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一种按需生物可吸收神经刺激器。

An on-demand bioresorbable neurostimulator.

机构信息

Department of Materials Science and Engineering, Yonsei University, Seoul, 03722, Republic of Korea.

Center for Human-oriented Triboelectric Energy Harvesting, Yonsei University, Seoul, 03722, Republic of Korea.

出版信息

Nat Commun. 2023 Nov 11;14(1):7315. doi: 10.1038/s41467-023-42791-5.

Abstract

Bioresorbable bioelectronics, with their natural degradation properties, hold significant potential to eliminate the need for surgical removal. Despite notable achievements, two major challenges hinder their practical application in medical settings. First, they necessitate sustainable energy solutions with biodegradable components via biosafe powering mechanisms. More importantly, reliability in their function is undermined by unpredictable device lifetimes due to the complex polymer degradation kinetics. Here, we propose an on-demand bioresorbable neurostimulator to address these issues, thus allowing for clinical operations to be manipulated using biosafe ultrasound sources. Our ultrasound-mediated transient mechanism enables (1) electrical stimulation through transcutaneous ultrasound-driven triboelectricity and (2) rapid device elimination using high-intensity ultrasound without adverse health effects. Furthermore, we perform neurophysiological analyses to show that our neurostimulator provides therapeutic benefits for both compression peripheral nerve injury and hereditary peripheral neuropathy. We anticipate that the on-demand bioresorbable neurostimulator will prove useful in the development of medical implants to treat peripheral neuropathy.

摘要

可生物吸收的生物电子学具有天然的降解特性,有望消除手术切除的需要。尽管取得了显著的成就,但两个主要挑战阻碍了它们在医疗环境中的实际应用。首先,它们需要通过生物安全的供电机制,使用可持续的能源解决方案和可生物降解的组件。更重要的是,由于复杂的聚合物降解动力学,设备寿命的不可预测性破坏了它们功能的可靠性。在这里,我们提出了一种按需可生物吸收的神经刺激器来解决这些问题,从而允许使用生物安全的超声源来操纵临床操作。我们的超声介导的瞬态机制实现了(1)通过经皮超声驱动的摩擦电进行电刺激,以及(2)使用高强度超声快速消除设备,而不会产生不良的健康影响。此外,我们进行了神经生理学分析,表明我们的神经刺激器为压迫性周围神经损伤和遗传性周围神经病提供了治疗益处。我们预计,按需可生物吸收的神经刺激器将有助于开发用于治疗周围神经病的医疗植入物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ad/10640647/3cf5a6ee3a74/41467_2023_42791_Fig1_HTML.jpg

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