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研究生:楊亮瑜
研究生(外文):Liang-Yu Yang
論文名稱:電子式非光纖內視鏡之研製
論文名稱(外文):Development of Non-fiberoptic Endoscope
指導教授:張合鍾清枝鍾清枝引用關係
口試委員:魏大華江毅成
口試日期:2012-07-17
學位類別:碩士
校院名稱:國立臺北科技大學
系所名稱:機電整合研究所
學門:工程學門
學類:機械工程學類
論文種類:學術論文
論文出版年:2012
畢業學年度:100
語文別:英文
論文頁數:65
中文關鍵詞:電子式內視鏡影像輔助胸腔鏡手術
外文關鍵詞:ElectricalEndoscopeVideo-assisted thoracoscopic surgery
相關次數:
  • 被引用被引用:3
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  • 下載下載:0
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本研究旨在研發一電子式非光纖內視鏡(electrical non-fiberoptic endoscope, ENFE),使用CMOS鏡頭與LED來製作一低成本、可拋棄式之電子內視鏡。透過胸腔尺寸之測量統計來訂定其尺寸規格,並測量其照度、溫度及進行動物實驗來驗證其效能及實際使用效果。內視鏡的發展至今已超過一百年,隨著微創手術風潮的興起與科技的發展,影像輔助胸腔鏡手術逐漸取代了傳統的開胸手術。目前影像輔助胸腔鏡手術使用大部分使用光纖硬式內視鏡,其術後通常會造成約3個25mm之傷口。由於造價不斐,皆為消毒後重複使用,並無法完全避免感染之風險。本研究使用CMOS鏡頭與LED製作五支ENFE。透過照度實驗結果顯示,ENFE 2在模擬箱內照度於最大可達1576 lux。透過溫度實驗結果顯示,ENFE約4分鐘可達到穩定溫度,根據FDA之規範可知ENFE 3具較好之溫度測量結果,其平均穩定溫度為45.3℃。動物實驗結果顯示,使用ENFE可將術後傷口減少至2個,影像成功輸出至螢幕並可擷取解析度為640x480之影片與影像。本研究證明了ENFE之可行性,使用ENFE可完全避免感染之風險,且其具有良好發展之潛力。

This research aims to develop electrical non-fiberoptic endoscope (ENFE). It is low-cost and disposable. The complementary metal-oxide-semiconductor (CMOS) camera and light-emitting diode (LED) were used for ENFE in this research. The size of ENFE was based on the results of chest size measurement. The practical effects of ENFE were proved through the illumination, temperature and animal experiment. The endoscope has been developed for over 100 years. The video-assisted thoracic surgery (VATS) replaced the role of open thoracic surgery gradually. The rigid rod lens is usually used in VATS. There are about 3 traumas after the surgery. However, the endoscope is reused after decontamination. The risks of infection still exist. There were 5 ENFEs developed in this research. The results of illumination showed that the maximum illumination of ENFE was 1576 lux. According to the guidance of FDA, the ENFE 3 had best results (45.3℃) in temperature experiment. The traumas after surgery were reduced to 2 from 3 in the animal experiment. The images were transferred to computer successfully and the resolution was 640x480. The feasibility was proved in this research. Additionally, the disposable ENFE can avoid the risk of contamination. The ENFE has great potential to develop.

CONTENT

摘 要 i
ABSTRACT ii
ACKNOWLEDGEMENTS iv
CONTENT v
LIST OF TABLES vi
LIST OF FIGURES vii
Chapter 1 INTRODUCTION 1
1.1 Background and motivation 1
1.2 Objective 3
1.3 Contribution of this study 6
Chapter 2 LITERATURE REVIEW 8
2.1 History of endoscope 8
2.2 Non-fiberoptic endoscope 10
Chapter 3 ELECTRICAL NON-FIBEROPTIC ENDOSCOPE 19
3.1 Video-assisted thoracoscopic surgery 19
3.2 Measurement of chest size 23
3.3 Design of electrical non-fiberoptic endoscope 27
Chapter 4 EXPERIMENTS 33
4.1 Examination of electrical non-fiberoptic endoscope (ENFE) 33
4.2 Animal experiments process 36
Chapter 5 RESULTS AND DISCUSSION 40
5.1 Performance of electrical non-fiberoptic endoscope 40
5.2 Results of animal experiments 54
Chapter 6 CONCLUSIONS AND FUTURE WORK 60
6.1 Conclusions 60
6.2 Future work 61
REFERENCES 62



[1]Jacobeus HC, "The practical importance of thoracoscopy in surgery of the chest", Surg Gynecol Obstet, vol. 4, 1921, pp.289-296.
[2]R. Loddenkemper, "Thoracoscopy – state of the art", European Respiratory Journal, vol. 11, no. 1, 1998, pp. 213-221.
[3]Mark V. Braimbridge, "The history of thoracoscopic surgery ", Annals of Thoracic Surgery, vol. 56, 1993, pp. 610-614.
[4]Lee P, Mathur PN and Colt HG, "Advances in Thoracoscopy: 100 Years since Jacobaeus", Respiration, vol. 79, 2010, pp. 177-186.
[5]Hoksch B, Birken-Bertsch H and Müller JM, "Thoracoscopy Before Jacobaeus", Annals of Thoracic Surgery, vol. 74, 2002, pp. 1288-1290.
[6]Kaplan LR, "Contamination of fiberoptic upper intestinal endoscope", The Journal of the American Medical Association, vol. 242, no. 5, 1979, pp. 415.
[7]Hughes CE, Gebhard RL, Peterson LR and Gerding DN, "Efficacy of routine fiberoptic endoscope cleaning and disinfection for killing Clostridium difficile", Gastrointestinal Endoscopy, vol. 32, no. 1, 1986, pp. 7-9.
[8]Bond WW, "Virus transmission via fiberoptic endoscope: recommended disinfection", Maryland Medical Journal, vol. 37, no. 7, 1988, pp. 497-498.
[9]Roosendaal R, Kuipers EJ, van den Brule AJ, Peña AS, Uyterlinde AM, Walboomers JM, Meuwissen SG, and de Graaff J, "Importance of the fiberoptic endoscope cleaning procedure for detection of Helicobacter pylori in gastric biopsy specimens by PCR", Journal of Clinical Microbiology, vol. 32, no. 4, 1994, pp. 1123-1126.
[10]Gerald McDonnell and Peter Burke, "The Challenge of Prion Decontamination", Clinical Infectious Diseases, vol. 36, no. 9, 2003, pp. 1152-1154.
[11]E. Zobeley, E. Flechsig, A. Cozzio, M. Enari, and C. Weissmann, "Infectivity of scrapie prions bound to a stainless steel surface.", Molecular Medicine, vol. 5, no. 4, 1999, pp. 240-243.
[12]Laura Manuelidis, "Decontamination of Creutzfeldt- Jakob Disease and other transmissible agents", Journal for Neurovirology, vol. 3, no. 1, 1997, pp. 62-65.
[13]J. Gerald Collee, Ray Bradley and Paweł P. Liberski, "Variant CJD (vCJD) and Bovine Spongiform Encephalopathy (BSE): 10 and 20 years on: part 2", Folia Neuropathol, vol. 44, no. 2, 2006, pp. 102-110.
[14]Larry R. Kaiser, "Video-assisted thoracoscopic surgery", Annals of Surgery, vol. 220, no. 6, 1994, pp. 720-734.
[15]M. Reuter, "Philipp Bozzini (1773–1809) The endoscopic idealist", Der Urologe A, vol. 45, no. 9, 2006, pp. 1084-1091.
[16]Harold F. Seymour, "Endoscopy of the Uterus: With a description of a Hysteroscope", An International Journal of Obstetrics & Gynaecology, vol. 33, no. 1, 1926, pp. 52-55.
[17]Hatzinger M, Häcker A, Langbein S, Kwon S, Hoang-Böhm J and Alken P, " Hans-Christian Jacobaeus (1879-1937): The inventor of human laparoscopy and thoracoscopy", Journal of Endourology , vol. 20 , no. 11, 2006, pp.848-850.
[18]Froudarakis ME, "New challenges in medical thoracoscopy", Respiration, vol. 82, no. 2, 2011, pp.197-200.
[19]Jianxing He, "History and current status of mini-invasive thoracic surgery", Journal of Thoracic Disease, vol. 3, no. 2, 2011, pp. 115-121.
[20]G. Lazopoulos, C. Kotoulas, J. Kokotsakis, C. Foroulis and A. Lioulias, "Diagnostic mini-video assisted thoracic surgery", Surgical Endoscopy, vol. 16, 2002, pp. 1793–1795.
[21]F.C. Wippermann, E. Beckert, P. Dannberg , R. Eberhardt, A. Bräuer and B. Messerschmidt, "Low cost video endoscopes with simplified integration", Proceeding of The Society of Photo-Optical Instrumentation Engineers, Brussels, 2010, 77160M.
[22]Paul Swain, Ralph Austin, Kurt Bally and Robert Trusty, "Development and testing of a tethered independent camera for NOTES and single site laparoscopic procedures", Surgical Endoscopy, vol. 24, no. 8, 2010, pp. 2013-2021.
[23]Tomohiro Kawahara, Takeshi Takaki, Idaku Ishii, and Masazumi Okajima, "Development of a Broad-View Camera System for minimally invasive surgery", International Conference on Intelligent Robots and Systems, 2010, pp.2810-2815.
[24]Daniele Covi, Carmela Cavallotti, Monica Vatteroni, Luca Clementel, Pietro Valdastri, Arianna Menciassi, Paolo Dario and Alvise Sartori, "Miniaturized digital camera system for disposable endoscopic applications", Sensors and Actuators, 2010, pp. 291-296.
[25]H. Lehr, R. Dreyer genannt Daweke, and S. Schrader, "Image Focusing in Endoscopic Systems", IFMBE Proceedings, vol. 25, no. 6,2009, pp.87-90.
[26]Scott A. Engum, "Minimal access thoracic surgery in the pediatric population", Seminars in Pediatric Surgery, vol. 16, 2007, pp.14-26.
[27]Jay B. Brodsky and Edmond Cohen, "Video-assisted thoracoscopic surgery", Curr Opin Anaesthesiol, vol. 13, no. 1, 2000, pp.45-45.
[28]Shizuka Kaseda, Teruhiro Aoki, Nanae Hangai, Kunihiko Shimizu, "Better pulmonary function and prognosis with video-assisted thoracicsurgery than with thoracotomy", The Annals of Thoracic Surgery, vol. 70, no. 5, 2000, pp. 1644-1646.
[29]Rodney J. Landreneau, Michael J. Mack, Stephen R. Hazelrigg, Robert D. Dowling, Tea E. Acuff, Mitchell J. Magee, and Peter F. Ferson, MD, " Video-Assisted Thoracic ConceDts and Intercostal Surgery: Basic Technical Approach Strategies", The Annals of Thoracic Surgery, vol. 54, 1992, pp. 800-7.
[30]Gianluca Casali and William S. Walker, "Video-assisted thoracic surgery lobectomy: can we afford it?", European Journal of Cardio-thoracic Surgery, vol. 35, 2009, pp.423-428.
[31]Stephen R. Hazelrigg, Susan K. Nunchuck, Rodney J. Landreneau, Michael J. Mack, Keith S. Naunheim, Paul E. Seifert and James E. Auer, "Cost analysis for thoracoscopy: Thoracoscopic wedge resection", The Annals of Thoracic Surgery, vol. 56, 1993, pp.633-635.


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