On June 6, the medical network was able to guarantee the needs of the people for the treatment of the disease, reducing the cost of health care is an important aspect. The use of medical devices is a significant proportion of medical expenses. Through the innovation of the domestic medical equipment research and development, and in such aspects as the bidding procurement get the equal status of imported products, promote the market competition, the patient's medical burden is expected to ease. 

 

Progression of gastric cancer. Zhang bing (not his real name), a patient in yuanmou county, yunnan province, was diagnosed with tears in his wife and daughter. 

 

They don't have a lot of savings, but they don't want to give up. With the help of social love, zhang has experienced a successful minimally invasive operation. 

 

Minimally invasive medical technology has the advantages of small wound, low complication and quick recovery. Statistics show that the cost of minimally invasive cancer surgery is 20 percent lower than that of traditional surgery, which accounts for only about 20 percent of the cost of chemotherapy. 

 

At present, the domestic cancer patients, like zhang bing, who use minimally invasive surgery, only account for 7% to 10% of the total. However, with the development of medical devices and materials, this proportion is expected to rise. Treatment of major diseases, shortening hospital stay, saving medical bills and reducing disease poverty will be more likely in the future. 

 

Minimally invasive surgical instruments 

 

The tumor can't be treated in the county 

 

Learning about zhang bing's family, zeng yujian, deputy director of the gastroenterology department at the first affiliated hospital of kunming medical university, called for social love assistance through the online fundraising platform. 

 

With online fundraising, hospital relief and the donation of more than 20,000 surgical instruments, a "love operation" is perfect. "The patient is discharged, the pathology does not have lymph node transfer. Total cost 20,000 yuan, donate 20,000 yuan. Thank you for support." Zeng yujian reported peace to the caring people. 

 

But not everyone is as lucky as zhang bing. In February 2017, the national cancer center released data showing higher cancer deaths in rural areas. The lack of minimally invasive surgery is one of the reasons for this. 

 

"It's not that patients don't want to use it, they don't have money, they don't have the ability to use it." Nie honglin, the founder of Shanghai yisi medical co., which donated microsurgery equipment to zhang bing, said the operation didn't introduce many grassroots hospitals. 

 

Beijing xuanwu hospital thoracic surgery, director of the good professor said: "minimally invasive interventional therapy, should be a standing army in tumor treatment. But people actually use, not much." Like traditional thoracic surgery, to cut off the ribs and chest muscles, 40 -- 50 cm incision, if instead of minimally invasive surgery, can significantly reduce the patient's pain. 

 

In addition to the pain, minimally invasive surgery is economically cost-effective. "Theory of the operation itself, a little higher the cost of the minimally invasive surgery. However, it can recover quickly, small trauma, shorter hospitalization time, using fewer drugs, the overall cost is low." "Said zhang zhongtao, deputy director of the Beijing friendship hospital. 

 

In zhong-tao zhang's view, minimally invasive surgery is very necessary in the grass-roots popularization, domestic innovation medical instrument enterprises should cooperate with hierarchical diagnosis and treatment policy go down, to achieve lower cost YiXie medicine into the base. 

 

Safeguard fair competition 

 

National goods reduce the burden of medical treatment 

 

"Domestic medical equipment is too little, 90% 90% of the large equipment in big hospitals, basically rely on foreign technology", the ministry of science and technology development strategy of science and technology research institute, vice President of professor Wang Hongguang said, reduce the burden of common people to see the doctor have to rely on air. 

 

Recently, in zhejiang province of medical equipment bidding with no clear group, domestic large Angle of multi-functional cavity mirror stapling against international medical equipment giant, in the review. But the international giant has cut its bid price by 30%, with only a 5% reduction in price. 

 

Jin guo-san, an academician of the Chinese academy of engineering, believes that the current bidding system should be optimized to stop discriminating against domestic medical instruments and solve the problem of "not willing to use". Now bidding rules, the distinction between domestic and imported medical equipment, imported products enjoy higher pricing, enjoy the super national treatment, policy should cancel such unreasonable bidding, giving domestic brands fair competition opportunity. 

 

In the past, the foldable artificial crystals that treat cataracts in China have long relied on foreign imports. Now, break the monopoly of foreign companies, put an end to the domestic cataract patients "with hard crystal pain, with a soft crystal expensive", make Chinese people use more cost-effective domestic crystal, has become a reality. In July 2014, puno Ming type high order aspheric intraocular lens to get the state food and drug supervision and administration bureau registration certificate, was the only with completely independent intellectual property rights of foldable intraocular lens, compared with imported similar products, postoperative visual quality excellent, material biocompatibility, and the price is less than half of the imported products. The product has entered more than 400 ophthalmological hospitals or comprehensive hospital ophthalmology, with more than 100,000 patients implanted, and the product is widely recognized by doctors of cataract surgery. In November 2016, puno Ming Toric as the only heparin the high-end of the surface modification of intraocular lens, by the state food and drug supervision and administration bureau "innovation medical instrument special approval procedures for the registration certificate. Product research and development enterprise aibo noble (Beijing) medical technology co., LTD., chairman of XieJiangBing introduction, their domestic intraocular lens to adapt to Chinese physical characteristics and optical design several aspects such as innovation breakthrough, achieved similar products, technology synchronization and local leading, can look forward to the future, in a more fair and orderly competition environment of medical equipment, the treatment of cataract patients will get more high quality and cheap services, reduce the burden of treatment, reduce the occurrence of poverty because of illness. 

 

Clinical interaction 

 

Effectively promote the innovation of medical equipment 

 

A 16-year-old in yunnan province, surnamed li, has donated nine organs and tissues after his death in a car accident, bringing seven patients back to life. Among them, there is a simultaneous pancreas kidney transplantation, li li, the first people's hospital in kunming, yunnan province by the director and vice President of the four, and institute of Oklahoma transplants together to complete a medical experts, the operation was very successful. The operation USES a stapling device and four white nails. Expert feedback, they used to only use imported products, but this time the domestic product was used to feel good, and the nail effect was great. 

 

It is a small titanium nail, which is the most secure metal in the body and is often used for surgical stitching. But usually imported products after the suture group, titanium nail is relatively flat rectangular, when the tension is too large, titanium nail bounce off, lead to the risk of postoperative wound bleeding again. 

 

This is a clinical problem that needs to be returned to the instrument level for improvement. The improvement of medical equipment is inseparable from clinical practice. Doctors are on the frontline of disease treatment, and they are most likely to think creatively on the basis of defects in existing instruments. 

 

It is one of the most effective ways for the innovation of medical equipment to realize the positive interaction between clinical practice and the domestic medical device industry. Cervical cancer lesion before surgery in electricity equipment cutting process will produce a large amount of harmful smoke, the smoke may contain HPV, HIV and other active substances, with the risk of spreading the virus, threatening the doctor and the patient's health. And domestic innovative products - sharp rotary knife smoke-free design can make smoke trace and avoid postoperative bleeding off scabs ever happens, ensure that the structure of the cervix, utmost ground to protect the patient health. The world's first automatic cold knife taper cutting technology, reduce the requirement of the operation skills to the doctor, better able to spread to the basic-level hospitals, suits the gynecologic experts put forward by the member of Chinese academy of engineering iwabe "cervical cancer prevention and control at the grassroots" guidelines. 

 

Xiangyang, says professor in Peking union medical college hospital obstetrics and gynecology, deputy director of the medical apparatus and instruments for clinical services, well only in clinical use, this equipment has a stronger vitality. Product development depends on clinical, let clinical experts involved, deep communication with r&d team, formed a new mode of mutual cooperation, is a way out of domestic medical equipment innovation. 

 

Clinical experts can be the first holders of product patents, and the industrialization of scientific research will allow them to participate in profit-sharing. Clinical experts can choose to transfer intellectual property, or invest in intellectual property, respecting the needs and contributions of clinical practice to the product. The expert thinks, it efficiently into the innovation of the medical experts wisdom industry value, and make the medical experts to get the corresponding economic return, which is to promote China to achieve originality and lead the innovation of the catalyst. Let the innovation force flow fully and reduce the burden of the people.