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CHAPTER 10

               Soft-bodied flexible bending mechanism


               with silent shape memory alloys aiming for

               robotic endoscopy



               Manivannan Sivaperuman Kalairaj, Tan Ze Feng and Hongliang Ren
               Department of Biomedical Engineering, National University of Singapore, Singapore




               Transnasal endoscopy is performed with small diameter scopes through the nasal passages
               and nasopharyngeal cavity to explore any abnormalities in the nasal canal. The scopes are
               either flexible or stiff, and some have the ability to bend based on proximal actuation,
               mostly cable-driven. In this project, we design and fabricate a shape memory alloy (SMA)
               actuated soft tentacle structure of a 6 mm diameter that can carry an endoscope camera and
               navigate the nasal passages and nasopharyngeal cavity by proximal manipulation. We show
               the fabrication strategy of combining the 3D printing technology and soft casting along with
               the assembly of SMA wires to fabricate the working tentacle structure. We also show the
               interface of the SMA wires in the tentacle structure to a joystick-operated microcontroller
               to control the bending of the tentacle structure. We design the molds and fabricate using 3D
               printing technology and the soft cast with a silicone elastomer as a passive element with
               SMA wires as an active element. The bending angle of the tentacle structure is controlled
               by both joystick and input current to the setup. The tentacle structure demonstrated to bend
               8.224.5 degrees with an input current of 0.51.5 A. The tentacle structure can bend in all
               four directions with the same bending performance by actuating different SMA wires in the
               tentacle. The softness of the silicone elastomer will aid in the comfort of humans without
               causing tissue damage.


               10.1 Introduction


               A minimally invasive surgery (MIS) uses specialized techniques and instruments like
               miniature cameras and sophisticated fiber-optic video equipment, and sometimes image
               guidance or ultrasound technology to access the operative region. Rigid tools lack the
               optimum for the exploration of narrow crevices or cavities in applications such as head and
               neck surgery. To overcome these limitations, research and development are conducted on

               Flexible Robotics in Medicine.
               DOI: https://doi.org/10.1016/B978-0-12-817595-8.00010-9  231
               © 2020 Elsevier Inc. All rights reserved.
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