Basic Medical Pathology: Neoplasis I
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Reporter: Wang Xichun
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In November 2003, our newspaper was published " the management inside story of a plot that uncovers medical devices of one-time department of gynaecology " one article. A few large hospitals of reporter development Beijing, Shanghai, cover country " dilator of vagina of one-time use asepsis " (enlarge of shade of the following abbreviation implement) the market, discovery is fake be current, unqualified shade enlarge implement overrun, one-time shade enlarge implement became a sanitation and quality " blind angle " .
In March 2004, our newspaper was made with respect to this matter trace a story -- " who is for give the green light of medical devices of unqualified department of gynaecology " , discussed unqualified shade enlarge implement the deep germ of backside.
Went two many years, shade enlarge implement does market situation have without the change? In March 2006, the reporter is opposite again shade enlarge implement the industry undertakes investigating interviewing.
The market still undercurrent emerges move
One-time shade enlarge implement use extensively at hospital department of gynaecology and obstetrics to undertake sicken examination and healthy check-up, consumer basically is married woman. But, the reporter discovers in investigation, a lot of females are sciolistic to medical devices of department of gynaecology, connect shade enlarge even implement it is what appearance also had not seen, prep let alone its quality stand or fall. The patient feels aching in the even if when department of gynaecology is checked, also because be privacy issue and hard open one‘s mouth.
Committee member of vice director of association of department of gynaecology and obstetrics of province of Yuan Heilong river, Heilongjiang saves committee member of family planning committee of experts, Harbin city to establish E of colour of king of doctor of chairman of department of gynaecology and obstetrics of the first hospital to express when accepting a reporter to interview, past shade enlarge implement be a metal, now is one-time plastic, dispense with trival alexipharmic process, prevented alternate infection effectively. And, present shade enlarge implement dimension has have greatly small, the structure has also have simply complex, should say this is social progress.
Wang Caie worked 47 years in department of gynaecology and obstetrics, the shade spread that meantime has used different brand implement, have experience greatly to inferior product. She tells a reporter, eligible one-time shade enlarge implement, no matter be exterior or norms, dimension, the physiology with should accord with a female normal anatomizes a characteristic. But, some shade enlarge implement the surface is rough, some jerky card block, happen forcibly a little rupture; Some stretchs angle insufficient, the doctor is operated hard, cannot be diagnosed well and treat disease of department of gynaecology; When some products are having operation of palace neck polyp, bring about patient haemorrhage time and again.
Sampling observation result is shocking
There are a such summary tables in reporter hand, it recorded the sampling observation history with unqualified shocking enterprise.
2003 the 3rd quarter, in Shanghai medical devices unacceptable state of supervisory examination examination at random reports a list in, limited company of as colorful as hill plastic products (the following abbreviation " as colorful as hill " ) on a list of names posted up famous. Those who selective examination is a few hospitals with common people familiar place -- the 2nd medical university of place of health care of children of woman of area of Shanghai brake north, Shanghai is accessary benevolence aid hospital, Fudan University is accessary maternity, enlarge of the as colorful as hill II that these hospitals use shade implement, all unqualified. Of the same age the fourth quarter selectives examination discovery, the elephantine hill that hospital of the first people uses Shanghai is colorful (Ning Bo) shade enlarge of production implement, off quality.
2004 first quarter, it is south Shanghai goods and materials of logistics of Xu Wei medical treatment of hospital of Ou Dahua of Xu Hui of hospital of center of county of Chong Ming of service center of things of the sanitation that collect a county, Shanghai, Shanghai, Shanghai configures limited company, the elephantine hill that selective examination is colorful (Ning Bo) shade enlarge of production implement, height of the mouth outside front and back end, all unqualified. Of the same age the 3rd quarter, in trade of Shanghai Kang Yida labour limited company selectives examination, as colorful as hill (Ning Bo) again unqualified.
2005 selective examination first quarter discovery, the elephantine hill that center of medical treatment of Shanghai state guest uses is colorful (Ning Bo) shade enlarge of production implement, as before unqualified.
Should say, the country concerns seasonable bulletin of the branch, let rejected product reveal original shape, ring alarm bell noisy for the hospital. But let a reporter feel those who indissoluble is, selective examination every time unqualified product, why still can hall and does the ground of emperor enter a few greatly small hospitals of Shanghai?
According to insider introduction, although went a few years, but the current situation of the hospital did not change. Be in a hospital, same a breed, the price that gives customer is consistent, and different quality is when the hospital receives price different price, this matters to the profit of the hospital directly, accordingly, the hospital is willing to purchase the value mostly low. And quality is lower, the sales commission that gives a doctor is more. Come so, low is low had the market character.
The standard carries out 3 fold
Insider still tells a reporter, the current situation of the enterprise also did not change. Whatever medical devices, should have only " 3 card " , the hospital can be purchased. Because consumer does not know medical devices, the actor bad that cannot differentiate a product, detect report and the true bogus that register card, accordingly, some enterprises register what card approves is this kind of product, those who sell is another kind of product however. A word, make money how to be done. Result, some shade enlarge implement do more smallish more, some enterprises are eternal even bacterium, or with reclaim makings will reduce cost, obtain sudden huge profits.
One-time shade enlarge implement it is the medical devices that uses for examination of department of gynaecology and obstetrics, the stand or fall of its quality, affect person safety directly. For this, the country was released on April 24, 2002 about the branch " dilator of vagina of one-time use asepsis " mandatory medical occupation standard, began to carry out on October 1 at of the same age.
But, of this standard carrying out is however 3 fold. The standard that examined and approve 5 years is in after carrying out a few months, peak loop turns, enter modification agenda. On October 18, 2004, " dilator of vagina of one-time use asepsis " the first modification sheet publishs the standard.
In modification sheet, the standard medium " C of height of the mouth outside front " (stretch degree be more than 40 ° ) , instead recommends sexual clause, deleted " single hand is operated " , " the axis is sold with axial aperture " wait for a project.
To this, " dilator of vagina of one-time use asepsis " Lin Jing of the occupation standard person that draft expressed different view. She thinks, lower national occupation standard forcibly, the health that goes against this industry develops. Above all, after the standard is revised, shade enlarge implement basic measure need not be carried out, its are as a result, a few illegal manufacturers to make money, jerry, such product, its quality is worse and worse necessarily. Next, after the standard is revised, shade enlarge implement height of the mouth outside front also need not be carried out, certainly will lowers the rate of make a diagnosis and give treatment of diseases of pair of department of gynaecology and obstetrics. Actually, height of the mouth outside back end is to stretch angle before, it is shade enlarge implement the most important technology level. Again, deleted " dilator should single hand is operated " apparent misgivings. Because " single hand is operated " can give doctor examination and operation to bring convenient, improve work efficiency, and inferior shade enlarge implement do not do this.
Lin Jing tells a reporter, shade enlarge implement the axis sells the rotational Ying Ling with axial aperture to live, when using, should not fall off, block block to also be deleted. Must by go up, the shade spread that plays a composition implement, if do not have an axis to sell with axial aperture cooperate, how to turn again? Cannot turn how outspread? Why do this use spread of this kind of shade namely implement often can bring to the patient " clip flesh " , " aching " and when using " scatter " , " card block " , some ruptured when use, affect doctor right censored, bring anguish to the patient.
Lin Jing emphasizes saying, the company cannot measure occupation standard with his inferior quality, cannot ask occupation standard follows rejected product to go more. Shade enlarge implement the market " money of fine of bad money drive " phenomenon, did not get effective keep within limits all the time.
Hospital above all difficult demit its blame
It is reported, one kind destroys type shade enlarge namely implement the success was developed in Shanghai a few days ago. Enlarge of this kind of shade implement after the doctor is used instantly can " destroy form " , cannot recover from an illness, true implementation can be used only, prevent to reclaim reoccupy, put an end to across to affect.
Attending National People‘s Congress of 10 whole nations 4 times in Beijing the delegate austral the Li Kui of the conference expresses when accepting a reporter to interview, as a result of the characteristic of the industry, consumer is complained little, medical devices of department of gynaecology puts the quality issue that be in, what had not caused concerned branch is enough take seriously. In speak of rejected product why can in the market lawful and current when, analysis of the delegate austral Li Kui says, hospital above all difficult demit its blame. The patient regards a flock of special consumption as the group, the qualification that the great majority person in them cannot identify medical devices, their consumption is to comply with completely of the hospital, what does the hospital purchase, what does the patient use. How stay in a hospital to purchase this to close, become a crucial issue.
The delegate austral Li Kui appeals, shade enlarge implement the enterprise must strengthen an industry to control oneself, improve product quality, assure clinical use on the safe side, protection suffers health of check object body and mind, health of industry of medical devices of stimulative our country develops in order.
On March 10, 2006
Chinese quality signs up for
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