First look for External Fixators
DYNAMIC AXIAL EXTERNAL FIXATOR ( DAF)
The Dynamic Axial External Fixator (D.A.F.) is a fixator with ball-joint and it is used primarly in acute trauma. In some instances it also permit mobilization of a joint where this has been bridged by the fixator. The Dynamic Axial External Fixators is indicated to the treatment of fractures of long bones, articular and periarticular fractures and pelvic fractures. The DAF external fixation is particularly indicated for the treatment of long bones of the lower and upper limbs in the trauma, provides the treatment of polytrauma patients with femoral fractures. The DAF is able to provide excellent stability and the option of early mobilization. It is suitable for the fractures of distal tibia. Its versatility permits simple angular adjustment at any time during fracture healing before union is solid.
HUMERAL DYNAMIC AXIAL EXTERNAL FIXATOR (PDAF)
The Humeral Dynamic Axial External Fixator is a fixator with ball-joint and it is used primarly in acute trauma. Ball joints afford the facility to make final adjustment to the position of the fracture after application of the frame. In some instances it also permits mobilization of a joint where this has been bridged by the fixator. The Humeral Dynamic Axial external fixator is indicated to the treatment of fractures of humerus, radius and ulna in adults, fractures of the femur and tibia in children. Clamps with three screw seats connect to the body by ball-joints and the final tightening of ball- joint with wrench. Its versatility permits simple angular adjustment at any time during fracture healing before union is solid.
DYNAMIC AXIAL EXTERNAL FIXATOR (DAF) WITH 135° ANGLED CLAMP
The Dynamic Axial External Fixator with 135° Angled Clamp is a fixator with ball-joint and it is used primarly in acute trauma. The DAF with 135° clamp is used for the treatment of trochanteric, subtrocanteric or extensive diaphyseal fractures of the femur. This clamp has screw seats at angle of 135° to the transverse axis of the clamp. This enables screws to be inserted along the femoral neck while the fixator body remains parallel to the long axis of the femur.
DYNAMIC AXIAL EXTERNAL FIXATOR (DAF) WITH SQUARE CLAMP & 135° SQUARE CLAMP
The Dynamic Axial Fixator with Square Clamp & 135° Square Clamp are fixators with ball-joint and they are used primarly in acute trauma. The DAF with 135° square clamp is used for the treatment of trochanteric, subtrocanteric or extensive diaphyseal fractures of the femur. The square clamp distally allows to place 3 schanz pin and proximal square clamp allows to place 4 schanz pins adaptable to the pattern of the fracture including complex fractures due to the 4 pins placement in the clamp of the fixator with different orientation.
PERTROCHANTERIC EXTERNAL FIXATOR
The Pertrochanteric External Fixator is designed to be used for the rapid stabilization of trochanteric fractures in high risk cases. The fixator has two clamps. At posterior clamp the screws which are inserted along femoral neck have fixed screw seat at an angle of 115° to the longitudinal axis to enable one screw to be inserted along the axis of the neck and a single swiveling seat to enable a second screw to be inserted in a convergent mode. Anterior clamp has proximal and distal screw seats for insertion of diaphyseal screws in subtrochanteric region. Movement of the anterior clamp in the frontal plane is controlled by locking screw.
DYNAMIC AXIAL EXTERNAL FIXATOR (DAF) WITH T-CLAMP
The Dynamic Axial External Fixator with T-Clamp is a fixator with ball-joint and it is used primarly in acute trauma. The Dynamic Axial fixator is generally used with straight clamps and with T-clamps to treat fractures of the shafts or metaphysis of the long bones such as femur, tibia and humerus. It can be used with two T-clamps for anterior stabilization of the pelvis. In the fractures of distal tibial metaphysis, where there is adequate room for the introduction of screws or in pilon fractures with lesser degrees of comminution.
PEDIATRIC DYNAMIC AXIAL EXTERNAL FIXATOR (PDAF) WITH T – CLAMP
The Pediatric Dynamic Axial External Fixator with T-Clamp is a fixator with ball-joint and it is used primarly in acute trauma. The Pediatric Dynamic Axial external fixator with T-Clamp is indicated to the treatment of fractures of humerus, radius and ulna in adults, fractures of the femur and tibia in children. Clamps with three screw seats connect to the body by ball-joints. Its versatility permits simple angular adjustment at any time during fracture healing before union is solid.
DYNAMIC AXIAL EXTERNAL FIXATOR (DAF) WITH ANKLE CLAMP
The Dynamic Axial External Fixator with Ankle Clamp is a fixator with ball-joint and it is used primarly in acute trauma. The Dynamic Axial External Fixator with Ankle Clamp is indicated for the treatment of distal tibia and pilon fractures. With ankle modul, screws are inserted into the talus and calcaneum. Introduction of the screws is facilitated by ankle pin guide.
LIMB LENGTHENER EXTERNAL FIXATOR
The Limb Lengthener Fixator is designed for the treatment of acute and complex trauma or limb lengthening due to fresh fracture, nonunion with major soft tissue defect, and bone loss with shortening. It is primarly used in orthopaedic applications, it is used for lengthening, bone transport, the correction of deformity and the treatment of non-union in long bone of lower limb. The limb lengthener fixator system consists of an assembly of two clamp on a rigid fixator body and can be connected by compression distraction units.
LIMB RECONSTRUCTION EXTERNAL FIXATOR (LRS)
The Limb Reconstruction Fixator is designed for the treatment of limb reconstruction and lengthening due to fresh fracture, nonunion with major soft tissue defect and bone loss with shortening. The three main indications are bone loss with or without shortening deformity, with or without shortening and extreme shortening. It is primarly used in orthopaedics for lengthening bone transport, the correction of deformity and the treatment of non- unions in the long bones of lower limb. The LRS fixator consist of an assembly of clamp which can slide on a rigid rail and can be connected by compression distraction units.See Product Page
LIMB RECONSTRUCTION EXTERNAL FIXATOR WITH 135o CLAMP (LRS)
The Limb Reconstruction Fixator with 135° Clamp is designed for the treatment of limb reconstruction and lengthening due to fresh fracture, nonunion with major soft tissue defect, and bone loss with shortening of femur. The three main indications are bone loss with or without shortening deformity, with or without shortening and extreme shortening. It is primarly used in orthopaedics for lengthening bone transport, the correction of deformity and the treatment of non-unions in the long bone of upper limb. The LRS fixator consists of an assembly of 135 o clamp which can slide on a rigid rail and can be connected by compression distraction units.
HYBRID META – DIAPHYSEAL EXTERNAL FIXATOR
The Hybrid Fixator is designed to be used for use to stabilizing metaphyseal and articular fractures. Tensioned wires are easy to be applied in the metaphysis, with broad safe coridor to maximize wire crossing angles and provide good long term fixation in metaphyseal bone.
PELVIC DYNAMIC AXIAL EXTERNAL FIXATOR
The Pelvic Dynamic Axial External Fixator is an adjustable link system for rapid pelvic stabilisation. It is indicated particularly in definitive stabilisation of anterior instability and emergency stabilisation of complete pelvic instability.See Product Page
HIGH TIBIAL OSTEOTOMY EXTERNAL FIXATOR
High Tibial Osteotomy (HTO) is an accepted treatment for unicompartmental osteoarthritis of the knee. Opening wedge high tibial osteotomy using HTO external fixator is an conventional technique. This fixator is also used for limb lengthening and correction of deformities by callus distraction.
ELBOW EXTERNAL FIXATOR
The Elbow Fixator is designed to be used for fracture dislocation of elbow. It obtains controlled movement about the axis of rotation of the elbow joint. It is minimally invasive and rapidly applied.See Product Page
ARM & WRIST EXTERNAL FIXATOR
The Arm & Wrist Fixator in trauma applications is periarticular and articular fractures of distal radius. The orthopaedic applications are correction of deformity of the distal radius and treatment of wrist. For wrist fixator with a compression-distraction module on the metacarpal side and a gliding module on the radial side is used. Lightweight and low profile fixator. Permits rapid application. Provides definitive treatment. Double ball-joint allows final reduction after fixator application. Ball-joint tightened with only Allen key . Dedicated tapered bone screws. With PDWF (Pennig dynamic wrist fixator) both left and right extremities can be treated.
HAND & WRIST EXTERNAL FIXATOR
The Hand & Wrist External Fixator for the immobilization of comminuted fractures of distal radius has been developed. This hand & wrist fixator offers an improved approach to the treatment of upper extremity fractures when external fixation is indicated. In addition to use on the wrist, this fixator can be applied to treat fractures of forearm, elbow and humerus. The wrist fixator has low profile and is lightweight. Thereby increasing patient comfort and allowing an earlier return to appropriate activities while the device is in place. It permits rapid application. It provides definitive treatment. The built in distractor unit is easy to use. Dedicated tapered bone screws. With hand & wrist fixator both left and right extremities can be treated.
ILIZAROV CIRCULAR EXTERNAL FIXATOR SYSTEM
The Ilizarov method, implemented with other systems of external fixation, plays a leading role in the treatment of a wide range of orthopaedic problems, including limb length inequality, axial deformities, joint stiffness and some other conditions. In trauma it can be stated that some kind of consensus across the world exists nowadays about the use of Ilizarov methods in cases of trauma sequelae like limb shortening, bone defects, malunions, and osteomyelitis. A general statement about indications for the Ilizarov method in trauma is that the method should be considered in any situation where surgeon feels inconvenient with internal fixation. Also a suggestion should be added that the more severe fracture is, the more the Ilizarov method is suitable for the case.
The following most common trauma indications for the Ilizarov method should be considered:
• Severe open fractures with major soft tissue damage
• Limb salvage in fractures combined with vascular injuries
• Open fractures with bone loss
• Intra and periarticular fractures:
• tibial plateau and pilon fractures
• distal femur,
• distal radius
• Intra and periarticular fractures with diaphyseal extension
• Implant failures, refractures, fractures in conditions of pre-existing limb deformities
With the increase of China’s aging population, “health” topic has attracted more and more attention to advanced medical equipment has become the hospital’s “pet”. In today’s high-tech driven, easy to use, intelligent medical devices medical device research and development and innovation focus. In recent years, China’s medical equipment also tasted the benefits of industrial development, rising exports and dividend policy for medical devices medical devices industry’s development into a “honeymoon period”. However, behind medical devices industry, innovation has become a big problem. Now developed into a following Europe and the development of medical devices, only the “made in China” of the cycle, in particular multidisciplinary orthopedic medical device, “innovation” has been dare not touch the pain point enterprise, the Orthopedic medical device innovation?
Found in the research and development process, orthopedic medical device is a multidisciplinary and knowledge-intensive industries, designers and developers of medical devices is not necessarily the real users, and users of products–doctors and patients, and did not know how the biological sciences, which created difficult orthopedic medical device product development. So, how do we solve this dilemma?
In sales while also focusing on customers and patients feel, “sales” and “research and development” way of combining cross orthopedic medical device innovation challenge.
Orthopedic industry, one in the economy, population and technology under the banner of change imperceptibly came quietly in front of the world, some companies to make better use of this kind of change began to restructure their business. In the future, the orthopaedic market will be the development? What promotes the development of the orthopaedic market?
According to orthopedic trendwatching reports, valued at $3.55 billion global orthopaedics market growth 3.5% is expected in 2015, will increase to 3.8 billion dollars. Mainly come from: an aging population, individuals expected to active life, obesity continued to increase, and health-care coverage and other drivers.
Spine, knees, hips, and trauma products accounted for more than 65% of all orthopedic products market as a whole. Increased outsourcing and suppliers a reorganization would promote the development of the precision manufacturing outsourcing markets develop.
Outsourcing precision manufacturing markets include manufacturers of Orthopedic implants, equipment and so on. Implants are the largest market share, and the fastest growing, is expected to be increased from $170 million to $240 million, a compound annual growth rate of 8%. Instrument development speed, and ranked second in market share, projected compound annual growth rate of 5.6%.
Also due to prototype global medical device manufacturers actively outsourcing non-core functions, most medical device companies gradually concentrating resources in research, product development and marketing, and other areas, the outsourced manufacturing allows manufacturers to focus on core competence of speed increase.
Medical Equipment Enterprises In Three Multinational Companies Have The Final Say To Sprint Import Substitution
In 2016, the country continues to release policy positive, driven by domestic medical device manufacturers complete import substitution is then entered a crucial year, multinational medical device giant remains the greatest opponent: they still hold a high-end medical equipment market “initiative”, high-end market coverage of 85% on one side and “localization” layout of unboiled water.
Just look at the price, it will recognize that time has passed, the local medical device manufacturers “import substitution” campaign broken?
Three major multinational medical device giant GPS (GE, Philips, Siemens) was absent for the first time this year, the 76th CMEF (China International medical equipment fair).
This in circle is article medium of news: said big, is because as industry event, CMEF has held has 76 session, in previous years often in exhibition Shang on directly broke procurement big single, GPS collective absent can be described as incredible; said is unlikely to, is because from last year began, including GPS zainei of devices manufacturers on gradually released news, future will no longer participate in autumn exhibition, “collective absent” also can said is in expected within.
On the face of it, including the shadow, MINDRAY, homemade, Neusoft medical equipment manufacturers to replace GPS became the main force of this exhibition, which is a bit like a microcosm of China’s 300 billion medical device market, made in China is emerging, import substitution wave really hit. Despite the ferocious momentum of multinationals “localization” strategy, this alternative is not easy.
Data displayed in the current Chinese medical device market accounted for 14% of the total pharmaceutical market share, this world is 42% a global medical device industry is expected to average annual growth of 4.1%, but China’s nearly six-year compound annual growth rate reached 20%, the medical device market in China can be described as “fat”, who wants to compete.
“To use efficient methods to catch up with the import manufacturers. If you want to compete with GPS positive, is very difficult, so you need to use some method of differentiation, in specific markets to pursue. “MINDRAY medical Chairman chengming and revealed the first financial daily in an interview.
Drill just resorting to motor drive gears increase the strength of drill bit rotation, drills in metal. timber. material does scrape through.
Impact drill, drill chucks knob, adjustable drilling and impact drilling in two ways. but the impact drill is the use of gear on the shaft beating each other to realize the impact, but the impact is much less hammer. it can also drill reinforced concrete, but less effective.
Hammer is not the same, it is the use of motors driving two sets of gears on the bottom structure, a set of its drill, and the other a drive piston, hydraulic engine strokes, have a powerful impact, along with drill results. force can crack stone gold.
Electric pick is motor driven lashes left mound jumping running, so pick a gouge ground effects.
Picks are used in hydraulic pump, air compressor pump in the transmission gas pressure-driven electric pick hammers bouncing back and forth to produce picks gouge ground effects, but electric pick only chisel, its pick does not turn.
Summary drill drill drill drill drill and hammer drill hammer effect can higher hammer electric pick only the hammer does not drill.
1. Repeated failure in person (if it can be repeated), do not believe the user or a third party dictating or paraphrased.
Careful observation, oral not gullible users, especially third party reporting. Some operators in order to evade their responsibilities, said instruments himself … and he didn’t move, etc. These are understandable. Engineers should be properly dealt with.
2. External and internal.
Don’t be so ready to open the Cabinet, no preliminary judgement and excluded veteran likes to roll out the stall is not practice. Expect to open the Cabinet to see where there is a break or apparent failure, purely on luck, even if good luck cannot in every case.
About 50% fault is determined by external environmental or operations, caused by cleaning. Such as whether to shut down for a long time? Whether there is a great temperature difference between day and night?
Apparatus location is near the elevator? Equipment near what equipment is in use? Computer is set up correctly? For a while.
3. Power supply, after the hosts first annex, after the hosts.
Should first check whether the stability of the power supply, the load is too heavy and the ground is good, electrodes and other accessories are good and normal, the interface is correct.
4. Take full advantage of the instrument panel buttons, display screen and operation or maintenance procedures, exclusion, which need to be extremely familiar with the structure.
Focus On The Development Of High-Performance Medical Equipment Away From Dependence On Imports Of Medical Devices
Made 2025 China has clearly put forward to enhance the medical device innovation and industrialization, focusing on the development of high performance equipment, from the high-end medical equipment import-dependent situation.
Currently domestic appliances the overall scientific and technological level 10 years gap with developed countries or regions, mainly in small scale, weak competitiveness; insufficient research and development funding domestic medical institutions buy and use homemade devices lack of policy support national industrial base is still a little weak.
Technology aggregation and concentration is the key to large medical device industry stronger, needs world-class research teams, industry leading and high levels of venture capital project third party connection, can bring the high-end medical equipment. Strengthening cooperation with the high level of scientific research institutes, national applied research projects to industry, complement, the efficient use of resources.
Our high-end medical equipment development, needed to break the foreign giants in a monopolistic situation; should pay attention to “the Internet” thinking through the consolidation of resources, develop the medical devices area of medical services, including medical devices to the Internet, data centers independent software, personalized products such as shared medical clinical samples.
Large sophisticated diagnostic equipment such as CT, MRI, MRI class, such as nuclear medicine and angiography machine DSA has long been “GPS” (GE United States GE, Philips Netherlands Philips, Siemens Germany Siemens) by foreign giants such as monopolies.
Multinational medical device companies take advantage of market dominance and keep raising the prices of products and services. Aftermarket and consumables area, prices for imported medical equipment year warranty from 6% of the contract costs soar more than 10 years ago to the current 15%.