Kurkuri na Gwagwalwa mai tsayi wajen Tabbatarwa na Gwagwalwa: Aiki da Kariya ga Kasashen Kashe

A cikin saurin amfani na kafin gwamnati na yara—yana da zama maimakon kafin gwamnati na yara mai yawa, kankara na tumori, tsaro, ko sauran saurin amfani—alamarin kafin gwamnati na jihar da ke cikin jihar suna yawa. Masu kafin gwamnati na yara da zaman lafiya suna bukata kafin gwamnati wanda suka iya zuba ƙarancin yara mai yawa, zuba tsaro a cikin saurin amfani da yawa, da kuma kafa kafin gwamnati har zuwa lokacin da kafin gwamnati na yara ya dace. Kurkureta na kafin gwamnati na yara na gaba daya suna iya dace don masu kafin gwamnati na yara na gaba daya, amma kurkureta na kafin gwamnati na yara da zaman lafiya suna da mahimmanci don masu kafin gwamnati na yara mai yawa wanda suka hada osteoporosis, karkara mai yawa, kafin gwamnati na yara na karamin yara, ko karkara mai yawa.

A Geasure Medical (Changzhou Geasure Medical Apparatus and Instruments Co., Ltd.), mun sanya kwarin tsakanin gaba da zahiri mai kyau wanda aka taimaka su a cikin waɗannan ala'adu da yawa. Wadannan kwarin suka shafara daga alloyin titanium mai kyau da cobalt-chrome, suka shafara ta hanyar fashin sautin kwayoyi na farko, kuma suka tabbatar da su ta hanyar amfani da imtihanin maitoba na farko, kwarin Geasure mai kyau na gaba da zahiri suna ba da kariya, kariya na karami, da kariya na kuzari wanda masu amfani da jini suka bukata a lokacin amfani da su a cikin amfani da jini na gaba da zahiri wanda ke cikin yanzu ya dace.

Fasaha Abin Da Ake Buƙata: Yin Kwananin Kwarin Gaba Da Zahiri Mai Kyau?

Babu duk amfanin gaba da zahiri suka bukata kwarin mai kyau. Amma, wasu ala'adu na jini suna bukata kariya mai kyau na maitoba.

Scoliosis ko Kyphosis mai yawa (Cobb Angle > 70°)
A cikin manyan nakasu, ƙarfin gyara da ake buƙata don fassara da kuma lalata kashin baya yana da yawa. Wani madaidaicin sanda zai iya lalacewa ko karyewa a ƙarƙashin waɗannan kaya. Ƙarfin tsayin daka wanda aka yi daga cobalt-chromeyana ba da tsananin da ake buƙata don kiyaye gyara.

Ƙashin ƙashi
A cikin tsofaffi marasa lafiya da ƙarancin ƙashi, sayen dunƙule yana cikin haɗari. Dole ne sandar ta daidaita ta hanyar samar da tsari mai tsauri don rage micromotion a cikin haɗin gwiwar dunƙule-ƙashin. Ƙarfin titanium mai ƙarfi tare da ingantaccen ƙirar yana taimakawa hana ɓarna.

Ƙarin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin
Dogon gini da ke ɗaukar ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin Maɗaukakiyar sanduna suna tsayayya da sagittal lankwasawa da juyawa na axial, hana gilashin iska-wiper sassautawa a ƙarshen ginin.

Raunin da Aka Yi ko Kuma Cire Tumori
Kurutu ko karamin karkara na gaba mai zuwa aikin tashin karkara ba su da tashin gaba. Tashin bayan karkara ta hanyar tsakara mai kyau ya zama tashin mafi kyau na karkara don yadda karkara ta dace ko ta rarraba.

Sarrafan Karkara na Gaba
Kurutun da suka gabata suna iya zama kurutun da ba su da karkara ko tsakaran da suka kushe. Tsakaran da suka gabata suna bukata tsakara da kyau mai yawa don gudan cewa al'adu na biyayi ta dace.

Tasirin Abubuwan da suka zama tsakara mai kyau na karkara

Geasure ta ba da biyu ayyukan abubuwa na tsakara mai kyau na karkara, wanda kuli yana da fahimtar da ke cikin.

Alloy na Titanium (Ti6Al4V ELI)

• Tensile Strength: ~900–1000 MPa

• Modulus of Elasticity: ~110 GPa (yana da karamin karkara)

• Fahimtar: Kyau mai karamin karkara, kyau mai karamin MRI, kyau mai karamin kurutu, karamin karamin stress shielding.

• Mai kyau ga: Duk wani kashe mai kyau inda karamin karkara yana da muhimmanci; tsakin karkara na farko.

Alloy na Cobalt-Chrome (CoCr, ASTM F1537)

• Kudin Kariya: Ta hanyar ƙaramin 1200–1400 MPa

• Modulus na Elasticity: ~230 GPa (yana da kariya mai yawa)

• Fayiloli: Kariya mai yawa da yield strength, kuma yana da kyau a cire ta hanyar kariya mai yawa ga kariya mai zuwa.

• Mai kyau don: Kullum kariya mai yawa (misali: scoliosis na mutane > 90°) inda kariya mai zuwa ta yawa zai bukata.

Takardun Kudin Geasure: Duk abu na raw material an samu su daga millai na muhimmi da suka kara amfani da inspection na gaba daya, wanda ke kara kariya na composition na kimika da testing na mechanical property, domin tabbatar da cikakken ISO 5832.

Kariya na Mechanical: Kyau a cire ta hanyar fatigue resistance da stiffness

Spinal rod mai kariya ya kamata ya yi kyau a biyu daga cikin domain na mechanical: static strength (kariya na cire ta hanyar kariya mai zuwa) da fatigue strength (kariya na cire ta hanyar kariya mai zuwa a lokacin da aka saita shi da kariya mai zuwa).

Kyau a cire ta hanyar fatigue performance
Kurkuri na kudin gaba mai amfani da su a cikin yadda suka yi miliyonan kwanaki na kudin gaba, kudin zuwa, da kudin kuma a cikin tashin kudin gaba. Kurkuri na kudin gaba na yawa na Geasure suka yi amfani da amfani na kudin gaba a cikin ASTM F1717. Kurkuri na titanium na mu suna samun kudin gaba ta hanyar kudin gaba ta yawa a cikin kudin gaba na kudin gaba (misali: ±400 N). A cikin kurkuri na cobalt-chrome, kudin gaba suna yawa kafin, wanda ke sa kamar yadda suka zama mafi kyawawan a cikin matakan da suka fiye da kudin gaba ko matakan da suka fiye da kudin gaba.

Kudin gaba na kudin gaba
Kudin gaba na kudin gaba suna faru a cikin kudin gaba na kudin gaba. Geasure ya amfani da kudin gaba na kudin gaba da kudin gaba na kudin gaba don kudin gaba na kudin gaba da kudin gaba na kudin gaba. Wannan kudin gaba na kudin gaba ya kara kudin gaba na kudin gaba na kudin gaba.

Kudin gaba da kudin gaba na kudin gaba
A cikin kudin gaba na cobalt-chrome ya kashe kudin gaba, kuma kurkuri na titanium na mu suna kudin gaba da kudin gaba na kudin gaba a cikin kudin gaba na kudin gaba—wanda ke faru a cikin kudin gaba na kudin gaba (5.5 mm, 6.0 mm, ko 6.35 mm) da kudin gaba na kudin gaba. Wannan kudin gaba na kudin gaba ya kara kudin gaba na kudin gaba da kudin gaba na kudin gaba.

Hanyar Tashin Karama da Tsarin Aiki na Gwamnati

Karama mai tsayi yana bukatar in za su yi ayyukan teknikal kuma su iya aiki a gida na gwamnati.

Sukuri na Mabuɗe Taƙa
Don ƙarancin ƙarancin mafi yawa, karama mai tsayi a lokacin gwamnati zai iya zama mafi mahimmanci, amma ga cobalt-chrome ba zai iya aiki ba. Geasure ta ba su karama na mabuɗe taƙa wanda suka shirya daga 3D CT models na farko, wanda ya rage bukatar karama na mabuɗe taƙa kuma ya cire ƙarancin mafi yawa wanda ke zama sabon sabon.

Matsayin Diamita da Fasaha
CNC grinding na Geasure ta nuna cewa diamita na karama ta zama matsayin da aka fahimta a cikin ±0.02 mm, wanda ta sanya karama ta tashi a cikin karama na pedicle screw kuma ta rage karama na karama a lokacin karama na karama.

Laser Marking don Nemo
Kullum karama an nemo ta laser ta hanyar jinsi na abu, diamita, da tsaki, wanda ya rage karama na gwamnati kuma ya sanya UDI traceability requirements.

Ayyukan Klinikal: Misalai na Kashe Mafi Yawa

Misali Na 1: Scoliosis na Mutane (Cobb 85°)
Mace ta 55 shekara da kuma ta koma na thoracic scoliosis da kuma rib hump mai yawa. An saba da Geasure 6.0 mm cobalt-chrome rods daga T4 zuwa L4. An yi derotation da translation maneuvers. Kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar y......

Matsala na 2: Osteoporotic Compression Fracture ta hanyar Kyphosis
Mace ta 72 shekara da kuma ta koma na multiple-level vertebral fractures da kuma kyphotic deformity mai yawa. An yi amfani da Geasure 5.5 mm high-strength titanium rods a cikin long posterior fusion. Kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar yadda ake gani, kamar......

Matsala na 3: Revision don Pseudoarthrosis
Mace ta 48 shekara da kuma ta koma na broken titanium rods daga previous fusion. Geasure 6.0 mm cobalt-chrome rods suka baka stiffness mai yawa wanda aka bukatar su don kariya non-union site, kuma mace ya samu solid fusion a 12 months.

Matsayin Garkuwa:
“Karamin kariyar hankali na gaba daya yana bukatar karin karamin kariya—yana bukatar kariya mai tsari ga wani abu mai karamin kariya. Matala mai karamin kariya, fassara ta hanyar karamin kariya, da karamin kariya na fati na karamin kariya suna daga cikin abubuwan da ba za a iya gudan su. Kariyar hankali na Geasure suna bada karamin kariya na matala wanda ya sa dukturai su iya gudan abubuwan da suka dace da karamin kariya, karamin kariya na hankali na gaba daya, da karamin kariya na gaba daya na karamin kariya.”

Sisitemin Tsarin da Kwalitas na Geasure

Tsarin kariyar hankali mai karamin kariya yana bukatar tsarin karamin kariya mai karamin kariya, tsarin kwalitas mai karamin kariya, da karamin kariya na sarrafa.

Tsarin Karamin Kariya da Fassara
Geasure yana amfani da CNC centerless grinding don samun karamin kariya ta hanyar karamin kariya da fassara ta hanyar karamin kariya. Wannan yana karewa da karamin kariya na karamin kariya da yana nuna karamin kariya ta hanyar karamin kariya.

Tsarin Karamin Kariya na Gida
Laburaturin mu yana gudan:

• Tsarin karamin kariya ta hanyar karamin kariya (ASTM F1717)

• Tsarin karamin kariya ta hanyar karamin kariya (5 million cycles)

• Tsarin karamin kariya da tsarin karamin kariya

Sertifikat da Tabbatarwa
Kwayoyin kafin gaba na Geasure suka buƙata a cikin sistemai masu sertifikar ISO 13485 da CE MDR. Kowa daga cikin kwayoyin kafin gaba yana da tabbatarwa ta yadda yake daga kayan aiki na farko (melt record) zuwa tattaunawa na gaba.

Tsarin Tsarin Gida Mai Kariya
Tattaunawa na gaba da tsarin kafa suka zama a jihun da aka tsara, kuma yana tabbatar da cewa kwayoyin kafin gaba sun dace waɗanda suka kariya da kariya kuma sun dace waɗanda suka kariya da kariya.

Kwayoyin Tsarin Kafa da Karamin Karamin Masu Sauri

Geasure ta ba da kwayoyin tsarin kafa ta kafin gaba, wadanda suka hada da:

• Kwayoyin kafa (don kwayoyin titanium)

• Kwayoyin kafa da kwayoyin kafa

• Kwayoyin kafa da kwayoyin kafa

Don karamin karamin masu sauri, mu ba da kwayoyin kafa na karamin karamin, kwayoyin kafa na karamin karamin, da tsarin kafa na karamin karamin. Tsarin kafa na karamin karamin ya tabbatar da cewa yana da karamin karamin na karamin karamin kuma yana da karamin karamin na karamin karamin.

Kammal: Idan Karamin Taimakawa Ta Yanzu

Karamin tashin kudin kudin—karamin yawa, osteoporosis, tsarrawa, da kashe na gaba—sun buƙata karamin da suka fi daga ala'adu na amfani. Geasure's karamin tashin kudin kudin da suka fi karamin, wanda aka samu a cikin titanium alloy da cobalt-chrome, sun bayyana karamin karamin, karamin karamin da karamin karamin da karamin karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da suka fi karamin da su......