Isisombululo esiphazamisayo se-endoscope kwi-orthopedic spine ukuxilongwa kunye nonyango

I-1, inguqu eyimpumelelo kutyando lomqolo olungephi

(1) Uqhaqho lwe-Endoscopic Spinal (FESS)

Ukuphazamiseka kwezobuchwepheshe:

I-Percutaneous single channel technique: Gcwalisa i-intervertebral disc resection kunye ne-7mm incision (utyando oluvulekileyo lwendabuko lufuna i-5cm incision).

I-Visual circular saw system (efana ne-Joimax TESSYS): ngokuchanekileyo ipolishi i-spurs yamathambo ukuphepha umonakalo we-nerve.

Idatha yonyango:

(2) UBE (Unilateral Dual Channel Endoscopy) ubuchule

Iinzuzo zobugcisa:

Ukuseka itshaneli yokujonga eyi-12mm kunye netshaneli yokusebenza eyi-8mm ukuphumeza "utyando oluvulekileyo olufana nendawo yokusebenza".

Ifanelekile kwi-lumbar spinal stenosis, uluhlu lwe-decompression luphindwe kathathu kunelo lomzila omnye.

Isixhobo esitsha:

I-Radiofrequency ablation bipolar electrocoagulation (efana ne-ArthroCare Coblation): i-hemostasis echanekileyo ngelixa ikhusela iingcambu ze-nerve.

(3) I-Endoscopic incedise i-spinal fusion (Endo LIF)

Impumelelo yetekhnoloji:

Ngokufakela i-3D eprintiweyo ye-fusion device (ene-porosity ye-80%) nge-Kambin triangulation, izinga lokukhula kwethambo liye lanyuka nge-40%.

Ukudibanisa ne-O-arm navigation, ukuchaneka kokubekwa kwe-nail yi-100% (i-fluoroscopy yendabuko malunga ne-85%).

2, Uphuculo lweparadigm yetekhnoloji ye-arthroscopic

(1) Inkqubo ye-4K Ultra HD Arthroscopy

Amagqabantshintshi obugcisa:

I-sensor ye-Sony IMX535 ibonelela ngesisombululo se-10 μ m, ukwandisa izinga lokubona i-meniscus iinyembezi ukuya kwi-99%.

Njengenkqubo ye-4K ye-Shi Lehui ye-Insight, ixhasa umboniso we-HDR we-synovial vascular morphology.

(2) I-robot incedise i-arthroscopy

MAKO Orthopedic Robot:

Inqanaba le-submillimeter echanekileyo ye-osteotomy (impazamo 0.1mm), kunye nokutenxa komgca wamandla ongaphantsi kwe-1 ° emva kotyando lokutshintshwa kwedolo.

Ngo-2023, uphando lwe-JBJS lubonise ukuba izinga lokusinda le-10 leminyaka ye-prostheses liye lanyuka ukusuka kwi-90% yendabuko ukuya kwi-98%.

(3) Itekhnoloji yokulungiswa kwebhayoloji eyandisiweyo

Ukuvuselela umongo we-Endoscopic+Inaliti ye-PRP:

Emva kwe-microfracture kwindawo yesiphene se-cartilage, i-platelet ecebileyo ye-plasma (PRP) yajojowe, kwaye ubuninzi be-fibrocartilage regeneration yafikelela kwi-2.1mm (izindlela zendabuko kuphela i-0.8mm).

Ufakelo lwe-collagen olufunxayo lwescaffold: olufana ne-Geistlich Cholro Gide, i-sutured kwaye ilungiswe phantsi kwe-microscope.

3, Izisombululo ezingephi zokwenzakala kunye namayeza ezemidlalo

(1) Ukulungiswa kwe-Endoscopic ye-Achilles tendon

Utshintsho lwetekhnoloji:

I-endoscopy yeetshaneli ezimbini (ezifana ne-Arthrex SpeedBridge) igqibezela ukuluka nge-percutaneous kunye ne-suturing, ngamandla angama-30% aphezulu kunotyando oluvulekileyo.

Ixesha lokubuyisela emva kokusebenza lincitshiswe ukusuka kwiiveki ze-12 ukuya kwiiveki ze-6.

(2) Ukukhululwa kwe-Endoscopic ye-carpal tunnel syndrome

Inkqubo yeMicroAire:

Sika i-ligament enqamlezayo yesandla kunye ne-3mm ye-incision, kunye nexesha lotyando elingaphantsi kwemizuzu emi-5.

Izinga lokulimala kwe-nerve median liye lancipha ukusuka kwi-3.5% kwiindlela zendabuko ukuya kwi-0.2%.

(3) Ukulungiswa okupheleleyo kwe-endoscopic yokulimala kwe-rotator cuff

Ubuchule bokuthunga obungenamaqhina:

Sebenzisa i-FiberTape ene-loop steel plate (efana ne-Arthrex SwiveLock), enamandla amakhulu kune-500N.

Izinga lokukrazula lehlile ukusuka kwi-20% kuqhaqho oluvulekileyo ukuya kwi-8%.

4, Ubukrelekrele kunye neTekhnoloji yokuHamba

(1) I-AR Navigation Endoscopy System

Ukuphunyezwa kobugcisa:

I-Microsoft HoloLens 2 yoleka idatha ye-CT ukubonisa iindlela ze-pedicle screw ngexesha lokwenyani.

Idatha yeSibhedlele saseBeijing Jishuitan: Izinga lokuchaneka kokubekwa kwezikhonkwane yi-100%, kwaye inani le-X-ray exposures liyi-zero.

(2) Inkxaso yesigqibo se-AI ye-intraoperative

Ii-algorithms zokufunda nzulu:

Inkqubo ye-Johnson & Johnson ye-VELYS ilungelelanisa ngokuzenzekelayo uluhlu lwe-meniscus resection ngokusekelwe kwi-joint movement trajectory.

Nciphisa ixesha lokusebenza ngama-25% ukuthintela uqhaqho olugqithisileyo.

(3) Izixhobo ze-endoscopic zokuva uxinzelelo

I-SmartDrill:

Ixesha langempela lokubeka iliso loxinzelelo lokugaya, ukuyeka ngokuzenzekelayo ukujikeleza xa ungena kwi-cortex yangaphambili ye-vertebral body (impazamo <0.1mm).

5. Izalathiso zobuchwepheshe bexesha elizayo

Nano arthroscopy:

Isibuko semagnethi esinedayamitha esiyi-1mm esaphuhliswe eSwitzerland sinokungena kumdibaniso we-interphalangeal.

Ukuzilungisa izifakelo ezikrelekrele:

Ubume bememori ye-alloy stent yanda kubushushu bomzimba ukulungisa i-scoliosis.

Digital Twin Surgery Preview:

Ukulinganisa iinkqubo ze-endoscopic kwi-platform ye-metaverse esekelwe kwidatha ye-CT yesigulane.

Itheyibhile yokuthelekisa iNzuzo yezonyango

Iingcebiso zokuphunyezwa kwesicwangciso

Izibhedlele ze-Grassroots: zixhotyiswe nge-UBE inkqubo ye-dual channel ye-UBE, egubungela i-80% yezifo ze-lumbar degenerative.

Iziko loNyango lwezeMidlalo: Ukwakha iqonga le-4K arthroscopy+biotherapy.

Ugxininiso lophando: Ukuphuhlisa i-biodegradable magnesium alloy endoscopic implants (ezifana nezikrufu zokulungisa ukwaphuka).

Ezi teknoloji zityhalela phambili utyando lwamathambo olusingise “kwixesha elingenabungozi kakhulu” ngokweengenelo zabo ezintathu ezingundoqo “zokwenziwa kwe-subcentimeter, ukonakala okungako kwizakhiwo ze-anatomical, kunye nokuchacha okusebenzayo kwangoko”. Kulindeleke ukuba ngo-2028, i-60% yotyando lomqolo kunye noludibeneyo luya kugqitywa ngokusebenzisa imijelo yendalo okanye i-incisions ngaphantsi kwe-5mm.