Electromagnetic field intensity triggered micro-biopsy device for active locomotive capsule endoscope

Abstract For an active and precise diagnosis, we developed an active locomotive intestinal capsule endoscope (ALICE), which can be wirelessly driven and controlled using an electromagnetic actuation (EMA) system. Since then, there has been a need to develop a biopsy device integrated into ALICE which can take a biopsy sample inside the gastrointestinal tract for a historical analysis of cancer disease. Toward this goal, this paper proposes a smart-triggered biopsy device for the ALICE using a micro-reed switch, where the integrated micro-reed switch is turned on using a strong magnetic field, and the biopsy device mechanism is activated by a micro-reed switch. To execute the biopsy process, first, the ALICE with the biopsy device is driven by an EMA system, where a moderate intensity magnetic field is used for driving the ALICE to reach a target region on the intestinal wall. After that, by increasing the magnetic field above a critical value, the ALICE is pushed hard against the target lesion, the micro-reed switch is turned on, and the biopsy device is triggered. The biopsy process, therefore, is totally wirelessly controlled by the external magnetic field of the EMA system, without an additional controller module. The prototype of the biopsy device, with dimensions of 12 mm in diameter and 5 mm in length, was integrated into the ALICE and the prototype of the ALICE, with the biopsy device having dimensions of 12 mm in diameter and 32 mm in length. The working principle and mechanism of the proposed biopsy device are introduced and the feasibility of ALICE with the biopsy device is demonstrated through in-vitro experiments.

[1]  D. Faigel,et al.  A multicenter randomized comparison of the Endocapsule and the Pillcam SB. , 2008, Gastrointestinal endoscopy.

[2]  Kyoungchul Kong,et al.  A Robotic Biopsy Device for Capsule Endoscopy , 2012 .

[3]  Seong Young Ko,et al.  Active Locomotive Intestinal Capsule Endoscope (ALICE) System: A Prospective Feasibility Study , 2015, IEEE/ASME Transactions on Mechatronics.

[4]  Z. Liao,et al.  Fields of applications, diagnostic yields and findings of OMOM capsule endoscopy in 2400 Chinese patients. , 2010, World journal of gastroenterology.

[5]  S. Song,et al.  A novel microactuator for microbiopsy in capsular endoscopes , 2008 .

[6]  S. Song,et al.  First clinical trial of the "MiRo" capsule endoscope by using a novel transmission technology: electric-field propagation. , 2009, Gastrointestinal endoscopy.

[7]  V. Egorov,et al.  Mechanical properties of the human gastrointestinal tract. , 2002, Journal of biomechanics.

[8]  P. Valdastri,et al.  Magnetic Torsion Spring Mechanism for a Wireless Biopsy Capsule , 2013 .

[9]  S. Cross,et al.  Patchy villous atrophy in adult patients with suspected gluten-sensitive enteropathy: is a multiple duodenal biopsy strategy appropriate? , 2007, Endoscopy.

[10]  A. Glukhovsky,et al.  Future of capsule endoscopy. , 2004, Gastrointestinal endoscopy clinics of North America.

[11]  Alessio Fasano,et al.  Celiac disease diagnosis: simple rules are better than complicated algorithms. , 2010, The American journal of medicine.

[12]  Kyoungchul Kong,et al.  A rotational micro biopsy device for the capsule endoscope , 2005, 2005 IEEE/RSJ International Conference on Intelligent Robots and Systems.

[13]  Sukho Park,et al.  Shape memory alloy–based biopsy device for active locomotive intestinal capsule endoscope , 2015, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[14]  Sukho Park,et al.  Novel electromagnetic actuation system for three-dimensional locomotion and drilling of intravascular microrobot , 2010 .

[15]  Md. Rubel Basar,et al.  Ingestible Wireless Capsule Technology: A Review of Development and Future Indication , 2012 .