Lee Geumbee, Ray Emily, Yoon Hong-Joon, Genovese Sabrina, Choi Yeon Sik, Lee Min-Kyu, Şahin Samet, Yan Ying, Ahn Hak-Young, Bandodkar Amay J, Kim Joohee, Park Minsu, Ryu Hanjun, Kwak Sung Soo, Jung Yei Hwan, Odabas Arman, Khandpur Umang, Ray Wilson Z, MacEwan Matthew R, Rogers John A
Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL 60208, USA.
Precision Biology Research Center, Sungkyunkwan University, Suwon 16419, Republic of Korea.
Sci Adv. 2022 Oct 7;8(40):eabp9169. doi: 10.1126/sciadv.abp9169. Epub 2022 Oct 5.
Local electrical stimulation of peripheral nerves can block the propagation of action potentials, as an attractive alternative to pharmacological agents for the treatment of acute pain. Traditional hardware for such purposes, however, involves interfaces that can damage nerve tissue and, when used for temporary pain relief, that impose costs and risks due to requirements for surgical extraction after a period of need. Here, we introduce a bioresorbable nerve stimulator that enables electrical nerve block and associated pain mitigation without these drawbacks. This platform combines a collection of bioresorbable materials in architectures that support stable blocking with minimal adverse mechanical, electrical, or biochemical effects. Optimized designs ensure that the device disappears harmlessly in the body after a desired period of use. Studies in live animal models illustrate capabilities for complete nerve block and other key features of the technology. In certain clinically relevant scenarios, such approaches may reduce or eliminate the need for use of highly addictive drugs such as opioids.
局部电刺激周围神经可以阻断动作电位的传播,作为治疗急性疼痛的一种有吸引力的替代药物。然而,用于此目的的传统硬件涉及可能会损伤神经组织的接口,并且在用于临时缓解疼痛时,由于在一段时间的使用后需要手术取出,会带来成本和风险。在这里,我们介绍一种可生物吸收的神经刺激器,它能够实现神经电阻滞并缓解相关疼痛,而没有这些缺点。该平台将一系列可生物吸收材料组合在特定结构中,以支持稳定的阻滞,同时产生最小的不良机械、电气或生化影响。优化的设计确保该设备在预期的使用期后在体内无害地消失。在活体动物模型中的研究展示了该技术实现完全神经阻滞的能力和其他关键特性。在某些临床相关场景中,此类方法可能会减少或消除对阿片类药物等高成瘾性药物的使用需求。