I-endoscope encinci ebhityileyo ibhekiselele kwi-endoscope encinci enedayamitha yangaphandle engaphantsi kwe-2 millimeters, imele umphambili wetekhnoloji ye-endoscopic ukuya ekuhlaseleni kancinci kunye nangaphambi koko.
I-endoscope encinci ebhityileyo ibhekisa kwi-endoscope encinci enedayamitha yangaphandle engaphantsi kweemilimitha ezi-2, emele umphambili wetekhnoloji ye-endoscopic ekungeneleleni okuncinci kunye nongenelelo oluchanekileyo. Oku kulandelayo kubonelela ngohlalutyo olubanzi kobu buchwepheshe bokusika ukusuka kumacala asixhenxe:
1. Inkcazo yobugcisa kunye neeparitha eziphambili
Iimpawu eziphambili:
Uluhlu lwedayamitha yangaphandle: 0.5-2.0mm (ilingana ne-3-6 Fr catheter)
Isitishi esisebenzayo: 0.2-0.8mm (izixhobo ezincinci ezixhasayo)
Isisombululo: Ngokuqhelekileyo 10000-30000 pixels (ukuya kwinqanaba le-4K kwiimodeli eziphezulu)
I-engile yokugoba: 180 ° okanye ngaphezulu kumacala omabini (njenge-Olympus XP-190)
Xa kuthelekiswa ne-endoscopy yesiko:
Ipharamitha | I-endoskopu efine kakhulu yobukhulu (<2mm) | I-gastroscopy eqhelekileyo (9-10mm) |
Umgqomo osebenzayo | Umbhobho wePancreatic/bile duct/umoya wosana | Iphecana lesisu lesisu sabantu abadala |
Iimfuno ze-anesthesia | Ngokuqhelekileyo akukho mfuneko ye-sedation | Imfuneko rhoqo ye-anesthesia ye-intravenous |
Umngcipheko wokugqojozwa | <0.01% | 0.1-0.3% |
2. Ukuphumelela kwiteknoloji engundoqo
Utshintsho olubonakalayo:
I-lens yokugxila: ukusombulula ingxaki yomgangatho wokucinga phantsi kwemizimba yesipili ye-ultrafine (efana ne-Fujino FNL-10RP)
Ulungiselelo lwe-Fiber bundle: i-Ultra-high high density image transmission bundle (ifayibha enye ubukhulu <2 μ m)
I-CMOS miniaturization: 1mm ² isivamvo senqanaba (njenge-OmniVision OV6948)
Uyilo lwesakhiwo:
I-nickel titanium alloy braided layer: igcina ukuguquguquka ngelixa ixhathisa umonakalo ogobayo
I-Hydrophilic coating: inciphisa ukuxhathisa ukukhuhlana ngokusebenzisa imijelo emxinwa
Uncedo lokuhamba ngemagnethi: isikhokelo sangaphandle semagnethi (efana neMagnetic Endoscope Imaging)
3. Iimeko zesicelo seklinikhi
Iimpawu eziphambili:
I-Neonatology:
I-bronchoscopy yeentsana ezizelwe ngaphambi kwexesha (ezifana ne-1.8mm Pentax FI-19RBS)
Uvavanyo lwe-congenital esophageal atresia
Izifo ezintsonkothileyo zebiliary kunye ne-pancreatic:
I-Pancreatic duct endoscopy (ukuchongwa kweeprotrusions ze-IPMN ze-papillary)
I-Biliary endoscope (SpyGlass DS isizukulwana sesibini kuphela 1.7mm)
I-Neurosurgery:
Cystoscopy (efana ne-1mm Karl Storz neuroendoscopy)
Inkqubo yentliziyo:
I-coronary endoscopy (ukuchongwa kwamacwecwe asemngciphekweni)
Imeko yotyando eqhelekileyo:
Ityala loku-1: I-endoscope eyi-0.9mm yafakwa ngempumlo kwityhubhu yebronchi yomntwana ukususa amaqhekeza e-peanut awayenqwenelwe ngempazamo.
Ityala le-2: I-2.4mm cholangioscopy ibonise ilitye le-2mm ye-bile duct engazange iboniswe kwi-CT
4. Ukumela abavelisi kunye nemveliso matrix
Umenzi | imveliso yeflegi | ububanzi | Itekhnoloji efakiweyo | Usetyenziso oluphambili |
I-Olympus | XP-190 | 1.9mm | Umfanekiso we-3D microvascular | Umbhobho wePancreaticobiliary |
Fujifilm | FNL-10RP | 1.0mm | Ukudityaniswa kwe-laser confocal probe | I-cholangiocarcinoma yokuqala |
Boston Sci | I-SpyGlass DS | 1.7mm | Umfanekiso wedijithali+ uyilo lwetshaneli ezimbini | Unyango lweGallstone |
UKarl Storz | 11201BN1 | 1.0mm | Wonke umzimba wesipili sesinyithi uxhathisa kwiqondo eliphezulu lokubulala iintsholongwane | I-Neuroendoscope |
Utyando lwasekhaya olungenabungozi kancinci | UE-10 | 1.2mm | Ixabiso inzuzo yendawo | Unyango lwabantwana/Urology |
5. Imingeni yobugcisa kunye nezisombululo
Ubunzima bobunjineli:
Ukukhanya okungonelanga:
Isisombululo: Ukukhanya okuphezulu okuphezulu μ LED (efana ne-0.5mm ² imodyuli yomthombo wokukhanya ephuhliswe nguStanford)
Ukungahambelani kakuhle kwezixhobo zonyango:
Ukuphumelela: I-micro forceps ehlengahlengiswayo (efana ne-1Fr biopsy forceps)
Ukuba sesichengeni okuphezulu:
I-Countermeasure: Ulwakhiwo oluqiniswe yiCarbon fiber (ubomi benkonzo eyandisiweyo ukuya kumaxesha angama-50)
Amanqaku eentlungu zeklinikhi:
Ubunzima bokucoca:
Ukuveliswa kwezinto ezintsha: Inkqubo yokugungxulwa kwePulse micro flow (0.1ml/ixesha)
Ukuqhutywa komfanekiso:
Itekhnoloji: I-algorithm yembuyekezo yexesha lokwenyani esekwe kwi-fiber optic bundles
6. Inkqubela phambili yeteknoloji yamva nje
Ukuhamba phambili komda ngo-2023-2024:
Nanoscale endoscopy:
IYunivesithi yaseHarvard iphuhlisa i-0.3mm idayamitha ye-SWCNT (ikhabhoni enodonga olunye nanotube) i-endoscope
I-endoscope eyonakaliswayo:
Iqela laseSingapore livavanya i-endoscope yokufakelwa okwethutyana kunye ne-magnesium alloy stent kunye nomzimba we-PLA lens
Umfanekiso ophuculweyo we-AI:
I-AIST yaseJapan iphuhlisa i-algorithm yesisombululo esiphezulu (iphucula i-1mm yemifanekiso ye-endoscopic ukuya kumgangatho we-4K)
Uhlaziyo lwemvume yobhaliso:
I-FDA ivuma i-0.8mm ye-vascular endoscopy (uhlobo lwe-IVUS fusion) ngo-2023
I-China NMPA idwelisa ii-endoscopes ngaphantsi kwe-1.2mm njengejelo eliluhlaza kwizixhobo zonyango ezitsha
7. IiNdlela zoPhuhliso lwexesha elizayo
Umkhombandlela wendaleko yetekhnoloji:
Ukudityaniswa kwezinto ezininzi:
OCT+ultrafine mirror (ezifana neMIT's 0.5mm optical coherence tomography)
I-RF ablation electrode indibaniselwano
Iirobhothi zeqela:
Umsebenzi odibeneyo wee-endoscopes ezininzi<1mm (ezifana ne-ETH Zurich's "Endoscopic Bee Colony" concept)
Uyilo lweBiological Fusion:
I-Bionic worm eqhutywa (ithatha indawo yesipili sokutyhala)
uqikelelo lwemarike:
Ubungakanani bemarike yehlabathi kulindeleke ukuba bufikelele kwi-780 yezigidi zeedola (CAGR 22.3%) ngo-2026.
Izicelo zabantwana ziya kuphendula ngaphezulu kwe-35% (idatha yoPhando lweGrand View)
Isishwankathelo kunye nembonakalo
I-endoscopy yedayamitha entle kakhulu ichaza ngokutsha imida yokhathalelo lwempilo "olungaphazamisiyo":
Ixabiso langoku: ukusombulula iingxaki zeklinikhi ezifana neentsana ezisanda kuzalwa kunye nezifo ezinzima ze-biliary kunye ne-pancreatic
Imbonakalo yeminyaka emi-5: inokuba sisixhobo sesiqhelo sokuhlola amathumba kwangoko
Ifomu yokugqibela: Okanye uphuhlise ube 'yi-nanorobots yezonyango' etofwayo
Obu buchwephesha buya kuqhubeka nokuqhubela phambili ukuvela kweyeza elihlasela kancinci ukuya kumancinci, akrelekrele, kunye nezalathiso ezichanekileyo, ekugqibeleni kuphunyezwe umbono 'wokuxilongwa kunye nonyango lwe-intracavitary olungahlaseliyo'.