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    Home > Medical News > Medical World News > Endoscope equipment industry: foreign-led domestic enterprises how to bend over the car?

    Endoscope equipment industry: foreign-led domestic enterprises how to bend over the car?

    • Last Update: 2020-10-22
    • Source: Internet
    • Author: User
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    The text. Shuai endoscope is an important part of the medical device industry, in North America, Europe and Japan is developing rapidly, but in China is in the start-up state, in recent years, such as open medical and other endoscope enterprises have been innovative research and development, endoscope more and more attention by the industry and capital markets.
    this article will introduce the core technology, market size, development potential and competitive landscape of endoscope in detail, and introduce the advantages of enterprises.
    01 endoscope development experienced four stages, CMOS sensor-triggered technological innovation endoscope is a medical device with image sensors, optical lenses, light source lighting, mechanical devices, etc., can be entered into the body through the body's natural perforation, for digestive tract examination, abdominal examination, respiratory examination and other medical examination, can also assist special surgical instruments, minimally invasive surgery, such as minimally invasive plastic surgery.
    1.1 hard mirror is used for sterile tissue, organs or chambers of the human body, soft mirror is used for the human body's natural cavity according to whether the natural cavity can be freely bent, endoscope can be divided into hard mirror and soft mirror, both in appearance, internal structure, application and so on are not the same. Figure
    1 Comparing hard mirrors with soft mirror morphology, structure and application sources: public information, China Health Industry Capital Research Center hard mirror applications are extensive, mainly into the human body sterile tissue, organs or surgical incision into the human body sterile chamber, including products including laparoscopy, intervertebral disc mirror, arthroscopy, high-frequency electrocution surgery hard tube endoscope.
    Chart 2 Hard mirror main products and application data sources: public information, China Health Industry Capital Research Center soft endoscope mainly through the body's natural cavity to complete the examination, diagnosis and treatment, mainly divided into fiber endoscope and electronic endoscope two categories, products include vascular endoscope, endoscope, digestive tract mirror and so on.
    the soft mirror is more complex and requires more technical requirements than hard mirrors.
    Chart 3 Soft mirror main products and application data sources: public information, China Health Industry Capital Research Center 1.2 endoscope development experienced four stages, CMOS replacement CCD sensor into the future trend endoscope development experienced four stages, respectively, tube endoscope, semi-bending endoscope, fiber endoscope and electronic endoscope.
    tube endoscope and semi-recessable endoscope work relatively simple, mainly composed of optical spectoscopy system and lighting system. the
    optical spectoscopy system is divided into objective system, transition system and eyepiece system three parts, the object is first reflected through the objective mirror, presented as an inverted image, and then through the conversion system to convert the image into a positive image and transmission to the eyepiece, the eyepiece then enlarges the image, and finally is observed by the eye.
    the lighting system is to illuminate the observed object by transmitting the light from the cold light source to the front of the endoscope through the light guide fiber.
    figure 4 Of The hard mirror works schematic data sources: public information, fiber endoscopes of the Zhongkang Industrial Capital Research Center are generally composed of optical observation systems, lighting transmission systems and sub-architecture components, optical observation systems consisting of image objective groups, image groups and eyepieces or CCD transfer mirrors.
    lighting transmission system consists of a mix of multi-beam light-conducting fibers, and the branching structure consists of medical metal or organic materials that wrap and support the aforementioned system and open surgical or flushing holes.
    Chart 5 Fiber Endoscope Structure Chart Data Source: Public Information, Zhongkang Industrial Capital Research Center image fiber is the core part of the fiber endoscope, it has a double-layer structure, the outside is a low refractive index fiber coating, the interior is a high refractive index fiber core, the core and coating between a good optical reflection interface.
    the object is viewed in the objective imaging, after several full reflections inside the image optic fiber, and then shot from the other end of the optical fiber to the eyepiece, which is the simple working principle of the fiber endoscope.
    Chart 6 Optical Fiber Spectror Principle Data Source: Public Information, China Health Industry Capital Research Center Electronic Endoscope is the latest product in the current endoscope market development, the structure and technology is the most complex.
    electronic endoscopes include endoscopes, television information system centers and television monitors.
    TV Information System Center is equipped with a cold light source, and through the endoscope light guide fiber to the body under inspection, after being accepted by the image sensor, the optical signal is also converted into electrical signals, and transmitted to the TV Information Center for storage and processing, and finally transmitted to the television monitor screen to show the color image of the observed object.
    Chart 7 Electronic endoscope structure chart data source: public information, the core technology of electronic endoscope of Zhongkang Industrial Capital Research Center is image acquisition technology, where the application of image sensor is the core of image rendering technology.
    Currently there are CCD (charge-coupled components) and CMOS (complementary metal oxide semiconductor) two technologies, CCD technology due to better image quality, in the early stages of the development of electronic endoscopes are widely used, however, with CMOS in terms of color performance, image quality and CCD gap is getting smaller and smaller, and its low energy consumption, low noise characteristics for enterprises to appreciate, CCD to CMOS transformation will be the future trend for some time.
    Chart 8 CCD and CMOS Sensor Technology Comparison Data Source: Medical Device Forum, BOC International Securities, Zhongkang Industrial Capital Research Center 022018 China's domestic voyeur market size of 22.1 billion yuan, foreign-funded enterprises market share super 90%2.1 The global endoscope market will be US$24.2 billion in 2018, with a growth rate of 24.2 billion U.S. dollars, ranking third in the segment, and the endoscope market size and growth rate will be both in terms of sales volume in 2018.
    Global sales of $24.2 billion in 2018, accounting for 5.1% of the medical device industry's market share, with a compound annual growth rate of 5.5%, second only to ophthalmology and general and plastic surgery, is the third fastest growing segment of the market.
    Chart 9 Endoscope market size and growth both data sources: Evaluate MedTech, Zhongkang Industrial Capital Research Center 2.2 2018 China's domestic voyeur market size of 22.1 billion yuan, foreign-funded enterprises occupy more than 90% of the market China's voyeurism industry has been steadily developing in recent years, 2012 revenue of 8.3 billion yuan, by 2018 has reached 22.1 billion yuan, is expected to reach 2019 billion yuan.
    growth slowed, with the market growing 11.06 percent year-on-year in 2018, less than the growth rate of more than 20 percent by 2016.
    Chart 10 In 2018, China's domestic voyeur market size of 22.1 billion yuan, growth rate of 11.06% data sources: Forward-looking Industrial Research Institute, Zhongkang Industrial Capital Research Center due to high barriers in the industry, China's early development, more mature technology of foreign-funded enterprises occupied an absolute dominant position.
    China's hard mirror market is currently mainly divided between Japanese and German enterprises.
    the top five hard mirror market in 2018, only Shenyang Shenda a domestic enterprise, the market share of only 3%, the overall size of the domestic enterprise market accounted for less than 10%.
    , German firm Carl Smith accounts for half of the industry, with a 47 per cent market share, followed by Japanese firm Olympus with 23 per cent.
    Chart 11 China's hard mirror market is divided by German and Japanese enterprises data sources: China Industrial Information Network, China Kang Industrial Capital Research Center compared to hard mirror, soft mirror technical barriers are higher, China's soft mirror market localization rate of less than 2%.
    soft mirror industry image sensors are also CCD-based, Japanese enterprises due to the early development time, the core CCD technology mature, China and the global soft mirror market formed a long-term monopoly, the three Japanese head enterprises, Olympus, Fuji and Pentaz occupied 98% of the market, almost formed a monopoly, of which Olympus alone accounted for 70.80% of the market.
    Chart 12 In 2018, the three major Japanese companies accounted for more than 98% of China's soft mirror market share data sources: China Industrial Information Network, China Health Industry Capital Research Center However, The introduction of new technology CMOS, to a certain extent, get rid of the enterprise's dependence on CCD sensors, in recent years, a small number of domestic endoscope enterprises developed rapidly, such as Open Medical in 2015 developed a CMOS-based domestic first 2 megapixel, with 1080P full HD image HD endoscope system HD-500, although in image quality and Japanese enterprises there is a certain gap, but with high cost-effective, domestic enterprises are expected to expand market share in the future.
    2.3 Cancer morbidity and mortality rates remain high, endoscope development space is vast due to the use of endoscopes can see X-rays can not show the body mutations, endoscopy detection in the field of cancer detection can play an important role, can be used endoscope diagnosis of cancer accounted for more than 60%.
    Early diagnosis and treatment is an important means to improve the survival rate of cancer, however, at present, china's national awareness of early cancer screening is poor, endoscopy use is less, resulting in low early diagnosis of cancer, disease rate and mortality rate is much higher than in developed countries.
    Take gastric cancer as an example, in 2015, about 12.5% of people in Japan participated in gastroscopy, compared with less than 3% in China, and the early diagnosis rate of stomach cancer in Japan was as high as 60%, compared with about 10% in China. Figure
    Chart 13 China's domestic voyeurism frequency and developed countries gap between the obvious data sources: the National Cancer Center, China Health Industry Capital Research Center in aware of China's cancer early diagnosis rate and survival rate of both low, the country in 2016 issued the "Pharmaceutical Industry Development Planning Guidelines", clearly included medical imaging equipment in five categories of focused development of medical devices, including endoscopes.
    2019, the state proposes to increase early cancer screening rates to 46.6 percent over five years by 2030.
    the needs of the cancer market, the improvement of residents' health awareness and the government's intervention have provided the soil for the development of the mirror industry in China.
    In summary, endoscope industry due to the existence of very high industry barriers, high industry concentration, low domestic share, but the introduction of new technology may allow domestic enterprises to get rid of the dependence on the core technology of foreign enterprises, while the growing demand for cancer detection may also promote the development of domestic endoscope enterprises.
    title: endoscope equipment industry (above): foreign investment accounted for more than 90%, how can domestic enterprises with the help of CMOS sensor bend oversized?
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