Bronchoscope-ka soo noqnoqda ee caafimaadka XBX

1. Qeexidda alaabta iyo kala soocidda

Bronchoscope dib loo isticmaali karo waxaa loola jeedaa nidaamka bronchoscope-ka oo la isticmaali karo dhowr jeer ka dib jeermi-dilista xirfadlayaasha ah iyo jeermiska, kaas oo ka tirsan qaybta endoscopes dabacsan. Marka loo eego sifooyinka shaqada, waxaa loo qaybin karaa:

Bronchoscope ogaanshaha

Dhexroorka caadiga ah ee dibadda: 4.9-6.0mm

Kanaalka shaqeeya: 2.0-2.8mm

Inta badan loo isticmaalo hawlgallada ogaanshaha sida baadhista iyo ka-qaadista

Bronchoscope-ka daaweynta

Dhexroorka dibadda: 5.5-6.3mm

Kanaalka shaqeeya: ≥3.0mm

Waxay taageertaa daaweynta dhexgalka sida laser iyo cryotherapy

Ultrasound bronchoscopy (EBUS)

Baaritaanka ultrasound-ka la isku daray (7.5-12MHz)

Loo isticmaalo qiimeynta qanjidhada dhexdhexaadinta

2. Qaab dhismeedka asaasiga ah iyo xuduudaha farsamada

Nidaamka indhaha

Goobta muuqaalka: 80°-120°

Qoto dheer ee garoonka: 3-50mm

Xallinta: ≥100,000 pixels (nooca HD wuxuu gaari karaa 500,000 pixels)

Guryaha makaanikada

xagasha laabta:

Laabashada sare: 120°-180°

Laabashada hoose: 90°-130°

Hufnaanta gudbinta Torque: ≥85%

Kanaalka shaqeeya

Iska caabbinta cadaadiska: ≥3bar (nooc daweyn ah)

Daaweynta dusha sare: dahaarka PTFE wuxuu yareeyaa isku-xirnaanta

III. Tilmaamaha farsamada ee muhiimka ah

Qalabka jirka muraayadda

Lakabka dibadda: poliurethane/Pebax walxaha ka kooban (iska caabin daxalka, dabacsanaanta)

Lakabka gudaha: tuubada wareega ee birta aan lahayn

Isku-dhafka: qaab-dhismeedka hinge ee gaarka ah (200,000 nolol laabasho)

Tignoolajiyada xidhitaanka

Naqshad buuxda oo aan biyuhu lahayn (heerka IPX8)

Shaabad O-ring oo labanlaab ah oo ku yaal qaybaha muhiimka ah

Hal-abuurka indhaha

Qaabkii ugu dambeeyay ayaa qaata:

Dareemaha CMOS 4K (1/4 inch)

Farsamaynta laba-mawjadaha NBI (415/540nm)

IV. Ka-hortagga jeermiska iyo maareynta jeermiska

Habka caadiga ah

Tilmaamayaasha muhiimka ah

Saamaynta nadiifinta: gaadho SAL 10⁻⁶

Tijaabada ku habboonaanta jeermiska:

Nooca jeermiska dila wakhtiga ugu badan ee dulqaadka

Phthalaldehyde ≤20 daqiiqo

Peracetic acid ≤10 daqiiqo

Maamulka nolosha

Celceliska nolosha adeegga: 300-500 jeer

Heerka xoqitaanka qasabka ah:

Luminta Pixel>30%

Qallooca habka qalooca

Tijaabada xidhida oo guuldarraysatay

V. Xaalado codsi caafimaad

Codsiga ogaanshaha

Ogaanshaha kansarka sanbabada:

Isku darka ogaanshaha autofluorescence ee kansarka hore (dareenka 92%)

Saxnaanta biopsy: nooca dhexe 88%, nooca durugsan 72%

Cudurada faafa:

Heerka mugga BALF lavage: 100-300ml

Daawaynta dhex galka

Hababka daaweynta caadiga ah:

Tignoolajiyada Cudurada lagu dabaqi karo Heerka guusha

Argon mindida Central marin hawo xannibaad 85%

Cryotherapy Qaaxada Bronchial 78%

Meelaynta stent stenosis marin-haweedka xun 93%

Codsiyada gaarka ah

Bronchoscope ee carruurta:

Dhexroorka dibadda 2.8-3.5mm

Cabbirka ugu yar ee dhallaanka cusub (miisaanka> 2kg)

Codsiyada ICU:

Sariirta sariirta bronchoalveolar

Qiimaynta marin-haweedka oo adag

VI. Is barbar dhig bronchoscopes la tuuri karo

Cabbirrada isbarbardhigga ee dib loo isticmaali karo bronchoscopes la tuuri karo

Kharashka kelida ah $300-800 (ay ku jirto jeermis-dile) $500-1200

Tayada sawirka 4K qeexitaan aadka u sarreeya Sida caadiga ah 1080p

Hawlgalku wuxuu dareemo gudbin sax ah oo xoog leh Marka loo eego mid adag

Culayska deegaanka 0.5kg oo hadhaaga daawaynta ah ayaa la soo saaraa mar kasta 3-5kg oo qashinka dawada ah ayaa la soo saaraa mar kasta

Heeganka degdega ah wakhtiga diyaarinta jeermiska jeermiska ayaa loo baahan yahay U diyaarsan in la isticmaalo

VII. Halbeegyada farsamada alaabta caadiga ah

Olympus BF-1TQ290

Dhexroorka dibadda: 6.0mm

Kanaalka shaqeeya: 3.2mm

xagasha laabta: 180° (sare) / 130° (hoos)

Daawaynta ku habboon: awoodda laysarka ≤40W

Fuji EB-530S

Inta jeer ee Ultrasonic: 7.5MHz

Dhexroor irbadda dalool: 22G

Shaqada Doppler: waxay taageertaa ogaanshaha socodka dhiigga

Pentax EB-1170K

Dhexroorka sare ee aadka u fiican: 4.2mm

Adkaynta fog ee la hagaajin karo

La jaanqaadi kara socodka korantada

VIII. Qodobbada dayactirka iyo maamulka

Dayactirka maalinlaha ah

Ogaanshaha qulqulka ka dib isticmaal kasta (cadaadiska 30-40kPa)

Wakhtiyada cadayashada kanaalka ≥10 jeer/kanaalka

Deegaanka kaydinta: qoyaan 40-60% RH

Xakamaynta tayada

Alaabta kormeerka bishii:

Kaadhka tijaabada xallinta sawirka

Cabbirka xagasha laablaabashada

Ogaanshaha iftiinka (≥1500lux)

Xakamaynta kharashka

Falanqaynta kharashka dayactirka:

Nooca dayactirka Celcelis ahaan inta jeer ee qiimaha

Beddelka tubbada duubista $800 50 jeer / gabal

Beddelka CCD $ 3500 200 jeer / gabal

Laabi dayactirka $2000 300 jeer/ muraayad

IX. Horumarkii ugu dambeeyay ee tignoolajiyada

Hal-abuurnimada walxaha

Dahaarka is-nadiifinta (TiO₂ photocatalysis)

Polymer-ka-bakteeriyada (oo ka kooban ion qalin ah)

Hawlaha caqliga leh

Caawinta AI-waqtiga-dhabta ah:

Aqoonsiga tooska ah ee kala qaybsanaanta boronkiitada (sax ahaan 98%)

Qiyaasta caqliga leh ee mugga dhiigbaxa

Dib u dhiska waddada 3D:

Navigation Virtual ah oo ku salaysan sawirada CT

Farsamada jeermiska

Nadiifinta balaasmaha heerkulka hooseeya (<50 ℃)

Wareegga jeermiska ee degdega ah: ≤30 daqiiqo

X. Heerka suuqa iyo horumarka

Xogta suuqa caalamiga ah

Suuqa sanadka 2023 Cabbirka suuqa: $1.27 bilyan

Saamiga soosaarayaasha ugu waaweyn:

Olympus: 38%

Fuji: 25%

Pentax: 18%

Horumarka tignoolajiyada

Naqshad qaabaysan (dhammaadka madaxa shaqaynaysa ee la bedeli karo)

Gudbinta fiilo-la'aanta (bateriga ku shaqeeya)

Hagitaan dhab ah oo la kordhiyay

Isbeddelka codsiga bukaan-socodka

Caannimada baaritaanka kansarka sanbabada

Daawaynta dhexgalka la safeeyey

Hawlgalka sariirta ee joogtada ah

Soo koobid

Bronchoscopes dib loo isticmaali karo ayaa weli ah doorashada guud ee goobta faragelinta neefsashada sababtoo ah tayada muuqaalkooda aadka u wanaagsan, waxqabadka dabacsanaanta iyo dhaqaalaha sare. Horumarinta cilmiga maadiga ah iyo tignoolajiyada caqliga leh, jiilka cusub ee alaabtu waxay u kobcayaan "mid sii waarta, caqli badan oo ammaan ah". Xarumaha caafimaadku waxay u baahan yihiin inay tixgeliyaan kuwan soo socda marka ay wax dooranayaan:

Inta jeer ee isticmaalka iyo kharash-oolnimada

Jeermiska iyo awoodaha jeermiska

Nidaamka dammaanadda dayactirka

Shanta sano ee soo socota, oo ay wadaan shuruudaha xakamaynta caabuqa ee adag iyo hal-abuurnimada tignoolajiyada, bronchoscopes dib loo isticmaali karo ayaa sii wadi doona inay sii wadaan saamiga suuqa ee in ka badan 60%.