alo dɔnɔ siwo xea fe na wo ɖokui xea ga home aɖe ɖe mɔnu si me womezãa nu boo aɖeke le o ta la, ga ƒe dzideƒonamenu si me kɔ wu le kɔdziwo si be woaxɔ MIS. Le asi siwo me woxea fe na amewo le flat bundled me la, amekola ƒe didi kple OR ƒe dɔwɔwɔ nyuie koe ʋãa vixɔxɔnyi, ke menye kɔdzi ƒe vovototo o.
Hafi nàtsɔ MIS dɔwɔnuwo aƒu gbe ɖe kɔdzi la, enyo be nàse fli ma ƒe akpa si dzi wò asi dze la gɔme. Mamãla si tsɔe be MIS nye kɔdzi ƒe ganyawo ƒe tiatia si wòlɔ̃na le eɖokui si ate ŋu axɔ ŋuɖoɖo fafɛ si womele mɔ kpɔm na o tso nuwo dzikpɔha si léa fɔ ɖe ga si wozãna ɖe dɔ ɖesiaɖe ŋu ŋu.
Titinamɔ Aɖe: Vixɔxɔnyi Le Ðekaɖeka Me
Mamãla akpa gãtɔ siwo tsɔa MIS kpena ɖe eŋu dzidzedzetɔe la meɖɔlia woƒe ɖoɖo si le ʋuʋu ɖi o — wowɔa evea siaa, eye woɖea mɔ na nya tiatia be wòakpɔ esi azu numame nɛ. Zi geɖe la, alea hãe amekolawo ŋutɔ wɔa dɔe: MIS na 1-2 level cases siwo le tẽ, woʋu ɖi na nusianu si sesẽ wu.
Le nyateƒe me la, esia fia be:
- Na wò atikplɔ-kplu ƒe ɖoɖo si le ʋuʋu ɖi si li fifia nanye agbalẽdzraɖoƒe ƒe fli vevitɔ na nya sesẽwo
- Tsɔ MIS dɔwɔnuwo kpee ne ènya amekola ɖeka alo eve ya teti siwo ƒe didi vavãtɔ, si gbugbɔna dzɔna — ke menye nususugblɔ ƒe ɖetsɔleme o
- Dzro dɔwɔnu ƒe tray ƒe nyawo me (consignment vs. purchase) nyuie, elabena afisiae wowɔa MIS margin ŋutɔŋutɔ alo buna le
- Gazazã ƒe hehenana ɣeyiɣi ŋutɔŋutɔ — na wò nudzralawo abe alesi wòle na OR dɔwɔlawo ene — elabena MIS nya ƒe kpekpeɖeŋu bia be nànɔ anyi kple asi geɖe wu le vixɔxɔ kaba me
Adzɔnuwɔƒe siwo naa ɖoɖo siwo le ʋuʋu ɖi (abe atikplɔ-screw xɔtuɖoɖowo abe SecuFix alo ValuFix-ƒomevi ƒe nuƒolanɔƒewo ene) kple MIS fli si sɔ — kple dɔwɔnu siwo wowɔ be woama screw geometry kple rod diameter le wo ame evea siaa me — na tɔtrɔ sia le bɔbɔe ŋutɔ wu juggling implants tso eve siwo medo ƒome kple wo nɔewo o. Screw kple rod ƒe nɔnɔme siwo sɔ kple wo nɔewo fia be wò nudzraɖoƒewo mema ɖe ɖoɖo eve siwo mewɔ ɖeka o me o, eye ɖeko wòle be wò nudzralawo nasrɔ̃ screw-driver ƒe ƒomedodo ɖeka tsɔ wu eve.
Nyabiase Siwo Sɔ Be Nàbia Hafi Nàwɔ Nudzraɖoƒewo
- Amekola nenie le nye gakɔnta siwo li fifia me le MIS biam veviedodotɔe, ne wotsɔe sɔ kple wo dometɔ nenie ƒo nu tso eŋu le ɣeyiɣi siwo va yi me?
- Woƒe nyawo ƒe agbɔsɔsɔme ƒe alafa memamã nenie atrɔ ɖe MIS ŋu ŋutɔŋutɔ — ɖe wònye nyawo ƒe 10% loo alo 60%?
- Ðe mate ŋu axɔ dɔwɔnu siwo wotsɔna ɖoa amewo gbɔ ƒe agba tso ewɔla gbɔ hena dodokpɔ aɖe hafi aƒlee tẽa?
- Ðe MIS screw system la ma geometry kple nye open system si li fifiaa, alo ɖe nudzraɖoƒe eve siawo to vovo kura be woakpɔ wo dzia?
- Aleke adzɔnuwɔƒea ƒe hehexɔxɔ kple nudzɔdzɔwo ƒe kpekpeɖeŋu le na dɔlékui 10-15 gbãtɔawo?
Ne màte ŋu akpɔ ŋuɖoɖo siwo me dziɖeɖi le na biabia eve gbãtɔawo o la, zi geɖe la, anyo wu be nàlala. Adzɔnuwo ƒe hatsotso si wotu ɖe amekola ƒe dzeɖoɖo dzonɔamemetɔe ɖeka dzi tsɔtsɔ kpee, evɔ womalé ŋku ɖe eŋu be ema gɔme ɖe nya ŋutɔŋutɔ ƒe agbɔsɔsɔ me o, nye mɔ siwo bɔ wu siwo nu mamalawo tona va kpɔa nudzraɖoƒe siwo womezãna nyuie o si nɔa agba me le agbalẽdzraɖoƒe dzi la dometɔ ɖeka.
Le mamala siwo le MIS pedicle screw tiatiawo me tom fifia kpe ɖe woƒe akɔta ƒe agbalẽdzraɖoƒe si li fifia ŋu, wole ŋku lém ɖe wo ŋu be wosɔ MIS Spinal Fixation Systems siwo ƒoa nu tso ʋuʋu kple MIS xɔtutuwo siaa ŋu ate ŋu ana nyametsotso sia nanɔ bɔbɔe — vevietɔ ne woma screw geometry kple rod ƒe nɔnɔmewo le adzɔnuwo ƒe fli eveawo siaa me tsɔ wu be woabia be woawɔ nudzraɖoƒe vovovowo keŋkeŋ.
