XBX Medical Okuddiŋŋana Bronchoscope

1. Ennyonyola y’ebintu n’okugabanya

Reusable bronchoscope kitegeeza enkola ya bronchoscope eyinza okukozesebwa emirundi mingi oluvannyuma lw’okutta obuwuka n’okuzaala mu ngeri ey’ekikugu, nga kino kiri mu kiti kya endoscopes ezikyukakyuka. Okusinziira ku mpisa z’emirimu, kiyinza okwawulwamu:

Ekyuma ekikebera obulwadde mu nnyindo (bronchoscope).

Standard ebweru dayamita: 4.9-6.0mm

Omukutu ogukola: 2.0-2.8mm

Okusinga ekozesebwa mu kulongoosa okuzuula obulwadde ng’okukebera n’okukebera ebitundu by’omubiri

Enkola y’okukebera ennyindo (bronchoscope) ey’obujjanjabi

Obuwanvu obw’ebweru: 5.5-6.3mm

Omukutu ogukola: ≥3.0mm

Awagira obujjanjabi obw’okuyingira mu nsonga nga laser ne cryotherapy

Okukebera emisuwa mu ngeri ya Ultrasound (EBUS) .

Ekintu ekikebera amaloboozi amangi (7.5-12MHz) .

Ekozesebwa mu kwekenneenya ennywanto z’omu lubuto (mediastinal lymph node).

2. Ensengeka enkulu n’ebipimo by’ebyekikugu

Enkola y’amaaso

Ennimiro y’okulaba: 80°-120°

Obuziba bw’ekifo: 3-50mm

Okusalawo: ≥100,000 pixels (ekika kya HD kisobola okutuuka ku 500,000 pixels)

Ebintu eby’ebyuma

Enkoona y’okubeebalama:

Okukoona okudda waggulu: 120°-180°

Okukoona wansi: 90°-130°

Obulung’amu bw’okutambuza torque: ≥85%

Omukutu ogukola

Okuziyiza puleesa: ≥3bar (ekika ky’obujjanjabi)

Okujjanjaba kungulu: Okusiiga kwa PTFE kukendeeza ku mugerageranyo gw’okusikagana

III. Ebikulu ebikwata ku by’ekikugu

Ebintu ebikozesebwa mu mubiri gw’endabirwamu

Oluwuzi olw’ebweru: ekintu ekigatta polyurethane/Pebax (okuziyiza okukulukuta, okukyukakyuka)

Layer ey’omunda: ekyuma ekitali kizimbulukuse spiral tube (torque transmission) .

Ekiyungo: ensengeka ya hingi ey’enjawulo (obulamu bw’okubeebalama 200,000)

Tekinologiya w’okusiba

Dizayini etayingiramu mazzi mu bujjuvu (omutindo gwa IPX8)

Double O-ring seal ku bitundu ebikulu

Obuyiiya mu by’amaaso

Omuze ogusembyeyo gwettanira:

Sensulo ya 4K CMOS (yinsi 1/4)

Tekinologiya wa NBI ow’obuwanvu bw’amayengo abiri (415/540nm)

IV. Enzirukanya y’okutta obuwuka n’okuzaala

Enkola ya mutindo

Ebikulu ebiraga

Ekikolwa ky’okuzaala: okutuuka ku SAL 10−6

Okukebera okukwatagana kw’eddagala eritta obuwuka:

Ekika ky’eddagala eritta obuwuka Obudde obusinga obunene obw’okugumira

Phthalaldehyde ≤eddakiika 20

Asidi wa peracetic ≤eddakiika 10

Enzirukanya y’obulamu

Obulamu bw’obuweereza obwa wakati: emirundi 300-500

Omutindo gw’okusazaamu ogw’ekiragiro:

Okufiirwa kwa pikseli>30%

Enkola y’okubeebalama okulemererwa

Okugezesa okusiba okulemererwa

V. Ensonga z’okukozesa mu bujjanjabi

Okukozesa okuzuula obulwadde

Okuzuula kookolo w’amawuggwe:

Okuzuula kookolo nga bukyali mu autofluorescence okugatta (sensitivity 92%) .

Obutuufu bw’okukebera omubiri: ekika eky’omu makkati 88%, ekika eky’okumpi 72%

Endwadde ezisiigibwa:

BALF omutindo gw’obuzito bw’okunaaba: 100-300ml

Obujjanjabi obw’okuyingira mu nsonga

Enkola z’obujjanjabi eza bulijjo:

Tekinologiya Endwadde ezikozesebwa Omuwendo gw’obuwanguzi

Argon knife Okuzibikira kw’omukutu gw’empewo wakati 85% .

Cryotherapy Akafuba k’omu nnyindo 78% .

Okuteeka stent Okusannyalala kw’emikutu gy’empewo okuzibu 93% .

Okusaba okw’enjawulo

Ekyuma ekikebera abaana mu nnyindo:

Obuwanvu obw’ebweru 2.8-3.5mm

Sayizi entono eri abaana abazaalibwa (obuzito > 2kg) .

Okusaba mu ICU:

Okunaazibwa kw’ennyindo ku mabbali g’ekitanda

Okukebera emikutu gy’empewo okuzibu

VI. Okugeraageranya n’ebyuma ebikebera empewo ebikozesebwa omulundi gumu

Ebipimo by’okugeraageranya Ebitunula ebitunula mu nnyindo ebiddamu okukozesebwa Ebitunula mu nnyindo ebikozesebwa omulundi gumu

Single egula $300-800 (nga kw’otadde n’okutta obuwuka) $500-1200

Omutindo gw'ebifaananyi 4K ultra-high definition Ebiseera ebisinga 1080p

Operation feel Okutambuza torque entuufu Relatively rigid

Omugugu gw’obutonde kkiro 0.5 eza kasasiro w’eddagala akolebwa buli mulundi kkiro 3-5 eza kasasiro w’ebyobujjanjabi akolebwa buli mulundi

Okubeera mu mbeera ey’amangu Obudde bw’okuteekateeka okutta obuwuka bwetaagisa Weetegefu okukozesa

VII. Ebipimo by’eby’ekikugu eby’ebintu ebya bulijjo

Ekibuga kya Olympics BF-1TQ290

Obuwanvu obw’ebweru: 6.0mm

Omukutu ogukola: 3.2mm

Enkoona y’okubeebalama: 180° (waggulu) / 130° (wansi)

Obujjanjabi obukwatagana: amaanyi ga layisi ≤40W

Ennyonyi ya Fuji EB 530S

Frequency y’amaloboozi amangi: 7.5MHz

Obuwanvu bw’empiso y’okufumita: 22G

Enkola ya Doppler: ewagira okuzuula okutambula kw’omusaayi

Pentax EB-1170K

Ultra-fine ebweru obuwanvu: 4.2mm

Obukaluba obw’ewala obutereezebwa

Ekwatagana n’okutambulira mu bifo eby’amasannyalaze

VIII. Ebifo eby’okuddaabiriza n’okuddukanya

Okuddaabiriza buli lunaku

Okuzuula okukulukuta oluvannyuma lwa buli kukozesa (puleesa 30-40kPa) .

Ebiseera by’okusiimuula emikutu ≥10 emirundi/omukutu

Embeera y’okutereka: obunnyogovu 40-60%RH

Okulondoola omutindo

Ebintu ebikeberebwa buli mwezi:

Kaadi y’okugezesa okusalawo kw’ebifaananyi

Okupima enkoona y’okubeebalama

Okuzuula ekitangaala (≥1500lux) .

Okufuga ebisale

Okwekenenya ssente z’okuddaabiriza:

Ekika ky’okuddaabiriza Emirundi egy’omuwendo ogwa wakati

Okukyusa clip tube $800 emirundi 50/ekitundu

Okukyusa CCD $3500 emirundi 200/ekitundu

Okuddaabiriza okubeebalama $2000 emirundi 300/lens

IX. Enkulaakulana mu tekinologiya ow’omulembe

Okuyiiya ebintu

Okusiiga okweyonja (TiO2 photocatalysis) .

Ekirungo ekiziyiza obuwuka (ekirimu amasannyalaze ga ffeeza) .

Emirimu egy’amagezi

Obuyambi bwa AI mu kiseera ekituufu:

Okuzuula mu ngeri ey’otoma okukutuka kw’ennyindo (obutuufu 98%) .

Okubalirira mu ngeri ey’amagezi obungi bw’omusaayi oguvaamu

Okuddamu okuzimba ekkubo mu ngeri ya 3D:

Virtual navigation nga yesigamiziddwa ku bifaananyi bya CT

Tekinologiya w’okuzaala

Okuzaala mu plasma mu bbugumu eri wansi (<50°C) .

Enzirukanya y’okuzaala amangu: ≤eddakiika 30

X. Embeera y’akatale n’enkulaakulana

Ebikwata ku katale k’ensi yonna

Akatale mu 2023 Obunene bw’akatale: Akawumbi ka ddoola kamu n’obukadde 27

Omugabo gw’abakola ebintu ebikulu:

Olympus: Ebitundu 38%

Fuji: Ebitundu 25%

Omusolo gwa Pentax: 18%

Omuze gw’okukulaakulanya tekinologiya

Dizayini ya modulo (enkomerero y’omutwe ekola ekyusibwamu) .

Obutambuzi obutali waya (ekola ku bbaatule) .

Obulagirizi bwa Augmented reality

Omuze gw’okukozesa mu bujjanjabi

Okumanyisa abantu okukebera kookolo w’amawuggwe

Obujjanjabi obw’okuyingira mu nsonga obulongooseddwa

Okukola emirimu gya bulijjo ku kitanda

Okubumbako

Bronchoscopes eziddamu okukozesebwa zikyali zisinga okulondebwa mu mulimu gw’okuyingira mu nsonga z’okussa olw’omutindo gw’ebifaananyi gwazo omulungi ennyo, okukola emirimu egy’enjawulo n’ebyenfuna ebingi. Olw'okukulaakulanya ssaayansi w'ebintu ne tekinologiya ow'amagezi, omulembe omupya ogw'ebintu gugenda gukulaakulana nga gugenda "ebiwangaala, ebigezi era eby'obukuumi". Ebitongole by’ebyobujjanjabi byetaaga okulowooza ku bino wammanga nga bisalawo:

Emirundi gy’okozesa n’okukendeeza ku nsimbi

Obusobozi bw’okutta obuwuka n’okuzaala

Enkola y’okukakasa okuddaabiriza

Mu myaka etaano egijja, nga bavugibwa ebisaanyizo ebikakali eby’okulwanyisa yinfekisoni n’obuyiiya mu tekinologiya, ebyuma ebikebera empewo ebiddamu okukozesebwa bijja kusigala nga bikuuma akatale akasukka mu 60%.