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Protesters march in Panama against the contract extension for a huge copper mine_我的网站

霸王别姬

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近日,健适医疗科技集团对外宣布,其自主研发的"睿志Ultra智能电动腔镜吻合器(以下简称:睿志Ultra)"获得国家药品监督管理局(NMPA)批准上市,该产品已于今年4月获得欧盟CE认证。

图为“睿志Ultra智能电动腔镜吻合器”随着人工智能在医疗领域的逐步应用,微创外科手术已开始步入"精准微创时代",通过AI辅助规划、能量自适应等方式,手术的精准性和安全性得到大幅提升。

二 | 睿志Ultra具备全智能的"组织自适应实时反馈功能",能够根据组织的厚薄进行自动、实时反应,同时支持智高钉技术(渐进式高度),即使在组织厚度不均的情况下,仍能确保实现均匀压榨与稳定成钉。    PANAMA CITY -- Protesters blocked streets across Panama on Monday, demanding the government rescind a contract to continue copper mining in a biodiverse region.Teaching and construction unions led calls against the contract with environmentalists, saying continued development threatens forested land and crucial groundwater just 75 miles (120 kilometers) west of the capital, in the state of Colon.Across Panama City, peaceful protesters handed out fliers, but in some areas on the outskirts of the capital police met protesters with tear gas. In anticipation of the largest marches since a cost of living crisis last July, both the Department of Education and the University of Panama cancelled classes. The government used social media to highlight the “enormous contribution” the mine — Panama's largest private investment ever — makes to the country's economy.In March, Panama's legislature reached an agreement with Canadian mining company First Quantum, allowing its local subsidiary, Minera Panama, to continue operating a huge open-pit copper mine in central Panama for at least 20 more years. The mine was temporarily closed last year when talks between the government and First Quantum broke down over payments the government wanted to receive.Protests began after President Laurentino Cortizo signed off on that contract on Friday after it was approved by the congress.The president acted surreptitiously, according to Fernando Abrego, leader of Panama's Association of Teachers union. “The government decided this confrontation by quickly and expeditiously approving a contract they know is rejected by the people,” he said.Teachers were joined by construction workers, who are one of country's most powerful labor groups. “The people are in the streets in defense of sovereignty," said union leader Saúl Méndez, "in the face of a contract that cedes self-determination by devastating the environment to steal resources.”It is unclear how persuasive these arguments will prove against the economic boon of a single mining site that already brings in 3% of the nation’s gross domestic product. Minera Panama says the mine will employ thousands of Panamanians and that its shipments make 80% of the country's total exports.The new contract, initially slowed by labor disagreements, secures Panama at least $375 million a year from Minera Panama, over 10 times more than the previous deal. It represents one of the largest national mining contracts in a region where other countries like Costa Rica regulate the sector more stringently and El Salvador which banned metal mining in 2017. For teachers, however, Abrego said concession was not an option, and that the teachers' union would hold an assembly to plan their next actions. “We will remain in the streets,” he said.。例如在胸外科手术中,不少肺癌患者会在术前进行放化疗、免疫治疗等新辅助治疗手段,以缩小肿瘤体积、杀灭微小转移灶,从而将原本无法切除的肿瘤转化为可切除。但是,这些新辅助治疗容易引发组织水肿增厚、粘连加重、或是结节硬化,增加后续手术的解剖难度与出血风险。面对这类情况,如果使用传统吻合器进行手术,术者基本只能依赖经验和手感。

三 | 而凭借全智能的"组织自适应实时反馈功能",术者能够精准操控器械,将吻合质量从"凭经验"升级到"可视可控":睿志Ultra能够以毫米级的精度自动扫描到组织的厚度,并通过智能芯片实时调整每一步的击发力度,即"自适应击发":在增厚水肿处的组织自动降速、增加压榨时间,使厚组织充分压榨、慢速吻合,最终达到更稳定的成型。

四 | 通过手柄上的显示屏,术者可全程监控击发进程:如果某段需要吻合的组织过厚或是过硬,比如硬化的结节,已经远超吻合钉高度所覆盖的适应症,系统会立即提示风险、停止闭合或击发,避免爆钉或出血等恶劣情况发生,提高吻合的安全性。

五 | 睿志Ultra还可适配健适自研的90°大弯转角度钉仓,满足单孔胸腔镜、低位直肠癌等空间狭小、解剖复杂的高难度手术需求。在集采常态化推进、行业格局加速重塑的背景下,技术创新与产品差异化已成为企业的核心竞争力。健适医疗一直致力于为外科医生提供创新的产品和技术,去年,健适自研的"睿志90°超大弯转角度吻合器"获得欧盟CE认证,这款全球首创产品迅速进入欧洲多家顶级医院,包括德国夏里特医院(欧洲最大的医疗机构)和英国剑桥大学附属医院(世界级学术医学中心)等,并获得广泛认可。

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