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Development of a Variable Stiffness Over Tube Based on Low-Melting-Point-Alloy for Endoscopic Surgery

机译:基于低熔点合金的内窥镜手术管的可变刚度开发

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Instruments used in endoscopic surgery (colonoscopy surgery or natural orifice transluminal endoscopic surgery (NOTES)) are flexible to be advanced in human body. However, when the end of the instrument reaches the target, the instrument should be rigid enough to hold its shape against external forces for better surgical accuracy. In order to obtain these two properties, a variable stiffness over tube based on low-melting-point-alloy (LMPA) is proposed in this paper. The structure exploits the phase transformation property of the LMPA which enables the stiffness change of the over tube by heating and cooling. A prototype was fabricated using a special molding method, and experiments were carried out to evaluate its variable stiffness property and response characteristics. According to experimental results, it costs 17 s to make the over tube transform from rigid state to flexible state and 18 s to make the over tube transform from flexible state to rigid state. The experimental results also indicated that the over tube is very rigid in rigid state and flexible in compliant state. A heat insulation layer was assembled to prevent human tissue from thermal damage. The temperature of the outer wall of the over tube was 42.5 degrees C when hot water of 80 degrees C was pumped into the over tube continually with the help of the heat insulation layer.
机译:内窥镜手术(结肠镜检查手术或自然孔腔内腔镜手术(NOTES))中使用的仪器可以灵活地在人体中发展。但是,当器械的末端到达目标位置时,器械应具有足够的刚度以抵抗外力而保持其形状,以提高手术精度。为了获得这两个特性,本文提出了一种基于低熔点合金(LMPA)的变管刚度。该结构利用了LMPA的相变特性,该特性可以通过加热和冷却来改变上管的刚度。使用特殊的成型方法制造了原型,并进行了实验以评估其可变的刚度特性和响应特性。根据实验结果,需要花费17 s的时间使上管从刚性状态转变为柔性状态,花费18 s的时间使上管从柔性状态转变为刚性状态。实验结果还表明,外套管在刚性状态下非常刚性,在柔顺状态下具有柔性。组装隔热层以防止人体组织受到热损伤。当在隔热层的帮助下将80℃的热水连续泵入上管时,上管的外壁温度为42.5℃。

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