Indlela yokuCwangcisa umgca weMveliso yeMveliso ye-Orthopedic Trauma: Ubungakanani boMtyalo, iiSeti zesixhobo kunye ne-Inventory yokuQala ngokusekwe kuMxube woCando lweSibhedlele

Impendulo emfutshane: Yakha umgca wemveliso yokwenzakala ukusuka kumxube wotyando lwesibhedlele, hayi kwikhathalogu, ukuze zonke inkqubo yokulungisa ukuphuka kwethambo isibhedlele esiyenzayo ineemplanti ezipheleleyo kunye nezixhobo emva kwayo. Beka iinkqubo zokwaphuka ngokomthamo wonyaka, imephu inkqubo nganye kusapho olufakelwayo olulusebenzisayo (iipleyiti zokutshixa, izikhonkwane ze-intramedullary, izikrufu zamathambo, izilungisi zangaphandle), ubungakanani beplani ngokusetyenziswa okulindelweyo, hlanganisa yonke intsapho yofakelo kunye neseti yesixhobo esipheleleyo, kunye nobungakanani bomyalelo wesitokhwe sokuqala ngefomula enye: imfuno elindelekileyo ngexesha lokuzaliswa kwakhona + isitokhwe sokhuseleko , kunye neeyunithi ezimbini ezisisiseko zobukhulu beyunithi nganye. Phambi kwayo nantoni na ngeenqanawa, qinisekisa ukuba i-SKU nganye ikhuselwe ngobhaliso kwilizwe ekujoliswe kulo.

Izinto eziphambili zokuThatha

• Umgca wemveliso yokwenzakala yiseti yezisombululo zenkqubo, hayi uluhlu lwee-SKU. Inkqubo nganye idinga ukufakelwa, izixhobo ezihambelanayo, izixhobo zamandla kunye nezinto ezisetyenziswayo, kunye nenkxaso yobuchule botyando.
• Umxube wotyando wesibhedlele ugqiba uninzi lwesicwangciso. Umthamo wonyaka ngesiza sokuqhekeka umisela ukuba zeziphi izixhobo zokulungiswa kwangaphakathi kunye nobukhulu obufunekayo kuqala.
• Ubungakanani obulahlekileyo sesona sizathu sixhaphakileyo sokuba umyalelo wokuqala usilele. Ushicilelo olungekhoyo wasekhohlo/ekunene, ubude okanye isikrufu sokumatanisa simisa into naxa 'imveliso' ​​ikhona.
• Iiseti zesixhobo zilinganiswe ngokweemeko ezifanayo kunye nexesha lokuvala inzala , hayi ngenani lokufakelwa kwezinto ezithengiweyo.
• Uluhlu lokuqala = imfuno ngexesha (ixesha lokukhokela + ixesha lokuphonononga) + isitokhwe sokhuseleko. Ixesha eliphambili libandakanya ukuthunyelwa, ukuhamba kwamanye amazwe kunye nokukhutshwa kwezithethe.
• Ubume bobhaliso sisakha isicwangciso. Ufakelo lubalwa kuphela njengesitokhwe esikhoyo xa sithe sabhaliswa kwimarike yendawo ekusingwa kuyo.

Ngubani Esi Sikhokelo Kumfundi

Yintoni	abayifunayo kwesi sikhokelo
Amagosa okuthengwa kwempahla nezibhedlele (izibhedlele zabucala, abathengi bakarhulumente, iithenda kunye namaqela okuthenga aphakathi)	Indlela ekhuselayo yokuthethelela uluhlu lokuqala lokuthenga kwaye uphephe zombini ukuphuma kwesitokhwe kunye nesitokhwe esifileyo
Oogqirha bamathambo kunye nokwenzakala kunye neentloko zamasebe	Ukuzithemba ukuba ubungakanani bokufakelwa kunye nezixhobo abaxhomekeke kuzo zikwiseti ngosuku lotyando
Abasasazi besixhobo se-Orthopedic, ngakumbi abasasazi abancinci nabaphakathi bongeza umgca wokwenzakala	Indlela ephindaphindwayo yokwakha okanye ukwandisa iphothifoliyo yokwenzakala kwisibhedlele esinye okanye ezininzi ngaphandle kotyalo-mali olugqithisileyo

Inyathelo loku-1: Usihlalutya Njani iSibhedlele soTyando?

Yeyiphi idatha ekufuneka uyiqokelele kuqala?

Qokelela iinyanga ezili-12 zedatha yenkqubo yokwenzakala esibhedlele, okanye koogqirha obasebenzelayo. Ubuncinane bedatasethi:

1. Umthamo wecala lonyaka nge-fracture site kunye nenkqubo : umzekelo ukulungiswa kwe-hip intertrochanteric, i-femoral kunye ne-tibial shaft nailing, i-distal radius plating, i-clavicle plating, i-ankle fixation, i-femoral neck screw fixation kunye nokulungiswa komonakalo wangaphandle.
2. Indlela yokulungisa ugqirha ngamnye ukhetha uhlobo ngalunye lokuphuka: ipleyiti, isikhonkwane, izikhonkwane okanye i-fixator yangaphandle.
3. Incopho yeemeko ngosuku nangeveki , hayi kuphela i-avareji yenyanga.
4. Iinkqubo ezisetyenziswayo ngoku kunye neengxaki ezaziwayo: ubungakanani obulahlekileyo, izixhobo ezigugileyo, ukuhanjiswa kade.
5. Ukuvala inzalo (CSSD) ixesha lokuguqula iiseti zezixhobo.
6. Imodeli yokuthenga : ukuthenga ngokuthe ngqo, ithenda okanye ukuthenga okuphakathi, okanye ukuthunyelwa komthengisi.

Uyijika njani idatha yenkqubo ibe yimephu yomgca wemveliso?

Iinkqubo zeqela kwiintsapho ezifakelwayo. Esi sikhokelo singezantsi sixhasa izigqibo zokuthenga; ukhetho lweklinikhi luhlala lologqirha wotyando. Oogqirha banokujonga iimpawu ngokuchasene ne AO Surgery Reference.

Ummandla wokuqhekeka (imizekelo)	Izixhobo eziqhelekileyo zokulungiswa kwangaphakathi	Amanqaku ocwangciso
I-proximal femur / intertrochanteric	I-PFNA kunye neenkqubo ze-nail ze-femoral proximal	Ngokuqhelekileyo umgca we-trauma wexabiso eliphezulu kwizibhedlele ezikhonza izigulane ezindala
I-Femoral kunye ne-tibial shaft	Iinkqubo ze-Intramedullary nail : isikhonkwane se-femur, i-tibia nail	Kufuneka izixhobo zokubethelela ezizinikeleyo kunye nezixhobo zamandla
Iradiyasi ekude, i-clavicle, i-humerus ejikelezayo, i-olecranon	I-Anatomical iipleyiti zokutshixa	Ekhohlo/ekunene kunye nobude obahlukileyo baphindaphinda ii-SKU ngokukhawuleza
I-distal femur, i-proximal tibia, i-distal fibula, i-calcaneus	Iinkqubo zokutshixa iipleyiti zoxinzelelo	Idla ngokufuna izikrufu ezinkulu nezincinci zamaqhekeza
Intamo ye-Femoral, ukulungiswa kweqhekeza elincinci	ze-screw ezinkonkxiweyo Iinkqubo	Iingcingo zesikhokelo (K-ingcingo) kunye ne-cannulated drills zingamaqabane anyanzelekileyo
Ukuqhekeka okuvulekileyo, i-polytrauma, ukulawula umonakalo	zokulungisa zangaphandle Iinkqubo	Iiclamps, iinduku kunye nezikhonkwane kufuneka zihambelane nokwakheka kwesakhelo

Ukuqukumbela: Uluhlu lwenkqubo, hayi ikhathalogu yemveliso, kufuneka igqibe ukuba zeziphi iintsapho ezifakelwayo ezingena kumyalelo wokuqala.

Kutheni le nto umxube wotyando ubaluleke kangaka?

Imfuno yokwaphuka inkulu kwaye iyakhula. Uhlalutyo lwe-Global Burden of Disease 2019 lubike i- 178 yezigidi zeefractures ezitsha kwihlabathi jikelele ngo-2019, ukunyuka kwe-33.4% ukususela ngo-1990 , kunye nesiganeko esiphezulu kumaqela amadala amadala (I-Lancet Healthy Longevity, ngo-2021 ). Oku kuchaza ukuba kutheni izibhedlele ezinabantu abagugayo zibeka ubunzima obuninzi kwi-proximal femur fixation. Sekunjalo, umxube uyahluka ukusuka esibhedlele ukuya esibhedlele: iziko lokuphazamiseka kwendlela, isibhedlele sokunyamekela abantu abadala kunye neklinikhi yokulimala kwezemidlalo idinga imigca eyahlukeneyo. Imiyinge yesizwe ayinakuthatha indawo yedatha yesibhedlele.

Inyathelo lesi-2: Uzicwangcisa njani iiNkcazelo zoFakelo kunye nobungakanani?

Zingaphi iisayizi ozifunayo ngokwenene?

Sebenzisa isicwangciso sobukhulu obunamanqanaba amathathu kusapho ngalunye lofakelo: Umgaqo

yeSigaba	weNgcaciso	sokuGcina
Ubungakanani obungundoqo	Ubungakanani obubandakanya uninzi lwamatyala embali yesibhedlele	Ngalo lonke ixesha kwishelufu okanye iseti, kunye neeyunithi zokugcina
Ubungakanani obandisiweyo	Isetyenziswa rhoqo kodwa iyimfuneko ngokonyango, njengeepleyiti ezinde okanye ubude obugqithisileyo	Gcina ubuncinane iyunithi enye, okanye uzibambe kwindawo ephakathi kumsasazi
Umyalelo okhethekileyo	I-anatomy enqabileyo okanye ukhetho olukhethekileyo logqirha wotyando	Iodolo ngokwemfuno, kunye nexesha lokukhokela elivunyelwene kwangaphambili

Uluhlu lokujonga ubungakanani ngokufaka usapho

• Iipleyiti zokutshixa kunye nokutshixa iipleyiti zokuxinzelela: iinguqu ezisekhohlo kunye nekunene, ukubala kwemingxuma kunye nobude, ukutshixa kunye nezikrufu ezingavaliyo ezivela kwisistim esifanayo, izikhokelo ze-drill ezihambelanayo.
• Izikhonkwane ze-Intramedullary (PFNA, isikhonkwane se-femur, i-tibia nail): i-diameters × ubude, iinketho ze-angle ze-neck-shaft apho zifanelekileyo, ii-blades okanye i-lag screws, i-distal locking screws kunye nee-end caps.
• Izikrufu zamathambo (icortical, cancellous, cannulated): uluhlu lwedayamitha oluhambelana nenkqubo yepleyiti, uluhlu olupheleleyo lobude bedayamitha nganye, kunye neewasha apho zisetyenziswa khona.
• Izilungisi zangaphandle: izikhonkwane kunye neentonga, izibonda kunye nezinto zokudibanisa ezihambelana nokucwangciswa kwesakhelo.
• Izinto ezisetyenziswayo zibotshelelwe kwizinto ezifakelwayo: Iingcingo ze-K, iingcingo zesikhokelo kunye neebhithi zokubhola.

Yakha ubungakanani bematrix kwikhathalogu yomenzi kunye noogqirha abaza kusebenzisa inkqubo. Kwi-XC Medico, unikezelo luqinisekiswa ngenkqubo, umda wobhaliso kunye ne-odolo, ngoko ke uluhlu lokugqibela lobungakanani kuvunyelwana ngalo ngexesha lokuqinisekiswa kwe-odolo kunokuba kuthathwe kwikhathalogu yegeneric.

Ukuqukumbela: Ityala liyalahleka ngenxa yokuba isayizi enye ilahlekile, ayigcinwanga kuba ikhulu lezinye likhona. Cwangcisa izikrufu kunye nokwahluka ekhohlo/ekunene njengenxalenye yenkqubo, ungaze uthenge ngokwahlukeneyo.

Inyathelo lesi-3: Uziqwalasela njani iiseti zesixhobo sokuthelekisa?

Yintoni eyeyakho kulungiselelo lwesixhobo sokwenzakala?

Intsapho nganye efakelweyo ifuna into epheleleyo isixhobo se-orthopedic iseti :

• Izixhobo ezithe ngqo kwinkqubo: izikhokelo zokubhola, iigeyiji zobunzulu, ii-screwdrivers, izibambo zokufaka, izixhobo zokujolisa kwizikhonkwane, iireamers.
• Izixhobo eziqhelekileyo zotyando lwamathambo: ii-forceps zokunciphisa, i-bone-holding clamps, i-elevators, i-retractors.
• Iiseti zeqhekeza: isethi encinci yeqhekeza kunye neqhekeza elikhulu elisetyenzisiweyo kwiplate-and-screw work.
• Izixhobo zamandla: ii-drills kunye neesarha apho inkqubo ifuna khona.
• Izikhongozeli zokubulala iintsholongwane kunye neetreyi , ezibhalwe ngesistim, kunye nebhokisi yesikhonkwane kunye nebhokisi ye-screw box.

Zingaphi iiseti zezixhobo ekufuneka uzicwangcise?

Sebenzisa le fomula kwisixokelelwano sofakelo ngalunye:

Iiseti zesixhobo ezifunekayo = ⌈ Incopho yeemeko zosuku olunye × (iiyure zokujika zeCSSD ÷ 24) ⌉ + 1 iseti yokugcina

Umzekelo ongumzekelo: isibhedlele senza ukuya kuthi ga kwi-2 PFNA iimeko ngosuku oluxakeke kakhulu kwaye i-CSSD ibuyisela iisethi kwiiyure ze-24, ngoko ⌈2 × 1⌉ + 1 = iiseti ze-3 . Ukuba ukuguqulwa ziiyure ezingama-48, ⌈2 × 2⌉ + 1 = iiseti ezi-5 ; kungenjalo isibhedlele kufuneka samkele umda wokuba zingaphi iimeko esinokuzicwangcisa.

Ukuqukumbela: Ukuthenga isixhobo esinye esisetwe kwisixokelelwano sesona sithintelo sixhaphakileyo esifihlakeleyo kumgca omtsha wokwenzakala. Ubungakanani buseti ngeemeko ezifanayo kunye nexesha lokuvala inzala.

Inyathelo lesi-4: Ulubala njani uluhlu lwempahla yokuqala?

Ifomula ye-SKU nganye

1. Imfuno yemihla ngemihla (d) = iimeko zonyaka zenkqubo ÷ 365 × isabelo sokusetyenziswa sobungakanani × iiyunithi kwimeko nganye
2. Ixesha lokuzaliswa kwakhona (L) = ixesha lokuthunyelwa komthengisi + uhambo lwamazwe ngamazwe + ukukhutshwa kwesithethe + ukufumana kwangaphakathi
3. Ixesha lokuphonononga (R) = kangaphi isitokhwe sikhangelwa kwaye sicwangciswe ngokutsha (umzekelo, ngeveki = iintsuku ezisi-7)
4. Imfuno elindelekileyo = d × (L + R)
5. Isitokhwe sokhuseleko (SS) = z × √d × √(L + R). Olu qikelelo lwe-Poisson lufanele ii-SKU zokufakelwa komthamo ophantsi; z = 1.65 inika ngokumalunga ne-95% inqanaba lenkonzo.
6. Isitokhwe sokuqala = imfuno elindelekileyo + i-SS, ijikelezwe, kunye nobuncinci beeyunithi ze-2 ngesayizi engundoqo (enye esetyenziswayo, enye yokugcina)

Umzekelo osetyenzisiweyo (amagalelo abonisayo)

seXabiso	leNgeniso	Isiseko
Iimeko zokulungiswa kwe-Intertrochanteric ngonyaka	120	Umzekelo umthamo wesibhedlele
Isabelo sokusetyenziswa sobukhulu besikhonkwane esinye	15%	Umzekelo wembali yotyando
Izikhonkwane ngetyala ngalinye	1	-
Ixesha lokuhambisa	Iintsuku ezisi-7	I-XC Medico standard-oda yokuthunyelwa (izinto ezisesitokhweni: phakathi kweentsuku ezi-3; ngokuxhomekeke kwisiqinisekiso se-odolo)
Uhambo + lwezithethe	Iintsuku ezili-14	Ixabiso lomzekelo; buyisela elona xesha lelizwe oya kulo
Ixesha lokuphonononga	Iintsuku ezisi-7	Uhlengahlengiso lweveki

• d = 120 ÷ 365 × 0.15 × 1 ≈ 0.049 ngosuku
• L + R = 7 + 14 + 7 = iintsuku ezingama-28
• Imfuno elindelekileyo = 0.049 × 28 ≈ 1.4 iiyunithi
• SS = 1.65 × √0.049 × √28 ≈ 1.65 × 0.22 × 5.29 ≈ 1.9 iiyunithi
• Isitokhwe sokuqala = 1.4 + 1.9 = 3.3, sisondezwe ukuya kutsho kwiiyunithi ezi-4 zobukhulu besikhonkwane

Phinda ubalo lwesayizi nganye, uze udibanise izikrufu ezihambelanayo, iiblades kunye nee-end caps ngetyala ngalinye. Xa into isuka kwisitokhwe esele ikho phakathi kweentsuku ezi-3, i-L iyacutheka kwaye ngokunjalo nesitokhwe ekufuneka usibambe.

Ingaba isitokhwe somyalelo wokuqala kufuneka sahlulwe njani?

Umaleko	omawuquke	uMnini oqhelekileyo
Ishelufu yesibhedlele okanye umthwalo	Ubungakanani obungundoqo kwinqanaba lempahla ebaliweyo	Umthengisi okanye isibhedlele
Isitokhwe esisembindini somthengisi	Ubungakanani obandisiweyo kunye neseti yesixhobo esixhasayo	Umthengisi
Ubonelelo lomvelisi	Ubungakanani beodolo ekhethekileyo kunye nokuzaliswa kwakhona	Umenzi

Isiphelo: Bala uluhlu lokuqala lwesayizi nganye ukusuka kwimfuno, ixesha lokuzalisa kunye nesitokhwe sokhuseleko. Ungaze ukope uludwe lwesinye isibhedlele.

INyathelo 5: Yintoni ekufuneka iQinisekiswe kuBonelelo kunye nokuThobela?

• I-inshorensi yobhaliso: qinisekisa ukuba i-SKU yofakelo ngalunye luhlawulelwa lubhaliso lwesixhobo sonyango kwilizwe ekujoliswe kulo. Ubume buyohluka ngokwentengiso kunye nemveliso, kwaye iimarike ezingabhaliswanga okanye ezibhalisiweyo zifuna isicwangciso sokungena esahlukileyo.
• Ubungqina benkqubo yomgangatho: cela isiqinisekiso somenzi se-ISO 13485 (I-ISO 13485: 2016 kumgangatho wehlabathi we-QMS wemibutho yezixhobo zonyango), kunye neengxelo zezinto eziphathekayo kunye namaxwebhu ovavanyo lwebhetshi. Inkqubo ye-XC Medico ichazwe phantsi ulawulo lwemeko.
• Ukulandeleka: qinisekisa ukumakishwa kwelaser kunye nokulandeleka kweqashiso kwizinto ezifakelweyo ukuze ukhumbule kwaye izikhalazo zibe nokusingathwa.
• Amagama olungiselelo: imo yezothutho, amaxwebhu amasiko, ukufumaneka kwe-DDP, kunye neemfuno zemali yokuhlawula kwimarike yendawo ekuyiwa kuyo (umzekelo, iVenezuela ifuna intlawulo ye-USD).
• Inkqubo yokukhutshwa komgangatho: imbuyekezo ebhaliweyo / yotshintshiselwano kunye newaranti, kunye nexesha elichaziweyo lokuphendula. 'Yabona inkxaso emva kokuthengisa.

I-XC Medico ixhasa njani ukwakhiwa komgca wokwenzakala?

I-XC Medico sisifakelo se-orthopedic esekwe eTshayina kunye nomenzi wesixhobo sotyando kunye nomboneleli wezisombululo obonelela abathengi kwihlabathi liphela. Yasekwa ngo-2007, ibonelela abasasazi, iimpawu zonyango, izibhedlele kunye noogqirha botyando kumazwe angaphezu kwama-30. Ipotfoliyo yayo ibandakanya ukwenzakala, umqolo, umdibaniso, iyeza lezemidlalo, i-CMF kunye nezixhobo zamandla ezonyango, kunye nokulungiswa kwangaphandle kunye nokuxhasa izixhobo zotyando.

Kufuneka	i-XC Medico isakhono
Iintsapho ezifakwe kwi-trauma	Amacwecwe, i-PFNA / izikhonkwane ze-femoral / izikhonkwane ze-tibial, i-screws e-cannulated kunye nokulungiswa kwangaphandle, kunye nezixhobo ezixhasayo; unikezelo oluqinisekiswa yinkqubo, umda wobhaliso kunye nomyalelo
Imveliso kunye nomgangatho	Umzi-mveliso omalunga ne-4,300 m², i-120+ leeyunithi zoomatshini kunye nelebhu yovavanyo; imveliso kunye nolawulo lomgangatho phantsi kwenkqubo yolawulo lwekhwalithi ye-ISO 13485
Ukulandeleka	Iingxelo zezinto eziphathekayo, uvavanyo lwebhetshi kunye nokumakishwa kwelaser; amaxwebhu emfundo esebenzayo anikezelwe ngemveliso nganye kunye nemarike ekujoliswe kuyo
Uluhlu kunye nexesha lokukhokela	Uluhlu olulawulwayo kwi-9,000+ SKUs; kwi-stock izinto ngenqanawa phakathi kweentsuku ze-3 kunye nee-odolo eziqhelekileyo phakathi kweentsuku ze-7, ngokuxhomekeke kwisiqinisekiso somyalelo
Imiqathango yoRhwebo	Amaxabiso ahlanganisiweyo, amaxabiso earhente kunye nentsebenziswano ye-OEM/ODM, kubandakanya uphawu, umbala kunye nokupakisha ngokwezifiso
Ulungiselelo	Ukuthunyelwa, ukukhutshwa kwempahla kunye ne-DDP elungiselelwe ngokwendawo ekuyiwa kuyo
Ukungena kwimarike	Iimarike ezingabhaliswanga: ukufunwa kwe-arhente yenqanaba lokuqala ngenkxaso yobhaliso lwasekuhlaleni kunye nemodeli ekuvunyelwene ngayo yesabelo sengeniso kwii-arhente zenqanaba lesibini kamva. Iimarike ezibhalisiweyo: inethiwekhi ye-arhente yenqanaba lesibini kunye nexabiso le-arhente.
Inkxaso yeklinikhi kunye nasemva kokuthengisa	Amaxwebhu obhaliso, iingxelo zobugcisa, uqeqesho lwemveliso, inkxaso yamatyala, iividiyo zobugcisa botyando kunye nenkonzo emva kokuthengisa; isindululo sokuqala sokuphatha kwiiyure ezingama-24 zesaziso somcimbi womgangatho; imbuyekezo ebhaliweyo/imigaqo yotshintshiselwano kunye newaranti ehleliweyo

Uluhlu lwe-trauma luhlelwe ngummandla we-anatomical wokucwangcisa: i-femur, i-tibia, inyawo kunye ne-ankle, i-radius kunye ne-ulna, i-humerus, i-clavicle, i-fibula kunye ne-pelvis.

Ubume bobhaliso ngokwemeko

lweNgingqi yemarike	yoBhaliso
ilatin America	Ekubhaliseni: Mexico, Peru, Ecuador, Argentina. Ubhaliso lucetyiweyo: Colombia, Venezuela, Chile. Imeko yokuqinisekiswa: Guatemala, Nicaragua, Honduras, Bolivia, Paraguay, Dominican Republic
UMzantsi-mpuma Asia	Ibhalisiwe: Indonesia. Ekubhaliseni: Vietnam. Ubume bokuqinisekiswa: iMalaysia, Philippines, Thailand, Sri Lanka, Uzbekistan
Indawo yoshishino kuMbindi Asia	Ekubhaliseni: eRashiya
Phakathi empuma	Ubume bokuqinisekiswa: Iraq

Izatifikethi zeshishini, zasekhaya kunye nezemveliso ziyajongwa ngokuthelekiswa nemveliso nganye ethile. 'Ukuqinisekiswa' akuthethi ukungabhaliswanga. E-Argentina, de ubhaliso luvunyiwe, unikezelo lulandela uluhlu lwesixhobo esele lukho okanye umda olungiselelweyo, kunye nokhuselo lokufakelwa luqinisekisiwe xa ubhaliso lugqityiwe.

Inyathelo lesi-6: Uwusungula njani umgca eSibhedlele?

1. Ukuqinisekiswa kogqirha: ukuphonononga isicwangciso sobungakanani kunye noluhlu lwezixhobo kunye nogqirha ngamnye we-trauma ngaphambi kokuyalela.
2. Uqeqesho: ishedyuli yoqeqesho lwemveliso kunye nokuphononongwa kobuchule botyando usebenzisa izinto zomenzi (iividiyo zobugcisa, iingxelo zobugcisa).
3. Inkxaso yetyala: cwangcisa inkxaso kwi-site yeemeko zokuqala kunye nenkqubo entsha nganye apho imithetho yendawo ivumela.
4. CSSD onboarding: nika iqela lokuvala inzala uyilo lwetreyi kunye nemiyalelo yokuhlaziya kwakhona.
5. Ukunikezelwa kwamaxwebhu: izatifikethi zobhaliso, imiyalelo yokusetyenziswa kunye neerekhodi zokulandelelwa kweqashiso.

Inyathelo lesi-7: Zeziphi ii-KPI onokuthi uzibeke esweni emva kokuqaliswa?

KPI	Formula	Isilumkiso uphawu
Izinga lokuzaliswa kwetyala	Iimeko ezinokufakelwa okupheleleyo kunye nezixhobo ÷ iimeko ezicwangcisiweyo zizonke	Ngaphantsi kwe-98%
Ukuphela kwamayeza	Inani lamaxesha ubungakanani obufunekayo bebungekho	Ubungakanani obufanayo bulahlekile ngaphezu kwesinye
Ukuthengiswa kwempahla	Iiyunithi ezisetyenzisiweyo ÷ i-avareji yeeyunithi esandleni	Ingeniso ephantsi kakhulu kwiisayizi ezandisiweyo
Dead-stock ratio	Ii-SKU ezingasetyenziswanga kwiinyanga ezi-6 ÷ zizonke ii-SKU	Ukunyuka ukusuka kwikota ukuya kwelandelayo
Ixesha lokubuyisela kwakhona	Umhla woku-odola ukuya kumhla wokufunyanwa	Kude kunocwangciso lukaL
Izikhalazo ezisemgangathweni	Izikhalazo ngamatyala ayi-100, kunye nexesha lokuphendula	Nayiphi na indlela yokuya phezulu

INyathelo 8: Uwuwenza Njani Umgca Ngexesha?

• Ngenyanga: phinda usete amanqanaba esitokhwe usebenzisa ubungakanani bokwenene bokusetyenziswa, ukubuyisela izabelo zokusetyenziswa okucingelwayo ngedatha yokwenyani.
• Ngekota: hambisa iisayizi ezicothayo ukusuka kwishelufa yesibhedlele ukuya kwisitokhwe somthengisi, kwaye wongeze iisayizi ezibangele ukuphela kwamayeza.
• Rhoqo kwiinyanga ezintandathu: jonga ukuba ngaba iinkqubo ezintsha ziyakuthethelela ukongezwa kweentsapho zokufakelwa.
• Qho ngonyaka: phinda uphinde ubonisane ngamaxabiso anemigangatho esekwe kumthamo wokwenyani kunye noqwalaselo lobhaliso lobhaliso lwee-SKU ezintsha.

Iimpazamo Eziqhelekileyo Emaziphephe

1. Ukuthenga ngekhathalogu endaweni yenkqubo: isitokhwe esifileyo kwiintsapho ezingaqhelekanga zisetyenziswe, izikhewu kwimiqulu ephezulu.
2. Ukungahoyi ukwahluka kwasekhohlo/ekunene kunye nobude: ipleyiti 'kwisitokhwe', kodwa ayikho ecaleni okanye ubude obufunwa yimeko.
3. Ukuthenga izikrufu ngokwahlukileyo kwi-plate system: izikrufu ezingahambelaniyo zimisa ityala.
4. Ukuthenga isixhobo esinye iseti ngokwenkqubo nganye: Ujiko lwe-CSSD ke luvala inani leemeko ngosuku.
5. Ukunyanga ixesha lokuthunyelwa kwefektri njengexesha elipheleleyo lokukhokela: ukuhamba kunye nezithethe zihlala zithatha ixesha elide kunokuthunyelwa.
6. Ukutsiba iitshekhi zobhaliso lwe-SKU nganye: usapho lwemveliso lungabhaliswa ngelixa ii-SKU ezithile zingabhaliswa.
7. Ungaze uphinde ujonge isicwangciso: izabelo zobungakanani obucingelwayo kufuneka zitshintshwe kusetyenziso lokwenyani kwiinyanga ezimbalwa zokuqala.

Uluhlu lokuHlola oluPhambili: UCwangciso lweMveliso yeNtshukumo

Isakhiwo sotyando

• ☐ Umthamo wetyala leenyanga ezili-12 ngokuqhekeka kwendawo kunye nendlela yokulungisa
• ☐ Incopho yeemeko zosuku olunye kwinkqubo nganye
• ☐ Utyando olukhethwayo lubhaliwe

Ukufakelwa

• ☐ Tyala iintsapho ezizotywe kwiinkqubo
• ☐ Ubukhulu, imilinganiselo eyandisiweyo kunye ne-odolo ekhethekileyo ichaziwe
• ☐ Iinguqulelo zasekhohlo/ekunene, ubude, iidayamitha kunye nezikrufu zokumatanisa ziqinisekisiwe

Izixhobo zomculo

• ☐ Gqibezela isixhobo senkqubo yofakelo ngalunye
• ☐ Inani leeseti ezibalwe ukusuka kwincopho yeemeko kunye notshintsho lweCSSD
• ☐ Izixhobo zamandla kunye nezinto ezisetyenziswayo (iingcingo ze-K, ii-drill bits) zibandakanyiwe

Uluhlu lwempahla

• ☐ Imfuno, L, R kunye nesitokhwe sokhuseleko sibalwe ngokwe-SKU nganye
• ☐ Ubuncinci iiyunithi ezi-2 ngokwesayizi engundoqo
• ☐ Ukwahlulwa kwempahla kwisibhedlele sonke, abasasazi kunye nomvelisi

Ikhonkco lonikezelo kunye nokuthotyelwa

• ☐ Ubhaliso luqinisekisiwe ngokwe-SKU kunye nelizwe ngalinye
• ☐ Isatifikethi se-ISO 13485, iingxelo zemathiriyeli kunye novavanyo lwebhetshi kwifayile
• ☐ Ukulandeleka (ukumakishwa kwelaser, iirekhodi ezininzi) kuqinisekisiwe
• ☐ Ulungiselelo, iDDP/izithethe kunye nemigaqo yentlawulo ekuvunyelwene ngayo
• ☐ Iwaranti ebhaliweyo, imimiselo yokubuyisela / yotshintshiselwano kunye nexesha lokuphendula ekuvunyelwene ngalo

Ukuqaliswa kunye nokubeka iliso

• ☐ Ukuqinisekiswa koGqirha, uqeqesho kunye nenkxaso yemeko yokuqala ecwangcisiweyo
• ☐ Uphononongo lwenyanga lweKPI lukhona

Imibuzo ebuzwa qho

Liliphi inyathelo lokuqala ekwakheni umgca opheleleyo wemveliso yokwenzakala esibhedlele?

Ukuqokelela iinyanga ze-12 zedatha yenkqubo ye-trauma ngendawo yokuphuka kunye nendlela yokulungisa, emva koko ulandele iinkqubo ngevolumu. Olo luhlu luthatha isigqibo sokuba zeziphi iintsapho zokufakelwa (iipleyiti zokutshixa, izikhonkwane ze-intramedullary, izikrufu zamathambo okanye izilungisi zangaphandle) zingena kumyalelo wokuqala.

Zeziphi iintsapho zofakelo ezenza iphothifoliyo esisiseko ye-orthopedic trauma?

Ngokuqhelekileyo iipleyiti zokutshixa ze-anatomical kunye neepleyiti zokutshixa zokutshixa; izikhonkwane ze-intramedullary, ezibandakanya i-PFNA, izikhonkwane ze-femur kunye nezikhonkwane ze-tibia; izikrufu zamathambo (i-cortical, i-cannulated kunye ne-canulated); kunye nezilungisi zangaphandle. Usapho ngalunye luza nezixhobo zalo.

Ndilubala njani uluhlu lokuqala lofakelo lwamathambo?

Ngobungakanani ngamnye, isitokhwe sokuqala = imfuno yemihla ngemihla × (ixesha lokuzaliswa kwakhona + ixesha lokuphonononga) + isitokhwe sokhuseleko, esijikeleziweyo, kunye neeyunithi ezimbini ubuncinane kubukhulu obuphambili. Ixesha lokuzalisa kwakhona kufuneka libandakanye ukuthunyelwa, ukuhamba kunye nokukhutshwa kwempahla.

Zingaphi iiseti zezixhobo ezifunwa sisibhedlele ngokwenkqubo yokwenzakala?

Phindaphinda-phinda iimeko eziphezulu zosuku olunye ngokujika kweCSSD ngeentsuku, sondeza, kwaye wongeze iseti enye yokugcina.

Kutheni imigca emitsha yokwenzakala iphelelwa sisitokhwe nasemva komyalelo wokuqala omkhulu?

Ngesiqhelo ngenxa yokuba iodolo igquma iintsapho ezininzi zokufakelwa kodwa hayi ubungakanani obupheleleyo: iinguqulelo zasekhohlo/ekunene, ubude okanye izikrufu ezihambelanayo bezingekho.

Kufuneka abasasazi bajonge ntoni phambi kokuba bakhethe umboneleli wokufakelwa kwamathambo?

Ubhaliso lobhaliso lwe-SKU nganye kwilizwe ekujoliswe kulo, ubungqina benkqubo yomgangatho we-ISO 13485, iingxelo zovavanyo lwemathiriyeli kunye nebhetshi, ukulandeleka kokufakelwa, amaxesha okukhokelela okwenyani okubandakanya ulungiselelo, kunye newaranti ebhaliweyo kunye nemiqathango yokuphendula umgangatho.

Ngaba i-XC Medico ingabonelela ngomgca wokwenzakala opheleleyo?

I-XC Medico inikezela ngeepleyiti, i-PFNA / izikhonkwane ze-femoral kunye ne-tibial, i-screws e-cannulated, ukulungiswa kwangaphandle, ukuxhasa izixhobo zotyando kunye nezixhobo zamandla zonyango. Unikezelo luqinisekiswa ngokwenkqubo, umda wokubhalisa kwimarike yendawo kunye neenkcukacha zomyalelo.

Kufuneka kuqwalaselwe kangaphi isicwangciso soluhlu lokwenzakala?

Lungisa amanqanaba esitokhwe ngenyanga usebenzisa usetyenziso lokwenyani, uhlengahlengiso lweesayizi zekota, uphonononge iintsapho zokufakelwa rhoqo emva kweenyanga ezintandathu, kwaye uphonononge amaxabiso kunye nobhaliso lonyaka.

Imithombo

1. Isiseko se-AO, I-AO Surgery Reference : iindlela zokulawula ukuphuka.
2. I-GBD 2019 abaSebenzi bokuqhekeka, Umhlaba jikelele, wengingqi, kunye nomthwalo welizwe lonke wokuqhekeka kwamathambo kumazwe angama-204 kunye nemimandla, i-1990-2019 , iLancet Healthy Longevity , i-2021.
3. Umbutho waMazwe ngaMazwe womiselo, I-ISO 13485: 2016 Izixhobo zonyango: Iinkqubo zolawulo lomgangatho, Iimfuno zeenjongo zokulawula.

Ukucwangcisa umgca wokwenzakala wesibhedlele okanye uthungelwano losasazo? Yabelana ngomxube wemeko yesibhedlele sakho sonyaka kunye nemarike ekujoliswe kuyo, kwaye iqela le-XC Medico liza kwenza imephu yokufakelwa kweentsapho, iiseti zezixhobo kunye nobhaliso lwakho. Qhagamshelana ne-XC Medico ukuqalisa uphononongo.