Ubuvuzi bwa Endoskopi Yubuvuzi Ikoranabuhanga ryirabura (7) Imashini yoroheje yo kubaga Endoscope

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 ihindagurikaEndoskopi gakondo

Gukora ibintu byoroshye

360 ° kugoreka byoseIcyerekezo kimwe / Icyerekezo cyerekezo

Guhagarara kumurima wo kubaga

Kurwanya shake (<0.5 ° offset)Kwishingikiriza kubaganga kugirango amaboko ahamye

Kwiga umurongo

Imanza 50 zirashobora kumenya ibikorwa byibanzeImanza zirenga 300 zirakenewe

Igikomere gisanzwe

Umwobo umwe / umwobo karemanoIbice 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 SPUmwobo umwe ufite dogere 7 zubwisanzure, amashusho ya 3D / fluorescenceFDA (2018)

Medrobotics

Flex System Sisitemu ya robo

Indorerwamo ihindagurikaCE (2015)

Kubaga CMR

ImirongoIgishushanyo mbonera, igikoresho cya 5mmCE / 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 kugendagendaFDA (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.