Dizayini ya SureMAX Ntchito Yaikulu: Chida Choyikidwa m'mafupa a Msana wa Khosi ndi Additive Implants Inc. ndi wopambana wotamandika kwambiri pa mphotho yaulemu ya 2020 Mphoto ya Bronze ya A' Design Award mu Gawo la Mpikisano la Mapangidwe a Zipangizo Zachipatala ndi Zida Zamankhwala.
BronzeChipangizo Chachipatala· 2020
SureMAX Ntchito Yaikulu: Chida Choyikidwa m'mafupa a Msana wa Khosi
Kasitomala: Additive Implants Inc
Wopambana pa Mphoto ya Bronze ya A' Design Award mu Gawo la Chipangizo Chachipatala
Wopambana Wotsimikizidwa
Tsimikizani Mkhalidwe wa Mphotho ya #88502Kapangidwe
Za SureMAX Ntchito Yaikulu: Chida Choyikidwa m'mafupa a Msana wa Khosi
Mawu a Bukuli: SureMAX ndi chida choyikidwa m'mafupa a msana wa khosi chopangidwa ndi titaniyamu, chomwe chimagwiritsidwa ntchito pa opaleshoni yotchedwa anterior cervical discectomy and fusion. Kulimba kwa SureMAX kumafanana ndi kulimba kwa fupa la wodwala, kotero kuti mafupa a msana sawonongeka ndipo chidacho sichizama m'mafupa. Mafupa amamera bwino mu titaniyamu, koma zida zakale za titaniyamu zinali zolimba kwambiri. SureMAX imapangidwa pogwiritsa ntchito ukadaulo wa kusindikiza katatu (three-dimensional printing) kuchokera ku ufa wa titaniyamu, zomwe zimalola kupanga mapangidwe amene sangathe kupangidwa ndi makina wamba. Mtundu wake wakunja uli ndi mabowo ndipo ndi wokwanira kukhala wolimba kuti uthandize kukula kwa mafupa. Mazenera a mbali amalola kuti kuchira kuwoneke pa zithunzi za X-ray.
Chidziwitso
Za Mphoto ya Bronze ya A' Design Award
SureMAX Ntchito Yaikulu: Chida Choyikidwa m'mafupa a Msana wa Khosi ndi mmodzi mwa opambana a Mphoto ya Bronze ya A' Design Award, kuzindikirika kolemekezeka kwambiri komwe kumaperekedwa kwa mapangidwe abwino kwambiri omwe amaonekera ndi luso lolenga, kuchenjera ndi nzeru zakuthwa. Opambana a Bronze ndi zinthu zaluso kwambiri ndi zolenga modabwitsa zomwe zimatsimikizira zochitika zazikulu, kulingalira ndi kuchenjera kwa opanga awo. SureMAX Ntchito Yaikulu: Chida Choyikidwa m'mafupa a Msana wa Khosi akuyembekezeka kukhala chinthu choyamikiridwa, chosirira ndi chokondedwa, chaukatswiri wapadera ndi chatsopano. Mapangidwe opambana Mphoto ya Bronze ya A' Design Award awa amaphatikiza machitidwe abwino kwambiri a luso, sayansi, kapangidwe ndi ukadaulo ndipo ndi abwino kwambiri chifukwa cha kusamala kwawo zazing'ono. SureMAX Ntchito Yaikulu: Chida Choyikidwa m'mafupa a Msana wa Khosi amakwaniritsa zosowa mokongola, kukhudza zilakolako, kukopa mitima ndi kudzutsa chidwi.
Kumbuyo kwa Kapangidwe
Katundu wa Atolankhani
Umboni, mamembala a gulu ndi zambiri zapadera zoperekedwa ndi wopanga.
- Makhalidwe Apadera
- SureMAX is the first Titanium spinal implant that has a stiffness that matches the individual's bone stiffness as not to damage it. Bone loves to grow into Titanium but Titanium cages have been limited because they are too stiff and damage the bone. SureMAX has solved this problem through using 3D print technology with geometries that are not machinable. It also has a porous roughen surface to encourage bone to grow into it.
- Miyezo ndi Kuphimba
- There are 72 sizes for SureMAX. The height, the foot print and the angle of the implant are the 3 choices. The angles are 0, 7 and 14 degrees. The choice of the angle is used to correct any stenosis in the spine (this is when the spine has a deformity and the implant is used to fix it). The heights are 5,6,7,8,9,10,11 and 12 mm. The foot prints are 12x14 mm, 14x16 mm and 15x118mm. All units come in a sterile plastic package.
- Zizindikiro
- spinal implant, Inter body fusion device, IBFD, cage, Titanium, Ti Cage, 3D printed, Spine
- Teknoloji Yopangira
- 3D print technology has been used with Titanium powder (Ti6Al4) using porous surface technology to achieve designs that will encourage bone to grow into the spinal implant
- Vuto la Dizayini
- To get result required- a high performance implants which is cost competitive, the team had to design a part that could both hand the stresses and forces required by the US government FDA while solving the patient challenges. The part had to be designed so minimal post processing would be required after 3D printing. Additionally, the rough porous surface which helps the healing process required advance software and new methodologies to manufacture. The diving boards had to share the spinal loads equally in order not to displace the implant in the spine. Side windows had to be designed that permits the loads to be distributed and have large have enough surface to see the bone healing. The hardest part of the design activity was to figure out how 8 independent platforms on both sides of the implant could function as a single unit and share the loads appropriately. The surface had to be porous and roughened Ti that could handle the appropriate loads. The teeth had to be the correct size and angle in order to assure stability, but not too big or small to them a ineffective.
- Kafukufuku
- Titanium (Ti) has always been the material of choice for implants. But Ti is hard to machine and is very stiff. In the interface between Ti and bone, bone can be damaged and the implant subside ( or settle ) in the body. Plastic and Allograft bone material implants are used to address Ti's limitations. Additional, Ti is not X-ray translucent, so physicians can not see how the bone heals through and around the implant. Plastic implants also have the limitation that they remain inert in the body- they are never adsorbed. Bone however grows very well into Ti. The challenge was to create a Ti spinal cervical implant (cervical is for the neck) that had the same stiffness as bone as not to damage it, would not subside (it would stay on top of the bone and not settle), would remain in the position inserted (with the neck movement would not slip), X-ray could go through it (healing could be observed), would pass the stress test required by the FDA and would be cost effective.
- Chilimbikitso
- The inspiration was the lack of a solution that took advantage of new geometries that can be created with Titanium which is the best material for bone to grow into by a spine surgeon who performs over 300 cervical surgeries a year. He wanted an implant made from Titanium that matched bone's hardness, not to damage the vertebra, was visible in X-rays, so healing could be seen through, and would not subside in the spine.
- Nthawi ya Polojekiti
- The design started in 2015 and ended in October 2018 and FDA approval was received in February 2019 (3 year design and 4 month approval). The work was done in Phoenix Arizona USA.
- Mdondomeko ya Ntchito
- The implant is used in an Anterior Cervical Discectomy Fusion (ACDF) surgery where the front of the neck is opened, the damaged cartilage removed and an implant is inserted in order to fuse the vertebra. The implant comes in a sterile plastic package. The surgeon once the damage is observed and removed assesses the size required. The appropriate implant size, angle and foot print is selected and inserted into the spine. A plate is then used (not part of SureMAX) to attach the upper and lower vertebra. The bone then grows into the implant (called inter body fusion device IBFD) and the patient heals.
- Petensi
- Patented #10,299,938 Additive Implants Inc., May 2019, USA
5 additional patent pending and provisional patents
FDA #K182477 (2019), holder Additive Implants Inc. USA
Trademark #88115736 (2018), Additive Implants Inc. USA - Mamembala a Gulu
- Dr. John Ehteshami MD
Robert Brosnehan
Matt Zoghi
JD Howell
Jeff Horn
Babak Ehteshami
Zolipidwa
Fufuzani Kupitilira Designers.org
Onani zinthu, ntchito ndi mwayi kuchokera kwa ogulitsa athu aulaliki.
Zina Zofufuza
Mapangidwe Ofanana
Fufuzani mapangidwe ena opambana mphotho ochokera mu gulu lomweli, osankhidwa malinga ndi ukadaulo.
