This paper introduces a robotic biopsy device for capsule endoscopes. The proposed device consists of three modules for the complete process of biopsy, which includes monitoring the intestinal wall by a tissue monitoring module (TMM), aligning onto a polyp by an anchor module (AM), and sampling of the polyp tissue by a biopsy module (BM). The TMM utilizes a trigonal mirror as well as an on-board camera; since the TMM continuously takes images through lateral apertures, an operator such as a medical doctor is able to anchor the capsule endoscope onto the polyp and biopsy it with the visual feedback in real-time. When the operator finds a polyp using the TMM and the frontal camera of a capsule endoscope, then the AM is used to approach the polyp for biopsy. When the AM is in use, outriggers are extruded by shape-memory-alloy (SMA) springs, which results in the swelling of capsule endoscope body. In addition, an alignment module, which is a part of the AM, rotates the body of the capsule endoscope such that the biopsy razor can be aligned onto the polyp. Then, the BM excises a part of the polyp and seals the aperture, and the capsule endoscope continues exploring the intestine. The concept and working principles of the proposed device are introduced in this paper and are verified by a prototype that successfully integrates the three modules.

References

1.
Toennies
,
J. L.
,
Tortora
,
G.
,
Simi
,
M.
,
Valdastri
,
P.
, and
Webster
III,
R. J.
, 2010, “
Swallowable Medical Devices for Diagnosis and Surgery: the State of the Art
,.
J. Mech. Eng. Sci.
,
224
(
7
), pp.
1397
1414
.
2.
Fireman
,
Z.
,
Glukhovsky
,
A.
, and
Scapa
,
E.
, 2004, “
Future of Capsule Endoscopy
,”
Gastrointest. Endosc. Clin.
,
14
(
1
), pp.
219
227
.
3.
Moglia
,
A.
,
Menciassi
,
A.
,
Dario
,
P.
, and
Cuschieri
,
A.
, 2009, “
Capsule Endoscopy: Progress Update and Challenges Ahead
,”
Nature Rev. Gastroenterol. Hepatol.
,
6
, pp.
353
361
.
4.
Dario
,
P.
, and
Menciassi
,
A.
, 2010, “
Robot Pills
,”
Sci. Am.
,
303
, pp.
62
65
.
5.
Carpi
,
F.
, and
Pappone
,
C.
, 2009, “
Magnetic Maneuvering of Endoscopic Capsules by Means of a Robotic Navigation System
,”
IEEE Trans. Biomed. Eng.
,
56
, pp.
1482
1490
.
6.
Swain
,
P.
,
Toor
,
A.
,
Volke
,
F.
,
Keller
,
J.
,
Gerber
,
J.
,
Rabinovitz
,
E.
, and
Rothstein
,
R. I.
, 2010, “
Remote Magnetic Manipulation of a Wireless Capsule Endoscope in the Esophagus and Stomach of Humans
,”
Gastrointest. Endosc.
,
71
(
7
), pp.
1290
1293
.
7.
Volke
,
F.
,
Keller
,
J.
,
Schneider
,
A.
,
Gerber
,
J.
,
Reimann- Zawadzki
,
M.
,
Rabinovitz
,
E.
,
Mousse
,
C. A.
, and
Swain
,
P.
, 2008, “
In-Vivo Remote Manipulation of Modified Capsule Endoscopes Using an External Magnetic Field
,”
Gastrointest. Endosc.
,
67
(
5
), pp.
AB121
122
.
8.
Park
,
H.
,
Park
,
S.
,
Yoon
,
E.
,
Kim
,
B.
,
Park
,
J.
, and
Park
,
S.
, 2007, “
Paddling Based Microrobot for Capsule Endoscopes
,” Proceedings of the Institute of Electrical and Electronics Engineers International Conference on Robotics and Automation, Rome, April 10–14, pp.
3377
3382
.
9.
Kim
,
B.
,
Lee
,
S.
,
Park
,
J.
, and
Park
,
J.
, 2005. “
Design and Fabrication of a Locomotive Mechanism for Capsule-Type Endoscopes Using Shape Memory Alloys (SMAS)
,”
IEEE ASME Trans. Mechatron.
,
10
(
1
), pp.
77
86
.
10.
Simi
,
M.
,
Valdastri
,
P.
,
Quaglia
,
C.
,
Menciassi
,
A.
, and
Dario
,
P.
, 2010, “
Design, Fabrication, and Testing of a Capsule With Hybrid Locomotion for Gastrointestinal Tract Exploration
,”
IEEE ASME Trans. Mechatron.
,
15
(
2
), pp.
170
180
.
11.
Kong
,
K.
,
Cha
,
J.
,
Jeon
,
D.
, and
Cho
,
D. D.
, 2005, “
A Rotational Micro Biopsy Device for the Capsule Endoscope
,” Proceedings of the Institute of Electrical and Electronics Engineers International Conference on Intelligent Robots and Systems, Edmonton, Canada, Aug. 2–6, pp.
1839
1843
.
12.
Park
,
S.
,
Koo
,
K.
,
Bang
,
S. M.
,
Park
,
J. Y.
,
Song
,
S. Y.
, and
Cho
,
D. D.
, 2007, “
A Novel Microactuator for Microbiopsy in Capsular Endoscopes
,”
J. Micromech. Microeng.
,
18
(
2
), pp.
250
260
.
13.
i3system Co, 2010, “Camera module manual,” Seoul, South Korea.
14.
“Radial jaw 3 max capacity biopsy forceps,” Boston Scientific Co., Boston, MA.
15.
Egorov
,
V. I.
,
Schastlivtsev
,
I. V.
,
Prut
,
E. V.
,
Baranov
,
A. O.
, and
Turusov
,
R. A.
, 2002, “
Mechanical Properties of the Human Gastrointestinal Tract
,”
J. Biomech.
,
35
, pp.
1417
1425
.
You do not currently have access to this content.