史赛克骨科手术机器人获批全膝关节置换适应症

2021-04-04 秘丛丛 亿欧

值得注意的是,Mako是目前唯一一款在国内获批上市的关节外科手术机器人,同时还有数款在研国产关节外科手术机器人,比如微创医疗的鸿鹄?骨科手术导航定位系统、天智航的骨科手术导航定位系统等。

值得注意的是,Mako是目前唯一一款在国内获批上市的关节外科手术机器人,同时还有数款在研国产关节外科手术机器人,比如微创医疗的鸿鹄?骨科手术导航定位系统、天智航的骨科手术导航定位系统等。

美国史赛克公司的骨科手术机器人Mako也在国内获批全膝关节置换适应症,而早在2018年其全髋关节置换适应症在国内上市。

据了解,2020年12月,国家骨科与运动康复临床医学研究中心借助此产品完成了全国首例智能骨科机器人辅助全新生物型人工膝关节置换手术,较精准完成极高难度的生物型假体置入。

值得注意的是,Mako是目前唯一一款在国内获批上市的关节外科手术机器人,同时还有数款在研国产关节外科手术机器人,比如微创医疗的鸿鹄?Skywalker?骨科手术导航定位系统、天智航的骨科手术导航定位系统(TiRobot Recon)等。

而骨科手术机器人Mako来自史赛克在2013 年收购的手术机器人公司 MAKO Surgical。围绕MAKO手术机器人,史赛克打造了髋关节置换以及膝关节置换两套完整的手术方案。此次收购为史赛克带来了财务上的“红利”,其骨科收入的增长率从前一年的下降,变成了稳步上升。

随后史赛克开始布局脊柱外科手术机器人,它又在2019年出资5亿美元收购Mobius 以及Cardan公司。在前者成功的光环下,其它骨科巨头纷纷也不甘落后:Zimmer Biomet2016年收购Medtech SA,获得了其ROSA机器人;美敦力2018年收购Mazor Robotics, 强生2018年收购Orthotaxy,在2019年又收购了Auris Health等。

骨科是手术机器人最早进入的领域之一,也是目前手术机器人产业化集中的热点领域。根据国际机器人联合会 2014 年数据,全球范围内骨科手术机器人占手术机器人市场总额的 23%。而骨科手术机器人主要应用于创伤骨科、脊柱外科和关节外科。尽管我国骨科手术机器人起步较晚,但近年来,已有多家国内企业布局机器人,如天智航、微创医疗、威高集团、罗森博特、三坛医疗等。

目前,获得国内医疗器械注册证的骨科机器人企业情况如下:

脊柱外科——Mazor Robotics (美敦力)、MEDTECH(捷迈邦美);

关节外科——MAKO Surgical(史赛克);

创伤骨科和脊柱——天智航。

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    2021-10-18 wwzzly
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    2021-12-10 yxch48
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    2021-04-07 stark

    天玑

    0

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【简要病史】病人64岁,女,膝关节长期受类风湿性关节炎困扰,左侧膝关节剧烈疼痛、肿胀、关节积液、不能伸直,无法正常行走,严重影响日常生活。2年前又查出糖尿病。由于多种病症长期服用大量药物,1年多前发生肾功能衰竭,接受透析治疗。病人先后到多家三级甲等医院就诊,希望进行人工膝关节置换手术,但都因糖尿病、肾功能衰竭导致关节置换手术风险高而遭到拒绝。【X线片】下肢站立位全长X线片显示(1)左侧膝关节内侧关

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医院相关静脉血栓栓塞是一个主要的病人安全问题。为全膝关节置换的患者提供预防措施,已被认为是降低静脉血栓栓塞发生率的有效策略。现研究人员对在这种情况下所有可用的预防策略的相对有效性和安全性进行评估。研究人员对随机对照试验进行系统回顾和Meta分析,来评估静脉血栓栓塞预防治疗的相对效果和安全性,同时建立一个可评估这些方案的成本效益的经济模型,并更新NICE指南。Meta分析纳入25个随机对照试验。深静

Lancet:对于晚期孤立性膝内侧骨关节炎患者,部分膝关节置换的成本效益优于全膝关节置换

晚期孤立性膝内侧骨关节炎可采用全膝关节置换术(TKR)或部分膝关节置换术(PKR)治疗。治疗选择存在很大差异,单目前尚无可靠的证据来指导选择。研究人员开展一多中心的随机对照试验,来评估全膝关节置换术对比部分膝关节置换术对膝关节内侧间隙骨关节炎患者的临床疗效和成本效益。招募孤立性膝内侧骨关节炎患者,按1:1随机分至两组。主要评估指标是随机分组后5年的Oxford Knee评分(OKS)。2010年1

BMJ:单髁与全膝关节置换患者预后差异研究

研究认为,患者接受单髁人工膝关节置换术后多方面预后较好,但全膝关节置换患者的再手术风险降低

INT J LAB HEMATOL:无药物预防的老年人群全膝关节置换术后静脉血栓栓塞中血小板高反应性的作用

尽管血小板高反应性在动脉血栓中起一定作用,但其与静脉血栓栓塞(VTE)的关系尚不明确。低浓度激动剂聚合测定法是一种可靠的检测高反应性的方法。本研究的目的是检测全膝关节置换术(TKA)后血小板高反应性是否影响VTE的发展。 研究人员选取150例无静脉血栓栓塞病史的老年患者。TKA术后VTE采用机械预防。使用Chrono‐log进行血小板聚集(Chrono‐log Corporation, US

Lancet:部分膝关节置换术具更具成本效益

研究认为,全膝或部分膝关节置换术具有相似的治疗效果,但部分膝关节置换术5年的成本效益更具优势