20 research outputs found

    Design, Fabrication, and Testing of a Capsule With Hybrid Locomotion for Gastrointestinal Tract Exploration

    Get PDF
    Abstract—This paper describes a novel solution for the active lo-comotion of a miniaturized endoscopic capsule in the gastrointesti-nal (GI) tract. The authors present the design, development, and testing of a wireless endocapsule with hybrid locomotion, where hybrid locomotion is defined as the combination between internal actuation mechanisms and external magnetic dragging. The cap-sule incorporates an internal actuating legged mechanism, which modifies the capsule profile, and small permanent magnets, which interact with an external magnetic field, thus imparting a dragging motion to the device. The legged mechanism is actuated whenever the capsule gets lodged in collapsed areas of the GI tract. This allows modification of the capsule profile and enables magnetic dragging to become feasible and effective once again. A key com-ponent of the endoscopic pill is the internal mechanism, endowed with a miniaturized brushless motor and featuring compact design, and adequate mechanical performance. The internal mechanism is able to generate a substantial force, which allows the legs to open against the intestinal tissue that has collapsed around the capsule body. An accurate simulation of the performance of the minia-turized motor under magnetic fields was carried out in order to define the best configuration of the internal permanent magnets (which are located very close to the motor) and the best tradeoff operating distance for the external magnet, which is responsible for magnetically dragging the capsule. Finally, a hybrid capsule was developed generating 3.8 N at the tip of the legged mechanism and a magnetic link force up to 135 mN. The hybrid capsule and its wireless control were extensively tested in vitro, ex vivo, and in vivo, thus confirming fulfilment of the design specifications and demon-strating a good ability to manage collapsed areas of the intestinal tract. Index Terms—Capsule endoscopy, endoscopic capsule, magnetic locomotion, robotic surgery. I

    Design, Fabrication, and Testing of a Capsule With Hybrid Locomotion for Gastrointestinal Tract Exploration

    Full text link

    Towards tactile sensing active capsule endoscopy

    Get PDF
    Examination of the gastrointestinal(GI) tract has traditionally been performed using tethered endoscopy tools with limited reach and more recently with passive untethered capsule endoscopy with limited capability. Inspection of small intestines is only possible using the latter capsule endoscopy with on board camera system. Limited to visual means it cannot detect features beneath the lumen wall if they have not affected the lumen structure or colour. This work presents an improved capsule endoscopy system with locomotion for active exploration of the small intestines and tactile sensing to detect deformation of the capsule outer surface when it follows the intestinal wall. In laboratory conditions this system is capable of identifying sub-lumen features such as submucosal tumours.Through an extensive literary review the current state of GI tract inspection in particular using remote operated miniature robotics, was investigated, concluding no solution currently exists that utilises tactile sensing with a capsule endoscopy. In order to achieve such a platform, further investigation was made in to tactile sensing technologies, methods of locomotion through the gut, and methods to support an increased power requirement for additional electronics and actuation. A set of detailed criteria were compiled for a soft formed sensor and flexible bodied locomotion system. The sensing system is built on the biomimetic tactile sensing device, Tactip, \cite{Chorley2008, Chorley2010, Winstone2012, Winstone2013} which has been redesigned to fit the form of a capsule endoscopy. These modifications have required a 360o360^{o} cylindrical sensing surface with 360o360^{o} panoramic optical system. Multi-material 3D printing has been used to build an almost complete sensor assembly with a combination of hard and soft materials, presenting a soft compliant tactile sensing system that mimics the tactile sensing methods of the human finger. The cylindrical Tactip has been validated using artificial submucosal tumours in laboratory conditions. The first experiment has explored the new form factor and measured the device's ability to detect surface deformation when travelling through a pipe like structure with varying lump obstructions. Sensor data was analysed and used to reconstruct the test environment as a 3D rendered structure. A second tactile sensing experiment has explored the use of classifier algorithms to successfully discriminate between three tumour characteristics; shape, size and material hardness. Locomotion of the capsule endoscopy has explored further bio-inspiration from earthworm's peristaltic locomotion, which share operating environment similarities. A soft bodied peristaltic worm robot has been developed that uses a tuned planetary gearbox mechanism to displace tendons that contract each worm segment. Methods have been identified to optimise the gearbox parameter to a pipe like structure of a given diameter. The locomotion system has been tested within a laboratory constructed pipe environment, showing that using only one actuator, three independent worm segments can be controlled. This configuration achieves comparable locomotion capabilities to that of an identical robot with an actuator dedicated to each individual worm segment. This system can be miniaturised more easily due to reduced parts and number of actuators, and so is more suitable for capsule endoscopy. Finally, these two developments have been integrated to demonstrate successful simultaneous locomotion and sensing to detect an artificial submucosal tumour embedded within the test environment. The addition of both tactile sensing and locomotion have created a need for additional power beyond what is available from current battery technology. Early stage work has reviewed wireless power transfer (WPT) as a potential solution to this problem. Methods for optimisation and miniaturisation to implement WPT on a capsule endoscopy have been identified with a laboratory built system that validates the methods found. Future work would see this combined with a miniaturised development of the robot presented. This thesis has developed a novel method for sub-lumen examination. With further efforts to miniaturise the robot it could provide a comfortable and non-invasive procedure to GI tract inspection reducing the need for surgical procedures and accessibility for earlier stage of examination. Furthermore, these developments have applicability in other domains such as veterinary medicine, industrial pipe inspection and exploration of hazardous environments

    SINGLE SITE ROBOTC DEVICE AND RELATED SYSTEMS AND METHODS

    Get PDF
    The embodiments disclosed herein relate to various medical device components, including components that can be incor porated into robotic and/or in vivo medical devices. Certain embodiments include various medical devices for in vivo medical procedures

    Platforms for prototyping minimally invasive instruments

    Get PDF
    The introduction of new technologies in medicine is often an issue because there are many stages to go through, from the idea to the approval by ethical committees and mass production. This work covers the first steps of the development of a medical device, dealing with the tools that can help to reduce the time for producing the laboratory prototype. These tools can involve electronics and software for the creation of a “universal”' hardware platform that can be used for many robotic applications, adapting only few components for the specific scenario. The platform is created by setting up a traditional computer with operating system and acquisition channels aimed at opening the system toward the real environment. On this platform algorithms can be implemented rapidly, allowing to assess the feasibility of an idea. This approach lets the designer concentrate on the application rather than on the selection of the appropriate hardware electronics every time that a new project starts. In the first part an overview of the existing instruments for minimally invasive interventions that can be found as commercial or research products is given. An introduction related to hardware electronics is presented with the requirements and the specific characteristics needed for a robotic application. The second part focuses on specific projects in MIS. The first project concerns the study and the development of a lightweight hand-held robotic instrument for laparoscopy. Motivations are related to the lack of dexterous hand-held laparoscopic instruments. The second project concerns the study and the presentation of a prototype of a robotic endoscope with enhanced resolution. The third project concerns the development of a system able to detect the inspiration and the expiration phases. The aim is to evaluate the weariness of the surgeon, since breathing can be related to fatigue

    A flexible access platform for robot-assisted minimally invasive surgery

    No full text
    Advances in Minimally Invasive Surgery (MIS) are driven by the clinical demand to reduce the invasiveness of surgical procedures so patients undergo less trauma and experience faster recoveries. These well documented benefits of MIS have been achieved through parallel advances in the technology and instrumentation used during procedures. The new and evolving field of Flexible Access Surgery (FAS), where surgeons access the operative site through a single incision or a natural orifice incision, is being promoted as the next potential step in the evolution of surgery. In order to achieve similar levels of success and adoption as MIS, technology again has its role to play in developing new instruments to solve the unmet clinical challenges of FAS. As procedures become less invasive, these instruments should not just address the challenges presented by the complex access routes of FAS, but should also build on the recent advances in pre- and intraoperative imaging techniques to provide surgeons with new diagnostic and interventional decision making capabilities. The main focus of this thesis is the development and applications of a flexible robotic device that is capable of providing controlled flexibility along curved pathways inside the body. The principal component of the device is its modular mechatronic joint design which utilises an embedded micromotor-tendon actuation scheme to provide independently addressable degrees of freedom and three internal working channels. Connecting multiple modules together allows a seven degree-of-freedom (DoF) flexible access platform to be constructed. The platform is intended for use as a research test-bed to explore engineering and surgical challenges of FAS. Navigation of the platform is realised using a handheld controller optimised for functionality and ergonomics, or in a "hands-free" manner via a gaze contingent control framework. Under this framework, the operator's gaze fixation point is used as feedback to close the servo control loop. The feasibility and potential of integrating multi-spectral imaging capabilities into flexible robotic devices is also demonstrated. A force adaptive servoing mechanism is developed to simplify the deployment, and improve the consistency of probe-based optical imaging techniques by automatically controlling the contact force between the probe tip and target tissue. The thesis concludes with the description of two FAS case studies performed with the platform during in-vivo porcine experiments. These studies demonstrate the ability of the platform to perform large area explorations within the peritoneal cavity and to provide a stable base for the deployment of interventional instruments and imaging probes

    Low-Cost Technologies for Flexible Endoscopy: Design, Control and Autonomy for a Water-Jet Actuated Soft Continuum Endoscope

    Get PDF
    Despite the outstanding diagnostic performance brought by new technologies in medicine, cancer remains a significant burden worldwide. In addition to prevention strategies, the ability to detect malignancy early is crucial in enabling effective treatment and dramatically increasing the survival rate of patients. In the case of gastric cancer, diagnosis is generally performed using Flexible Endoscopy (or Endoscope) (FE). The FE has been proven to be a powerful, reliable and cost-effective tool in the fight against gastric cancer. However, its effectiveness strongly depends on the skills of trained Gastro Enterologists (GE) who perform the procedures. Moreover, accessibility and availability of such tools are often limited to people residing in major cities, while remote and rural areas remain poorly served by their health systems. The advent of robotics in medicine offers a new solution to these problems. When possible, automating diagnostic procedures or surgical tasks has the potential to deliver reliable, repeatable and cost-effective alternatives to standard human-in-the-loop procedures. Embedding autonomous capabilities into a machine, optimally designed to execute a specific task, could enable the device to automatically adapt to different conditions and non-skilled personnel to perform the procedure by supervising the actions of the robotic platform. In these scenarios, safety represents a major concern and in the majority of the cases, a safe interaction between the robot and the tissues can be guaranteed by building compliant robots made of soft materials. However, if the possibility of using compliant devices offers a number of advantages to the final user or patient, it defines a series of technical challenges that have to be addressed to deliver a stable and reliable control of the platform. Finally, by adopting low-cost designs, single-use solutions can be realised to address the issue and complication of sterilisation. This dissertation discusses the research effort targeted at the development of a water-jet actuated low-cost, disposable gastroscopy platform to offer a safe, cost-effective, fault-free alternative to standard FE

    Magnetic Medical Capsule Robots

    Get PDF

    Miniature Mobile Systems for Inspection of Ferromagnetic Structures

    Get PDF
    Power plants require periodical inspections to control their state. To ensure a safe operation, parts that could fail before the next inspection are repaired or replaced, since a forced outage due to a failure can cost up to millions of dollars per day. Non-Destructive Testing (NDT) methods are used to detect different defects that could occur, such as cracks, thinning, corrosion or pitting. Some parts are inspected directly in situ, but may be difficult to access; these can require opening access holes or building scaffoldings. Other parts are disassembled and inspected in workshops, when the required inspection tools cannot be moved. In this thesis, we developed innovative miniature mobile systems able to move within these small and complex installations and inspect them. Bringing sensors to difficult-to-access places using climbing robots can reduce the inspection time and costs, because some dismantling or scaffolding can be eliminated. New miniature sensors can help to inspect complex parts without disassembling them, and reduce the inspection costs, as well. To perform such inspections, miniature mobile systems require a high mobility and keen sensing capabilities. The following approach was used to develop these systems. First, different innovative climbing robots are developed. They use magnetic adhesion, as most structures are made of ferromagnetic steel. Then, vision is embedded in some of the robots. Performing visual inspections becomes thus possible, as well as controlling the robots remotely, without viewing them. Finally, non-visual NDT sensors are developed and embedded in some of the robots, allowing them to detect defects that simple vision cannot detect. Achieving the miniaturization of the developed systems requires strong system integration during these three steps. A set of examples for the different steps has been designed, implemented and tested to illustrate this approach. The Tripillars robots, for instance, use caterpillars, and are able to climb on surfaces of any inclination and to pass inner angles. The Cy-mag3Ds robots use an innovative magnetic wheel concept, and are able to climb on surfaces of any inclination and to pass inner angles, outer angles and surface flips. The Tubulos robots move in tubes of 25 mm diameter at any inclination. All robots embed the required electronics, actuators, sensors and energy to be controlled remotely by the user. Wireless transmission of the commands signals allows the systems to maintain their full mobility without disturbing cables. Integrating Hall sensors near the magnetic systems allows them to measure the adhesion force. This information improves the security of the robots, since when the adhesion force becomes low, the robots can be stopped before they fall. The Tubulo II uses Magnetic Switchable Devices (MSDs) for adhesion. An MSD is composed of a ferromagnetic stator and one or more moving magnets; it has the advantage of requiring only a low force to switch on or off a high adhesion force. MSDs have the advantage of being easy to clean of the magnetic dust that is present in most real environments and that sticks strongly to magnetic systems. As an additional step toward inspection, a camera is embedded on the Cy-mag3D II and the Tubulos. It allows these robots to inspect visually the structures the robots move in, and to control them remotely. The perspective of a climbing robot in an unknown environment is often not enough to give the user a sense of its scale, and to move efficiently in it. A distance sensor is designed and embedded on the Cy-mag3D II, which increases the user's perception of the environment substantially; Finally, an innovative miniature Magnetic Particle Inspection (MPI) system was developed to inspect turbine blades without disassembling them. An MSD is used to perform the required magnetization. The system can automatically inspect a flat surface, performing all the required steps of MPI: magnetize, spray magnetic particles, record images under UV light and demagnetize. Thanks to the strong integration and miniaturization, the system can potentially inspect complex parts such as steam turbines
    corecore