Endoscope Medical Tignoolajiyada Madow (7) Robot Qalliin Dabacsan Habka endoscopic ee Robot qalliinka dabacsan ayaa matala jiilka soo socda ee tignoolajiyada qalliinka ugu yar
Endoscope Medical Tignoolajiyada Madow (7) Qalliin Robot Endoscope dabacsan
Nidaamka endoscopic ee robot qalliinka dabacsan wuxuu matalaa jiilka soo socda ee farsamada qalliinka ugu yar, kaas oo isku daraya makaanikada dabacsan, sirdoonka macmal ah, iyo xakamaynta saxda ah si loo gaaro hawlgal sax ah oo ka baxsan xadka gacmaha bini'aadamka ee qaababka anatomical ee adag. Kuwa soo socdaa waxay bixinayaan falanqayn qotodheer oo ku saabsan tignoolajiyadan kacaanka ah ee cabbirrada 8:
1. Qeexitaanka farsamada iyo astaamaha asaasiga ah
Horumarka Kacaanka:
Darajada kobcinta xoriyada: 7+1 darajo xoriyada
Saxnaanta dhaqdhaqaaqa: heerka millimitirka hoose (0.1mm) shaandhaynta gariir
Qaabeynta dabacsan: Nakhshad gacanta Serpentine (sida Medrobotics Flex)
Aragtida caqliga leh: ra'yi-celin xoog leh+3D navigation muuqaal
Marka la barbar dhigo endoscopy-ga caadiga ah:
Halbeegga | Endoscope robot dabacsan | Endoscopy elektaroonigga ah ee dhaqameed |
Dabacsanaanta shaqeyneysa | 360 ° foorarsi dhinac kasta ah | Laabid mid jiho ah/labo jiho ah |
Xasiloonida goobta qaliinka | Kahortagga ruxitaanka firfircoon (<0.5 ° offset) | Ku tiirsanaanta dhakhaatiirta xasiloonida gacanta |
qalooca waxbarashada | 50 kiis ayaa awood u yeelan kara hawlgallada aasaasiga ah | In ka badan 300 oo xaaladood oo khibrad ayaa loo baahan yahay |
Nabarka caadiga ah | Dalool keli ah / dalool dabiici ah | Jeexitaanno badan oo dalool |
2. Naqshadaynta nidaamka iyo tignoolajiyada asaasiga ah
Saddexda hab-hoosaadyada asaasiga ah:
(1) Habka Hawlgelinta:
Console ugu weyn: 3D vision+maamulka addoonsiga
Cududda makaanikada: oo ku salaysan murqaha macmalka ah ee ay wadaan tendon/pneumatic
Kanaalka qalabka: Waxa uu taageeraa 2.8mm qalabka caadiga ah
(2) Endoscope dabacsan:
Dhererka dhexroorka: 5-15mm (sida Da Vinci SP's 25mm habka daloolka halliga ah)
Qaabka sawirka: 4K/8K+fluorescence/NBI multimodal
Cusbooneysii maaddo: Nikel titanium alloy skeleton+maqaarka sare ee silicone
(3) Xarunta Caqliga:
Algorithm Qorshaynta Dhaqdhaqaaqa (RRT * Wanaajinta Waddada)
Caawinta AI ee qalliinka gudaheed (sida calaamadaynta tooska ah ee dhibcaha dhiigga)
Taageerada qalliinka fog ee 5G
3. Xaalado codsi caafimaad
Horumarka qaliinka asaasiga ah:
Qalliinka la marayo kanaalka dabiiciga ah (NOTES):
Qanjirka 'thyroidectomy' ee afka (aan lahayn nabar qoorta ah)
Cholecystectomy transvaginal
Qalliin meel cidhiidhi ah:
Dib u dhiska atresia hunguriga lagu dhasho ee carruurta
Diidmada sanka ee burooyinka pituitary intracranial
Hawlgal aad u fiican:
Anastomosis microscopic ee dhuunta xameetida ee ganaca
0.5mm tolida xididdada dhiigga
Xogta qiimaha kiliinikada:
Cleveland Clinic: FIIRO GAAR AH Qalliinka ayaa hoos u dhigaya dhibaatooyinka 37%
Isbitaalka Shanghai Ruijin: Waqtiga qalliinka Robot ESD ayaa hoos loo dhigay 40%
4. Matalaya soosaarayaasha iyo wadooyinka farsamada
Muuqaalka tartanka caalamiga ah:
Soo saaraha | Nidaamka matalayaasha | MEESHA | Heerka ansixinta |
Dareen leh | Da Vinci SP | Dalool keli ah oo leh 7 darajo xorriyadda, sawir-qaadista 3D/fluorescence | FDA (2018) |
Medrobotics | Flex® Nidaamka Robotic | Muraayada 'qaabka raadraaca' ee dabacsan | CE (2015) |
Qalliinka CMR | Versius | Naqshad qaabaysan, 5mm qalab | CE/NMPA |
Robots-yada ugu yar ee duulaanka ah | Dir ® | Alaabtii ugu horreysay ee dalka laga soo saaro oo 50% qiimaheedu dhimay | NMPA (2022) |
Titan Medical | Enos ™ | Deked keli ah+oo la kordhiyey hagidda xaqiiqada | FDA (marxaladda IDE) |
5. Caqabado farsamo iyo xalal
Dhibaatooyinka injineernimada:
Jawaab celin xoog la'aan:
Xalka: Fiber Bragg Grating (FBG) Dareenka Cadaadiska
Isku dhaca qalabka:
Horumarka: Algorithm Qorsheynta Motion Asymmetric
Jeex-jeexista jeermiska:
Hal-abuurnimo: Naqshad galmo dabacsan oo la tuuri karo (sida J&J Ethicon)
Dhibcaha xanuunka kiliinikada:
Qalooca Learning: Nidaamka tababarka xaqiiqada dhabta ah (sida Osso VR)
Meelaynta booska: Raadinta Electromagnetic+Fiyuuska sawirka CT/MRI
6. Horumarkii ugu dambeeyay ee tignoolajiyada
Horumarka xuduudaha 2023-2024:
Robot-ka Jilicsan ee Xakamaynta Birlabka: Heerka Millimeter-ka Kaabsulka Kaabsoosha ee Xakamaynta Magnetic waxaa soo saartay Jaamacadda Harvard (Sayniska Robotics)
Hawlgalka madaxa-bannaan ee AI: Nidaamka STAR ee Jaamacadda Johns Hopkins wuxuu dhammaystiraa anastomosis-ka mindhicirka oo madaxbannaan
Sawirka heerka unugga: is dhexgalka endoscopy confocal iyo robotics (sida Mauna Kea+da Vinci)
Horumarka diiwaangelinta:
2023, FDA waxay ansixisay robot-kii ugu horreeyay ee u gaarka ah carruurta (Medtronic Hugo RAS)
Qorshaha shanta sano ee 14-aad ee Shiinaha ayaa 1.2 bilyan yuan ku maalgeliya cilmi baarista iyo horumarinta muhiimka ah si loo taageero nidaamyada gudaha
7. Isbeddellada Horumarineed ee Mustaqbalka
Jihada horumarka tignoolajiyada:
Yaraynta aadka u yar:
Robot faragelinta xididdada dhiigga (<3mm)
Kaabsal qalliin oo la liqi karo
Robot-koox: Qalliin-wada-shaqayneed oo yar oo yar yar
Isku-xidhka kombiyuutarka maskaxda: xakamaynta tooska ah ee calaamadaha neerfaha (sida Synchron Stenrode)
saadaasha suuqa:
Baaxadda suuqa caalamiga ah waxaa la filayaa inuu gaaro $28B marka la gaaro 2030 (Cilmi-baaris hore)
Qalliinka hal dalool ayaa ka badan 40% kiisaska
8. Kiisaska qalliinka ee caadiga ah
Kiis 1: Qanjirka 'thyroidectomy' ee afka
Nidaamka: da Vinci SP
Hawlgalka: Kala-soocida dhamaystiran ee burada 3cm iyada oo loo marayo habka vestibular afka
Faa'iidada: Ma jiraan nabar qoorta ah, oo la sii daayo 2 maalmood ka dib qaliinka
Kiiska 2: Dib-u-dhiska Cunaha ee Dhallaanka
Nidaamka: Medrobotics Flex
Hal-abuurnimo: 3mm cudud roboti ah waxay dhammaystirtaa 0.8mm anastomosis xididdada dhiigga
Natiijadu: Ma jiraan dhibaatooyin qalliin ka dib oo ah stenosis
Soo koobid iyo aragti
Qalliin robot ah oo dabacsan endoscopy ayaa dib u qaabaynaya jaantuska qalliinka:
Muddada gaaban (1-3 sano): Beddel 50% ee hababka qalliinka dhaqameed ee goobta XUSUUS
Muddada dhexe (3-5 sano): Gaadhi qalliin fudud oo madaxbannaan (sida polypectomy)
Muddada dheer (5-10 sano): U samee warshad qalliin oo gudaha-vivo ah oo la dhex gelin karo
Farsamadani waxay ugu dambeyntii gaari doontaa 'qalin sax ah oo aan dhaawac muuqda lahayn', taasoo u horseedaysa daryeel caafimaad xilli caqli-gal ah oo runtii ugu yar.