Department of Mechanical and Automation Engineering, Chinese University of Hong Kong, Hong Kong, China.
Chow Yuk Ho Technology Centre for Innovative Medicine, Chinese University of Hong Kong, Hong Kong, China.
Sci Robot. 2021 Mar 17;6(52). doi: 10.1126/scirobotics.abd2813.
High-precision delivery of microrobots at the whole-body scale is of considerable importance for efforts toward targeted therapeutic intervention. However, vision-based control of microrobots, to deep and narrow spaces inside the body, remains a challenge. Here, we report a soft and resilient magnetic cell microrobot with high biocompatibility that can interface with the human body and adapt to the complex surroundings while navigating inside the body. We achieve time-efficient delivery of soft microrobots using an integrated platform called endoscopy-assisted magnetic actuation with dual imaging system (EMADIS). EMADIS enables rapid deployment across multiple organ/tissue barriers at the whole-body scale and high-precision delivery of soft and biohybrid microrobots in real time to tiny regions with depth up to meter scale through natural orifice, which are commonly inaccessible and even invisible by conventional endoscope and medical robots. The precise delivery of magnetic stem cell spheroid microrobots (MSCSMs) by the EMADIS transesophageal into the bile duct with a total distance of about 100 centimeters can be completed within 8 minutes. The integration strategy offers a full clinical imaging technique-based therapeutic/intervention system, which broadens the accessibility of hitherto hard-to-access regions, by means of soft microrobots.
在全身范围内实现微机器人的高精度输送对于靶向治疗干预的努力非常重要。然而,基于视觉的微机器人控制进入体内的深而窄的空间仍然是一个挑战。在这里,我们报告了一种具有高生物相容性的柔软且有弹性的磁性细胞微机器人,它可以与人体接口,并在体内导航时适应复杂的环境。我们使用称为内窥镜辅助磁驱动与双成像系统(EMADIS)的集成平台来实现高效的软微机器人输送。EMADIS 能够在全身范围内快速跨越多个器官/组织屏障,实时高精度地输送软质和生物混合微机器人,进入深度可达米级的微小区域,通过自然孔道,这是传统内窥镜和医疗机器人通常无法进入甚至看不见的区域。通过经食管的 EMADIS 将磁性干细胞球体微机器人(MSCSMs)精确输送到胆管中,总距离约为 100 厘米,可以在 8 分钟内完成。该集成策略提供了一种基于全临床成像技术的治疗/干预系统,通过软质微机器人拓宽了以前难以到达区域的可达性。