Biomedical and Electronic (10(-6)-10(-9)) Engineering Systems Laboratory, Department of Electronic Systems Engineering, Indian Institute of Science, Bangalore, 560012, India.
Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bannerghatta Road, Bangalore, 560069, India.
Biosens Bioelectron. 2019 Oct 1;142:111489. doi: 10.1016/j.bios.2019.111489. Epub 2019 Jul 2.
Implantable medical devices have been used for real-time monitoring of physical parameters (temperature, pressure and biopotentials), sustained drug release, cardiovascular and pulmonary stents and other clinical applications. Several biocompatible materials (titanium and its alloys, aluminium, cobalt-alloys, stainless steel, poly-ethylene, polyurethanes, polyglycolide and polylactides) have been commercially used for fabricating implantable devices. However, these devices require retrieval operations after a certain period. Bioresorbable materials disintegrate gradually in vivo and their derivatives get absorbed completely in the body fluid with no residue and with minimal toxic effects, thus, eliminating the need for retrieval operations. In this article, state-of-the-art advances in materials, fabrication techniques and clinical applications of bioresorbable implantable devices are reviewed. We first discuss the bioresorbable materials (e.g., magnesium, molybdenum, tungsten, silicon, germanium, silicon dioxide, silicon nitride, silk and synthetic polymers) used in the fabrication of implantable devices. Later, an overview of processes to fabricate pressure, temperature, electrical and chemical sensors are discussed, followed by their applications as implantable devices in biomedical engineering.
可植入医疗器械已被用于实时监测物理参数(温度、压力和生物电位)、持续药物释放、心血管和肺支架以及其他临床应用。几种生物相容性材料(钛及其合金、铝、钴合金、不锈钢、聚乙烯、聚氨酯、聚乙二醇和聚乳酸)已被商业用于制造可植入设备。然而,这些设备在一定时间后需要进行取出操作。可生物降解材料在体内逐渐分解,其衍生物在体液中完全吸收,无残留,毒性作用最小,因此无需进行取出操作。本文综述了可生物降解植入式设备的材料、制造技术和临床应用的最新进展。我们首先讨论了用于制造植入式设备的可生物降解材料(例如镁、钼、钨、硅、锗、二氧化硅、氮化硅、丝和合成聚合物)。然后,我们概述了制造压力、温度、电和化学传感器的工艺,并讨论了它们作为生物医学工程中植入式设备的应用。