ð¶ãå±±æ¢šã»æ°æœãåœå ã¡ãŒã«ãŒïŒåšå® å»çæ©åšã®ãµãŒãã¹ãšã³ãžãã¢
500~600äž
äŒæ¥åéå ¬é
æ°æœçæ°æœåž, 山梚çç²åºåž
500~600äž
äŒæ¥åéå ¬é
æ°æœçæ°æœåž, 山梚çç²åºåž
ãã®ä»ãã£ãŒã«ã/ãµãŒãã¹/ãµããŒããšã³ãžãã¢ïŒå»çæ©åš/çååŠæ©åšïŒ
å»çæ©åšãã£ãŒã«ã/ãµãŒãã¹ãšã³ãžãã¢
çååŠæ©åšãã£ãŒã«ã/ãµãŒãã¹/ãµããŒããšã³ãžãã¢
åšå® å»çæ©åšããå©çšãããæ£è æ§ã®ãèªå® ã蚪åãã æ©åšã®å°å ¥ãããå©çšåŸã®ãã©ããŒãŸã§ãäžè²«ããŠãµããŒãããŠããã ããä»äºã§ããæ£è æ§ãå®å¿ããŠæ©åšã䜿çšã§ããããããã现ããªå¯Ÿå¿ãè¡ããŸãã ïŒå»çæ©åšèšçœ®ãæäœæ¹æ³ã®ã説æã宿çãªç¹æ€ã»ã¡ã³ããã³ã¹ ïŒãé»è©±ã§ã®ãçžè«å¯Ÿå¿ïŒäœ¿ç𿹿³ã«é¢ãããåãåããçïŒ ïŒå»çæ©é¢ãšã®é£æºã»æ å ±å ±æïŒæ£è æ§ã®ã䜿çšç¶æ³ãªã©ïŒ â»å»çè¡çºã¯äžåè¡ããŸããã®ã§ãå°éçãªå»çè³æ Œã¯äžèŠã§ãã â 1æ¥ã®æµãïŒå¹³æ¥ã®äžäŸïŒ ãååã ã»æ©åšãæ¶èåã®æºå ã»æ£è æ§å® ã蚪åããæ©åšã®ç¹æ€ã»ã¡ã³ããã³ã¹ïŒ2ä»¶ïŒ1ä»¶ãããçŽ1æéïŒ ãååŸã ã»å»çæ©åšã®çŽåããã³äœ¿çšèª¬æ ã»ãã¹ã¯èª¿æŽãªã©ã®å¯Ÿå¿ ã»ååã®é éå¯Ÿå¿ ãªã©ïŒèš3ä»¶çšåºŠïŒ ã倿¹ã ã»ç€Ÿçšè»ãžã®æ©åšç©ã¿äžãã ã»æ¥å ±äœæãªã©ã®äºåäœæ¥ ã»æ£è æ§ãžã®èšªåã¢ãã€ã³ãååŸ â 1æ¥ããã4ïœ5ä»¶çšåºŠã瀟çšè»ã§èšªåããŸãã â ç·æ¥å¯Ÿå¿ã¯æå¹³å2ïœ3åçšåºŠã§ãâ»ãé»è©±ã ãã®å¯Ÿå¿ãšãªãã±ãŒã¹ãå€ãã§ãã ããã£ãªã¢ãã¹ã ã»å¶æ¥è·ïŒå»çæ©é¢åãïŒãžã®ãã£ãªã¢ãã§ã³ãžãå¯èœã§ãã ã»é«å§ã¬ã¹è²©å£²äž»ä»»è å ç¶ååŸããå¶æ¥æã®ç®¡çè ãšããŠã®ã¹ãããã¢ãããæã Lãã®è³æ Œã¯ãLPã¬ã¹è²©å£²åºãã¬ã¹ã¹ã¿ã³ããæº¶å€ã»ååŠã¡ãŒã«ãŒãªã©ãã¬ã¹ãæ±ãäŒæ¥ã«ãããŠãå¿ çœ®è³æ Œãã§ããçºãå®å©çãªã¡ãªãããéåžžã«å€§ããã§ãã
ïŒäœãããã®æ©æ¢°è£œåã®ç¹æ€ãã¡ã³ããã³ã¹æ¥åã®çµéšïŒæ¥çã¯åããïŒ ïŒæ®éèªåè»é転å èš±
6幎å¶å€§åŠã4幎å¶å€§åŠãå°éåŠæ ¡ãå°éè·çæå€§åŠãçæå€§åŠãé«çå°éåŠæ ¡ãå°éè·å€§åŠ
æ£ç€Ÿå¡
ç¡
æ è©Šçšæéææ°: 3ã¶æ
500äžåã600äžå
å šé¡æ¯çµŠ
äŒæ©60å
09:00ã17:45
121æ¥ å èš³ïŒå®å šé±äŒ2æ¥å¶ãåæ æ¥æ ç¥æ¥
å¥åº·ä¿éº åç幎é éçšä¿éº åŽçœä¿éº
â»äžèšã¯æ³å®å¹Žåã«ãªããŸãã
ç¡
æ°æœçæ°æœåž
山梚çç²åºåž
æ
éè·éå¶åºŠïŒéè·äžæéã»ç¢ºå®æ åºå¹ŽéïŒå®å¹Ž65æ³ïŒ
2å
1åã2å
æ¥ç³»å»çæ©åšã¡ãŒã«ãŒ
æçµæŽæ°æ¥ïŒÂ
500~750äž
â æ¥åå å®¹ïŒ ã»ç é¢ã鿥å»ãå«ããã¬ã³ãã²ã³æ©åšãè¶ é³æ³¢èšºæè£ 眮ã®ãèšçœ®ããä¿®çããç¹æ€ããªã©ã®ã¡ã³ããã³ã¹æ¥å ã»å»ççšç»åãµãŒãã®ä¿å®ã¡ã³ããã³ã¹ ã»ä¿å®å¥çŽã»æ©åšæŽæ°ã®ææ¡ äž»ãªåãæ±ãæ©çš®ãå»çæ©é¢ã«ãããç»ååŠçã·ã¹ãã ã«ãªããŸãã®ã§ãããœã³ã³ã®ããŒããœãããŠã§ã¢ããœãããŠã§ã¢ã«è§Šããæ©äŒãéåžžã«å€ãã§ãã æ¥ã ã®æŽ»åã¯æ åœãšãªã¢ã瀟æè»ã«ãŠèšªåããæ¥åãè¡ã£ãŠããã ããŸãã â 補åã®ç¹åŸŽïŒ Xç·åçããžã¿ã«ç»ååã·ã¹ãã ãCRïŒã³ã³ãã¥ãŒãããã©ãžãªã°ã©ãã£ãŒïŒããšXç·ããžã¿ã«æ®åœ±è£ 眮ãFPDïŒãã©ããããã«ãã£ãã¯ã¿ãŒïŒãã¯åœå 4å²ã®ãããã·ã§ã¢ãèªã£ãŠããŸããä»åŸã¯ãUSïŒè¶ 鳿³¢èšºæè£ 眮ïŒãå»çšç»åæ å ±ã·ã¹ãã ãã·ã§ã¢ãæ¡å€§ããèŠèŸŒã¿ã§ããåæã¯æ¥çã§ãé«ãç¥å床ãèªã£ãŠããŸãã
äžèšããããã®ãçµéš ã»ãµãŒãã¹ãšã³ãžãã¢ãšããŠã®ãçµéš ã»å»çåŸäºè ãšããŠå»çæ©åšãåãæ±ã£ããçµéš ã»æ¥çåãããšã³ãžãã¢ãšããŠã®ãçµéš èŠïŒèªåè»å èš±
ã³ãã«ããã«ã¿ãžã£ãã³ã¯ãã³ãã«ããã«ã¿ã°ã«ãŒãã®äžæ žäºæ¥ã§ããæ å ±æ©åšãå»çæ©åšãç£æ¥çšèšæž¬æ©åšãããŒã±ãã£ã³ã°å šè¬ã®ãæ¯æŽãªã©ã®è²©å£²ã»ãµãŒãã¹æäŸãè¡ãäºæ¥äŒç€Ÿã§ãã ã³ãã«ããã«ã¿ã°ã«ãŒãã«ãããŠãæ¥æ¬åœå ã®ã客æ§ãšã®æ¥ç¹ãå šãŠæ åœããŠãããããžã¿ã«ã€ã¡ãŒãžã³ã°ïŒç»åã»ããŒã¿ïŒã®æè¡ãããŠããŠã掻çšãã補åã»ãµãŒãã¹ãå±éãæ¥æ¬ã®ç€ŸäŒãäŒæ¥ã«ããã課é¡ãçºèŠãã解決ã§ããâæ°ãã䟡å€âãæäŸããããšã§ã瀟äŒãã客æ§ã®ïŒé²åïŒã«è²¢ç®ããŸãã
500~750äž
â æ¥åå å®¹ïŒ ã»ç é¢ã鿥å»ãå«ããã¬ã³ãã²ã³æ©åšãè¶ é³æ³¢èšºæè£ 眮ã®ãèšçœ®ããä¿®çããç¹æ€ããªã©ã®ã¡ã³ããã³ã¹æ¥å ã»å»ççšç»åãµãŒãã®ä¿å®ã¡ã³ããã³ã¹ ã»ä¿å®å¥çŽã»æ©åšæŽæ°ã®ææ¡ äž»ãªåãæ±ãæ©çš®ãå»çæ©é¢ã«ãããç»ååŠçã·ã¹ãã ã«ãªããŸãã®ã§ãããœã³ã³ã®ããŒããœãããŠã§ã¢ããœãããŠã§ã¢ã«è§Šããæ©äŒãéåžžã«å€ãã§ãã æ¥ã ã®æŽ»åã¯æ åœãšãªã¢ã瀟æè»ã«ãŠèšªåããæ¥åãè¡ã£ãŠããã ããŸãã â 補åã®ç¹åŸŽïŒ Xç·åçããžã¿ã«ç»ååã·ã¹ãã ãCRïŒã³ã³ãã¥ãŒãããã©ãžãªã°ã©ãã£ãŒïŒããšXç·ããžã¿ã«æ®åœ±è£ 眮ãFPDïŒãã©ããããã«ãã£ãã¯ã¿ãŒïŒãã¯åœå 4å²ã®ãããã·ã§ã¢ãèªã£ãŠããŸããä»åŸã¯ãUSïŒè¶ 鳿³¢èšºæè£ 眮ïŒãå»çšç»åæ å ±ã·ã¹ãã ãã·ã§ã¢ãæ¡å€§ããèŠèŸŒã¿ã§ããåæã¯æ¥çã§ãé«ãç¥å床ãèªã£ãŠããŸãã
äžèšããããã®ãçµéš ã»ãµãŒãã¹ãšã³ãžãã¢ãšããŠã®ãçµéš ã»å»çåŸäºè ãšããŠå»çæ©åšãåãæ±ã£ããçµéš ã»æ¥çåãããšã³ãžãã¢ãšããŠã®ãçµéš èŠïŒèªåè»å èš±
ã³ãã«ããã«ã¿ãžã£ãã³ã¯ãã³ãã«ããã«ã¿ã°ã«ãŒãã®äžæ žäºæ¥ã§ããæ å ±æ©åšãå»çæ©åšãç£æ¥çšèšæž¬æ©åšãããŒã±ãã£ã³ã°å šè¬ã®ãæ¯æŽãªã©ã®è²©å£²ã»ãµãŒãã¹æäŸãè¡ãäºæ¥äŒç€Ÿã§ãã ã³ãã«ããã«ã¿ã°ã«ãŒãã«ãããŠãæ¥æ¬åœå ã®ã客æ§ãšã®æ¥ç¹ãå šãŠæ åœããŠãããããžã¿ã«ã€ã¡ãŒãžã³ã°ïŒç»åã»ããŒã¿ïŒã®æè¡ãããŠããŠã掻çšãã補åã»ãµãŒãã¹ãå±éãæ¥æ¬ã®ç€ŸäŒãäŒæ¥ã«ããã課é¡ãçºèŠãã解決ã§ããâæ°ãã䟡å€âãæäŸããããšã§ã瀟äŒãã客æ§ã®ïŒé²åïŒã«è²¢ç®ããŸãã
450~600äž
ãå¯å£«ãã€ã«ã ã®æ³šåäºæ¥/å®å®åžå Žã§ã®ãããã·ã§ã¢ãšããŠæ¡å€§äžã å»çæ©é¢ã®æ¹ã ãšã®ç確ãªé£æºãè¿ éã»èª å®ãªå¯Ÿå¿ãè¡ããä¿¡é Œé¢ä¿ãæ§ç¯ããªããæ¯æŽããŸãã(察象:MRIã»CTã·ã¹ãã /Xç·ç»å蚺æã·ã¹ãã ç) ã詳现ã補åã®æ®ä»ã»ç¹æ€ã»ä¿®ç察å¿ãè¡ãã€ã€ãã客æ§ã«åãããŠä¿å®å¥çŽã®ææ¡ãããŸãã ã顧客ã倧åŠç é¢ããå人å»é¢ãŸã§å¹ åºãå¯Ÿå¿ ã客æ§ã®ãæŒäŒæ©ã倿¹ã®èšºçåŸã®æéã«åãããŠèšªåããŸãã ãé åãå»çæ¥çã®èª²é¡ã解決ã人ã ã®å¥åº·ãè±ããªç掻ã«è²¢ç®ããããšãã§ããŸãã補åã©ã€ã³ããããå€ããããžã¿ã«åãé²ãå»çæ¥çã§å¹ åºãã¹ãã«ãç¿åŸå¯èœã§ãã
ãããããå¿ é ãâ ãµãŒãã¹ãšã³ãžãã¢/ãã£ãŒã«ããšã³ãžãã¢/ç£æ¥æ©æ¢°ãèšåã®ä¿å®ã»ã¡ã³ããã³ã¹ã®ãçµéšããæã¡ã®æ¹â å»çç³»æè¡è ïŒæŸå°ç·æåž«ïŒâ»å人ã«åãã1幎ã»ã©ã®è²æãã(座åŠ/å®å°ç ä¿®/OJTãªã©) ãåœç€Ÿã«ã€ããŠãXç·ç»å蚺æã·ã¹ãã çãå»çæ©åšãåãæ±ã£ãŠããŸããå»çæ©åšã®ä¿®çãç¹æ€ãæ®ä»ãã顧客課é¡ã®è§£æ±ºãœãªã¥ãŒã·ã§ã³ããžãã¹ãªã©ãå±éããå»çæ©åšã䜿çšããã客æ§ã ãã§ãªãããã®å»çæ©åšã«ãŠæ€æ»ãããæ£è æ§ãšãã®å®¶æã®ããã«ãµãŒãã¹ãæäŸããŸããå人ã®ã¹ãã«ã¢ãããéããããŒã åãåäžãããŠæ¥åãéè¡ãç®æšãéæããŸããäœå® æåœãåãäžãç€Ÿå® ãå®¶ææåœçã®åãããããæŽã£ãŠããŸãã
å¯å£«ãã€ã«ã ã°ã«ãŒãã補é ã»è²©å£²ããMRIã»CTã·ã¹ãã ãXç·ç»å蚺æã·ã¹ãã ããã³ã¢ã°ã©ãã£ãå èŠé¡ã·ã¹ãã ãè¶ é³æ³¢èšºæè£ 眮ãIVDã»èšåºæ€æ»ãªã©ã®æ¥æ¬åœå ãžã®è²©å£²ãšæè¡ãµãŒãã¹ãäžå¿ã«è¡ã£ãŠãããŸãã
600~900äž
ãæ¥åæŠèŠã æå 端ã®ãããã£ãã¯ã¢ãŒã æè¡æ¯æŽã·ã¹ãã ã§ããMakoãäžå¿ã«ãããã²ãŒã·ã§ã³ã·ã¹ãã ãæè¡å®€ã§çšãã廿¶²ã»æç ã®ãããžã¡ã³ãã·ã¹ãã ã ææ¥è»ã§äœ¿çšãããŠããé»åã¹ãã¬ããã£ãŒçã®ä¿å®ç¹æ€ãä¿®çäœæ¥ãæ åœããŠããã ããå»çæ©åšãå®å šãã€å®å¿ããŠã客æ§ã«ã䜿çšããã ãããã®ãµããŒãæ¥åã§ãã ãæ¥åå 容ã ã»å»çæ©åšã®çŸå°ã§ã®åºåŒµä¿®çåã³ç€Ÿå ä¿®ç ã»å®æçãªä¿å®ç¹æ€ã®ç®¡çãšå®æœ ã»é¡§å®¢ã®ããŒãºã«åã£ããµãŒãã¹ããã°ã©ã ã®ææ¡ ã»ä¿®çéšåã®åšåº«ç®¡çãšäœ¿çšåæãåšåº«äºæž¬ã®ç«æ¡ ã»ããã»ã¹æ¹åã®ããã«æ éåå ã远究ããå¹çãã€å¹æçãªä¿®ç察å¿ãè¡ã Makoã¯ãæ¥æ¬ã§åããŠæ¿èªãããæŽåœ¢å€ç§ã«ããããããã£ãã¯ã¢ãŒã æè¡æ¯æŽã·ã¹ãã ã§ã 2017幎10æã«äººå·¥è¡é¢ç¯å šçœ®æè¡ã§ã2019幎4æã«äººå·¥èé¢ç¯å šçœ®æè¡ã§è¬äºæ¿èªãååŸããŠããŸãã Makoã«ããæè¡ã¯ã人工é¢ç¯ã®èšçœ®ç²ŸåºŠã®åäž ãè¡åŸã®è±èŒçã®äœæžãªã©ã®ã¡ãªãããæåŸ ã§ããŸãã çŸåšã幎é5äž2,500äŸãè¶ ãã人工è¡é¢ç¯å šçœ®æè¡(å眮æãé€ã)ã宿œãããŠããŸãã äžçã§ã¯ãè¡é¢ç¯ãšèé¢ç¯ãããããŠçޝèš15äžäŸä»¥äžã®äººå·¥é¢ç¯çœ®æè¡ã§Makoã䜿ãããŠããŸãã æ¥æ¬ã§ãããã®ãã³äººå·¥è¡é¢ç¯å šçœ®æè¡ãžä¿éºãé©çšããã Makoã®ãããªå»çãã¯ãããžãŒãžã®ã¢ã¯ã»ã¹ãå¯èœãšãªãããšã§ã å€ãã®æ£è ããã®ã¯ãªãªãã£ã»ãªãã»ã©ã€ãåäžãžã®è²¢ç®ãç®æããŸãã
â å¿ é æ¡ä»¶ïŒäžèšããããã®çµéšããæã¡ã®æ¹ ïŒ1ïŒãšã³ãžãã¢ã®ãçµéšããæã¡ã®æ¹ïŒå»çæ©åšæ¥çã«é¢ããã仿¥çš®ã®æ¹ããæŽ»èºé ããŠãããŸãïŒ ïŒ2ïŒå»çæ¥çã§ã®å°±æ¥çµéšããæã¡ã®æ¹
æ¥æ¬ã¹ãã©ã€ã«ãŒã¯ãªãŒãœãºãã£ãã¯ã¹ïŒæŽåœ¢å€ç§ïŒãã¡ãã£ã«ã«ã»æè¡çšæ©åšããã¥ãŒããã¯ãããžãŒããšããŒãžã§ã³ã·ãŒã±ã¢ã®4ã€ã®äºæ¥é åã«ãããŠãå¹ åºã蚺çç§ã«å¯Ÿãã驿°çãªè£œåãæäŸããŠããŸããæ£è ããã®QOLïŒç掻ã®è³ªïŒåäžã®ããã補åã®é©æ£äœ¿çšãä¿é²ããå»çåŸäºè åãã®æè²æ¯æŽæŽ»åãæ£è ãããžã®åçºæŽ»åçãè¡ããå»çåŸäºè ãšãšãã«å»çã®åäžã«è²¢ç®ããŸãã
600~900äž
ãæ¥åæŠèŠã æå 端ã®ãããã£ãã¯ã¢ãŒã æè¡æ¯æŽã·ã¹ãã ã§ããMakoãäžå¿ã«ãããã²ãŒã·ã§ã³ã·ã¹ãã ãæè¡å®€ã§çšãã廿¶²ã»æç ã®ãããžã¡ã³ãã·ã¹ãã ã ææ¥è»ã§äœ¿çšãããŠããé»åã¹ãã¬ããã£ãŒçã®ä¿å®ç¹æ€ãä¿®çäœæ¥ãæ åœããŠããã ããå»çæ©åšãå®å šãã€å®å¿ããŠã客æ§ã«ã䜿çšããã ãããã®ãµããŒãæ¥åã§ãã ãæ¥åå 容ã ã»å»çæ©åšã®çŸå°ã§ã®åºåŒµä¿®çåã³ç€Ÿå ä¿®ç ã»å®æçãªä¿å®ç¹æ€ã®ç®¡çãšå®æœ ã»é¡§å®¢ã®ããŒãºã«åã£ããµãŒãã¹ããã°ã©ã ã®ææ¡ ã»ä¿®çéšåã®åšåº«ç®¡çãšäœ¿çšåæãåšåº«äºæž¬ã®ç«æ¡ ã»ããã»ã¹æ¹åã®ããã«æ éåå ã远究ããå¹çãã€å¹æçãªä¿®ç察å¿ãè¡ã Makoã¯ãæ¥æ¬ã§åããŠæ¿èªãããæŽåœ¢å€ç§ã«ããããããã£ãã¯ã¢ãŒã æè¡æ¯æŽã·ã¹ãã ã§ã 2017幎10æã«äººå·¥è¡é¢ç¯å šçœ®æè¡ã§ã2019幎4æã«äººå·¥èé¢ç¯å šçœ®æè¡ã§è¬äºæ¿èªãååŸããŠããŸãã Makoã«ããæè¡ã¯ã人工é¢ç¯ã®èšçœ®ç²ŸåºŠã®åäž ãè¡åŸã®è±èŒçã®äœæžãªã©ã®ã¡ãªãããæåŸ ã§ããŸãã çŸåšã幎é5äž2,500äŸãè¶ ãã人工è¡é¢ç¯å šçœ®æè¡(å眮æãé€ã)ã宿œãããŠããŸãã äžçã§ã¯ãè¡é¢ç¯ãšèé¢ç¯ãããããŠçޝèš15äžäŸä»¥äžã®äººå·¥é¢ç¯çœ®æè¡ã§Makoã䜿ãããŠããŸãã æ¥æ¬ã§ãããã®ãã³äººå·¥è¡é¢ç¯å šçœ®æè¡ãžä¿éºãé©çšããã Makoã®ãããªå»çãã¯ãããžãŒãžã®ã¢ã¯ã»ã¹ãå¯èœãšãªãããšã§ã å€ãã®æ£è ããã®ã¯ãªãªãã£ã»ãªãã»ã©ã€ãåäžãžã®è²¢ç®ãç®æããŸãã
â å¿ é æ¡ä»¶ïŒäžèšããããã®çµéšããæã¡ã®æ¹ ïŒ1ïŒãšã³ãžãã¢ã®ãçµéšããæã¡ã®æ¹ïŒå»çæ©åšæ¥çã«é¢ããã仿¥çš®ã®æ¹ããæŽ»èºé ããŠãããŸãïŒ ïŒ2ïŒå»çæ¥çã§ã®å°±æ¥çµéšããæã¡ã®æ¹
æ¥æ¬ã¹ãã©ã€ã«ãŒã¯ãªãŒãœãºãã£ãã¯ã¹ïŒæŽåœ¢å€ç§ïŒãã¡ãã£ã«ã«ã»æè¡çšæ©åšããã¥ãŒããã¯ãããžãŒããšããŒãžã§ã³ã·ãŒã±ã¢ã®4ã€ã®äºæ¥é åã«ãããŠãå¹ åºã蚺çç§ã«å¯Ÿãã驿°çãªè£œåãæäŸããŠããŸããæ£è ããã®QOLïŒç掻ã®è³ªïŒåäžã®ããã補åã®é©æ£äœ¿çšãä¿é²ããå»çåŸäºè åãã®æè²æ¯æŽæŽ»åãæ£è ãããžã®åçºæŽ»åçãè¡ããå»çåŸäºè ãšãšãã«å»çã®åäžã«è²¢ç®ããŸãã
600äž~
â€èšåºçã«é«ããªã¹ã¯ã®å¿çŸæ£ãæã€æ£è æ§ã«æåœãšå¿æ©èœå埩ã®ãœãªã¥ãŒã·ã§ã³ãæäŸâ¢ ã»å¿åæ§ã·ã§ãã¯ãªã©ã®æ¥æ§å¿äžå šã æ ¢æ§å¿äžå 𿥿§å¢æªã«é©å¿ããŸãã ã»å¿åæ§ã·ã§ãã¯çã®è¬ç©çæ³æµææ§ã® æ¥æ§å¿äžå šã«å¯ŸããŠäœåŸªç°ãè£å©ããŸãã ãæŠèŠã ã¢ããªã¡ããã¯ãæ¥æ§å¿äžå šã®æ£è ããã®å¿èã®ååŸ©ãšæåœãå®çŸããäŒç€Ÿãã§ãã æå 端ãã¯ãããžãŒãImpellaïŒã€ã³ãã©ïŒããç°¡åã«èšãã°ã¢ãŒã¿ãŒãå èµããå¿èãã³ãã«ããŒãã«ã§ã æ¥æ§å¿äžå šã®éã«å¿èã®ä»£ãããšãªã£ãŠãè¡æ¶²ã®æåãå£ããã«å®å®ããŠå šèº«ã«è¡æ¶²ãéããŸãã Impellaã䜿ããªãããæ£è ããã®å¿çã®å埩ãåŸ ã£ãŠåœãæãããšãæåŸ ã§ããŸãã å¿çã®å埩ãç®çãšããããäœäŸµè¥²ã«å¿æ©èœããµããŒãã§ãããäžçæå°ã®å¿èãã³ããã§ãã ãäž»ãªè²¬åã ã¢ããªã¡ããã®ããžãã¹ãŽãŒã«ã®æ±ã¯ä»¥äžã®2ã€ã§ãã1) çäŸæ°å¢å  - Impellaã«ãã£ãŠæåœãšèªå·±å¿æ©èœã®å埩ãåŸãããçäŸãå¢ãã2) çåçåäžÂ - Impellaã䜿çšãããçäŸã®ã¢ãŠãã«ã ïŒçåçïŒãåäžããããã®ããžãã¹ãŽãŒã«ã®éæã®ããããããŠãImpellaãæšæºæ²»çãšããããã®å¶æ¥æŽ»åã®ç«æ¡ãšå®è¡ ã倧ããªç®æšã Impellaãæ¥æ§å¿äžå šã®æšæºæ²»çã«ããããšã§ãã ãã®ããã«ã¯ãImpellaã®èšåºæçžŸãäžããåŠäŒãå»åž«ã®æ¹ã ã®ãååãè³ããªãã ã¯ãªãã«ã«ãšããã³ã¹ã瀺ããŠããå¿ èŠããããŸãã æ¥æ¬ã®å»åž«ã®èšåºè©ŠéšããµããŒããããè«æçºè¡šã«ååããæ¥æ¬ã§ã®èšåºç ç©¶ã«åãå ¥ããŠããŸãã ãæ±ãã人ç©åã 瀟å¡ã®åè·ã¯çè·åž«ãªã©å»çé¢ä¿è ãå€ããæ£è ããã®åœãå©ãããªãã£ãçäŸã ç®ã®åœããã«ããŠããæ¹ãããŸãã ãæ£è ãã第äžãã®å§¿å¢ã§Impellaãåºããããšã«æçŸ©ãæããªããåããŠããã ããæ¹ã ãããå€ãã®æ£è ããã®åœãæãããããšããæ³ããæç¢ºã«ããæ¹ãæ±ããŠããŸãã
å¿ é èŠä»¶ïŒïŒä»¥äžã®äœããã®çµéšå¿ é ïŒ *倧åä»¥äž ãããã¯å»çåŸäºè ãšããŠåŸªç°åšé åã»è£å©åŸªç°æ²»çã®ç¥èã»çµéšãæããæ¹
ç·åå»çã»å¥åº·é¢é£çšåã®èŒžå ¥ã»è£œé 販売
600äž~
â€èšåºçã«é«ããªã¹ã¯ã®å¿çŸæ£ãæã€æ£è æ§ã«æåœãšå¿æ©èœå埩ã®ãœãªã¥ãŒã·ã§ã³ãæäŸâ¢ ã»å¿åæ§ã·ã§ãã¯ãªã©ã®æ¥æ§å¿äžå šã æ ¢æ§å¿äžå 𿥿§å¢æªã«é©å¿ããŸãã ã»å¿åæ§ã·ã§ãã¯çã®è¬ç©çæ³æµææ§ã® æ¥æ§å¿äžå šã«å¯ŸããŠäœåŸªç°ãè£å©ããŸãã ãæŠèŠã ã¢ããªã¡ããã¯ãæ¥æ§å¿äžå šã®æ£è ããã®å¿èã®ååŸ©ãšæåœãå®çŸããäŒç€Ÿãã§ãã æå 端ãã¯ãããžãŒãImpellaïŒã€ã³ãã©ïŒããç°¡åã«èšãã°ã¢ãŒã¿ãŒãå èµããå¿èãã³ãã«ããŒãã«ã§ã æ¥æ§å¿äžå šã®éã«å¿èã®ä»£ãããšãªã£ãŠãè¡æ¶²ã®æåãå£ããã«å®å®ããŠå šèº«ã«è¡æ¶²ãéããŸãã Impellaã䜿ããªãããæ£è ããã®å¿çã®å埩ãåŸ ã£ãŠåœãæãããšãæåŸ ã§ããŸãã å¿çã®å埩ãç®çãšããããäœäŸµè¥²ã«å¿æ©èœããµããŒãã§ãããäžçæå°ã®å¿èãã³ããã§ãã ãäž»ãªè²¬åã ã¢ããªã¡ããã®ããžãã¹ãŽãŒã«ã®æ±ã¯ä»¥äžã®2ã€ã§ãã 1) çäŸæ°å¢å  - Impellaã«ãã£ãŠæåœãšèªå·±å¿æ©èœã®å埩ãåŸãããçäŸãå¢ãã 2) çåçåäžÂ - Impellaã䜿çšãããçäŸã®ã¢ãŠãã«ã ïŒçåçïŒãåäžããã ãã®ããžãã¹ãŽãŒã«ã®éæã®ããããããŠãImpellaãæšæºæ²»çãšããããã®å¶æ¥æŽ»åã®ç«æ¡ãšå®è¡ ã倧ããªç®æšã Impellaãæ¥æ§å¿äžå šã®æšæºæ²»çã«ããããšã§ãã ãã®ããã«ã¯ãImpellaã®èšåºæçžŸãäžããåŠäŒãå»åž«ã®æ¹ã ã®ãååãè³ããªãã ã¯ãªãã«ã«ãšããã³ã¹ã瀺ããŠããå¿ èŠããããŸãã æ¥æ¬ã®å»åž«ã®èšåºè©ŠéšããµããŒããããè«æçºè¡šã«ååããæ¥æ¬ã§ã®èšåºç ç©¶ã«åãå ¥ããŠããŸãã ãæ±ãã人ç©åã 瀟å¡ã®åè·ã¯çè·åž«ãªã©å»çé¢ä¿è ãå€ããæ£è ããã®åœãå©ãããªãã£ãçäŸã ç®ã®åœããã«ããŠããæ¹ãããŸãã ãæ£è ãã第äžãã®å§¿å¢ã§Impellaãåºããããšã«æçŸ©ãæããªããåããŠããã ããæ¹ã ãããå€ãã®æ£è ããã®åœãæãããããšããæ³ããæç¢ºã«ããæ¹ãæ±ããŠããŸãã
å¿ é èŠä»¶ïŒïŒä»¥äžã®äœããã®çµéšå¿ é ïŒ *倧åä»¥äž ãããã¯å»çåŸäºè ãšããŠåŸªç°åšé åã»è£å©åŸªç°æ²»çã®ç¥èã»çµéšãæããæ¹
ç·åå»çã»å¥åº·é¢é£çšåã®èŒžå ¥ã»è£œé 販売
450~650äž
æ°æœçå ãäžå¿ãšãããå»çæ©é¢ãç ç©¶æ©é¢ãæ°éäŒæ¥ã«çŽåãããçååŠæ©åšããã³åææ©åšãªã©ã®ã¡ã³ããã³ã¹ããæ åœããã ããŸãã ãæ¥å詳现ã â çååŠæ©åšããã³åææ©åšã®æ®ä»ç®¡çãåäœç¢ºèª â å®æç¹æ€ãæ éæã®ã¡ã³ããã³ã¹ â ã客æ§ã«å¯Ÿããäœ¿çšæ¹æ³èª¬æ â ã¡ãŒã«ãŒããã³ã客æ§ãšã®æè¡æ¥å ããã®ã»ãã â ã¯ãªãŒã³ãªç°å¢ã§äœ¿çšããã補åã®ãããåºæ¬å±å ã§ã®äœæ¥ã«ãªããŸãã â 察象補åã¯çååŠæ©åšãåææ©åšãäžå¿ã§ãããäžéšé£åå è£ æ©æ¢°ã«é¢ããæ¥åããæ åœããã ããŸãã â 1é±éãè¶ ãããããªé·æåºåŒµã転å€ã¯æ³å®ãããŠããŸããã âãããããã€ã³ãâ â ãçååŠæ©åšäºæ¥ããé£åäºæ¥ãã®2è»žäºæ¥ãå±éããŠãããå®å®ããæ¥çžŸããããŸãã â å瀟æ©èœããã€çååŠæ©åšäºæ¥ãšããŠãæ§ã ãªã¡ãŒã«ãŒã®ã¡ã³ããã³ã¹ã«æºããããšãã§ããŸãã â æ°æœçå ãäžå¿ãšãããå»çæ©é¢ãç ç©¶æ©é¢ãæ°éäŒæ¥ãæ¯ããéèŠãã€ç€ŸäŒè²¢ç®åºŠã®é«ããä»äºã§ãã â 幎éäŒæ¥120æ¥ã忥ç¥äŒã¿ãæ®æ¥å¹³å20æé以äžãšæ¥çå ã§ãã¯ãŒã¯ã©ã€ããã©ã³ã¹ã®åããããè·å Žç°å¢ããããŸãã
ãå¿ é èŠä»¶ã â æ©æ¢°ã®ã¡ã³ããã³ã¹çµéšïŒç£æ¥æ©æ¢°ãèªåè»ãªã©è£œååããïŒ â æ®éèªåè»é転å èš±ïŒATéå®å¯ïŒ â»æ©æ¢°ã»é»æ°ã©ã¡ããã®çµéšãããã°å¯ ãæè¿èŠä»¶ã â çååŠæ©åšãåææ©åšãå»çæ©åšã®ã¡ã³ããã³ã¹çµéš â ã客æ§å ã§ã®ã¡ã³ããã³ã¹çµéš
â é£åéçºã«é¢ãããµããŒãããã¬ã³ãèª¿å³æã®è£œé ã»è²©å£² â é£åå å·¥çšå¯åæã»å¯è³æã®è²©å£²ïŒèª¿å³æãé£åçŽ æãéŠæãéŠèŸæãé£åæ·»å ç©ãªã©ïŒ â å è£ è³æã»å è£ æ©æã®è²©å£²ãã¡ã³ããã³ã¹ â çååŠæ©åšã®è²©å£²ãã¡ã³ããã³ã¹
400~600äž
ãéåžžã«å å®ããéå±€å¥ã®ç ä¿®å¶åºŠãçšæãããŠãããå»çæ¥çæªçµéšã®æ¹ã§ãå®å¿ããŠåãããšãã§ããŸãã ãè·åå 容ã å»çæ©åšãå»çç»ååŠçæ©åšãå»çç»åãããã¯ãŒã¯ã·ã¹ãã ã®èšçœ®ããå°å ¥é ããŠããå»çæ©é¢ãžã®ä¿å®ãµããŒããæ åœãããµãŒãã¹ãšã³ãžãã¢è·ã«ãªããŸãã â è·åå å®¹è©³çŽ°ïŒ äž»ã«å»çšç»ååŠçæ©åšãå»çšç»åãããã¯ãŒã¯ã·ã¹ãã ã®èšçœ®ãç«äžããå®æç¹æ€ããã©ãã«ã·ã¥ãŒãã£ã³ã°çã®æè¡ãµããŒãã«ãªããŸããå»çæ©é¢ç¹æã®å¹ççéçšã®ãææ¡ãéçºéšéãžã®ãã£ãŒãããã¯çãå®å¿ããŠãŠãŒã¶ãŒã«å瀟ã®å»çæ©åšãã䜿çšããã ããããæ§ã ãªåŽé¢ãããµãŒãã¹ïŒãµããŒãããæ¥åã§ãã ãµããŒãïŒãµãŒãã¹ã®å質ãé«ããã客æ§ã«ãææ¡ããããšã§ãã客æ§ããã®ä¿¡é Œãå®å¿ãç²åŸããã ããŸãã ãããžã·ã§ã³ã®é åã ã»AIæè¡ãå«ãããå»çã®æå 端æè¡ã«è§Šããããã ã»å»çæ©åšãå»çITã·ã¹ãã çãæ§ã ãªæè¡ãç¿åŸã§ãã ã»å»ççŸå Žã®æåç·ã§é¡§å®¢ãšã®æè¡ãéããŠãåãããšãã§ãã ïŒ1ïŒå å®ããç ä¿®å¶åºŠããããŸããïŒ å°ç°åã«ç ä¿®ã»ã³ã¿ãŒããããæ©æ¢°ãå®éã«è§£äœããããçµã¿ç«ãŠããããç ä¿®ãããããŸãããã®ä»ãå 茩瀟å¡ãšã®OJTããã£ããè¡ããŸããå å®ããç ä¿®å¶åºŠããçšæããŠããŸãã®ã§ãå»çæ¥çæªçµéšè ããµãŒãã¹ãšã³ãžãã¢æªçµéšè ã§ãå®å¿ããŠãä»äºãããŠããã ãããšãã§ããŸãã ïŒ2ïŒå¹ åºãã¹ãã«ã身ã«ã€ããäºãå¯èœã§ããïŒ Xç·èšºæè£ 眮ãå èŠé¡ã·ã¹ãã ãå»çITã·ã¹ãã çã®å¹ åºã補åããããŸãã®ã§ãå¹ åºãå€ãã®ã¹ãã«ãç¿åŸå¯èœã§ããããžã¿ã«åã»ãããã¯ãŒã¯åãå éçã«é²ãå»çæ¥çã§ããããããœãããŠã§ã¢ããããã¯ãŒã¯ã«é¢ããŠã®ã¹ãã«ã掻çšãããå Žé¢ãå€ããå»çæ©åšãšããæ ã«ãšã©ãŸããªãå¹ åºãã¹ãã«ã磚ããŸãã
äžèšãããã2ç¹ã®çµéšã»ç¥è ã»ãšã³ãžãã¢ã®çµéšïŒãã£ãŒã«ããµãŒãã¹/ã«ã¹ã¿ããŒãµãŒãã¹ãšã³ãžãã¢ã®çµéšè ãªã©ïŒ ã»é»æ° or æ©æ¢° or ãããã¯ãŒã¯ã«é¢ããç¥è ã»ã客æ§å¯Ÿå¿ã®çµéš
å»çç»åæ å ±ã·ã¹ãã ãå»ççšç»åæ©åšã·ã¹ãã ããã³é¢é£ä»åž¯ãããœãããŠã§ã¢ã»æ©æã®è²©å£²ãåšèŸºæ©æã®éçº å»ççšå èŠé¡ã·ã¹ãã ããã³é¢é£ä»åž¯ãããœãããŠã§ã¢ã»æ©æã®è²©å£² è¶ é³æ³¢èšºæè£ 眮ããã³é¢é£ä»åž¯ããæ©æã®è²©å£² çååŠæ€æ»æ©åšããã³é¢é£æ©æã®è²©å£² æèçšåãå»è¬ IoT 補åã®è²©å£² å»ççšæ©åšãå»çç»åæ å ±ã·ã¹ãã ãªãã³ã«é¢é£æ©æã®ä¿å®ç¹æ€ã»ä¿®ç åç©å»ççšæ©åšãªãã³ã«é¢é£æ©æã®è²©å£²
500~800äž
åœç€Ÿã®ç»åèšºææ©åšïŒMRIçïŒã®æ®ä»äœæ¥ãä¿å®ãµãŒãã¹ããµãŒãã¹ä»åž¯æ¥åïŒèª¬æãäœæ¥å ±åæžäœæã瀟å é¢ä¿è ãžã®é£çµ¡ã»èª¿æŽçïŒããä»»ãèŽããŸãã â»çŸå Žã§ãã©ãã«è§£æ±ºã«èŠæ ®ããå Žåãã³ãŒã«ã»ã³ã¿ãŒïŒãªã¢ãŒããµãŒãã¹ã»ã³ã¿ãŒïŒã«ãŠ24æéçžè«å¯èœã§ãã â ããžã·ã§ã³ã®é åïŒ ã»é¡§å®¢ããã®é»è©±ã¯ã³ãŒã«ã»ã³ã¿ãŒãäžæ¬¡åããããããçŽæ¥ãã©ãã«é»è©±ãåããããšã¯ãããŸããã ã»ã³ãŒã«ã»ã³ã¿ãŒãä¿å®å¥çŽå¶æ¥ãæ®ä»ãšã³ãžãã¢ãã¢ããªã±ãŒã·ã§ã³ã¹ãã·ã£ãªã¹ããªã©æ§ã ãªãã£ãªã¢ã«ææŠã§ããŸãã ã»é«åºŠãªæå 端ã®è£œåã«æºãããæè¡åã磚ãç¶ããããšãã§ããŸãã ã»æ å ±å ±æãçžäºãµããŒããªã©ããŒã äœå¶ãæŽã£ãŠãããå šç€Ÿå¡ããïœããããšåŒã¶ãªã©ããã©ããã§ç©ãããªç€Ÿé¢šã§ãã â åãæ¹ïŒ æ åœãšãªã¢ã«ãŠç€Ÿçšè»ã䜿ãããèªå® è¿ãã§äŒç€Ÿãå¥çŽããé§è»å Žãã客å ãžã®çŽè¡çŽåž°ãåºæ¬ãšãªããŸãã äŒæ¥ã»å€éã«ã€ããŠã¯ããŒããŒã·ã§ã³ã§ã®ã¹ã¿ã³ãã€äœå¶ããšã£ãŠãããŸããïŒã¹ã¿ã³ãã€æåœæ¯çµŠæïŒãŸãç·æ¥å¯Ÿå¿æã¯ãã€ã³ã¿ãŒãã«ãïŒç·æ¥å¯Ÿå¿åŸããæ¬¡ã®åºå€ãŸã§äžå®æéã空ããä»çµã¿ïŒãåãå ¥ããŠãããŸãã ãšã³ãžãã¢ã«é床ãªè² è·ããããããç¡çãªãé·ãåããç°å¢ã¥ããã«åãçµãã§ããŸãã â ç ä¿®äœå¶ïŒ åãã¯1æ©çš®ãéäžããŠåŠã³1ïœ2ãæã®æµ·å€ç ä¿®ïŒäžåœããã€ããã¢ã¡ãªã«ããŸãã¯ãªã³ã©ã€ã³ïŒã«åå ããã ããŸããæ åœè£œåãåŸã ã«å¢ãããå°æ¥çã«ã¯ãã«ãã¢ããªãã£ãç®æããŠããã ããŸãã â å瀟ã®ç¹åŸŽïŒ æ¥æ¬åœå ã«ãããŠ130幎以äžã®é·ãæŽå²ãæã¡ããã«ã¹ã±ã¢é åã§ã¯CTIãMRIãªã©æå 端ã®ç»å蚺æè£ 眮ããã«ã¹ã±ã¢ITã®åéã§åœå åžå Žã«ãããŠãååšæãæŸã£ãŠããŸããæ¯å¹Žå·šé¡ã®éçºè²»ãæããåžžã«è£œåã®å質ã§é«ãè©äŸ¡ãç²åŸãç¶ããŠããŸããæ¢å補åãã«ã¹ã¿ãã€ãºããã ãã§ãªããæ°ããªãã®ãäžããäœãäžããã¹ã¿ã³ã¹ã§ãããããã®ç¬åµæ§ãæ°ããªãéçºãžã®å·å¿µãããŒã±ããã§ã®å瀟ã®ããžã·ã§ãã³ã°ãéç«ãããŠããŸãã 倿Žã®ç¯å²ïŒäŒç€Ÿã®å®ããæ¥å
â å¿ èŠæ¡ä»¶ïŒä»¥äžããããã«è©²åœããæ¹ ã»ãµãŒãã¹ãšã³ãžãã¢ãšããŠã®çµéšïŒæ¥çäžåã»åæäžåïŒ ã»æŽå士çµéšïŒå¯Ÿè±¡äžåïŒèªç©ºæŽå士ãèªåè»æŽå士æè¿ã§ãïŒ â»ç°æ¥çåºèº«è ãæè¿ã§ã â æè¿æ¡ä»¶ïŒ ã»å»çæ©åšã®ãµãŒãã¹ãšã³ãžãã¢çµéš ã»MRIãCTçã®ç»åèšºææ©åšã«ããããµãŒãã¹ãšã³ãžãã¢çµéš ïŒèªåŠè£è¶³ïŒ æµ·å€ç ä¿®ãè±æããã¥ã¢ã«ã«å¯Ÿå¿ããçºãè±èªïŒèªã¿æžãïŒã«æµæããªãæ¹
以äžã®äºæ¥ã«é¢ãã補åããµãŒãã¹ããœãªã¥ãŒã·ã§ã³ã®èŒžå ¥ã販売ãè¡ã£ãŠãããŸãã ã»ç»å蚺æè£ 眮ïŒMRIãCTãååã€ã¡ãŒãžã³ã°ïŒPET/SPECTïŒããã«ã¹ã±ã¢ITæ©åšãªã©ïŒ ã»æ²»çè£ çœ®ïŒè¡ç®¡æ®åœ±è£ çœ®ãæŸå°ç·æ²»çè£ çœ®ãæè¡å®€é¢é£è£ çœ®ïŒ ã»è¶ 鳿³¢è£ 眮