Amasoko yo kugura ibitaro arahamagara akakubaza niba utwaye sisitemu ntoya ya pedicle screw. Kugeza ubu ukwirakwiza sisitemu yo gufungura - SecuFix cyangwa ValuFix yo mu bwoko bwa rod-screw yubaka - kandi baragurishije neza. Noneho urimo kwibaza niba kongera umurongo wa MIS bikwiye gushora imari, cyangwa niba ari ukurangaza icyiciro cyibicuruzwa bimaze gukora.
Ibi biza birenze ibyo abagabuzi bategereje. Ibyifuzo byo kubaga bigenda bihinduka mumasoko menshi, ariko ntabwo arimwe, kandi ntabwo aruburyo bwose. Mbere yo kongeramo SKU, bifasha kumva ibitandukanye mubyukuri - mubuvuzi no mubucuruzi - hagati yuburyo bubiri.
Niki 'MIS ' Mubyukuri Impinduka mubyumba bikoreramo
Ijambo rikoreshwa mu buryo bworoshye, birakwiye rero ko risobanuka neza. Sisitemu yukuri ya MIS pedicle screw ntabwo ari verisiyo ntoya ya sisitemu ifunguye. Itandukaniro ryibanze ni:
- Kwinjiza ibice bya percutaneous - imiyoboro inyura mubice bito byuruhu biyobowe na fluoroscopi, aho kunyura kumurongo umwe ufunguye imitsi yakuweho
- Imbere-yunamye cyangwa kugabanya-tab inkoni - inkoni inyuzwa muri sisitemu yo kwagura umunara aho gushyirwa mumurima ufunguye, niyo mpamvu sisitemu ya MIS akenshi iba yabanje kugororwa
- Imiyoboro isunitswe, fenestrated screw - shitingi ya hollow yemerera kwinjiza umurongo-shingiro kandi rimwe na rimwe kongera sima mumagufwa ya osteoporotic
- Tubular retractor cyangwa kwagura umunara ibikoresho - iki nigikoresho gishyiraho uburyo bwo gushyira ahantu hashoboka, kandi ni abagabuzi igice akenshi badaha agaciro mubijyanye nigiciro no kugorana
Gufungura sisitemu gusimbuka ibi byose. Umuganga ubaga afite amashusho ataziguye, abashaka pedicle basanzwe hamwe na kanda, hamwe ninkoni igororotse cyangwa ifatanye gato igabanuka nintoki. Nibindi byashizweho byakazi hamwe nubushake buke bwo kwiga.
Abaganga ba Clinical Trade-offs Kubaga Mubyukuri
Abatanga ibicuruzwa ntibakeneye kuba abaganga babaga umugongo, ariko gusobanukirwa niki gitera icyifuzo cyo kubaga abaganga bigufasha kugirana ibiganiro byizewe namasoko hamwe nabakozi ba OR.
Uburyo bwa MIS bugabanya gutakaza amaraso, ihahamuka ryimitsi, hamwe nuburebure bwibitaro kubakandida babikwiye - mubisanzwe indwara ya degenerative yo murwego 1-2 idafite ubumuga bukomeye. Iyo ni inyungu nyayo yubuvuzi niyo mpamvu ibisabwa bihari.
Ariko MIS ntabwo ari nziza kwisi yose. Inzego nyinshi zubaka, kubaga ubugororangingo, gukosora ubumuga bugaragara, hamwe nibibazo bisaba decompression yagutse biracyakorwa kenshi, kuko kubonerana no kubona ibintu birenze ubunini bwibice muri ibyo bihe. Umuganga ubaga ukora cyane cyane ibikorwa byubumuga birashobora kuba bidafite akamaro kuri sisitemu ya MIS. Umuganga ubaga ukora indwara nyinshi zangirika mu kigo kimwe cyo kubaga umunsi umwe ashobora gukoresha ikindi kintu.
Nicyo kintu cya mbere ugomba kumenya mbere yo gukora ibarura: mubyukuri kubaga kwawe kubaga iki? Ongeraho umurongo wa MIS kugirango ukorere umuganga umwe wibanda kubumuga rimwe na rimwe ikibazo cyo murwego rwa 1 nicyemezo gitandukanye cyane no kongeramo kuko abaganga batatu babaga mubitaro byanyu byo hejuru barabisaba buri cyumweru.
Aho Ibiciro Byukuri Itandukaniro Ryerekana - Kandi Ntabwo Byatewe
Dore icyo gifata abagabuzi kurinda: igiciro cyo guterana kuri buri gice hagati ya MIS na sisitemu ya pedicle screw ntabwo itandukanye cyane. Itandukaniro ryibiciro riri mubikoresho.
Sisitemu ya MIS isaba iminara yo kwaguka, umurongo ngenderwaho, kanda ya kanseri, abahanyura inkoni ya percutaneous, kandi akenshi ibikoresho bya fluoroscopi bihujwe nibikoresho bya sisitemu ifunguye. Ntabwo wongeyeho SKUs yatewe gusa - wongeyeho igikoresho cyuzuye gifite uburyo bwacyo bwo kuboneza urubyaro, imiyoborere yacyo, hamwe nigiciro cyacyo niba utanga ibikoresho byoherejwe mubitaro.
Kubakwirakwiza basanzwe bafungura-sisitemu y'ibarura, ibi bivuze:
- Igikoresho cyihariye cyo gukurikirana, guhagarika, no kubungabunga (cyangwa gutanga nkumushinga winguzanyo)
- Igihe cyinyongera cyamahugurwa kubakozi ba OR guterana umunara no gukora akazi
- Birashoboka cyane gushora imari imbere niba utera inkunga ibikoresho byo kugerageza ibitaro
- Buhoro buhoro guhinduranya-niba ufite tray imwe ya MIS ikubiyemo konti nyinshi
Niyo mpanvu abadandaza bamwe bongeraho imirongo ya MIS barangiza bagatenguha nu ntera - atari ukubera ko ibiciro byatewe ari bibi, ariko kubera ko basuzuguye ibikoresho.
Kuruhande rumwe: Niki gihinduka kubucuruzi bwawe
| Gufungura |
Fusion Sisitemu |
MIS Pedicle Screw Sisitemu |
| Inzira y'ibikoresho irakenewe |
Inzira 1 isanzwe |
Inzira 1-2 wongeyeho umunara / umurongo wo kuyobora |
| Kubaga umurongo wo kubaga |
Nibura kubaganga babaga bafite uburambe |
Bifite akamaro - akenshi 15-20 mbere yo guhumurizwa |
| Kwishingikiriza kuri Fluoroscopy |
Byakoreshejwe, ariko ntibikomeza |
Hafi-ikomeza mugihe cyo gushyira screw |
| Urubanza rwiza |
Inzego nyinshi, ubumuga, gusubiramo |
Urwego 1-2 rwangirika, ubumuga buke |
| Ibikoresho bikuru byibitaro birakenewe |
Suite isanzwe cyangwa fluoro |
Kimwe, ariko akenshi ihujwe na O-arm cyangwa kugendagenda murwego rwo hejuru |
| Abashoramari bahugura ishoramari |
Hasi - reps nyinshi zimaze kubimenya |
Hejuru - reps ikeneye guterana umunara no gushyigikira imanza neza |
Kwishura Ntabwo Buri gihe Ihemba MIS nkuko Abaganga Bategereje
Ibi birakwiye kuzamura muburyo butaziguye mubitaro mbere yuko wiyemeza kumurongo wibicuruzwa, kuko biratandukanye cyane kumasoko. Mu bihugu bimwe na bimwe hamwe na sisitemu yo kwishyura, DRG cyangwa ubwishyu bufatanije kubibazo byo guhuza ni kimwe cyaba cyarafunguwe cyangwa MIS - ibitaro byishyurwa amafaranga angana, ariko urubanza rwa MIS rushobora gusaba ibintu bihenze cyane (iminara yo kwagura, kuyobora) hamwe n’amafaranga yo kugenda. Ibyo bikuraho ibitaro nubwo ibisubizo byumurwayi akenshi biba byiza.
Ku masoko aho abishingizi bigenga cyangwa abarwayi bishyura ubwabo bishyura igihembo cya tekinike yibasiwe cyane, ibitaro bifite ubushake bwamafaranga bwo gukoresha MIS. Ku masoko afite amafaranga menshi yishyuwe, kurera biterwa ahanini nubushake bwo kubaga no gukora neza, ntabwo ari ibitaro.
Mbere yo gutera ibikoresho bya MIS mubitaro, birakwiye ko twumva uruhande rwuwo murongo isoko yawe igwa. Umugabuzi wibwira ko MIS ihita ihitamo ibitaro byihitirwa mubukungu irashobora kubona igisubizo gikonje gitunguranye giturutse kumurwi ucunga ibikoresho byibanze kubiciro.
Inzira Hagati: Kurera Hybrid
Abenshi mubakwirakwiza bongeyeho MIS ntibasimbuza sisitemu ifunguye - ikora byombi, kandi reka guhitamo urubanza bigena imwe ikoreshwa. Ubu nubusanzwe nuburyo abaganga ubwabo bakora: MIS kubibazo byoroheje 1-2 urwego, fungura kubintu byose bigoye.
Mubyukuri, ibi bivuze:
- Komeza sisitemu yawe isanzwe ifungura inkoni ya screw nkumurongo wambere wa kataloge kubibazo bikomeye
- Ongeraho ibikoresho bya MIS rimwe gusa ufite byibuze umuganga umwe cyangwa babiri babaga bafite ibyifuzo byukuri, bigaruka - ntabwo ari inyungu zidasanzwe.
- Ganira kubikoresho bya tray (ibicuruzwa no kugura) witonze, kubera ko aha ariho MIS margin iba ikozwe cyangwa yatakaye
- Bije igihe cyamahugurwa nyayo - kubicuruzwa byawe bigurishwa kimwe nabakozi ba OR - kubera ko inkunga ya MIS isaba amaboko menshi mugihe cyo kurera hakiri kare
Inganda zitanga sisitemu zombi zifunguye (nk'inyubako zubakishijwe inkoni nka SecuFix cyangwa ubwoko bwa platform ya ValuFix) hamwe n'umurongo wa MIS uhuza - hamwe n'ibikoresho byagenewe gusangira screw geometrie na diameter y'inkoni kuri byombi - bituma iyi nzibacyuho yoroshye cyane kuruta guhuza ibicuruzwa biva mu masoko abiri adafitanye isano. Ibikoresho bisobekeranye hamwe nibisobanuro bisobanura ko ibarura ryawe ridacitsemo ibice bibiri bidahuye, kandi itsinda ryanyu ryo kugurisha rigomba kwiga gusa interineti imwe ya shoferi aho kuba ibiri.
Ibibazo bikwiye kubazwa mbere yo kwiyemeza kubara
- Ni bangahe babaga muri konti zanjye basaba cyane MIS, ugereranije na bangahe babivuze muguhita?
- Ni ikihe gipimo cy'imanza zabo zahinduka muri MIS - ni 10% by'imanza cyangwa 60%?
- Nshobora kubona igikoresho cyoherejwe nu ruganda mugihe cyikigereranyo mbere yo kugura burundu?
- Sisitemu ya MIS screw isangira geometrie na sisitemu yanjye isanzwe ifunguye, cyangwa ibi bintu bibiri bitandukanye rwose kubicunga?
- Amahugurwa yuwabikoze hamwe ninkunga yimanza bisa bite kubibazo 10-15 byambere?
Niba udashobora kubona ibisubizo byiza kubibazo bibiri byambere, mubisanzwe nibyiza gutegereza. Ongeraho umurongo wibicuruzwa bishingiye kukiganiro kimwe gishishikaje cyo kubaga, utabanje kugenzura niba ibyo bisobanurwa mububiko nyabwo, ni bumwe muburyo busanzwe abagurisha barangiza bafite ibarura ridakoreshwa bicaye mumurongo ku gipangu.
Kubatanga ubu basuzuma MIS pedicle screw amahitamo hamwe nurutonde rwabo rwumugongo, basubiramo bihuye Sisitemu ya MIS Sisitemu yo gukingira ikubiyemo gufungura no gufungura MIS irashobora koroshya iki cyemezo - cyane cyane iyo screw geometrie hamwe nibisobanuro byinkoni bisangiwe kumurongo wibicuruzwa aho gusaba ibarura ryihariye.
