Igisubizo kibangamiye endoscope mugupima amagufwa ya orthopedic

1 break Impinduka zimpinduramatwara mu kubaga umugongo byibasiye

(1) Kubaga umugongo wa Endoskopi (FESS)

Ihungabana ry'ikoranabuhanga:

Tekinike imwe ya tekinoroji ya tekinike: Kurangiza disikete ya intervertebral hamwe na 7mm (kubaga gakondo gufungura bisaba 5cm).

Sisitemu yo kuzenguruka igaragara (nka Joimax TESSYS): Koza neza amagufwa kugirango wirinde kwangiza imitsi.

Amakuru y’ubuvuzi:

(2) UBE (Umuyoboro umwe umwe Umuyoboro Endoscopi) tekinike

Ibyiza bya tekiniki:

Shiraho umuyoboro wa 12mm wo kureba hamwe na 8mm yo gukora kugirango ugere "kubaga kumugaragaro nkumwanya wo gukoreramo".

Bikwiranye na lumbar spinal stenosis, intera ya decompression iruta inshuro eshatu kurenza umuyoboro umwe.

Ibikoresho bishya:

Radiofrequency ablation bipolar electrocoagulation (nka ArthroCare Coblation): hemostasis itomoye mugihe irinda imizi yumutima.

(3) Endoskopi ifasha uruti rw'umugongo (Endo LIF)

Iterambere ry'ikoranabuhanga:

Mugushira icyuma cya 3D cyacapwe (hamwe na 80%) binyuze muri triangulaire ya Kambin, umuvuduko w amagufwa wiyongereyeho 40%.

Ufatanije na O-arm navigation, ubunyangamugayo bwo gushyira imisumari ni 100% (fluoroscopi gakondo ni 85%).

2 upgrade Iterambere rya paradigm ya tekinoroji ya arthroscopique

(1) 4K Ultra HD Sisitemu ya Arthroscopy

Ibyingenzi bya tekinike:

Rukuruzi ya Sony IMX535 itanga imiterere ya 10 μ m, ikongerera igipimo cyo gutahura amarira ya menisque igera kuri 99%.

Kimwe na sisitemu ya 4K ya Shi Lehui, ishyigikira HDR yerekana imiterere yimitsi iva mumitsi.

(2) Imashini ifasha arthroscopie

Imashini ya roketi ya MAKO:

Urwego rwa Submillimeter neza neza osteotomy (ikosa 0.1mm), hamwe numurongo wumurongo utandukanijwe uri munsi ya 1 ° nyuma yo kubagwa amavi yose.

Mu 2023, ubushakashatsi bwa JBJS bwerekanye ko imyaka 10 yo kubaho kwa prostate yiyongereye kuva kuri 90% gakondo igera kuri 98%.

(3) Ikoranabuhanga ryibinyabuzima byongerewe ubumenyi bwo gukosora

Endoscopic amagufa yo gutera imbaraga + inshinge PRP:

Nyuma ya microfracture ahantu hafite inenge ya karitsiye, hashyizweho plasma ikungahaye kuri platel (PRP), kandi umubyimba wo kuvugurura fibrocartilage wageze kuri 2.1mm (uburyo gakondo 0.8mm gusa).

Absorbable collagen scaffold yatewe: nka Geistlich Cholro Gide, yashushanyije kandi ikosorwa munsi ya microscope.

3 solutions Ibisubizo byibasiye cyane ihahamuka nubuvuzi bwa siporo

(1) Endoskopi yo gusana Achilles tendon

Guhanga udushya mu ikoranabuhanga:

Imiyoboro ibiri ya endoskopi (nka Arthrex SpeedBridge) irangiza kuboha no kudoda, hamwe n'imbaraga 30% kuruta kubaga kumugaragaro.

Igihe cyo gukira nyuma yo gukorerwa cyagabanijwe kuva ku byumweru 12 kugeza ku byumweru 6.

(2) Kurekura endoskopi ya syndrome ya carpal

Sisitemu ya MicroAire:

Kata ligamente ihindagurika yintoki ukoresheje 3mm, hamwe nigihe cyo kubaga kitarenze iminota 5.

Ikigereranyo cyo gukomeretsa imitsi ya mediani cyaragabanutse kiva kuri 3.5% muburyo gakondo bugera kuri 0.2%.

(3) Endoskopi yuzuye yo gusana ibikomere bya rotator

Tekinike yo kudoda idafite ubuhanga:

Koresha FibreTape ifite icyuma kizunguruka (nka Arthrex SwiveLock), hamwe n'imbaraga zirenze 500N.

Igipimo cyo kurira cyaragabanutse kuva kuri 20% mugubaga kumugaragaro kugera kuri 8%.

4 Technology Ikoranabuhanga ryubwenge nogukoresha

(1) AR Navigation Endoscopy Sisitemu

Gushyira mu bikorwa tekinike:

Microsoft HoloLens 2 irenga amakuru ya CT kugirango yerekane igihe nyacyo pedicle screw inzira.

Amakuru y’ibitaro bya Beishing Jishuitan: Igipimo cyukuri cyo gushyira imisumari ni 100%, kandi umubare X-ray wagaragaye ni zeru.

(2) Inkunga ya AI idasanzwe

Kwiga byimbitse algorithms:

Sisitemu ya Johnson & Johnson VELYS ihita ihindura urwego rwo kwanga meniscus rushingiye kumyitozo ihuriweho.

Mugabanye igihe cyo gukora 25% kugirango wirinde kwangwa cyane.

(3) Ibikoresho byerekana ingufu za endoskopi

SmartDrill ：

Igihe nyacyo cyo kugenzura umuvuduko wogucukura, uhita uhagarika kuzunguruka mugihe winjiye mumbere yimbere yumubiri wurugingo (ikosa <0.1mm).

5 direction Icyerekezo cy'ikoranabuhanga kizaza

Nano arthroscopy:

Indorerwamo ya 1mm ya diametre ya magnetiki yatejwe imbere mubusuwisi irashobora kwinjira hagati yimikorere.

Kwisana wenyine gushiramo ubwenge:

Shape yibuka alloy stent yaguka kubushyuhe bwumubiri kugirango ukosore scoliose.

Kubaga Digital Twin Kubaga:

Kwigana inzira ya endoskopi kuri metaverse platform ishingiye kumibare ya CT y'abarwayi.

Imbonerahamwe yo Kugereranya Inyungu

Ibyifuzo byingamba zo gushyira mubikorwa

Ibitaro bya nyakatsi: bifite sisitemu ya UBE ya sisitemu ebyiri, ikubiyemo 80% byindwara zifata ingingo.

Ikigo cyubuvuzi bwa siporo: Kubaka urubuga rwa 4K arthroscopy + biotherapy.

Icyerekezo cyubushakashatsi: Gutezimbere ibinyabuzima bigabanuka bya magnesium alloy endoscopic yatewe (nkibikoresho byo kuvunika).

Izi tekinoroji zirimo gusunika kubaga amagufwa yerekeza kuri "ultra minimally invasive era" binyuze mu nyungu zabo eshatu zingenzi z "ibice bya santimetero, kwangirika kwa zeru ku miterere ya anatomique, no gukira byihuse". Biteganijwe ko mu 2028, 60% byumugongo no kubaga hamwe bizarangira binyuze mumiyoboro karemano cyangwa ibice biri munsi ya 5mm.