Cov cuab yeej kho mob thoob ntiaj teb loj B. Braun tsis ntev los no tau ua tiav kev xa tawm thoob ntiaj teb ntawm nws "IO Solutions Panoramic Product Ecosystem." Cov kab ke no tsis txwv rau ib rab koob ntxiv lawm tab sis suav nrog xya qhov sib txawv thiab qhov ntev ntawm cov koob txhaj tshuaj rau cov neeg laus, menyuam yaus, thiab cov menyuam mos, plaub phau ntawv qhia tshwj xeeb rau qhov chaw anatomical (tibia, humerus, sternum, thiab distal femur), nrog rau lub zog sib xws - cov khoom siv tsav thiab ntsuas ntsuas ntsuas. Lub kaw lus tau txo qhov nruab nrab lub sij hawm tsim kom muaj kev nkag mus rau hauv 30 vib nas this thiab ua tiav cov txheej txheem kev ua tau zoo ntawm ntau dua 98% kev ua tiav tus nqi rau cov neeg mob ntawm ntau hom lub cev thoob ntiaj teb.

Kev tshawb fawb thiab kev txhim kho keeb kwm yav dhau thiab cov ntsiab lus mob

Txawm hais tias intraosseous (IO) puncture cov tswv yim tau dhau los, qhov "ib- loj- haum-tag nrho" muaj cov kev txwv tseem ceeb hauv kev kho mob:

Tsis zoo anatomical haum:Muaj qhov sib txawv ntawm cov pob txha loj thiab cortical thickness ntawm cov menyuam yaus thiab cov neeg laus. Universal koob tuaj yeem yooj yim ua rau muaj kev nkag mus ntau dhau thiab ua rau muaj kev puas tsuaj rau epiphysis hauv cov menyuam yaus lossis kev nkag mus tsis txaus rau cov neeg laus.

Kev xaiv qhov chaw txwv:Kev lig kev cai, tus tibia proximal yog overly relied. Txawm li cas los xij, thaum muaj kev raug mob hnyav, kub hnyiab, lossis thaum lub vev xaib no tsis muaj, nws tsis muaj cov txheej txheem daws teeb meem rau lwm qhov chaw.

Kev cia siab heev ntawm kev paub:Qhov tob thiab lub kaum sab xis ntawm kev sib tsoo yog nyob ntawm qhov xav tau ntawm cov neeg ua haujlwm kho mob, ua rau kev cob qhia nyuaj thiab txo qis kev ua haujlwm zoo ib yam. Cov ntsiab lus mob no tau cuam tshuam IO thev naus laus zis los ntawm kev ua tus txheej txheem kev txawj ntse xws li venous indwelling koob.

Core Technological Innovation

Qhov tseem ceeb ntawm kev tsim kho tshiab ntawm cov chaw tsim khoom yog nyob rau hauv kev tsim kho ntawm peb lub -qhov sib txuam qhov tseeb ntawm "tus neeg mob - qhov chaw - ntsuas":

Fine-cov khoom lag luam zoo matrix:Raws li cov duab CT loj heev thiab cov qauv kev txheeb cais, cov neeg mob tau muab faib ua ntau ntu raws li lawv qhov hnyav thiab hnub nyoog. Qhov zoo tshaj plaws koob ntev (15mm, 25mm, 45mm) thiab ntsuas (13G, 15G) yog sib npaug rau txhua lub sijhawm. Cov koob yog xim -coded raws li cov qauv thoob ntiaj teb (xws li, paj yeeb rau menyuam yaus), ua kom pom kev pom sai.

Anatomically qhia kev qhia tshwj xeeb:Rau qhov sib txawv xws li tibia, humerus, thiab sternum, cov ntaub qhwv ruaj khov thiab lub kaum sab xis qhia cov qhov uas ua raws li lub hauv paus anatomical morphology tau tsim. Piv txwv li, daim ntawv qhia sternum muaj lub plawv tiv thaiv daim thaiv thiab qhov tob limiter, uas tuaj yeem zam cov qauv tseem ceeb tom qab lub sternum thiab tswj qhov tob tob hauv qhov chaw nyab xeeb.

Integrated zog system:Portable, torque-tswj roj teeb- lub zog xyaum tau tsim. Cov cuab yeej no tuaj yeem muab qhov kev sib hloov ceev thiab qhov zoo tshaj plaws thiab kev siv dag zog, tshem tawm qhov tsis ruaj khov ntawm phau ntawv sib hloov thiab kev qaug zog ntawm tus neeg teb xov tooj, standardizing thiab simplifying cov txheej txheem puncture.

Mechanism ntawm Action

Qhov system no standardizes kev khiav hauj lwm los ntawm "preset parameters" thiab "mechanical constraints":

Cov xim thiab loj coding yog txuas ncaj qha mus rau qhov preset puncture tob algorithm. Tus neeg teb xov tooj tsuas yog yuav tsum xaiv lub koob ntawm cov xim sib xws raws li tus neeg mob lub cev hnyav, thiab qhov ntsuas qhov ntsuas qhov tob ntawm qhov kev nyab xeeb yuav raug siv.

Cov lus qhia anatomical ntsuas qhov ntsuas qhov taw tes, rab koob ntxig lub kaum ntse ntse, thiab qhov tob li trinity los ntawm nws lub cev qauv. Qhov tseem ceeb, nws yog ib qho "sab nrauv fixture" uas ua kom yooj yim rau qhov complex peb -dimensional anatomical positioning teeb meem rau hauv ob-siv kev ua haujlwm ntawm kev txuas cov lus qhia rau lub cev nto thiab nias lub pob.

Lub hwj chim- tsav tsheb muab lub nrawm nrawm thiab axial siab, kom ntseeg tau tias rab koob nkag mus rau hauv cov pob txha cortical nyob rau hauv txoj kev zoo tshaj plaws, tsis txhob "slipping" los yog "sticking" tshwm sim los ntawm qhov tsis sib xws ntawm phau ntawv quab yuam, tshwj xeeb tshaj yog haum rau cov neeg mob pob txha lossis pob txha txawv txav.

Kev txheeb xyuas qhov ua tau zoo

Qhov ecosystem no yog qhov kev kawm ntawm ob-xyoo txoj kev tshawb fawb yav tom ntej tau ua nyob rau hauv ntau dua 50 lub tsev kho mob loj hauv North America thiab Europe.

Multicenter cov ntaub ntawv tshawb fawb:Tom qab daim ntawv thov ntawm cov qauv tsim khoom matrix, qhov sib txawv ntawm kev ua tiav kev ua haujlwm ntawm cov neeg ua haujlwm kho mob ntawm cov laus sib txawv tau txo qis los ntawm qhov qub 35% mus rau hauv 5%, ua tiav "de-kev paub" ntawm thev naus laus zis.

Pediatric -kev tshawb fawb tshwj xeeb:Nyob rau hauv lub cev xeeb tub ICU, rau cov menyuam mos uas hnyav dua 5kg, kev siv lub siab ultra- koob zoo (18G) thiab cov lus qhia txo qhov tshwm sim ntawm kev sib tsoo- cuam tshuam txog cov teeb meem (xws li kev raug mob epiphyseal, leakage) los ntawm kev tshaj tawm 8% hauv cov ntaub ntawv mus rau 0.5%.

Ntau-kev tshawb nrhiav qhov chaw thov:Hauv cov neeg mob uas muaj ntau qhov kev raug mob uas tibia tsis tuaj yeem siv, qhov kev ua tiav ntawm kev sib tsoo hauv humerus thiab sternum ob leeg tau mus txog 96%, ua kom pom qhov tsim nyog thiab kev ntseeg siab ntawm ntau yam - qhov chaw daws teeb meem.

Kev tshawb fawb thiab kev loj hlob Strategy thiab Philosophy

B. Braun's R&D lub tswv yim tuaj yeem muab sau ua "Scenario Decomposition thiab System Integration." Lub tswv yim yog qhov tseeb innovation tsis yog dag nyob rau hauv inventing ib tug sharper koob taub hau, tab sis nyob rau hauv kev rhuav tshem complex xwm txheej xwm txheej ceev rau hauv tswj modules thiab muab cov cuab yeej zoo tshaj plaws rau txhua qhov module. Lawv koom tes nrog cov koom haum kho mob xwm txheej ceev thoob ntiaj teb los tshawb fawb raws li qhov tiag "hu rau - tuaj txog - kev soj ntsuam - puncture" ncua sij hawm, txheeb xyuas txhua qhov txuas uas ua rau qeeb thiab tshem tawm lawv los ntawm kev tsim khoom. Lawv R & D tau tob tob hauv tib neeg yam xws li engineering, aiming kom ua tiav kev ua haujlwm zoo nrog "xoom xav" hauv qhov xwm txheej kub ntxhov heev.

Yav tom ntej Outlook

Cov khoom lag luam matrix yav tom ntej yuav hloov mus rau "tiag tiag- lub sijhawm hloov pauv hloov pauv." Cov neeg tsim khoom tab tom tsim "ntse ultrasound integrated puncture system": ib tug me me ultrasound sojntsuam yog kev koom ua ke nyob rau hauv lub puncture koob qhia, uas scans lub subcutaneous pob txha thickness thiab cov hlab ntsha txoj hauj lwm nyob rau hauv lub sij hawm ua ntej puncture. Lub kaw lus cia li suav thiab kho qhov pom zoo qhov tob thiab lub kaum ntse ntse, thiab pom lawv ntawm qhov screen. Txawm tias qhov zoo tshaj plaws yog "tus neeg mob-cov ntawv qhia tshwj xeeb 3D luam tawm," uas tuaj yeem luam tawm daim ntawv qhia kev sib tsoo sai sai uas haum rau tus neeg mob pob txha morphology ntawm tus neeg mob raws li lawv cov ntaub ntawv CT thaum muaj xwm txheej ceev ntawm lub txaj, ua tiav qhov kawg ntawm tus kheej thiab raug puncture. Lub hom phiaj ntawm cov tuam txhab tsim khoom yog tsim kom muaj "kev xaav- tshuaj ntsuam- kev tua" kaw, ua txhua qhov kev sib tsoo intramedullary kom meej raws li kev ua haujlwm satellite navigation.