1. Pfungwa huru uye misimboti yehunyanzvi ye multiplex endoscopes
Endoscope ine multiplexed mudziyo wekurapa unogona kushandiswazve unopinda mumuviri wemunhu kuburikidza nepaburi remuviri wemunhu kana kucheka kudiki mukuvhiyiwa kusingapindi zvakanyanya kubatsira vanachiremba kuongorora zvirwere kana kubatsira mukuvhiyiwa. Sisitimu ye endoscope yekurapa ine zvikamu zvitatu zvikuru: muviri we endoscope, module yekugadzirisa mifananidzo uye module yechiedza. Muviri we endoscope unewo zvinhu zvakakosha zvakaita sema lenses ekufungidzira, sensors dzemifananidzo (CCD kana CMOS), maseketi ekuwana nekugadzirisa. Kubva pamaonero ezvizvarwa zvetekinoroji, endoscopes dzine multiplexed dzakashanduka kubva pa rigid endoscopes kuenda ku fiber endoscopes kuenda ku electronic endoscopes. Fiber endoscopes dzinogadzirwa uchishandisa musimboti we optical fiber conduction. Dzinoumbwa nemakumi ezviuru zvegirazi fiber filaments dzakarongwa zvakanaka kuti dzigadzire dara rinoratidza chiedza, uye mufananidzo unotumirwa pasina kukanganisa kuburikidza nekudzokorora kudzokororwa. Endoscopes dzemazuva ano dzemagetsi dzinoshandisa micro-image sensors uye digital signal processing technology kuti dzivandudze zvakanyanya kunaka kwemifananidzo uye kunyatsoongorora.
2. Mamiriro emusika eendoscopes dzinoshandiswazve
| Chikamu Chikuru | Tepe | MarekaStsuro | Mashoko |
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Maumbirwo eChigadzirwa | Endoscopy Yakasimba | 1. Saizi yemusika wepasi rose iUS$7.2 bhiriyoni. 2. Endoscope yakaoma yeFluorescence ndiyo chikamu chiri kukura nekukurumidza, chichitsiva zvishoma nezvishoma endoscope yechiedza chena chekare. | 1. Nzvimbo dzekushandisa: kuvhiyiwa kwakajairika, urology, kuvhiyiwa kwechipfuva uye gynecology.2. Vagadziri vakuru: Karl Storz, Mindray, Olympus, nezvimwewo. |
| Endoscopy Inochinjika | 1. Saizi yemusika wepasi rose i33.08 bhiriyoni yeyuan. 2. Olympus ine 60% (nzvimbo ye endoscope inochinjika). | 1. Ma endoscope emudumbu anodarika 70% yemusika we endoscope inochinjika. 2. Vagadziri vakuru: Olympus, Fuji, sonoscape, Aohua, nezvimwewo. | |
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Nheyo yeMifananidzo | Endoskopu yemaziso | 1. Hukuru hwemusika wepasi rose hwema endoscopes echiedza chinotonhora i8.67 bhiriyoni yeyuan. 2.0 Mugove wemusika weLympus unodarika 25%. | 1. Zvichibva papfungwa yemufananidzo we geometric optical 2. Ine sisitimu ye lenzi inoshanda, sisitimu yekutumira/kutumira magirazi, nezvimwewo. |
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| Endoscope yemagetsi | Kutengeswa kwemagetsi epamusoro-soro pasi rose kwakasvika US$810 miriyoni. | 1. Zvichibva pakushandura ruzivo rwemagetsi ekugadzira mifananidzo uye nzira dzekugadzirisa mifananidzo. 2. Kusanganisira sisitimu ye lenzi chaiyo, sensor yemagetsi ekugadzira mifananidzo, nezvimwewo. |
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Kushandiswa kweKliniki | Endoscopy yekugaya chikafu | Inogara 80% yemusika we soft lens, iyo Olympus ine 46.16%. | Rudzi rwemunosonoscape Zvekurapa zvinopfuura Fuji mumusika wezvipatara zvechipiri. |
| Endoscopy yekufema | Olympus ine 49.56% yehuwandu hwese hwemusika hwe endoscopes dzekugaya chikafu. | Kutsiva kwemumba kuri kuwedzera, uye Aohua Endoscopy yakura zvakanyanya. | |
| Laparoscopy/Arthroscopy | Chifuva nelaparoscopy zvinoita 28.31% yemusika we endoscopy muChina. | 1. Mugove wetekinoroji ye4K3D wakawedzera ne7.43%. 2. Mindray Medical ndiyo yaive yekutanga muzvipatara zvesekondari. |
1)Musika wepasi rose: Olympus ndiyo inonyanya kushandisa musika wemalenzi akapfava (60%), ukuwo musika wemalenzi akaoma uchikura zvishoma nezvishoma (US$7.2 bhiriyoni). Tekinoroji yeFluorescent ne4K3D zvinova nzira yekuvandudza zvinhu zvitsva.
2)Musika weChina: Kusiyana kwenzvimbo: Guangdong ndiyo ine huwandu hwakanyanya hwekutenga, matunhu ari kumahombekombe ane mhando dzinobva kunze kwenyika, uye kuchinjana kwezvinotengeswa munyika kuri kuwedzera munzvimbo dzepakati nekumadokero.Kubudirira kwemumba:Mwero wekuwanikwa kwemalenzi akaomarara i51%, uye maburi elenzi akapfava/Australia neChina ane 21% pamwe chete. Mitemo inokurudzira kuchinjana kwezvinhu nenzira yepamusoro.Kupatsanurwa kwezvipatara: Zvipatara zvepamusoro zvinofarira michina inotengwa kunze kwenyika (65% mugove), uye zvipatara zvechipiri zvave budiriro huru kumakambani emuno.
3. Zvakanakira nematambudziko eendoscopes dzinoshandiswazve
| Zvakanakira | Zviratidzo zvakananga | Rutsigiro rwedata |
| Kubudirira kwehupfumi kwakanaka | Mudziyo mumwe chete unogona kushandiswazve ka50-100, nemari yenguva refu yakaderera zvikuru pane endoscopes dzinoraswa (mari inoshandiswa kamwe chete i1/10 chete). | Semuenzaniso, tora gastroenteroscopy: mutengo wekutenga endoscope inogona kushandiswazve iRMB 150,000-300,000 (inoshandiswa kwemakore 3-5), uye mutengo weendoscope inoraswa iRMB 2,000-5,000. |
| Kukura kwepamusoro kwehunyanzvi | Matekinoroji akadai se4K imaging uye AI-assisted diagnosis anoshandiswa ndiwo anonyanya kufarirwa pakuita multiplexing, uye kujeka kwemufananidzo kwakakwira ne30%-50% kupfuura kushandiswa kamwe chete. | Muna 2024, mwero wekupinda kwe4K muma endoscopes epamusoro-soro epasi rose uchasvika 45%, uye mwero wemabasa anobatsirwa neAI uchapfuura 25%. |
| Simba kugona kuchinjika kwekiriniki | Muviri wegirazi wakagadzirwa nezvinhu zvakasimba (simbi + polymer yekurapa) uye unogona kugadziriswa kuti ukwane saizi dzakasiyana dzevarwere (senge magirazi matete kwazvo evana uye magirazi akajairwa evakuru). | Mwero wekukodzera kwema endoscopes akaomarara mukuvhiyiwa kwemapfupa i90%, uye mwero wekubudirira kwema endoscopes anochinjika mu gastroenterology unodarika 95%. |
| Kugadzikana kwemutemo uye cheni yekugovera | Zvigadzirwa zvinogona kushandiswazve ndizvo zvinonyanya kutaurwa nevanhu pasi rose, uye nzira dzekutengesa dzakura (Olympus,sonoscape uye mamwe makambani ane nguva yekutenga zvinhu isingasviki mwedzi mumwe chete). | Midziyo inogona kushandiswazve inodarika 90% yekutenga muzvipatara zvepamusoro zveChina, uye mitemo hairambidze kushandiswa kwemidziyo inogona kushandiswazve.. |
| Dambudziko | Nyaya Dzakananga | Rutsigiro rwedata |
| Njodzi dzekuchenesa uye kuuraya utachiona | Kushandisazve kunoda kupiswa kwehutachiona zvakanyanya (kunofanira kutevedzera mitemo yeAAMI ST91), uye kushandiswa zvisina kunaka kunogona kukonzera hutachiona hwakasiyana (huwandu hwezviitiko 0.03%).. | Muna 2024, US FDA yakadzosa ma endoscope matatu anogona kushandiswazve nekuda kwekusvibiswa nemabhakitiriya kunokonzerwa nekuchenesa zvakasara. |
| Mari yakawanda yekugadzirisa | Kugadzirisa kwehunyanzvi (midziyo yekuchenesa + basa) kunodiwa mushure mekushandisa kwega kwega, uye avhareji yemari yekugadzirisa yegore negore inokwana 15%-20% yemutengo wekutenga.. | Mari yekutarisira endoscope inochinjika pagore inosvika 20,000-50,000 yuan, inova yakakwira ne100% kupfuura ye endoscope inoraswa (hapana kugadziriswa). |
| Kumanikidzwa kwekuvandudzwa kwetekinoroji | Tekinoroji ye endoscope inoraswa yave kushanda (semuenzaniso mutengo we 4K module unodzikira ne40%), kushandiswazve kwe extrusion mumusika wepasi.. | Muna 2024, kukura kwemusika we endoscope wekuChina uchasvika 60%, uye zvimwe zvipatara zvepasi zvichatanga kutenga endoscope dzinoshandiswazve kuti dzitsive endoscope dzinoshandiswazve dzepasi. |
| Mitemo yakaoma | EU MDR neUS FDA vari kusimudzira mwero wekugadzirisazve ma endoscopes anogona kushandiswazve, zvichiwedzera mari yekutevedzera mitemo yemakambani (mari yekuedza yakawedzera ne20%).. | Muna 2024, mwero wekudzoka kwema endoscopes anogona kushandiswazve anotumirwa kubva kuChina nekuda kwematambudziko ekutevedzera mitemo uchasvika 3.5% (1.2% chete muna 2023). |
4. Mamiriro eMusika uye Vagadziri Vakuru
Musika wepasi rose we endoscope uripo parizvino une hunhu hunotevera:
Maumbirwo emusika:
Makambani ekune dzimwe nyika ari kutonga: Makambani makuru epasi rose akadai seKARL STORZ neOlympus achiri kutora chikamu chikuru mumusika. Semuenzaniso, ma "hysteroscopes" matatu epamusoro ekutengesa muna 2024 ese ari ekunze, achisvika 53.05%.
Kukwira kwemhando dzemabrandi emuno: Sekureva kwedata reZhongcheng Digital Technology, musika we endoscopes yemuno wakawedzera kubva pasi pe10% muna 2019 kusvika pa26% muna 2022, neavhareji yekukura kwegore negore inodarika 60%. Makambani anomiririra anosanganisira Mindray,sonoscape, Aohua, nezvimwewo.
Kutarisa makwikwi ehunyanzvi:
Tekinoroji yekufungidzira: 4K resolution, CMOS sensor inotsiva CCD, EDOF kudzika kwetekinoroji yekuwedzera munda, nezvimwewo.
Dhizaini yemodular: Dhizaini yeprobe inotsiviwa inowedzera hupenyu hwebasa rezvikamu zvepakati.
Kuchenesa kwakangwara: Sisitimu itsva yekuchenesa inosanganisa kuzivikanwa kweAI nekuenzanisa kwakasimba kwemishonga yekuchenesa ine ma enzyme akawanda.
| Chinzvimbo
| Rudzi | Mugove weMusika weChina | Nzvimbo dzeBhizinesi Huru | Zvakanakira tekinoroji uye mashandiro emusika |
| 1 | Olympus | 46.16% | Maendoscope anochinjika (70% mu gastroenterology), endoscopy, uye masisitimu ekuongorora anobatsira AI. | Tekinoroji yemifananidzo ye4K ine mugove wemusika wepasi rose unodarika 60%, zvipatara zvepamusoro zveChina zvinotora 46.16% yekutenga, uye fekitari yeSuzhou yakawana kugadzirwa kwemuno.. |
| 2 | Fujifilm | 19.03% | Endoscope inochinjika (tekinoroji yekuona mifananidzo yelaser yebhuruu), endoscope yekufema yakatetepa kwazvo (4-5mm). | Musika wepamusoro we soft lens wechipiri pasi rose, mugove wemusika wechipatara chechipiri cheChina wakakundwa ne sonoscape Medical, uye mari inowanikwa muna 2024 ichadzikira ne3.2% gore negore.. |
| 3 | Karl Storz | 12.5% | Endoscope yakasimba (laparoscopy inokwana 45%), tekinoroji ye3D fluorescence, exoscope. | Musika we endoscope wakasimba uri pekutanga pasi rose. Zvigadzirwa zvinogadzirwa munyika zveShanghai zvakatenderwa. Kutengwa kutsva kwe3D fluorescent laparoscopes kunotora 45%. |
| 4 | Sonoscape yekurapa | 14.94% | Endoscope inochinjika (ultrasound endoscope), sisitimu yekuona polyp yeAI, sisitimu ye endoscope yakaoma. | Kambani iyi iri pachinzvimbo chechina mumusika weChinese soft lens, zvipatara zvepamusoro zvichitora 30% yezvigadzirwa zve4K+AI zvakatengwa, uye mari inowanikwa ichiwedzera ne23.7% gore negore muna 2024.. |
| 5 | HOYA()Pentax Medical） | 5.17% | Endoscope inochinjika (gastroenteroscopy), endoscope yakaoma (otolaryngology). | Mushure mekutengwa neHOYA, mhedzisiro yekubatanidzwa kwayo yakanga iri mishoma, uye mugove wayo wemusika muChina wakaderera kubva pagumi yepamusoro. Mari yainowana muna 2024 yakaderera ne11% gore negore. |
| 6 | Aohua Endoscopy | 4.12% | Endoscopy inochinjika (gastroenterology), endoscopy yepamusoro-soro. | Mugove wemusika wese muhafu yekutanga ya2024 i4.12% (soft endoscope + hard endoscope), uye purofiti inowanikwa muma endoscope emhando yepamusoro ichawedzera ne361%.. |
| 7 | Mindray Medical | 7.0% | Endoscope yakasimba (hysteroscope inoumba 12.57%), mhinduro dzezvipatara zvepasi rose. | China iri panhamba yechitatu mumusika we hard endoscope, nezvipatara zvemudunhu'kukura kwekutenga zvinhu kunopfuura 30%, uye mugove wemari yekunze kwenyika unowedzera kusvika 38% muna 2024. |
| 8 | Mushonga wemaziso | 4.0% | Fluoroscope (Urology, Gynecology), chiyero chemumba chemhando yepamusoro. | Musika weChina wemagirazi akaomarara efluorescent unodarika 40%, zvinhu zvinotengeswa kunze kwenyika kuSoutheast Asia zvakawedzera ne35%, uye mari yeR&D yakaita 22% |
| 9 | Stryker | 3.0% | Kuvhiyiwa kweNeurosurgery rigid endoscope, system yekufamba netsoka yeurology fluorescent, arthroscope. | Musika we neuroendoscopes unodarika 30%, uye mwero wekukura kwekutenga kwezvipatara zvemudunhu muChina uri 18%. Musika wevanhu vepasi rose uri kudzvinyirirwa neMindray Medical. |
| 10 | Mamwe Mabhurocha | 2.37% | Mhando dzenzvimbo (dzakadai saRudolf, Toshiba Medical), zvikamu zvakananga (zvakadai semagirazi eENT). |
5. Kufambira mberi kwetekinoroji huru
1)Kufungidzira kweNarrow-band (NBI): Kufungidzira kweNarrow-band inzira yepamusoro yedhijitari inovandudza zvakanyanya kuona kwezvimiro zvemucosal surface uye mapatani emidziyo midiki kuburikidza nekushandisa mawavelengths chaiwo ebhuruu-girini. Zvidzidzo zvekiriniki zvakaratidza kuti NBI yakawedzera kururama kwekuongorora kwezvironda zvemudumbu ne11 muzana (94% vs 83%). Mukuongorora metaplasia yemudumbu, kunzwa kwakawedzera kubva pa53% kusvika 87% (P<0.001). Yave chishandiso chakakosha chekuongorora kenza yemudumbu nekukurumidza, izvo zvinogona kubatsira mukusiyanisa zvironda zvisina njodzi uye zvakaipa, biopsy yakatarwa, uye kutsanangura miganho yekuvhiyiwa.
2)Tekinoroji yeEDOF yakawedzera kudzika kwemunda: Tekinoroji yeEDOF yakagadzirwa neOlympus inoita kuti munda unyatsodzika kuburikidza nekupatsanura mwenje wechiedza: maprism maviri anoshandiswa kupatsanura chiedza kuita mwenje miviri, achitarisa pamifananidzo iri pedyo neiri kure, uye pakupedzisira achibatanidza mufananidzo wakajeka uye wakapfava une kudzika kwakakura kwemunda pasensor. Mukutarisa mucosa yemudumbu, nzvimbo yese yekukuvara inogona kuratidzwa zvakajeka, zvichivandudza zvakanyanya mwero wekuona kukuvara.
3)Sisitimu yemifananidzo ine mitsetse yakawanda
EVIS X1™Sisitimu iyi inobatanidza nzira dzakasiyana-siyana dzepamusoro dzekufungidzira: Tekinoroji yeTXI: inovandudza chiyero chekuona adenoma (ADR) ne13.6%; Tekinoroji yeRDI: inovandudza kuoneka kwetsinga dzeropa dzakadzika nenzvimbo dzinobuda ropa; Tekinoroji yeNBI: inovandudza kucherechedzwa kwemapatani emucosal netsinga dzeropa; inoshandura endoscopy kubva pa "chishandiso chekutarisa" kuenda pa "puratifomu yekuongorora inobatsira".
6. Nharaunda yemutemo uye kutungamirirwa kweindasitiri
Mitemo mikuru ichakanganisa indasitiri ye endoscopy muna 2024-2025 inosanganisira:
Mutemo wekuvandudza michina: "Chirongwa Chekuita Chekusimudzira Kuvandudzwa Kwemidziyo Yakakura uye Kutsiva Zvinhu Zvevatengi" chaKurume 2024 chinokurudzira masangano ekurapa kuti akurumidze kuvandudza nekushandura michina yekurapa.
Kutsiva nhengo dzemumba: Mutemo wegore ra2021 unoda kuti zvigadzirwa zvemumba zviwanikwe zvizere zve3D laparoscopes, choledochoscopes, uye intervertebral foramina.
Kugadziriswa kwemvumo: Ma endoscope ekurapa anogadziriswa kubva pamidziyo yekurapa yeClass III kuenda kuClass II, uye nguva yekunyoresa inopfupikiswa kubva pamakore anopfuura matatu kusvika pagore 1-2.
Mitemo iyi yakasimudzira zvakanyanya kuvandudzwa kweR&D uye kuwanikwa kwe endoscopes dzemuno pamusika, zvichigadzira nzvimbo yakanaka yekusimudzira indasitiri.
7. Mafambiro ebudiriro yeramangwana uye pfungwa dzenyanzvi
1)Kubatanidzwa kwetekinoroji uye hunyanzvi
Tekinoroji yemajoini ane mascope maviri: Laparoscope (hard scope) uye endoscope (soft scope) zvinoshanda pamwe chete mukuvhiya kugadzirisa matambudziko akaomarara ekiriniki.
Rubatsiro rwehungwaru hwekugadzira: Maitiro eAI anobatsira mukuziva maronda uye kuita sarudzo dzekuongorora chirwere.
Kubudirira kwesainzi yezvinhu: Kugadzirwa kwezvinhu zvitsva zvinogara kwenguva refu uye zviri nyore kuchenesa.
2)Kusiyanisa kwemusika nekukura kwawo
Nyanzvi dzinotenda kuti ma endoscopes anoraswa uye ma endoscopes anogona kushandiswazve achagara kwenguva yakareba:
Zvigadzirwa zvinoraswa: zvakakodzera pakurapa zvirwere (senge emergency, vana) uye kuzvipatara zvekutanga.
Zvigadzirwa zvinogona kushandiswazve: kuchengetedza mari uye zvakanakira zvehunyanzvi mukushandiswa kakawanda muzvipatara zvikuru.
Mole Medical Analysis yakaratidza kuti kumasangano anoshandisa avhareji yemayunitsi anopfuura makumi mashanu pazuva, mutengo wemidziyo inoshandiswazve wakaderera.
3)Kutsiva kwemumba kuri kukurumidza
Mugove wemuno wakawedzera kubva pa10% muna 2020 kusvika pa26% muna 2022, uye zvinotarisirwa kuramba zvichiwedzera. Muminda ye fluorescence endoscopes uye confocal microendoscopy, tekinoroji yenyika yangu yatove yafambira mberi pasi rose. Zvichitungamirirwa nemitemo, "inguva chete" kuti tipedzise kutsiva kwemuno.
4)Kuenzana pakati pezvakanakira zvakatipoteredza nehupfumi
Ma endoscope anogona kushandiswazve anogona kuderedza kushandiswa kwezviwanikwa ne83%, asi dambudziko rekurapa mvura yakasviba nemakemikari mukurapa hutachiona rinofanira kugadziriswa. Kutsvagurudza nekugadzira zvinhu zvinoora igwara rakakosha mune ramangwana.
Tafura: Kuenzanisa pakati pema endoscopes anogona kushandiswazve uye anogona kuraswa
| Kuenzanisa Zviyero | Inogona kushandiswazve Endoscope | Zvinoraswa Endoscope |
| Mutengo pakushandisa | Yakaderera (Mushure mekugoverwa) | Yakakwirira |
| Mari yekutanga | Yakakwirira | Zvakaderera |
| Hunhu hwemufananidzo | zvakanakisisa
| kugona |
| Njodzi yekutapukirwa | Zviri pakati nepakati (zvichienderana nemhando yehutachiona) | Zvakaderera zvikuru |
| Hushamwari hwezvakatipoteredza | Mvura inouraya utachiona pakati nepakati (inogadzira mvura inouraya utachiona) | Marara epurasitiki asina kunaka |
| Mamiriro ezvinhu anoshanda | Kushandiswa kakawanda muzvipatara zvikuru | Zvipatara zvepuraimari/madhipatimendi anotarisana nehutachiona |
Mhedziso: Mune ramangwana, tekinoroji ye endoscopic icharatidza mafambiro ekukura kwe "kunyatsojeka, kusapindira zvakanyanya, uye kuchenjera", uye ma endoscope anogona kushandiswazve acharamba ari iwo anotakura zvinhu zvikuru mukushanduka uku.
Isu, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., tinogadzira zvinhu muChina zvine chekuita ne endoscopic consumables, zvakaita sesimba re biopsy, hemoclip, musungo wepolyp,tsono yekurapa sclerotherapy, katheta yekupfapfaidza,mabhurashi e cytology, waya yekufambisa, tswanda yekutorwa kwematombo, katheta yekubuditsa mvura yemumhino,sheya yekupinda muuretiuyesheya yekupinda muureti ine kusvetanezvimwewo. anoshandiswa zvakanyanya mu EMR, ESD, ERCP. Zvigadzirwa zvedu zvakanyoreswa neCE, uye mafekitori edu akanyoreswa neISO. Zvinhu zvedu zvakatumirwa kuEurope, North America, Middle East nedzimwe nzvimbo dzeAsia, uye zviri kuita kuti mutengi azivikanwe uye arumbidzwe zvikuru!
Nguva yekutumira: Chikunguru-25-2025