Alesi Nàwɔ Ðoɖo Ðe Ƒumeŋuɖui Ŋuti Nuveviwɔame ƒe Adzɔnu Bliboe Ŋu: Nusiwo Wotsɔ Dea Ame Me ƒe Agbɔsɔsɔmewo, Dɔwɔnuwo Ƒe Ðoɖowo Kple Gbãtɔ Ƒe Nuŋlɔɖi Si Wotu Ðe Kɔdzi Amekoko ƒe Tɔtɔ Dzi

Ŋuɖoɖo kpui aɖe: Tu nuveviwɔame ƒe atikewo tso kɔdzi ƒe amekoko ƒe tsakatsaka me, ke menye tso agbalẽdzraɖoƒe o, ale be amesiame ƒu ƒe gbagbã ƒe ɖɔɖɔɖodɔ si kɔdzia wɔna la, wotsɔa ƒu dea ame me bliboe kple dɔwɔnuwo le megbe nɛ. Ðo gbagbã ƒe ɖoɖowo ɖe ɖoɖo nu le ƒe sia ƒe ƒe lolome nu, wɔ ɖoɖo ɖe dɔdamɔnu ɖesiaɖe ŋu na nusi wotsɔ dea lãme na ame ƒe ƒome si wòzãna ŋutɔŋutɔ (nulénu siwo wotu, ƒumeŋuɖui siwo le ƒumeŋuɖui me, ƒu ƒe gaviwo, gotagome nusiwo wotsɔna léa ƒui), wɔ ɖoɖo ɖe lolomewo ŋu le wo zazã si wokpɔ mɔ na nu, tsɔ dɔwɔnu siwo wotsɔ dea lãme na ame ƒe ƒome ɖesiaɖe kpe ɖe dɔwɔnu blibo aɖe ŋu, eye nàdzidze nudzraɖoƒe gbãtɔ ƒe nudɔdɔ kple mɔnu ɖeka: nudidi si wokpɔ mɔ na le ɣeyiɣi si me wogbugbɔa nu ɖo + dedienɔnɔ ƒe nudzraɖoƒe , kple nu vevi ɖesiaɖe ƒe lolome ƒe unit eve ya teti. Hafi nane naɖo ɖa la, ɖo kpe edzi be SKU ɖesiaɖe le ŋkɔ ŋɔŋlɔ me le dukɔ si me nèdi be yeaɖo la me.

Nu Vevi Siwo Wotsɔna Yia Nu

• Nuveviwɔame ƒe atikewo ƒe hatsotso nye dɔwɔwɔ ƒe kuxiwo gbɔ kpɔnu ƒe hatsotso, ke menye SKUwo ƒe xexlẽdzesi o. Dɔdamɔnu ɖesiaɖe hiã be woade ame me, dɔwɔnu siwo sɔ, elektrikdɔwɔnuwo kple nusiwo wozãna, kple amekokomɔnu ƒe kpekpeɖeŋu.
• Kɔdzia ƒe amekoko ƒe tsakatsakae tsoa nya me le ɖoɖoa ƒe akpa gãtɔ ŋu. Ƒe sia ƒe ƒe agbɔsɔsɔme le teƒe si wogbãe nue afia mɔ̃ siwo woatsɔ alé ememe kple woƒe lolome siwo hiã gbã.
• Agbɔsɔsɔme siwo bu ye nye nusi tae nudɔdɔ gbãtɔ do kpo nu ɖo wu. Miame/ɖusime tɔ si bu, didime alo screw si sɔ la tɔa te case ne 'the product' le stock gɔ̃ hã.
• Wobua dɔwɔnuwo ƒe lolome ɖe nusiwo wotsɔ dea wo me le ɣeyiɣi ɖeka me kple ɣeyiɣi si woatsɔ awɔ dɔlékuiwutikewoe nu , ke menye ɖe nusiwo wotsɔ dea lãme na ame ƒe xexlẽme si woƒle nu o.
• Nudzraɖoƒe gbãtɔ = didi le (ɣeyiɣi gbãtɔ + ŋkuléle ɖe nu ŋu ƒe ɣeyiɣi) + dedienɔnɔ ƒe nudzraɖoƒe. Ɣeyiɣi si woatsɔ awɔ dɔe la lɔ dɔdɔ, dukɔwo dome mɔzɔzɔ kple dukɔmeviwo ƒe adzɔnuwo ƒe mɔɖeɖe ɖe eme.
• Ŋkɔ ŋɔŋlɔ ƒe nɔnɔme gate ɖoɖoa. Ne wonya xe fe ɖe eta to ŋkɔ ŋɔŋlɔ me le asi si me woɖoe ɖo me ko hafi wobua nusi wotsɔ dea ame me be enye nudzraɖoƒe si li ko.

Amekae Mɔfiame Sia Nye Na

Nuxlẽla	Nusi wohiã tso mɔfiame sia me
Kɔdzi ƒe nuƒle kple nuƒle ƒe dɔwɔlawo (ame ŋutɔ ƒe kɔdziwo, dukɔa ƒe nuƒlelawo, tender kple centralized nuƒle ƒe ƒuƒoƒowo) .	Mɔnu si woate ŋu aʋli eta be woatsɔ aɖo kpe nuƒle gbãtɔ ƒe xexlẽdzesi dzi eye woaƒo asa na nudzraɖoƒe ƒe vɔvɔ kple nu kuku siaa
Ƒumeŋutinunya kple nuveviwɔame ƒe amekolawo kple dɔwɔƒea ƒe amegãwo	Kakaɖedzi be nusiwo wotsɔ dea lãme na ame ƒe lolome kple dɔwɔnu siwo dzi woɖoa ŋu ɖo la le nusiwo woɖo ɖi me le ŋkeke si dzi woawɔ dɔa
Ƒumeŋutinunyalawo ƒe mɔ̃wo mamalawo, vevietɔ mama suewo kple titinatɔwo tsɔa nuveviwɔame ƒe fli kpena ɖe eŋu	Mɔ si woate ŋu agbugbɔ atu alo akeke nuveviwɔame ƒe agbalẽdzraɖoƒe na kɔdzi ɖeka alo geɖe evɔ womade ga geɖe eme o

Afɔɖeɖe 1: Aleke Nàwɔ Adzro Kɔdzi ƒe Amekoko ƒe Dɔwɔɖoɖo Me?

Nyatakaka kawoe wòle be nàƒo ƒu gbã?

Ƒo ɣleti 12 ƒe nuveviwɔame ƒe dɔwɔwɔ ŋuti nyatakakawo nu ƒu tso kɔdzi, alo tso amekola siwo nèsubɔna gbɔ. Nyatakakadzraɖoƒe suetɔ kekeake:

1. Ƒe sia ƒe ƒe nya ƒe agbɔsɔsɔme le afisi wogbãe le kple alesi wowɔa dɔe nu : le kpɔɖeŋu me, akɔta ƒe akɔta ƒe ʋuʋu le akɔta kple afɔkpodzi, afɔkpodzi kple afɔkpodzi ƒe ʋuƒo, didiƒe didime ƒe ƒoƒo, akɔta ƒe ƒoƒo, afɔkpodzi ƒe tsɔtsɔ, afɔkpodzi ƒe kɔ ƒe gavi ƒe ƒoƒo kple nusiwo gblẽ dzi ɖuɖu ƒe gotagome ƒoƒo.
2. Mɔnu si wotsɔ léa nu ɖe ​​te si amekola ɖesiaɖe lɔ̃na na gbagbã ƒomevi ɖesiaɖe: agbalẽvi, ɖa, gavi alo gotagome nusi wotsɔna léa nu ɖe ​​te.
3. Peak cases per day and per week , menye ɣleti sia ɣleti ƒe mamã dedie ɖeɖeko o.
4. Dɔwɔɖoɖo siwo wozãna fifia kple kuxi siwo wonya: woƒe lolome siwo bu, dɔwɔnu siwo vuvu, wo tsɔtsɔ yi megbe.
5. Sterilization (CSSD) ƒe tɔtrɔɣi na dɔwɔnuwo ƒe hatsotsowo.
6. Nuƒle ƒe kpɔɖeŋu : nuƒle tẽ, tender alo centralized nuƒle, alo mamala ƒe nudɔdɔ.

Aleke nètrɔa ɖoɖowɔɖi ŋuti nyatakakawo wozua nusiwo wowɔ ƒe nɔnɔmetata?

Ƒu dɔdamɔnuawo ɖe ƒome siwo me wodoa lãme na ame me. Ðoɖo si le ete la doa alɔ nuƒle ŋuti nyametsotsowo; atikewɔƒe ƒe tiatia la nyea amekolaa tɔ ɣesiaɣi. Atikewɔlawo ate ŋu alé ŋku ɖe dzesi siwo fia be... AO Amekoko Ŋuti Nyatakaka.

Fracture region (exemples)	Mɔ̃ siwo bɔ tsɔ léa ememenuwo ɖe te	Ðoɖowɔwɔ ƒe nuŋlɔɖiwo
Afɔkpodzi si te ɖe eŋu / intertrochanteric	PFNA kple afɔkpodzi ƒe ɖa ƒe ɖoɖowo	Zi geɖe la, enyea nuveviwɔame ƒe fli si ƒe asixɔxɔ de ŋgɔ wu le kɔdzi siwo subɔa dɔnɔ tsitsiwo
Afɔkpodzi kple afɔkpodzi ƒe ʋuƒo	Intramedullary nail systems: afɔkpodzi ƒe ɖa, afɔkpodzi ƒe ɖa	Hiã dɔwɔnu siwo woɖo ɖi na atitsoga kple elektrikdɔwɔnu
Adzɔge ƒe didime, akɔtaƒu, akɔtaƒu si te ɖe eŋu, olecranon	Ŋutilã ƒe wɔwɔme ŋuti nunya gbadzɛ siwo wotsɔ xea mɔ na wo	Miame/ɖusime kple didime ƒe vovototowo dzia SKUwo ɖe edzi kabakaba
Afɔkpodzi si le didiƒe, afɔkpodzi si te ɖe eŋu, fibula si le didiƒe, afɔkpodzi	Locking compression plate ɖoɖowo	Zi geɖe la, ehiãna kakɛ gãwo kple suewo siaa ƒe gavi
Femoral neck, kakɛ suewo ƒe fixation	Cannulated screw ɖoɖowo	Mɔfiame ka (K-ka) kple cannulated drills nye zɔhɛ siwo wòle be woawɔ
Ʋuʋu ƒe gbagbã, polytrauma, nusiwo gblẽ dzi ɖuɖu	Gotagome fixator ɖoɖowo	Ele be clamps, rods kple pins nasɔ kple frame ƒe ɖoɖo

Nyataƒoƒo: Ele be dɔdamɔnuawo ƒe ɖoƒe si woɖo ɖe ɖoɖo nu, ke menye atikeawo ƒe ŋkɔwo ƒe xexlẽdzesi o, natso nya me le ƒome siwo wotsɔ dea lãme na ame ƒe ƒome siwo ge ɖe ɖoɖo gbãtɔ me ŋu.

Nukatae amekoko ƒe tsakatsaka le vevie nenema gbegbe ɖo?

Fracture ƒe didi sɔ gbɔ eye wòle dzidzim ɖe edzi. Xexeame Katã ƒe Dɔléle ƒe Agba 2019 ƒe numekuku ka nya ta be ame yeye miliɔn 178 ƒe gbagbã le xexeame katã le ƒe 2019 me, si nye dzidziɖedzi 33.4% tso ƒe 1990 me , eye wòdzɔ wu le ƒe tsitsitɔwo dome (Lancet Lãmesẽ Agbenɔƒe Didi, 2021 ). Ema ɖe nusita kɔdzi siwo me ame tsitsiwo le la tsɔa agba gã aɖe dea afɔkpodzi ƒe proximal femur fixation dzi. Ke hã, nusiwo wotsaka la toa vovo tso kɔdzi yi kɔdzi: mɔdzinuwɔnawo ƒe dɔwɔƒe, ame tsitsiwo dzikpɔƒe kple kamedefefewo ƒe abixɔƒe hiã fli vovovowo. Dukɔa ƒe mamã dediewo mate ŋu axɔ ɖe kɔdzia ŋutɔ ƒe nyatakakawo teƒe o.

Afɔɖeɖe 2: Aleke Nàwɔ Ðoɖo Ðe Atike Siwo De Ame Ŋu ƒe Nɔnɔmewo Kple Agbɔsɔsɔme Ŋu?

Agbɔsɔsɔ nenie nèhiã ŋutɔŋutɔ?

Zã lolome ƒe ɖoɖo si le xɔ etɔ̃ me na ƒome ɖesiaɖe si wotsɔ dea lãme na ame:

Tier	Definition	Stocking rule
Nu veviwo ƒe lolomewo	Agbɔsɔsɔme siwo ku ɖe kɔdzia ƒe ŋutinya me dɔléle akpa gãtɔ ŋu	Ɣesiaɣi le agbalẽdzraɖoƒe alo le ƒuƒoƒoa me, kple backup units
Agbɔsɔsɔme siwo keke ta	Womezãnɛ zi geɖe o gake ehiã le atikewɔnyawo gome, abe agba siwo didi wu alo esiwo didi akpa ene	Dzra unit ɖeka ya teti ɖo, alo nàlé wo ɖe titina le mamaƒea
Nudɔdɔ tɔxɛ aɖe	Ŋutilã ƒe wɔwɔme si mebɔ o alo amekola ƒe didi koŋ	Nudɔdɔ le didi nu, eye wolɔ̃ ɖe ɣeyiɣi si woatsɔ awɔe dzi do ŋgɔ

Agbɔsɔsɔme ƒe ɖoɖowɔwɔ ƒe ɖaseɖigbalẽvi le nusiwo wotsɔ de lãme na ame ƒe ƒomewo nu

• Locking plates kple locking compression plates: miame kple ɖusime ƒe tɔtrɔwo, dowo ƒe xexlẽme kple didime, gavi siwo xea mɔ na wo kple esiwo mexea mɔ o tso ɖoɖo ɖeka ma ke me, mɔfianu siwo sɔ kple drill.
• Intramedullary nails (PFNA, femur nail, tibia nail): didime × didime, kɔ-shft ƒe dzogoe tiatia le afisi wòsɔ le, blades alo lag screws, distal locking screws kple end caps.
• Ƒu ƒe ʋuƒo (cortical, cancellous, cannulated): didime ƒe ɖoɖo si sɔ kple plate system, didime bliboa ƒe didime na didime ɖesiaɖe, kple washers le afisi wozãe le.
• External fixators: pins kple rods, clamps kple connecting elements siwo sɔ kple frame ƒe ɖoɖo.
• Nusiwo wozãna siwo wobla ɖe nusiwo wotsɔ dea lãme na ame ŋu: K-kawo, mɔfiame kawo kple drill bits.

Tu lolome ƒe matriki tso adzɔnuwɔƒea ƒe agbalẽwo me ɖekae kple amekola siwo azã ɖoɖoa. Le XC Medico la, woɖoa kpe nuzazã dzi to ɖoɖo, ŋkɔ ŋɔŋlɔ ƒe lolome kple nudɔdɔ dzi, eyata wolɔ̃na ɖe lolome mamlɛtɔ ƒe xexlẽdzesi dzi le nudɔdɔ ƒe kpeɖodziɣi tsɔ wu be woasusui tso agbalẽdzraɖoƒe si wozãna le mɔ vovovowo nu.

Nyataƒoƒo: Nudzɔdzɔ aɖe bu le esi lolome ɖeka bu ta, ke menye esi wodzrae ɖo le esi bubu alafa ɖeka li ta o. Wɔ ɖoɖo ɖe screws kple miame/ɖusime tɔtrɔwo ŋu abe ɖoɖoa ƒe akpa aɖe ene, gbeɖe abe nuƒle vovovowo ene o.

Afɔɖeɖe 3: Aleke Nàwɔ Ðe Dɔwɔnu Siwo Sɔ Kple Wo Nɔewo Ŋu?

Nukae le nuveviwɔame ƒe dɔwɔnu ƒe ɖoɖo me?

Ƒome ɖesiaɖe si wotsɔ dea lãme na ame hiã na blibo ƒumeŋutinunya ƒe dɔwɔnuwo ƒe hatsotso :

• Dɔwɔnu siwo wozãna le ɖoɖoa koŋ ŋu: mɔfianu siwo wotsɔna kua nu, goglomedzidzenuwo, gavi, asiléƒe siwo wotsɔ dea nu me, mɔ̃ siwo ɖoa taɖodzinu na ɖawo, reamers.
• Ƒumeŋutinunya ƒe amekokodɔwɔnu siwo wozãna le mɔ gbadza nu: ƒumeŋuɖui siwo dzi ɖena kpɔtɔna, ƒu-lénu siwo wotsɔna léa ƒu, ʋufɔtiwo, nusiwo wotsɔna gbugbɔa ƒu.
• Fragment sets: fragment sets sue aɖe kple fragment set gã aɖe hena plate-and-screw dɔwɔwɔ.
• Elektrikdɔwɔnuwo: drills kple saws le afisi ɖoɖo aɖe hiã wo le.
• Sterilization containers and trays , si woŋlɔ ɖe ɖoɖo nu, kple nail box kple screw box tiatia.

Haƒonu nenie wòle be nàwɔ ɖoɖo ɖe wo ŋu?

Zã mɔxexeɖedɔléle ƒe mɔnu sia na atike ɖesiaɖe si wotsɔ dea lãme na ame:

Dɔwɔnuwo ƒe hatsotso siwo hiã = ⌈ Gbe ɖeka me nudzɔdzɔwo ƒe kɔkɔƒe × (CSSD ƒe tɔtrɔ gaƒoƒo ÷ 24) ⌉ + 1 backup set

Kpɔɖeŋu si nye kpɔɖeŋu: kɔdzi aɖe wɔa PFNA dɔlékui siwo ade 2 le eƒe ŋkeke si dzi vovo mele o dzi eye CSSD trɔa sets le gaƒoƒo 24 me, eyata ⌈2 × 1⌉ + 1 = 3 sets . Ne tɔtrɔ nye gaƒoƒo 48 la, ⌈2 × 2⌉ + 1 = 5 sets ; ne menye nenema o la, ele be kɔdzia nalɔ̃ ɖe seɖoƒe si woɖo na dɔléle agbɔsɔsɔme si wòate ŋu awɔ ɖoɖo ɖe dɔlélea ŋu dzi.

Nyataƒoƒo: Dɔwɔnu ɖeka ƒle le ɖoɖo ɖesiaɖe me nye nusi bɔ wu si woɣla le nuveviwɔame ƒe fli yeye me. Woɖoa lolome to nya siwo dzɔna le ɣeyiɣi ɖeka me kple ɣeyiɣi si woatsɔ awɔ dɔlékuiwutikewoe nu.

Afɔɖeɖe 4: Aleke Nàwɔ Abu Akɔnta le Nudzraɖoƒe Gbãtɔ Ŋu?

SKU ɖesiaɖe ƒe mɔfiame

1. Gbesiagbe didi (d) = ƒe sia ƒe ƒe nudzɔdzɔwo na ɖoɖowɔɖia ÷ 365 × zazã ƒe akpa si le lolome × unit ɖeka me
2. Ɣeyiɣi si woatsɔ agbugbɔ nuawo ade eme (L) = ɣeyiɣi si woatsɔ nudzrala aɖo ɖa + dukɔwo dome mɔzɔzɔ + dukɔmeviwo ƒe adzɔxenyawo gbɔ kpɔkpɔ + ememe xɔxɔ
3. Totoɖemeɣi (R) = zi nenie woléa ŋku ɖe nudzraɖoƒea ŋu hegbugbɔa ɖoɖo ɖe wo ŋu (le kpɔɖeŋu me, kwasiɖa sia kwasiɖa = ŋkeke 7)
4. Nudidi si wokpɔ mɔ na = d × (L + R) .
5. Dedienɔnɔ ƒe nudzraɖoƒe (SS) = z × √d × √(L + R). Poisson ƒe akɔntabubu sia sɔ na SKU siwo wotsɔ dea lãme na ame siwo ƒe lolome mede o; z = 1.65 naa subɔsubɔ ƒe ɖoɖo si ade 95%.
6. Nudzraɖoƒe gbãtɔ = didi si wokpɔ mɔ na + SS, woƒo xlãe, kple unit 2 ya teti le core size ɖesiaɖe me (ɖeka le zazãm, ɖeka le megbe)

Kpɔɖeŋu si wowɔ dɔ (nɔnɔmetata ƒe nyawo tsɔtsɔ de eme) Nusiwo

wotsɔ de eme	ƒe Asixɔxɔ	Gɔmeɖoanyi
Intertrochanteric fixation nyawo ƒe sia ƒe	120	Kpɔɖeŋu kɔdzi ƒe agbɔsɔsɔme
Zãzã ƒe akpa si nye ɖa ƒe lolome ɖeka	15% .	Kpɔɖeŋu amekola ŋutinya
Nails le kotoku ɖesiaɖe me	1	— .
Ɣeyiɣi si woatsɔ aɖoe ɖa	7 ŋkeke	XC Medico standard-order dispatch (nu siwo le nudzraɖoƒe: le ŋkeke 3 me; ne woɖo kpe nudɔdɔ dzi)
Mɔzɔzɔ + dekɔnuwo	ŋkeke 14 sɔŋ	Kpɔɖeŋu ƒe asixɔxɔ; tsɔ ɣeyiɣi ŋutɔŋutɔ si me dukɔ si me nèyina la ɖɔ li
Totoɖemeɣi	7 ŋkeke	Kwasiɖa sia kwasiɖa ƒe ɖoɖo yeye wɔwɔ

• d = 120 ÷ 365 × 0.15 × 1 ≈ 0.049 gbesiagbe
• L + R = 7 + 14 + 7 = ŋkeke 28
• Nudidi si wokpɔ mɔ na = 0.049 × 28 ≈ 1.4 units
• SS = 1.65 × √0.049 × √28 ≈ 1.65 × 0,22 × 5.29 ≈ 1.9 ƒe xexlẽdzesiwo
• Gbãtɔ ƒe stock = 1.4 + 1.9 = 3.3, woƒo xlãe va ɖo 4 units of this nail size

Gbugbɔ bu akɔntabubua na lolome ɖesiaɖe, emegbe nàtsɔ gavi siwo sɔ, akplɔwo kple nuwuƒe ƒe nutrenuwo akpe ɖe eŋu le kotoku ɖesiaɖe me. Ne nu aɖe ɖo ɖa tso nudzraɖoƒe si li xoxo le ŋkeke 3 me la, L dzi ɖena kpɔtɔna eye nenema kee nudzraɖoƒe si wòle be nàlé ɖe asi hã dzi ɖena kpɔtɔna.

Aleke wòle be woama adzɔnu siwo woɖo ɖe ɖoɖo gbãtɔ nu?

Layer	Nusiwo woatsɔ ade eme	Typical owner
Kɔdzi ƒe agbalẽdzraɖoƒe alo nudɔdɔ	Core lolomewo le akɔntabubu ƒe stock level	Numamãla alo kɔdzi
Mamãla ƒe titina stock	Agbɔsɔsɔme siwo keke ɖe enu kple dɔwɔnu siwo woatsɔ akpɔ wo ta	Numamãla
Adzɔnuwɔƒe ƒe nuzazãwo	Nudɔdɔ tɔxɛwo ƒe lolome kple wo gbugbɔgade	Adzɔnuwɔƒe

Nyataƒoƒo: Bu akɔnta le nudzraɖoƒe gbãtɔ ŋu na lolome ɖesiaɖe tso didi, ɣeyiɣi si woatsɔ agbugbɔe aɖo kple dedienɔnɔ ƒe nudzraɖoƒe. Mègawɔ kɔdzi bubu ƒe ŋkɔwo ƒe kɔpi gbeɖe o.

Afɔɖeɖe 5: Nukae Wòle Be Woaɖo Ðo Le Nuzazãwo ƒe Kɔsɔkɔsɔ Kple Sedziwɔwɔ Me?

• Ŋkɔ ŋɔŋlɔ ƒe gakpekpeɖeŋu: ɖo kpe edzi be atikewɔnuwo ƒe ŋkɔ dede agbalẽ me le dukɔ si me wole taɖodzinu ɖo me la xea fe ɖe SKU ɖesiaɖe si wotsɔ dea ame me la ta. Nɔnɔme to vovo le asi kple adzɔnuwo nu, eye asi siwo womede agbalẽ me o alo esiwo woŋlɔ ŋkɔ na la hiã ɖoɖo bubu si dzi woato age ɖe eme.
• Dzɔdzɔmeɖoɖo ƒe kpeɖodzi: bia adzɔnuwɔƒea ƒe ISO 13485 ɖaseɖigbalẽ (ISO 13485:2016 nye dukɔwo dome QMS dzidzenu na atikewɔnuwo habɔbɔwo), tsɔ kpe ɖe nusiwo ŋuti nyatakakawo kple batch dodokpɔ ŋuti nuŋlɔɖiwo ŋu. Woƒo nu tso XC Medico ŋutɔ ƒe dɔwɔwɔ ŋu le ete nyonyome dzi kpɔkpɔ.
• Traceability: ɖo kpe laser dzesi kple lot traceability le implants ale be woate ŋu akpɔ ŋkuɖodzinyawo kple nyatoƒoetotowo gbɔ.
• Nuwo ɖoɖoɖa ƒe nyawo: ʋuɖoɖo ƒe mɔnu, dukɔmeviwo ƒe adzɔxegbalẽwo, DDP ƒe anyinɔnɔ, kple fexexe ƒe ga si wobia le asi si me woɖo tae me (le kpɔɖeŋu me, Venezuela bia be woaxe USD).
• Quality-issue process: nuŋɔŋlɔ ƒe tɔtrɔgbɔ/ɖɔliɖɔli kple mɔɖegbalẽ ƒe sewo, kple ŋuɖoɖo ƒe ɣeyiɣi si woɖe fia. Kpɔ kpekpeɖeŋunana le nudzadzra megbe.

Aleke XC Medico doa alɔ trauma line tutu?

XC Medico nye China-dukɔwo ƒe ƒumeŋuɖui kple amekoko dɔwɔnuwo wɔla kple egbɔkpɔnuwo nala si subɔa asisiwo le xexeame katã. Woɖoe le ƒe 2007 me, eye wònaa nu mamalawo, atikewɔƒewo, kɔdziwo kple amekolawo le dukɔ siwo wu 30 me. Eƒe agbalẽdzraɖoƒea ku ɖe nuveviwɔame, akɔta, ƒunukpeƒe, kamedefefe ƒe atikewɔwɔ, CMF kple atikewɔwɔ ƒe ŋusẽdɔwɔnuwo ŋu, kpakple gotagome fixation kple amekoko dɔwɔnu siwo kpena ɖe eŋu.

Hiã	XC Medico ƒe ŋutete
Trauma implant ƒomewo	Plɛtiwo, PFNA / afɔkpodzi ƒe ɖawo / afɔkpodzi ƒe ɖawo, gavi siwo wotsɔ gaze wɔe kple gotagome nuléle, kple dɔwɔnu siwo kpena ɖe eŋu; nusiwo woatsɔ ana si dzi woɖo kpee to ɖoɖowɔɖi, ŋkɔ ŋɔŋlɔ ƒe lolome kple sedede dzi
Adzɔnuwo wɔwɔ kple woƒe nyonyome	Dɔwɔƒe si ƒe lolome anɔ abe 4,300 m2 ene, mɔ̃ɖaŋudɔwɔƒe 120+ kple dodokpɔwɔƒe; ewɔwɔ kple eƒe nyonyome dzi kpɔkpɔ le ISO 13485 ƒe nyonyome dzikpɔkpɔ ƒe ɖoɖo aɖe te
Nusiwo woate ŋu akpɔ	Nusiwo wotsɔ wɔe ŋuti nyatakakawo, batch dodokpɔ kple laser dzesidede; dzedze ŋuti nuŋlɔɖi siwo sɔ siwo wonana ɖe adzɔnu ɖesiaɖe kple asi si woɖo taɖodzinu na ɖesiaɖe ta
Nudzraɖoƒe kple ɣeyiɣi si woatsɔ awɔe	Nudzraɖoƒedzikpɔkpɔ le 9,000+ SKUwo katã me; nusiwo le nudzraɖoƒea ɖoa wo ɖe wo le ŋkeke 3 me eye woɖoa nudɔdɔ siwo wowɔna ɖaa le ŋkeke 7 me, ne woɖo kpe nudɔdɔa dzi
Asitsatsa ŋuti nyawo	Tiered asixɔxɔ, agent ƒe asixɔxɔ kple OEM / ODM nuwɔwɔ aduadu, si me logo, amadede kple nubabla ƒe tɔtrɔ ɖe nɔnɔme nu hã le
Nuwo ɖoɖoɖa	Wowɔ ɖoɖo ɖe meliɖoɖo, dukɔmeviwo ƒe adzɔxexe kple DDP ŋu le afisi woɖo tae nu
Asitsatsa me yiyi	Asi siwo womede agbalẽ me o: dɔwɔƒe gbãtɔ ƒe dɔwɔlawo xɔxɔ kple kpekpeɖeŋu na nutoa me ƒe ŋkɔ dede agbalẽ me kple gakpɔkpɔ ƒe mama ƒe kpɔɖeŋu si dzi wolɔ̃ ɖo na dɔwɔƒe evelia ƒe dɔwɔla siwo ava emegbe. Asi siwo woŋlɔ ŋkɔ na: dɔwɔƒe evelia ƒe dɔwɔƒe ƒe kadodo kple dɔwɔlawo ƒe asixɔxɔ.
Dɔdaƒe kple nudzadzra megbe kpekpeɖeŋunana	Ŋkɔ ŋɔŋlɔ ƒe nuŋlɔɖiwo, mɔ̃ɖaŋu ŋuti nyatakakawo, adzɔnuwo ƒe hehenana, nyawo ŋuti kpekpeɖeŋu, amekokomɔnu ƒe videowo kple nudzadzra megbe subɔsubɔdɔ; aɖaŋuɖoɖo gbãtɔ si woatsɔ akpɔ nyawo gbɔe le gaƒoƒo 24 me tso esime woɖe gbeƒãe tso nyonyo ŋu; nuŋɔŋlɔ ƒe tɔtrɔgbɔ/ɖɔliɖɔli ƒe ɖoɖowo kple mɔɖegbalẽ si woɖo ɖe hatsotsowo me

Wowɔ ɖoɖo ɖe nuveviwɔame ƒe didimewo ŋu le ŋutilã ƒe nuto nu hena ɖoɖowɔwɔ: afɔkpodzi, afɔkpodzi, afɔ kple afɔkpodzi, radius kple ulna, humerus, clavicle, fibula kple pelvis.

Ŋkɔ ŋɔŋlɔ ƒe nɔnɔme le asi nu

Nutome	Ŋkɔ ŋɔŋlɔ ƒe nɔnɔme
Latin Amerika	Le ŋkɔ ŋɔŋlɔ me: Mexico, Peru, Ecuador, Argentina. Wowɔ ɖoɖo ɖe ŋkɔ ŋɔŋlɔ ŋu: Colombia, Venezuela, Chile. Nɔnɔme si ŋu woaɖo kpee: Guatemala, Nicaragua, Honduras, Bolivia, Paraguay, Dominican Republic
Anyieheɣedzeƒe Asia	Woŋlɔ ŋkɔ ɖe agbalẽ me: Indonesia. Le ŋkɔ ŋɔŋlɔ me: Vietnam. Nɔnɔme si ŋu woaɖo kpee: Malaysia, Philippines, Thailand, Sri Lanka, Uzbekistan
Titina Asia ƒe asitsanutome	Le ŋkɔ ŋɔŋlɔ me: Russia
Titina Ɣedzeƒe	Nɔnɔme si ŋu woaɖo kpee: Iraq

Woléa ŋku ɖe dɔwɔƒewo, nutoa me kple adzɔnuwo ƒe ɖaseɖigbalẽwo ŋu kple adzɔnu ɖesiaɖe koŋ. 'Be woaɖo kpe edzi' mefia be womeŋlɔ ŋkɔ o. Le Argentina la, vaseɖe esime woɖe mɔ be woade ŋkɔ agbalẽ me la, nuzazãwo zɔna ɖe dɔwɔnu siwo li fifia alo afisi wowɔ ɖe ɖoɖo nu dzi, eye woɖoa kpe nusiwo wotsɔ dea ame me ƒe nutsyɔtsyɔ dzi ne wonya ŋlɔ ŋkɔ vɔ ko.

Afɔɖeɖe 6: Aleke Nàwɔ Adze Kaƒomɔ̃a Dzi Le Kɔdzi?

1. Amekola ƒe kpeɖodzi: lé ŋku ɖe lolome ƒe ɖoɖoa kple dɔwɔnuwo ƒe xexlẽdzesi ŋu kple amekola ɖesiaɖe si naa nuveviwɔame hafi nàbia.
2. Hehenana: wɔ ɖoɖo ɖe atikewo ƒe hehenana ŋu kple amekokomɔnu me toto to atikewɔƒea ƒe nuzazãwo zazã me (mɔnu ƒe videowo, mɔ̃ɖaŋu ŋuti nyatakakawo).
3. Nyawo ƒe kpekpeɖeŋu: wɔ ɖoɖo ɖe kpekpeɖeŋunana le teƒea ŋu na nya gbãtɔwo kple ɖoɖo yeye ɖesiaɖe le afisi nutoa me sewo ɖe mɔ le.
4. CSSD onboarding: na sterilization ƒuƒoƒoa tray layouts kple reprocessing mɔfiamewo.
5. Nuŋlɔɖiwo tsɔtsɔ de asi na ame: ŋkɔ ŋɔŋlɔ ƒe ɖaseɖigbalẽwo, mɔfiamewo le zazã ŋu kple lot traceability nuŋlɔɖiwo.

Afɔɖeɖe 7: KPI Kawoe Wòle Be Nàlé ŋku Ðe Wo Ŋu Le Wo Dzedze Me Vɔ Megbe?

KPI	Formula	Nuxlɔ̃ame ƒe dzesi
Nyawo yɔyɔ ƒe agbɔsɔsɔme	Dɔléle siwo me wotsɔ nu blibo dede ame me kple dɔwɔnuwo ÷ dɔléle siwo woɖo ɖi katã	Le 98% te .
Agbɔsɔsɔme stock-outs	Zi nenie womekpɔ lolome si wobia tso ame si o	Agbɔsɔsɔ ɖeka ma ke bu wu zi ɖeka
Nudzraɖoƒewo ƒe asitɔtrɔ	Units zã ÷ mamã dedie nu unit siwo le asi me	Trɔtrɔ si bɔbɔ ŋutɔ le lolome siwo keke ta me
Dead-stock ƒe xexlẽme ƒe sɔsɔme	SKU siwo me wozãa zero le le ɣleti 6 me ÷ SKUwo katã	Dzidziɖedzi tso akpa enelia me yi akpa enelia me
Replenishment kplɔ ɣeyiɣi	Ɣletiŋkeke si dzi wobia nu va ɖo ŋkeke si dzi woxɔe	Edidi wu esi ŋu wowɔ ɖoɖo ɖo L
Nyatoƒoetoto siwo ku ɖe nyonyome ŋu	Nyatoƒoetoto le nya 100 ɖesiaɖe me, tsɔ kpe ɖe ɣeyiɣi si woatsɔ aɖo nya ŋui ŋu	Dziyiyi ƒe nɔnɔme ɖesiaɖe

Afɔɖeɖe 8: Aleke Nàwɔ Awɔ Fli la Ŋudɔ Nyuie Le Ɣeyiɣi aɖe megbe?

• Ɣleti sia ɣleti: gbugbɔ ɖo stock ƒe agbɔsɔsɔme to lolome zazã ŋutɔŋutɔ zazã me, nàtsɔ nyatakaka ŋutɔŋutɔ aɖɔli zazã ƒe gomekpɔkpɔ siwo wosusu.
• Ɣleti etɔ̃ ɖesiaɖe: tsɔ lolome blewu tso kɔdzi ƒe agbalẽdzraɖoƒe yi numamãlawo ƒe nudzraɖoƒe, eye nàtsɔ lolome siwo na nudzraɖoƒewo vɔ la akpe ɖe eŋu.
• Ɣleti ade ɖesiaɖe: kpɔe ɖa be dɔdamɔnu yeyewo sɔ be woatsɔ ƒome siwo wotsɔ dea lãme na ame akpe ɖe eŋu hã.
• Ƒe sia ƒe: gbugbɔ dzro asixɔxɔ si woɖo ɖe ɖoɖo nu si wotu ɖe agbɔsɔsɔ ŋutɔŋutɔ dzi eye nàto ŋkɔ ŋɔŋlɔ ƒe kpekpeɖeŋunana SKU yeyewo me.

Vodada Siwo Wòaƒo Asa na Zi geɖe

1. Nuƒle to agbalẽwo ƒe xexlẽdzesiwo dzi tsɔ wu be woaƒlee to ɖoɖo nu: nu kuku siwo le ƒome siwo me womezãa nu geɖe le o me, dometsotsowo le esiwo ƒe agbɔsɔsɔme sɔ gbɔ me.
2. Aɖabaŋeŋe ƒu miame/ɖusime kple didime ƒe vovototowo dzi: agbalẽvi la le 'le nudzraɖoƒe', gake menye le axa alo didime si nudzraɖoƒea hiã la me o.
3. Kpluwo ƒle ɖe vovo tso agbalẽvi ƒe ɖoɖoa gbɔ: gavi siwo mewɔ ɖeka o xea mɔ na nuɖazea.
4. Dɔwɔnu ɖeka ƒle le ɖoɖo ɖesiaɖe me: CSSD ƒe tɔtrɔ emegbe ɖoa seɖoƒe na dɔléleawo ƒe xexlẽme gbesiagbe.
5. Bubu ɣeyiɣi si wotsɔ ɖoa ​​dɔwɔƒewo ɖe dɔwɔƒewo be enye ɣeyiɣi si woatsɔ aɖoe ɖe amewo katã: zi geɖe la, mɔzɔzɔ kple dukɔmeviwo ƒe dukɔmeviwo ƒe mɔzɔzɔ xɔa ɣeyiɣi didi wu esiwo woɖona ɖa.
6. Skipping per-SKU registration checks: woateŋu ade adzɔnuwo ƒe ƒome aɖe agbalẽ me esime SKU tɔxɛwo ya mele nenema o.
7. Ðoɖoa gbugbɔgakpɔ gbeɖe o: ele be woatsɔ wo zazã ŋutɔŋutɔ aɖɔli lolome ƒe gomekpɔkpɔ siwo wosusu le ɣleti ʋɛ gbãtɔawo me.

Master Checklist: Nuveviwɔame ƒe Adzɔnuwo ƒe Ðoɖowɔwɔ

Amekoko ƒe wɔwɔme

• ☐ Ɣleti 12 ƒe nya ƒe agbɔsɔsɔme le afisi wògbãe kple fixation mɔnu nu
• ☐ Gbe ɖeka me dɔlélewo ƒe agbɔsɔsɔ gãtɔ le ɖoɖo ɖesiaɖe me
• ☐ Woŋlɔ amekola ƒe didiwo ɖi

Nusiwo wotsɔ dea lãme na ame

• ☐ Do ƒome siwo wotsɔ dea lãme na ame siwo ƒe nɔnɔmetata wowɔ ɖe dɔdamɔnuawo dzi
• ☐ Woɖe core, extended kple special-order size tiers gɔme
• ☐ Woɖo kpe miame/ɖusime tɔ, didime, didime kple gavi siwo sɔ dzi

Dɔwɔnuwo

• ☐ Dɔwɔnu siwo woɖo bliboe na nusiwo wotsɔ dea lãme na ame ƒe ɖoɖo ɖesiaɖe
• ☐ Sets ƒe xexlẽme si wobu tso peak cases kple CSSD turnaround me
• ☐ Elektrikdɔwɔnuwo kple nusiwo wozãna (K-ka, drill bits) le eme

Nunɔamesiwo ƒe agbalẽ

• ☐ Nudidi, L, R kple dedienɔnɔ ƒe adzɔnu si wobu le SKU ɖesiaɖe me
• ☐ Ne mede ɖeke o la, unit 2 ya teti le core ƒe lolome ɖesiaɖe me
• ☐ Stock mama le kɔdzi, mama kple ewɔla

Nuzazãwo ƒe kɔsɔkɔsɔ kple sedziwɔwɔ

• ☐ Woɖo kpe ŋkɔ ŋɔŋlɔ ƒe kpekpeɖeŋu dzi le SKU kple dukɔ ɖesiaɖe me
• ☐ ISO 13485 ƒe ɖaseɖigbalẽ, nusiwo wotsɔ wɔe ƒe nyatakakawo kple batch dodokpɔwo le faɛl dzi
• ☐ Woɖo kpe traceability (laser dzesi, lot nuŋlɔɖiwo) dzi
• ☐ Wolɔ̃ ɖe ɖoɖowɔwɔ, DDP/dukɔwo ƒe dukɔmevinyenye kple fexexe ƒe ɖoɖowo dzi
• ☐ Wolɔ̃ ɖe mɔɖegbalẽ si woŋlɔ ɖi, tɔtrɔgbɔ/ɖɔliɖɔli ƒe ɖoɖowo kple ŋuɖoɖo ƒe ɣeyiɣi dzi

Dzedze kple ŋkuléle ɖe eŋu

• ☐ Wowɔ ɖoɖo ɖe amekola ƒe kpeɖodzinana, hehenana kple kpekpeɖeŋu nana ame gbãtɔ ŋu
• ☐ Ɣleti sia ɣleti ƒe KPI me toto le dɔ wɔm

Nya Siwo Wobia Enuenu

Nukae nye afɔɖeɖe gbãtɔ si woawɔ le nuveviwɔame ƒe atike blibo tutu me na kɔdzi?

Ƒo ɣleti 12 ƒe nuveviwɔame ƒe dɔwɔwɔ ŋuti nyatakakawo nu ƒu le teƒe si wogbãe kple mɔnu si wotsɔ ɖoa ​​woe nu, emegbe nàɖo dɔdamɔnuawo ɖe ɖoɖo nu le woƒe lolome nu. Ðoƒe mae tsoa nya me le ƒome siwo wotsɔ dea lãme na ame (siwo wotsɔ ga ƒoa ƒui, ɖa siwo le lãkusi me, ƒu ƒe ʋuƒo alo gotagome nusiwo wotsɔna léa nu ɖe ​​te) yi ɖe ɖoɖo gbãtɔ me.

Ƒome kawoe nye ƒumeŋuɖui ƒe nuveviwɔame ƒe agbalẽ vevi aɖe?

Zi geɖe la, ŋutilã ƒe wɔwɔme ƒe nutrenu gbadzɛwo kple gaƒoɖokui ƒe nutete gbadzɛwo; ɖa siwo le lãkusi me, siwo dometɔ aɖewoe nye PFNA, afɔkpodzi ƒe ɖa kple afɔkpodzi ƒe ɖa; ƒu ƒe ʋuƒo (cortical, cancellous kple cannulated); kple gotagome fixators. Ƒome ɖesiaɖe tsɔa eƒe haƒonuwo vaa.

Aleke mawɔ abu akɔnta le ƒumeŋuɖui siwo wotsɔ dea lãme na ame ƒe xexlẽme gbãtɔ ŋu?

Le lolome ɖesiaɖe gome la, nudzraɖoƒe gbãtɔ = gbesiagbe didi × (ɣeyiɣi si woatsɔ agbugbɔe ade eme + ɣeyiɣi si wogbugbɔ ŋku lé ɖe eŋu) + dedienɔnɔ ƒe nudzraɖoƒe, si woƒo ƒu, kple unit eve ya teti le nu vevi ɖesiaɖe ƒe lolome ɖesiaɖe me. Ele be ɣeyiɣi si woatsɔ agbugbɔ nuawo ade eme la nalɔ dɔdɔ, mɔzɔzɔ kple dukɔmeviwo ƒe dukɔmeviwo ƒe adzɔxenyawo gbɔ kpɔkpɔ ɖe eme.

Dɔwɔnu nenie kɔdzi hiã le nuveviwɔame ƒe ɖoɖo ɖesiaɖe me?

Tsɔ ŋkeke ɖeka me nya siwo sɔ gbɔ wu la dzi ɖe edzi to CSSD ƒe tɔtrɔ le ŋkekewo me, ƒo wo nu ƒu, eye nàtsɔ backup set ɖeka akpe ɖe eŋu.

Nukatae nuveviwɔame ƒe ka yeyewo vɔna le nudɔdɔ gbãtɔ gã aɖe megbe gɔ̃ hã?

Zi geɖe la, esi sededea ku ɖe ƒome geɖe siwo wotsɔ dea lãme na ame ŋu gake menye lolome ƒe duƒuƒu blibo o tae: miame/ɖusime tɔ, didime alo gavi siwo sɔ la bu.

Nukae wòle be emamalawo nalé ŋku ɖe eŋu hafi atia ƒumeŋuɖui ƒe atikewɔƒe?

Ŋkɔŋlɔɖi ƒe kpekpeɖeŋunana SKU ɖesiaɖe le dukɔ si ŋu wole taɖodzinu ɖo me, ISO 13485 ƒe nyonyome ƒe ɖoɖo ƒe kpeɖodzi, nusiwo wotsɔ wɔe kple dodokpɔ ƒe nyatakakawo, nusiwo wotsɔ de eme ƒe kplɔkplɔ, ɣeyiɣi ŋutɔŋutɔ siwo woatsɔ awɔ dɔe siwo dome ɖoɖowɔwɔ hã le, kple mɔɖegbalẽ kple nyonyome-ŋuɖoɖo ƒe se siwo woŋlɔ.

Ðe XC Medico ate ŋu ana nuveviwɔame ƒe ka blibo aɖea?

XC Medico naa agbalẽviwo, PFNA / afɔkpodzi kple afɔkpodzi ƒe ɖawo, gavi siwo me woɖea tsi le, gotagome nuléle, amekoko dɔwɔnu siwo kpena ɖe ame ŋu kple atikewɔwɔ ƒe ŋusẽdɔwɔnuwo. Woɖoa kpe nuzazã dzi le ɖoɖoa, ŋkɔ ŋɔŋlɔ ƒe lolome le asi si me woayi kple nudɔdɔa ŋuti nyatakakawo nu.

Zi nenie wòle be woato nuveviwɔame ŋuti nuŋlɔɖi ƒe ɖoɖoa me?

Trɔ asi le nudzraɖoƒe ƒe agbɔsɔsɔ ŋu ɣleti sia ɣleti to zazã ŋutɔŋutɔ zazã me, gbugbɔ da sɔ le woƒe lolome ŋu le ƒe etɔ̃ ɖesiaɖe me, lé ŋku ɖe ƒome siwo wotsɔ dea lãme na ame ŋu ɣleti ade ɖesiaɖe, eye nàto asixɔxɔ kple ŋkɔ ŋɔŋlɔ ƒe gaxɔgbalẽvi me ƒe sia ƒe.

Dzɔtsoƒewo

1. AO Gɔmeɖoanyi, . AO Amekoko ƒe Nufiame : gbagbãƒewo dzikpɔkpɔ ƒe mɔnuwo.
2. GBD 2019 Fracture Dɔwɔhawo, . Xexeame katã, nutome, kple dukɔa ƒe agba si ƒu ƒe gbagbã le dukɔ kple anyigbamama 204 me, 1990–2019 , Lancet Healthy Longevity , 2021.
3. Dukɔwo Dome Habɔbɔ si Kpɔa Dzidzenuwo Gbɔ, . ISO 13485:2016, Atikewɔnuwo: Dzɔdzɔmeŋutete dzikpɔkpɔ ƒe ɖoɖowo, Nudidiwo na ɖoɖowɔwɔ ƒe taɖodzinuwo.

Èle ɖoɖo wɔm ɖe nuveviwɔame ƒe ka ŋu na kɔdzi alo mama ƒe dɔwɔƒe aɖea? Ma wò kɔdzi ƒe ƒe sia ƒe ƒe nyawo ƒe tsakatsaka kple asi si woɖo taɖodzinu na, eye XC Medico ƒe ƒuƒoƒoa awɔ nɔnɔmetata na ƒome siwo wotsɔ dea lãme na ame, dɔwɔnuwo ƒe hatsotsowo kple ŋkɔ ŋɔŋlɔ ƒe gazazã na wò. Te ɖe XC Medico ŋu be nàdze numetotoa gɔme.