UYakha njani iPotfoliyo yoMnqongo oGqibeleleyo: Isikhokelo soMhambisi

Uninzi lwabasasazi bomqolo abaqalisi ngesicwangciso sepotfoliyo. Baqala ngobudlelwane obunye - umthengisi owayenenkqubo ye-screw ye-pedicle, okanye umgca we-cage othandwa ngugqirha osungulayo - kwaye ikhathalogu ikhula ukusuka apho, incoko yemveliso enye ngexesha. Oko kusebenza okwethutyana. Iyayeka ukusebenza ngalo mzuzu ugqirha wesibini ecela into engayenziyo umboneleli wokuqala, okanye isibhedlele sifuna umthengisi omnye wenkonzo yomqolo yonke endaweni yeeodolo ezintathu zokuthenga ezahlukeneyo.

Esi sikhokelo simalunga nokwakha iphothifoliyo ngabom endaweni yokuphinda-phinda - yeyantoni kuyo, yongezwe njani iodolo, kwaye apho umboneleli omnye womgca opheleleyo esenza ingqiqo ngaphezu kokujoja abaliqela abakhethekileyo.

Ipotfoliyo yokufakelwa komqolo epheleleyo idla ngokubandakanya:

• Ukulungiswa kwe-Open kunye ne-MIS yangasemva

• I-TLIF, i-PLIF, i-ALIF kunye neekheji zomlomo wesibeleko

• Ukulungiswa komlomo wesibeleko ngaphambili nasemva

• Izixhobo ezihambelanayo kunye neetreyi

• Amaxwebhu obugcisa kunye nenkxaso ye-inventri

Kutheni iPotfoliyo yoMnqopho ayinako ukwakhiwa malunga neMveliso enye

Ukuthenga i-pedicle screw system akufani nokuba nomgca wemveliso yomqolo. Izibhedlele kunye noogqirha bacinga ngokweenkqubo, kungekhona ukufakelwa, kunye neenkonzo ezininzi zomnqonqo zifuna ukugubungela iindidi ezininzi zenkqubo ngexesha elinye: ukulungiswa kwe-posterior yesifo esibuhlungu kunye nokukhubazeka, i-interbody fusion ye-disc pathology, ukulungiswa komlomo wesibeleko kwiindlela zombini zangaphambili nasemva, kwaye ngokunyuka, ukhetho lwe-MIS kunye ne-instrumentation evulekileyo.

Umsasazi obonisa ngezikrufu kodwa kungekho mgca wekheji ohambelanayo, okanye ihardware yomlomo wesibeleko kodwa akukho zixhobo zihambelanayo, ucela ugqirha wotyando ukuba afumane enye kwenye indawo - oko kuthetha ukuba ugqirha usebenzisa nje nawuphi na umboneleli osele enomfanekiso opheleleyo. Siye sagubungela ukuba kutheni ukuqinisekiswa kunye nokuziphatha kokwenziwa kubaluleke ngaphezu kwejografi xa ukhetha ababoneleli iChina vs. US Spine Manufacturers ; Esi sikhokelo simalunga nokuba yintoni oza kwakha xa sele ukhethe umenzi ofanele ukwakha ngeenxa zonke.

Qala nge-Core Lumbar Fixation Platform

I-Lumbar posterior fixation sisiseko uninzi lwabasasazi bomnqonqo olwakha kuqala, kuba lugubungela umthamo omkhulu wamatyala okonakalayo.

Vula i-Pedicle Screw Systems

Lo luhlu lwesiseko: i-monoaxial kunye ne-polyaxial screws, iintonga kwii-diameters eziqhelekileyo, izixhumi kunye ne-crosslinks zokwakhiwa kwamanqanaba amaninzi, izixhobo zokunciphisa iimeko ze-spondylolisthesis, kunye neetreyi ezibamba zonke kunye ne-OR. Singena kwinto eyahlula ngokwenene inkqubo ethembekileyo kumngcipheko - ukuzinza kwentloko ye-screw, intonga efanelekileyo, ukuhambelana kwetorque - ngaphakathi Indlela yokuvavanya i-Pedicle Screw System Manufacturer e-China . Uguqulelo olufutshane apha: lo ngumgca wemveliso zonke ezinye izongezo kwikhathalogu yakho ekugqibeleni kufuneka ziqhagamshele kwakhona.

IiNkqubo ze-MIS Pedicle Screw

Izikrufu ezinkonkxiweyo, iintambo zesikhokelo, iinqaba ezongezelelekileyo, kunye nezixhobo ezidlulayo ezinentonga zandisa iqonga elingundoqo elifanayo kwiimeko ezihlaselayo kancinci. Esi ayisosigqibo semveliso esahlukileyo kakhulu njengesigqibo sexesha — uninzi lwabasasazi bongeza i-MIS bakuba beyiqinisekisile, ibango likagqirha wotyando eliphindaphindayo endaweni yokuba nomdla oqikelelwayo, kuba iza noqeqesho lokwenyani olongezelelweyo kunye noluhlu lwempahla. Olo rhwebo lugutyungelwe nzulu ngakumbi kuphononongo lwethu lwe ukuba wongeze i-MIS kwikhathalogu yakho.

Yongeza i-Interbody Fusion Cages Around Procedure Demand

I-TLIF kunye ne-PLIF Cages

Nje ukuba ukulungiswa kwe-posterior kusendaweni, iikheji ze-interbody ziludidi olulandelayo lwendalo - ezi nkqubo zimbini zihlala zisenziwa kunye. Okubalulekileyo apha kungaphantsi kokhetho lwempahla kwaye ngakumbi ukuba i-matrix ye-cage ifaneleka ngokwenene iimeko zoogqirha bakho: ukuphakama okwaneleyo kunye nokukhethwa kweenyawo, i-PEEK kunye neenguqulelo ze-titanium, uxhulumaniso lwe-cage-inseter olubambele phantsi kwempembelelo, kunye nokubekwa kophawu oluthembekileyo ukuze ugqirha akwazi ukuthemba oko kuboniswa yi-C-arm. Sigubungela i-criteria yovavanyo olupheleleyo - kubandakanywa nomzekelo wangempela we-intraoperative - kwi Uyivavanya njani iTLIF ​​kunye nePLIF Cage Manufacturer eTshayina.

I-ALIF kunye ne-Cervical Cages

Ezi zidla ngokuza emva kwexesha, hayi ngenxa yokuba zingabalulekanga kangako, kodwa ngenxa yokuba zisebenzisa imiqulu yenkqubo emxinwa. Iinkqubo ezizimeleyo ze-ALIF zibaluleke kakhulu apho iindlela zangaphambili ze-lumbar zixhaphakile kwintengiso yakho; Iikheji zomlomo wesibeleko zibalulekile kanye xa usakha umgca womlomo wesibeleko ngokukodwa. Ukugcina i-ALIF epheleleyo kunye ne-matrix yekheji yomlomo wesibeleko kwi-odolo yakho yokuqala, ngaphambi kokuba wazi ukuba yeyiphi na indlela isiseko sakho sotyando esithandwa ngokwenene, sihlala sithetha inkunzi ehleli eshelufini. Yongeza ezi kanye uhlobo oluthile lwenkqubo lubonisa ngokuphindaphindiweyo kwivolumu yetyala lakho, kungekhona ngaphambili.

Yakha uLungiso lweCervical njengeCandelo leMveliso eyahlukileyo

Umsebenzi we-Cervical spine une-implants ezahlukeneyo, i-logic yesixhobo esahlukileyo, kwaye kaninzi oogqirha abahlukeneyo kuneemeko ze-lumbar, yiyo loo nto kufanelekile ukunyanga njengenxalenye yekhathalogu yayo kunokwandiswa komgca wakho we-lumbar.

IiNkqubo zeSibeleko sangaphambili

Eli candelo libandakanya Iinkqubo zangaphambili zeplate yomlomo wesibeleko , i-PEEK cages yomlomo wesibeleko, i-zero-profile stand-alone options cage enciphisa umngcipheko we-dysphagia ngokuphepha i-plate ehlukeneyo, kunye ne-titanium mesh options for reconstruction corpectomy. Kubasasazi abasebenza ngoogqirha babo ACDF okanye Iinkqubo ze -ACCF rhoqo, oku kudla ngokuba yinxalenye yokuqala yomlomo wesibeleko exabisa isitokhwe, ekubeni iindlela zangaphambili zixhaphake kakhulu kunezo zangasemva kwizifo ezininzi zomlomo wesibeleko.

IiNkqubo zeSibeleko sangasemva

I-Lateral mass screws, i-rods yomlomo wesibeleko, ii-hook kunye nezihlanganisi, kunye neeseti zesixhobo ezingasemva ezihamba nazo zigubungela i-trauma, i-tumor, kunye neemeko zokukhubazeka - icandelo elincinci kodwa elibalulekileyo ngokweklinikhi. Oku kufanelekile ukuphononongwa ecaleni kwethu iphepha lenkqubo yokulungiswa komlomo wesibeleko yangasemva , kuba ezi meko zithande ukuba nomthamo ophantsi kodwa ubukhali obuphezulu, kwaye nokuba nesixhobo esifanelekileyo esandleni xa zisenzeka zibaluleke ngaphezu kobunzulu bokugcina isitokhwe ekrwada.

Ufakelo ngaphandle kwezixhobo musa ukwenza inkqubo esebenzisekayo

Eli lelona nqaku labahambisi abadla ngokuba nobunzima xa besakha ikhathalogu, kwaye kufanelekile ukuyiphatha njengodidi lwayo endaweni yokucinga emva kwengxoxo yokufakelwa.

Iiseti zesixhobo ezihambelanayo

I-Screwdrivers, i-torque-mining wrenches, izifakeli zekheji, izikhewu zokuzama, kunye nezixhobo zokunciphisa zonke kufuneka ziqinisekiswe ngokuchasene nejometri yokufakelwa kwezinto ezisetyenziswa kunye nayo. Isixhobo 'ekufuneka sisebenze' ngesikrufu esivela kumvelisi owahlukileyo lityala, asiloncedo — ukunyamezela kwedimensional okungahambelani ncam kubonakala njengokutyibilika, ukuhlala okungaphelelanga, okanye izixhobo ezonakalisa umphezulu wofakelo ngexesha lofakelo.

Uqwalaselo lweTreyi kunye neCase Workflow

Itreyi ebekwe ngokwengqiqo-ubungakanani obuphawulwe ngokucacileyo, izixhobo ezidityaniswe ngokwenqanaba lenkqubo-yinto enokulandelwa yitekhnoloji yokukhuhla ngaphandle kokuba umntu aphinde ahambe kuyo emva kwetyala. Oku kubaluleke ngakumbi njengoko ikhathalogu yakho ikhula: umsasazi ogcina amacandelo amathathu okanye amane omqolo ufuna iitreyi ezingadingi kuphinda kuqalwe OKANYE ukuhamba komsebenzi ngalo lonke ixesha icandelo elahlukileyo lisetyenziswa. Amalungu okutshintsha kunye nokuzaliswa kwesixhobo kwakhona kufuna umendo ocacileyo, kuba isixhobo esinye esilahlekileyo sinokubamba ityala ngokufanelekileyo njengofakelo olulahlekileyo.

Gqiba malunga nento oza kuyithenga kunye nento oza kuyi-odola xa uyiBango

Uluhlu lwezinto ezingundoqo

Yibeke phambili ingcaciso egubungela isambuku somthamo wemeko yokwenyani: esona sixhobo sixhaphakileyo sisetyenziswa yisijivu iidayamitha kunye nobude, ubude bekheji eqhelekileyo, iirodi, izikrufu zokuseta, kunye nezixhobo ezaneleyo zokubuyisela ukuphepha isixhobo esinye esonakeleyo esithatha itreyi ngaphandle kokujikeleza. Kulapho i-80-90% yomthamo wakho wetyala kufuneka igutyungelwe ngaphandle komyalelo okhethekileyo.

IiNkcazelo zeFrequency ephantsi

Ii-engile ze-lordotic ezingaqhelekanga, ubude obungaqhelekanga okanye ubude obufutshane ngokungaqhelekanga, iziqhagamshelo ezikhethekileyo zohlaziyo, kunye namalungu akhethekileyo omlomo wesibeleko zinokuodolwa ngokwemfuneko kunokuba zigcinwe kwi-inventri emileyo. Ukubophelela inkunzi kumsila omde we-matrix echaziweyo - ubungakanani obunokuthi busetyenziswe kanye ngekota - yindlela eqhelekileyo abasasazi bandisa kakhulu ngaphambi kokuba uluhlu lwabo olungundoqo lube luqilima.

Amaxwebhu kufuneka angqinelane nePotfoliyo iyonke

Njengoko ikhathalogu ikhula kuwo wonke amacandelo emveliso, umthwalo wamaxwebhu ukhula kunye nawo - kwaye kufuneka ulungelelaniswe ngokwecandelo, ungaphathwa njengefolda enye yegeneric.

Implant Amaxwebhu

ISO 13485 isihlomelo somda esiqinisekisa udidi ngalunye lwemveliso lugqunyiweyo, izatifikethi zemathiriyeli, iingxelo zovavanyo ngoomatshini, iirekhodi zokulandelelwa kwebhetshi, kunye nokulebhile kunye namaxwebhu e-IFU afanelekileyo kwimarike nganye othengisa kuyo.

Uxwebhu lwesixhobo

Iirekhodi zokuhlola ezinobungakanani, isiqinisekiso semathiriyeli sezixhobo eziphinda zisetyenziswe, uqinisekiso lolungelelwaniso lwetorque-isixhobo, kunye nokucoca kunye nemiyalelo yokuvala inzala - ezi zifunwa kancinane kunoxwebhu lokufakelwa, kodwa zibaluleke kakhulu ngexesha lenkqubo yoqinisekiso lomthengisi wesibhedlele, kwaye ukungabikho kwabo ngumsantsa oqhelekileyo abasasazi abaqapheli de uphicotho-zincwadi lucele ngokuthe ngqo.

Umniki oMnye oPheleleyo okanye ababoneleli abaneeNgcaciso ezininzi?

Lo ngumbuzo ocwangcisiweyo phantsi kwayo yonke into engentla, kwaye awunayo impendulo yehlabathi jikelele.

Imeko yokumanyanisa malunga nomboneleli omnye womgca opheleleyo: ukuhambelana kwenkqubo kulula ukulawula xa ijiyometri yesikrufu, iinkcukacha zentonga, kunye nengqiqo yesixhobo zihambelana kwikhathalogu yakho yonke. Amaxwebhu kunye nonxibelelwano luhlala lusembindini endaweni yokwahlulwa kunxibelelwano oluninzi lolawulo kunye neenkqubo zomgangatho. Ukucaphula kunye nokuzaliswa kwakhona kuhamba ngokukhawuleza xa kubudlelwane obunye endaweni yeqela. Ukupakishwa kunye nebrendi zihlala zingaguquguquki ukuba wenza nawuphi na umsebenzi welebhile yabucala. Kwaye iqela lakho lokuthengisa kufuneka lifunde inkqubo yesixhobo esinye ngokunzulu endaweni yokutshintsha umxholo phakathi kwezinto ezininzi.

Imeko yokugcina umboneleli wesibini, okhethekileyo: ezinye iindidi zeemveliso zineenketho ezinamandla ngakumbi kwenye indawo - umboneleli ogxile ngokukodwa kwiinkqubo zokukhubazeka ezintsonkothileyo, umzekelo, unokukhupha umenzi wemigca epheleleyo kuloo niche imxinwa. Ukubonelela ngeendlela ezahlukeneyo kunciphisa umngcipheko wokulibaziseka komenzi omnye okanye umba womgangatho ochaphazela ikhathalogu yakho yonke ngaxeshanye. Kwaye ikunika ukuthethana bhetyebhetye kunokuxhomekeka ngokupheleleyo kubudlelwane obunye.

Ngokwenyani, abasasazi abalawula oku kungcono abakhethi imodeli enye kuphela. Badibanisa ingundoqo yepotfoliyo - ukulungiswa kwe-posterior, i-standard interbody cages, i-hardware eqhelekileyo yomlomo wesibeleko - malunga nomenzi oyedwa ohambelana nenkqubo kunye namaxwebhu abawathembayo, kwaye ugcine ubudlelwane bomthengisi wesibini ngokukodwa kwiindidi ezinqamlekileyo, ezikhethekileyo apho yongeza ixabiso ngokunyanisekileyo. Gxininisa apho ukuhambelana kunye nolungiselelo lubaluleke kakhulu; yahluka kuphela apho umsantsa wokwenyani wemveliso uthethelela ukuntsokotha okongeziweyo.

Ulandelelwano lokuQalisa oluSebenzayo lwabasasazi boMnqonqo oMtsha

Kubasasazi abakha ikhathalogu yomqolo ukusuka ekuqaleni, ulandelelwano longezelelo kunciphisa umngcipheko wokwenza imali ngokugqithisileyo ngaphambi kokuba kungqinwe imfuno:

Isigaba 1 - I-Core Platform: Vula ii-pedicle screw systems, i-TLIF kunye ne-PLIF cages, kunye nezixhobo ezihambelanayo zombini. Oku kugubungela awona matyala awona mthamo uphakamileyo wesiqhelo kwaye unika iqela lakho lentengiso inkqubo enye yokufunda ngocoselelo phambi kokwandisa.

Isigaba sesi-2 — Umgca owandisiweyo: Iinkqubo ze-MIS pedicle screw emva kokuba imfuno yotyando iqinisekisiwe, iikheji zomlomo wesibeleko kunye neenkqubo zeplate zangaphambili, kunye nohlengahlengiso olongezelelweyo lwe-interbody cage (i-added lordotic angles, ALIF apho kufanelekileyo).

Isigaba sesi-3 - Umgca opheleleyo: Iinkqubo ze-ALIF, ukulungiswa komlomo wesibeleko ngasemva, iziqhagamshelo ezichanekileyo zokuhlaziywa kunye nezixhobo, kunye nawaphi na amacandelo akhethekileyo isiseko sakho sotyando esithe safuna.

Olu landelelwano aluqinanga - umsasazi onobudlelwane bakhe botyando obusisiseko obakhelwe malunga neemeko zokwenzakala komlomo wesibeleko zinokuqala ngokufanelekileyo ngokulungiswa komlomo wesibeleko ngasemva endaweni yelumbar. Inqaku kukulandelelanisa ngabom malunga neempawu zemfuno zokwenyani kunokugcina yonke into ngaxeshanye kwaye unethemba lokuba umthamo wetyala uya kunyuka.

Uluhlu lokugqibela lwePotfoliyo yeSpine

Ukwenzela abasasazi imephu echasene nomenzi othile, ngokupheleleyo Uluhlu lwenkqubo yokufakelwa komqolo - ukunwenwa ukuzinzisa umqolo ovulekileyo, Ukulungiswa komgogodla we-MIS, iikheji zokudityaniswa kwabantu , kwaye zombini ngaphambili kunye Iisistim zomlomo wesibeleko zangasemva - kufanelekile ukuphononongwa njengendawo enye yereferensi ngaphambi kokuba wenze isigqibo sokuba zingaphi ubudlelwane obahlukileyo bomthengisi obufunwa yikhathalogu yakho.