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Thermo-responsive hydrogel-based circular valve  469

               cycles of actuation. The SMAHV required all of the 5 seconds of the actuation phase to
               reach the maximum displacement. The SMAHV returned to the initial position during the
               3 seconds relaxation phase. The time-resolved displacement of the SMAHV with 150 µm
               diameter SMA wire when applied with 2.5 A input current for three cycles is shown in
               Fig. 20.9B. It is observed that the SMAHV reached a maximum displacement of   0.8 mm
               for all three cycles of actuation. The SMAHV required all of the 5 seconds of the actuation
               phase to reach the maximum displacement. The SMAHV returned to the initial position
               during the 3 seconds relaxation phase.



               20.4 Discussion

               From the results obtained, the TRHV increases its lumen area when the temperature is
               increased and decreases its lumen area when the temperature is decreased. The expansion
               and contraction of the valves are highest in the TRHV fabricated using mold 4 and lowest
               in mold 3. This would suggest that amongst the five valve samples, mold 4 would offer the
               most considerable sterile solution input control, and mold 4 would offer the lowest sterile
               solution input control in terms of range based on percentage of expansion and contraction.
               The smallest lumen area was observed in the TRHV fabricated from mold 1, and the largest
               lumen area was observed in the TRHV fabricated from mold 5. This suggests that
               comparatively, the TRHV fabricated from mold 5 would allow the most sterile solution to
               flow through, while the TRHV fabricated from mold 1 would allow the least amount of
               sterile solution to flow through in the CBI process. Comparatively, while the TRHV
               fabricated from mold 5 does not have the most significant expansion and contraction
               percentages, it would allow for the broadest range of sterile solution input due to the

               difference in magnitude between its state at 23 C and 40 C being the highest. The response

               time for the TRHV was observed to be   100 seconds. In the CBI context, 100 seconds is
               an improvement of the current CBI process that has the response time in the order of
               minutes to hours depending on the nurse-patient rotation shifts. One TRHV is able to
               possess multiple lumen areas by adjusting the temperature, which is highly translatable to
               the CBI application under the guidelines (there are three levels of adjustment in relation to
               observed gross hematuria levels in the discharge, suggesting the need for a minimum of
               three valve lumen areas). The TRHV is not an ideal valve due to the lack of consistency
               with temperature variations but compared to the manual roller clamp valves, TRHV is
               considered as an improvement. However, it needs to be taken into consideration that
               temperatures such as 40 C and 50 C are above the body’s homeostatic temperature. Thus a


               cooling system for the sterile solution downstream of the valve may be needed to cool the
               sterile solution to the temperature of the body. It must also be taken into consideration that
               an external heat source and a cooling source need to be added to the current CBI system to
               heat and cool the TRHV to achieve target temperatures.
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