Design empya eya R&D .

Mis | Okulongoosa mu tekinologiya - Ebirungi bya tekinologiya - Ebivudde mu kulongoosebwa | CZMEDITECH .

Enkola ya Minimally Invasive Spine System (MIS) ye tekinologiya ow’omulembe asobozesa obujjanjabi obutuufu okuyita mu butundutundu obutonotono obw’embeera nga herniated discs ne spinal stenosis.

Detail empya ey'okukola dizayini .

Ebirungi ebiyingira mu mubiri bitono .

Okukendeeza ku buvune .

Dizayini entono ey’okusalako:

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

Tekinologiya w’okuteeka mu kifo ekituufu:

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

Okukendeeza ku musaayi mu kulongoosebwa:

Tekinologiya w’okutuuka ku bantu mu ngeri entono akendeeza ku bulabe bw’okulumwa emisuwa naddala eri abalwadde abakadde oba abakwatagana.

Okuwona amangu oluvannyuma lw'okulongoosebwa .

Okusula mu ddwaaliro ennyimpi:

Abalwadde abasinga basiibulwa essaawa 24-48 oluvannyuma lw’okulongoosebwa, bw’ogeraageranya n’ennaku 3-5 ez’okulongoosebwa mu ngeri ey’ekinnansi.

Okutambula nga bukyali:

Obulumi obutono n’okukuuma ebinywa ebirungi kisobozesa abalwadde okudda mu mirimu gyabwe egya buli lunaku mu bwangu.

Okulongoosa mu ngeri y’obulamu (biomechanical optimization) .

Okukozesa ebintu ebipya:

EG 3D printed titanium alloys, peek (polyether ether ketone) materials okutuuka ku modulo ya elasticity okumpi n’ey’amagumba n’okukendeeza ku situleesi okusiiga.

Enkola z’okutebenkeza amaanyi mu ngeri ey’amaanyi:

Ebimu ku bikozesebwa (okugeza Dynesys, Coflex) bikuuma entambula y’omugongo era bikendeeza ku bulabe bw’okuvunda kw’ekitundu ekiriraanyewo.

Ebiraga ebigaziyiziddwa .

Okubikka ku ndwadde ez’enjawulo ez’omugongo nga okuvunda disc disease, lumbar spinal stenosis, mild spondylolisthesis ne vertebral fractures.

临床案列 .

Wammanga ze nsonga z’okunoonyereza ezikiikirira mu myaka egiyise:

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

Okusoma dizayini:

Prospective multicenter RCT (2022) okugeraageranya MIR-TLIF (ekitono ekiyingira) ne open tlif.

Sampuli y’ekyokulabirako:

Abalwadde 120 abalina obulwadde bw’omugongo ogw’omugongo ogw’ekitundu kimu.

Alizaati:

Ebiseera by’okulongoosa:

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

Obulumi oluvannyuma lw’okulongoosebwa:

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

Omuwendo gw’ebintu ebifukirira:

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

Ebizibu:

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

2. Okunoonyereza okw’ekiseera ekiwanvu okugoberera enkola y’okutebenkeza enkyukakyuka (COFLEX) .

Okusoma dizayini:

Okunoonyereza okw’okugoberera okw’emyaka 5 okw’Abazungu (2021) okwekenneenya okuteekebwamu coflex okusobola okujjanjaba obulwadde bw’omugongo obuyitibwa lumbar spinal stenosis.

Sampuli y’ekyokulabirako:

Abalwadde 80.

EBIVUDEMU:

Okulongoosa mu nkola:

ODI (Dysfunction Index) yakendedde okuva ku bubonero 45 ku ntandikwa okutuuka ku bubonero 20 ku myaka 5.

Okuvunda kw’ekitundu ekiriraanyewo:

Abalwadde 12% bokka be baafuna ebizibu by‟ekitundu ebiriraanye, wansi nnyo okusinga okuyungibwa okwa bulijjo (~30%).

Omuwendo gw’okuddamu okukola:

cumulative 5-year resopation rate of 8%, okusinga olw’okusumululwa kw’okuteekebwamu (4%) oba okuddamu okulaga obubonero.

3. Okusoma mu bungi ku kuteekebwamu kwa MIS okuyambibwako roboti .

Okusoma dizayini:

Okunoonyereza okudda emabega okwafulumizibwa mu 2023 okwekenneenya ebyava mu kuteeka sikulaapu mu MIS n’obuyambi bwa mazor robotic.

Sampuli y’ekyokulabirako:

500 Okuteeka sikulaapu (omugongo gwa thoracolumbar).

Alizaati:

Obutuufu:

Ebitundu 98.6% eby’ebifo bya sikulaapu byali bimatiza (gertzbein-robbins grading A/B).

Ebizibu:

Obuvune bw’ekikolo ky’obusimu 0.4% bw’ogeraageranya ne 3-5% ku kuteekebwa kwa bulijjo okw’omukono ogw’eddembe.

Okumanya okumanya ebisingawo ku bikozesebwa n'ebikwata ku bintu, tukusaba otuukirire!