Nigute Wubaka Urutirigongo Rwuzuye Impinduka Portfolio: Agatabo kayobora

Abagabura umugongo benshi ntibatangirana ningamba za portfolio. Batangirana numubano umwe - utanga isoko yari afite sisitemu nziza ya pedicle screw, cyangwa umurongo wa cage umuganga wabaga washinze yakunze - kandi kataloge ikura aho, ikiganiro kimwe cyibicuruzwa icyarimwe. Ibyo bikora igihe gito. Irahagarika gukora mugihe umuganga ubaga kabiri abajije ikintu uwatanze isoko ya mbere adakora, cyangwa ibitaro bifuza umucuruzi umwe kumurongo wa serivise yumugongo aho gutumiza ibintu bitatu bitandukanye.

Aka gatabo kerekeye kubaka portfolio nkana aho kugira icyo ikora - ibiyirimo, gahunda yo kongeramo, hamwe n’umuntu utanga umurongo umwe wuzuye byumvikana kuruta guhuza byinshi byihariye.

Umugongo wuzuye utera umugongo mubisanzwe urimo:

• Fungura na MIS inyuma yo gukosora

• TLIF, PLIF, ALIF na cervical cage

• Imbere n'inyuma y'inkondo y'umura

• Ibikoresho bihuye

• Inyandiko za tekiniki hamwe n'inkunga y'ibarura

Impamvu umugongo Portfolio udashobora kubakwa hafi yibicuruzwa bimwe

Kugura pedicle screw sisitemu ntabwo ari kimwe no kugira umurongo wibicuruzwa byumugongo. Ibitaro n’abaganga babaga batekereza kubijyanye nuburyo bukoreshwa, ntabwo byatewe, kandi serivisi nyinshi zumugongo zigomba gukurikiza icyarimwe muburyo bumwe: gukosora inyuma yindwara zangirika no guhindagurika, guhuza abantu hagati ya disiki ya disiki, gukosora inkondo y'umura kuburyo bwimbere ninyuma, kandi bigenda byiyongera, amahitamo ya MIS hamwe nibikoresho bifunguye.

Umugabuzi ugaragaza imigozi ariko adafite umurongo uhuza umurongo, cyangwa ibyuma byinkondo y'umura ariko nta bikoresho bihuye, arasaba umuganga kubaga ahasigaye ahandi - bivuze ko umuganga abaga akoresha gusa uwabitanze asanzwe afite ishusho yuzuye. Twasobanuye impamvu ibyemezo no gukora disipuline bifite akamaro kuruta geografiya mugihe duhitamo abatanga ibicuruzwa Ubushinwa na Amerika Abakora Urutirigongo ; iki gitabo kijyanye nibyo kubaka mubyukuri umaze gutora uruganda rukwiye kubaka hafi.

Tangira hamwe na Core ya Lumbar Ikosora

Lumbar posterior fixation nimwe shingiro abakwirakwiza umugongo bubaka mbere, kuko ikubiyemo ubwinshi bwimanza zisanzwe zangirika.

Fungura sisitemu ya pedicle

Uru nirwo rufatiro shingiro: imigozi ya monoaxial na polyaxial, inkoni muri diametre zisanzwe, guhuza hamwe no guhuza ibikorwa byubaka urwego rwinshi, ibikoresho byo kugabanya imanza za spondylolisthesis, hamwe na tray ifata byose hamwe kuri OR. Twinjiye mubintu bitandukanya sisitemu yizewe na risque - screw umutwe uhagaze, inkoni ikwiranye, umurongo wa torque - muri Nigute wasuzuma Pedicle Screw Sisitemu Yakozwe Mubushinwa . Verisiyo ngufi hano: uyu niwo murongo wibicuruzwa buri kindi wongeyeho kurutonde rwawe amaherezo ugomba guhuza.

MIS Pedicle Sisitemu

Imiyoboro yamenetse, kuyobora, iminara yo kwagura, hamwe nibikoresho byambukiranya inkoni byongerera urubuga rumwe kugeza kubibazo byibasiye. Iki ntabwo aricyo cyemezo cyibicuruzwa bitandukanye nkicyemezo cyigihe - abadandaza benshi bongeraho MIS iyo bamaze kubyemeza, inshuro nyinshi kubaga kubaga aho kuba inyungu zidasanzwe, kuko izana amahugurwa yinyongera hamwe nububiko hejuru. Ibyo gucuruza bikubiye mubwimbitse mubisobanuro byacu niba wongeyeho MIS kurutonde rwawe.

Ongeraho Interbody Fusion Cage Hafi yuburyo bukenewe

Tage ya TLIF na PLIF

Iyo gukosora inyuma bimaze gushyirwaho, akazu ka interineti nizindi zikurikira ziyongera - inzira zombi zikorwa kenshi hamwe. Icyangombwa hano ntabwo ari uguhitamo ibikoresho nibindi niba koko materique ya cage ihuye nibibazo byabaganga bawe: uburebure buhagije hamwe nibirenge byerekana ibirenge, verisiyo ya PEEK na titanium, ihuza cage-inserter ifata ibyemezo, hamwe no gushyira ibimenyetso byizewe kugirango umuganga abashe kwizera ibyo C-arm yerekana. Dutwikiriye ibipimo byuzuye byo gusuzuma - harimo urugero nyarwo rudasanzwe - muri Nigute wasuzuma uruganda rwa TLIF na PLIF mu Bushinwa.

ALIF na Cervical Cage

Mubisanzwe biza nyuma, sibyo kuko bidafite akamaro, ariko kuberako bitanga urugero ruto. Sisitemu yonyine ya ALIF ifite akamaro kanini aho inzira yimbere yimbere isanzwe kumasoko yawe; kanseri y'inkondo y'umura iyo umaze kubaka umurongo w'inkondo y'umura. Kubika ALIF yuzuye hamwe na cervical cage matrix mugutondekanya kwambere, mbere yuko umenya inzira yegera kubaga kwawe mubyukuri, mubisanzwe bisobanura igishoro cyicaye mukibanza. Ongeraho ibi rimwe muburyo bwihariye bwo kwerekana burimo kugaragara inshuro nyinshi mubibazo byawe, ntabwo mbere.

Kubaka inkondo y'umura nkigice cyibicuruzwa bitandukanye

Uruti rw'umugongo rukora imirimo itandukanye, logique itandukanye, kandi akenshi kubaga bitandukanye no kurwara, niyo mpamvu bikwiye gufatwa nkigice cyacyo cya cataloge aho kwagura umurongo wawe.

Sisitemu Yimbere Yimbere

Iki gice gikubiyemo sisitemu yimbere yimbere , cervical PEEK cage cage, zeru-profili yihagararaho yonyine yama cage igabanya ibyago bya dysphagia wirinda isahani itandukanye, hamwe na titanium mesh yo kongera kubaka corpectomy. Kubakwirakwiza abaganga babaga bakora ACDF cyangwa Uburyo bwa ACCF buri gihe, mubisanzwe nigice cyambere cyinkondo y'umura gikwiye guhunikwa, kubera ko inzira yimbere ikunze kugaragara kuruta iyinyuma inyuma yindwara zifata inkondo y'umura.

Sisitemu Yinyuma Yumubyimba

Imiyoboro rusange, inkoni y'inkondo y'umura, udukonzo n'umuhuza, hamwe n'ibikoresho by'inyuma bijyana na byo bikubiyemo ihahamuka, ikibyimba, n'ubumuga - igice gito ariko gikomeye mu mavuriro. Ibi birakwiye ko dusubiramo kuruhande rwacu Urupapuro rwinyuma rwa cervical fixation sisitemu page, kubera ko izi manza zikunda kuba nkeya ariko zifite ubukana bwinshi, kandi zikagira ibikoresho byiza kubiganza iyo bibaye ibintu birenze ubujyakuzimu bubisi.

Abimura badafite ibikoresho ntibashiraho sisitemu ikoreshwa

Ngiyo abakwirakwiza ingingo akenshi bafite ibiro bike mugihe bubaka kataloge, kandi birakwiye gufatwa nkicyiciro cyayo aho kuba igitekerezo cyo kuganira.

Igikoresho gihuye

Amashanyarazi, imiyoboro igabanya umuvuduko, insinga zinjiza, icyogajuru kigerageza, hamwe nibikoresho byo kugabanya byose bigomba kwemezwa kurwanya geometrie yihariye bakoresheje. Igikoresho 'kigomba gukora ' hamwe na screw yaturutse ku ruganda rutandukanye ni inshingano, ntabwo byoroshye - kwihanganira ibipimo bidahuye neza byerekana nko kunyerera, kwicara bituzuye, cyangwa ibikoresho byangiza ubuso bwatewe mugihe cyo gushiramo.

Iboneza rya Gariyamoshi na Case Workflow

Agace kashyizwe muburyo bwumvikana - ubunini bwerekanwe neza, ibikoresho byashyizwe mubikorwa intambwe - ni ikintu tekinoroji ya scrub ishobora gukurikiza nta rep igenda inyuramo murubanza. Ibi bifite akamaro cyane nkuko kataloge yawe ikura: umugabuzi ubika ibice bitatu cyangwa bine byumugongo bikenera inzira zidasaba kongera imbaraga cyangwa gukora akazi igihe cyose igice gitandukanye gikoreshwa. Ibice byo gusimbuza no kuzuza ibikoresho nabyo bikenera inzira isobanutse, kubera ko igikoresho kimwe cyabuze gishobora gufata urubanza neza nkuwabuze.

Hitamo icyo uhunika nicyo utumiza kubisabwa

Ibarura rusange

Shyira imbere ibisobanuro bitwikiriye igice kinini cyurugero rwimanza: ubunini bukoreshwa cyane bwa diameter nuburebure, uburebure busanzwe bwakazu, inkoni, gushiraho imashini, hamwe nibikoresho bihagije byo gusimbuza kugirango wirinde igikoresho kimwe cyangiritse gikuramo inzira yo kuzunguruka. Aha niho 80-90% yububiko bwawe bugomba gutwikirwa nta tegeko ryihariye.

Ibisobanuro Byihariye

Inguni zidasanzwe za Lordotic, uburebure budasanzwe cyangwa bugufi bwa screw, uburebure bwihariye bwo gusubiramo, hamwe nibice byihariye byinkondo y'umura birashobora gutumizwa kubisabwa aho kubikwa mububiko buhagaze. Guhambira igishoro mumurizo muremure wa matrix - ingano ishobora gukoreshwa rimwe mu gihembwe - ni inzira isanzwe abagabuzi barenze urugero mbere yuko ibarura ryabo rikomeye.

Inyandiko igomba guhuza Portfolio yose

Mugihe kataloge ikura mubice byibicuruzwa, umutwaro winyandiko ukura hamwe nawo - kandi ugomba gutegurwa nigice, ntabwo ufatwa nkububiko rusange.

Inyandiko

Umugereka wa ISO 13485 yemeza buri cyiciro cyibicuruzwa bikubiyemo, ibyemezo byibikoresho, raporo yikizamini cya mashini, ibyiciro byerekana ibimenyetso, hamwe na label hamwe na IFU ibyangombwa bikwiranye na buri soko ugurisha.

Inyandiko

Ibipimo byerekana ubugenzuzi, ibyemezo byibikoresho byongera gukoreshwa, kugenzura kalibrasi ya torque-igikoresho, hamwe n’amabwiriza yo gukora isuku no kuboneza urubyaro - ibi bisabwa inshuro nke ugereranije n’ibyangombwa byatewe, ariko bifite akamaro kanini mugihe cyo gutanga ibyangombwa by’abatanga ibitaro, kandi kuba badahari ni ababikwirakwiza icyuho ntibabimenye kugeza igihe ubugenzuzi bubisabye mu buryo butaziguye.

Umwe Utanga Umurongo Wuzuye cyangwa Abaguzi Bihariye Bihariye?

Iki nikibazo cyibikorwa munsi yibintu byose byavuzwe haruguru, kandi ntabwo bifite igisubizo rusange.

Urubanza rwo guhuriza hamwe kumurongo umwe wuzuye: guhuza sisitemu biroroshye gucunga mugihe screw geometrie, ibisobanuro byinkoni, hamwe nibikoresho bya logique bihuye murutonde rwawe rwose. Inyandiko n'itumanaho biguma hagati aho gutandukana muburyo butandukanye bwo kugenzura hamwe na sisitemu nziza. Gusubiramo no kuzuza bigenda byihuse iyo ari umubano umwe aho kuba byinshi. Gupakira no kuranga guma guma niba ukora umurimo wihariye-label. Kandi itsinda ryanyu ryo kugurisha rigomba kwiga gusa sisitemu imwe yibikoresho aho guhinduranya imiterere hagati ya benshi.

Ikibazo cyo kubika icya kabiri, cyihariye gitanga isoko: ibyiciro bimwe byibicuruzwa bifite amahitamo akomeye yihariye ahandi - uwatanze isoko yibanda gusa kuri sisitemu igoye yo guhindura imikorere, nkurugero, arashobora-guhanga udushya twuzuye kumurongo wuzuye muri kiriya cyerekezo gito. Gutandukanya ibicuruzwa bigabanya ibyago byo gutinda k'umushinga umwe cyangwa ikibazo cyiza kigira ingaruka kuri kataloge yawe icyarimwe. Kandi iguha ibiganiro byoroshye aho gushingira kumubano umwe.

Mubimenyerezo, abagabuzi bayobora ibi byiza ntibatora icyitegererezo kimwe gusa. Bahuriza hamwe intandaro ya portfolio - gukosora inyuma, kasho zisanzwe zumuntu, ibyuma bisanzwe byinkondo y'umura - hafi yumushinga umwe ufite sisitemu yo guhuza hamwe ninyandiko bizeye, kandi bagakomeza umubano wa kabiri wabatanga cyane cyane mubyiciro bigufi, byihariye aho byongerera agaciro agaciro. Witondere aho guhuza n'ibikoresho bifite akamaro kanini; gutandukanya gusa aho icyuho cyibicuruzwa nyacyo gishimangira kongererwa imbaraga.

Urutonde Rufatika Rukurikirana Kubagabuzi bashya

Ku bagabuzi bubaka urutonde rwumugongo guhera, gutondekanya ibyongeweho bigabanya ibyago byo kwinjiza amafaranga menshi mbere yuko ibyifuzo bigaragazwa:

Icyiciro cya 1 - Ihuriro ryibanze: Fungura sisitemu ya pedicle screw sisitemu, TLIF na PLIF, hamwe nibikoresho bihuye byombi. Ibi bikubiyemo urugero rwinshi rwibisanzwe bigenda byangirika kandi bigaha itsinda ryanyu ryo kugurisha sisitemu imwe yo kwiga neza mbere yo kwaguka.

Icyiciro cya 2 - Umurongo wagutse: Sisitemu ya MIS pedicle screw sisitemu yo kubaga imaze kwemezwa, cage cervicale na sisitemu ya plaque y'imbere, hamwe nibindi bikoresho bya kage (byongeweho inguni ya Lordotic, ALIF aho bikenewe).

Icyiciro cya 3 - Umurongo wuzuye: Sisitemu ya ALIF, gukosora inyuma yinkondo y'umura, guhuza ibintu byihariye hamwe nibikoresho, hamwe nibikoresho byose byihariye shingiro ryihariye ryo kubaga ryaje risaba.

Uru ruhererekane ntirukomeye - umugabuzi ufite isano yo kubaga umuganga wubatswe hafi y ihahamuka ryinkondo y'umura ashobora gutangirana no gukosora inkondo y'umura aho kuba umugongo. Ingingo ni ugukurikirana nkana ibimenyetso bifatika bikenewe aho guhunika icyarimwe icyarimwe kandi twizeye ko urubanza ruzafatwa.

Urutonde rwanyuma rwumugongo

Kubagabuzi bashushanya ibi hanze yuwabikoze runaka, byuzuye urutirigongo rwimikorere ya sisitemu - kuzunguruka fungura umugongo, MIS gukosora umugongo, interbody fusion cage , kandi byombi imbere na sisitemu yinyuma yinyuma - ikwiye gusubirwamo nkikintu kimwe mbere yo guhitamo umubare utanga amasoko atandukanye urutonde rwawe rukeneye.