Ko te hangarau whakakikorua-a-whaiaro me te whakakikorua i te kohu o nga endoscopes rongoa he kaupapa hou hei whakapai ake i te pai o nga mahi pokanga me te whakaiti i te tupono o te mate. Na roto i nga mahi hou i roto i te aoiao rauemi a
Ko te hangarau whakakikorua-a-whaiaro me te whakakikorua i te kohu o nga endoscopes rongoa he kaupapa hou hei whakapai ake i te pai o nga mahi pokanga me te whakaiti i te tupono o te mate. Na roto i nga mahi hou i roto i te aoiao rauemi me te mahi miihini mata, ka whakatauhia e ia nga tohu mamae o nga endoscopes tuku iho penei i te kohu me te poke koiora i te wa o te pokanga. E whai ake nei he wetewete nahanaha mai i nga rahinga o nga maapono hangarau, te auaha rawa, te uara haumanu, me te whanaketanga a meake nei:
1. He papamuri hangarau me nga tohu mamae haumanu
Te herenga o nga endoscopes kore whakakikoruatia:
Kohu i roto i te mahi: Ko te whakamaarama whakaata i puta mai i te rereketanga o te pāmahana i waenga i te pāmahana tinana me te puna marama makariri (take>60%)
Te poke o te koiora: Ka nui ake te uaua ki te horoi na te toto me te hūpē piri (whakaroa i te wā pokanga mā te 15-20%)
Te kino o te mate: Ko te whakakorenga matū matū tukurua ka paheketanga o te paninga whakaata (whakapotohia te roa o te ora e 30%)
2. Nga tikanga hangarau matua
(1) Hangarau anti kohu
Momo hangarau | Tikanga whakatinana | Tono māngai |
Whakawera kaha | Waea ātete moroiti kua mau ki roto i te arotahi (te paemahana 37-40 ℃) | Olympus ENF-V2 Bronchoscope |
Te paninga Hydrophilic | Polyvinylpyrrolidone (PVP) paparanga rāpoi | Pentax i-SCAN anti kohu gastroscope |
Nano hydrophobicity | Ko te kiriata superhydrophobic nanoparticle Silicon dioxide | Karl Storz WHAKAMAHI1 S 4K |
(2) Hangarau horoi whaiaro
Te ara hangarau | Hangahanga Mahi | Nga painga haumanu |
paninga Photocatalytic | TiO ₂ ka tito i nga pūhui waro i raro i te whakamarama | Whakaitihia te hanga kiriata koiora (tere whakamaoritanga>99%) |
Te whaowhia wai tino maeneene | Mirror infused perfluoropolyether (PFPE) wai | Adsorption pūmua anti (whakahekea te adhesion e 90%) |
paninga enzymatic | Ko te protease pumau ka pakaru nga pūmua | Te horoi aunoa i roto i te mahi (whakaheke i te auau o te rewharewha) |
3. He Painga i roto i te Putaiao Rawa
Nga rauemi whakakikorua auaha:
DuraShield ™ (Stryker Patent):
Hanganga paparanga maha: te piri o te paparanga o raro + hydrophobic waenga + antibacterial mata
Whakaaetia> 500 nga huringa o te pāmahana teitei me te whakakore i te pehanga teitei
EndoWet ® (ActivMed, Tiamani): Te paninga polymer Amphoteric, te whakangao i nga poke toto.
Maama Nano Domestic (Shanghai Minimally Invasive): Graphene paninga hiato, mahi rua o te kawe waiariki me te antibacterial
Whakataurite tawhā mahi:
Momo whakakikorua | Koki whakapā | Te pai o te kohu anti | Te tere antibacterial | Te mauroa |
hinu silicone tuku iho | 110° | 30 min | Kaore i whai | 1 pokanga |
PVP hydrophilic paninga | 5° | >4h | 70% | 200 wa |
TiO ₂ photocatalysis | 150° | Tautoko | 99.9% | 500 wa |
4. Uara tono haumanu
Nga painga o roto i te mahi:
Whakaitihia te auau horoi: mai i te 8.3 nga wa mo ia waeine ki te 0.5 nga wa (Matauranga J Hosp Infect 2023)
Whakapotohia te wa pokanga: Ko te pokanga Laparoscopic e whakaora ana i te 12-15 meneti (i te mea kaore he take ki te tango me te horoi i te whakaata)
Te whakapai ake i te kounga o te ahua: Ma te mahi tuutuu maamaa ka piki ake te reeti mohio moroiti ma te 25%
Te whakahaere mate o te hohipera:
3-rakau te whakaheke i te kawenga koiora (whakamatautau paerewa ISO 15883)
Ko te rerenga poke o te carbapenem resistant Escherichia coli (CRE) i roto i te duodenoscopy i heke mai i te 9% ki te 0.2%
5. Te tohu i nga hua me nga kaihanga
Kaihanga | Hangarau Hua | Ngā āhuatanga | whakamotuhēhē |
Olympus | ENF-V3 anti-kohu bronchoscope | Kohu anti rua me te whakamahana hiko me te paninga hydrophobic | FDA/CE/MDR |
Stryker | 1588 AIM 4K+ Whakakikoruatia parepare | Aine nano te mata horoi whaiaro, anticoagulant | FDA K193358 |
Fujifilm | ELUXEO LCI pūnaha anti kohu | Blue taiaho whakaongaonga photocatalytic horoi | PMDA/JFDA |
A-whare (Ahitereiria Haina) | Q-200 endoscope horoi whaiaro | Ko te paninga enzymatic tuatahi i hangaia i roto i te whare ka whakaiti i nga utu ma te 40% | NMPA Class II |
6. Nga Wero Hangarau me nga Whakataunga
Ko nga pounamu o naianei:
Mauroa whakakikorua:
Rongoā: Hangarau Whakapae Atomic Layer (ALD) ki te whakatutuki i te paninga matotoru nanoscale
Kapinga mata matatini:
Painga: Hangahanga Whitiāhua Uniana na te Plasma Enhanced Chemical Vapor Deposition (PECVD)
Paioraora:
Auahatanga: Hangarau piri pūmua mussel biomimetic (kaore he paitini me te kaha here nui)
Nga take haumanu:
Haumaru whakamahana: mana whakahaere kati-koropiko te pāmahana (± 0.5 ℃ tika)
Hototahitanga whakakino mate: Te whakawhanake i nga whakakikorua hauwai peroxide (hototahi me te whakahoroa plasma iti-mahana)
7. Te ahunga whakamua rangahau hou
Nga waahanga o mua i te tau 2023-2024:
Ko te paninga whakatikatika whaiaro: he paninga microencapsulated i whakawhanakehia e te Whare Wananga o Harvard e tuku aunoa i nga kaihoko whakatika i muri i nga rakuraku (Science 2023)
Te whakamaarama huakita: He roopu mai i te Hainamana Academy of Sciences i hanga he paninga hiato MoS ₂/graphene me te 100% te tere whakahoromata i raro i te rama-a-pokarere.
Ko te paninga rangitahi ka whakaheke: Ko te paninga PLGA mai i ETH Zurich, Switzerland, ka memeha aunoa i te 2 haora i muri i te pokanga
Te ahunga whakamua o te rehitatanga:
Ka whakaaetia e te FDA te endoscope whakakikoruatia antibacterial katote hiriwa tuatahi i te tau 2024 (Boston Scientific)
Ko nga "Aratatohu mo te Aromātai o te Hangarau Whakakikorua mo nga Tohu Hauora" a Haina i tukuna mana (putanga 2023)
8. Nga Tikanga Whanaketanga Ake
Te ahunga o te whakauru hangarau:
paninga whakautu mohio:
Te ahua o te ahua o te ahua o te PH (te tirohanga o te taiao micro acidic tumo)
Ko te Thrombin te whakaputa i nga ngota ngota aukati
Te horoi karetao nano:
Ko te paraihe nano Magnetron ka neke takitahi me te tango i te paru i runga i nga mata whakaata
matapae mākete:
Ko te rahi o te maakete whakakikorua endoscopic o te ao ka eke ki te $1.8B i te 2026 (CAGR 14.2%)
Ko te tere o te urunga o te paninga antibacterial ka neke ake i te 70% (ina koa mo te duodenoscopy)
Whakarāpopoto me te tirohanga
Ko te hangarau whakakikorua mo te horoi whaiaro/kohu kohu kei te whakahou ano i te tauira o te whakamahi endoscopic:
Uara o naianei: Te whakatika i nga take haumanu matua penei i te kohu i roto i te mahi me te poke koiora
Te pakaruhanga o te tau waenga: te tipu ki te "whakautu whakaaro mohio" ki nga paninga mahi
Ko te whainga whakamutunga: Tutuki "kore parahanga, kore tiaki" i runga i te mata o te endoscopes
Ka haere tonu tenei hangarau ki te akiaki i te whanaketanga o te endoscopy ki nga huarahi haumaru ake, pai ake, me te mohio, ka mutu ka waiho hei otinga tohu mo nga taputapu rongoa kia kaha te aukati i nga mate.