Development of an Automatic Adjustable Colonoscope

Colonoscopy can be associated with many problems, such as mechanical trauma due to the distal tip contacting the colon wall or health issues due to the extended use of anesthesia. In order to eliminate these complications, an automatic adjustable colonoscope was designed. This device uses sensors, actuators, and a control system to automatically position the distal tip in the center of the colon lumen. The sensors were tested to determine their ability to accurately sense the distance from the tip to the surface. The actuators were tested to determine the correlation between motor rotation and displacement of the distal tip. The control system was tested to assess the ability of the device to position the tip in the center of the test tube and the ability to navigate through a flat test course. It was determined that the sensors could accurately determine distances from 0 to 15 mm from the test surface in all test conditions. The motors for up-down movement and left-right movement of the colonoscope had response times of 0.57 s and 0.69 s, respectively, when the motors were rotated from 0 deg to 90 deg. The control system was able to safely move the colonoscope tip away from all walls of the test apparatus. It was also able to navigate through the flat test course without coming in contact with the walls. The automatic adjustable colonoscope has demonstrated that it can safely and effectively position the distal tip to avoid contact with the walls of the test surface.

[1]  P. Cotton,et al.  Practical Gastrointestinal Endoscopy , 2000 .

[2]  D. Heresbach,et al.  Colon capsule endoscopy vs. colonoscopy in patients at average or increased risk of colorectal cancer , 2010, Alimentary pharmacology & therapeutics.

[3]  Luigino Criante,et al.  Distance optical sensor for quantitative endoscopy. , 2008, Journal of biomedical optics.

[4]  J. Stoker,et al.  Magnetic resonance (MR) colonography in the detection of colorectal lesions: a systematic review of prospective studies , 2009, European Radiology.

[5]  Chronic Disease Division Cancer facts and figures , 2010 .

[6]  P. Howell,et al.  Use of the common gas outlet for the administration of supplemental oxygen during Caesarean section under regional anaesthesia * , 2002, Anaesthesia.

[7]  G Yan,et al.  A micro creeping robot for colonoscopy based on the earthworm , 2005, Journal of medical engineering & technology.

[8]  A. Aschoff,et al.  CT colonography: an update , 2008, European Radiology.

[9]  A. Meining,et al.  Prospective study on bright lumen magnetic resonance colonography in comparison with conventional colonoscopy. , 2007, The British journal of radiology.

[10]  A. Horiuchi,et al.  Usefulness of a Small-Caliber, Variable-Stiffness Colonoscope as a Backup in Patients with Difficult or Incomplete Colonoscopy , 2004, American Journal of Gastroenterology.

[11]  Guozheng Yan,et al.  Development of a micro‐robot for endoscopes based on wireless power transfer , 2008, Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy.

[12]  Carlo Catalano,et al.  Detection of colorectal lesions with virtual computed tomographic colonography. , 2002, American journal of surgery.

[13]  Tanneguy Redarce,et al.  Sensor-based guidance control of a continuum robot for a semi-autonomous colonoscopy , 2007, Robotics Auton. Syst..

[14]  J. Dankelman,et al.  Vacuum packed particles as flexible endoscope guides with controllable rigidity , 2010 .

[15]  C. Beglinger,et al.  Colon Capsule Endoscopy compared to Conventional Colonoscopy under routine screening conditions , 2010, BMC gastroenterology.

[16]  Vijayan K. Asari,et al.  Design of a vision-guided microrobotic colonoscopy system , 2000, Adv. Robotics.

[17]  M. Lapalus,et al.  Capsule endoscopy versus colonoscopy for the detection of polyps and cancer. , 2009, The New England journal of medicine.

[18]  K. Leslie,et al.  Closed loop control of sedation for colonoscopy using the Bispectral Index* , 2002, Anaesthesia.

[19]  J. Schulman,et al.  Complications of Colonoscopy in an Integrated Health Care Delivery System , 2006, Annals of Internal Medicine.

[20]  J. Kountouras,et al.  Single use of fentanyl in colonoscopy is safe and effective and significantly shortens recovery time , 2007, Surgical Endoscopy.

[21]  T. Tham,et al.  How do patients with inflammatory bowel disease want their biological therapy administered? , 2010, BMC gastroenterology.

[22]  A. Darzi,et al.  Magnetic resonance colonography versus colonoscopy as a diagnostic investigation for colorectal cancer: a meta-analysis. , 2005, Clinical radiology.

[23]  D. Faigel,et al.  Risk factors for cardiopulmonary events during propofol‐mediated upper endoscopy and colonoscopy , 2006, Alimentary pharmacology & therapeutics.

[24]  J. Dam,et al.  Computer-Assisted Colonoscopy (The NeoGuide Endoscopy System): Results of the First Human Clinical Trial (“PACE Study”) , 2007, The American Journal of Gastroenterology.

[25]  W. Barendregt,et al.  Colonoscopic perforations: a review of 30,366 patients , 2007, Surgical Endoscopy.