Fuafuaga fou R&D

MIS | Fa'aleleia Fa'atekonolosi - Tulaga Fa'atekonolosi - Fa'ai'uga Fa'ai'uga | czmeditech

Ole Minimally Invasive Spine System (MIS) ose fa'atekonolosi fa'aonaponei e mafai ai ona sa'o togafitiga e ala i nai mea laiti mo tulaga e pei ole herniated discs ma spinal stenosis.

Auiliiliga fou

Fa'aitiitiga fa'alavelave fa'aletonu

Fa'aitiitia fa'alavelave

Fuafuaga tipi laiti:

O tipi masani e naʻo le 1-2 cm, faʻaitiitia ai maso maso ma faʻaleagaina aano vaivai.

Tekinolosi fa'atulagaina sa'o:

Fa'alelei le sa'o atoatoa o le fa'apipi'i i totonu o le fa'aogaina (eg O-arm, 3D-C-arm) po'o le fesoasoani robotic (eg Mazor X, Globus Medical).

Fa'aitiitia le toto toto:

fa'atekonolosi fa'alavelave fa'aitiiti e fa'aitiitia ai le lamatiaga o manu'a vascular, aemaise lava mo tagata matutua po'o gasegase fa'atasi.

Faʻavaveina le toe faʻaleleia pe a uma le taotoga

Pu'upu'u nofo ile falema'i:

o le tele o gasegase e faʻateʻaina 24-48 itula pe a uma le taotoga, faʻatusatusa i le 3-5 aso mo taotoga tatala masani.

Gaoioiga vave:

Faʻaitiitia le tiga ma sili atu le puipuiga o maso e mafai ai e tagata gasegase ona toe foʻi vave atu ia latou gaioiga i aso taitasi.

Biomechanical optimization

Talosaga mea fou:

fa'ata'ita'iga 3D lolomi titanium alloys, PEEK (polyether ether ketone) mea e maua ai se fa'alelei o le elasticity e latalata i le ponaivi ma fa'aitiitia ai le fa'amamafa.

Faiga fa'amautu malosi:

o nisi fa'ato'aga (eg Dynesys, Coflex) e fa'asaoina le gaioi o le ivi ma fa'aitiitia ai le lamatiaga o le fa'aleagaina o vaega lata ane.

Fa'ailoga fa'alautele

Ufiufiina le tele o faʻamaʻi faʻamaʻi e pei o le degenerative disc disease, lumbar spinal stenosis, mild spondylolisthesis ma vertebral fractures.

临床案列

O mea nei o su'esu'ega fa'atusa i tausaga talu ai nei:

1. Fa'ata'ita'iga fa'ata'ita'i fa'ata'ita'iina ole fusu'aga lumbar spine (TLIF)

Fuafuaga su'esu'e:

fa'amoemoega multicenter RCT (2022) fa'atusatusa MIS-TLIF (la'ititi fa'alavelave) ma le TLIF tatala.

Tele fa'ata'ita'iga:

120 tagata gasegase e tasi le vaega degenerative lumbar spine maʻi.

I'uga:

Taimi o taotoga:

teisi umi i le vaega MIS (o lona uiga 150 min vs. 130 min), ae 60% itiiti le toto (<100 ml vs. 250 ml).

tiga ina ua uma le taotoga:

50% faʻaitiitiga i le VAS sikoa 1 vaiaso pe a maeʻa i le MIS vaega, leai se eseesega tele i le va o vaega e lua pe a uma le 3 masina.

Fua o le fusi:

1 tausaga postoperative CT faʻaalia> 90% fua faʻafefiloi i vaega uma e lua.

Fa'alavelave:

Ole fua ole fa'ama'i 2% ile vaega ole MIS vs. 8% ile vaega tatala.

2. Su'esu'ega tulitatao umi ole faiga fa'amautu malosi (Coflex)

Fuafuaga su'esu'e:

Europa 5-tausaga tulitatao suʻesuʻega (2021) suʻesuʻeina le faʻapipiʻiina o Coflex mo le togafitiga o le lumbar spinal stenosis.

Tele fa'ata'ita'iga:

80 gasegase.

I'uga:

Fa'aleleia atili:

o le ODI (fa'ailoga fa'aletonu) na fa'aitiitia mai le 45 points i le laina fa'avae i le 20 points i le 5 tausaga.

VAEGA LA'OA'O FA'AVAEINA:

Na'o le 12% o tagata gasegase na atiaʻe faʻafitauli faʻalavelave vavalalata, e matua maualalo ifo nai lo le fusuaga masani (~ 30%).

Toe fa'atino fua:

fa'aopoopo 5-tausaga toe fa'agaioia fua faatatau o le 8%, fa'apena ona o le fa'amama le toto (4%) po'o le toe fa'aalia.

3. Su'esu'ega tu'ufa'atasi ole fa'apipi'iina ole MIS ole masini

Fuafuaga su'esu'e:

su'esu'ega i tua na lomia i le 2023 e iloilo ai fa'ai'uga o le fa'aogaina o le sikulima a le MIS fa'atasi ai ma le fesoasoani robotic Mazor.

Tele fa'ata'ita'iga:

500 fa'apipi'i fa'ailoga (tula'au thoracolumbar).

I'uga:

Sa'o:

98.6% o tulaga sikulima sa faamalieina (Gertzbein-Robbins fa'ailoga A/B).

Fa'alavelave:

fua faatatau manu'a a'a neura 0.4% fa'atusatusa i le 3-5% mo le tu'u fua lima masani.

Mo nisi fa'amatalaga oloa ma fa'amatalaga, fa'amolemole fa'afeso'ota'i matou!