Medical Endoscope Black Technology (7) Endoscope ya Roboti ey’okulongoosa ekyukakyuka

Medical Endoscope Black Technology (7) Flexible Surgical Robot EndoscopeEnkola ya roboti ey’okulongoosa ekyukakyuka ekiikirira enkola ya tekinologiya ey’omulembe oguddako ey’okulongoosa okutali kwa maanyi

Medical Endoscope Black Technology (7) Endoscope ya Roboti ey’okulongoosa ekyukakyuka

Enkola ya roboti ey’okulongoosa ekyukakyuka mu endoscopic ekiikirira enkola ya tekinologiya ey’omulembe oguddako ey’okulongoosa okutali kwa maanyi nnyo, egatta makanika akyukakyuka, amagezi ag’ekikugu, n’okufuga okutuufu okutuuka ku kulongoosa okutuufu okusukka ensalo z’emikono gy’omuntu mu nsengeka z’omubiri enzibu. Wammanga biwa okwekenneenya okw’amaanyi okwa tekinologiya ono ow’enkyukakyuka okuva mu bipimo 8:


1. Ennyonyola ey’ekikugu n’ebintu ebikulu

Okumenyawo enkyukakyuka:

Diguli y’okutumbula eddembe: diguli 7+1 ez’eddembe (endabirwamu enkalu ez’ennono zirina diguli 4 zokka ez’eddembe)

Obutuufu bw’entambula: okusengejja okukankana ku ddaala lya sub millimeter (0.1mm).

Ensengeka ekyukakyuka: Dizayini y’omukono ogw’omusota (nga Medrobotics Flex)

Okutegeera okugezi: okukaka okuddamu+3D visual navigation


Bw’ogeraageranya n’okukebera endoscopy ey’ekinnansi:

Parameter

Endoscope ya robot ekyukakyukaEndoscopy ey’ekinnansi ey’ebyuma bikalimagezi

Okukyukakyuka mu nkola y’emirimu

360 ° okufukamira mu kkubo lyonnaOkubeebalama mu ludda olumu/oludda olubiri

Okutebenkera kw’ennimiro y’okulongoosa

Active anti okukankana (<0.5 ° offset) .Okwesigama ku basawo okusobola okunyweza emikono

Enkola y’okuyiga

Emisango 50 gisobola okukuguka mu kulongoosa okusookerwakoEmisango egisukka mu 300 egy’obumanyirivu gye gyetaagisa

Ekiwundu ekya bulijjo

Ekinnya kimu/ekituli eky’obutondeOkutema okufumita emirundi mingi


2. Enzimba y’enkola ne tekinologiya omukulu

Enkola entonotono ssatu enkulu:

(1) Enkola y’emirimu:

Main console: Okulaba kwa 3D+okufuga mukama-omuddu

Omukono ogw’ebyuma: gwesigamiziddwa ku binywa eby’obutonde ebivugibwa emisuwa/eby’empewo

Omukutu gw’ebivuga: Guwagira ebivuga ebya mm 2.8 ebya mutindo


(2) Endoscope ekyukakyuka:

Diameter range: 5-15mm (nga Da Vinci SP's 25mm enkola y'ekituli kimu)

Module y’okukuba ebifaananyi: 4K/8K+ekitangaala/NBI multimodal

Okuyiiya ebintu: Nickel titanium alloy amagumba+silicone olususu olw’ebweru


(3) Ekifo eky’amagezi:

Enkola y’okuteekateeka entambula (RRT * Okulongoosa ekkubo) .

Obuyambi bwa AI mu kulongoosebwa (nga okussaako obubonero mu ngeri ey’otoma ku bifo ebivaamu omusaayi) .

5G obuyambi bw’okulongoosa okuva ewala


3. Ensonga z’okukozesa mu bujjanjabi

Okumenyawo okulongoosa okukulu:

Okulongoosa nga bayita mu mwala ogw’obutonde (EBITUNDU):

Okuggyamu thyroid mu kamwa (nga tewali nkovu mu bulago) .

Okulongoosa enseke z’omu lubuto okuyita mu bukyala

Okulongoosa mu bwengula obufunda:

Okuddamu okuzimba obulwadde bwa congenital esophageal atresia mu baana

Okusala ennyindo kw’ebizimba by’omubiri ebiyitibwa intracranial pituitary tumors

Okukola obulungi ennyo:

Microscopic anastomosis y’omukutu gw’entuuyo omukutu gw’olubuto

Omusono gw’emisuwa ogw’omutindo gwa mm 0.5

Ebikwata ku muwendo gw’obujjanjabi:

Cleveland Clinic: NOTES okulongoosa kukendeeza ku bizibu ebitundu 37%

Shanghai Ruijin Hospital: Obudde bw’okulongoosa roboti ESD bukendeezeddwa ebitundu 40%


4. Okukiikirira abakola ebintu n’amakubo ag’ekikugu

Ensi y’okuvuganya mu nsi yonna:

Omukozi w’ebintu

Enkola y’okukiikirira abantu

EBINTU EBY'ENJAWULO

Embeera y’okukkirizibwa

Ebitegeerekeka obulungi

Da Vinci SP, S. PEkinnya kimu nga kiriko diguli 7 ez’eddembe, okukuba ebifaananyi mu ngeri ya 3D/fluorescenceFDA (2018)

Eddagala lya Medirobotics

Enkola ya Flex ® eya Robotic

Endabirwamu ya ‘track style’ ekyukakyukaC. E. (2015) .

CMR Okulongoosa

VersiusDizayini ya modulo, ekivuga kya mm 5CE/NMPA

Roboti ezitayingirira nnyo

Weereza ®Ekintu ekisoose okukolebwa mu ggwanga nga kikendeezeddwa ku nsaasaanya ya bitundu 50%NMPA(2022)

Titan Medical

Enos TMSingle port+augmented reality okutambulira mu mazimaFDA (omutendera gwa IDE) .


5. Okusoomoozebwa okw’ekikugu n’okugonjoola ebizibu

Ebizibu bya yinginiya:

Obutabeera na maanyi gaddibwamu:

Ekigonjoola: Okutegeera okusika kwa Fiber Bragg Grating (FBG).

Enkaayana z’ebyuma:

Okumenya: Enkola y’okuteekateeka entambula etali ya kigero

Ekizibu ky’okutta obuwuka:

Obuyiiya: Dizayini y’ekikuta ekikyukakyuka eky’omulundi gumu (nga J&J Ethicon)

Ensonga z’obulumi mu bujjanjabi:

Enkola y’okuyiga: Enkola y’okutendeka mu ngeri ya Virtual reality (nga Osso VR) .

Okuteeka mu bwengula: Okulondoola amasannyalaze+okugatta ebifaananyi mu CT/MRI


6. Enkulaakulana mu tekinologiya ow’omulembe

Okumenyawo ensalo mu mwaka gwa 2023-2024:

Roboti ennyogovu efugira magineeti: Roboti ya magineeti efugira magineeti eya ddaala lya milimita eyakolebwa Yunivasite ya Harvard (Science Robotics)

Okukola kwa AI okwetongodde: Enkola ya Johns Hopkins University STAR emaliriza okulongoosa ekyenda mu ngeri eyeetongodde

Okukuba ebifaananyi ku ddaala ly’obutoffaali: okugatta enkola ya confocal endoscopy ne robotics (nga Mauna Kea+da Vinci) .

Ensonga enkulu mu kwewandiisa:

Mu mwaka gwa 2023, ekitongole kya FDA kyakkiriza roboti esoose ekola ku baana (Medtronic Hugo RAS) .

Enteekateeka ya China ey’emyaka etaano ey’omulundi ogwa 14 etaddemu akawumbi ka Yuan 1.2 mu kunoonyereza n’okukulaakulanya ebikulu okuwagira enkola z’omunda mu ggwanga


7. Emitendera gy’enkulaakulana mu biseera eby’omu maaso

Obulagirizi bw’enkulaakulana ya tekinologiya:

Okukendeeza ku bintu ebitonotono (ultra miniaturization):

Roboti eyingira mu misuwa (<3mm) .

Capsule y’okulongoosa emira

Group robot: Okulongoosa nga bakolagana ne multi micro robot

Enkolagana ya kompyuta y’obwongo: okufuga obutereevu obubonero bw’obusimu (nga Synchron Stenrode) .

okulagula akatale:

Akatale k’ensi yonna kasuubirwa okutuuka ku doola 28B omwaka 2030 we gunaatuukira (Precedence Research)

Okulongoosa ekinnya kimu kikola ebitundu ebisukka mu 40% ku balwadde


8. Emisango egya bulijjo egy’okulongoosebwa

Omusango 1: Okuggyamu thyroid mu kamwa

Enkola: da Vinci SP

Okulongoosa: Okusalako ekizimba kya sentimita 3 mu bujjuvu nga bayita mu nkola ya oral vestibular

Enkizo: Tewali nkovu mu bulago, efuluma nga wayise ennaku 2 ng’alongooseddwa

Omusango 2: Okuddamu okuzimba omumwa gwa nnabaana mu baana abawere

Enkola: Enkola ya Medirobotics Flex

Obuyiiya: Omukono gwa robotic ogwa mm 3 gumaliriza 0.8mm vascular anastomosis

Ebyavaamu: Tewaaliwo bizibu bya stenosis oluvannyuma lw’okulongoosebwa


Mu bufunze n’endowooza

Flexible surgical robot endoscopy ezzeemu okukola enkola y’okulongoosa:

Ebbanga ettono (emyaka 1-3): Kikyuseemu ebitundu 50% ku nkola z’okulongoosa ez’ekinnansi mu kitundu kya NOTES

Mid term (emyaka 3-5): Okutuuka ku kulongoosa okwangu okwetongodde (nga polypectomy) .

Ebbanga eddene (emyaka 5-10): Okukulaakulanya okufuuka ‘ekkolero ly’okulongoosa mu mubiri’ eriyinza okuteekebwamu.

Tekinologiya ono ku nkomerero ajja kutuuka ku ‘okulongoosa okutuufu awatali buvune bulabika’, okuvuga obujjanjabi mu mulembe ogw’amagezi amatuufu ogutayingirira nnyo.