I-Endoscope yezoNyango i-Black Technology (7) i-Flexible Surgical Robot Endoscope

I-Endoscope yezoNyango i-Black Technology (7) i-Flexible Surgical Robot Endoscope

Inkqubo ye-endoscopic ye-robot eguquguqukayo imele isizukulwana esilandelayo se-teknoloji ye-paradigm yotyando oluncinci, oludibanisa i-flexible mechanics, i-intelligence yokwenziwa, kunye nolawulo oluchanekileyo ukufezekisa imisebenzi echanekileyo ngaphaya kwemida yezandla zomntu kwizakhiwo ezinzima ze-anatomical. Oku kulandelayo kubonelela ngohlalutyo olunzulu lobu buchwepheshe buguqukayo ukusuka kwimilinganiselo yesi-8:

1. Inkcazo yobugcisa kunye neempawu eziphambili

Impumelelo yenguqu:

Iqondo lokuphucula inkululeko: I-7+1 idigri yenkululeko (izibuko ezinzima zemveli zine-4 degrees yenkululeko kuphela)

Ukuchaneka kwentshukumo: inqanaba lemilimitha engaphantsi (0.1mm) ukuhluza ukungcangcazela

Ubume obuguquguqukayo: Uyilo lwengalo yenyoka (efana neMedrobotics Flex)

Ukuqonda okukrelekrele: nyanzela impendulo + ukujongwa okubonakalayo kwe3D

Xa kuthelekiswa ne-endoscopy yesiko:

2. Uyilo lwenkqubo kunye nobuchwepheshe obuphambili

Iinkqubo ezisezantsi ezintathu:

(1) Iqonga lokuSebenza:

Ikhonsoli ephambili: Umbono we-3D + ulawulo lwamakhoboka

Ingalo yomatshini: isekelwe kwi-tendon driven/pneumatic artificial muscles

Umjelo wesixhobo: Ixhasa izixhobo eziqhelekileyo ze-2.8mm

(2) I-endoscope ethambileyo:

Uluhlu lobubanzi: 5-15mm (njenge-Da Vinci SP's 25mm inkqubo yomngxuma omnye)

Imodyuli yomfanekiso: 4K/8K+fluorescence/NBI multimodal

Ukuveliswa kwezinto ezintsha: I-Nickel titanium alloy skeleton+isikhumba sangaphandle sesilicone

(3) Iziko lobukrelekrele:

I-Algorithm yoCwangciso lweMotion (RRT * uPhuculo lweNdlela)

Uncedo lwe-Intraoperative AI (njengokuphawula ngokuzenzekelayo iindawo ezophayo)

Inkxaso yotyando ye-5G ekude

3. Iimeko zesicelo seklinikhi

Impumelelo yotyando olungundoqo:

Utyando ngomjelo wendalo (AMAQAKU):

I-thyroidectomy yomlomo (ngaphandle kwamanxeba entanyeni)

I-cholecystectomy ye-Transvaginal

Utyando kwindawo emxinwa:

Ukwakhiwa kwakhona kwe-congenital esophageal atresia kubantwana

Ukukhutshwa kweempumlo kwi-intracranial pituitary tumors

Ukusebenza kakuhle kakhulu:

I-Microscopic anastomosis ye-bile duct pancreatic duct

I-0.5mm yebakala le-vascular suture

Idatha yexabiso lonyango:

Iklinikhi yaseCleveland: AMANQAKU utyando lunciphisa iingxaki ngama-37%

Isibhedlele saseShanghai Ruijin: Ixesha lotyando lweRobhothi ye-ESD lincitshiswe ngama-40%

4. Ukumela abavelisi kunye neendlela zobugcisa

Imeko yokhuphiswano lwehlabathi:

5. Imingeni yobugcisa kunye nezisombululo

Ubunzima bobunjineli:

Ukunqongophala kwempendulo yamandla:

Isisombululo: I-Fiber Bragg Grating (FBG) i-Strain Sensing

Ungquzulwano lwezixhobo:

Ukuphumelela: I-Asymmetric Motion Planning Algorithm

Umqobo wokubulala iintsholongwane:

Ukuqamba izinto ezintsha: Uyilo lwesheath olulahlwayo (njengeJ&J Ethicon)

Amanqaku eentlungu zeklinikhi:

Ijika lokufunda: Inkqubo yoqeqesho lwenyani yenyani (efana ne-Osso VR)

Ukubekwa kwendawo: Ukulandela umkhondo we-Electromagnetic+CT/MRI image fusion

6. Inkqubela phambili yeteknoloji yamva nje

Ukuhamba phambili komda ngo-2023-2024:

IMagnetic Control Soft Robot: Inqanaba leMillimeter yeMagnetic Control Capsule Robot Iphuhliswe yiYunivesithi yaseHarvard (IiRobhothi zeNzululwazi)

Ukusebenza ngokuzimela kwe-AI: Inkqubo ye-STAR yeYunivesithi yaseJohns Hopkins igqibezela i-anastomosis yamathumbu ezimeleyo

Ukucinga ngenqanaba leseli: ukudityaniswa kwe-confocal endoscopy kunye nerobhothi (ezifana ne-Mauna Kea+da Vinci)

Isiganeko esibalulekileyo sobhaliso:

Ngo-2023, i-FDA yamkele irobhothi yokuqala yabantwana ebhetyebhetye (Medtronic Hugo RAS)

Isicwangciso saseTshayina se-14 seMinyaka emiHlanu sityala imali eyi-1.2 yeebhiliyoni zeeyuan kuphando olungundoqo kunye nophuhliso ukuxhasa iinkqubo zasekhaya.

7. IiNdlela zoPhuhliso lwexesha elizayo

Umkhombandlela wendaleko yetekhnoloji:

I-Ultra miniaturization:

Irobhothi yongenelelo lwemithambo (<3mm)

I-capsule yotyando eginywayo

Irobhothi yeqela: Utyando oludibeneyo lwerobhothi encinci

Ujongano lwekhompyuter yobuchopho: ulawulo oluthe ngqo lwemiqondiso ye-neural (efana ne-Synhron Stenrode)

uqikelelo lwemarike:

Ubungakanani bemarike yehlabathi kulindeleke ukuba bufikelele kwi-$28B ngo-2030 (uPhando oluPhambili)

Utyando lomngxuma omnye lubalelwa ngaphezulu kwe-40% yamatyala

8. Iimeko eziqhelekileyo zotyando

Ityala loku-1: I-thyroidectomy yomlomo

Inkqubo: da Vinci SP

Ukusebenza: Gqibezela ukukhutshwa kwe-3cm ye-tumor ngokusebenzisa i-vestibular yomlomo

I-Advanteji: Akukho ziva zentamo, zikhutshwe iintsuku ezi-2 emva kokuhlinzwa

Ityala le-2: Ukwakhiwa kwakhona kweNtsana ye-Esophageal

Inkqubo: Medrobotics Flex

Ulutsha: Ingalo yerobhothi eyi-3mm igqibezela i-0.8mm ye-vascular anastomosis

Isiphumo: Akukho zingxaki emva kokuhlinzwa kwe-stenosis

Isishwankathelo kunye nembonakalo

I-endoscope yerobhothi yotyando eguquguqukayo iphinda imise iparadigm yotyando:

Ixesha elifutshane (iminyaka eyi-1-3): Faka endaweni ye-50% yeenkqubo zotyando zesintu kwibala le- NOTES

Ixesha eliphakathi (iminyaka emi-3-5): Ukuzuza utyando olulula oluzimeleyo (njenge-polypectomy)

Ixesha elide (iminyaka emi-5 ukuya kweli-10): Phuhlisa ube yi-'in-vivo ifektri yotyando emiliselweyo'

Le teknoloji ekugqibeleni iya kufezekisa 'utyando oluchanekileyo ngaphandle kokwenzakala okubonakalayo', ukuqhuba unyango lwezonyango kwixesha elinobukrelekrele bokwenyani obuncinci.