Ku ya 2 Ukuboza 2021, BD (sosiyete ya bidi) yatangaje ko yaguze sosiyete ya venclose. Gutanga igisubizo bikoreshwa mukuvura indwara zidakira zidakira (CVI), indwara iterwa no gukora nabi kwa valve, ishobora gutera imitsi ya varicose.
Gukuraho Radiofrequency nubuvuzi nyamukuru kuri CVI kandi byemewe nabaganga. Ugereranije nubundi buryo bwo kuvura laser ya CVI, gukuraho radiofrequency catheter birashobora kugabanya ububabare nyuma yo kubagwa no gukomeretsa. Vinclose ni umuyobozi mubijyanye no kuvura CVI. Ihuriro rishya rya radiyo yumurongo wa radiyo (RF) igamije kugera kubintu byinshi, gukora neza kandi byoroshye.
Umurongo wagutse
CVI yerekana uburyo bukenewe kandi bugenda bwiyongera mubuvuzi muri sisitemu yubuzima - bugera ku bagore bagera kuri 40% na 17% byabagabo muri Amerika. Vinclose ni umuyobozi mubijyanye no kuvura CVI. Ihuriro rishya rya radiyo yumurongo wa radiyo (RF) igamije kugera kubintu byinshi, gukora neza kandi byoroshye. Gukuraho Radiofrequency nubuvuzi nyamukuru kuri CVI kandi byemewe nabaganga. Ugereranije nubundi buryo bwo kuvura laser ya CVI, gukuraho radiofrequency catheter birashobora kugabanya ububabare nyuma yo kubagwa no gukomeretsa.
Padi O'Brien, perezida w’isi yose ku bijyanye no kwivanga kwa BD, yagize ati: "Twiyemeje gushyiraho urwego rushya rw’indashyikirwa ku barwayi bafite indwara zifata imitsi, zikeneye mbere na mbere gutanga ikoranabuhanga rishya ku baganga." "Kugura kwa venclose bizadushoboza gutanga ibisubizo bikomeye by’ibisubizo ku baganga bavura indwara zinyuranye z’imitsi. Venclose system Sisitemu yo gukuraho radiofrequency sisitemu yuzuza ingamba zacu zambere z’ikoranabuhanga ry’indwara zifata imitsi kandi ihujwe no kwibanda ku guhanga udushya no gutanga ibisubizo bihindura uburyo bwo kuvura indwara zidakira no gutuma inzibacyuho nshya ishoboka. "
Venclose design Igishushanyo mbonera cya sisitemu gitanga uburebure bubiri bwo gushyushya (cm 2,5 na cm 10) muri catheter ya 6 Fr. Izi dinamike ebyiri zishyushye uburebure butanga abaganga nibyiza bitandukanye byo gukora.
Venclose length Uburebure bwa sisitemu ni burebure bwa 30% kurenza ubw'igihe kirekire kiyobora amarushanwa ya radiofrequency ablation catheter, bigatuma abaganga bahindura neza imitsi myinshi muri buri cyerekezo cyo gushyushya no gufasha kugabanya umubare rusange w’ubuvumo bukenewe mu kuvura imitsi. Uburebure bubiri bwo gushyushya bivuze ko abaganga bashobora gukoresha catheter imwe kugirango bahanagure ibice birebire kandi bigufi - kugabanya umutwaro wo gucunga ibarura ugereranije na catheteri ifite uburebure buke kandi / cyangwa buhagaze.
Tekinoroji ya sisitemu nayo yateguwe kugirango ifashe gutanga uburyo bushingiye ku barwayi bwo kwita. Kurugero, ecran-ecran yayo itanga amakuru nyayo ya progaramu kugirango ifashe kumenyesha abaganga ibyemezo byo kuvura. Sisitemu kandi itanga ijwi ryumvikana ryo guhererekanya ubushyuhe - bituma umuganga yibanda kumwanya munini no kwita kumurwayi.
Vinclose yashinzwe mu 2014 mu rwego rwo guteza imbere ubuvuzi bwa CVI hakoreshejwe ikoranabuhanga rya ablayo. Kuva icyo gihe, isosiyete yiyemeje gutanga iterambere rya tekiniki no gukora neza kubaganga bavura CVI, ari nako ifasha kunoza abarwayi. Venclose ™ Sisitemu irashobora gukoreshwa mubigo nderabuzima bitandukanye muri Amerika n'Uburayi. Ingingo z’ubucuruzi ntizatangajwe. Biteganijwe ko ubucuruzi butazaba ingirakamaro kumikorere ya BD muri fy2022.
Isoko rya miliyari icumi
Muri 2020, biteganijwe ko isoko ry’ibikoresho by’ubuvuzi by’ubuvuzi ku isi hose bizagera kuri miliyari 8.92 z'amadolari ya Amerika (ahwanye na miliyari 56.8 z'amafaranga y'u Rwanda), kandi Amerika iracyari isoko rinini ku isi. Kwivanga kw'imitsi ni igice cyisoko ryo kwifashisha rya periferiya, kandi isoko ryimbere ryimbere mu gihugu riratera imbere byihuse. Muri 2013, isoko ry’ibikoresho byifashishwa mu gutera imitsi mu Bushinwa byari miliyoni 370 gusa. Muri 2017, isoko ryo kwivanga mu mitsi ryiyongereye kugera kuri miliyoni 890. Iterambere ryihuta rizamuka vuba hamwe no gukura kwimitsi yimitsi ikoreshwa mubuvuzi. Mu 2022, igipimo cy’isoko kizagera kuri miliyari 3.1 z'amafaranga y'u Rwanda, buri mwaka umuvuduko w'ubwiyongere bwa 28.4%.
Dukurikije imibare, abantu 100000-300000 bapfa bazize trombose yimitsi buri mwaka muri Amerika, naho abantu 500000 bapfa bazize trombose yimitsi buri mwaka muburayi. Muri 2019, umubare w'abarwayi ba varicose vein mu Bushinwa wageze kuri miliyoni 390; Hariho abarwayi miliyoni 1.5 barwaye trombose ndende; Ikigereranyo cyo kwandura iliac vein compression ni 700000 kandi biteganijwe ko kizagera kuri miliyoni 2 muri 2030.
Hamwe nogukusanya cyane kwa coronary stent, intumbero yo kwivanga kwamaraso yavuye mumitsi yimitsi iva mumitsi iva mumitsi no mumitsi. Kwivanga kwa peripheri bikubiyemo kwivanga kwa arterial periferique no kwivanga kwa peripheri. Gutabara kwimitsi byatangiye bitinze ariko byateye imbere byihuse. Dukurikije imibare y’agaciro k’inganda, agaciro k’isoko ry’ibikoresho by’imitsi by’Ubushinwa bifasha cyane cyane kuvura indwara z’imitsi isanzwe nka varicose, trombose ndende na syndrome de iliac vein compression syndrome igera kuri miliyari 19.46.
Iri soko rya peripheri, rizarenga miliyari 10 yu gipimo, ryakuruye ibihangange mu bihugu byinshi nka BD, Medtronic na siyanse ya Boston. Binjiye ku isoko hakiri kare, bafite imishinga minini kandi bashizeho umurongo ukungahaye ku bicuruzwa. Ibigo byaho nabyo byazamutse kimwekindi. Ibigo nka tekinoroji ya Xianjian na guichuang Tongqiao byabitse imiyoboro ikungahaye ya R & D mu mitsi.
Uburyo bwo gukuraho imitsi yo murugo
Hamwe nibisanzwe byo kubaga byoroheje byibasira imitsi ya varicose, ubuvuzi bworoheje bushobora gusimbuza kubaga gakondo, kandi ingano yo kubaga iziyongera vuba. Mu buvuzi butagaragara cyane, gukuraho radiofrequency (RFA) hamwe no gukuramo lazeri (EVLA) ni uburyo bubiri bwo gukuraho. RFA ifite ibice birenga 70% byo gukuraho ubushyuhe bw’umuriro mu Bushinwa mu 2019. Kugeza ubu, mu Bushinwa hari uburyo bubiri bwemewe bwo gukuraho radiofrequency. Hariho ibice bitatu bya radiofrequency ablation catheters bigurishwa mubushinwa, bikozwe ninganda zamahanga, aribyo gufunga byihuse no gufunga RFs ya Medtronic na evrf byinjira mumikorere ya radiofrequency yo gufunga sisitemu ya F care NV.
Icyerekezo cyo guhanga ibicuruzwa bya radiofrequency ablation byibanda kugabanya ibibazo. Ingorane nyamukuru zibicuruzwa bya radiofrequency bihari ni gutwika uruhu, gucamo imitsi, ecchymose yo munsi yubutaka no kubyimba, no gukomeretsa imitsi ya saphenous. Kugenzura ingufu, gutera inshinge ziterwa no kubyimba no kuvura umuvuduko ukabije birashobora kugabanya neza ibibazo byikibazo. Gukuraho ubushyuhe bisaba anesthesia ya tumescent mbere yo gutanga ingufu, zishobora gutera umurwayi ikibazo kandi gishobora kongera igihe cyo kubaga.
Kubera iyo mpamvu, Medtronic yibanze kuri venaseal, ibicuruzwa bisanzwe byo gufunga ubushyuhe. Ihame ryiyi sisitemu yo gufunga ni ugukoresha catheter kugirango utere inshinge mumitsi kugirango ugere ku ngaruka zo gufunga imitsi. Venaseal yemerewe na FDA kurutonde rwa 2015. Mu myaka yashize, yabaye intambwe nyamukuru yo gukura mu bucuruzi bwa Medtronic. Kugeza ubu, iki gicuruzwa ntikirashyirwa ku Bushinwa.
Kugeza ubu, ibigo by’imbere mu gihugu byibanda ku gukwirakwiza ibicuruzwa biva mu muyoboro wa radiofrequency yo gukuramo imitsi ya varicose no kugabanya ibibazo by’ibicuruzwa biva mu muriro; Sisitemu ishobora guhindurwa, igenzurwa kandi ifite ubwenge sisitemu yo gukuraho bizagabanya cyane ingorane zo gukora, kandi nicyerekezo cyingenzi cyo kuzamura ibicuruzwa. Imishinga yo murugo & D yibicuruzwa bya radiofrequency ibicuruzwa birimo xianruida nikiraro cya guichuangtong. Isoko ridahagije risaba imishinga myinshi guterana kuriyi nzira, kandi amarushanwa muriki gice azaba akaze mugihe kizaza.
Urebye abitabiriye urugo, uburyo bwo guhatanira isoko ryimbere mu gihugu nabwo bwabanje kugaragara. Abitabiriye amahugurwa nyamukuru barimo imishinga mpuzamahanga ihagarariwe na Medtronic, siyanse ya Boston nubuvuzi bwa bidi; Abayobozi bo murugo bahagarariwe nubuvuzi bwa xianruida na Xinmai, hamwe nabatangiye gutangira.
Igihe cyo kohereza: Jun-28-2022