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人工膀胱模型。

Artificial urinary bladder model.

机构信息

Faculty of Engineering and Physical Sciences, Department of Mechanical Engineering, University of Southampton, Southampton, UK.

Department of Urology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.

出版信息

Proc Inst Mech Eng H. 2024 Jun;238(6):588-597. doi: 10.1177/09544119241262372. Epub 2024 Jul 30.

DOI:10.1177/09544119241262372
PMID:39077929
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11318201/
Abstract

Technological advancements in the medical field are often slow and expensive, sometimes due to complexities associated with pre-clinical testing of medical devices and implants. There is therefore a growing need for new test beds that can mimic more closely the in vivo environment of physiological systems. In the present study, a novel bladder model was designed and fabricated with the aim of providing a pre-clinical testing platform for urological stents and catheters. The model is collapsible, has a Young's modulus that is comparable to a biological bladder, and can be actuated on-demand to enable voiding. Moreover, the developed fabrication technique provides versatility to adjust the model's shape, size, and thickness, through a rapid and relatively inexpensive process. When compared to a biological bladder, there is a significant difference in compliance; however, the model exhibits cystometry profiles during priming and voiding that are qualitatively comparable to a biological bladder. The developed bladder model has therefore potential for future usage in urological device testing; however, improvements are required to more closely replicate the architecture and relevant flow metrics of a physiological bladder.

摘要

医学领域的技术进步通常缓慢且昂贵,部分原因是与医疗器械和植入物的临床前测试相关的复杂性。因此,人们越来越需要新的测试床,以便更紧密地模拟生理系统的体内环境。在本研究中,设计并制造了一种新型膀胱模型,旨在为泌尿科支架和导管提供临床前测试平台。该模型具有可折叠性,杨氏模量与生物膀胱相当,并且可以按需激活以实现排空。此外,所开发的制造技术通过快速且相对廉价的工艺提供了调整模型形状、尺寸和厚度的多功能性。与生物膀胱相比,顺应性存在显著差异;然而,该模型在灌注和排空期间表现出与生物膀胱定性可比的尿动力学曲线。因此,该开发的膀胱模型具有在泌尿科设备测试中的未来应用潜力;然而,需要改进以更紧密地复制生理膀胱的结构和相关流量指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/633e/11318201/6e2a48bd67fa/10.1177_09544119241262372-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/633e/11318201/020752726c43/10.1177_09544119241262372-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/633e/11318201/527b6f603266/10.1177_09544119241262372-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/633e/11318201/3142e3ade5b7/10.1177_09544119241262372-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/633e/11318201/6e2a48bd67fa/10.1177_09544119241262372-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/633e/11318201/020752726c43/10.1177_09544119241262372-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/633e/11318201/527b6f603266/10.1177_09544119241262372-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/633e/11318201/3142e3ade5b7/10.1177_09544119241262372-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/633e/11318201/6e2a48bd67fa/10.1177_09544119241262372-fig4.jpg

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本文引用的文献

1
Evaluation of Biofilm Induced Urinary Infection Stone Formation in a Novel Laboratory Model System.在新型实验室模型系统中对生物膜诱导的泌尿系统感染结石形成的评估。
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Techniques: Utility of a 3D printed bladder model for teaching minimally invasive urethrovesical anastomosis.技术:3D打印膀胱模型在微创尿道膀胱吻合术教学中的应用
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Three-dimensional mechano-electrochemical model for smooth muscle contraction of the urinary bladder.
用于膀胱平滑肌收缩的三维力电化学模型。
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Catheter associated urinary tract infections.导管相关尿路感染。
Antimicrob Resist Infect Control. 2014 Jul 25;3:23. doi: 10.1186/2047-2994-3-23. eCollection 2014.
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Investigating the flow dynamics in the obstructed and stented ureter by means of a biomimetic artificial model.通过仿生人工模型研究梗阻和置入支架输尿管中的流体动力学。
PLoS One. 2014 Feb 3;9(2):e87433. doi: 10.1371/journal.pone.0087433. eCollection 2014.
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National Healthcare Safety Network report, data summary for 2011, device-associated module.国家医疗安全网络报告,2011年数据摘要,器械相关模块
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Normal urodynamic parameters in women: part II--invasive urodynamics.女性正常尿动力学参数:第二部分——侵入性尿动力学
Int Urogynecol J. 2012 Mar;23(3):269-77. doi: 10.1007/s00192-011-1585-y. Epub 2011 Oct 20.
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Bacterial biofilms in patients with indwelling urinary catheters.留置导尿管患者的细菌生物膜
Nat Clin Pract Urol. 2008 Nov;5(11):598-608. doi: 10.1038/ncpuro1231. Epub 2008 Oct 14.
9
Translabial ultrasonography in the assessment of urethral diameter and intrinsic urethral sphincter deficiency.经阴唇超声检查在评估尿道直径和先天性尿道括约肌功能不全中的应用
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Tension, stress and modulus of elasticity of the urinary bladder wall.膀胱壁的张力、应力和弹性模量。
Acta Physiol Scand. 1974 Dec;92(4):488-95. doi: 10.1111/j.1748-1716.1974.tb05770.x.