Browsing by Author "Rehan M"
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- ItemAnchoring Mechanism for Capsule Endoscope: Mechanical Design, Fabrication and Experimental Evaluation.(MDPI (Basel, Switzerland), 2022-11-22) Rehan M; Yeo AG; Yousuf MU; Avci E; Li YCapsule endoscopes are widely used to diagnose gut-related problems, but they are passive in nature and cannot actively move inside the gut. This paper details the design process and development of an anchoring mechanism and actuation system to hold a capsule in place within the small intestine. The design centres around the mechanical structure of the anchor that makes use of compliant Sarrus linkage legs, which extend to make contact with the intestine, holding the capsule in place. Three variants with 2 legs, 3 legs and 4 legs of the anchoring mechanism were tested using a shape memory alloy spring actuator (5 mm × ϕ 3.4 mm). The experiments determine that all the variants can anchor at the target site and resist peristaltic forces of 346 mN. The proposed design is well suited for an intestine with a diameter of 19 mm. The proposed design allows the capsule endoscopes to anchor at the target site for a better and more thorough examination of the targeted region. The proposed anchoring mechanism has the potential to become a vital apparatus for clinicians to use with capsule endoscopes in the future.
- ItemDevelopment of a Robotic Capsule for in vivo Sampling of Gut Microbiota(Institute of Electrical and Electronics Engineers, 2022-10-01) Rehan M; Al-Bahadly I; Thomas DG; Avci EHuman gut microbiota can provide comprehensive information about the health of a host but the tools to collect microbiome samples are not currently available. A standalone wireless robotic capsule that has been developed in this study, collects the microbiota both from lumen (capsule surrounding) and intestinal wall (mucosa layer) for the first time. First, a two-way shape memory alloy (SMA) spring actuation system was developed by tackling the high-drain current requirement of SMAs. The actuator can produce up to 800 mN force that was sufficient to collect samples. Second, successful encapsulation of the collected sample to avoid contamination was realised by testing 3 main sealing materials. Third, the robotic capsule was tested in a gut simulator that mimics in-vivo environment to ensure successful and safe travel of the capsule along the gastrointestinal tract. Finally an in vitro experimental setup that keeps an intestine alive for 6 hours was used to optimise the sample collection. The capsule collected 128 μL and 107 μL samples (which are sufficient quantities for microbiome analysis) from duodenual and ileal tissues of a sheep. The proposed robotic capsule has a potential to become a vital apparatus for clinicians to sample human and animal gut in the future.
- ItemSmart capsules for sensing and sampling the gut: status, challenges and prospects(BMJ Publishing Group Ltd on behalf of the British Society of Gastroenterology, 2024-01) Rehan M; Al-Bahadly I; Thomas DG; Young W; Cheng LK; Avci ESmart capsules are developing at a tremendous pace with a promise to become effective clinical tools for the diagnosis and monitoring of gut health. This field emerged in the early 2000s with a successful translation of an endoscopic capsule from laboratory prototype to a commercially viable clinical device. Recently, this field has accelerated and expanded into various domains beyond imaging, including the measurement of gut physiological parameters such as temperature, pH, pressure and gas sensing, and the development of sampling devices for better insight into gut health. In this review, the status of smart capsules for sensing gut parameters is presented to provide a broad picture of these state-of-the-art devices while focusing on the technical and clinical challenges the devices need to overcome to realise their value in clinical settings. Smart capsules are developed to perform sensing operations throughout the length of the gut to better understand the body's response under various conditions. Furthermore, the prospects of such sensing devices are discussed that might help readers, especially health practitioners, to adapt to this inevitable transformation in healthcare. As a compliment to gut sensing smart capsules, significant amount of effort has been put into the development of robotic capsules to collect tissue biopsy and gut microbiota samples to perform in-depth analysis after capsule retrieval which will be a game changer for gut health diagnosis, and this advancement is also covered in this review. The expansion of smart capsules to robotic capsules for gut microbiota collection has opened new avenues for research with a great promise to revolutionise human health diagnosis, monitoring and intervention.
- ItemTowards Gut Microbiota Sampling Using an Untethered Sampling Device(IEEE, 2021-09-09) Rehan M; Al-Bahadly I; Thomas DG; Avci ERecent studies suggest that human gut microbiota can act as a bio-marker for human health. Also, it can function as a potential tool to understand stress and anxiety. However, the conventional tools have limitations acquiring samples of gut microbiota without contamination. In this work, an untethered robotic capsule prototype is developed that can actively collect the microbiota from the mucosa layer of the small intestine for the first time with the potential to avoid the upstream and downstream contamination. An analytical model for quantifying the peristaltic forces and developing two-way shape memory alloy spring actuator is presented. For the first time, a novel two-way shape memory alloy spring actuator (5 mm x \phi ~4 mm) is used to perform the sampling inside the gut. The spring actuator can apply 675 mN force, which is sufficient to perform in vivo sampling. A specialised experimental setup that can keep the freshly dissected intestine alive for 6 hours is utilised to test the robotic capsule. The robotic capsule prototype has collected an average of 200~\mu L and 112~\mu L sample from living pig duodenal and ileal tissues respectively i.e. in the presence of peristaltic forces. The robotic capsule was also tested on intestine of other species including cow and sheep and collected an average of 160~\mu L and 185~\mu L of content respectively from the living post-mortem tissues. The collected sample size for all the species is feasible to analyse the microbiota through next generation sequencing techniques. The experimental setup is a reliable proxy to in-vivo behaviour and the robotic capsule experimental result is promising in terms of in situ collection of microbiota.