December 29, 2021

Next Year, Russia’s Healthcare System Will Be Provided with All the Necessary Domestically Produced Modern Equipment / Rossiyskaya Gazeta

In 2022, Russian medical equipment manufacturers will be ready to fully meet the needs of the healthcare market for certain medium-complexity devices. Ivan Ozhgikhin, the senior managing director of the RUSNANO Management Company, the chairperson of the Board of the Medical Technology Consortium told at the BIOTECHMED-2021 forum.

The goal will be achieved with the help of the Medical Technology Consortium established by state corporations such as Rostech, Rosatom, the Almaz-Antey Concern, the Association of Defense Industry Medical Device and Equipment Manufacturers and the Association of Medicinal Product, Medical Device and Technology Manufacturers and Suppliers. The members of the Consortium plan to occupy 80 percent of the market that is not occupied by Russian manufacturers now.

Products of CML AT Medical. Photo by the Media Office of the North-West Technology Transfer Center

The pandemic has shown that domestic manufacturers of medical equipment and accessories are ready to respond to the most unexpected challenges. The Russian industry met the increased medical needs fully. It has been able to promptly supply necessary equipment and consumables in the hard COVID-19 times.

Domestic manufacturers can produce equipment that not only meets the quality standards of their foreign counterparts but even exeed them in certain aspects. For example, the Visionix Rus company (part of the TechnoSpark group of companies of the Fund for Infrastructural and Educational Programs of the RUSNANO Group) manufactures ophthalmological equipment localized In Russia. In particular, an automatic system that is used by optometrists to perform contactless eye examination to assess visual acuity. It combines automatic refraction measurement and simultaneous iterative lens adjustment to select the perfect eyeglass prescription.

The EyeRefract ophthalmological system from Visionix Rus. Photo by the Media Office of TechnoSpark

The ER system processes data from more than 40 patients in an eight-hour work shift without losing the quality of the examination. It is designed to work in large optics shops with high traffic. “Vision diagnostics and preparation of a prescription while selecting the glasses using the EyeRefract system takes up to 4–5 minutes. This allows to reduce the time in a line and increase the time for consultations on the selection of glasses and lenses in the sales area.

LaserSpark is another portfolio company of the RUSNANO Group. It provides services in the development of technological processes in which various types of lasers are used. The company has experience in selecting, evaluating, and assembling laser systems for micromachining, sapphire substrate cutting, PLD processes, surgery and cosmetology.

The CML AT Medical engineering company, a startup from the North-West Technology Transfer Center of the Fund for Infrastructural and Educational Programs of the RUSNANO Group, has developed and supplies cranial plates—implants for replacing damaged parts of the cranium and dura mater. They are made from titanium based on patients’ individual CT images using 3D printing. Such implants are precisely fixed on the cranium, do not require adjustment to the size of cranial defects, and significantly facilitate and accelerate the operation process. Placing such plates allows to achieve a great cosmetic effect and also protects the brain and its membranes against traumas.

Cranial plates and other products from CML. Photo by the Media Office of the North-West Technology Transfer Center

More than 150 cranial plate operations were performed in Russia in last three years. In April 2021, the first operation using an individualized set of devices from CML AT Medical was successfully performed at the National Neurosurgery Center in Nur-Sultan, the capital of Kazakhstan. Moreover, the company, together with the Russian Scientific Research Institute of Traumatology and Orthopedics named after R.R. Vreden, has developed a unique individualized endoprostheses for replacing the knee joint and a part of the femur. Although modular endoprostheses are very common in Russia’s market, a single individualized implant is stronger and more durable due to the minimal number of connection elements in it. Such products are modeled after patients’ CT images. This allows to design them taking into account the anatomical characteristics of patients. Such implants are made from a biocompatible titanium alloy using 3D printing. The use of individualized endoprostheses enables patients to quickly return to an active lifestyle.

The cooperation of CML AT Medical and the RSRI of TO n.a. R.R. Vreden on creating a single endoprosthesis for replacing the knee joint and femur is not the only example of successful cooperation of a startup with medical institutions. In the last two years, specialists of an engineering company have developed individualized medical products for the TNRMC RAS (Tomsk National Research Medical Center of the Russian Academy of Sciences), the Clinical Hospital No. 122 n.a. L.G. Sokolov of the FMBA, National Ilizarov Medical Research Center for Traumatology and Orthopedics, the N.N. Burdenko National Medical Research Center of Neurosurgery. According to the company’s director Yana Chekryzhova, the team’s expertise allows to optimally adapt conceptual solutions of medical specialists for modeling and producing printed implants. Moreover, a company’s cooperation with leading medical centers stimulate the increase of the share of domestic competitive products in the country’s market for medical devices.

3D cages. Photo by the Media Office of the North-West Technology Transfer Center

According to a specialist’s assessment, Russia’s market for medical implants has great growth potential. According to reports by the Center for Innovative Technologies in Orthopedics of the Ministry of Industry and Trade of Russia, 1 million 216 thousand traumatological and orthopedic operations are performed in Russia every year. More than 250 thousand of these operations are joint operations. The annual need for medical devices for treating the musculoskeletal system is more than three million devices. But for now, the share of Russian products of this type does not exceed 15 percent. The development of the internal market for printed implants will allow to satisfy the demand of the domestic healthcare system for medical devices of this segment and to ensure import substitution.

According to the research by the Scoliosis Research Society, approximately 40 thousand vertebral column operations are performed in Russia each year. At the same time, the quarter of these operations is performed using medical devices from foreign manufacturers. The Pozvonoq startup from the North-West Nanocenter and the Orthoinvest production company (part of the investment network of the Fund for Infrastructural and Education Programs of the RUSNANO Group) may change this situation. The company has successfully completed laboratory trials of ten lines of intervertebral cages used to solve the problems of stabilizing the vertebral column. The introduction of the products into the market will allow the replacement of approximately 50 percent of spinal surgery implants produced abroad. In addition, the price of final Pozvonoq products will be 30 percent lower than their foreign counterparts under the same use conditions. Another difference of this product is the more effective osseointegration of an implant into the osseous tissue of a patient. The products are made from a biocompatible titanium alloy using 3D printing.

An orthosis. Photo: the Media Office of the TechnoSpark group of companies

“The catalogue of serial products of our company has more than 600 types and sizes of ready-made intervertebral cages allowing to select the most suitable model, considering the specifics of a defect and anatomical characteristics of the patient’s musculoskeletal system,” comments the director of the Pozvonoq startup Olga Voblaya.

Now there are also individualized additive ortheses in the market—special external medical devices for fixing, unloading, rehabilitating, and correcting the functions of a damaged or fractured joint or appendage. They allow to replace uncomfortable orthopedic casts. For example, such products are manufactured by the Zdravprint company. Such ortheses are made based on the biometric parameters of a patients using 3D printing. A special program creates a 3D model of an individualized orthesis, taking into account the size of the patient’s hand. Printing takes from 15 to 90 minutes. The adjustment of a product to a patient takes only five minutes.
Source: Rossiyskaya Gazeta

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