Page 337 - Control Theory in Biomedical Engineering
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308   Control theory in biomedical engineering


             Since an elevated temperature is a requirement before the actuation of
          the SMA to return to its original shape, there have been some methods
          developed to achieve this aim. The most popular is the usage of current
          to increase the temperature via heat due to the resistance of the wire. In addi-
          tion to allowing the SMA to keep its thin profile, it also facilitates even heat-
          ing of the alloy. Some other methods of actuation also include using fluid, as
          per US5645520A, where an insert regulates the temperature via the ratio of
          hot and cold water as well as installed heating elements. The active endo-
          scope invented by Ikuta et al. makes uses of a fluid cooling system as well.
          The inclusion of such mechanisms is bound to increase the girth of the tube
          significantly, which is not desirable considering that girth is a luxury when
          designed for use in the respiratory tract.
             In conventional bending applications, the most used mechanic of
          bending is having the number of bending actuators be equal to that of
          the number of directions that the device can pull in. However, this
          hinders ability to reduce the diameter of the tube. A method to reduce
          diameter is to reduce the total amount of actuators needed while retaining
          the same amount of directions in which bending can occur. One such
          example is patent US5897488A, where the number of actuators was
          reduced from four to three. One notable mention is the mask that was
          designed to facilitate the endoscopy process involving entry via orifices
          in the upper half of the body (US 0100368). The mask, however, is
          directed at subjects that are required to be sedated, with ports allowing
          the insertion of an oxygen tube and to test for tidal carbon dioxide. This
          design incorporates features that are redundant in a procedure that is to be
          done without anesthesia. The proximity of the mask wall to the nostril is
          also too long for accurate insertion of the device. Nasal dilators have also
          been developed, for example patent 5895509. While they have potential
          in terms of reducing the proximity of the scope to the orifice and the
          widening of the airway, the lack of self-positioning mechanism may lead
          to imprecise positioning of the scope. This leads to discomfort, which is
          an unwanted outcome.
             While there are many prior arts regarding endoscopes that have been
          developed for medical use, there is little mention of a design that is catered
          to home use. In addition, the insertion of the various control mechanisms
          means that there is still a baseline on the minimum thickness achievable,
          which makes it unfeasible for self-administering of the endoscopy process
          because the girth of the tube might cause severe trauma to the surrounding
          tissues if navigation is poorly done.
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