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322   Control theory in biomedical engineering


          Through this mechanism, we theoretically analyzed and tested our design
          for a variable stiffness device.
             From the tests, we observed that the created vacuum was not sufficient
          to hold the robot in place. This is because there is a physical limit to the
          amount of resistance by the membrane as the internal pressure cannot go
          below zero. Hence, the negative pressure is limited to the atmospheric
          pressure. Additionally, the coefficient of static friction between the mem-
          brane and the robot vertebrate is not large enough to resist motion even
          when an almost complete vacuum is created. As shown in Fig. 2, without
          negative pressure (A) and (B), the robot mostly returned to its original
          shape and was not stiff enough for load-bearing applications. We also
          encountered many sealing problems, as it was almost impossible to get a
          perfect vacuum and there were many microscopic holes near the end junc-
          tions where leakage was evident. For these reasons, we did not continue
          pursuing this method.
             Based on our concept evaluation, we find that most of the existing
          methods cannot be readily applied as solutions for a variable stiffness module
          of tubular surgical instruments because they do not meet our design criteria
          or because they require complex modifications to achieve them. Hence,
          there is a need for us to come up with a fast mechanism that can better meet
          our specific needs of tunable stiffness of tubular flexible manipulators in
          medical robotics.



          3 Concept combining jamming and continuum
          metamaterials with negative Poisson’s ratio materials
          (auxetics)

          While the method of negative pressure did not yield satisfactory results,
          the method of jamming using friction to resist motion is a promising
          direction for exploration. We are exploring tunable stiffness approaches
          through the means of auxetic continuum materials (also known as neg-
          ative Poisson’s ratio (NPR) materials), folding/unfolding and jamming
          mechanisms.
             Poisson’s ratio indicates transverse strain relative to longitudinal strain.
          Most common materials display a positive Poisson’s ratio (PPR) as they
          get shorter in the transverse direction when elongated in the longitudinal
          direction, and vice versa. An auxetic material displays the opposite charac-
          teristics in Fig. 3, and they elongate in the transverse direction upon being
          elongated in the longitudinal direction.
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