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用于测量心脏血氧饱和度的无线可植入导管式血氧仪。

Wireless, implantable catheter-type oximeter designed for cardiac oxygen saturation.

作者信息

Lu Wei, Bai Wubin, Zhang Hao, Xu Chenkai, Chiarelli Antonio M, Vázquez-Guardado Abraham, Xie Zhaoqian, Shen Haixu, Nandoliya Khizar, Zhao Hangbo, Lee KunHyuck, Wu Yixin, Franklin Daniel, Avila Raudel, Xu Shuai, Rwei Alina, Han Mengdi, Kwon Kyeongha, Deng Yujun, Yu Xinge, Thorp Edward B, Feng Xue, Huang Yonggang, Forbess Joseph, Ge Zhi-Dong, Rogers John A

机构信息

Center for Bio-Integrated Electronics, Northwestern University, Evanston, IL 60208, USA.

Department of Materials Science and Engineering, McCormick School of Engineering, Northwestern University, Evanston, IL 60208, USA.

出版信息

Sci Adv. 2021 Feb 10;7(7). doi: 10.1126/sciadv.abe0579. Print 2021 Feb.

Abstract

Accurate, real-time monitoring of intravascular oxygen levels is important in tracking the cardiopulmonary health of patients after cardiothoracic surgery. Existing technologies use intravascular placement of glass fiber-optic catheters that pose risks of blood vessel damage, thrombosis, and infection. In addition, physical tethers to power supply systems and data acquisition hardware limit freedom of movement and add clutter to the intensive care unit. This report introduces a wireless, miniaturized, implantable optoelectronic catheter system incorporating optical components on the probe, encapsulated by soft biocompatible materials, as alternative technology that avoids these disadvantages. The absence of physical tethers and the flexible, biocompatible construction of the probe represent key defining features, resulting in a high-performance, patient-friendly implantable oximeter that can monitor localized tissue oxygenation, heart rate, and respiratory activity with wireless, real-time, continuous operation. In vitro and in vivo testing shows that this platform offers measurement accuracy and precision equivalent to those of existing clinical standards.

摘要

准确、实时监测血管内氧水平对于跟踪心胸外科手术后患者的心肺健康状况至关重要。现有技术采用玻璃纤维光学导管进行血管内放置,存在血管损伤、血栓形成和感染风险。此外,连接供电系统和数据采集硬件的物理线缆限制了患者的活动自由度,并使重症监护病房显得杂乱。本报告介绍了一种无线、小型化、可植入的光电导管系统,该系统在探头中集成了光学组件,并由柔软的生物相容性材料封装,作为一种避免上述缺点的替代技术。没有物理线缆以及探头灵活的生物相容性构造是其关键特征,由此产生了一种高性能、对患者友好的可植入式血氧仪,它能够通过无线、实时、连续操作来监测局部组织氧合、心率和呼吸活动。体外和体内测试表明,该平台提供的测量准确性和精密度与现有临床标准相当。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ed/7875528/7ac7756ab3dc/abe0579-F1.jpg

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