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 ekyukakyuka | Endoscopy ey’ekinnansi ey’ebyuma bikalimagezi |
Okukyukakyuka mu nkola y’emirimu | 360 ° okufukamira mu kkubo lyonna | Okubeebalama 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 okusookerwako | Emisango egisukka mu 300 egy’obumanyirivu gye gyetaagisa |
Ekiwundu ekya bulijjo | Ekinnya kimu/ekituli eky’obutonde | Okutema 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. P | Ekinnya kimu nga kiriko diguli 7 ez’eddembe, okukuba ebifaananyi mu ngeri ya 3D/fluorescence | FDA (2018) |
Eddagala lya Medirobotics | Enkola ya Flex ® eya Robotic | Endabirwamu ya ‘track style’ ekyukakyuka | C. E. (2015) . |
CMR Okulongoosa | Versius | Dizayini ya modulo, ekivuga kya mm 5 | CE/NMPA |
Roboti ezitayingirira nnyo | Weereza ® | Ekintu ekisoose okukolebwa mu ggwanga nga kikendeezeddwa ku nsaasaanya ya bitundu 50% | NMPA(2022) |
Titan Medical | Enos TM | Single port+augmented reality okutambulira mu mazima | FDA (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.