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內窺鏡檢查,或者內窺鏡下微創手術,已經成為多個臨床科室的常規和必備手段。
Endoscopic examination, or minimally invasive surgery under endoscopy, has become a routine and essential method in multiple clinical departments.
傳統內窺鏡都是可以重復、多次使用的,但其結構存在許多微小、復雜的零部件,難以逐個拆卸進行清洗與,因此患者之間可能發生交叉感染。
Traditional endoscopes can be reused and reused multiple times, but their structure contains many small and complex components that are difficult to disassemble one by one for cleaning and disinfection, which may lead to cross infection between patients.
基于此,一次性內窺鏡的研發和生產應運而生,出現了內窺鏡“耗材化”趨勢。
Based on this, the development and production of disposable endoscopes have emerged, leading to the trend of "consumables" in endoscopes.
但是,不同于注射器這類低值耗材,內窺鏡鏡體即便大規模生產,其本質上肯定屬于“高值耗材”。那么電子內窺鏡做成一次性產品,從成本經濟效益角度看,是否真的有必要呢?
However, unlike low value consumables such as syringes, even if the endoscope body is mass-produced, it is essentially a "high-value consumable". Is it really necessary to make electronic endoscopes into disposable products from a cost-benefit perspective?
當然,所謂一次性內窺鏡,指的是內窺鏡鏡體、尤其是插入人體的部分,而非整個內窺鏡系統。整個內窺鏡系統包含光源系統、圖像處理器、圖像顯示器等主機設備,以及內窺鏡鏡體。
Of course, the so-called disposable endoscope refers to the endoscope body, especially the part inserted into the human body, rather than the entire endoscope system. The entire endoscope system includes host devices such as light source system, image processor, image display, and endoscope body.
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復用式內窺鏡市場格局
Market pattern of reusable endoscopes
作為一種專用的醫療成像器械,醫用內窺鏡用于內窺鏡診療過程中的通道導引、照明提供以及體腔、中空器官和身體管道的觀察和操作。通過天然人體孔道或手術切口,醫用內窺鏡能協助醫生進行疾病觀察,進行病灶活檢以獲取病理學診斷,也可用于特定手術或協助植入性人工器械。
As a specialized medical imaging device, medical endoscopes are used for channel guidance, illumination provision, as well as observation and manipulation of body cavities, hollow organs, and body pipelines during endoscopic diagnosis and treatment. Through natural human body channels or surgical incisions, medical endoscopes can assist doctors in disease observation, lesion biopsy for pathological diagnosis, and can also be used for specific surgeries or to assist in the implantation of therapeutic artificial instruments.
▲內窺鏡的臨床應用科室及用途
▲ Clinical application departments and uses of endoscopes
醫用內窺鏡按鏡體是否可彎曲,分為軟鏡和硬鏡,兩者在用途上會所有不同。
Medical endoscopes are divided into soft and hard types based on whether the endoscope body can be bent, and the two have different uses.
軟鏡以人體自然腔道為入口,依據器官形態適應其曲線,因此其結構可彎曲,有調節彎曲度的“蛇骨”;應用領域包括胃鏡、腸鏡、喉鏡以及纖維支氣管鏡等。
The soft mirror takes the natural cavity of the human body as the entrance and adapts to the curve of the organ according to its shape, so its structure can bend and has a "snake bone" that adjusts the degree of curvature; The application areas include gastroscopy, colonoscopy, laryngoscopy, and fiberoptic bronchoscopy.
硬鏡通過小切口手術進入體內,其結構不可彎,需要開小切口、創建人工通道。硬鏡主要包括腹腔鏡、宮腔鏡和關節鏡,在普外科、胸外科、泌尿科、婦產科和骨科等領域有廣泛應用。
The hard mirror enters the body through a small incision surgery, and its structure cannot be bent, requiring a small incision and the creation of an artificial channel. Hard mirrors mainly include laparoscopy, hysteroscopy, and arthroscopy, and are widely used in fields such as general surgery, thoracic surgery, urology, obstetrics and gynecology, and orthopedics.
▲軟鏡和硬鏡的對比
▲ Comparison between Soft Mirror and Hard Mirror
目前,我國內窺鏡市場由外資主導。在軟鏡領域,奧林巴斯一家獨大;在硬鏡領域,卡爾史托斯、奧林巴斯、史賽克、德國狼牌等合計份額超過80%內窺鏡設備維修。
At present, the domestic endoscope market in China is dominated by foreign investment. In the field of soft mirrors, Olympus dominates alone; In the field of hard mirrors, companies such as KARL STORS, Olympus, Stryker, and Wolfsburg have a combined share of over 80% in the maintenance of endoscopic equipment.
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