Tekinologiya w’omuddugavu ow’ekika kya Medical endoscope (9) okweyonja/okusiiga ekiziyiza ekifu

Tekinologiya ow’okweyonja n’okusiiga ekifu mu by’obujjanjabi (medical endoscopes) buyiiya bukulu okutumbula obulungi bw’okulongoosa n’okukendeeza ku bulabe bw’okukwatibwa obulwadde. Okuyita mu kumenyawo mu sayansi w’ebintu a

Tekinologiya ow’okweyonja n’okusiiga ekifu mu by’obujjanjabi (medical endoscopes) buyiiya bukulu okutumbula obulungi bw’okulongoosa n’okukendeeza ku bulabe bw’okukwatibwa obulwadde. Okuyita mu kumenyawo mu ssaayansi w’ebintu ne yinginiya w’okungulu, egonjoola ensonga enkulu eziruma ennyo mu endoscope ez’ekinnansi nga okufuuwa enfuufu n’obucaafu bw’ebiramu nga balongoosebwa. Wammanga kwe kwekenneenya okutegekeddwa okuva mu bipimo by’emisingi egy’ekikugu, okuyiiya ebintu, omugaso gw’obujjanjabi, n’enkulaakulana mu biseera eby’omu maaso:


1. Ensibuko y’ebyekikugu n’ebifo ebiruma mu bujjanjabi

Ebikoma ku endoscopes ezitaliiko langi:

Intraoperative fogging: Okufuumuuka kw’endabirwamu okuva ku njawulo y’ebbugumu wakati w’ebbugumu ly’omubiri n’ensibuko y’ekitangaala ekinyogovu (incidence>60%)

Obujama bw’ebiramu: Okwongera okukaluba mu kwoza olw’omusaayi n’omusulo okunywerera (okuwangaaza obudde bw’okulongoosa ebitundu 15-20%) .

Okwonooneka kw’okutta obuwuka: Okutta obuwuka enfunda n’enfunda kivaako okukaddiwa kw’ekizigo ky’endabirwamu (okukendeeza ku bulamu ebitundu 30%) .


2. Emisingi emikulu egy’ekikugu

(1) Tekinologiya w’okulwanyisa ekifu

Ekika ky’eby’ekikugu

Enkola y’okussa mu nkolaOkusaba kw’abakiise

Okubuguma okukola

Waya ya micro resistance eyingiziddwa mu lenzi (ebbugumu eritakyukakyuka 37-40 °C)

Olympus ENF-V2 Ekyuma ekikebera emisuwa

Okusiiga amazzi (hydrophilic coating).

Oluwuzi lwa molekyu za Polyvinylpyrrolidone (PVP).Pentax i-SCAN eddagala eriweweeza ku kifu

Nano obutafaali bwa mazzi

Silikoni dayokisayidi nanoparticle firimu esinga amazziKarl Storz EKIFAANANYI1 S 4K


(2) Tekinologiya w’okweyonja

Ekkubo lya tekinologiya

Enkola y’EkikolwaEmigaso gy’obujjanjabi

Okusiiga eddagala eriyitibwa photocatalytic

TiO 2 evunda ebirungo ebiramu wansi w’ekitangaalaOkukendeeza ku kutondebwa kwa biofilm (omuwendo gw’okuzaala>99%) .

Super smooth amazzi infusion

Amazzi ga perfluoropolyether (PFPE) agafukiddwa mu ndabirwamuAnti protein adsorption (okunywerera kukendedde ebitundu 90%) .

Okusiiga enziyiza (enzymatic coating).

Fixed protease emenya puloteyinaOkwoza mu ngeri ey’otoma mu kulongoosa (okukendeeza ku mirundi gy’okufuuwa) .


3. Okumenyawo mu Sayansi w’Ebikozesebwa

Ebintu ebiyiiya ebisiiga:

DuraShield TM (Ebbaluwa ya Stryker):

Ensengeka ya layeri eziwera: okunywerera kwa layeri eya wansi+okuziyiza amazzi okwa wakati+okuziyiza obuwuka ku ngulu

Gumiikiriza>enzirukanya 500 ez’okutta obuwuka mu bbugumu erya waggulu ne puleesa eya waggulu

EndoWet ® (ActivMed, Germany): Okusiiga kwa polimeeri ya amphoteric, okuziyiza amabala g’omusaayi okusikiriza

Domestic Nano Clean (Shanghai Minimally Invasive): Graphene composite coating, emirimu ebiri egy’obutambuzi bw’ebbugumu n’okulwanyisa obuwuka


Okugeraageranya enkola y’emirimu:

Ekika ky’okusiiga

Enkoona y’okukwataganaAnti fog efficiencyOmuwendo gw’eddagala eritta obuwukaOkuwangaala

Amafuta ga silikoni ag’ekinnansi

110° 30minTebalina1 okulongoosebwa

PVP okusiiga amazzi

5° 

>4h70% Emirundi 200

TiO 2 okusengejja ekitangaala

150° Okubeezawo99.9% Emirundi 500



4. Omuwendo gw’okukozesa mu bujjanjabi

Emigaso egiva mu kulongoosa:

Okukendeeza ku mirundi gy’okusiimuula: okuva ku kigero kya mirundi 8.3 buli yuniti okutuuka ku mirundi 0.5 (okunoonyereza kwa J Hosp Infect 2023)

Funza obudde bw’okulongoosa: Okulongoosa mu ngeri ya laparoscopic kukekkereza eddakiika 12-15 (kubanga tekyetaagisa kuddamu kuzzaayo n’okuyonja endabirwamu)

Okulongoosa omutindo gw’ebifaananyi: Ennimiro y’okulongoosa entangaavu obutasalako kyongera ku kigero ky’okutegeera emisuwa emitonotono ebitundu 25%

Okufuga yinfekisoni mu ddwaaliro:

3-log okukendeeza ku biological load (ISO 15883 standard test) .

Omuwendo gw’obucaafu bwa Escherichia coli (CRE) oguziyiza carbapenem mu duodenoscopy gwakendeera okuva ku bitundu 9% okutuuka ku bitundu 0.2% .


5. Okukiikirira ebintu n’ababikola

Omukozi w’ebintu

Tekinologiya w’ebintu

Ebintu eby'enjawulo

akakasa nti akakasa

Olympus mu kibuga kino

ENF-V3 eddagala eriweweeza ku kifuDouble anti fog nga eriko ebbugumu ly’amasannyalaze n’okusiiga amazziFDA/CE/MDR

Stryker

1588 AIM 4K+Ekizigo ekiziyiza obucaafuNano scale okweyonja kungulu, anticoagulantFDA K193358. Ekitongole kya FDA

Fujifilm eya firimu

Enkola ya ELUXEO LCI okulwanyisa ekifuBlue laser excitation photocatalytic okuyonjaPMDA/JFDA nga bano

Eby’omunda (Australia China) .


Q-200 endoscope eyeeyozaEnzymatic coating esooka okukolebwa awaka ekendeeza ku nsaasaanya ebitundu 40% .NMPA Ekibiina kya II


6. Okusoomoozebwa mu by’ekikugu n’okugonjoola ebizibu

Ebizibu ebiriwo:

Obuwangaazi bw’okusiiga:

Ekigonjoola: Tekinologiya wa Atomic Layer Deposition (ALD) okutuuka ku kusiiga okunene mu nanoscale

Okubikka kungulu okuzibu:

Okumenyawo: Okutondebwa kwa firimu mu ngeri ey’enjawulo nga tuyita mu kuteeka omukka gw’eddagala mu plasma Enhanced Chemical Vapor Deposition (PECVD) .

Okukwatagana kw’ebiramu:

Obuyiiya: Tekinologiya w’okunyweza obutoffaali bw’enseenene (biomimetic mussel protein adhesion technology) (atalina butwa era nga alina obusobozi obw’okusiba obw’amaanyi)

Ensonga z’obujjanjabi:

Obukuumi mu bbugumu: ebbugumu eriggaddwa-loopu okufuga (± 0.5 °C obutuufu)

Okukwatagana n’okutta obuwuka: Okukola ebizigo ebigumira haidrojeni perokisayidi (ebikwatagana n’okuzaala mu plasma mu bbugumu eri wansi)


7. Enkulaakulana mu kunoonyereza okusembyeyo

Okumenyawo ensalo mu mwaka gwa 2023-2024:

Self repairing coating: ekizigo ekirimu microencapsulated ekyakolebwa Harvard University ekifulumya ebintu ebiddaabiriza mu ngeri ey’otoma oluvannyuma lw’okukunya (Science 2023)

Photothermal antibacterial: Ttiimu okuva mu Chinese Academy of Sciences ekoze ekizigo kya MoS 2/graphene composite coating nga 100% sterilization rate wansi w’ekitangaala ekiriraanye infrared

Ekizigo eky’ekiseera ekivunda: Ekizigo ekyesigamiziddwa ku PLGA okuva mu ETH Zurich, Switzerland, kisaanuuka butereevu oluvannyuma lw’essaawa 2 ng’olongooseddwa

Enkulaakulana mu kwewandiisa:

FDA ekkirizza endoscope esoose eya silver ion antibacterial coated endoscope mu 2024 (Boston Scientific)

China "Ebiragiro by'okwekenneenya tekinologiya w'okusiiga ku by'obujjanjabi endoscopes" efulumiziddwa mu butongole (2023 version)


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

Obulagirizi bw’okugatta tekinologiya:

Okusiiga okuddamu okw’amagezi:

PH sensitive discoloration (okulaba embeera y’ekizimba micro acidic) .

Thrombin ereeta okufulumya molekyu eziziyiza okunywerera

Okuyonja roboti za nano:

Magnetron nano brush etambula mu ngeri eyeetongodde era eggyawo obucaafu ku ndabirwamu

okulagula akatale:

Akatale k’okusiiga endoscopic mu nsi yonna kagenda kutuuka ku $1.8B omwaka 2026 we gunaatuukira (CAGR 14.2%)

Omuwendo gw’okuyingira kw’ekizigo ekiziyiza obuwuka gujja kusukka ebitundu 70% (naddala ku duodenoscopy) .


Mu bufunze n’endowooza

Tekinologiya w’okweyonja/okusiiga ekifu ekiziyiza ekifu azzeemu okukola enkola y’okukozesa endoscopic:

Omugaso oguliwo kati: Okukola ku nsonga enkulu ez‟obujjanjabi nga okufuuwa enfuufu mu kulongoosa n‟obucaafu bw‟ebiramu

Mid term breakthrough: okukulaakulana okutuuka ku "intelligent perception response" ebizigo ebikola

Ekigendererwa ekisembayo: Okutuuka ku "zero pollution, zero maintenance" ku ngulu kwa endoscopes

Tekinologiya ono ajja kwongera okuvuga enkulaakulana y’okukebera endoscopy okutuuka ku ndagiriro ezisingako obukuumi, ezikola obulungi, era ezigezi, okukkakkana ng’afuuse eky’okugonjoola eky’omutindo eri ebyuma eby’obujjanjabi okusobola okuziyiza ennyo yinfekisoni.