Kwinkqubo ye-TLIF okanye ye-PLIF, ugqirha usebenza ngepaseji yeesentimitha ezimbalwa ububanzi, kunye nengcambu ye-nerve ephumayo ehleli ngqo kumda wesiteshi esisebenzayo. Akukho mgca wokubona ngokuthe ngqo ukuqinisekisa indawo ye-cage - ugqirha ufunda i-C-arm, ngokuphindaphindiweyo, ethemba ukuba into ebonisa kwi-monitor fluoroscopy ibonisa ngokuchanekileyo apho i-cage ihlala khona ngokumalunga nendawo ye-disc kunye ne-neural elements ejikeleze kuyo.
Eli lixesha apho umgangatho wofakelo uthi unyamalale ngasemva okanye ube sisazulu sengqwalasela kuzo zonke izizathu ezingalunganga. Ukuba iimpawu ze-tantalum azilungelelaniswanga kakuhle, zihleli kakubi, okanye azingqinelani ukusuka kwikheyiji ukuya kwelinye, ugqirha wotyando kufuneka ayeke, adubule kwakhona, aphinde alungelelanise, kwaye aqikelele indawo ebekufanele ukuba ithathe imizuzwana. Lonke udubulo lwe-fluoro olongezelelweyo luvezwa ngakumbi kwi-radiation yeqela le-OR kunye nexesha elingakumbi phantsi kwe-anesthesia yesigulana. Kwaye ukuba umsasazi nguye obonelele ngekheji, ukuwa ayisiyobhokisi nje ebuyisiweyo yofakelo - ngugqirha wotyando ongayi kuthatha umnxeba olandelayo.
Yintoni eneneni eboniswe kwiMonitor
Lo ngumfanekiso omnye woogqirha botyando bethu abathunyelwe ngokuthe ngqo kwi-OR, phakathi kwenkqubo, ngaphandle kokucelwa.
Umfanekiso we-Intraoperative C-arm othunyelwe yingcibi yomthengisi ngexesha lenkqubo ye-TLIF. Ukuchonga iinkcukacha ziye zahlengahlengiswa kwisigulane kunye nobumfihlo bomboneleli.
Isangqa eluhlaza emfanekisweni asiyiyo eyethu - ugqirha wotyando wayizobela ngokwakhe phambi kokuba athumele ifoto, ukuze alathe kanye into awayefuna siyibone: iingcingo zokumakisha tantalum ehokweni, zisonjululwe ngokucacileyo ngokuchasene nomzimba we-vertebral, kunye nolwandlalo olubukhali, olucacileyo phantsi kwe-fluoroscopy.
Umyalezo wakhe emva koko wawumfutshane: 'Intle kakhulu i-lumbar cage yakho.'
Asingomthengi ukuba nembeko. Funda ngokuchasene nomfanekiso awuthumeleyo, luqwalaselo oluthile lweklinikhi. Ugqirha wotyando ophakathi kwimeko ayithathi ifoto yemonitha kwaye isangqa ngeenkcukacha ngaphandle kokuba loo nkcukacha ibalulekile kwinto ebeyenza ngalo mzuzu kanye. Eyona nto ayithethayo kukuba: ijiyometri yokumakisha ibonise kanye apho ifanele ukuba khona, kungekho ngqiqweni malunga nokuqhelaniswa nekheji, kunye nofakelo lwadlula ngaphandle komjikelo we-stall-and-recheck ukuba ikheji iphawulwe kakubi inyanzela kuye.
Yiyo yonke inqaku le-radiopacity eyenziwe ngokuchanekileyo. Ayizazisi. Kuthetha nje ukuba ugqirha akaze acinge malunga nokufakelwa - kuphela ngesigulana.
Kutheni Le nto Kunzima Ukuyenza kunokuba Ijongeka
Abasasazi abangakhange bachithe ixesha kumgangatho wefektri ngamanye amaxesha bacinga ukuba iziphawuli ze-tantalum zizinto ezincinci - iingcingo ezimbalwa ezicinezelwe Ikheji ye-PEEK , yenziwe. Enyanisweni, eli lelinye lamanyathelo anokusilela ngakumbi kwimveliso yekheji phakathi kwabantu, ngenxa yezizathu ezibini ezahlukeneyo.
I-PEEK-to-Marker Interface
I-Tantalum kunye ne-PEEK azidibananga ngokwekhemikhali. Isiphawuli kufuneka sigcinwe ngoomatshini - sicinezelwe kumjelo ochanekileyo owenziwe ngoomatshini kunye nokunyamezelana ngokwaneleyo kangangokuba izihlalo zocingo zigungxulwe ngokupheleleyo kwaye azigungxulwa phantsi komatshini ophinda-phindiweyo wokulayisha wofakelo, ukungqubana, kunye neminyaka yokuthwala umthwalo womzimba emva koko. Ukuba itshaneli lisikwe nokuba ligqithise kancinane, isiphawuli sinokufuduka okanye sithambe ngexesha lempembelelo - eyiyo kanye imo yokusilela ebonisa njengophawu oluqatyiweyo okanye oluphindwe kabini kwi-fluoroscopy, enyanzela ugqirha wotyando ukuba adubule kwakhona kwaye aphinde avavanye.
Le yingxaki yomatshini we-CNC ene-axis emihlanu, hayi indibano yezandla. Ijiyometri yesiphawuli setshaneli kufuneka isikwe ukuze ingqinelane nedayamitha yocingo kunye nococeko oluncinci, kwikheyiji nganye, kumthamo wemveliso - hayi nje kwiisampulu ezithunyelwa ngumzi-mveliso ukuba zihlolwe.
I-interface yoFakelo
Abanye abasasazi bendawo yokungaphumeleli bava malunga namaxesha amaninzi kunokubonakala kwesiphawuli: umdibaniso phakathi kwekheji kunye nesixhobo sofakelo esiza sikhululekile phakathi kwempembelelo. Ukuba olo jongano olunentambo okanye olunezitshixo lune-drift encinci ye-dimensional, umfaki unokubuyela umva okanye alungelelanise ngokuphindaphindiweyo phantsi kohlaselo lwe-mallet oluphindaphindiweyo olufunekayo ukuze kuhlaliswe ikheji - eyingxaki enkulu kakhulu kwipaseji ye-TLIF kunotyando oluvulekileyo, kuba ugqirha unegumbi elincinane kakhulu lokubuyisela ikheji ngesandla ukuba yohlukana nomntu oyifakayo ngokungalindelekanga.
Ukubamba ukuba i-jometri ye-interface ehambelanayo, i-cage emva kwe-cage, i-batch emva kwe-batch, ngumsebenzi othe ngqo wokulawula ukunyamezela kwe-CNC kunye nokuhlolwa kwe-dimensional in-process - ayisiyiyo into enokulungiswa ngokupakishwa okungcono okanye iphepha lomyalelo elihle.
Kuthetha ukuthini oku kuMnikezeli oVavanya aBaboneleli
Isizathu sokuba eli nqanaba leenkcukacha zokuvelisa libalulekile kumthengisi - hayi kugqirha wotyando kuphela - kukuba ezi ndlela zokusilela azibonakali kwifoto yekhathalogu okanye kwiphepha elithile. Ikheji enophawu olukhululekile kancinane okanye ujongano lomda womda lujongeka ngokufanayo nelungileyo de ibe ichatshazelwe kwisithuba sediski kunye nogqirha wotyando ojonge i-C-ngalo. Elona xesha libi kakhulu lokufumana umsantsa womgangatho, kwaye ngumzuzu omisela ukuba iakhawunti yesibhedlele ihleli nawe okanye ifudukele kumntu okhuphisana naye.
Oku kukwabangela ukuba 'ukudibana nomzobo' kungafani 'nokwenza ngokungaguqukiyo.' Umnikezeli angabetha idimensional spec kwisampulu yesampulu ethunyelwe ukuba ivavanywe kwaye usenokwahluka-batch-to-batch xa besebenzisa umthamo wemveliso. Ekuphela kwendlela yokwazi umahluko kukubuza ukuba yintoni kanye kanye elawula oko kuhambelana - kwinkqubo yokuhlolwa kweCMM, ukuqinisekiswa kokunyamezela kommakishi, kunye novavanyo lwe-torque ye-interface kwisampulu kwimveliso yonke, hayi nje ekuqaleni kokuhlolwa kwenqaku.
Kubathengi abathelekisayo Iinkqubo ze-TLIF kunye ne-PLIF yekheji kubo bonke ababoneleli, oku kuyafaneleka ukubuza malunga ngqo ngaphambi kokuzibophelela kwi-inventri: yintoni ukunyamezela okubanjwe kwijelo lokumakisha, kwaye yintoni isantya sesampuli ye-QC kwi-interface ye-cage-to-inserter kwi-volume yemveliso - kungekhona nje kwiiyunithi zeedemo ezithunyelwe ukuvavanya.
INyaniso yoRhwebo emva kokuNyembeka kweKlinikhi
Akukho nanye kwezi yimveliso ekhethekileyo eyenziwayo ukwenzela inzuzo yomthengisi omnye. Ulawulo lonyamezelo kwindawo yokumakisha kunye nejometri yojongano lofakelo oluchazwe ngasentla yimveliso esemgangathweni yomgca wokwenziwa kwemveliso - inkqubo efanayo iqhuba nokuba ngaba iodolo yeyeseti yovavanyo olunye okanye i-inventri epheleleyo yekhontrakthi yesibhedlele.
Oko kuhambelana kwakhona kwenza ukuba umthamo ophantsi kunye nee-odolo zesiko zisebenze ngaphandle korhwebo olusemgangathweni. Umsasazi ovavanya icandelo elitsha lemarike, okanye usebenza nogqirha wotyando ofuna inyawo elahluke kancinane okanye i-angle ye-lordotic kuluntu lwesigulana sommandla, akufuneki ukuba azibophelele ekuqhutyweni kwemveliso epheleleyo ukufumana ukuchaneka okufanayo kwemveliso. Custom PLIF/TLIF uqwalaselo yekheji kunye Iinkqubo zeeleyibhile ze- OEM/ODM zabucala zixhaswa ukusuka kwi-1 iseti ye-MOQ - eyona nto ibaluleke kakhulu kwimeko apho umsasazi akakwazi ukuthethelela ukubamba uluhlu olusemgangathweni kodwa usafuna ukufakelwa okwenziwa ngendlela ugqirha wotyando ochazwe kulo mfanekiso.
Kwiindawo ezisemgangathweni zekhathalogu, umgca wemveliso ofanayo ugcina i-90% ye-inventory ye-inventory kulo lonke uluhlu lwenkqubo yomqolo, kunye ne-stock orders ngokuqhelekileyo ukuthunyelwa phakathi kweentsuku ze-3 zokusebenza. Ingongoma ayikukuba ukuhanjiswa okukhawulezayo kunye nokunyamezelana okuqinileyo ziindawo zokuthengisa ezahlukeneyo - kukuba zombini zivela kuqeqesho olufanayo lokuvelisa. Umzi-mveliso ongakwaziyo ukubamba unyamezelo kwivolyum kaninzi awunakukwazi ukugcina uluhlu lwempahla, kwaye ezi ngxaki zimbini zidla ngokubonakala kunye.
Ukuba uvavanya umthengisi wekheji yomqolo kwaye ufuna ukubona amaxwebhu okunyamezela kunye nedatha yesampula ye-QC ngasemva kwamabango anjengale, yinto efanelekileyo ukuyibuza ngaphambi kokubeka umyalelo wokuqala - kungekhona emva kokuba ugqirha wotyando ekuthumelele ifoto ebuza ukuba kutheni into ingahlali kakuhle.
