Look at the high-end medical equipment short board under the "magnifying glass" of the epidemic.

Medical network September 9th, anti-epidemic front line, medical equipment is the medical staff's war "epidemic" weapons.
in this year's war "epidemic" struggle, some medical personnel and related enterprises reflect that China's domestic first aid equipment, ventilators, in-body diagnostic equipment and other fields still exist technology and application of short boards, the epidemic amplified this situation.
some of China's high-end medical devices in the "most in need of the most urgent", weak technology, low reserves, low production capacity, the phenomenon of not using prominent.
industry suggested that in the development of high-tech, exploration of technology "no man's land" at the same time, but also need to strengthen the industrial chain, innovation chain-related supporting initiatives.
we should strongly support the development of high-end medical devices supporting basic, supporting industries, scientifically improve the emergency reserve mechanism for high-end medical devices, accelerate the popularization and application of cutting-edge medical devices at the grass-roots level, and seize the "window period" for the development of high-end medical devices.
the "shortage of equipment to bring the first line but can not be used" not long ago, the Chinese Medical Equipment Association issued "on the recommendation of the new crown pneumonia epidemic prevention and treatment of urgent need for medical equipment notice (fifth batch)."
medical equipment on the list is also seen as "much-needed ammunition on the front lines."
the first five batches of the catalog, including non-invasive ventilators, electrolyte analyzers, automatic bio-chemical analyzers and other scientific instruments, each category provides a list of purchasing enterprises.
statistics, about 1/4 of these enterprises are foreign enterprises, especially in the field of ventilators, defibrillators, medical imaging, the directory recommended a higher proportion of foreign enterprises.
in addition to the urgent need for key equipment for foreign production, domestic equipment in the application process lack of support also makes the first-line medical workers headache.
a province to support Hubei medical team leader said that in the serious, critical treatment process, in-body membrane pulmonary oxygenation equipment ECMO (commonly known as "artificial lung") and other professional equipment once faced deficiencies.
, because domestic products in the supporting aspects of the existence of short board, some equipment even if brought will be due to lack of on-site conditions can not be used.
" Many hospital wards for serious and critically ill patients are temporary renovations of general wards, while invasive treatments such as tracheosis for patients with neo-coronary pneumonia must be carried out in specialist infectious disease intensive care units, otherwise the risk of infection is high for health care workers.
" the person in charge believes that once the equipment and hardware facilities can not match the problem, domestic medical device enterprises can not come up with an emergency solution in a short time, hospitals and enterprises are now aware of this contradiction.
shortage of high-value consumables was also highlighted during the outbreak.
the CT ball tube as an example, this is one of the most important core components in CT, its performance directly affects the image quality and service life of CT.
the outbreak, Fangshan Hospital, Lei Shenshan Hospital and Fire Shenshan Hospital all need a large number of ball tubes with domestic CT machine.
but subject to raw material supply and process, CT ball tube production and manufacturing cycle is longer, to a certain extent, affecting the timely supply of epidemic diagnostic equipment and clinical diagnostic equipment operation.
during the epidemic, the surge in demand Development momentum is still insufficient special period to stimulate the demand for some high-end medical devices, different types of devices short board also reflects China's development of high-end medical device industry encountered deep-seated problems.
, there are short boards in technology, and the lack of development power also reduces the heat of the attack.
, ECMO is a medical first aid technology that primarily gives patients time to recover from heart and lung function when they are critically ill.
, by the technical threshold, clinical use constraints, market demand and other factors, China still lacks the entire industrial chain layout of the production of ECMO enterprises.
, the equipment is expensive to use and relatively low frequency of use during non-epidemic periods.
in the absence of domestic enterprises to produce the equipment and core supplies, China in this field of equipment lack of international pricing power, development momentum is not enough.
, the strategic supply of instruments such as ventilators is inadequate.
china's ventilator market grew from 5.58 billion yuan in 2014 to 11.61 billion yuan in 2018.
china Medical Devices Industry Association data show that the highest share of the domestic market of ventilators is the Dutch brand Philips Viacom.
estimated that the actual need for ventilators on the front line of the epidemic resistance is about 25,000 units.
during the outbreak, ventilators were in short supply, mainly because of tight supplies of raw materials such as sensors and critical components.
Li Kai, assistant chairman of Beijing Yi'an Medical, said that in addition to upstream raw material suppliers in the pre-epidemic shutdown, sensors, chips, turbines and other components rely on imports from Germany, the United States, but also affect the rapid increase in production of ventilators an important reason.
the market size of chinese ventilators gradually increased, the market share of domestic machines is low, domestic technology and foreign brands have some products gap, equipment special period of insufficient supply ... The problems encountered by ventilators reflect to some extent the "common diseases" faced by medical devices in China during the epidemic.
addition, in the application of some new technologies, but also exposed certain problems.
disinfection robots, unmanned robot distribution, artificial intelligence medical imaging-assisted diagnosis... During the outbreak, some cutting-edge technologies and medical devices are becoming integrated in the application scenario.
but some enterprises reflect that the field is still in the "chaos period", the cooperation between various scientific and technological enterprises and medical enterprises still lack a systematic and complete technology landing mechanism.
example, artificial intelligence medical imaging screening, in the critical period of outbreak prevention and control, such devices can make a diagnosis of the disease in 10 seconds.
the head of the research and development team told reporters that "medical devices and new technology" still face "understanding technology do not understand medicine, understand medicine do not know how to apply new technology" leading to difficult cooperation and other issues.
grasp the development of high-end medical devices "window period" for the above issues, the relevant front-line personnel from the technical application and policy support and other perspectives to put forward relevant recommendations.
technical level, it is recommended to capture new trends in high-end medical device technology to achieve corner oversized vehicles.
to speed up the application of artificial intelligence and seize the opportunity of corner oversteer.
, president of Shanghai United Pictures Technology, believes that artificial intelligence is an opportunity for China to achieve corner oversized vehicles in medical devices.
" artificial needs a large number of cases to learn, China has many cases to learn, especially stomach cancer, liver cancer and other specific genetic susceptible diseases in China have advantages.
Luyong, head of medical technology at Ai Kunwei, an American consulting firm, recommends supporting companies to jointly develop technologies with clinical medical experts.
to strengthen investment in research and development and encourage investment in the acquisition of complementary boards.
For the production of high-end medical equipment used in some upstream raw materials and key components rely on imports and other issues, the enterprises interviewed suggested: on the one hand, continue to strengthen upstream production, research and development cooperation research and development investment, break through the underlying tools, like China's innovative drug research and development steps, from imitation to innovation;
support the development of supporting supporting industries.
Zhejiang Drug Administration Director of Drug Safety Dong Geng said that the current polymer medical device production pipeline, 4K HD mirror, human tissue materials and other high-end medical device-related supporting industries of professional research and development and manufacturing enterprises (teams) have been formed, if these supporting industries can be supported to achieve high-scale production and high-level professional division of labor, is conducive to China and even the global high-end medical device industry overall level.
capital operation level, it is suggested that government funds should increase lead investment and encourage mergers and acquisitions to accelerate domestic substitution.
government industry funds to play a role in attracting investment.
Zhang Benxuan, chairman of Chongqing Yongrenxin Technology Co., Ltd., and other suggestions, hope that the government through the establishment of industrial development funds, government equity investment funds and other ways to give financial support to major innovation projects in medical devices, to guide more social funds to the field of high-end medical devices.
supports the rapid improvement of technology and product lines for extended mergers and acquisitions. Zhan Guowei, general manager of
, said that high-end medical device innovation can not "build cars behind closed doors", the need to keep up with the global technology frontier, it is proposed to build a "Belt and Road", enterprises "going out" and other background, to encourage international capital operation, through capital acquisition and digestion and absorption technology, and ultimately form an independent research and development production capacity.
encourage successful enterprises to build platforms and incubators.
Xie Yufeng, general manager of Beijing Wandong Medical Technology Co., Ltd., suggested that enterprises with successful experience should be encouraged to develop into platform-based and incubator-oriented enterprises, so as to shorten the product development cycle and speed up the launch of innovative products to provide services, and the use of channels can also form synergies.
at the policy level, there is still room for reform of the chain of certification, entry and hospitalization of innovative products.
as a defense enterprise "run broken leg", can further reduce the decentralization.
For medical device product declaration and registration time is long, access to public hospital fee directory difficult, difficult to enter the medical insurance catalog and other issues, the enterprises interviewed suggest that we can learn from the Management Experience of the United States and the European Union, optimize the definition of three types of medical device catalog, pilot three types of medical device testing, evaluation, certification, to clear the registration backlog "Lake"; Timely registration of innovative medical device products into the catalog, while providing that once incorporated in other provinces and cities can be directly into the catalog, medical service price audit recommendations to the designated departments, after the approval of the provinces and cities in accordance with local conditions in a certain range of adjustment and unified implementation, to avoid the abnormality of developed provinces far below the central and western provinces.
to give priority to the procurement of high-quality domestic products into practice.
Wang Dongsheng, vice president of the China Medical Equipment Association, said that the current selection catalogue of outstanding domestic medical equipment products is for local procurement only as a reference, and some provinces have also put forward specific provisions for medical institutions to give priority to the procurement of domestic equipment, but not pushed aside the whole country, suggested to increase incentives for priority procurement of domestic high-quality products hospitals in the medical insurance and other aspects of the tilt.
addition, it is recommended to further strengthen the selection and hospitalization of domestic high-quality medical devices, taking into account the relevant WTO rules, by reference to the "list of drugs evaluated through consistency".
, accelerate the marketization of testing and strengthen regulatory power.
for high-end medical equipment testing, approval of "long queues" phenomenon, the enterprises and regulatory authorities recommended: on the one hand, testing and other social links to seize the release.
" part of the market can be opened the pace of marketization is too slow, such as the detection of long queues of enterprises complain, inspectors are also tired of running for their lives.
" Dong Geng suggested that more third-party professional testing institutions can be authorized to test three types of medical devices, and these third-party testing institutions to do a good job of service and supervision.
the other hand, improve the salary level of senior inspectors and approvers in key regulatory departments such as enterprise examination and on-site inspection, retain regulatory talents and raise the level of supervision.
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