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ORTHO NEWS

Robotic Arm Installs 3D-Printed Joint Replacements

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Monogram Orthopedics takes a unique approach to joint replacement. The company’s robotic arm installs joint implants that have been 3D-printed to fit each patient’s specific bone structure with gloved hand precision. The company claims that its system will allow surgeons to replace joints with perfectly fitted implants and through less invasive procedures, reducing the rates of infection, dislocation and failure of the implant and dramatically improving patient outcomes.

With $ 16.7 million in capital and its growing list of pre-orders, Monogram expects to make a profit by the end of 2021. Here we will delve into Monogram technology to see how this company is poised to transform the world’s joint replacement market. . .

Generic implants have a high cost for patients

Traditional hip and knee replacements can be inefficient, error-prone, and prone to failure. Even today’s most advanced implants are mass-produced. These implants are installed after surgeons measure the proportions of a joint and then cut the affected bone with saws and insoles. Once they have given way to the implant, surgeons stick it in place with bone cement, which can crack after surgery. In fact, the implants themselves may also be prone to mechanical failure, forcing thousands of patients to return to hospitals for new operations.

These problems are well known to the medical community. Although many implant failures occur due to mechanical problems, many remain related to the underlying problems of instability, misalignment, and cement rupture.

All of these problems can be mitigated with technologies such as mapping and 3D printing, which have helped solve similar problems in other medical fields, and today physicians and patients are increasingly looking for more customized and accurate implant solutions. This is where Monogram technology comes in.

Custom implants provide better results for the patient

Unlike the generic products of their competitors, Monogram custom printed implants use each patient’s individual bone structure as a plan. The company’s custom manufacturing process begins with a computed tomography of the board to be replaced. The data from this scan feeds an AI-based preoperative interface, which uses predictive algorithms to help the surgeon plan the procedure from all angles. An automated manufacturing system prints the implant in 3D, giving it a way to slide perfectly into the patient’s joint.

A robotic surgical arm serves as the second component of the Monogram system. Guided from a real-time virtual navigation dashboard, the robot follows the surgeon’s instructions, but does not require any direct manual guidance, effectively eliminating human error from the surgery itself. The arm begins by making a small incision and then uses a milling drill to clean a precisely sculpted cavity in the bone. The implant adapts perfectly to the cavity with minimal or no cement, which has Monogram up to 270% more stable than a generic equivalent.

Taken together, Monogram’s hardware and software represent innovations expected by the orthopedic industry. Given the failure rate of traditional implants, it’s not hard to see why. The adoption of Monogram technology could significantly reduce cases of loosening and dislocation, which would result in far fewer repeated surgeries and significantly improve patient outcomes.

Robots and 3D printing are on their way to rapid expansion

Because low-wear plastics make knee implants more practical for under-65s, young and active patients are expected to account for more than half of all knee replacement procedures by 2030, creating a total market of at least $ 12.5 billion.

Companies that reach the market first in this sector gain a considerable advantage over their competitors. For example, today’s leading orthopedic robot outperforms its second rival 12 to one, with a market share of 87%. Kamran Shamaei, Monogram’s vice president of engineering, helped develop this robot, and right now Monogram is the only company that sells an active milling robot arm that installs custom printed implants.

In short, Monogram has a leading market advantage in a sector that is about to become even more competitive. It is entering this market through a multi-purpose approach designed to mitigate risks and at the same time bring about the maximum possible traction of its existing capital.

Over the next few months, Monogram plans to generate immediate term revenue by licensing its global knee implant system to networks of medical distributors. He will then leverage these networks to sell patient-specific 3D printed implants, initially for use in traditional manual surgeries. Finally, it will present its surgical robot, completing the launch of its entire integrated solution.

Monogram has already raised $ 16.7 million from more than 6,700 investors and raised them through three successful rounds of financing. Now, with two signed dealer contracts and more under construction, Monogram offers individual investors the option to buy shares normally restricted to venture capital firms and banking institutions. It has already sold $ 7.3 million of these shares, surpassing yet another funding target.

It is clear that the future of medicine is personalized. Tailor-made implants and robotic surgeries will be the norm by the end of this decade. By then, Monogram could be the leader in this rapidly changing space, allowing surgeons to deliver the consistent results their patients deserve.


The content of this article should not be construed as a substitute for professional medical advice, diagnosis, or treatment. Always consult a doctor before trying any treatment or buying products to help you control your condition.

The content of this article also does not constitute any financial or investment advice. It is important to conduct your own research and consider seeking advice from an independent financial professional before making banking or investment decisions.

Filed Under: ORTHO NEWS

“Mess” in Covid Passport Certification May Interfere with Hip Surgery

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A woman trapped in the crisis on the waiting list for a Northern Ireland hospital may not be able to travel for essential surgery due to the wreckage of her Covid-19 passport.

the woman, who is due to travel to Lithuania on Sunday for a hip replacement, has so far been unable to obtain a Covid vaccine certificate to prove she is twice vaccinated.

She has been forced to travel abroad for surgery due to spiraling hospital waiting lists, which can see patients here wait up to 10 years for procedures to treat painful and debilitating conditions. .

However, the Northern Ireland Covid certification service has been plagued by a number of technical issues, so travelers traveling in the coming days do not know if they will have proof of their double vaccine.

As a result, they have to go out to Covid’s private tests, but the increase in demand causes many time slots to be reserved.

Sinead McLaughlin, a member of the SDLP, described the current situation as a “mess” and said the Department of Health should not have launched its Covid certificate application until it was ready.

“I was contacted on behalf of a local patient who the NHS has already let down due to excessive lists and waiting times,” he said.

“They are in physical difficulty, so they have organized a hip replacement surgery in Lithuania. Having made these arrangements and borne these costs, they are now anxious that they will not be able to travel.

“The uncertainty and chaos surrounding Covid certificates has made the situation much worse. There is no excuse to launch an application without it being fully tested and absolutely certain that it works and is resilient.

“The interim service should have been maintained so that a backup option would be maintained. It is essential that the Department of Health catch up on the situation urgently.”

The patient is one of hundreds of people believed to be affected by the latest error in the Department of Health’s vaccine certificate system.

The Covid certification program was launched on the NI Direct website as a way for travelers to apply for a vaccine certificate.

Last week, however, the service was shut down as a result of a technical problem, and the Department of Health issued a statement Thursday evening informing it that it would be available at 9 a.m. yesterday.

But people trying to log in to the system yesterday morning were greeted with an error message that said, “Our services are not available right now. We are working to restore all services as soon as possible.”

Frantic travelers complained that the helpline number did not work and there were no responses to queries sent by email.

Another message was posted stating: “The Northern Ireland Covid certification service will be available in the early afternoon of Friday 30 July for those traveling on 1 August 2021 in the first instance.

“Some applications will be processed manually and applicants will be contacted by email to find out what to do as they progress.

“Although the service has been resumed, it is being managed in a controlled and phased manner and will be strictly limited to outstanding dates.

“The first process will involve proof of identity, and then you will be notified when you apply for a certificate. More information will be given tomorrow for those traveling after August 1st.

“The Department of Health insists those traveling outside of Aug. 1 will not apply or will simply delay the full restoration of normal services.”

The Department of Health has been contacted for comment.

Filed Under: HIP, hip surgery, ORTHO NEWS

Possible Complications of Hip or Knee Surgery

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This information about possible complications is critical and should be reviewed by anyone contemplating hip or knee surgery of any kind.

This list will serve as the beginning point of our discussion about your surgery. This may be more detail than you want to know, but please take the time to read this material and understand it thoroughly.

doctor discussing risk with senior patientThe odds of a complication occurring are very small. In the vast majority of surgical procedures, the outcomes are satisfactory; modern surgery is very safe. But, just as riding in a car or flying in an airplane, all risk cannot be eliminated.

Therefore, it is vital that you review the material below, and ask questions, before any surgery is planned. Your surgeon and medical team will proceed with your surgery with the assumption that you understand, accept, and recognize this information.

If these risks are unacceptable, then please postpone the procedure. Bear in mind that although many complications are listed, all surgical procedures have a small chance of unpredictable outcomes — complications that no one can reasonably predict.

Some complications include:

  • Blood Clots
  • Pneumonia
  • Nerve Injury
  • Blood Vessel Injury
  • Blood Transfusion Risks
  • Anesthetic Complications
  • Failure of Implants
  • Heart Attack and Other Cardiac Complications
  • Stroke
  • Dislocation of the Components
  • Infection
  • Fracture
  • Leg Length Inequality and Complications Related to Malalignment of the Leg

Your doctors will assume that you understand possible complications before embarking on surgery. More detailed information about the risks of hip or knee surgery can be found here.

Please understand that they may cancel a scheduled operation at any time up until the time of surgery if, in their judgment, you are unlikely to have a satisfactory result from the surgery or if the risk of a poor result or an adverse outcome exceeds their safe threshold for performing such surgery.

Filed Under: HIP, KNEE, ORTHO NEWS Tagged With: complications, risks

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Copyright 2014 All Rights Reserved · DISCLAIMER: Nothing here constitutes legal, medical, or other advice; all content relates to an individual perspective only. A professional relationship with a physician, or with a lawyer is built over time, with mutual investment, trust, and respect. This site is not a substitute for that.
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