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远程控制的传感和药物输送通过 3D 打印的中空微针。

Remote-Controlled Sensing and Drug Delivery via 3D-Printed Hollow Microneedles.

机构信息

Mechanical Engineering Laboratory for Innovations in Microengineering (LiME), Department of Mechanical Engineering, University of Victoria, Victoria, BC, V8P 5C2, Canada.

Drug Delivery and Immunoengineering Terasaki Institute for Biomedical Innovations, Los Angeles, CA, 90050, USA.

出版信息

Adv Healthc Mater. 2024 Sep;13(23):e2400881. doi: 10.1002/adhm.202400881. Epub 2024 Jun 4.

Abstract

Remote health monitoring and treatment serve as critical drivers for advancing health equity, bridging geographical and socioeconomic disparities, ensuring equitable access to quality healthcare for those in underserved or remote regions. By democratizing healthcare, this approach offers timely interventions, continuous monitoring, and personalized care independent of one's location or socioeconomic status, thereby striving for an equitable distribution of health resources and outcomes. Meanwhile, microneedle arrays (MNAs), revolutionize painless and minimally invasive access to interstitial fluid for drug delivery and diagnostics. This paper introduces an integrated theranostic MNA system employing an array of colorimetric sensors to quantitatively measure -pH, glucose, and lactate, alongside a remotely-triggered system enabling on-demand drug delivery. Integration of an ultrasonic atomizer streamlines the drug delivery, facilitating rapid, pumpless, and point-of-care drug delivery, enhancing system portability while reducing complexities. An accompanying smartphone application interfaces the sensing and drug delivery components. Demonstrated capabilities include detecting pH (3 to 8), glucose (up to 16 mm), and lactate (up to 1.6 mm), showcasing on-demand drug delivery, and assessing delivery system performance via a scratch assay. This innovative approach confronts drug delivery challenges, particularly in managing chronic diseases requiring long-term treatment, while also offering avenues for non-invasive health monitoring through microneedle-based sensors.

摘要

远程健康监测和治疗是促进健康公平的关键驱动力,可以弥合地理和社会经济差距,确保服务不足或偏远地区的人们能够公平获得高质量的医疗保健。通过使医疗保健民主化,这种方法提供了及时的干预、持续的监测和个性化的护理,而不受其位置或社会经济地位的限制,从而努力实现健康资源和结果的公平分配。同时,微针阵列 (MNA) 为药物输送和诊断提供了无痛和微创进入间质液的途径。本文介绍了一种集成的治疗性 MNA 系统,该系统采用一系列比色传感器来定量测量 pH 值、葡萄糖和乳酸,以及远程触发系统以实现按需药物输送。超声雾化器的集成简化了药物输送,实现了快速、无泵和即时药物输送,提高了系统的便携性,同时降低了复杂性。配套的智能手机应用程序将传感和药物输送组件集成在一起。该系统展示了检测 pH 值(3 到 8)、葡萄糖(高达 16mm)和乳酸(高达 1.6mm)的能力,实现了按需药物输送,并通过划痕试验评估了输送系统的性能。这种创新方法解决了药物输送的挑战,特别是在管理需要长期治疗的慢性疾病方面,同时也为通过基于微针的传感器进行非侵入性健康监测提供了途径。

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