XBX Ubuvuzi Gusubiramo Bronchoscope

1. Ibisobanuro byibicuruzwa no gutondekanya

Kongera gukoreshwa na bronchoscope bivuga sisitemu ya bronchoscope ishobora gukoreshwa inshuro nyinshi nyuma yo kwanduza no kwanduza umwuga, biri mubyiciro bya endoskopi yoroheje. Ukurikije ibiranga imikorere, irashobora kugabanywamo:

Gusuzuma bronchoscope

Diameter isanzwe yo hanze: 4.9-6.0mm

Umuyoboro ukora: 2.0-2.8mm

Ahanini ikoreshwa mubikorwa byo gusuzuma nko kugenzura na biopsy

Ubuvuzi bwa bronchoscope

Diameter yo hanze: 5.5-6.3mm

Umuyoboro ukora: ≥3.0mm

Shyigikira ubuvuzi bwa interineti nka laser na cryotherapy

Ultrasound bronchoscopy (EBUS)

Ubushakashatsi bwakozwe na ultrasound (7.5-12MHz)

Byakoreshejwe muri mediastinal lymph node gusuzuma

2. Imiterere yibanze nibikoresho bya tekiniki

Sisitemu nziza

Umwanya wo kureba: 80 ° -120 °

Ubujyakuzimu bw'umurima: 3-50mm

Icyemezo: ≥100.000 pigiseli (Ubwoko bwa HD bushobora kugera kuri 500.000 pigiseli)

Ibikoresho bya mashini

Inguni yunamye:

Kwunama hejuru: 120 ° -180 °

Kwunama kumanuka: 90 ° -130 °

Uburyo bwo kohereza amashanyarazi: ≥85%

Umuyoboro

Kurwanya igitutu: bar3bar (ubwoko bwo kuvura)

Kuvura hejuru: PTFE itwikiriye igabanya coefficient de friction

III. Ibyingenzi byingenzi bya tekiniki

Indorerwamo yumubiri

Igice cyo hanze: polyurethane / Pebax igizwe nibikoresho (kurwanya ruswa, guhinduka)

Igice cy'imbere: umuyoboro w'icyuma utagira umuyonga (umuyoboro wa torque)

Ihuriro: imiterere idasanzwe ya hinge (200.000 igoramye ubuzima)

Ikoranabuhanga

Igishushanyo cyuzuye kitarimo amazi (IPX8 isanzwe)

Kabiri O-impeta ikidodo kubice byingenzi

Guhanga udushya

Icyitegererezo giheruka kwemeza:

4K sensor ya CMOS (1/4 cm)

Uburebure-bubiri bwa tekinoroji ya NBI (415 / 540nm)

IV. Gucunga no kwanduza

Inzira isanzwe

Ibipimo by'ingenzi

Ingaruka zo kuboneza urubyaro: kugera kuri SAL 10⁻⁶

Ikizamini cyo guhuza imiti yangiza:

Ubwoko bwa Disinfectant Igihe ntarengwa cyo kwihanganira

Phthalaldehyde ≤ iminota 20

Acide ya peracetike ≤ iminota 10

Gucunga ubuzima

Impuzandengo ya serivisi ya serivisi: inshuro 300-500

Igipimo cyo gukuraho itegeko:

Igihombo cya Pixel> 30%

Kunanirwa uburyo bwo kunanirwa

Gufunga ikizamini cyatsinzwe

V. Ibisabwa byo kwa muganga

Gusuzuma

Gusuzuma kanseri y'ibihaha:

Gukomatanya autofluorescence kumenya kanseri hakiri kare (sensitivite 92%)

Biopsy yukuri: ubwoko bukuru 88%, ubwoko bwa peripheri 72%

Indwara zandura:

Ubunini bwa BALF buringaniye: 100-300ml

Kuvura intera

Uburyo busanzwe bwo kuvura:

Ikoranabuhanga Indwara zikoreshwa Igipimo cyo gutsinda

Icyuma cya Argon Hagati yo guhagarika inzira 85%

Cryotherapy Bronchial igituntu 78%

Gushyira Stent Malignant airway stenosis 93%

Porogaramu idasanzwe

Bronchoscope y'abana:

Diameter yo hanze 2.8-3.5mm

Ingano ntoya kuri neonates (uburemere> 2kg)

Porogaramu ya ICU:

Uburiri bwa bronchoalveolar lavage

Gusuzuma inzira igoye

VI. Gereranya na bronchoscopes ikoreshwa

Ibipimo byo kugereranya Byongera gukoreshwa bronchoscopes Ikoreshwa rya bronchoscopes

Ingaragu imwe igura $ 300-800 (harimo no kwanduza) $ 500-1200

Ubwiza bwibishusho 4K ultra-high ibisobanuro Mubisanzwe 1080p

Igikorwa cyunvikana neza Ikwirakwizwa rya torque Ugereranije birakomeye

Umutwaro wibidukikije 0.5 kg yimyanda yubuvuzi yabyaye buri gihe 3-5kg yimyanda yubuvuzi ikorwa buri gihe

Ibihe byihutirwa byateguwe Kwanduza igihe gisabwa Biteguye gukoresha

VII. Ibicuruzwa bisanzwe bya tekiniki

Olympus BF-1TQ290

Diameter yo hanze: 6.0mm

Umuyoboro ukora: 3.2mm

Inguni yunamye: 180 ° (hejuru) / 130 ° (hepfo)

Ubuvuzi bujyanye: imbaraga za laser ≤40W

Fuji EB-530S

Ultrasonic frequency: 7.5MHz

Gutandukanya urushinge rwa inshinge: 22G

Imikorere ya Doppler: ishyigikira kumenya amaraso

Pentax EB-1170K

Ultra-nziza ya diameter yo hanze: 4.2mm

Guhindura gukomera kure

Bihujwe nogukoresha amashanyarazi

VIII. Kubungabunga no gucunga ingingo

Kubungabunga buri munsi

Kumenya kumeneka nyuma yo gukoreshwa (igitutu 30-40kPa)

Umuyoboro wohanagura inshuro times10 / umuyoboro

Ibidukikije bibikwa: ubuhehere 40-60% RH

Kugenzura ubuziranenge

Ibikoresho byo kugenzura buri kwezi:

Ikarita yikizamini cyo gukemura

Gupima inguni

Kumenyekanisha Kumurika (≥1500lux)

Kugenzura ibiciro

Gusesengura ibiciro byo gufata neza:

Ubwoko bwo gufata neza Impuzandengo yikiguzi inshuro

Clip tube gusimbuza $ 800 inshuro 50 / igice

Gusimbuza CCD $ 3500 inshuro 200 / igice

Bend gusana $ 2000 inshuro 300 / lens

IX. Iterambere rigezweho

Guhanga udushya

Igikoresho cyo kwisukura (TiO₂ Photocatalysis)

Antibacterial polymer (irimo ion ya silver)

Imikorere yubwenge

Ubufasha nyabwo bwa AI:

Kumenyekanisha mu buryo bwikora gutandukana kwa bronchial (ubunyangamugayo 98%)

Ikigereranyo cyubwenge cyo kuva amaraso

Kwubaka inzira ya 3D:

Virtual navigation ishingiye kumashusho ya CT

Ikoranabuhanga rya Sterilisation

Ubushyuhe buke bwa plasma sterilisation (<50 ℃)

Kuzunguruka byihuse: iminota 30

X. Imiterere yisoko niterambere

Amakuru yisoko ryisi yose

Isoko muri 2023 Ingano yisoko: miliyari 1.27

Umugabane wingenzi wabakora:

Olympus: 38%

Fuji: 25%

Pentax: 18%

Iterambere ry'ikoranabuhanga

Igishushanyo mbonera (gishobora gusimburwa umutwe wumutwe)

Ihererekanyabubasha (rikoresha bateri)

Kongera ubuyobozi nyabwo

Uburyo bwo kuvura

Kwamamara kwa kanseri y'ibihaha

Kuvura neza

Igikorwa cyo kuryama kumurongo

Incamake

Ikoreshwa rya bronchoscopes iracyakomeza guhitamo muburyo bwo guhumeka bitewe nubwiza bwibishusho byiza, imikorere ikora neza nubukungu buhanitse. Hamwe niterambere ryubumenyi bwibikoresho nubuhanga bwubwenge, ibisekuru bishya byibicuruzwa bigenda bihinduka "biramba, bifite ubwenge kandi bifite umutekano". Ibigo byubuvuzi bigomba gusuzuma ibi bikurikira muguhitamo:

Inshuro yo gukoresha no gukoresha neza

Ubushobozi bwo kwanduza no kuboneza urubyaro

Sisitemu yo gufata neza

Mu myaka itanu iri imbere, bitewe n’ibisabwa bikomeye byo kurwanya indwara no guhanga udushya mu ikoranabuhanga, bronchoscopes yongeye gukoreshwa izakomeza kugumana isoko rirenga 60%.