Ubuvuzi bwa Endoskopi Yubuvuzi Ikoranabuhanga ryirabura (7) Imashini yoroheje yo kubaga Endoscope Sisitemu yo kubaga robot endoskopique ihindagurika yerekana igisekuru kizaza tekinoloji ya tekinoroji yo kubaga byoroheje.
Ubuvuzi bwa Endoskopi Yubuvuzi Ikoranabuhanga ryirabura (7) Imashini yoroheje yo kubaga Endoscope
Sisitemu yoroheje yo kubaga robot endoscopique yerekana igisekuru kizaza cya tekinoroji ya tekinoroji yo kubaga byoroheje byibasiwe, bihuza ubukanishi bworoshye, ubwenge bw’ubukorikori, hamwe no kugenzura neza kugira ngo bigere ku bikorwa byuzuye birenze imipaka y’amaboko y’abantu mu nyubako zigoye zidasanzwe. Ibikurikira bitanga isesengura ryimbitse ryubu buhanga bwimpinduramatwara kuva 8:
1. Ibisobanuro bya tekiniki nibiranga ibintu byingenzi
Iterambere rya Revolution:
Impamyabumenyi y'ubwisanzure mu kuzamura: 7 + 1 dogere y'ubwisanzure (indorerwamo gakondo zifite impamyabumenyi 4 gusa)
Icyerekezo cyukuri: urwego rwa milimetero (0.1mm) gushungura
Ibikoresho byoroshye: Igishushanyo cyamaboko yinzoka (nka Medrobotics Flex)
Imyumvire yubwenge: guhatira ibitekerezo + 3D igaragara
Ugereranije na endoskopi gakondo:
Parameter | Imashini ya robot ihindagurika | Endoskopi gakondo |
Gukora ibintu byoroshye | 360 ° kugoreka byose | Icyerekezo kimwe / Icyerekezo cyerekezo |
Guhagarara kumurima wo kubaga | Kurwanya shake (<0.5 ° offset) | Kwishingikiriza kubaganga kugirango amaboko ahamye |
Kwiga umurongo | Imanza 50 zirashobora kumenya ibikorwa byibanze | Imanza zirenga 300 zirakenewe |
Igikomere gisanzwe | Umwobo umwe / umwobo karemano | Ibice byinshi byo gutobora |
2. Sisitemu yububiko hamwe nikoranabuhanga ryibanze
Ibice bitatu byingenzi:
(1) Ihuriro rikora:
Umujyanama mukuru: iyerekwa rya 3D + umutware-umugaragu
Ukuboko kwa mashini: gushingiye kumitsi ikorwa / imitsi yubukorikori
Umuyoboro wibikoresho: Shyigikira ibikoresho bisanzwe 2.8mm
(2) Endoskopi ihindagurika:
Ikigereranyo cya diameter: 5-15mm (nka sisitemu ya 25mm ya Da Vinci SP)
Module yerekana amashusho: 4K / 8K + fluorescence / NBI multimodal
Guhanga ibikoresho: Nickel titanium alloy skeleton + silicone uruhu rwo hanze
(3) Ikigo cyubwenge:
Igenamigambi ryimikorere Algorithm (RRT * Gukwirakwiza inzira)
Imfashanyo ya AI idasanzwe (nko gushiraho ibimenyetso byerekana amaraso)
5G inkunga yo kubaga kure
3. Ibisabwa byo kwa muganga
Intambwe yibanze yo kubaga:
Kubaga ukoresheje umuyoboro karemano (ICYITONDERWA):
Tiroidectomie yo mu kanwa (idafite inkovu)
Indwara ya cholecystectomy
Kubaga umwanya muto:
Kongera kubaka atopiya ivuka ya esophageal
Amazuru yo kwanga ibibyimba bya pituito
Ibikorwa byiza cyane:
Microscopique anastomose yumuyoboro wa bile pancreatic duct
0.5mm urwego rwimitsi y'amaraso
Ibyerekeye agaciro k'amavuriro:
Ivuriro rya Cleveland: ICYITONDERWA kubaga kigabanya ibibazo 37%
Ibitaro bya Shanghai Ruijin: Igihe cyo kubaga robot ESD cyagabanutseho 40%
4. Guhagararira abakora n'inzira za tekiniki
Imiterere ihiganwa ku isi:
Uruganda | Sisitemu yo guhagararira | IBIKURIKIRA | Imiterere yemewe |
Intuitive | Da Vinci SP | Umwobo umwe ufite dogere 7 zubwisanzure, amashusho ya 3D / fluorescence | FDA (2018) |
Medrobotics | Flex System Sisitemu ya robo | Indorerwamo ihindagurika | CE (2015) |
Kubaga CMR | Imirongo | Igishushanyo mbonera, igikoresho cya 5mm | CE / NMPA |
Imashini zoroshye | Kohereza ® | Igicuruzwa cya mbere cyakorewe mu gihugu hamwe no kugabanya ibiciro 50% | NMPA (2022) |
Ubuvuzi bwa Titan | Enos ™ | Icyambu kimwe + cyongerewe ukuri kugendagenda | FDA (icyiciro cya IDE) |
5. Ibibazo bya tekiniki nibisubizo
Ingorane zubwubatsi:
Kubura ibitekerezo byingufu:
Igisubizo: Fibre Bragg Grating (FBG) Kumva neza
Amakimbirane y'ibikoresho:
Iterambere: Igenamigambi ryimikorere idasanzwe
Indwara yo kwanduza indwara:
Guhanga udushya: Igishushanyo mbonera cyoroshye (nka J&J Ethicon)
Ingingo z'ububabare bwa Clinical:
Kwiga umurongo: Sisitemu yo guhugura mubyukuri (nka Osso VR)
Umwanya uhagaze: Gukurikirana amashanyarazi + CT / MRI guhuza amashusho
6. Iterambere rigezweho mu ikoranabuhanga
Iterambere ryambukiranya imipaka muri 2023-2024:
Igenzura rya Magnetique Imashini yoroshye: Urwego rwa milimetero Imashini igenzura imashini ya capsule yakozwe na kaminuza ya Harvard (Ubumenyi bwa siyansi)
Igikorwa cyigenga cya AI: Sisitemu ya STAR ya Johns Hopkins yuzuza anastomose yamara
Kwerekana urwego rwakagari: guhuza endoskopi ya conocal na robotics (nka Mauna Kea + da Vinci)
Intambwe yo kwiyandikisha:
Muri 2023, FDA yemeje robot yambere yambere yabana yihariye (Medtronic Hugo RAS)
Gahunda y’imyaka 14 y’Ubushinwa ishora miliyari 1,2 y’amadorari mu bushakashatsi n’iterambere mu rwego rwo gushyigikira gahunda z’imbere mu gihugu
7. Iterambere ry'ejo hazaza
Icyerekezo cyubwihindurize:
Ultra miniaturisation:
Imashini yimitsi itwara imitsi (<3mm)
Kuroga kubagwa capsule
Itsinda ryimashini: Multi micro robot ikorana kubaga
Ubwonko bwa mudasobwa yubwonko: kugenzura neza ibimenyetso byubwonko (nka Synchron Stenrode)
guhanura isoko:
Biteganijwe ko ingano y’isoko ku isi izagera kuri $ 28B muri 2030 (Ubushakashatsi bwibanze)
Kubaga umwobo umwe bingana na 40%
8. Ibibazo bisanzwe byo kubaga
Urubanza 1: Tiroyide yo mu kanwa
Sisitemu: da Vinci SP
Igikorwa: Kurandura burundu ikibyimba cya 3cm ukoresheje uburyo bwo mu kanwa
Ibyiza: Nta nkovu zo mu ijosi, zasohotse nyuma yiminsi 2 nyuma yo kubagwa
Ikiburanwa cya 2: Kwiyubaka kwa Esophageal
Sisitemu: Imiterere ya Medrobotics
Guhanga udushya: ukuboko kwa robot 3mm kuzuza 0.8mm y'amaraso anastomose
Igisubizo: Nta ngorane zabayeho nyuma yo guterwa na stenosis
Incamake n'ibitekerezo
Imashini yoroheje yo kubaga robot endoscopi irimo guhindura paradigmme yo kubaga:
Igihe gito (1-3 ans): Simbuza 50% byuburyo gakondo bwo kubaga murwego rwa ICYITONDERWA
Igihe giciriritse (3-5 ans): Kugera kubaga byoroheje byigenga (nka polypectomy)
Igihe kirekire (imyaka 5-10): Itezimbere mumashanyarazi 'muri-vivo yo kubaga'
Iri koranabuhanga amaherezo rizagera ku 'kubaga neza nta ihahamuka rigaragara', gutwara ubuvuzi mu bihe byubwenge buke byibasiye.