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Cable-driven flexible endoscope utilizing diamond-shaped perforations: FlexDiamond 51

               to be inserted into the nasopharynx region with a camera-illumination component for the
               detection of NPC. FlexDiamond matches the identification of the nasopharyngoscope in
               21CFR 874.4760. Therefore itself and its associated accessories are classified as Class II
               prototypes with no exemptions in general and special controls.
               A potential candidate as the predicate for FlexDiamond is the ENTity NasoView LED
               Nasopharyngoscope (Model 006105, Optim LLC). Table 3.4 compares the intended use as
               well as the technological similarities and differences between FlexDiamond and ENTity
               NasoView LED Nasopharyngoscope.


               3.4 Design verification


               3.4.1 Mechanical strength tests

               Mechanical strength tests were conducted to assess the mechanical strength of the materials
               used to determine if the material is suitable for a particular application. Moreover,
               mechanical tests allow us to determine the stability and durability of the prototype.


               3.4.1.1 Tensile test for nylon thread (tendon)

               •   Aim: To determine the ultimate yield of the material to determine the maximum force
                   on the tension member (Fig. 3.3). (Experiment is developed from the scope from
                   ASTM D3822/D3822M-14.)
               •   Experimental procedure: Load the nylon string onto the Instron machine; conduct the
                   tensile test for the nylon string; apply load to the nylon string until the breakpoint.
               •   Results: The Young’s modulus and tensile stress of the nylon string are 916.48 and
                   280.73 MPa, respectively. The maximum load applied just before the breakage is
                   31.84 N.

                  Table 3.4: Comparison of FlexDiamond with ENTity NasoView LED Nasopharyngoscope.
                                         ENTity NasoView LED
                Prototype name           Nasopharyngoscope     FlexDiamond (nasopharyngoscope)
                Prototype classification name  Nasopharyngoscope  Nasopharyngoscope (flexible or rigid)
                                         (flexible or rigid)
                Intended use             Oral or nasal insertion  A home-based examination of the nasal
                                         by a clinician        cavity via the nasal introduction
                Material (rigid or flexible)  Flexible         Flexible (polyurethane)
                                         (aluminum 1 sheath)
                Technology               Cable-driven          Cable-driven
                Insertion tube diameter (mm)  3.6              7
                Articulation             135o(x- and y-axes)   90o(x- and y-axis) 1 5mm (z-axis)
                                            %                    %
                Working length (cm)      30                    30
   62   63   64   65   66   67   68   69   70   71   72