Kungani i-Ureteroscope engu-6.3Fr Encane Kakhulu Eguquguqukayo Yaba Yisibonelo Semboni?

Ngomhlaka-10 Okthoba^thNgo-2025, isiphakamiso sohlaka lomzuliswano wesithupha we-National Centralized Procurement (NCP) yezinto ezisetshenziswa kwezokwelapha sakhishwa. Lo mbhalo wabeka isimo kusukela ekuqaleni: "Zinzisa umkhuba wezokwelapha, qinisekisa ikhwalithi, vimbela ukubhida, futhi ulwe nokuguquka."

 

Kuyaziwa kahle ukuthi ukuthengwa kwamadivayisi ezokwelapha okuhlanganisiwe kuthinta inhlalakahle kazwelonke kanye nendlela yokuphila yabantu, kanye nomzila wokuthuthukiswa kwamabhizinisi akhiqizayo ahlobene. Ngakho-ke, isiphakamiso esisalungiswa sibonisa ukunaka kukahulumeni enhlalakahleni yomphakathi futhi sinikeza isiqondiso sokukhula kwezinkampani zamadivayisi ezokwelapha.

Kusukela yasungulwa, i-HugeMed inamathele ezimisweni eziyinhloko "zokuhlangabezana nezidingo zezokwelapha nokunciphisa izindleko ze-endoscopy" njengesilinganiso sokuphathwa kwayo kwe-R&D kanye nokuphathwa kwe-supply chain. UMnu. Hu Jifan, uSihlalo wenkampani, ugcwalise ibhizinisi ngombono "wokuba yithonya elibalulekile ekwenzeni ukuxilongwa kwe-endoscopy kanye nokwelashwa kufinyeleleke kuwo wonke umuntu," eqhutshwa yisifiso sakhe sokuqala "sokuba nenhliziyo yenhlalakahle nokuzuzisa uquqaba."

                                                    

"Asigcini nje ngokucabanga ngale ndlela, kodwa besilokhu senza ngokuvumelana nayo," kusho uSihlalo uHu Jifan ecabanga ngokomzwelo, ekhumbula uhambo lwenkampani lweminyaka eyishumi lokuhweba.

Umbono kanye nezindinganiso ze-HugeMed zihambisana kahle kakhulu nefilosofi yalo mjikelezo we-NCP.

Ukuphayona I-Catheter Yokuqala Esetshenziswa Kanye Ye-Ureteroscope Eguquguqukayo Engu-6.3Fr Emhlabeni

Ukugxuma Okuphambili Okuqondiswa Izidingo Zezokwelapha

Ukubuyela emuva ku-2022. Imakethe yomhlaba wonke ye-urology yayilulama kancane kancane. Ithimba lokumaketha lamazwe ngamazwe le-HugeMed lahamba umhlaba wonke ne-7.5Fr Single-Use Flexible Ureteroscope (URS) yabo esanda kwethulwa, liqoqa kabanzi impendulo yezokwelapha. Ngaleso sikhathi, i-7.5Fr URS yayisivele ingumkhiqizo omncane kakhulu embonini. Kodwa-ke, ngenkathi bencoma ikhwalithi yayo, ochwepheshe babevame ukuphakamisa ukuthi: "Kungaba ngcono nakakhulu uma ububanzi bangaphandle bungancishiswa kakhulu."

Lapho le mpendulo ifika kuSihlalo uHu Jifan, wenza isinqumo ngokushesha, ngaleyo ndlela eqala iphrojekthi ye-R&D ye-URS engu-6.3Fr.

Ngemva kweminyaka emibili yokutshalwa kwezimali okunzulu kwe-R&D, i-HugeMed yanqoba ngempumelelo inselele yobuchwepheshe yokunciphisa ububanzi bangaphandle bepayipi lokufaka libe ngu-6.3Fr ngenkathi igcina isiteshi esisebenzayo esingu-3.6Fr esijwayelekile. Lokhu kwaholela ekutheni kube ne-URS yokuqala emhlabeni engu-6.3Fr enesiteshi esingu-3.6Fr.

Ukutshalwa kwezimali okubalulekile okwenziwe ukuze kuhlangatshezwane nesidingo sezokwelapha namuhla sekuyindlela yokulinganisa imboni yemikhiqizo efanayo.

 6.3Fr URS

Inani Lezokwelapha Elingenakuguqulwa

 1. Kuthuthukisa Kakhulu Ukusebenza Kahle Kokwelashwa

Amaphepha amaningana ashicilelwe ku-World Journal of Urology abonisa ukuthi i-URS engu-6.3Fr ikhombisa amazinga aphezulu kakhulu okungenamatshe kanye namazinga empumelelo okubekwa kwesigqoko uma kuqhathaniswa ne-URS yendabuko, enobubanzi obukhulu. Ukusebenzisa lo mkhiqizo kunganciphisa kakhulu isikhathi sokusebenza futhi kunciphise ukwanda kwezinkinga.

 

2. Ihlinzeka Ngokuhlinzwa Okuphephile Kweziguli Ezine-Ureters Ezibuthakathaka

I-ureter inde, incane, futhi isengozini yokulimala. I-URS yendabuko ivame ukwenza inqubo 'yokungathinteki' ibe nzima ukuyifeza. Ezigulini ezinomdlavuza we-ureteral noma izinkinga zokugaya igazi, ama-scope avamile angabangela ukulimala noma ngisho nezinkinga ezinkulu.

Ukufika kwe-URS engu-6.3Fr kunikeza inketho yokuhlinzwa ephephile yeziguli ezinjalo. Udokotela womchamo odumile waseFrance, uSolwazi Olivier Traxer, wababaza ngemuva kokuhlangenwe nakho kwakhe kokuqala: "Kwenza kube lula kakhulu ukwenza 'indlela yokungathinteki'. Kuyisinyathelo esibalulekile sokuhlinzwa kwe-RIRS."

 

3. Inikeza Indlela Entsha Yokuhlinzwa Yeziguli Ezine-Ureteral Strictures noma Izithiyo Eziphuthumayo

Ezimweni zokwakheka kwe-ureteral strictures yokuzalwa noma ye-pathological, i-URS yendabuko ivame ukungadluli kahle. Odokotela ngokuvamile badinga ukufaka i-stent futhi bavuleke ngaphambi kokuhlinzwa. Kodwa-ke, ububanzi bangaphandle be-URS engu-6.3Fr bucishe bufane nobe-stent ejwayelekile ye-double-J, okuvumela ukuhlinzwa okuqondile kwezinye izimo zokulimala kwamatshe okuphuthumayo, okuthuthukisa kakhulu ukusebenza kahle kokwelashwa.

 

4. Ivula Amathuba Engeziwe Okwelashwa Kweziguli Ezine-Anatomy Eyinkimbinkimbi

Ezigulini ezinezakhiwo eziyinkimbinkimbi zomgudu womchamo njengezinso ze-horseshoe noma izinhlelo zokuqoqa eziphindaphindiwe, i-6.3Fr URS, enokufinyelela kwayo okuthuthukisiwe kanye nokuguquguquka kwayo, ivumela odokotela ukufinyelela nokwelapha izindawo ezazingafinyeleleki ngaphambili ukuze zihlolwe futhi zelashwe.

 

Izifundo Zemitholampilo Eziningi kanye Nokuvumelana Kochwepheshe

Kusukela "Kuyasebenziseka" kuya "Kuyaqinisekiswa"

Isebenzisa lezi zinzuzo zezokwelapha, i-URS engu-6.3Fr isibe yithengiso elihamba phambili emhlabeni wonke selokhu yethulwa ngo-2024, ibeka izinga lokulinganisa embonini. Ngokwezokwelapha, i-URS engu-6.3Fr ye-HugeMed ithole ukuqashelwa emhlabeni wonke kochwepheshe abahlanganisa uSolwazi uLi Jianxing, uSolwazi uZeng Guohua, uSolwazi u-Olivier Traxer (France), uSolwazi uKhurshid Ghani (USA), uDkt. Mohsen Elmekresh (UAE), kanye noDkt. Vineet Gauhar (Singapore).

 

USolwazi Zeng Guohua
Iphini likaMongameli, Isibhedlela Sokuqala Esihlangene saseGuangzhou Medical University
USihlalo kanye noNobhala-Jikelele, i-International Alliance of Urolithiasis (IAU)

Emtholampilo, inani le-ureteroscope eguquguqukayo engu-6.3Fr elincanyana kakhulu lithi:

Kubantu abagula ngamatshe avamile omchamo, i-ureteroscope eguquguqukayo engu-6.3Fr, enesilinganiso sayo esincane se-scope-to-sheath, inciphisa ngempumelelo ingcindezi yangaphakathi kwezinso ngesikhathi sokuhlinzwa, ngaleyo ndlela inciphise ingozi yezinkinga ezithathelwanayo ngemva kokuhlinzwa.

Lapho kuphathwa izimo ezikhethekile ezifana nokuqina kwe-ureteral, amatshe ezingane, noma iziguli ezinezinkinga zokubopha ama-coagulation, lolu hlelo luvumela ukusetshenziswa kwama-sheath amancane e-FANS, okunciphisa kakhulu ingozi yokulimala kwe-ureteral kanye nokopha kwegazi, futhi kugwenywe isidingo sokuhlinzwa kwesibili. Ikakhulukazi ngamatshe e-calyceal ezinso ane-infundibulum encane, i-ureteroscope eguquguqukayo engu-6.3Fr ingangena ngqo endaweni eqondiwe ye-lithotripsy ngaphandle kokudinga ukuhlinza noma ukwandisa i-infundibulum, ikhulise ukulondolozwa kwezicubu ngenkathi iqinisekisa ukwelashwa okusebenzayo.

Ezimweni zokususwa kwamatshe eziphuthumayo noma ze-RIRS ezingenamapayipi, ukwakheka kwayo okuncane kusekela ukufinyelela okusheshayo kwenqubo. Ngezinkomba ezifanele, ingasusa isinyathelo sokufaka i-pre-stenting, ifinyeze umjikelezo wokwelashwa jikelele futhi inciphise ukusetshenziswa kwezinto ezisetshenziswayo ezihlobene.

 

USolwazi uLi Jianxing
Iphini Lenhloko, UMnyango Wokuhlinza kanye Nomqondisi, UMnyango We-Urology, Isibhedlela saseBeijing Tsinghua Changgung
IPhini likaMongameli kanye noNobhala-Jikelele, i-Chinese Urological Doctor Association (CUDA)

"Kubantu abagula ngamatshe ajwayelekile, ububanzi bangaphandle obuncane kakhulu obungu-6.3Fr bunikeza isikhala esengeziwe sokudlula kwezingcezu zamatshe kanye nokuphuma kwamanzi. Lokhu akugcini nje ngokuthuthukisa izinga lokungena kwamatshe ngesikhathi esisodwa kodwa futhi kwenza ingcindezi yangaphakathi kwezinso kanye nokushisa kulawuleke kakhulu ngesikhathi sokuhlinzwa, kunciphisa kakhulu ingozi yokuvuvukala nokutheleleka ngemva kokuhlinzwa uma kuqhathaniswa nezinqubo ezisebenzisa ama-ureteroscope aguquguqukayo angu-7.5Fr+ angaphambilini.

Ezigulini ezisengozini enkulu, njengalezo ezinezicucu zomchamo, izimila, noma izinkinga zokubopha igazi, i-ureteroscope ethambile kakhulu engu-6.3Fr ingasetshenziswa ngendlela 'engenalutho' engenasicaba. Lokhu kunganciphisa kakhulu amathuba okulimala komchamo kanye nokopha kwegazi ngesikhathi sokuhlinzwa.

Ngenxa yephrofayili encane kanye nerediyasi encane yokuphambuka kwesilinganiso esingu-6.3Fr, inikeza amathuba amaningi ama-ureter anzima kanye nokungalingani komzimba njengezinso ze-horseshoe, izinhlelo eziphindaphindiwe, kanye neziguli ezine-calyceal infundibula encane noma engathandeki. Ukusebenza kwalo mkhiqizo kulezi zimo ezinzima okwamanje akunakuthathelwa indawo eminye imikhiqizo efanayo emakethe.

 

USolwazi u-Olivier Traxer
Inhloko yoMnyango Wezifo Zomchamo, Isibhedlela saseTenon, eNyuvesi yaseSorbonne, eParis
UMongameli, i-World Congress of Endourology (WCE) 2018, eParis

"(Le ureteroscope eguquguqukayo engu-6.3Fr) yenza kube lula 'ukusebenza ngendlela yokungathinti' ku-ureter. Kuyisinyathelo esihle kakhulu sobuchwepheshe be-RIRS."

"Kulula ukusebenzisa i-ureter ku-"No touch Technique": Isinyathelo esihle kakhulu se-RlRS."

Ngomhlaka-7 Juni 2025, i-HugeMed, ngokubambisana neBeijing Tsinghua Changgung Hospital, baqalise isivivinyo esilawulwa ngokungahleliwe esinama-centre amaningi: *"Isivivinyo Esilawulwa Ngokungahleliwe Esinama-centre amaningi Ngokusebenza Nokuphepha kwe-6.3Fr Single-Use Flexible Ureteroscope (Indlela Engenasheya) uma kuqhathaniswa ne-7.5Fr Single-Use Flexible Ureteroscope (Iyadingeka Esigxotsheni) Sokwelapha Amatshe Angaphezulu Emchameni Angaphansi kuka-1.5cm ngobubanzi."* Lolu cwaningo, oluhilela izibhedlela ezingu-21 eziphezulu, luhlose ukwakha uhlelo lwedatha yezokwelapha oluqinile lwe-6.3Fr URS eShayina, lugxile ezindaweni zokugcina ezifana nalezi:

Intengo yokungena ngamatshe ngemva kwenyanga eyodwa

Izinga lempumelelo eliyinhloko

Isikhathi sokusebenza

Izinga lokulimala ngesikhathi sokuhlinzwa

Izinga lokuqina kwe-urethra ngemva kokuhlinzwa

Izinkinga zesikhathi sokuhlinzwa

Ukuhlala esibhedlela ngemva kokuhlinzwa (izinsuku)

Izindleko eziphelele

 

I-ZRHmed Ihlinzeka Ngokukhethekile9Fr I-UAS ene-Suction Iyahambisana neI-Ureterorenoscope esetshenziswa kanye kuphela engu-6.3Fr

 

Ukuze ugcwalise i-ureteroscope yakho engu-6.3FR,I-ZRHmedingumhlinzeki okhethekile wesikhwama sokumunca se-9FR esikhethekile esenzelwe ukuhambisana nokusebenza kahle. Lesi sikhwama siqinisekisa ukumunca okuthembekile, ukubonakala okuthuthukisiwe, kanye nokuhamba kwezinsimbi okubushelelezi ngesikhathi sezinqubo ze-ureteroscopic. Yakhelwe ukuthuthukisa ukuphathwa koketshezi kanye nokususwa kwezingcezu zamatshe, isebenza njengesengezo esibalulekile sokungenelela okusebenzayo kwe-urological.I-ZRHmedukuthola izixazululo ezikhethekile nezisezingeni eliphezulu ezenzelwe ukuhlangabezana nezidingo ze-endoscopy yesimanje.

Thina, Jiangxi Zhuoruihua Medical Instrument Co.,Ltd., singumkhiqizi eShayina ogxile ezintweni ezisetshenziswayo ze-endoscopic, sifaka umugqa we-GI njenge-biopsy forceps, i-hemoclip, i-polyp snare, inaliti ye-sclerotherapy, i-spray catheter, amabhulashi e-cytology, i-guidewire, ubhasikidi wokubuyisa amatshe, i-nasal biliary drainage catheter njll. ezisetshenziswa kabanzi ku-EMR, ESD, ERCP.Umugqa we-Endourology, njengeisivikelo sokufinyelela urethra esinommunca,isivikelo sokufinyelela urethra, okulahlwayoIbhasikidi Lokubuyisa Amatshe Omchamo, kanye nocingo lwesiqondiso se-urology njll.

Imikhiqizo yethu inesitifiketi se-CE, kanti izitshalo zethu zinesitifiketi se-ISO. Izimpahla zethu zithunyelwe eYurophu, eNyakatho Melika, eMpumalanga Ephakathi kanye nengxenye ye-Asia, futhi zithola ukuqashelwa nokunconywa kakhulu ngamakhasimende!