Disruptive solution of endoscope mu kuzuula n’okujjanjaba omugongo mu magumba

1、 Okumenyawo enkyukakyuka mu kulongoosa omugongo nga tekuyingirira nnyo

(1) Okulongoosa omugongo mu ngeri ey’okukebera omugongo (FESS) .

Okutaataaganyizibwa mu tekinologiya:

Enkola ya percutaneous single channel: Okusalako intervertebral disc mu bujjuvu nga basalako mm 7 (okulongoosa okw’ekinnansi okuggule kwetaaga okusalako sentimita 5).

Enkola ya visual circular saw system (nga Joimax TESSYS): Siimuula bulungi ebisiba by’amagumba okwewala okwonooneka kw’obusimu.

Ebikwata ku bujjanjabi:

(2) Enkola ya UBE (Unilateral Dual Channel Endoscopy).

Ebirungi ebiri mu by’ekikugu:

Teekawo omukutu gw'okutunuulira ogwa mm 12 n'omukutu gw'okulongoosa ogwa mm 8 okutuuka ku "open surgical like operating space".

Esaanira okusannyalala kw’omugongo ogw’omugongo, ekitundu ky’okukendeeza ku buzito (decompression range) kinene emirundi esatu okusinga eky’omukutu gumu.

Ebikozesebwa ebiyiiya:

Radiofrequency ablation bipolar electrocoagulation (nga ArthroCare Coblation): okuziyiza omusaayi okutuufu ate nga kukuuma emirandira gy’obusimu.

(3) Okuyungibwa kw’omugongo nga kuyambibwako endoscopic (Endo LIF) .

Okukulaakulana mu tekinologiya:

Nga bassaamu ekyuma ekigatta amagumba ekya 3D (nga kirimu obutuli bwa 80%) okuyita mu Kambin triangulation, omutindo gw’okukula kw’amagumba gwayongerwako ebitundu 40%.

Bw’ogattako O-arm navigation, obutuufu bw’okuteeka emisumaali buli 100% (traditional fluoroscopy eri nga 85%).

2、 Okulongoosa enkola ya tekinologiya wa arthroscopic

(1) Enkola ya 4K Ultra HD ey’okukebera ebinywa

Ebikulu mu by’ekikugu:

Sensulo ya Sony IMX535 egaba resolution ya 10 μ m, eyongera ku muwendo gw’okuzuula amaziga ga meniscus okutuuka ku 99%.

Okufaananako n’enkola ya Shi Lehui eya 4K Insight, ewagira okulaga kwa HDR okw’enkula y’emisuwa gy’omubiri (synovial vascular morphology).

(2) Okukebera ebinywa nga bayambibwako roboti

MAKO Robot y'amagumba:

Submillimeter level precise osteotomy (ensobi 0.1mm), nga layini y’amaanyi ekyukakyuka wansi wa 1 ° oluvannyuma lw’okulongoosebwa okukyusa okugulu kwonna.

Mu mwaka gwa 2023, okunoonyereza kwa JBJS kwalaga nti omuwendo gw’okuwangaala kw’ebitundu by’omubiri ebikolebwa mu myaka 10 gweyongedde okuva ku bitundu 90% eby’ennono okutuuka ku bitundu 98%.

(3) Tekinologiya w’okutereeza ebiramu alongooseddwa

Okusikirizibwa kw’obusimu bw’amagumba mu endoscopic+okukuba empiso ya PRP:

Oluvannyuma lw’okumenya microfracture mu kitundu ekirimu obuzibu bw’amagumba, plasma rich plasma (PRP) yafukibwa, era obuwanvu bw’okuddamu okukola fibrocartilage bwatuuka ku mm 2.1 (enkola ez’ennono mm 0.8 zokka).

Okuteekebwa mu kifo ekiyitibwa ‘absorbable collagen scaffold implantation’: nga Geistlich Cholro Gide, nga kitungiddwa ne kinyweza wansi wa microscope.

3、 Minimally invasive solutions ku buvune n'eddagala ly'emizannyo

(1) Okuddaabiriza omusuwa gwa Achilles nga bakozesa endoscopic

Obuyiiya mu tekinologiya:

Dual channel endoscopy (nga Arthrex SpeedBridge) emaliriza okuluka n’okutunga okuyita mu lususu, ng’amaanyi gasinga ebitundu 30% okusinga okulongoosa okuggule.

Obudde bw’okuwona oluvannyuma lw’okulongoosebwa bukendeezeddwa okuva ku wiiki 12 okutuuka ku wiiki 6.

(2) Okufulumya obulwadde bwa carpal tunnel syndrome mu endoscopic

Enkola ya MicroAire:

Sala omusuwa ogw’omu ngalo ogw’omu ngalo (transverse ligament) ng’osalako mm 3, ng’obudde bw’okulongoosa tebuwera ddakiika 5.

Omuwendo gw’obuvune ku busimu obw’omu makkati gukendedde okuva ku bitundu 3.5% mu nkola ez’ekinnansi okutuuka ku bitundu 0.2%.

(3) Okuddaabiriza mu bujjuvu endoscopic okulumwa rotator cuff

Enkola y’okutunga engoye ezitaliiko mafundo:

Kozesa FiberTape nga erina loop steel plate (nga Arthrex SwiveLock), nga erina amaanyi g’okusika agasukka 500N.

Omuwendo gw’okukutuka emabega gukendedde okuva ku bitundu 20% mu kulongoosa okuggule okutuuka ku bitundu 8%.

4、 Tekinologiya ow'amagezi n'okutambulira ku nnyanja

(1) Enkola ya AR Navigation Endoscopy Enkola

Okussa mu nkola mu ngeri ey’ekikugu:

Microsoft HoloLens 2 ebikka ku data ya CT okulaga amakubo ga sikulaapu za pedicle mu kiseera ekituufu.

Beijing Jishuitan Hospital data: Omuwendo gw’obutuufu bw’okuteeka emisumaali guli 100%, ate omuwendo gw’abantu abakwatibwa X-ray guli zero.

(2) AI intraoperative okusalawo obuyambi

Enkola z’okuyiga okw’obuziba:

Enkola ya Johnson&Johnson VELYS etereeza otomatika ebanga ly’okusalako ekiwanga okusinziira ku nkola y’entambula y’ekiwanga.

Kendeeza ku budde bw’okulongoosa ebitundu 25% okwewala okusalako ekisusse.

(3) Ebikozesebwa mu kulaba puleesa (endoscopic instruments).

SmartDrill:

Okulondoola mu kiseera ekituufu puleesa y’okusima, okuyimiriza okukyukakyuka mu ngeri ey’otoma nga oyingira mu kitundu eky’omu maaso eky’omubiri gw’omugongo (ensobi<0.1mm).

5、 Endagiriro za tekinologiya mu biseera eby’omu maaso

Okukebera ebinywa mu ngeri ya Nano:

Endabirwamu ya magineeti eya mm 1 diameter eyakolebwa mu Switzerland esobola okuyingira mu kiyungo ekiri wakati w’ennyindo.

Ebintu ebiteekebwa mu mubiri mu ngeri ey’amagezi okweddaabiriza:

Shape memory alloy stent egaziwa ku bbugumu ly’omubiri okutereeza obulwadde bwa scoliosis.

Okulongoosa kwa Digital Twin Okusooka:

Koppa enkola za endoscopic ku metaverse platform okusinziira ku mulwadde CT data.

Omulongooti gw’okugeraageranya emigaso gy’obujjanjabi

Ebiteeso ku nkola y’okussa mu nkola

Amalwaliro ag’omu ttaka: galina enkola ya UBE dual channel system, nga gakwata ku ndwadde z’omugongo ebitundu 80%.

Sports Medicine Center: Okuzimba omukutu gwa 4K arthroscopy+biotherapy platform.

Ekigendererwa ky’okunoonyereza: Okukola ebikozesebwa mu kussa mu mubiri (endoscopic implants) ebya magnesium alloy ebivunda (nga screws ezinyweza okumenya).

Tekinologiya ono asika okulongoosa amagumba okutuuka ku "ultra minimally invasive era" nga bayita mu birungi byabwe ebisatu ebikulu eby'okusalako "sub centimeter incisions, zero damage to anatomical structures, and immediate functional recovery". Kisuubirwa nti omwaka 2028 we gunaatuukira, ebitundu 60% eby’okulongoosa omugongo n’ennyondo bijja kumalibwa nga biyita mu mikutu egy’obutonde oba okutema wansi wa mm 5.