Zhao Qilong, Li Chang, Shum Ho Cheung, Du Xuemin
Institute of Biomedical & Health Engineering, Shenzhen Institutes of Advanced Technology (SIAT), Chinese Academy of Sciences (CAS), Shenzhen, 518035 China.
Lab Chip. 2020 Nov 24;20(23):4321-4341. doi: 10.1039/d0lc00569j.
Emerging wearable and implantable biodevices have been significantly revolutionizing the diagnosis and treatment of disease. However, the geometrical mismatch between tissues and biodevices remains a great challenge for achieving optimal performances and functionalities for biodevices. Shape-adaptable biodevices enabling active compliance with human body tissues offer promising opportunities for addressing the challenge through programming their geometries on demand. This article reviews the design principles and control strategies for shape-adaptable biodevices with programmable shapes and actively compliant capabilities, which have offered innovative diagnostic/therapeutic tools and facilitated a variety of wearable and implantable applications. The state-of-the-art progress in applications of shape-adaptable biodevices in the fields of smart textiles, wound care, healthcare monitoring, drug and cell delivery, tissue repair and regeneration, nerve stimulation and recording, and biopsy and surgery, is highlighted. Despite the remarkable advances already made, shape-adaptable biodevices still confront many challenges on the road toward the clinic, such as enhanced intelligence for actively sensing and operating in response to physiological environments. Next-generation paradigms will shed light on future directions for extending the breadth and performance of shape-adaptable biodevices for wearable and implantable applications.
新兴的可穿戴和可植入生物设备正在给疾病的诊断和治疗带来重大变革。然而,组织与生物设备之间的几何形状不匹配,仍然是实现生物设备最佳性能和功能的巨大挑战。能够主动贴合人体组织的形状适应性生物设备,通过按需编程其几何形状,为应对这一挑战提供了广阔的机遇。本文综述了具有可编程形状和主动贴合能力的形状适应性生物设备的设计原则和控制策略,这些设备提供了创新的诊断/治疗工具,并推动了各种可穿戴和可植入应用的发展。文中重点介绍了形状适应性生物设备在智能纺织品、伤口护理、医疗监测、药物和细胞递送、组织修复与再生、神经刺激与记录以及活检与手术等领域的应用现状。尽管已经取得了显著进展,但形状适应性生物设备在走向临床的道路上仍面临许多挑战,比如增强在生理环境中进行主动传感和操作的智能性。下一代范例将为拓展可穿戴和可植入应用的形状适应性生物设备的广度和性能指明未来方向。