Abstract
The present chapter illustrates robotic approaches to endolomuninal diagnosis and therapy of hollow organs of the human body, with a specific reference to the gastrointestinal (GI) tract. It gives an overview of the main technological and medical problems to be approached when dealing with miniaturized robots having a pill-like size, which are intended to explore the GI tract teleoperated by clinicians with high precision, flexibility, effectiveness and reliability. Considerations on different specifications for diagnostic and surgical swallowable devices are presented, by highlighting problems of power supply, dynamics, kinematics and working space. Two possible solutions are presented with details about design issues, fabrication and testing: the first solution consists of the development of active capsules, 2–3 cm3 in volume, for teleoperated diagnosis in the GI tract; the second solution illustrates a multiple capsule approach allowing to overcome power supply and working space problems, that are typical in single capsule solutions.
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Acknowledgments
This work was supported in part by the European Commission, in the framework of the ARES (Assembling Reconfigurable Endoluminal Surgical system) and VECTOR (Versatile Endoscopic Capsule for gastrointestinal TumOr Recognition and therapy) European Projects, and in part by the Intelligent Microsystem Center (IMC-KIST, Seoul, South Korea) in the framework of the OPTIMUS project. The authors would like to thank Professor Alfred Cuschieri for his medical consultancy. The authors are grateful to Dr. E. Susilo and Ms. S. Condino for their invaluable technical support and Mr. N. Funaro for the manufacturing of the prototypes. The authors thank Dr. D. Oetomo, University of Melbourne, Australia and Mr. Z. Nagy, ETH Zurich, Switzerland for technical discussion.
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Menciassi, A., Valdastri, P., Harada, K., Dario, P. (2011). Single and Multiple Robotic Capsules for Endoluminal Diagnosis and Surgery. In: Rosen, J., Hannaford, B., Satava, R. (eds) Surgical Robotics. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-1126-1_14
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