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开发一种用于改善结肠镜插入过程的结肠镜附加装置。

Development of a colonoscopy add-on device for improvement of the intubation process.

作者信息

Litten Jonathan D, Choi Junghun, Drozek David

机构信息

Department of Mechanical Engineering, Ohio University, Athens, OH, USA.

出版信息

Med Devices (Auckl). 2011;4:197-208. doi: 10.2147/MDER.S27728. Epub 2011 Dec 16.

Abstract

A colonoscopy add-on device has been developed to reduce intubation time without modification of the current colonoscope and peripheral devices. One of the main purposes of the system is to minimize trauma caused by the distal tip of the colonoscope. The detachable sensory fixture at the end of the distal tip measures the distance between the distal tip and the colon wall in three directions, and the actuation system attached at the base of the colonoscope controls the distal tip by rotating two dial knobs. The device controls the distal tip to minimize contact between the distal tip and the colon wall, and the distal tip ideally points out the next possible lumen. A compatibility test of the infrared sensory system was carried out, and the design of the actuation system was accomplished. The system is integrated and controlled by a microprocessor. The device was tested in a silicon colon and porcine intestine. The results showed that a colonoscopist successfully reached the cecum with the aid of the colonoscopy add-on device without significant contact between the colon wall and the distal tip. The colonoscopy aid device was very helpful for the novice colonoscopist.

摘要

一种结肠镜附加装置已被研发出来,无需对现有的结肠镜及周边设备进行改造即可缩短插入时间。该系统的主要目的之一是将结肠镜远端造成的创伤降至最低。位于远端末端的可拆卸传感装置可在三个方向上测量远端与结肠壁之间的距离,而安装在结肠镜基部的驱动系统通过旋转两个旋钮来控制远端。该装置控制远端,以尽量减少远端与结肠壁之间的接触,理想情况下,远端会指向接下来可能的肠腔。对红外传感系统进行了兼容性测试,并完成了驱动系统的设计。该系统由微处理器集成和控制。该装置在硅胶结肠和猪肠道中进行了测试。结果显示,在结肠镜附加装置的辅助下,结肠镜检查人员成功抵达盲肠,结肠壁与远端之间没有明显接触。该结肠镜辅助装置对新手结肠镜检查人员非常有帮助。

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