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结肠镜弯曲刚度测量。

Colonoscope flexural rigidity measurement.

作者信息

Wehrmeyer J A, Barthel J A, Roth J P, Saifuddin T

机构信息

University of Missouri-Columbia 65211, USA.

出版信息

Med Biol Eng Comput. 1998 Jul;36(4):475-9. doi: 10.1007/BF02523217.

DOI:10.1007/BF02523217
PMID:10198532
Abstract

A testing device is developed that determines the stiffness, or flexural rigidity, of an endoscope at specific locations down its length by subjecting it to a compressive axial force, a situation similar to the actual forces applied to the endoscope during a clinical procedure. The endoscope is made to deform in a similar fashion to a slender buckled column and the force causing this deformation is related to the flexural rigidity using column buckling theory. A direct relationship between the critical load needed to cause buckling and the square of column length L is demonstrated experimentally and is expected theoretically, giving confidence in the application of column buckling theory to endoscope testing. Additional confidence in the validity of the column buckling test results is obtained by their similarity to data obtained by subjecting the endoscope to a transverse load, determining deflection, and modelling the endoscope as a bent elastic beam. Several makes and models of endoscopes were tested, with flexural rigidity values typically ranging between 160 to 240 Ncm2. The effect of a metal stiffener inserted in an endoscope's accessory channel is quantified, as is the change in flexural rigidity down the insertion shaft of a graded-stiffness endoscope. Significant differences in flexural rigidity were obtained between identical endoscopes, each sharing similar usage histories, indicating the need for flexural rigidity measurements for each individual endoscope of a particular model line, though a more extensive study is required to reliably determine scope-to-scope stiffness variations for a particular model line.

摘要

开发了一种测试装置,通过对内窥镜施加轴向压缩力来确定其在沿长度方向特定位置处的刚度或抗弯刚度,这种情况类似于临床操作过程中施加在内窥镜上的实际力。使内窥镜以类似于细长弯曲柱的方式变形,并利用柱体屈曲理论将导致这种变形的力与抗弯刚度相关联。实验证明了导致屈曲所需的临界载荷与柱体长度L的平方之间存在直接关系,并且从理论上也可以预期,这为将柱体屈曲理论应用于内窥镜测试提供了信心。通过将柱体屈曲测试结果与对内窥镜施加横向载荷、确定挠度并将内窥镜建模为弯曲弹性梁所获得的数据进行比较,进一步增强了对柱体屈曲测试结果有效性的信心。对几种品牌和型号的内窥镜进行了测试,抗弯刚度值通常在160至240 Ncm²之间。对内窥镜附件通道中插入的金属加强件的效果进行了量化,同时也量化了渐变刚度内窥镜插入轴沿线抗弯刚度的变化。在使用历史相似的相同内窥镜之间获得了显著的抗弯刚度差异,这表明对于特定型号系列的每台内窥镜都需要进行抗弯刚度测量,不过需要进行更广泛的研究才能可靠地确定特定型号系列内窥镜之间的刚度变化情况。

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