Ukubuka: 0 Umbhali: UJerry Isikhathi Sokushicilela: 2026-06-25 Umsuka: Isayithi
Indawo yokuthengwa kwemishini yezokwelapha emkhakheni wamathambo wase-Spain ihlangabezana nokuvela kwesakhiwo esisheshayo. Iqhutshwa yigunya eliqinile lokuqukatha izindleko elivela eMnyangweni Wezempilo ( Ministerio de Sanidad ) kanye nenani eliphansi lokuhlukumezeka eliphezulu elilawulwa yizinsizakalo zezempilo zomphakathi ezizimele ( Servicios de Salud Autonómicos )—njenge-SERMAS (Madrid), SAS (Andalucía), Catsalut (Cataluña), kanye namaqembu azimele e-Quirón, kanye ne-SACYLón Leónsti kanye namabhodi okuthengwa kwempahla esibhedlela i-Vithas abeka kuqala izimila ezinikeza ibhalansi efanele yokusebenza komtholampilo, ukuvikeleka kokulawula, kanye nokubikezelwa kwesabelomali.
Lapho ulawula ukuphuka kwamathambo amade, ukukhetha uzakwethu ofanele wezinzipho we-intramedullary (IM) kubalulekile ekwehliseni izinkinga zangemva kokuhlinzwa nokuphatha izindleko zesikhungo ngaphansi kohlaka lwe -Licitaciones Públicas (Amathenda Omphakathi). Lo mhlahlandlela uchaza Abakhiqizi Bezinzipho Abaphezulu Abayi-15 e-Spain, 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 emitholampilo eyimfihlo ye-tier-1 yase-Spain kanye nezikhungo zokuhlukumezeka zasenyuvesi ezinevolumu ephezulu, 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 (i-SNS) nezizimele e-Spain, 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 yaseNingizimu Yurophu, ikakhulukazi ngaphakathi kweSpain. 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 wezikhungo ezinkulu ze-Hospitals Universitarios kanye namanethiwekhi okunakekelwa kwezempilo azimele afuna ukuthola inzuzo eningi yaseYurophu.
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 be-musculoskeletal premium, ehlinzeka ngezinhlelo zezempilo ezinkulu zamadolobha amakhulu kulo lonke elaseSpain.
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 nama-morphologies esiguli ezinhlobonhlobo zabantu bezizwe zaseYurophu.
Ngokusebenza okuqondile okusebenzayo kanye namahabhu wezokuthutha aqinile kulo lonke elaseNtshonalanga Yurophu, uSmith & Nephew ozinze e-UK uphumelela kakhulu ekunakekelweni kwenxeba 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 isiqongo sobunjiniyela baseJalimane abanomlando omkhulu kanye nokuba khona kwebhizinisi e-Spain (ikomkhulu layo e-Rubí, Barcelona), u-B. Braun uhlinzeka izikhungo zomtholampilo zase-Spain ngokulungiselelwa kokuhlukumezeka okuhlala isikhathi eside, okunembe 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-Spain.
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 bamathambo kulo lonke elaseSpain.
Imikhiqizo Eyisisekelo: Amafreyimu okulungisa angaphandle, izindlela zokwelapha ezishukumisa ukukhula kwamathambo, nama-assemblies 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 yokuqhekeka komkhawulo ongaphezulu, ihlinzeka ngamakhithi akhethekile athandwa ochwepheshe abangaphansi kwehlombe nengalo engenhla ezibhedlela ezizimele eziphambili zase-Spain.
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 okunemininingwane ephezulu kwakamuva neNuVasive, iGlobus Medical ikhulise ngokushesha ukuhlukumezeka kwayo kanye nokwakhiwa kabusha kwamanethiwekhi okunakekelwa kwezempilo azimele eNingizimu 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 we-Stryker trauma, ifa le-Wright Medical's umkhawulo ophansi kanye ne-hardware ye-foot-and-ankle isalokhu kuyisinqumo esiphezulu sokwakhiwa kabusha okuyinkimbinkimbi nokuxutshwa okuhlangene eSpain.
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 kuzo zonke izikhungo zomdlavuza ezikhethekile zaseSpain.
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 aseNingizimu 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 Eyinhloko: Uhlu olubanzi lwezinzipho ezihlala isikhathi eside ezixhumene ze-titanium ezenzelwe izinkontileka zamathenda omphakathi esifunda e-Spain.
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 zezizwe eziningi zaseYurophu |
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. Kulandela ukusetshenziswa okugcwele kwe-European Medical Device Regulation (MDR 2017/745), zonke izinzipho ze-intramedullary ezithengiswa e-Spain kufanele zibe ne -CE Mark evumelekile ngaphansi kwemihlahlandlela ye-MDR . Izimila ze-Class IIb kanye ne-Class III ze-orthopedic zibhekana nokuhlolwa okuqinile komtholampilo, ukucwaningwa kwamadokhumenti obuchwepheshe, kanye nokulandela umtholampilo kwangemuva kwemakethe (PMCF). Abaphathi bokuthengwa kwempahla kufanele baqinisekise ukuthi noma yimuphi umkhiqizi wamazwe ngamazwe, njenge-CZMEDITECH, uhlinzeka ngeSimemezelo Sokuvumelana futhi ubhaliswe ngokugcwele kusizindalwazi se -EUDAMED .
Ngisho ne-CE Mark esebenzayo, noma iyiphi idivayisi yezokwelapha esabalaliswa ngaphakathi e-Spain kufanele kwaziswe i- AEMPS (Agencia Española de Medicamentos y Productos Sanitarios) nge- Aplicación de Comunicación de Comercialización de Productos Sanitarios (CCPS). Abangenisi nabasabalalisi bendawo kumele futhi babe ne- Licencia Previa de Funcionamiento de Instalaciones (Ilayisense Yokusebenza Yangaphambili Yezindawo), eqinisekisa ukwengamela okuphelele kwasekhaya ngaphambi kokuba imikhiqizo ibhidelwe ngokusemthethweni kumathenda esifunda.
ISpain inenani eliphakeme kakhulu leminyaka yokuphila kanye nezakhiwo ezindala kakhulu zabantu base-Europe, okuholela emthwalweni omkhulu wokuqhekeka kwe-osteoporotic proximal femoral. Izikulufu ze-lag ezijwayelekile zivame ukuhluleka 'ukusika' komshini ethanjeni elibuthakathaka. Ukuthola amasistimu athuthukile njenge-PFNA ye-CZMEDITECH, esebenzisa i-helical blade eguquguqukayo ukuze iminyanise esikhundleni sokubhoboza izicubu zethambo, kukhulisa ukuzinza okujikelezayo futhi kuvimbela ngokuphawulekayo ukufundwa nokubuyekezwa kwesibhedlela okumba eqolo—indlela yokubeka amaphuzu ebalulekile ezinkontileka zomphakathi zeminyaka eminingi.
Ngaphansi koMthetho Wezinkontileka Zomkhakha Womphakathi wase-Spain ( Ley de Contratos del Sector Público - LCSP ), ukuthengwa kwesibhedlela sikahulumeni akukwazi ukusekelwe enanini kuphela. Amathenda ahlelwa ngokuzungeza Ukuthengwa Okusekelwe Elungwini , lapho ukufaneleka kobuchwepheshe (ukuthobela impahla efana neBanga lesi-5 le-Titanium ASTM F136, i-ergonomics yezinsimbi, ukulandeleka, kanye nedatha yomtholampilo) kufinyelela ku-50–60% wenani eliphelele. Abakhiqizi abahlinzeka ngamaphrofayili womshini we-premium ngokusebenza kahle okuthuthukisiwe (okufana ne-CZMEDITECH) babambe iqhaza eliqinile lokuncintisana.
I-Spain isebenzisa ngokuqinile uhlelo lwe -UDI (Unique Device Identification) ngaphansi kwegunya le-EU. Zonke izinzipho ezingaphakathi kwe-intramedullary nesikulufu esixhumene kufanele zibe nesistimu yokulandela ibhakhodi (i-DataMatrix) enikeza ukulandeleka okuphelele kusuka kumkhiqizi kuya kurekhodi lezempilo lesiguli elithile (EHR). Abasabalalisi bendawo kufanele bagcine amasistimu okulandelela inqwaba/inqwaba ukuze benze ukukhumbula okusheshayo noma izexwayiso zokuphepha uma zimakwe yi-AEMPS.
Yebo, futhi lokhu kukhuthazwa kakhulu ngezindleko nokuthuthukiswa kokuphatha. Ukuhlanganisa imigqa yokuhlukumezeka ngozakwethu oyedwa oqondile noma umsabalalisi ogunyaziwe womthombo owodwa kuvumela amaqembu ezibhedlela zase-Spanish (njenge-HM Hospitales noma i-Quirónsalud) noma ukuthengwa kwesifunda ukuze kuzuze kumnotho wezinga. Ukuthola okuvela kumkhiqizi odidiyelwe onjenge-CZMEDITECH kuvumela inethiwekhi yesibhedlela ukuthi ithole Izinzipho Zowesifazane, Izinzipho Ze-Tibial, amapuleti okukhiya e-anatomical, namathuluzi wamandla wezokwelapha ngesikhathi esisodwa—ukuqondisa ukulawulwa kwe-invoyisi yokuphatha, ukunciphisa imikhondo yekhabhoni ehambisana nempahla, nokuqinisekisa ukuhlelwa kwethuluzi lokuhlinza elijwayelekile kuyo yonke inethiwekhi yegumbi lokuhlinza.
Ngenkathi izinhlobo zefa zendabuko zaseNyakatho Melika kanye nase-Europe Emaphakathi ziqhubeka nokuba nezabelo zemakethe ezibalulekile zomlando ezikhungweni ze-tier-1 yaseSpain, izimfuno ezikhulayo zezimali ku- Sistema Nacional de Salud (SNS) ziqhubekisele phambili ukubheka kubakhiqizi abagugile, abagunyazwe emhlabeni jikelele. Abahlinzeki abanjengo-CZMEDITECH baletha isiphakamiso senani esiphoqelela kakhulu samayunithi okuhlukumezeka esimanje aseSpain ngokufanisa izitifiketi zezokwelapha zase-Europe (CE MDR) kanye nezinto zokusetshenziswa zebanga lokutshala ezinezakhiwo ezithuthukiswe kakhulu.
Ngenkathi izinhlobo zefa zendabuko zaseNyakatho Melika eCentral Europe ziqhubeka nokuba nezabelo zemakethe ezibalulekile zomlando ezikhungweni ze-tier-1 zaseSpain, izimfuno ezikhulayo zezimali ku- Sistema Nacional de Salud (SNS) ziqhubekisele phambili ukubheka kubakhiqizi asebekhulile, abagunyazwe emhlabeni jikelele. Abahlinzeki bayathanda I-CZMEDITECH iletha isiphakamiso senani esiphoqelela kakhulu seyunithi yesimanje yokuhlukumezeka yaseSpain ngokufanisa izitifiketi zezokwelapha zase-Europe (CE / ISO) kanye nezinto zokusetshenziswa zebanga lokutshala ezinezakhiwo ezithuthukiswe kakhulu.