Wogula ku chipatala akuimbira foni ndikukufunsani ngati muli ndi screw system ya pedicle. Pano mukugawira makina otsegulira osakanikirana - SecuFix kapena ValuFix-type rod-screw constructs - ndipo akhala akugulitsa bwino. Tsopano mukudabwa ngati kuwonjezera mzere wa MIS ndikoyenera kugulitsa ndalama, kapena ngati ndikusokoneza gulu lomwe likugwira ntchito kale.
Izi zimabwera kuposa momwe ogawa amayembekezera. Zokonda za opaleshoni zikusintha m'misika yambiri, koma osati mofanana, osati njira iliyonse. Musanawonjezere ma SKU, zimathandiza kumvetsetsa zomwe zili zosiyana - zachipatala komanso zamalonda - pakati pa njira ziwirizi.
Zomwe 'MIS' Zimasintha M'chipinda Chothandizira
Mawuwa amagwiritsidwa ntchito mwachisawawa, choncho ndi bwino kukhala olondola. Dongosolo lenileni la MIS pedicle screw si mtundu wocheperako chabe wamakina otseguka. Kusiyana kwakukulu ndi:
- Percutaneous screw insertion - zomangira zimalowa m'mabala ang'onoang'ono akhungu motsogozedwa ndi fluoroscopy, m'malo mowonekera kamodzi kokha ndi minofu yotuluka.
- Ndodo zopindika kapena zochepetsera - ndodo imadutsa pamakina osanja owonjezera m'malo mongoyikidwa pamalo otseguka, ndichifukwa chake makina a MIS nthawi zambiri amapindika.
- Zomangira, zomangika - zomangira zopanda pake zimalola kuyika kwa waya komanso nthawi zina kukulitsa simenti mu mafupa osteoporotic
- Tubular retractor kapena extension tower instrumentation - ichi ndi chida chomwe chimapangitsa kuti kuyika kwapang'onopang'ono kutheke, ndipo ndi gawo lomwe omwe amagawa nthawi zambiri amanyalanyaza mtengo wake komanso zovuta zake.
Tsegulani machitidwe kulumpha zonsezi. Dokotalayo amakhala ndi mawonedwe achindunji, opeza ma pedicle ndi matepi, ndi ndodo yowongoka kapena yopindika pang'ono yomwe imachepetsedwa pamanja. Ndi njira yokhazikika yogwirira ntchito yokhala ndi njira yozama yophunzirira.
Madokotala Ochita Opaleshoni Yachipatala Amasamaliradi
Otsatsa safunikira kukhala maopaleshoni amsana, koma kumvetsetsa zomwe zimayendetsa kukonda kwa maopaleshoni kumakuthandizani kuti mukhale ndi zokambirana zodalirika ndi zogula ndi OR antchito.
Njira za MIS nthawi zambiri zimachepetsa kutayika kwa magazi, kuvulala kwa minofu, komanso kutalika kwa chipatala kwa oyenerera oyenerera - nthawi zambiri milandu ya 1-2 yopunduka popanda kupunduka kwakukulu. Ndilo phindu lenileni lachipatala ndipo ndichifukwa chake kufunikira kulipo.
Koma MIS siyabwino konsekonse. Zomanga zingapo, maopaleshoni obwereza, kukonza zolakwika, komanso milandu yomwe imafuna kuchepetsedwa kwakukulu kumachitikabe nthawi zambiri, chifukwa mawonekedwe ndi mwayi wofikira kuposa kukula kwake muzochitikazo. Dokotala wochita opaleshoni yemwe amagwira ntchito yovuta kwambiri yopunduka mwina sangagwire ntchito ndi MIS screw system. Dokotala wochita maopaleshoni owopsa kwambiri m'chipatala cha tsiku lomwelo sangagwiritse ntchito chilichonse.
Ichi ndi chinthu choyamba chomwe muyenera kudziwa musanayambe kufufuza: kodi dokotala wanu wa opaleshoni amagwira ntchito bwanji? Kuonjezera mzere wa MIS kuti mutumikire dokotala wina wa opaleshoni yemwe amangoyang'ana pang'onopang'ono wa 1 ndi chisankho chosiyana kwambiri ndi kuwonjezera chifukwa madokotala atatu opaleshoni pachipatala chanu chachikulu amapempha sabata iliyonse.
Kumene Kusiyanitsa Kwamtengo Weniweni Kukuwonekera - Ndipo Sikuti Kuyika
Izi ndi zomwe zimachititsa kuti ogawa asadziwe: mtengo woyika pa unit imodzi pakati pa MIS ndi makina otsegula a pedicle siwosiyana kwambiri. Kusiyana kwa mtengo kuli mu zida.
Dongosolo la MIS limafuna nsanja zowonjezera, mawaya owongolera, matepi azitini, odutsa ndodo, ndipo nthawi zambiri thireyi yolumikizana ndi fluoroscopy kuchokera panjira yotseguka. Simukungowonjezera ma SKUs - mukuwonjezera zida zonse zomwe zimakhala ndi njira yake yotsekera, kasamalidwe ka thireyi yake, komanso mtengo wake ngati mukupereka zida zotumizira zipatala.
Kwa wogawa omwe ali kale ndi zida zotseguka, izi zikutanthauza:
- Thireyi ya chida yosiyana yoti mulondole, kuthiritsa, ndi kukonza (kapena kupereka ngati ma seti obwereketsa)
- Nthawi yowonjezereka yophunzitsira kwa OR ogwira ntchito pa nsanja yolumikizira nsanja ndikuyenda mozungulira
- Zingakhale zokwera mtengo kwambiri ngati mukulipira zida zanthawi yoyeserera kuchipatala
- Kuchulukitsa kwapang'onopang'ono ngati muli ndi tray imodzi ya MIS yokhala ndi maakaunti angapo
Ichi ndichifukwa chake ena ogulitsa omwe amawonjezera mizere ya MIS amakhumudwitsidwa ndi malire - osati chifukwa mitengo yamtengo wapatali ndi yoyipa, koma chifukwa adapeputsa zida.
Mbali ndi Mbali: Zomwe Zimasintha pa Business
| Factor |
Open Fusion System |
MIS Pedicle Screw System |
| Ma trays a zida zofunika |
1 thireyi yokhazikika |
Ma tray 1-2 kuphatikiza nsanja / ma seti owongolera |
| Dongosolo lophunzirira opaleshoni |
Ochepa kwa odziwa opaleshoni a msana |
Tanthauzo - nthawi zambiri 15-20 milandu pamaso chitonthozo |
| Fluoroscopy kudalira |
Zogwiritsidwa ntchito, koma zochepa mosalekeza |
Pafupifupi mosalekeza panthawi yoyika wononga |
| Nkhani yabwino yovuta |
Multi-level, deformity, revision |
1-2 level degenerative, low deformity |
| Chipatala chachikulu zida zofunika |
Standard OR fluoro suite |
Zomwezo, koma nthawi zambiri zimaphatikizidwa ndi O-mkono kapena navigation m'malo okwera kwambiri |
| Distributor maphunziro ndalama |
Ochepa - obwereza ambiri akudziwa kale |
Ma reps apamwamba amafunikira kusonkhana kwa nsanja komanso kuwongolera bwino kwamilandu |
Kubweza Simalipira MIS Nthawi Zonse Monga Momwe Opaleshoni Amayembekezera
Izi ndizoyenera kukweza mwachindunji ndi okhudzana ndi chipatala musanapereke mankhwala, chifukwa zimasiyana kwambiri ndi msika. M'mayiko ena ndi machitidwe olipira, DRG kapena ndalama zolipirira mlandu wophatikizika ndizofanana kaya zatsegulidwa kapena MIS - chipatala chimalipidwa ndalama zomwezo, koma mlandu wa MIS ungafunike zotayidwa zodula kwambiri (nsanja zowonjezera, zowongolera) komanso mwina ndalama zoyendetsera. Izi zimafinya malire a chipatala ngakhale zotsatira za odwala nthawi zambiri zimakhala bwino.
M'misika yomwe ma inshuwaransi achinsinsi kapena odwala omwe amadzilipira okha amalipira ndalama zolipirira njira zocheperako, zipatala zimakhala ndi chilimbikitso chomveka bwino chandalama chotengera MIS. M'misika yokhala ndi ndalama zobwezeredwa zophatikizika, kulera mwana kumayendetsedwa ndi zokonda za maopaleshoni ndi OR kuchita bwino, osati malire achipatala.
Musanatumize zida za MIS kuchipatala, ndikofunikira kumvetsetsa kuti msika wanu ukugwera mbali iti ya mzerewu. Wogulitsa amene akuganiza kuti MIS ndi chisankho chomwe chipatala chimakonda atha kupeza mayankho ozizira mosayembekezereka kuchokera ku gulu loyang'anira zida zomwe zimayang'ana kwambiri mtengo wamtundu uliwonse.
Njira Yapakatikati: Kutengera kwa Hybrid
Ogawa ambiri omwe amawonjezera bwino MIS samalowetsa makina awo otseguka - amayendetsa onse, ndikulola kuti kusankha kwamilandu kutsimikizire kuti ndi iti yomwe idzagwiritsidwe ntchito. Umu ndi momwenso maopaleshoni amagwirira ntchito: MIS pamilandu yowongoka ya 1-2, yotsegulira chilichonse chovuta kwambiri.
Kwenikweni, izi zikutanthauza:
- Sungani makina anu otseguka a rod-screw ngati mzere woyamba wamilandu yovuta
- Onjezani zida za MIS mukakhala ndi dokotala m'modzi kapena awiri omwe amafunikira mobwerezabwereza - osati chidwi chongopeka.
- Kambiranani mawu a tray ya zida (katundu motsutsana ndi kugula) mosamala, popeza apa ndipamene malire a MIS amapangidwira kapena kutayika.
- Bajeti nthawi yeniyeni yophunzitsira - pakugulitsa kwanu monga kwa antchito a OR - popeza chithandizo chamilandu ya MIS chimafunikira kukhalapo kokwanira pakuleredwa koyambirira.
Opanga omwe amapereka machitidwe onse otseguka (monga zomangira zopangira ndodo ngati SecuFix kapena mapulatifomu amtundu wa ValuFix) ndi mzere wogwirizana wa MIS - wokhala ndi zida zomwe zimapangidwira kugawana screw geometry ndi mita ya ndodo ponseponse - zimapangitsa kuti kusinthaku kukhale kosavuta kuposa kuyika ma implants kuchokera kwa ogulitsa awiri osagwirizana. Mafotokozedwe ophatikizika a screw ndi ndodo amatanthauza kuti zinthu zanu sizigawika m'makina awiri osagwirizana, ndipo gulu lanu lamalonda limangophunzira mawonekedwe amodzi oyendetsa screw m'malo mwa awiri.
Mafunso Oyenera Kufunsa Musanapereke Zolemba
- Ndi maopaleshoni angati m'maakaunti anga apano omwe akufunsira MIS mwachangu, kuyerekeza ndi angati omwe anenapo podutsa?
- Ndi kuchuluka kotani kwa milandu yawo yomwe ingasinthedi kupita ku MIS - kodi ndi 10% ya milandu kapena 60%?
- Kodi ndingapeze thireyi ya chida chotumizira kuchokera kwa opanga kwa nthawi yoyeserera ndisanagule?
- Kodi MIS screw system imagawana geometry ndi makina anga otseguka omwe alipo, kapena kodi magawo awiriwa amasiyana kotheratu kuti aziwongolera?
- Kodi maphunziro a wopanga ndi chithandizo chamilandu amawoneka bwanji pamilandu 10-15 yoyamba?
Ngati simungathe kupeza mayankho omasuka ku mafunso awiri oyamba, nthawi zambiri ndi bwino kudikirira. Kuwonjeza mzere wazinthu potengera kukambirana ndi dokotala wachidwi, osayang'ana ngati izi zikumasulira zenizeni zenizeni, ndi njira imodzi yodziwika bwino yomwe ogawa amathera ndi zinthu zosagwiritsidwa ntchito bwino atakhala mu thireyi pa alumali.
Kwa omwe amagawa pano akuwunika zosankha za MIS pedicle screw pamodzi ndi mndandanda wawo womwe ulipo wa msana, ndikuwunikanso zomwe zikugwirizana MIS Spinal Fixation Systems yomwe imaphimba zonse zotseguka komanso zopanga za MIS zitha kupangitsa chisankhochi kukhala chosavuta - makamaka pamene screw geometry ndi mafotokozedwe a ndodo amagawidwa m'mizere yonse yazinthu m'malo mongofuna zotengera zosiyana.
