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Cable-driven flexible endoscope utilizing diamond-shaped perforations: FlexDiamond 71
                                 Table 3.15: Keywords search using Boolean operators.

                Boolean
                operator  Terminology          Rationale
                AND       “Nasopharyngeal      The prototype will fundamentally be a nasoscope.
                          endoscope”; “nasoscope”
                          “Flexible manipulator”  The design uses continuum flexibility. For most continuum
                                               manipulator designs, the material must be flexible. From this
                                               perspective, a niche subset of pre-curved rigid tubes are excluded
                                               from the search for flexible manipulators.
                          “Cable-driven        The design is actuated by cables and other designs using cable
                          manipulator”         may have similar concepts that we wish to consider evaluating.
                          “Endoscope”          The prototype is a subset of an endoscope, and searching broadly
                                               may help widen the search.
                          “Robotic arm”;       The design focus is in the bending region, and robotic
                          “continuum robot”    manipulators may have designs that have similar fundamental
                                               principles with the bending concept.
                OR        “Home-based”         As this is a relatively new field, we would like to narrow the search
                                               to the similar home-based prototype, but it was too specific a
                                               term to search on its own.
                          “Portable”           Most endoscopes for the purpose of operations such as natural
                                               orifice transluminal endoscopic surgery are not portable, and in
                                               consideration of home-based, we would like to associate the
                                               prototype with portability.

               All OR terminologies are coupled with each individual AND terminology.
               representative patents were analyzed in terms of relevance and differences
               (Table 3.16 3.19).


               3.6.3 Analysis



               3.7 Conclusion

               FlexDiamond is a feasible prototype to provide a large bending angle of 90 degrees and
               sees the possibility of developing subsequent prototypes with an even larger bending radius.
               The key feature of the prototype, which is the mechanical zooming segment, can
               significantly improve the image quality and reduce subject discomfort. This is an essential
               aspect of the prototype with an innovative design with soft robotics.

               Further improvements are needed in order to produce a more comprehensive and functional
               nasopharyngeal explorer. Although the experiments demonstrated a 90-degree bending
               angle in both the x- and y-axes, which are sufficient to pass the prototype testing (flask-
               model test), the current articulation range is far lower than the articulation range of most
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