Ukubuka: 0 Umbhali: UJerry Isikhathi Sokushicilela: 2026-06-22 Umsuka: Isayithi
I-landscape yokuthengwa kwemishini yezokwelapha emkhakheni wamathambo e-Bulgaria ihlangabezana nokuvela kwesakhiwo esisheshayo. Iqhutshwa yiziqondiso ezisebenza kahle zesikhungo ezivela eMnyangweni Wezempilo ( Министерство на здравеопазването ) kanye namavolumu aphezulu okuhlukumezeka aphethwe amanethiwekhi amakhulu enyuvesi kanye nezibhedlela ezikhethekile ngaphansi kwe-National Health Insurance Fund ( НЗОК ) -njenge-Pirogov Emergency Hospital (Sofia), MHAT 'Stfia (St.P. Izikhungo Zenhliziyo Nobuchopho eziyinkimbinkimbi (i-Burgas ne-Pleven), eceleni kwamaqembu ezibhedlela ezizimele njenge-Acibadem City Clinic kanye ne-Vita—amabhodi okuthenga ezibhedlela abeka phambili izimila ezinikeza ibhalansi efanele yokusebenza komtholampilo, ukuvikeleka kokulawula, nokubikezelwa kwesabelomali.
Lapho ulawula ukuphuka kwamathambo amade, ukukhetha uzakwethu ofanele wezinzipho ze-intramedullary (IM) kubalulekile ekwehliseni izinkinga zangemva kokusebenza nokuphatha izindleko zesikhungo ngaphansi koMthetho Wokuthengiwa Komphakathi WaseBulgaria ( Закон за обществените поръчки - ЗОП ). Lo mhlahlandlela uchaza Abakhiqizi Bezinzipho Abaphezulu Abayi-15 e-Bulgaria, begxile kumaphothifoliyo abo ayinhloko, isithunzi semakethe, kanye nobuchwepheshe obuyinhloko ukusiza onjiniyela bezokwelapha, odokotela abahlinzayo bamathambo, kanye nabaphathi be-supply chain ekwenzeni izinqumo eziqhutshwa idatha.
Ekuhlolweni kwethenda yezokwelapha okuphelele kuzo zonke izindawo zokunakekelwa kwezempilo ezihamba phambili, ukuthengwa kwe-orthopedic trauma kudinga ukuqonda okujulile kobuchwepheshe bemishini yokufakelwa. Izinzipho ze-Intramedullary azisezona izinduku zensimbi ezijwayelekile; ukuhlinzwa kwesimanje kudinga imiklamo ekhethekile kakhulu ye-biomechanical ehambisana nokucushwa kokuqhekeka okuqondile kanye nesifo sesiguli.
Ukusiza amabhodi ezibhedlela namakomiti okuhlinza enze lula ukuthola ukuhlukumezeka, kubalulekile ukuqonda izigaba eziyisipesheli eziyinhloko ze-Intramedullary Nails ezibusa amatiyetha esimanje amathambo:
Ukukhetha phakathi kwemiklamo eqinile nezinzipho ekheniwe kuba nomthelela omkhulu ekusebenzeni kokuhlinzwa kanye nokuphulukiswa kwamathambo ebhayoloji.
I-Cannulated Intramedullary Nails : Lezi zinzipho zinendawo engenalutho, ezivumela ukuthi zifakwe phezu kwentambo yomhlahlandlela. Lo mklamo uvumela odokotela abahlinzayo ukuthi bafake i-remed, enweba umsele we-medullary, kuvumela isipikili esikhulu, esiqinile, futhi sibeke izingcezu zamathambo zendawo ngqo endaweni yokuphuka ukuze kusheshiswe ukuphulukiswa.
Izinzipho Eziqinile Ze-Intramedullary: Ngokuyinhloko ezisetshenziswa kumasu angakahlaziywa, izinzipho eziqinile zivame ukukhethwa ekwephuleni okukhulu okuvulekile noma ezimweni ze-polytrauma ukuze kuncishiswe ubungozi be-fat embolism futhi kuncishiswe ukuphazamiseka kokunikezwa kwegazi endosteal.
Ngokuphuka okwenzeka ekugcineni okuseduze kwe-femur (isifunda se-hip), izipikili ezijwayelekile ezihlanganisiwe azanele. Amasistimu e-cephalomedullary akhethekile ayadingeka ukuze kusingathwe imithwalo yemvelo eyeqile.
Ukulungiselelwa Kokukhiya Kabusha : Le miklamo ifaka izimbobo ezikhethekile zokulandela umkhondo ezisondele cishe kumadigri angu-130 ukuya kwangu-135, okuvumela izikulufu ezisindayo ukuthi zidlule kuzipho ziqonde ngqo ekhanda lesifazane, zivikele ukuphuka kweshaft ye-femal subtrochanteric noma ipsilateral.
I-Anti-Rotation Helical Blade Systems : Isetshenziswa kakhulu lapho kuqhekeka inqulu ye-geriatric, lawa masistimu athatha indawo yezikulufu ze-lag ezijwayelekile ezinensingo yokuminyanisa. Lo mklamo ucindezela ithambo elikhansela elizungezile kunokuba ulisuse, wehlisa kakhulu ingcuphe yokufakelwa 'ukunqunywa' ethanjeni le-osteoporotic.
Ngokuya ngendawo yokuphuka kanye nobuqotho bezicubu ezithambile, odokotela abahlinzayo kufanele bakhethe izingosi zokungena eziphambene zokufakwa kwezinzipho.
I-Anterograde Sourcing : Izimila ezifakwe kusukela ekugcineni kwe-proximal (isb, ukungena ku-trochanter ngokuphuka kwe-femur). Lokhu kudinga ukugoba kwezinzipho okunembe ukuze kufane nokugoba kwemvelo kwe-anatomical.
I-Retrograde Sourcing : Izimila ezifakwe kusukela ekugcineni kwe-distal (isb, ukungena ngenhla nje kwelunga ledolo). Izinzipho ezikhethekile ze-retrograde femoral zifaka amaphethini okukhiya ahlukile ukuze kuvikeleke ukuphuka kwe-distal kwe-supracondylar okuyinkimbinkimbi yesithathu.
Umdlali ovelele kumanethiwekhi enyuvesi ye-tier-1 yase-Bulgaria kanye nezindawo zokuhlukumezeka ezikhethekile, i-Stryker yase-US ihlonishwa kakhulu ngobunjiniyela bayo obunembayo kanye nokwesekwa okuqinile kwezohwebo.
Imikhiqizo Eyisisekelo: Ukushintshwa okuhlanganyelwe, izinkundla ezisizwa ngamarobhothi (Mako), amadivaysi e-neurotechnology, kanye nezinhlelo ezithuthukisiwe zokulungisa ukuhlukumezeka.
Iphothifoliyo Eyinhloko: I-Gamma4 Trochanteric Nail System kanye ne-T2 Alpha Interlocking Nail System inikeza ukuzinza okuthuthukisiwe komshini kanye nokulungiselelwa kwezinsimbi eziqondisiwe.
Ibambe isikhundla esigxilile kuyo yonke imikhakha yezibhedlela zikahulumeni nezizimele e-Bulgaria, i-DePuy Synthes isebenzisa amashumi eminyaka ocwaningo lwezokwelapha olusekelwa i-AO Foundation.
Imikhiqizo Eyisisekelo: Izinhlelo eziphelele zokuhlukumezeka, izixazululo zokwakha kabusha ngokuhlanganyela, amadivaysi e-craniomaxillofacial, kanye nama-biomaterials omgogodla.
Iphothifoliyo Eyinhloko: I-Expert Nail System kanye ne-TFNA (i-Trochanteric Fixation Nail Advanced) isebenzisa ukwelapha okuphathelene nensimbi okulungiselelwe ukuphuka kwe-trochanteric okuyinkimbinkimbi kanye nokuphuka kwamathambo amade.
Njengesizinda samandla esaziwayo emhlabeni wonke kumishini yezokwelapha yamathambo, I-CZMEDITECH isungule indawo ekhulayo yokuhlinzeka ngempahla emakethe yaseMpumalanga Yurophu, ikakhulukazi ngaphakathi kweBulgaria. Idume ngokuvala igebe phakathi kobunjiniyela bokunemba bezinga eliphezulu laseJalimane kanye nokusebenza kahle kokukhiqiza, inkampani inikeza iphothifoliyo egcwele yokuhlukumezeka ephethe izimvume zezokwelapha zamazwe ngamazwe eziqinile—okuhlanganisa ne-ISO 13485, izitifiketi ze-CE—okuyenza ibe umlingani ofanelekayo wezibhedlela ezinkulu zomphakathi eziphuthumayo kanye namanethiwekhi okunakekelwa kwezempilo azimele afuna ukuzuza ukuthengwa kwe-EU okungaphansi kwevolumu ephezulu.
I-Orthopedic Trauma Systems: Ukuxhuma Okuthuthukile Izinzipho ze-Intramedullary , i-Anatomical Amapuleti okukhiya nezikulufa, kanye Amasistimu Wokulungisa Wangaphandle.
Izixazululo Zokulungisa Umgogodla : I-Anterior / Posterior Cervical & Thoracolumbar Systems, Amakheji e-Interbody Fusion, kanye nezinduku zokulungisa umgogodla.
Izimila ze-Cranio-Maxillofacial (CMF) : Iphrofayili ye-Titanium Plates ne-Mesh Systems yephrofayili ephansi kakhulu yokwakhiwa kabusha kobuso.
Amathuluzi Amandla Okuhlinza Nezesekeli: Imishini Yamathambo Esebenza Kakhulu, Amasaha Anyakazayo, namakhithi ethuluzi lokuvala inzalo afanayo.
Amasevisi Enziwe ngokwezifiso e-OEM/ODM : Ukukhiqizwa kwemishini yezokwelapha efinyelela ekupheleni eklanyelwe ukucaciswa kwesibhedlela somhlaba wonke.
Iphothifoliyo Yezinzipho Eziyinhloko kanye Nokuxhumana:
I-Femoral Intramedullary Nail: Yakhiwe kusukela ku-implant-grade Titanium Alloy (Ti-6Al-4V ELI), enokugoba kwe-anatomical okuthuthukisiwe nokucushwa kokukhiya okunezinhlelo eziningi ukuze kuhlinzekwe ukulungiswa okuqinile kokuphuka kweshaft okuyinkimbinkimbi.
I-Tibial Intramedullary Nail: Idizayinelwe ngezinketho zokukhiya eziguqukayo eziqhubekayo kanye nephrofayili ekheniwe, ekhuthaza ukuthwala isisindo kusenesikhathi kanye nokusheshisa ukuphulukiswa kwamathambo.
I-Humeral Intramedullary Nail: Isixazululo esikhethekile somkhawulo ongaphezulu esisiza indlela yokuhlasela kancane, ukunciphisa ukuphazamiseka kwezicubu ezithambile kanye nokuvikela i-rotator cuff.
I-Proximal Femoral Nail Antirotation - PFNA : Ifaka isistimu ye-helical blade elungiselelwe iziguli ezikhulile ezine-osteoporotic bone structures, iqinisekisa ukumelana okuphakeme ngokumelene nokusikwa ngesikhathi sokulungiswa kwe-trochanteric fracture.
I-Zimmer Biomet ihlanganisa amapulatifomu okunakekelwa kwezempilo edijithali nobuchwepheshe bokulungisa bemisipha obuphambili, isebenzela izinhlelo ezinkulu zezempilo zamadolobha amakhulu kulo lonke elaseBulgaria.
Imikhiqizo Eyisisekelo: Amamethrikhi ezempilo edijithali aqondanisiwe, ukushintshwa okuhlanganyelwe, izingxenyekazi zehadiwe yemithi yezemidlalo, nezifakelo zokuhlukumezeka.
Iphothifoliyo Eyinhloko: Uhlelo Lwezinzipho Zemvelo luhlanganisa ama-anatomical curvature aklanyelwe ukulingana ne-morphology yesiguli ehlukahlukene kuyo yonke i-demographics yaseYurophu.
Ngokusebenza okuqondile okusebenzayo kanye namahabhu wezokuthutha aqinile kulo lonke elaseYurophu, uSmith & Nephew ozinze e-UK uphumelela kakhulu ekunakekelweni kwamanxeba okuthuthukisiwe nezinhlelo ezikhethekile zokuhlukumezeka.
Imikhiqizo Eyisisekelo: Izinhlelo ezithuthukisiwe zokulawula amanxeba, imishini yokubona nge-arthroscopy, kanye nehardware ye-orthopedic trauma.
Iphothifoliyo Eyinhloko: I-TRIGEN Interlocking Nail System inezindawo ezikhethekile eziqediwe ezilungiselelwe ukuphatha isitho esingaphansi esiqinile kanye nokuphuka kwe-humeral.
Imele ubunjiniyela baseJalimane bezinga eliphezulu, u-B. Braun ugcina ingqalasizinda yebhizinisi nokusabalalisa enokwethenjelwa kakhulu kulo lonke elaseNingizimu Yurophu, ehlinzeka izikhungo zemitholampilo yaseBulgaria ngokulungiselelwa kokuhlukumezeka okuhlala isikhathi eside, okunembayo okwenziwa ngokunemba.
Imikhiqizo Eyisisekelo: Amasistimu okwelapha ngokufaka, amathuluzi okuhlinza, izimila zomgogodla, nezingxenyekazi zekhompuyutha zokuhlukumezeka kwesakhiwo.
Iphothifoliyo Eyinhloko: I-Targon Interlocking Nail System ihlinzeka ngokunemba kokukhiya okuphezulu kokufuna ukwakhiwa kabusha kwezakhiwo ezinamathambo amade e-femur kanye ne-tibia.
Nakuba ibusa kakhulu kuma-pacemakers nakumadivaysi omgogodla, i-structural osteo-division ye-Medtronic ibhekelela izidingo eziyinkimbinkimbi zokulungisa ukuhlukumezeka okuningi ngaphakathi kwamaqoqo ezempilo esifunda sase-Bulgaria.
Imikhiqizo Eyisisekelo: Izingxenyekazi zekhompuyutha zomgogodla, amapulatifomu okuzulazula athuthukile, amadivaysi e-neurosurgery, nokufakelwa okukhethekile kokuhlukumezeka.
Iphothifoliyo Eyinhloko: Imiklamo yezinsimbi eguquguqukayo ebhangqwe nokucushwa okuhlanganayo kwendawo yonke efanele ukwakhiwa kabusha kwamathambo okuyinkimbinkimbi.
I-Orthofix ihamba phambili ekuhlanganiseni amafilosofi okulungisa angaphakathi nangaphandle, enikeza izinketho eziyingqayizivele zokulungisa kabusha izinto eziphilayo kochwepheshe bezifo zamathambo kulo lonke elaseBulgaria.
Imikhiqizo Eyisisekelo: Amafreyimu okulungisa angaphandle, izindlela zokwelapha ezikhuthaza ukukhula kwamathambo, namahlanganisela akhethekile okwandisa izitho ze-intramedullary.
Iphothifoliyo Eyinhloko: Izinhlelo ezikhethekile zezingane kanye nabantu abadala ezigxilile ezigxile ekulawuleni ukukhubazeka okunzima kwe-intertrochanteric noma shaft bone.
I-Acumed igxile ekunembeni kwe-anatomical kokuqhekeka komkhawulo ongaphezulu, ihlinzeka ngamakhithi akhethekile athandwa ochwepheshe abangaphansi kwezitho ezingenhla ezikhungweni zomtholampilo ezihamba phambili zase-Bulgaria.
Imikhiqizo Eyisisekelo: Amapuleti okukhiya e-anatomical, amasistimu akhethekile we-osteotomy, nezinduku ze-intramedullary ezihlosiwe eziphezulu.
Iphothifoliyo Eyinhloko: Izinzipho ze-humeral intramedullary ezisezingeni eliphansi nezinduku zengalo zangaphambili ezidizayinelwe ukunciphisa ukufakwa kwezicubu ezithambile.
Ngemuva kokuhlanganiswa kwayo okunephrofayili ephezulu kwakamuva ne-NuVasive, i-Globus Medical ikhulise ngokushesha ukuhlukumezeka kwayo kanye nokwakhiwa kabusha kuwo wonke amanethiwekhi ezibhedlela eCentral naseMpumalanga Yurophu.
Imikhiqizo Eyisisekelo: Izixazululo eziphelele ze-musculoskeletal, i-hardware yomgogodla ethuthukisiwe, kanye nokuzulazula kwe-robotic-assisted trauma.
Iphothifoliyo Eyinhloko: I-CAPTIVATE Trauma System, equkethe izinsimbi ezilula ezidizayinelwe ukuhlobana okuphumelelayo kwe-femur ne-tibia.
Isebenza phakathi komndeni wokuhlukumezeka wakwa-Stryker, ifa le-Wright Medical elingaphansi komkhawulo ophansi kanye ne-hardware ye-foot-and-ankle ihlala iyinketho ephezulu ekuhlanganiseni okuyinkimbinkimbi okuhlangene nokulungiswa e-Bulgaria.
Imikhiqizo Eyisisekelo: Izimila zangaphezulu, ukushintshwa kwamaqakala okuphelele, kanye nokuxhunyelelwa kwamathambo okuthuthukisiwe kwe-orthobiologic.
Iphothifoliyo Eyinhloko: I-Special Retrograde hindfoot kanye nezinduku zokuhlanganisa iqakala ezidizayinelwe ukuhlinzwa okuyinkimbinkimbi kwe-arthrodesis.
I-Aap Implantate ingumkhiqizi ozinze eJalimane oqashelwa ukwethula izimbotshana zesiliva ezintsha kanye nobuchwepheshe bokukhiya i-antibacterial eklanyelwe ukunciphisa izifo ezihambisana nokufakelwa.
Imikhiqizo Eyisisekelo: Umndeni wepuleti lokukhiya le-LOQTEQ kanye nezimila zokuhlukumezeka ze-antibacterial eziboshwe ngesiliva.
Iphothifoliyo Eyinhloko: Amasistimu wokuhlanganisa ama-titanium angakheniwe futhi aqinile akhelwe ukunciphisa izinkinga zangemva kokuhlinzwa ngesikhathi sokungenelela kwamathambo amade.
ICarboFix iyingqalabutho kubuchwepheshe be-carbon-fiber, ihlinzeka ngesiphakamiso senani elikhethekile lokuhlinzwa kwamathambo okuhlobene ne-oncology kuwo wonke amayunithi omdlavuza akhethekile aseBulgaria.
Imikhiqizo Eyisisekelo: I-Carbon fiber reinforced polymer plates, izipikili ze-carbon structural, kanye nokufakelwa kwe-radiolucent trauma.
Iphothifoliyo Eyinhloko: I-Piccolo Composite Nails, evumela izithombe ezicacile, ezingenazo izinto ezenziwe nge-artifact ngesikhathi sokulandelela i-oncological kanye nokuqondiswa kokwelashwa ngemisebe.
Isebenzisa ingqalasizinda yezimboni enwetshiwe, i-MicroPort isakaza izinketho ezingabizi kakhulu, zenhliziyo nemithambo yegazi kanye nezamathambo kuwo wonke amashaneli aseMpumalanga Yurophu ukuze kuhlangatshezwane nemikhawulo eqinile yesabelomali sesibhedlela.
Imikhiqizo Eyisisekelo: Ama-stents enhliziyo ahlasela kancane, amajoyinti okwenziwa ahlangene, kanye nezingxenyekazi zekhompuyutha zokulungisa ukuhlukumezeka okuphelele.
Iphothifoliyo Eyinhloko: Amasistimu wezinzipho ahlanganisiwe e-intramedullary aklanyelwe ukuphindaphinda, amasu okufaka alula.
I-Wego Ortho ingelinye lamaqoqo ezokwelapha amakhulu kakhulu e-Asia, iletha izifakelo ezinokwethenjelwa kakhulu zebanga lezokwelapha ezihlangabezana nezidingo ezinzima zomtholampilo zaseYurophu.
Imikhiqizo Eyisisekelo: Imishini yokulungisa umgogodla, amapuleti okuhlukumezeka kwesakhiwo, izitho zokwenziwa ezihlangene, nezinto ezisetshenziswayo zokuhlinzwa eziyinyumba.
Iphothifoliyo Eyisisekelo: Uhlu olubanzi lwezinzipho ezihlala isikhathi eside ze-titanium ezibophanayo ezenzelwe izinkontileka zethenda kazwelonke ezikhathalela izindleko kanye nezivumelwano zamathenda amaningi e-Bulgaria.
Umkhiqizi |
Izinketho Zokubalulekile Ezibalulekile |
Ukugxila Kwe-Anatomical Okuyinhloko |
Mechanical & Design Highlights |
Inzuzo Ebalulekile Yokutholakala |
I-Stryker |
I-Titanium Alloy & CoCr |
I-Trauma Egcwele & Trochanteric |
Ukuqondisa okuthuthukisiwe kwe-radiological, ukuhlanganiswa kwethuluzi le-ergonomic |
Amakhithi wezinsimbi zokuhlinza anembile kakhulu |
I-DePuy Synthes |
I-Titanium & Stainless Steel |
I-Trochanteric & Long Bones |
Ukucushwa kwe-Helical blade, amaphrofayili akhethekile avunyelwe i-AO |
Kuhlanganiswe ngokujulile ezindleleni zomtholampilo zesibhedlela sikahulumeni |
I-CZMEDITECH |
I-Titanium Alloy ye-Grade 5 (Ti-6Al-4V ELI) |
Femur, Tibia, Humerus, PFNA |
Iphrofayili ekheniwe, izinketho eziningi zokuhlanganisa ezimile/eziguqukayo |
Qedela Ukunikezwa Kwe-One-Stop, Izitifiketi Zomhlaba Wonke kanye Nezindleko Ezinhle Ze-Premium |
I-Zimmer Biomet |
I-Titanium Alloy |
I-Femoral & Tibial Shafts |
Ama-adaptive anatomical curvatures obude obuhlukahlukene besiguli |
Izinketho zokulinganisa ezihlukahlukene zezibalo zabantu baseYurophu |
USmith & Umshana |
Ukwelashwa kwe-Titanium |
I-Lower Extremity & Humerus |
Ama-micro-surface akhethekile aqedwa ukuze kuthuthukiswe ukusebenzelana kwamathambo |
Ukwesekwa okuqinile kwezokuthutha kanye nendawo yokugcina izimpahla |
Yebo, ngokuphelele. Njengoba iBulgaria iyilungu eligcwele le-European Union, zonke izinzipho ze-intramedullary ezithengiswa ezweni kufanele zibe ne -CE Mark evumelekile ngaphansi kwe-Medical Device Regulation (MDR 2017/745) . I-Class IIb kanye nokufakwa kwamathambo e-Class III kwenziwa ukuhlolwa okuqinile kobuchwepheshe kanye nokuhlolwa komtholampilo. Izikhulu zokuthengwa kwempahla kufanele ziqinisekise ukuthi noma yimuphi umkhiqizi wangaphandle, njenge-CZMEDITECH, uhlinzeka Ngesimemezelo Sokuvumelana esisebenzayo futhi usohlwini olufanele kusizindalwazi se -EUDAMED .
Ngaphansi KoMthetho Wase-Bulgaria Kumadivayisi Ezokwelapha ( Закон за медицинските изделия ), amadivayisi asevele ebambe uphawu lwe-CE oluvumelekile oluvela ku-EU Notified Body awadingi ukubhaliswa okuhlukile, okuzimele nge- BDA (Bulgarian Drug Agency / Изпълнителна агенция по лекарствата) - . Nokho, uma umkhiqizi ezinze ngaphandle kwe-European Economic Area (EEA), kufanele aqoke Omele Ogunyaziwe (AR) ngaphakathi kwe-EU. Umsabalalisi wendawo waseBulgaria kufanele futhi abhalise imisebenzi yakhe yezentengiselwano futhi agcine imibhalo yezobuchwepheshe endaweni okungenani iminyaka emihlanu uma kwenzeka kuhlolwa i-BDA.
I-Bulgaria ibhekene nezinselelo eziphawulekayo zezibalo zabantu ngenani labantu asebekhulile, okwenza ivolumu enkulu yokuphuka kwenyonga. Izikulufu ze-lag evamile zinezinga eliphezulu lokuhluleka 'ukusika' komshini kuthambo le-osteoporotic. Ukuthola izixazululo ezithuthukisiwe njenge-PFNA ye-CZMEDITECH—lapho i-helical blade icindezela ithambo elizungezile esikhundleni sokulibhoboza—kukhulisa ukuzinza kokujikeleza. Lokhu kunciphisa ukubuyekezwa okubizayo kwangemva kokuhlinzwa kanye nezinkinga zesiguli, okubalulekile ngaphansi kwesilinganiso sezimali esiqinile seSikhwama Sikazwelonke Somshwalense Wezempilo ( НЗОК ).
Ngaphansi kwe -ЗОП (Закон за обществените поръчки) , amanethiwekhi ezibhedlela zikahulumeni aklomelisa ngezinkontileka zokunikezela zeminyaka eminingi ezisuselwe 'kuthenda enenzuzo kakhulu kwezomnotho.' Le ndlela ihlanganisa kakhulu indlela yokuthenga yokuthenga okusekelwe kwiValue-Based Procurement , inikeze isisindo esikhulu samagoli ekuthotshelweni kwemithetho yezobuchwepheshe (njenge-Tillo-6 Tillo-V) isitifiketi, iminsalo ye-anatomical enembile, nekhithi yensimbi ergonomics) eduze kwentengo. Abakhiqizi abahlinzeka ngezakhiwo zokukhiqiza ezincintisana kakhulu nokuphepha kokulawula (njenge-CZMEDITECH) basesimweni esihle kakhulu sokuphumelela kulezi zinhlaka zokubhida zomphakathi.
Ngokwemithetho ye-BDA, yonke imininingwane ebhekene nesiguli, amalebula, kanye Nemiyalelo Yokusetshenziswa (IFUs) kufanele inikezwe ngolimi lwesi-Bulgarian . Nakuba imihlahlandlela yezindlela zokuhlinza yobuchwepheshe yamukelwa kaningi ngesiNgisi yiminyango yamathambo, amabhodi amathenda aphoqelela ukuhunyushwa kolimi lwendawo ukuze kusetshenziswe amalebula ajwayelekile kanye nezinqubo zokuvala inzalo ukuze kugcinwe izindinganiso zokuphepha zesikhungo.
Yebo, ukuhlanganisa kuyisu elisebenza kahle kakhulu lokuqukatha izindleko zesakhiwo. Ngokulinganisa ukuthengwa kokulimala nozakwethu oyedwa wokukhiqiza njenge-CZMEDITECH, amaqembu ezibhedlela noma izikhungo zezempilo zesifunda zingaxoxisana ngemibandela yokuthenga ngobuningi. Lokhu kuzivumela ukuthi zivikele Izinzipho Zabesifazane, Izinzipho ze-Tibial, amapuleti okukhiya e-anatomical, namathuluzi wamandla wezokwelapha ngesikhathi esisodwa. Le ndlela yehlisa konke ukungqubuzana kokuthunyelwa nokulawulwa kwamasiko, inciphisa izindleko zokulandelela inqolobane, futhi isungula ukusethwa kwamathuluzi asezingeni kuwo wonke amanethiwekhi etiyetha.
Nakuba izinhlobo zefa zendabuko zaseNtshonalanga Yurophu naseNyakatho Melika ziqhubeka nokugcina igxathu eliphawulekayo emitholampilo yangasese yase-Bulgaria, izingqinamba zezimali ngaphakathi kwesabelomali sokunakekelwa kwezempilo sikahulumeni ( НЗОК ) kanye nesimo sokuncintisana samathenda omphakathi ( ЗОП ) kuqhubekisele phambili i-pivot eqinile ebheke kubakhiqizi abashesha, abagunyazwe emhlabeni jikelele. Abahlinzeki bayathanda I-CZMEDITECH iletha isiphakamiso senani esiphoqelela kakhulu samayunithi okuhlukumezeka esimanje aseBulgaria ngokufanisa izitifiketi zezokwelapha zase-Europe (CE/ISO) kanye nezinto zokusetshenziswa zebanga lokutshala ezinezakhiwo ezithuthukiswe kakhulu.