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Fig 1.

Recommended tattooing position.

The right figure shows the injection in the submucosal layer with an oblique angle to the organ’s wall, and the left figure shows the injection location relative to the lesion margin.

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Fig 1 Expand

Fig 2.

Schematics of the TCE.

(A) Conceptual design of the WCE equipped with the tattoo module. (B) Two states of the NCM for needle extrusion.

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Fig 2 Expand

Fig 3.

Tattooing procedure of the TCE controlled by the external magnetic field.

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Fig 3 Expand

Fig 4.

Tattooing module in details.

(A) Tattooing module with components at the initial state. (B) Tattooing module after triggering the chemical reaction. (C) The chemical-reaction triggering module using reed switch.

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Fig 4 Expand

Fig 5.

Needle control module.

(A) NCM components. (B) Rotating magnetic field rotates the permanent magnet. (C) Rotating motion of the RPM is converted into translation motion to switch the status of the NCM.

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Fig 5 Expand

Fig 6.

EMA system for capsule manipulation.

(A) Configuration and control scheme of the EMA system. (B) Actuation mechanism of the TCE; the arrow indicates the generated magnetic field vector H and force vector F.

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Fig 6 Expand

Table 1.

Technical specifications of the EMA system.

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Table 1 Expand

Fig 7.

Real experiment setup for the in-vitro and ex-vivo tests.

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Fig 7 Expand

Fig 8.

TCE fabrication.

(A) Components of the TCE. (B) Assembled NCM. (C) Assembled triggering module. (D) Assembled TCE prototype.

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Fig 8 Expand

Fig 9.

Experiment to evaluate the submucosal injection force.

The left figure is the schematic diagram of the experiment setup and the right figure shows the actual photoshoot.

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Fig 9 Expand

Fig 10.

Experimental result of the submucosal injection force with needles of various sizes.

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Fig 10 Expand

Fig 11.

Experimental results of the chemical reaction force for various amounts of reactants.

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Fig 11 Expand

Fig 12.

Measurements of magnetic force exerted on the TCE.

(A) Experimental setup. (B) Electromagnetic force exerting on the TCE by the EMA system at various levels of the gradient field.

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Fig 12 Expand

Fig 13.

Reed switch controlled by EMA verification.

(A) Starting position of the capsule with LED OFF. (B) Overlapped picture of the capsule’s movement while maintaining the LED state. (C) Capsule reaches the target and the reed switch is activated, thereby turning LED ON.

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Fig 13 Expand

Fig 14.

Ex-vivo experimental results conducted in pig’s small intestine with four steps of the TCE procedure.

The arrow shows the direction of the vector; the straight arrow represents the non-rotating magnetic field and the rotation arrow represents the rotating magnetic field.

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Fig 14 Expand

Fig 15.

Tattooed tissue verification.

(A) Inner and outer surfaces of the tattooed intestine. (B) Cross-section inspection of the dyed tissue.

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Fig 15 Expand