Mutengi wechipatara anofona uye anobvunza kana iwe uchitakura zvishoma invasive pedicle screw system. Iwe parizvino unogovera yakavhurika fusion masisitimu - SecuFix kana ValuFix-mhando tsvimbo-screw inovaka - uye vanga vachitengesa zvakanaka. Ikozvino urikunetseka kuti kuwedzera mutsara weMIS kwakakodzera kuisirwa mari, kana kuti iko kukanganisa kubva muchikamu chechigadzirwa chatoshanda.
Izvi zvinouya kupfuura zvinotarisirwa nevashambadzi. Chiremba anofarira ari kuchinja mumisika yakawanda, asi kwete zvakafanana, uye kwete maitiro ese. Usati wawedzera maSKU, zvinobatsira kunzwisisa kuti chii chakanyatso siyana - zvekiriniki uye zvekutengesa - pakati penzira mbiri idzi.
Chii 'MIS' Chinotochinja Mukamuri Yekuvhiya
Izwi rinoshandiswa zvakasununguka, saka zvakakodzera kuve nemazvo. Iyo yechokwadi MIS pedicle screw system haingori diki vhezheni yeyakavhurika system. Misiyano yakakosha ndeiyi:
- Percutaneous screw insertion - masiruu anopinda nemukati meganda diki rinotungamirwa nefluoroscopy, kwete kuburikidza neakavhurika kamwe chete ane tsandanyama yakadzokororwa.
- Pre-bent kana kudzikisa-tabhu tsvimbo - tsvimbo inopfuudzwa nekanunulated shongwe system pane kuiswa yakananga kumunda wakashama, ndosaka MIS tsvimbo masisitimu achiwanzo pre-curved.
- Cannulated, fenestrated screws - hollow screw shafts inobvumira kuiswa kwegwara-waya uye dzimwe nguva simende kuwedzera muosteoporotic bone.
- Tubular retractor kana extension tower instrumentation - ichi ndicho chimbo chakaseti chinoita kuti percutaneous kuiswa kugoneke, uye ndicho chikamu vatengesi vanowanzo tarisira pasi maererano nemutengo uye kuoma.
Vhura masisitimu svetuka zvese izvi. Chiremba anovhiya ane kuona kwakananga, akajairwa pedicle anowana uye matepi, uye yakatwasuka kana zvishoma yakakomberedzwa tsvimbo inodzikiswa nemaoko panzvimbo. Ndiko kufambiswa kwakasimba kwekushanda kune kudzika kwekudzidza.
The Clinical Trade-offs Surgeons Chaizvo Hanya Nezve
Vashambadziri havafanire kuve machiremba emuzongoza, asi kunzwisisa zvinotyaira zvinodiwa nachiremba anovhiya kunokubatsira kuti uve nehurukuro inovimbika nekutenga uye OR vashandi.
Maitiro eMIS anowanzo kuderedza kurasikirwa kweropa, kukuvara kwemhasuru, uye kureba kwechipatara kwevanoda kukwikwidza - kazhinji 1-2 level degenerative kesi pasina kuremara kwakanyanya. Ndiyo bhenefiti yekiriniki chaiyo uye ndosaka kudiwa kuripo.
Asi MIS haisi nani pasi rose. Multi-level inovaka, kuvhiyiwa kwekudzokorora, kururamisa kwakakura, uye nyaya dzinoda decompression yakakura dzichiri kuitwa kazhinji yakavhurika, nekuti kuona uye kuwana nyaya inodarika saizi yekucheka mune izvo zviitiko. Chiremba anovhiya anoita basa rakaomarara rehurema anogona kunge asina kushandisa MIS screw system. Chiremba anoita chirwere chepamusoro-soro munzvimbo yekuvhiya yezuva rimwe chete anogona kushandisa chero chimwe chinhu.
Ichi ndicho chinhu chekutanga kufunga usati waita hesitori: chii chigadziko chako chechiremba chinoshanda pazviri? Kuwedzera mutsara weMIS kuti ushumire imwe deformity-yakatarisana nachiremba wekuvhiya apo neapo 1-level kesi isarudzo yakatosiyana pane kuiwedzera nekuti vanachiremba vatatu vepachipatara chako chepamusoro vanoikumbira vhiki nevhiki.
Iko Iko Mutengo Wechokwadi Musiyano Unoratidza Up - Uye Haisi Iyo Implant
Hezvino izvo zvinobata vanogovanisa vasingatarisire: iyo per-unit yekumisikidza mutengo pakati peMIS uye yakavhurika pedicle screw masisitimu haina kusiyana zvakanyanya. Musiyano wemutengo uri mumidziyo.
Iyo MIS sisitimu inoda shongwe dzekuwedzera, magiraidhi, matepi akaiswa cannulated, percutaneous rod passers, uye kazhinji yakaparadzana fluoroscopy-inoenderana chiridzwa tireyi kubva kune yakavhurika system. Iwe hausi kungowedzera maSKU ekudyara - uri kuwedzera chimbo chizere chine seti ine yayo sterilization kutenderera, yayo yetirayi manejimendi, uye yayo pachayo mutengo kana iwe uchipa zvekutakura zvinhu kuzvipatara.
Kune mushambadzi ari kutoita yakavhurika-system inventory, izvi zvinoreva:
- Imwe tireyi yechiridzwa yakaparadzana yekutevera, sterize, uye kuchengetedza (kana kupa seseti yechikwereti)
- Yakawedzerwa nguva yekudzidzira yeOR vashandi pashongwe yegungano uye percutaneous workflow
- Ingangokwirisa kumusoro kwepamusoro kana uri kupa mari seti yemidziyo yenguva dzechipatara
- Inononoka kesi-kune-kesi yekuchinja kana iwe uchingove neMIS tray imwe inovhara akawanda maakaundi
Ichi ndicho chikonzero vamwe vanogovera vanowedzera mitsetse yeMIS vanopedzisira vaodzwa mwoyo nemuganho - kwete nekuti mitengo yekudyara yakashata, asi nekuti vakarerutsa chimbo.
Side-ne-Side: Chii chinochinja kune Bhizinesi Rako
| Factor |
Vhura Fusion System |
MIS Pedicle Screw System |
| Matireyi ezviridzwa anodiwa |
1 standard tireyi |
1-2 matireyi pamwe neshongwe/guidewire seti |
| Chiremba kudzidza curve |
Minimal kune vane ruzivo vanovhiya musana |
Zvinoreva - kazhinji 15-20 zviitiko pamberi pekunyaradza |
| Fluoroscopy kuvimba |
Inoshandiswa, asi zvishoma nguva dzose |
Pedyo-inoenderera panguva yekuisa screw |
| Ideal kesi yakaoma |
Multi-level, deformity, revision |
1-2 level degenerative, low deformity |
| Hospital capital equipment inodiwa |
Standard OR fluoro suite |
Zvakafanana, asi zvinowanzopetwa neO-ruoko kana kufamba munzvimbo dzepamusoro-vhoriyamu |
| Distributor kudzidzisa mari |
Yakaderera - vazhinji vamiriri vanotozviziva |
Yepamusoro - mareps anoda shongwe musangano uye kesi inotsigira kutsetsenura |
Kudzoreredza Haisi Nguva Dzose Mubairo MIS Nenzira Inotarisirwa Nevanovhiya
Izvi zvakakosha kusimudza zvakananga nevanosangana nechipatara usati wazvipira kune mutsara wechigadzirwa, nekuti inosiyana zvakanyanya nemusika. Mune dzimwe nyika nemasisitimu evanobhadhara, iyo DRG kana mubhadharo wakasungirirwa wekesi yefusion yakafanana ingave yakavhurika kana MIS - chipatara chinobhadharwa mari yakafanana, asi nyaya yeMIS inogona kuda zvinodhura zvinoraswa (extension towers, guidewires) uye pamwe muripo wekufambisa. Izvo zvinodzvanya muganho wechipatara kunyangwe mhedzisiro yemurwere kazhinji iri nani.
Mumisika umo mainishuwarenzi epachivande kana varwere vanozvibhadhara vanovhara mubhadharo wehunyanzvi hwekuita zvishoma, zvipatara zvine mari yakajeka yekukurudzira kutora MIS. Mumisika ine flat bundled reimbursement, kurerwa kwevana kunofambiswa zvachose nachiremba anovhiya uye OR kunyatsoshanda, kwete chipatara.
Usati wakanda chiridzwa cheMIS kuchipatara, zvakakodzera kunzwisisa kuti nderipi divi remutsara iwoyo musika wako unowira pairi. Mugoveri anotora MIS otomatiki sarudzo yehupfumi inofarirwa nechipatara inogona kuwana mhinduro inotonhora isingatarisirwi kubva kuchikwata che manejimendi chezvishandiso chakanangana nemutengo wega wega.
Nzira Yepakati: Hybrid Adoption
Vazhinji vagoveri vanobudirira kuwedzera MIS havatsive yavo yakavhurika sisitimu - ivo vanomhanya vese, uye rega kusarudzwa kwenyaya kutarise kuti ndeipi ichashandiswa. Izvi zvakare zvinowanzoitika mashandiro anoita vanachiremba vanovhiya: MIS kune yakatwasuka 1-2 nhanho makesi, yakavhurika kune chero chinhu chakaoma.
Chaizvoizvo, izvi zvinoreva:
- Chengetedza yako iripo yakavhurika tsvimbo-screw sisitimu seyekutanga katalogi mutsara wenyaya dzakaoma
- Wedzera MIS instrumentation chete kana uchinge uine chiremba mumwe chete kana vaviri vane hunyanzvi hwechokwadi, hunodzokororwa - kwete kufungidzira kufarira.
- Tauriranai mazwi etirayi yezviridzwa (consignment vs. kutenga) zvine hungwaru, sezvo apa ndipo panoitwa MIS margin inoitwa kana kurasika.
- Bhajeti chaiyo yekudzidziswa nguva - kune yako yekutengesa reps yakawanda seye OR vashandi - sezvo MIS kesi yerutsigiro inoda mamwe maoko-pakuvapo panguva yekutanga kutorwa.
Vagadziri vanopa ese akavhurika masisitimu (senge tsvimbo-screw inovaka seSecuFix kana ValuFix-mhando mapuratifomu) uye inoenderana MIS mutsara - ine zviridzwa zvakagadzirirwa kugovera screw geometry uye dhayamita yetsvimbo pamativi ese - inoita kuti shanduko iyi ive nyore pane juggling implants kubva kune vaviri vasina hukama. Muchinjikwa-unoenderana screw uye tsvimbo maratidziro anoreva kuti hesiti yako haina kupatsanuka kuita maviri asingaenderane masisitimu, uye timu yako yekutengesa inongofanira kudzidza imwe screw-driver interface pane maviri.
Mibvunzo Yakakodzera Kubvunza Usati Waita Inventory
- Vangani vanachiremba vekuvhiya muakaundi angu azvino vari kushingaira kukumbira MIS, maringe nevangani vakazvitaura vachipfuura?
- Ndeipi muzana yevhoriyamu yavo yenyaya yaizoenda kuMIS - i10% yemakesi kana 60%?
- Ndingawana here tireyi yemidziyo kubva kumugadziri kwenguva yekuyedza ndisati ndatenga zvachose?
- Ko iyo MIS screw system inogovera geometry neyangu iripo yakavhurika sisitimu, kana aya maviri akapatsanurwa zvachose evesheni ekugadzirisa?
- Ko kudzidziswa kwemugadziri uye tsigiro yekesi inotaridzika sei kune yekutanga 10-15 makesi?
Kana usingakwanise kuwana mhinduro dzakagadzikana kumibvunzo miviri yekutanga, kazhinji zviri nani kumirira. Kuwedzera mutsara wechigadzirwa wakavakirwa panhaurirano imwe ine shungu yachiremba wekuvhiya, pasina kutarisa kuti izvo zvinodudzira muhukuru hwenyaya, ndiyo imwe yenzira dzinowanzozivikanwa kuti vagovani vanopedzisira vave neyakashandiswa hevesheni vakagara mutireyi pasherufu.
Kune vanogovera parizvino vanoongorora MIS pedicle screw sarudzo padivi peiyo spine catalog, vachiongorora zvinoenderana. MIS Spinal Fixation Systems inovhara zvese zvakavhurika uye MIS inovaka inogona kurerutsa iyi sarudzo - kunyanya kana screw geometry uye netsvimbo yakatarwa zvakagovaniswa pamitsetse yese yechigadzirwa pane kuda zvakapatsanurwa zvinyorwa.
