1. Amahame shingiro namahame ya tekinike ya multiplex endoscopes
Endoskopi igizwe nigikoresho kinini cyubuvuzi cyinjira mumubiri wumuntu binyuze mumyanya karemano yumubiri wumuntu cyangwa gukomeretsa gato kubagwa byibasiye cyane kugirango bifashe abaganga gupima indwara cyangwa gufasha mububaga. Sisitemu yubuvuzi ya endoscope igizwe nibice bitatu byingenzi: umubiri wa endoscope, module itunganya amashusho hamwe numucyo utanga urumuri. Umubiri wa endoscope urimo kandi ibice byingenzi nkibice byerekana amashusho, ibyuma bifata amashusho (CCD cyangwa CMOS), kugura no gutunganya ibintu. Urebye ibisekuruza byikoranabuhanga, endoskopi igizwe ninshi yagiye ihinduka kuva endoskopi ikaze igera kuri fibre endoskopi igera kuri endoskopi ya elegitoroniki. Fibre endoscopes ikorwa hifashishijwe ihame ryo gutwara fibre optique. Zigizwe nibihumbi icumi byateguwe byikirahure cya fibre fibre kugirango bibe urumuri rugaragaza, kandi ishusho ihererekanwa nta kugoreka binyuze mumagambo menshi. Endoskopi ya elegitoroniki igezweho ikoresha ibyuma bifata ibyuma bifata amashusho hamwe na tekinoroji yo gutunganya ibimenyetso bya digitale kugirango bitezimbere cyane ubwiza bwamashusho no kumenya neza ukuri.
2. Imiterere yisoko rya endoskopi yongeye gukoreshwa
| Igipimo | Type | MarketSurukwavu | Ongera wibuke |
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Imiterere y'ibicuruzwa | Rigid Endoscopy | 1. Ingano yisoko ryisi yose ni miliyari 7.2 US $. Fluorescence ikomeye endoskopi nigice cyiyongera cyane, buhoro buhoro gisimbuza urumuri rwera rwera endoskopi. | 1. Ahantu ho gukoreshwa: kubaga rusange, urologiya, kubaga thoracic na ginecology.2. Abakora inganda zikomeye: Karl Storz, Mindray, Olympus, n'ibindi |
| Endoscopi ihindagurika | 1. Ingano yisoko ryisi yose ni miliyari 33.08. 2. Olympus ihwanye na 60% (umurima wa endoskopi yoroheje). | 1.Gastrointestinal endoscopes ihwanye na 70% byisoko rya endoskopi yoroheje 2. Abakora inganda zikomeye: Olympus, Fuji, sonoscape, Aohua, nibindi | |
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Ihame ryo Kwerekana | Endoscope nziza | 1. Ubunini bwisoko ryisi yose ya endoskopi yumucyo ukonje ni miliyari 8.67. 2.0 Umugabane wa Lympus ku isoko urenga 25%. | 1. Ukurikije ihame rya geometriki optique yerekana amashusho 2. Harimo sisitemu yinteguza, sisitemu yo kohereza / relay sisitemu, nibindi |
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| Endoscope | Igurishwa ryisi yose ya elegitoroniki ya bronchoscopes yageze kuri miliyoni 810 US $. | 1. Bishingiye ku mafoto yo guhinduranya amakuru hamwe nuburyo bwo gutunganya amashusho 2. Harimo sisitemu ya lens objectif, sisitemu yerekana amashusho yerekana amashanyarazi, nibindi. |
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Gusaba Ivuriro | Endoscopi | Ifata 80% yisoko ryoroshye rya lens, muriyo Olympus ihwanye na 46.16%. | Ikirango cyo murugosonoscape Ubuvuzi burenze Fuji mugabane wamasoko yibitaro byisumbuye. |
| Endoscopi y'ubuhumekero | Olympus ihwanye na 49.56% byumugabane rusange wisoko rya endoskopi igogora. | Gusimburana murugo birihuta, kandi Aohua Endoscopy yakuze cyane. | |
| Laparoscopy / Arthroscopy | Thoracoscopy na laparoscopy bingana na 28.31% by'isoko rya endoskopi y'Ubushinwa. | 1. Umugabane w'ikoranabuhanga wa 4K3D wiyongereyeho 7.43%. 2. Ubuvuzi bwa Mindray bwashyizwe ku mwanya wa mbere mu bitaro byisumbuye. |
1)Isoko ryisi yose: Olympus yihariye isoko ryoroheje (60%), mugihe isoko ryinzitizi zikomeye ryiyongera (miliyari 7.2 US $). Ikoranabuhanga rya Fluorescent na 4K3D bihinduka icyerekezo cyo guhanga udushya.
2)Isoko ryUbushinwa: Itandukaniro ryakarere: Guangdong ifite amafaranga menshi yo kugura, intara zo ku nkombe ziganjemo ibicuruzwa bitumizwa mu mahanga, kandi gusimburana mu gihugu birihuta mu turere two hagati n’iburengerazuba.Iterambere mu Gihugu:Igipimo cya linzira zikomeye ni 51%, naho gufungura lens byoroshye / Ositaraliya n'Ubushinwa bingana na 21% muri rusange. Politiki iteza imbere gusimburwa kurwego rwo hejuru.Ibitaro: Ibitaro bya gatatu bikunda ibikoresho bitumizwa mu mahanga (umugabane wa 65%), kandi ibitaro byisumbuye byabaye intambwe ku bicuruzwa byo mu gihugu.
3.Ibyiza nibibazo bya endoskopi yongeye gukoreshwa
| Ibyiza | Kugaragara byihariye | Inkunga yamakuru |
| Imikorere idasanzwe mu bukungu | Igikoresho kimwe gishobora gukoreshwa inshuro 50-100, hamwe nigihe kirekire cyigihe gito ugereranije na endoskopi ikoreshwa (igiciro kimwe cyo gukoresha ni 1/10 gusa). | Fata gastroenteroscopi nk'urugero: igiciro cyo kugura endoskopi yongeye gukoreshwa ni amafaranga 150.000-300.000 (ikoreshwa mu myaka 3-5), naho ikiguzi cya endoskopi ikoreshwa ni amafaranga 2000-5000. |
| Gukura mu buhanga | Tekinoroji nka 4K yerekana amashusho hamwe na AI ifashwa no kwisuzumisha bikundwa no kugwiza, hamwe nibishusho bisobanutse 30% -50% birenze ibyo gukoresha inshuro imwe. | Muri 2024, igipimo cyo kwinjira cya 4K muri global high-end multiplex endoscopes kizagera kuri 45%, naho igipimo cyimirimo ifashwa na AI kizarenga 25%. |
| Mukomere guhuza n'imihindagurikire y'ikirere | Umubiri windorerwamo wakozwe mubintu biramba (ibyuma + ubuvuzi bwa polymer) kandi birashobora guhuzwa nubunini butandukanye bwabarwayi (nkindorerwamo ultra-thin indorerwamo kubana nindorerwamo zisanzwe kubantu bakuru). | Igipimo gikwiye cya endoskopi ikaze mu kubaga amagufwa ni 90%, naho intsinzi ya endoskopi yoroheje muri gastroenterology irenga 95%. |
| Politiki no gutanga amasoko ahamye | Ibicuruzwa byongera gukoreshwa nibyo byingenzi kwisi, kandi urwego rwo gutanga rukuze (Olympus,sonoscape hamwe nandi masosiyete afite cycle yo kutarenza ukwezi 1). | Ibikoresho bikoreshwa bingana na 90% byamasoko mubitaro bya gatatu byubushinwa, kandi politiki ntizibuza gukoresha ibikoresho byongera gukoreshwa. |
| Ikibazo | Ibibazo byihariye | Inkunga yamakuru |
| Isuku no kwanduza indwara | Gukoresha bisaba kwanduza cyane (bigomba kubahiriza ibipimo bya AAMI ST91), kandi imikorere idakwiye irashobora gutuma umuntu yandura (igipimo cyanduye 0.03%). | Mu 2024, FDA yo muri Amerika yibukije endoskopi 3 yongeye gukoreshwa kubera kwanduza bagiteri guterwa no gusukura ibisigazwa. |
| Igiciro kinini cyo kubungabunga | Kubungabunga umwuga (ibikoresho byogusukura + umurimo) birasabwa nyuma yo gukoreshwa, kandi impuzandengo yumwaka yo kubungabunga ingana na 15% -20% yikiguzi;. | Impuzandengo yo gufata neza buri mwaka ya endoskopi yoroheje ni 20.000-50.000 yuan, ibyo bikaba bisumba 100% ugereranije na endoskopi ikoreshwa (nta kubungabunga). |
| Umuvuduko wa tekinoroji | Ikoreshwa rya tekinoroji ya endoscope irafata (urugero: 4K module igiciro cyagabanutseho 40%), gukuramo byongeye gukoresha isoko ryo hasi. | Mu 2024, umuvuduko w’ubwiyongere bw’isoko rya endoskopi y’Ubushinwa uzagera kuri 60%, kandi ibitaro bimwe na bimwe byo mu nzego z'ibanze bizatangira kugura endoskopi ikoreshwa kugira ngo isimbuze endoskopi yo mu rwego rwo hasi ishobora gukoreshwa. |
| Amabwiriza akomeye | Umuryango w’ubumwe bw’ibihugu by’Uburayi MDR na Amerika FDA bizamura ibipimo ngororamubiri kuri endoskopi yongeye gukoreshwa, byongera amafaranga yo kubahiriza ibigo (ibiciro byo kwipimisha byiyongereyeho 20%). | Muri 2024, igipimo cyo kugaruka kwa endoskopi yongeye gukoreshwa yoherezwa mu Bushinwa kubera ibibazo byubahirizwa bizagera kuri 3.5% (1,2% gusa muri 2023). |
4.Isoko ryimiterere nabakora inganda zikomeye
Isoko rya endoscope iriho ubu ryerekana ibintu bikurikira:
Imiterere y'isoko:
Ibirango by'amahanga byiganje: Ibihangange mpuzamahanga nka KARL STORZ na Olympus biracyafite umugabane wingenzi ku isoko. Dufashe urugero rwa hysteroskopi, urutonde rwa mbere rwo kugurisha mu 2024 ni ibirango by’amahanga, bingana na 53.05%.
Kuzamuka kw'ibicuruzwa byo mu gihugu: Dukurikije imibare y’ikoranabuhanga rya Zhongcheng, umugabane w’isoko rya endoskopi y’imbere mu gihugu wiyongereye uva munsi ya 10% muri 2019 ugera kuri 26% muri 2022, aho ikigereranyo cy’ubwiyongere buri mwaka kirenga 60%. Ibigo bihagarariye birimo Mindray,sonoscape, Aohua, nibindi
Amarushanwa ya tekinike yibanze:
Gukoresha tekinoroji: 4K gukemura, sensor ya CMOS isimbuza CCD, EDOF ubujyakuzimu bwa tekinoroji yo kwagura umurima, nibindi.
Igishushanyo mbonera: Igishushanyo mbonera gisimburwa cyagura ubuzima bwa serivisi yibice byingenzi.
Isuku ryubwenge: Sisitemu nshya yo gukora isuku ihuza imenyekanisha rya AI hamwe ningaruka zingana ningingo zogusukura enzyme nyinshi.
| Urutonde
| Ikirango | Umugabane w'isoko mu Bushinwa | Ibice byubucuruzi | Ibyiza byikoranabuhanga nibikorwa byisoko |
| 1 | Olympus | 46.16% | Endoskopi yoroheje (70% muri gastroenterology), endoskopi, hamwe na sisitemu yo gusuzuma AI ifashwa. | Ikoranabuhanga rya 4K ryerekana amashusho rifite isoko rirenga 60% ku isi, ibitaro byo mu Bushinwa bifite 46.16% byamasoko, kandi uruganda rwa Suzhou rumaze kugera ku musaruro waho. |
| 2 | Fujifilm | 19.03% | Endoscope ihindagurika (tekinoroji yubururu bwa laser yubururu), ubuhumekero ultra-thin endoscope (4-5mm). | Isoko rya kabiri rinini cyane ku isoko ryoroheje ku isi, umugabane w’ibitaro by’ibitaro by’Ubushinwa warengeje ubuvuzi bwa sonoscape, naho amafaranga yinjira mu 2024 azagabanukaho 3,2% umwaka ushize.. |
| 3 | Karl Storz | 12.5% | Endoscope ya Rigid (laparoscopi igera kuri 45%), tekinoroji ya 3D fluorescence, exoscope. | Isoko rikomeye rya endoscope riza ku mwanya wa mbere kwisi. Ibicuruzwa byakorewe mu gihugu by’inganda zikora inganda zemewe. Kugura gushya kwa 3D fluorescent laparoscopes bingana na 45%. |
| 4 | Ubuvuzi bwa Sonoscape | 14,94% | Endoskopi yoroheje (ultrasound endoscope), sisitemu yo kumenya AI polyp, sisitemu ikomeye ya endoscope. | Isosiyete iza ku mwanya wa kane ku isoko ryoroheje ry’Ubushinwa, aho ibitaro bya kaminuza bingana na 30% by’ibicuruzwa bya 4K + AI, kandi amafaranga yiyongereyeho 23.7% umwaka ushize mu mwaka wa 2024. |
| 5 | HOYA（Ubuvuzi bwa Pentax） | 5.17% | Endoscope ihindagurika (gastroenteroscopy), endoskopi ikaze (otolaryngology). | Nyuma yo kugurwa na HOYA, ingaruka zo kwishyira hamwe zaragabanutse, kandi isoko ryayo mubushinwa ryamanutse muri icumi ya mbere. Amafaranga yinjije mu 2024 yagabanutseho 11% umwaka ushize. |
| 6 | Aohua Endoscopy | 4.12% | Endoskopi yoroheje (gastroenterology), endoskopi yohejuru. | Umugabane rusange wisoko mugice cya mbere cya 2024 ni 4,12% (endoscope yoroshye + endoskopi ikomeye), naho inyungu yinyungu ya endoskopi yo mu rwego rwo hejuru iziyongera 361%. |
| 7 | Mindray Medical | 7.0% | Endoscope ikomeye (hysteroscope ihwanye na 12.57%), ibisubizo byibitaro byibanze. | Ubushinwa buza ku mwanya wa gatatu ku isoko rikomeye rya endoscope, hamwe n'ibitaro byo mu ntara'ubwiyongere bw'amasoko burenga 30%, naho umugabane winjira mu mahanga wiyongera kugera kuri 38% muri 2024. |
| 8 | Optomedic | 4.0% | Fluoroscope (Urology, Gynecology), ibipimo ngenderwaho byo murugo. | Umugabane w’Ubushinwa ku bikoresho bikomeye bya fluorescent urenga 40%, ibyoherezwa mu majyepfo y’iburasirazuba bwa Aziya byiyongereyeho 35%, naho ishoramari R&D ryagize 22% |
| 9 | Stryker | 3.0% | Neurosirurgie ikomeye endoscope, urologiya fluorescent yogukoresha sisitemu, arthroscope. | Umugabane w isoko rya neuroendoscopes urenga 30%, naho ubwiyongere bwubuguzi bwibitaro byintara mubushinwa ni 18%. Isoko ryibanze ryanyunyujwe na Mindray Medical. |
| 10 | Ibindi bicuruzwa | 2.37% | Ibiranga uturere (nka Rudolf, Ubuvuzi bwa Toshiba), ibice byihariye (nk'indorerwamo za ENT). |
5.Iterambere ry'ikoranabuhanga
1)Kwerekana amashusho ya Narrow-band (NBI): Kwerekana amashusho ya Narrow-band ni uburyo bwa optique bwa optique bwa digitale butezimbere cyane muburyo bwo kubona amashusho yimiterere ya mucosal nuburyo bwa microcasculaire hifashishijwe uburyo bwihariye bwubururu-icyatsi kibisi. Ubushakashatsi ku mavuriro bwerekanye ko NBI yongereye muri rusange gusuzuma neza indwara ziterwa na gastrointestinal amanota 11 ku ijana (94% vs 83%). Mu gusuzuma metaplasia yo munda, ibyiyumvo byiyongereye kuva kuri 53% bigera kuri 87% (P <0.001). Byahindutse igikoresho cyingenzi cyo gusuzuma kanseri yo mu gifu hakiri kare, gishobora gufasha mu gutandukanya ibikomere byiza kandi bibi, biopsy igamije, no gusobanura imipaka.
2)EDOF yongereye ubujyakuzimu bw'ikoranabuhanga mu murima: Ikoranabuhanga rya EDOF ryakozwe na Olympus rigera ku burebure bwagutse bw'umurima binyuze mu gucamo urumuri: ibice bibiri bikoreshwa mu kugabanya urumuri mu biti bibiri, byibanda ku mashusho yegeranye kandi ya kure, hanyuma amaherezo akabihuza mu ishusho isobanutse kandi yoroshye hamwe n'uburebure bwagutse bw'umurima kuri sensor. Mu kwitegereza mucosa gastrointestinal mucosa, agace kose gashobora kugaragara neza, bikazamura cyane igipimo cyo kumenya ibisebe.
3)Sisitemu yo gufata amashusho menshi
EVIS X1™sisitemu ihuza uburyo bwinshi bwo kwerekana amashusho: tekinoroji ya TXI: itezimbere igipimo cya adenoma (ADR) kuri 13,6%; Ikoranabuhanga rya RDI: ryongera ubushobozi bwimitsi yamaraso yimbitse hamwe namaraso; Tekinoroji ya NBI: itezimbere kwitegereza imitsi n'imitsi y'amaraso; ihindura endoskopi kuva "igikoresho cyo kwitegereza" ikahinduka "urubuga rwo gusuzuma".
6.Ibidukikije bya politiki nicyerekezo cyinganda
Politiki y'ingenzi izagira ingaruka ku nganda za endoskopi muri 2024-2025 zirimo:
Politiki yo kuvugurura ibicuruzwa: Werurwe 2024 “Gahunda y'ibikorwa yo guteza imbere ivugurura ry’ibikoresho binini no gusimbuza ibicuruzwa by’umuguzi” ishishikariza ibigo by’ubuvuzi kwihutisha kuvugurura no guhindura ibikoresho byerekana amashusho y’ubuvuzi.
Gusimburana mu Gihugu: Politiki ya 2021 isaba kugura 100% ibicuruzwa byo murugo kuri laparoskopi ya 3D, choledochoscopes, na foramina intervertebral.
Kwemeza kwemeza: Endoskopi yubuvuzi ihindurwa kuva mu cyiciro cya III kugeza ku cyiciro cya kabiri cy’ubuvuzi, kandi igihe cyo kwiyandikisha kigabanywa kuva ku myaka irenga 3 kugeza ku myaka 1-2.
Izi politiki zateje imbere cyane udushya R&D no kugera ku isoko rya endoskopi yo mu gihugu, bituma habaho iterambere ryiza ku nganda.
7. Iterambere ryigihe kizaza nibitekerezo byabahanga
1)Guhuza ikoranabuhanga no guhanga udushya
Ikoreshwa rya tekinoroji ebyiri.
Ubufasha bwubwenge: AI algorithms ifasha mukumenya ibikomere no gufata ibyemezo byo gusuzuma.
Ubumenyi bwa siyansi: Gutezimbere ibikoresho bishya biramba kandi byoroshye gusukura.
2)Gutandukanya isoko niterambere
Abahanga bemeza ko endoskopi ikoreshwa hamwe na endoskopi yongeye gukoreshwa bizabana igihe kirekire:
Ibicuruzwa bikoreshwa: bikwiranye no kwandura indwara (nk'ibyihutirwa, ubuvuzi bw'abana) n'ibigo by'ubuvuzi bw'ibanze.
Ibicuruzwa byongera gukoreshwa: komeza ikiguzi nibyiza bya tekinike mugihe kinini cyo gukoresha ibintu mubitaro binini.
Isesengura ry’ubuvuzi rya Mole ryerekanye ko ku bigo bifite impuzandengo ya buri munsi ikoreshwa n’ibice birenga 50, igiciro cyuzuye cy’ibikoresho bikoreshwa ni gito.
3)Gusimburana murugo birihuta
Umugabane w’imbere mu gihugu wavuye kuri 10% muri 2020 ugera kuri 26% muri 2022, bikaba biteganijwe ko uzakomeza kwiyongera. Mu bijyanye na fluorescence endoskopi na microendoskopi ya conocal, ikoranabuhanga ryigihugu cyanjye rimaze gutera imbere ku rwego mpuzamahanga. Bitewe na politiki, "ni ikibazo gusa" kurangiza gusimburana murugo.
4)Kuringaniza inyungu zibidukikije nubukungu
Endoskopi yongeye gukoreshwa irashobora kugabanya gukoresha umutungo wa 83%, ariko ikibazo cyo gutunganya amazi mabi yimiti mugikorwa cyo kuyanduza kigomba gukemurwa. Ubushakashatsi niterambere ryibikoresho bishobora kwangirika nicyerekezo cyingenzi mugihe kizaza.
Imbonerahamwe: Kugereranya hagati ya endoskopi ikoreshwa kandi ikoreshwa
| Kugereranya Ibipimo | Birashoboka Endoscope | Kujugunywa Endoscope |
| Igiciro cyo gukoresha | Hasi (Nyuma yo kugabana) | Hejuru |
| Ishoramari ryambere | Hejuru | Hasi |
| Ubwiza bw'ishusho | byiza
| byiza |
| Ibyago byo kwandura | Hagati (ukurikije ubwiza bwa disinfection) | Hasi cyane |
| Ibidukikije byangiza ibidukikije | Hagati (kubyara amazi yanduye) | Abakene (Imyanda ya plastiki) |
| Ibikurikizwa | Gukoresha inshuro nyinshi mubitaro binini | Ibitaro byibanze / amashami yita ku kwandura |
Umwanzuro: Mu bihe biri imbere, tekinoroji ya endoskopique izerekana inzira yiterambere ry "" ibintu byuzuye, byibasiye cyane, kandi bifite ubwenge ", kandi endoskopi yongeye gukoreshwa iracyakomeza kuba intandaro yiyi nzira y'ubwihindurize.
Twebwe, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., Ni uruganda mu Bushinwa ruzobereye mu gukoresha endoskopi, nkabiopsy imbaraga, hemoclip, umutego,inshinge, spray catheter,cytology, kuyobora, igitebo cyo kugarura amabuye, izuru rya biliary drainage catheter,uriteral access sheathnaurureral yinjira sheath hamwe no gusweran'ibindi zikoreshwa cyane muri EMR, ESD, ERCP. Ibicuruzwa byacu byemewe na CE, kandi ibihingwa byacu byemewe na ISO. Ibicuruzwa byacu byoherejwe mu Burayi, Amerika y'Amajyaruguru, Uburasirazuba bwo hagati ndetse no muri Aziya, kandi bigera ku bakiriya bamenyekana kandi bashimwe!
Igihe cyo kohereza: Nyakanga-25-2025