Untethered shape-changing devices in the gastrointestinal tract

INTRODUCTION: Advances in microfabrication, automation, and computer engineering seek to revolutionize small-scale devices and machines. Emerging trends in medicine point to smart devices that emulate the motility, biosensing abilities, and intelligence of cells and pathogens that inhabit the human body. Two important characteristics of smart medical devices are the capability to be deployed in small conduits, which necessitates being untethered, and the capacity to perform mechanized functions, which requires autonomous shape-changing.

AREAS COVERED: We motivate the need for untethered shape-changing devices in the gastrointestinal tract for drug delivery, diagnosis, and targeted treatment. We survey existing structures and devices designed and utilized across length scales from the macro to the sub-millimeter. These devices range from triggerable pre-stressed thin film microgrippers and spring-loaded devices to shape-memory and differentially swelling structures.

EXPERT OPINION: Recent studies demonstrate that when fully enabled, tether-free and shape-changing devices, especially at sub-mm scales, could significantly advance the diagnosis and treatment of GI diseases ranging from cancer and inflammatory bowel disease (IBD) to irritable bowel syndrome (IBS) by improving treatment efficacy, reducing costs, and increasing medication compliance. We discuss the challenges and possibilities associated with ensuring safe, reliable, and autonomous operation of these smart devices.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:20

Enthalten in:

Expert opinion on drug delivery - 20(2023), 12 vom: 01. Juli, Seite 1801-1822

Sprache:

Englisch

Beteiligte Personen:

Liu, Wangqu [VerfasserIn]
Choi, Soo Jin [VerfasserIn]
George, Derosh [VerfasserIn]
Li, Ling [VerfasserIn]
Zhong, Zijian [VerfasserIn]
Zhang, Ruili [VerfasserIn]
Choi, Si Young [VerfasserIn]
Selaru, Florin M [VerfasserIn]
Gracias, David H [VerfasserIn]

Links:

Volltext

Themen:

Capsule endoscope
Extended drug release
Ingestible electronics
Journal Article
Microrobots
Minimally invasive surgery
Monoclonal antibodies
Oral delivery of biologics
Research Support, N.I.H., Extramural
Review
Targeted delivery

Anmerkungen:

Date Completed 01.01.2024

Date Revised 18.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/17425247.2023.2291450

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365358436