No ke aha i lilo ai ka 6.3Fr Ultra-Thin Flexible Uretescope i mea hoʻohālikelike ʻoihana?

Ma ka lā 10 o ʻOkakopa^th, 2025, ua hoʻokuʻu ʻia ka palapala noi no ke ono o ka pōʻai o ka National Centralized Procurement (NCP) no nā mea hoʻopau lāʻau lapaʻau. Ua hoʻonohonoho ka palapala i ke ʻano mai ka hoʻomaka ʻana: "E hoʻopaʻa i ka hana lapaʻau, e hōʻoia i ka maikaʻi, e pale i ka hoʻopunipuni noi, a me ke kūʻē ʻana i ka hoʻokomo ʻole ʻana."

 

Ua ʻike maopopo ʻia ʻo ke kūʻai kikowaena ʻana o nā mea lapaʻau e pili ana i ka pono o ka lāhui a me ka nohona o kānaka, a me ke ala hoʻomohala o nā ʻoihana hana e pili ana. No laila, hōʻike ka palapala noi i ka nānā ʻana o ke aupuni i ka pono o ka lehulehu a hāʻawi i ke kuhikuhi no ka ulu ʻana o nā ʻoihana mea lapaʻau.

Mai kona hoʻomaka ʻana, ua pili ʻo HugeMed i nā kumumanaʻo koʻikoʻi o ka "hoʻokō ʻana i nā pono lapaʻau a me ka hōʻemi ʻana i nā kumukūʻai endoscopy" ma ke ʻano he pae hoʻohālikelike no kāna R&D a me ka hoʻokele kaulahao lako. Ua hoʻokomo ʻo Mr. Hu Jifan, Luna Hoʻomalu o ka hui, i ka ʻoihana me ka hihiʻo o ka "lilo ʻana i mea ikaika nui i ka hana ʻana i ka hōʻailona endoscopic a me ka mālama ʻana i hiki ke loaʻa i nā wahi āpau," i hoʻokele ʻia e kāna makemake mua o ka "loaʻa ʻana o ka puʻuwai no ke olakino a me ka pōmaikaʻi i ka lehulehu."

                                                    

"ʻAʻole wale mākou e noʻonoʻo i kēia ʻano, akā ua hana mau mākou ma ia mea," i noʻonoʻo ai ʻo Luna Hoʻomalu ʻo Hu Jifan me ka naʻau, e hoʻomanaʻo ana i ka huakaʻi ʻoihana he ʻumi makahiki o ka hui.

He kūlike loa ka hihiʻo a me nā waiwai o HugeMed me ke akeakamai o kēia puni o ka NCP.

Ke Paionia nei i ka Catheter Ureteroscope Flexible 6.3Fr Hoʻokahi-Hoʻohana mua o ka Honua

He Lele Paionia i Alakaʻi ʻia e nā Pono Lapaʻau

Hoʻi hou i ka makahiki 2022. Ke hoʻōla mālie nei ka mākeke urology honua. Ua huakaʻi ka hui kūʻai aku honua o HugeMed i ka honua holoʻokoʻa me kā lākou 7.5Fr Single-Use Flexible Ureteroscope (URS) i hoʻokuʻu hou ʻia, e hōʻiliʻili nui ana i nā manaʻo lapaʻau. I kēlā manawa, ʻo ka 7.5Fr URS ka huahana lahilahi loa o ka ʻoihana. Eia naʻe, ʻoiai e hoʻomaikaʻi ana i kona ʻano, ua ʻōlelo pinepine nā loea: "E ʻoi aku ka maikaʻi inā hiki ke hoʻemi hou ʻia ke anawaena o waho."

I ka hiki ʻana aku o kēia manaʻo i ka Luna Hoʻomalu ʻo Hu Jifan, ua hoʻoholo koke ʻo ia, a laila e hoʻomaka ana i ka papahana R&D no ka 6.3Fr URS.

Ma hope o ʻelua mau makahiki o ka hoʻopukapuka kālā R&D nui, ua lanakila ʻo HugeMed i ka pilikia loea o ka hōʻemi ʻana i ke anawaena waho o ka paipu hoʻokomo i 6.3Fr me ka mālama ʻana i kahi kahawai hana maʻamau 3.6Fr. ʻO ka hopena o kēia, ʻo ia ka 6.3Fr URS mua o ka honua me kahi kahawai 3.6Fr.

ʻO kahi hoʻopukapuka koʻikoʻi i hana ʻia e hoʻokō i kahi pono lapaʻau ua lilo i pae hoʻohālikelike o ka ʻoihana no nā huahana like i kēia lā.

 6.3Fr URS

Ka Waiwai Lapaʻau Hiki ʻole ke Hoʻololi ʻia

 1. Hoʻomaikaʻi nui i ka pono o ka mālama ʻana

Ua hōʻike ʻia kekahi mau pepa i paʻi ʻia ma ka World Journal of Urology e hōʻike ana ka 6.3Fr URS i nā helu kiʻekiʻe loa no ka ʻole o ka pōhaku a me nā helu kūleʻa o ke kau ʻana i ka ʻūhā i hoʻohālikelike ʻia me ka URS kuʻuna, nui ke anawaena. ʻO ka hoʻohana ʻana i kēia huahana hiki ke hoʻopōkole nui i ka manawa hana a hōʻemi i ka nui o nā pilikia.

 

2. Hāʻawi i ke ʻoki kino palekana no nā poʻe maʻi me nā Ureters palupalu

He lōʻihi, haiki, a maʻalahi hoʻi ka ureter i ka hōʻino ʻia. Hoʻolilo pinepine ka URS kuʻuna i kahi ʻano hana 'no-touch' i mea paʻakikī ke hoʻokō. No nā poʻe maʻi me ke kanesa ureter a i ʻole nā ​​​​maʻi coagulation, hiki i nā scopes kuʻuna ke hōʻeha a i ʻole nā ​​​​pilikia koʻikoʻi.

ʻO ka hiki ʻana mai o ka 6.3Fr URS e hāʻawi i kahi koho ʻokiʻoki palekana no ia mau maʻi. Ua ʻōlelo ʻo Polofesa Olivier Traxer, he loea urology Farani kaulana, ma hope o kāna ʻike mua ʻana: "Hoʻomaʻalahi ia i ka hana ʻana i ke ʻano hana 'no-touch technique'. He ʻanuʻu koʻikoʻi ia i mua no ke ʻokiʻoki RIRS."

 

3. Hāʻawi i kahi Ala Hana ʻoki Hou no nā poʻe maʻi me nā Ureteral Strictures a i ʻole nā ​​​​​​mea pale pilikia

I nā hihia o nā ureter strictures congenital a pathological paha, ʻaʻole hiki i nā URS kuʻuna ke hele mālie. Pono nā kauka e hoʻokomo i kahi stent a hana i ka dilation ma mua o ke ʻoki ʻana. Eia nō naʻe, kokoke ke anawaena o waho o ka 6.3Fr URS i ko kahi stent pālua-J maʻamau, e ʻae ana i ke ʻoki pololei i kekahi mau hihia impaction pōhaku ulia pōpilikia, e hoʻomaikaʻi nui ana i ka pono o ka mālama ʻana.

 

4. Wehe i nā hiki ke mālama hou aku no nā maʻi me ka Anatomy paʻakikī

No nā poʻe maʻi me nā ʻano paʻakikī o ke ala mimi e like me nā puʻupaʻa lio a i ʻole nā ​​​​ʻōnaehana hōʻiliʻili pālua, ʻo ka 6.3Fr URS, me kona hiki ke hoʻonui ʻia a me ka maʻalahi, hiki i nā kauka ke komo a mālama i nā wahi i hiki ʻole ke kiʻi ʻia ma mua no ka ʻimi a me ka mālama ʻana.

 

Nā Haʻawina Lapaʻau Multicenter a me ka ʻaelike loea

Mai "Hiki ke hoʻohana" a i "Hiki ke hōʻoia"

Ma ka hoʻohana ʻana i kēia mau pono lapaʻau, ua lilo koke ka 6.3Fr URS i mea kūʻai maikaʻi loa ma ka honua mai kona hoʻomaka ʻana i ka makahiki 2024, e hoʻonohonoho ana i ka pae hoʻohālikelike o ka ʻoihana. Ma ke ʻano lapaʻau, ua loaʻa i ka 6.3Fr URS a HugeMed ka ʻike ma ka honua holoʻokoʻa mai nā loea e like me Polofesa Li Jianxing, Polofesa Zeng Guohua, Polofesa Olivier Traxer (Palani), Polofesa Khurshid Ghani (USA), Kauka Mohsen Elmekresh (UAE), a me Kauka Vineet Gauhar (Singapore).

 

Professor Zeng Guohua
Hope Pelekikena, Ka Halemai Pili Mua o ke Kulanui Lapaʻau ʻo Guangzhou
Luna Hoʻomalu a me ke Kakauolelo Nui, International Alliance of Urolithiasis (IAU)

I ka hana lapaʻau, ʻo ke kumukūʻai o ka ureteroscope palupalu ultra-thin 6.3Fr:

No nā poʻe maʻi pōhaku mimi maʻamau, ʻo ka ureteroscope flexible 6.3Fr, me kona lakio scope-to-sheath liʻiliʻi, e hoʻemi pono ana i ke kaomi intrarenal i ka wā o ke ʻoki ʻana, a pēlā e hoʻohaʻahaʻa ai i ka pilikia o nā pilikia maʻi postoperative.

I ka wā e mālama ai i nā hihia kūikawā e like me nā ureteral strictures, nā pōhaku pediatric, a i ʻole nā ​​​​maʻi me nā maʻi coagulation, ʻae kēia laulā i ka hoʻohana ʻana i nā ʻūpā FANS liʻiliʻi, e hōʻemi nui ana i ka pilikia o ka hōʻeha ureteral a me ke kahe ʻana o ke koko, a me ka pale ʻana i ka pono no nā ʻoki lua. ʻOi loa no nā pōhaku calyceal renal me kahi infundibulum haiki, hiki i ka ureteroscope flexible 6.3Fr ke komo pololei i ka wahi i manaʻo ʻia no ka lithotripsy me ka ʻole o ka pono e ʻoki a hoʻonui paha i ka infundibulum, e hoʻonui ana i ka mālama ʻana i nā ʻiʻo me ka hōʻoia ʻana i ka mālama pono.

I nā kūlana wehe pōhaku ulia pōpilikia a i ʻole nā ​​​​​​hiʻohiʻona RIRS tubeless, kākoʻo kona hoʻolālā lahilahi i ke komo koke ʻana i ke kaʻina hana. I nā hōʻailona kūpono, hiki iā ia ke hoʻopau i ke kaʻina o ka pre-stenting, e hoʻopōkole ana i ke kaʻina hana holoʻokoʻa a hōʻemi i ka hoʻohana ʻana i nā mea hoʻopau e pili ana.

 

Kumu Li Jianxing
Hope Poʻo, Keʻena ʻoki kino & Luna Hoʻokele, Keʻena Urology, Halemai ʻo Beijing Tsinghua Changgung
Hope Pelekikena & Kakauolelo Nui, Hui Kauka Urological Kina (CUDA)

"No nā poʻe maʻi pōhaku maʻamau, hāʻawi ke anawaena waho lahilahi loa 6.3Fr i kahi ākea no ka hele ʻana o nā ʻāpana pōhaku a me ka hoʻokahe wai. ʻAʻole wale kēia e hoʻomaikaʻi i ka helu pōhaku ʻole i hoʻokahi kau akā e hoʻolilo pū i ke kaomi intrarenal a me ka mahana i ʻoi aku ka maʻalahi o ka hoʻomalu ʻana i ka wā o ke ʻoki ʻana, e hōʻemi nui ana i ka pilikia o ka edema postoperative a me ka maʻi i hoʻohālikelike ʻia me nā kaʻina hana e hoʻohana ana i nā ureteroscopes flexible 7.5Fr+ ma mua."

No nā poʻe maʻi kiʻekiʻe ka pilikia, e like me ka poʻe me nā ureteral strictures, nā tumors, a i ʻole nā ​​​​maʻi coagulation, hiki ke hoʻohana ʻia ka 6.3Fr ultra-thin flexible ureteroscope me kahi ʻenehana sheathless 'bare scope'. Hiki i kēia ke hōʻemi nui i ka hiki ke hōʻeha ʻia ka ureter a me ke kahe koko intraoperative.

Ma muli o ke ʻano lahilahi a me ka radius deflection liʻiliʻi o ka scope 6.3Fr, hāʻawi ia i nā mea hou aʻe no nā ureters paʻakikī a me nā anomalies anatomical e like me nā puʻupaʻa lio, nā ʻōnaehana pālua, a me nā poʻe maʻi me ka infundibula calyceal haiki a maikaʻi ʻole paha. ʻAʻole hiki ke hoʻololi ʻia ka hana o kēia huahana i kēia mau kūlana paʻakikī e nā huahana like ʻē aʻe ma ka mākeke.

 

Polopeka Olivier Traxer
Poʻo o ka ʻOihana Urology, Halemai Tenon, Ke Kulanui ʻo Sorbonne, Palisa
Pelekikena, ʻAhaʻōlelo o ka Honua o Endourology (WCE) 2018, Palisa

"(ʻO kēia ureteroscope hiki ke hoʻololi ʻia he 6.3Fr) e maʻalahi ai ka hana ʻana i ke ʻano hana 'no-touch' i loko o ka ureter. He ʻanuʻu nui ia i mua no ka ʻenehana RIRS."

"Maʻalahi ke hoʻokomo i ka ureter i loko o ka 《 ʻAno hana ʻaʻohe pā》: He ʻanuʻu maikaʻi loa no RlRS."

Ma Iune 7, 2025, ua hoʻomaka ʻo HugeMed, me ka laulima ʻana me ka Halemai ʻo Beijing Tsinghua Changgung, i kahi hoʻokolohua multicenter, randomized controlled: *"He Hoʻokolohua Multicenter Randomized Controlled ma ka Pono a me ka Palekana o ka 6.3Fr Single-Use Flexible Ureteroscope (Sheathless Technique) e kūʻē i ka 7.5Fr Single-Use Flexible Ureteroscope (Sheath Required) no ka mālama ʻana i nā pōhaku urinary tract kiʻekiʻe < 1.5cm in Diameter."* ʻO kēia haʻawina, e pili ana i 21 mau haukapila kiʻekiʻe, e manaʻo e kūkulu i kahi ʻōnaehana ʻikepili lapaʻau paʻa no ka 6.3Fr URS ma Kina, e kālele ana i nā hopena e like me:

ʻO ka uku ʻole o ka pōhaku i ka mahina 1 ma hope o ke kaʻina hana

Ka helu holomua mua

Ka manawa hana

Ka nui o nā ʻeha intraoperative

Ka nui o ka stricture ureteral postoperative

Nā pilikia perioperative

Noho ma ka haukapila ma hope o ke ʻoki ʻana (nā lā)

Huina kumukūʻai

 

Nā Lako Kūikawā o ZRHmed9Fr UAS me ka Suction Kūlike me6.3Fr Ureterorenoscope hoʻokahi hoʻohana

 

No ka hoʻokō ʻana i kāu ureteroscope 6.3FR,ZRHmedʻo ia ka mea hoʻolako kūikawā o kahi ʻūpā omo 9FR kūikawā i hana ʻia no ka hoʻohālikelike kūpono a me ka hana. Hoʻomaopopo kēia ʻūpā i ka omo hilinaʻi, ka ʻike maikaʻi ʻia, a me ka hoʻokele ʻana i nā mea hana maʻalahi i ka wā o nā kaʻina hana ureteroscopic. Hoʻolālā ʻia e hoʻomaikaʻi i ka hoʻokele wai a me ka hoʻomaʻemaʻe ʻana i nā ʻāpana pōhaku, lawelawe ia ma ke ʻano he mea pono no nā hana urological kūpono. HilinaʻiZRHmedno nā hoʻonā kū hoʻokahi a kiʻekiʻe hoʻi i hana ʻia e hoʻokō i nā koi o ka endoscopy hou.

ʻO mākou, ʻo Jiangxi Zhuoruihua Medical Instrument Co., Ltd., he mea hana ma Kina e loea ana i nā mea hoʻopau endoscopic, me ka laina GI e like me nā forceps biopsy, hemoclip, polyp snare, sclerotherapy needle, spray catheter, cytology brushes, guidewire, stone retrieval basket, nasal biliary drainage catheter etc. i hoʻohana nui ʻia ma EMR, ESD, ERCP. A meLaina Endourology, e like meʻūpā komo ureteral me ka omo,ʻūpā komo ureter, hoʻolei ʻiaHīnaʻi Hoʻihoʻi Pōhaku Mimi, a me ke alakaʻi urology etc.

Ua hōʻoia ʻia kā mākou huahana e CE, a ua hōʻoia ʻia kā mākou mau mea kanu e ISO. Ua hoʻokuʻu ʻia aku kā mākou waiwai i ʻEulopa, ʻAmelika ʻĀkau, Hikina Waena a me kekahi ʻāpana o ʻAsia, a ua loaʻa nui ka ʻike a me ka hoʻomaikaʻi ʻia e ka mea kūʻai aku!