Medical Endoscope Black Technology (7) Flexible Surgical Robot Endoscope

Medical Endoscope Black Technology (7) Flexible Surgical Robot Endoscope

Dongosolo losinthika la robot endoscopic limayimira m'badwo wotsatira waukadaulo wa opaleshoni yocheperako pang'ono, yomwe imaphatikiza makina osinthika, luntha lochita kupanga, komanso kuwongolera kolondola kuti akwaniritse magwiridwe antchito opitilira malire a manja amunthu m'mapangidwe ovuta a anatomical. Zotsatirazi zikupereka kusanthula kwakuya kwaukadaulo wosinthikawu kuchokera ku miyeso 8:

1. Tanthauzo laukadaulo ndi mawonekedwe apakati

Kusintha kwakusintha:

Kupititsa patsogolo ufulu: 7 + 1 madigiri a ufulu (magalasi olimba achikhalidwe amakhala ndi madigiri 4 okha a ufulu)

Kulondola kwamayendedwe: mulingo wa milimita yaying'ono (0.1mm) kusefa kugwedezeka

Kusintha kosinthika: Mapangidwe a mkono wa Serpentine (monga Medrobotics Flex)

Kuzindikira kwanzeru: kakamizani mayankho + 3D kuyang'ana kowoneka

Poyerekeza ndi chikhalidwe endoscopy:

2. Zomangamanga zamakina ndi matekinoloje apakatikati

Ma subsystems atatu:

(1) Dongosolo Lothandizira:

Chotonthoza chachikulu: masomphenya a 3D + kuwongolera akapolo

Dzanja lamakina: kutengera minyewa yoyendetsedwa ndi tendon/pneumatic

Njira yoyimbira: Imathandizira zida zokhazikika za 2.8mm

(2) Endoscope yosinthika:

M'mimba mwake: 5-15mm (monga Da Vinci SP's 25mm single hole system)

Gawo lojambula: 4K/8K+fluorescence/NBI multimodal

Kupanga zinthu zatsopano: Mafupa a Nickel titanium alloy + khungu lakunja la silicone

(3) Intelligent Center:

Motion Planning Algorithm (RRT * Kukhathamiritsa Kwa Njira)

Thandizo la intraoperative AI (monga kulemba chizindikiro cha malo otuluka magazi)

Thandizo lakutali la 5G

3. Zochitika zachipatala zogwiritsira ntchito

Kupambana kwakukulu kwa opaleshoni:

Opaleshoni pogwiritsa ntchito ngalande zachilengedwe (ZOYENERA):

Oral thyroidectomy (popanda zipsera za pakhosi)

Transvaginal cholecystectomy

Opaleshoni yapang'onopang'ono:

Kumangidwanso kwa congenital esophageal atresia mwa ana

Kuchotsa m'mphuno kwa zotupa za intracranial pituitary

Kuchita bwino kwambiri:

Microscopic anastomosis ya bile duct pancreatic duct

0.5mm kalasi ya mtima suture

Zambiri zachipatala:

Cleveland Clinic: Opaleshoni ya ZONSE imachepetsa zovuta ndi 37%

Chipatala cha Shanghai Ruijin: Nthawi ya opaleshoni ya Robot ESD yachepetsedwa ndi 40%

4. Kuyimira opanga ndi njira zamakono

Mpikisano wapadziko lonse lapansi:

5. Mavuto aukadaulo ndi mayankho

Zovuta zauinjiniya:

Kupanda mayankho amphamvu:

Yankho: Fiber Bragg Grating (FBG) Strain Sensing

Mkangano pazida:

Kupambana: Asymmetric Motion Planning Algorithm

Mphamvu ya disinfection:

Zatsopano: Mapangidwe osinthika a sheath (monga J&J Ethicon)

Zowawa zachipatala:

Njira yophunzirira: Njira yophunzitsira zenizeni zenizeni (monga Osso VR)

Kuyikira m'malo: Kutsata kwamagetsi + CT/MRI chithunzi kusakanikirana

6. Kupita patsogolo kwaukadaulo kwaposachedwa

Kupambana Kwambiri mu 2023-2024:

Magnetic Control Soft Robot: Millimeter level Magnetic Control Capsule Robot Yopangidwa ndi Harvard University (Science Robot)

Opaleshoni yodziyimira payokha ya AI: Johns Hopkins University STAR system imamaliza autonomous intestinal anastomosis

Kuyerekeza kwa ma cell: kuphatikiza kwa confocal endoscopy ndi robotics (monga Mauna Kea+da Vinci)

Chofunikira pakulembetsa:

Mu 2023, FDA idavomereza loboti yoyamba yosinthika ya ana (Medtronic Hugo RAS)

Dongosolo la 14th la China la zaka zisanu limayika ndalama zokwana 1.2 biliyoni pakufufuza ndi chitukuko kuti zithandizire machitidwe apakhomo.

7. Zochitika Zachitukuko Zamtsogolo

Chisinthiko chaukadaulo:

Ultra miniaturization:

Loboti yolowera m'mitsempha (<3mm)

Kapisozi wa opaleshoni yomeza

Roboti yamagulu: Opaleshoni yothandizana ndi ma robot angapo

Mawonekedwe apakompyuta aubongo: kuwongolera mwachindunji kwa ma neural sign (monga Synchron Stenrode)

kulosera zamsika:

Kukula kwa msika wapadziko lonse lapansi kukuyembekezeka kufika $28B pofika 2030 (Precedence Research)

Opaleshoni imodzi yokha imakhala yopitilira 40% ya milandu

8. Milandu yodziwika bwino ya opaleshoni

Mlandu 1: Oral thyroidectomy

Dongosolo: da Vinci SP

Ntchito: Kuchotsa kwathunthu kwa chotupa cha 3cm kudzera pakamwa pa vestibular

Ubwino: Palibe zipsera zapakhosi, zotulutsidwa patatha masiku awiri opaleshoni

Mlandu wa 2: Kumanganso kwa Ana akhanda

Dongosolo: Medrobotics Flex

Kupanga zatsopano: 3mm mkono wa robotic umamaliza 0.8mm vascular anastomosis

Zotsatira: Panalibe zovuta za postoperative za stenosis

Chidule ndi mawonekedwe

Kusinthika kwa robot endoscopy ya opaleshoni ikukonzanso mawonekedwe a opaleshoni:

Kanthawi kochepa (zaka 1-3): Bwezerani 50% ya maopaleshoni achikhalidwe m'gawo la ZOPHUNZITSA

Pakati (zaka 3-5): Pezani opaleshoni yosavuta yodziyimira payokha (monga polypectomy)

Nthawi yayitali (zaka 5-10): Pangani kukhala "fakitale yopangira opaleshoni ya in-vivo"

Ukadaulo uwu pamapeto pake upeza 'opaleshoni yolondola popanda kuvulala kowoneka', ndikupangitsa chithandizo chamankhwala kukhala nthawi yanzeru kwambiri yosokoneza.