Dizayini empya eya R&D

MIS | Okulongoosa mu tekinologiya - Enkizo mu tekinologiya - Ebiva mu kulongoosebwa | czmeditech ku by’okukozesa

Enkola ya Minimally Invasive Spine System (MIS) tekinologiya ow’omulembe asobozesa okujjanjaba obulungi nga bayita mu kutema obutonotono ku mbeera nga herniated discs n’okusannyalala kw’omugongo.

Ebikwata ku dizayini empya

Enkizo ezitayingirira nnyo

Okukendeeza ku buvune

Dizayini y’okusalako okutono:

Ebitundu ebitera okusala biba sentimita 1-2 zokka, ekikendeeza ku kuggyibwako ebinywa n’okwonooneka kw’ebitundu ebigonvu.

Tekinologiya w’okuteeka ebifo mu kifo ekituufu:

Okulongoosa mu butuufu bw’okuteeka ekintu ekisimbibwa n’okutambulira mu kulongoosa (okugeza O-arm, 3D-C-arm) oba obuyambi bwa robotic (okugeza Mazor X, Globus Medical).

Okukendeera kw’omusaayi mu kulongoosa:

tekinologiya w’okutuuka ku misuwa akendeeza ku bulabe bw’okulumwa emisuwa naddala eri abalwadde abakadde oba abalina obulwadde obulala.

Okuwona amangu oluvannyuma lw’okulongoosebwa

Okumala akaseera katono mu ddwaaliro:

abalwadde abasinga basiibulwa essaawa 24-48 oluvannyuma lw’okulongoosebwa, bw’ogeraageranya n’ennaku 3-5 mu kulongoosebwa okw’ekinnansi okuggule.

Okutambula nga bukyali:

Obulumi obutono n’okukuuma ebinywa obulungi kisobozesa abalwadde okudda amangu mu mirimu gyabwe egya bulijjo.

Okulongoosa mu by’obutonde (biomechanical optimization).

Okukozesa ebintu ebipya:

okugeza 3D printed titanium alloys, PEEK (polyether ether ketone) ebintu okutuuka ku modulus ya elasticity okumpi n’ey’amagumba n’okukendeeza ku stress masking.

Enkola z’okutebenkeza ez’amaanyi:

ebimu ku biteekebwa mu mugongo (okugeza Dynesys, Coflex) bikuuma okutambula kw’omugongo era bikendeeza ku bulabe bw’okuvunda kw’ekitundu ekiriraanyewo.

Ebiraga nti bigaziyiziddwa

Okubikka ku ndwadde z’omugongo ez’enjawulo nga obulwadde bwa degenerative disc disease, lumbar spinal stenosis, mild spondylolisthesis n’okumenya omugongo.

临床案列

Wammanga ze nsonga z’okunoonyereza ezikiikirira abantu mu myaka egiyise:

1. Okugezesebwa okufugibwa okutali kwa bulijjo okw’okuyungibwa kw’omugongo gw’omugongo (TLIF) .

Enteekateeka y’okusoma:

prospective multicenter RCT (2022) nga bageraageranya MIS-TLIF (eziyingirira nnyo) ne TLIF enzigule.

Sayizi ya sampuli:

Abalwadde 120 abalina obulwadde bw’omugongo ogw’ekitundu ekimu (single-segment degenerative lumbar spine disease).

Alizaati:

Obudde bw’okulongoosebwa:

okuwanvuwa katono mu kibinja kya MIS (kitegeeza eddakiika 150 vs. eddakiika 130), naye 60% omusaayi omutono (<100 ml vs. 250 ml).

Obulumi oluvannyuma lw’okulongoosebwa:

Okukendeera kwa 50% mu bubonero bwa VAS wiiki 1 oluvannyuma lw’okulongoosebwa mu kibinja kya MIS, tewali njawulo nnene wakati w’ebibinja byombi oluvannyuma lw’emyezi 3.

Omuwendo gw’okuyungibwa:

CT ey’omwaka 1 oluvannyuma lw’okulongoosebwa yalaga >90% fusion rate mu bibinja byombi.

Ebizibu ebivaamu:

Omuwendo gw’abakwatibwa obulwadde 2% mu kibinja kya MIS vs. 8% mu kibinja ekiggule.

2. Okunoonyereza okugoberera okumala ebbanga eddene ku nkola y’okutebenkeza enkyukakyuka (Coflex) .

Enteekateeka y’okusoma:

Okunoonyereza okwakolebwa mu Bulaaya okumala emyaka 5 (2021) nga kwekenneenya okuteekebwamu Coflex okujjanjaba obulwadde bw’okusannyalala kw’omugongo.

Sayizi ya sampuli:

Abalwadde 80.

EBIVUDEMU:

Okulongoosa mu nkola y’emirimu:

ODI (dysfunction index) yakendeera okuva ku bubonero 45 ku ntandikwa okutuuka ku bubonero 20 ku myaka 5.

OKWONOONA EKITUNDU EKIKOLWAANA:

Abalwadde 12% bokka be baafuna ebizibu by’ekitundu ekiriraanye, nga bya wansi nnyo okusinga okuyungibwa okwa bulijjo (~30%).

Omuwendo gw’okuddamu okulongoosebwa:

cumulative 5-year reoperation rate of 8%, okusinga olw’okusumululwa kw’ekintu ekisimbibwa (4%) oba okuddamu obubonero.

3. Okunoonyereza mu bifo ebitali bimu ku bikozesebwa mu kuteekebwa mu MIS nga biyambibwako roboti

Enteekateeka y’okusoma:

okunoonyereza okudda emabega okwafulumizibwa mu 2023 okwekenneenya ebyava mu kuteeka sikulaapu za MIS nga tuyambibwako roboti ya Mazor.

Sayizi ya sampuli:

500 okuteeka sikulaapu (omugongo gw’omu kifuba).

Alizaati:

Obutuufu:

98.6% ku bifo bya sikulaapu byali bimatiza (Gertzbein-Robbins grading A/B).

Ebizibu ebivaamu:

omuwendo gw’obuvune mu bikoola by’obusimu 0.4% bw’ogeraageranya ne 3-5% ku kuteekebwa kw’omukono ogw’eddembe ogwa bulijjo.

Okumanya ebisingawo ku bikozesebwa n'ebisingawo, tukusaba otuukirire!