Kiourti Asimina, Nikita Konstantina S
IEEE Trans Biomed Eng. 2017 Jul;64(7):1422-1430. doi: 10.1109/TBME.2017.2668612. Epub 2017 Feb 14.
We present a review of wireless medical devices that are placed inside the human body to realize many and different sensing and/or stimulating functionalities.
A critical literature review analysis is conducted focusing on three types of in-body medical devices, i.e., 1) devices that are implanted inside the human body (implantables), 2) devices that are ingested like regular pills (ingestibles), and 3) devices that are injected into the human body via needles (injectables). Design considerations, current status, and future directions related to the aforementioned in-body devices are discussed.
A number of design challenges are associated with in-body devices, including selection of operation frequency, antenna design, powering, and biocompatibility. Nevertheless, in-body devices are opening up new opportunities for medical prevention, prognosis, and treatment that quickly outweigh any design challenges and/or concerns on their invasive nature.
In-body devices are already in use for several medical applications, ranging from pacemakers and capsule endoscopes to injectable microstimulators. As technology continues to evolve, in-body devices are promising several new and hitherto unexplored opportunities in the healthcare.
Unobtrusive in-body devices are envisioned to collect a multitude of physiological data from the early years of each individual. This big-data approach aims to enable a shift from symptom-based medicine to a proactive healthcare model.
我们对置于人体内以实现多种不同传感和/或刺激功能的无线医疗设备进行综述。
进行了一项批判性文献综述分析,重点关注三种体内医疗设备,即1)植入人体内的设备(可植入设备),2)像普通药丸一样被摄入的设备(可摄入设备),以及3)通过针头注入人体的设备(可注射设备)。讨论了与上述体内设备相关的设计考量、现状及未来方向。
体内设备存在一些设计挑战,包括工作频率选择、天线设计、供电和生物相容性。然而,体内设备正在为医疗预防、预后和治疗带来新机遇,这些机遇迅速超过了任何设计挑战和/或对其侵入性的担忧。
体内设备已用于多种医疗应用,从起搏器和胶囊内镜到可注射微刺激器。随着技术不断发展,体内设备在医疗保健领域有望带来一些新的、迄今未探索的机遇。
设想不引人注意的体内设备从每个人早年起就收集大量生理数据。这种大数据方法旨在实现从基于症状的医学向主动式医疗保健模式的转变。