Development of an Active Catheter Mechanism using IPMC for in vivo Inspection
Transcript of Development of an Active Catheter Mechanism using IPMC for in vivo Inspection
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Development of an Active Catheter Mechanism using
IPMC for in vivo Inspection
Dillip Kumar Biswal, Dibakar Bandopadhya*, Santosha Kumar Dwivedy Department of Mechanical Engineering, Indian Institute of Technology Guwahati,
Guwahati, Assam, India
Abstract An active catheter mechanism designed and developed for body parts (interiors, oral)
inspection using active polymeric actuator i.e. ionic polymer metal composite (IPMC).
The first step is achieved by fabricating the low cost silver (Ag) electrode IPMC following the chemical decomposition method. When a voltage is applied, the catheter
yields a transverse movement; at the same time can exhibit forward and backward motion enables it to inspect wide range of area. Low driving voltage (maximum 1.2V)
ensures safety in clinical application inside the body parts. An experimental setup of the
mechanism has been developed using optical fiber for inspection purpose. A generalized mathematical model of the mechanism has been derived for fluid medium actuation and
is tested both in air and water to determine the effect of interactive forces during
operation and the results are discussed.
Keywords: Active catheter, IPMC, in-vivo, optical fiber, heaviside function
*Author for Correspondence E-mail: [email protected]
INTRODUCTION Active materials are nowadays utilized
successfully for interventional diagnosis and
therapy for their biocompatibility and
suitability for smooth and safe operation.
Active catheter is one such mechanism where
active materials such as shape memory alloys
(SMA), electro-active polymers (EAPs) and
piezoelectric materials (PZT) are successfully
used over the few years. Recently, there has
been tremendous progress and demand for
minimally invasive surgical (MIS) tools
essential for medical diagnostics and
treatment. Such tools sometimes use active
catheter system that operates by giving a force
input and rely on the intrinsic mechanical
property of long flexible catheter to transmit
the motion to the distal tip. Drawbacks like
hysteresis and recoiling results in poor
controllability of these systems. Hence, there
is deficiency in getting the desired accuracy
and repeatability for desired position. Shape
memory alloy (SMA) actuators have been
used in the past for active catheter by utilizing
their shape recovery effect with a heating
above phase transformation temperature [1–6].
Literatures showed that to fabricating multi-
dimensional bending mechanism for active
catheter, complex assembly processes, such as
accurate alignment and gluing of multiple
SMA actuators on a cylindrical surface of the
catheter were necessary [1,2,4]. Even though,
catheters made up of SMA are able to provide
a large bending, their slow response and high
operating temperature limits their applications.
Some of the advanced catheter designs with
active tip movement and controllable functions
have been proposed and developed.
Conducting polymers (CP) are also among the
leading design active materials for their
attractive features like large strain, low
operating voltage and suitability for
miniaturization [7–10]. In contrast to the shape
memory alloys, conducting polymers do not
require high operating current [11,12] making
them particularly suitable for in-vivo
biomedical applications. Electro-active
polymers (EAPs) exhibit properties most
closely matching those of natural muscles like
low density, short response time, resilience
and large actuation strains. Among various
Active Catheter Mechanism for In vivo Inspection Biswal et al.
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types of EAPs, ionic polymer metal
composites (IPMCs) are especially prominent
material to be used in the active catheter
system due to their large bending actuation
with very low input voltage (1–2V).
Furthermore, few conductive polymers offer
higher stiffness than IPMCs, an important
attribute make it suitable often in catheter
design [13]. IPMC actuators have also been
suggested to be used in active catheter
application as well [14].
Operator’s skill is crucial to insert and guiding
the conventional catheter into a narrow and
complex fluid conduit or into the mouth for
imaging and inspection; because the catheter
and the guide wire do not possess the active
actuation capability. However, for advanced
navigation, active self actuation is needed for
the catheter or the guide wire to move in the
desired direction [15,16]. Further, redundancy
may be achieved by adding bending motion to
the guide wire also. Thus, active guide wire
system with self bending motion can navigate
the conventional non-active catheters into a
narrow and complex conduit such as blood
vessel. Further, engaging a twisting control
mode outside of the body, the guide wire can
move in multiple-directions even if it exhibits
one-directional bending function. Current
active catheter designs lack effective two
dimensional control of motion. Such motions
are important in procedures such as
angiography, stent deployment, and
aneurysms. Optical coherence tomography
(OCT) imaging technique nowadays is utilized
successfully for cross sectional imaging of
highly scattered medium such as biological
tissue [17]. OCT technique has also been used
over the past few years for imaging of
sectarian structures such as skin, retina, blood
vessels, oral cavities, gastrointestinal tracts
etc. This technique employs linear scanning
procedure by an optical beam actuated across a
target to create a 2D image. In the past, several
actuation mechanisms were developed for
actuation of optical fiber such as piezoelectric
material in cantilever configuration [18, 3].
Thermoelectric actuator and electrostatic
actuator were also used to swing a micro-
electromechanical mirror and the rotation of
electromagnetic devices (e.g., a galvanometer
shaft) by [19] and a micro-electromechanical
motor by Tran et al. [20]. Even though, these
actuation mechanisms have met the linear
scanning requirement however, they typically
require a relatively high driving voltage
[1,3,4,18] or a complicated instrumental
structure.
In the present study, Ag-IPMC actuator has
been chosen for their attractive features such
as low cost, low actuation voltage, small size,
high strain, compliance, biocompatibility, and
ease of fabrication make it suitable for active
catheter application. Past literatures showed
that limited work has been carried out using
active materials such as IPMC for design and
development of active catheter system. This
motivates to develop a low cost active catheter
system using smart material such as IPMC
suitable for in-vivo medical application. The
main objectives of the present work is to
design and develop a novel optical catheter
probe mechanism using ionic polymer metal
composite (IPMC) for medical applications
i.e., suitable for oral or inside the body
inspection. The main feature of the mechanism
is that it yields a controlled transverse
movement; at the same time can produce
forward-backward movement with low driving
voltage (maximum 1.2 V). This transverse
movement along with the to-and-from linear
motion of the catheter enables it to inspect
wide range of working area. Especially, low
driving voltage ensures safety for clinical
application inside of the body parts. Details of
the design and development of the catheter
mechanism are outlined. A generalized
theoretical model of the mechanism is derived
for fluid medium actuation taking into account
of the interactive forces of the catheter with
the medium. An experimental setup of the
catheter mechanism has been developed and is
tested both in air and water and the results are
discussed. Linear motion of the catheter
improves the flexibility i.e., enable it to take
images covering additional area maintaining
the same input voltage. The low cost Ag-
IPMC catheter mechanism has the potential
for applications in endoscope as well.
DESIGN AND DEVELOPMENT The first step of this work is to fabricate the
Ag-IPMC actuator. Nafion-117 membrane of
thickness 0.183 mm with an equivalent weight
(EW) of 1100 g/mol (purchased from Ion
Power Inc., New Castle DE, 19720 USA) is
used as the base polymer. The multi-steps
fabrication process comprises pretreatment of
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Nafion membrane, adsorption, and reduction
and developing. In various steps, silver nitrates
GR (AgNO3), ammonia solution (NH3),
sodium hydroxide (NaOH), dextrose
anhydrous GR (C6H12O6) chemicals are used
for fabrication. At the primary stage, the pre-
treated Nafion membrane is immersed in
NaOH, 0.5 mol/L solution followed by
Diamminesilver (I) hydroxide [Ag(NH3)2OH],
0.15 mol/L solution, subsequently Na+ and Ag
(NH3)2+ diffuse into the membrane via ion-
exchange process. C6H12O6 (0.088 mol/L)
acts as the reducing agent and initiates
deposition of silver particles over the Nafion
membrane surface. Finally, all sides of the
coated membrane are trimmed to avoid any
shorting between the surfaces and the final
IPMC is obtained. The details of the
fabrication process can be found in the
literature [21].
Active Catheter System
Active catheter system in medical application
demand characteristics such as the actuator
should be simple in structure, biocompatible,
non-acidic, rugged in handling, and suitable to
work well within interior of body parts. In this
work, optical fiber is chosen (attached from
the base to the end-tip) with the IPMC actuator
for imaging of targeted area. Optical fiber, a
very fine cylindrical glass fiber allows light
signals to travel from one end to the other. The
characteristics of optical fiber i.e., very light in
weight and flexible (easily twistable) makes it
suitable in the medical field where bright
lights need to be focused on a target well
within the body without a clear line-of-sight
path. Under electric potential, the actuator
bends in either direction and at the same time
controlled in-and-out motion perform
inspection of the affected area through optical
beam. Further, the light intensity of the
catheter can be controlled by adjusting the
active length of the catheter make it suitable
for getting improved vision of the uneven
interior. The schematic diagram of the
catheter with active and inactive portions is
shown in Figure 1. The length of the catheter
inside of the tube is assumed to be the inactive
and remains passive during inspection process.
Figure 1 shows the working mechanism of the
catheter with its active and passive length and
its variation for an input voltage V. Figure 2
shows the photograph of the developed active
catheter mechanism with optical fiber.
Fig. 1: Schematics of Preliminary Designs of a Forward Moving Active Catheter with an Optical Fiber.
Fig. 2: Photograph of the Developed Active Catheter Mechanism.
Active Catheter Mechanism for In vivo Inspection Biswal et al.
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An IPMC actuator of size 45 x 2 x 0.2 mm is
fabricated and equipped with a
polytetrafluoroehhylene (PTFE) hollow tube
of small diameter (1 mm) along the length of
the IPMC strip through the surface by glue.
The setup i.e., IPMC with optical fiber is then
connected with the power source. The whole
arrangement of actuator probe is then inserted
into a catheter tube. When a voltage is applied,
the optical fiber along with IPMC follows a
bending path and in a process the directed
light inspects the affected area. Further, the to-
and-from motion mechanism enhances the
flexibility and enables it to inspect additional
area with same input voltage. Further, the
proposed catheter can be designed suitably for
examining the interior of a bodily organ in
fluid medium.
Fig. 3: Schematic Diagram of the Working Mechanism of the Active Catheter.
GENERALIZED MATHEMATICAL
MODEL OF ACTUATION A schematic diagram of the catheter
mechanism with axis of motion is shown in
Figure 3. The IPMC actuator has a uniform
rectangular cross section and is fixed at one
end. Other than actuation in air, such as
viscous fluid medium, the bending model of
the catheter needs to explicitly take into
account the interaction forces between the
actuator and fluid medium. Thus, in this work
a mathematical model has been derived
incorporating fluid interaction forces
necessary for controlling the tip position with
input voltage. Inside the fluid medium, the
actuator experiences counter actuation forces
owing to the viscosity and its oscillation. The
effect of viscous/drag force is often neglected
in air, but becomes significant when the
actuator operates in a denser medium such as
water/serum. As the actuator moves through
the fluid medium, a bouncy force also acts to
resist the motion. Thus both the forces i.e.,
drag and bouncy forces are taken into
consideration while formulating the expression
for bending moment. Euler-Bernoulli beam
theory is followed for modeling the end-tip
deflection of the actuator. The model has been
tested in water and compared with the results
obtained in air.
The drag force ( dgF ) experienced by the
actuator can be expressed as:
where, f is the mass density of the fluid, is
the velocity of the object relative to fluid, A is
the acting area, and DC is the drag coefficient.
The bouncy force ( bF ) developed can be
expressed as:
where, disV is the volume of the displaced fluid
and can be expressed as: ,
where, is the active length, dw and h are the
width and thickness of the IPMC. Hence, the
expression for effective bending moment
developed in a fluid medium can be expressed
as:
[ ] {
} [ ]
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where, 0M is the bending moment produced in
air and is obtained as
, X and
ix
denote the length of the actuator along the
axis. 1,2,3.......i n denotes number of
increments. The Heaviside function is defined
as:
[ ] [ ]
Subsequently, tip position ( ) of the
actuator is obtained as shown in the Figure 4.
where, is the flexural rigidity and is the
tip angle of IPMC actuator.
Calculation of Path Length
Under input potential, the end-tip of the
catheter with optical probe moves on a path
that directly measures the workspace. Further,
with change in active length, the bending path
and hence the measured workspace of affected
region changes for each input voltage. This
further can be adjusted by changing the length
of the actuator and controlling the input
voltage.
Initial position
Final position
Distance traveled
Fig. 4: Underwater Actuation of the Ag-IPMC Actuator for an Input of 1 V DC.
Figure 5 shows the geometrical configuration
of the bending path followed by the catheter.
OA is the initial length of the actuator before
activation. and are the tip positions
( ,x yp p ) while in motion and is the
effective length for an input voltage V.
1 2and are the angles between the initial
and final position after voltage V is applied. l
is the length and S is the path travelled by the
tip of the catheter. The effective length ( can be obtained as:
√
The angle ( ) between the initial position and
measured position (after input voltage) can be
obtained as:
(
)
Active Catheter Mechanism for In vivo Inspection Biswal et al.
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Fig. 5: Schematic Diagram for Obtaing the Total Path Traveled by the Catheter Tip.
RESULTS AND DISCUSSION Simulation results are shown for a catheter
with an IPMC actuator of cross section
taking into account of the data
as given in the Tables 1 and 2. The initial
active length of the actuator is taken 20 mm
and then increased by 5 mm at each
subsequent step.The modulus of elasticity is
taken 82 MPa (obtained experimentally).
Table 1: Positions Obtained for Various Input Voltages in Air for Different Length of IPMC.
Environment Input potential
Air 0.2V 0.4V 0.6V 0.8V 1.0V
Active length Positions (rad)
Length=20 mm
Length=25 mm
Length=30 mm
0.2433
0.3407
0.4634
0.4866
0.6814
0.9268
0.7299
1.0221
1.3902
0.9732
1.3628
1.8536
1.2165
1.7035
2.3170
Table 2: Positions Obtained for Various Input Voltages in Water for Different Length of IPMC.
Environment Input potential
Water 0.2V 0.4V 0.6V 0.8V 1.0V
Active length Positions (rad)
Length=20 mm
Length=25 mm
Length=30 mm
0.2338
0.3257
0.4428
0.4675
0.6515
0.8856
0.7013
0.9772
1.3284
0.9351
1.3029
1.7712
1.1688
1.6287
2.2140
Constant curvature bending of IPMC strip is
assumed and a relationship between voltage
and tip angle is established using linear curve
fitting approximation technique with a quality
factor (R2) 0.9729 and is given in Eq. (8).
Figures 6 and 7 show the path of the catheter
in air and underwater for various input
voltage. Figure 6 shows the path for an input
of 0.6 V (both positive and negative) while
Figure 7 shows the results for an input of 1V.
Three times active length of the catheter is
changed i.e., 20, 25 and then 30 mm
maintaining the same input voltage. It is
clearly observed that with increase in active
length, working path span increases results in
enhancement of ability of the mechanism to
inspect additional working area.
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Fig. 6: Path Followed by the Catheter Probe for an Input Of 0.6 V (A) Open Environment (Air)
(B) Underwater.
Fig. 7: Total Path Travelled by the Tip of the Catheter for an Input of 1.0 V (A) Open Environment (air)
(B) Underwater.
EXPERIMENTS The functioning of the catheter mechanism has
been studied by conducting experiment both in
air and fluid medium i.e. underwater. A
fabricated IPMC sample of size 4
is prepared for the experimentation.
An optical fiber is attached over the surface of
the IPMC and connects with the power source.
Before the experiment, the IMPC actuator is
tested in water alone to figure out the
interactive forces during operation. Figure 4
shows the underwater actuation of the IPMC
for an input of 1 V separately. It is observed
that the actuator experiences significant
counteract forces during motion in denser fluid
medium such as water compared to air. Figure
8 shows the initial and bending configuration
(after the voltage is applied) of the catheter
for an input of 1 V. The voltage is applied at
the fixed passive end through a copper strip; as
a result free end of catheter illuminate the
affected area. The initial active length of the
actuator is chosen 20 mm and the results are
shown in the Figures 9 and 10 and discussed.
Active Catheter Mechanism for In vivo Inspection Biswal et al.
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Fig. 8: Photograph of the Active Catheter System
in Water for an Input 1 V.
Figure 9 shows that imaging path of the
catheter enhances with increase in active
length of the actuator. For assessment, with an
input , the catheter tip moves 28.5 and
27.464 mm path in air and underwater,
respectively. However, as the active length
changes to 25 mm, the working path amplifies
to 48.8 mm in air and 46.9 mm underwater
maintaining the same input voltage. Figure 10
shows the comparative results on total
working path of the catheter for an input 1.2 V
for three consecutive active length of the
IPMC. It is observed that due to counteract
forces in denser fluid medium i.e., water in
this case, the catheter undergoes losses results
in drop of the working area. These results also
validate that the catheter mechanism is
suitable for spawning multiple image taking
path for in-vivo inspection of affected zone.
4.5
4.75
5
5.25
5.5
5.75
6
6.25
6.5
6.75
7In air
Under water
Sca
nn
ing
pa
th (
mm
)
2.05
2.1
2.15
2.2
2.25
2.3
2.35
2.4
2.45 In air
Under water
3.3
3.4
3.5
3.6
3.7
3.8
3.9
4
4.1
4.2
4.3 In air
Under water
Sca
nn
ing
pa
th (
mm
)
Sca
nn
ing
pa
th (
mm
)
(c) Active length = 30 mm
S1
S6
S5
S4
S2 S
3
S6
S5
S4
S3
S2
S1
S6
S5
S4
S3
S2
S1
(b) Active length = 25 mm(a) Active length = 20 mm
0.2:0.2:1.2 V 0.2:0.2:1.2 V
0.2:0.2:1.2 V
Fig. 9: Path Followed by the Catheter Tip for Various Input Voltage (Both Air and Water).
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0
10
20
30
40
50
60
70
80In air
Under water
Tota
l sc
an
nin
g p
ath
(m
m)
Active length (mm)
20 mm 25 mm 30 mm
Fig. 10: Comparative Study on Path of Actuation (Both in Air and Water) Travelled by the Catheter
for an Input 1.2 V.
Table 3: Incremental Imaging Path Obtained for Various Input Voltages in Open Environment (Air).
Voltage
()
Change in path length
active length
(20 mm)
active length
(25 mm)
active length
(30 mm)
0.2V
0.4V
0.6V
0.8V
1.0V
1.2V
0
0
0
0
0
0
3.64
7.26
10.8
14.19
17.38
20.34
8.41
17.95
26.54
34.59
41.9
48.33
Table 3 enlists increase in path length for
various input voltage separately. It is clearly
shown that path of the catheter probe
significantly increases whilst maintaining the
same input voltage.
CONCLUSION An active catheter mechanism of IPMC
actuator has been designed and developed. A
generalized mathematical model has been
derived for fluid medium actuation taking into
account of the fluid interaction forces.
Experiments are conducted both in air and
water to determine the resistance encountered
during actuation and the results are verified
with the simulation results. The novelty of the
catheter mechanism is that the length of the
IPMC actuator varies with input voltage
results in multiple image-taking paths and thus
can cover wide range of working area with
same input voltage. The to-and-from motion
mechanism enhances the focusing area and
also suitable for adjusting the light intensity.
Apart from oral and dental cavity inspection,
the low cost Ag-IPMC mechanism has the
potential to be used in endoscope.
ACKNOWLEDGMENT The ‘corresponding author’ thankful for the
partial financial support from Department of
Science and Technology (DST), Government
of India under SERC FAST Track Scheme
(SR/FTP/ETA - 076/2009).
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