Kashyap Varun, Caprio Alexandre, Doshi Tejas, Jang Sun-Joo, Liu Christopher F, Mosadegh Bobak, Dunham Simon
Dalio Institute for Cardiovascular Imaging, Department of Radiology, Weill Cornell Medicine, New York, NY 10021, USA.
Sci Adv. 2020 Nov 13;6(46). doi: 10.1126/sciadv.abc6800. Print 2020 Nov.
Devices that perform cardiac mapping and ablation to treat atrial fibrillation provide an effective means of treatment. Current devices, however, have limitations that either require tedious point-by-point mapping of a cardiac chamber or have limited ability to conform to the complex anatomy of a patient's cardiac chamber. In this work, a detailed, scalable, and manufacturable technique is reported for fabrication of a multielectrode, soft robotic sensor array. These devices exhibit high conformability (~85 to 90%) and are equipped with an array of stretchable electronic sensors for voltage mapping. The form factor of the device is intended to match that of the entire left atrium and has a hydraulically actuated soft robotic structure whose profile facilitates deployment from a 13.5-Fr catheter. We anticipate that the methods described in this paper will serve a new generation of conformable medical devices that leverage the unique characteristics of stretchable electronics and soft robotics.
用于治疗心房颤动的心脏标测和消融设备提供了一种有效的治疗手段。然而,目前的设备存在局限性,要么需要对心腔进行繁琐的逐点标测,要么适应患者心腔复杂解剖结构的能力有限。在这项工作中,报告了一种用于制造多电极软机器人传感器阵列的详细、可扩展且可制造的技术。这些设备具有高贴合性(约85%至90%),并配备了用于电压标测的可拉伸电子传感器阵列。该设备的外形尺寸旨在与整个左心房相匹配,具有液压驱动的软机器人结构,其外形便于从13.5F导管展开。我们预计本文所述方法将服务于新一代利用可拉伸电子学和软机器人独特特性的贴合式医疗设备。