Page 411 - Flexible Robotics in Medicine
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EndoGoose: a flexible and steerable endoscopic forceps 405

               sectional metal wire, providing it with the mechanical properties to maintain the bending
               shape and position. Nylon cables are driven through two holes (which are at opposite ends
               of each other) on each bead. The driving cables’ proximal ends communicate with actuators
               within the control cabinet that houses a motor with gears. When tension is applied to the
               left cable, the flexible spine will deflect left (and vice versa). The remaining two holes on
               each bead are used to tie all the beads together with two separate cables. This allows the
               beads to move as one body, increasing stability during bending.

               A distal end is deflectable, with a plurality of bead-like structure and lumens extending
               through the edges and a central hole, with at least two driving wires at opposite ends,
               penetrating the edges of the beads. The driving wires are pulled to cause the beads to bend
               when the steering prototype at the proximal end is operated. Each segment of the gooseneck
               corresponds to each other with a spring in between and a string connecting the segment
               units together. A control box portion connects to the spring with a sectional wire
               (gooseneck) through the lumen to the first end of the flexible rod, enabling the flexible
               section to stay in shape after bending. The forceps are designed to be mounted on the
               gooseneck with the threads used to close them being threaded through the gooseneck. These
               threads are made of nylon and are used for the proof of concept, to prove that the design is
               able to open and close with proximal end control.

               There are springs interspersed in the bending segment to keep the connector beads away
               from each other so that more torque can be created when the cables are pulled. The springs
               prevent the beads from being pulled tightly together. Without the springs, the force
               transmitted through the cables may be translated into pulling the beads against each other,
               creating a static force instead of a motion.
               The actively bending section operates based on a cable-driven mechanism. This
               essentially means that the bending is achieved through the pulling or pushing action of
               cables. In the EndoGoose, the pulling of the nylon cables on one side allows the
               connector beads and connector springs to compress together, which then causes the
               gooseneck tube to bend toward that side. This pulling action is facilitated by a stepper
               motor at the control box that is controlled by a programmed Arduino microcontroller.
               Moving the joystick to the left will cause the Arduino tosendasignaltothe stepper
               motor that causes it to rotate it in a clockwise direction, which causes the gooseneck tube
               to bend to the left as well.



               18.2.2 Actively bendable and shape-retaining section

               The most prominent and essential feature of the EndoGoose is its actively bendable section.
               The core of the actively bendable section is made up of a gooseneck tube. A gooseneck
               tube is essentially a typical spring coiled by a metal wire, which results in it being able to
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