Dataset Information

Smart surgical sutures using soft artificial muscles.

ABSTRACT: Wound closure with surgical sutures is a critical challenge for flexible endoscopic surgeries. Substantial efforts have been introduced to develop functional and smart surgical sutures to either monitor wound conditions or ease the complexity of knot tying. Although research interests in smart sutures by soft robotic technologies have emerged for years, it is challenging to develop a soft robotic structure that possesses a similar physical structure as conventional sutures while offering a self-tightening knot or anchor to close the wound. This paper introduces a new concept of smart sutures that can be programmed to achieve desired and uniform tension distribution while offering self-tightening knots or automatically deploying secured anchors. The core technology is a soft hydraulic artificial muscle that can be elongated and contracted under applied fluid pressure. Each suture is equipped with a pressure locking mechanism to hold its temporary elongated state and to induce self-shrinking ability. The puncturing and holding force for the smart sutures with anchors are examined. Ex-vivo experiments on fresh porcine stomach and colon demonstrate the usefulness of the new smart sutures. The new approaches are expected to pave the way for the further development of smart sutures that will benefit research, training, and commercialization in the surgical field.

SUBMITTER: Phan PT

PROVIDER: S-EPMC8599709 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Smart surgical sutures using soft artificial muscles.

Phan Phuoc Thien PT Hoang Trung Thien TT Thai Mai Thanh MT Low Harrison H Davies James J Lovell Nigel H NH Do Thanh Nho TN

Scientific reports 20211117 1

Wound closure with surgical sutures is a critical challenge for flexible endoscopic surgeries. Substantial efforts have been introduced to develop functional and smart surgical sutures to either monitor wound conditions or ease the complexity of knot tying. Although research interests in smart sutures by soft robotic technologies have emerged for years, it is challenging to develop a soft robotic structure that possesses a similar physical structure as conventional sutures while offering a self- ...[more]

PMID: 34789808

Similar Datasets

Project description:The combination of a commercially available PGLA (poly[glycolide-co-l-lactide]), 90:10% suture material with bioactive bioglass nanopowders (BGNs) and graphene oxide (GO)-doped BGNs offers new opportunities for the clinical application of biomaterials in soft tissue engineering. In the present experimental work, we demonstrate that GO-doped melt-derived BGNs were synthesized via the sol-gel process. After that, novel GO-doped and undoped BGNs were used to coat resorbable PGLA surgical sutures, thereby imparting bioactivity, biocompatibility, and accelerated wound healing properties to the sutures. Stable and homogeneous coatings on the surface of the sutures were achieved using an optimized vacuum sol deposition method. The phase composition, morphology, elemental characteristics, and chemical structure of uncoated and BGNs- and BGNs/GO-coated suture samples were characterized using Fourier transform infrared spectroscopy, field emission scanning electron microscopy, associated with elemental analysis, and knot performance test. In addition, in vitro bioactivity tests, biochemical tests, and in vivo tests were performed to examine the role of BGNs and GO on the biological and histopathological properties of the coated suture samples. The results indicated that the formation of BGNs and GO was enhanced significantly on the suture surface, which allowed for enhanced fibroblast attachment, migration, and proliferation and promoted the secretion of the angiogenic growth factor to speed up wound healing. These results confirmed the biocompatibility of BGNs- and BGNs/GO-coated suture samples and the positive effect of BGNs on the behavior of L929 fibroblast cells and also showed for the first time the possibility that cells can adhere and proliferate on the BGNs/GO-coated suture samples, especially in an in vivo environment. Resorbable surgical sutures with bioactive coatings, such as those prepared herein, can be an attractive biomaterial not only for hard tissue engineering but also for clinical applications in soft tissue engineering.

Project description:The delivery of bioactive molecules (drugs) with control over spatial distribution remains a challenge. Herein, we demonstrate for the first time an electrofluidic approach to controlled delivery into soft tissue models based on gelatin methacryloyl (GelMA) hydrogels. This was achieved using a surgical suture, whereby transport of bioactive molecules, including drugs and proteins, was controlled by imposition of an electric field. Commonly employed surgical sutures or acrylic threads were integrated through the hydrogels to facilitate the directed introduction of bioactive species. The platform consisted of two reservoirs into which the ends of the thread were immersed. The anode and cathode were placed separately into each reservoir. The thread was taken from one reservoir to the other through the gel. When current was applied, biomolecules loaded onto the thread were directed into the gel. Under the same conditions, the rate of movement of the biomolecules along GelMA was dependent on the magnitude of the current. Using 5% GelMA and a current of 100 µA, 2 uL of fluorescein travelled through the hydrogel at a constant velocity of 7.17 ± 0.50 um/s and took less than 8 minutes to exit on the thread. Small molecules such as riboflavin migrated faster (5.99 ± 0.40 μm/s) than larger molecules such as dextran (2.26 ± 0.55 μm/s with 4 kDa) or BSA (0.33 ± 0.07 μm/s with 66.5 kDa). A number of commercial surgical sutures were tested and found to accommodate the controlled movement of biomolecules. Polyester, polyglactin 910, glycolide/lactide copolymer and polyglycolic acid braided sutures created adequate fluid connection between the electrodes and the hydrogel. With a view to application in skin inflammatory diseases and wound treatment, wound healing, slow and controlled delivery of dexamethasone 21-phosphate disodium salt (DSP), an anti-inflammatory prodrug, was achieved using medical surgicryl PGA absorbable suture. After 2 hours of electrical stimulation, still 81.1% of the drug loaded was encapsulated within the hydrogel.

Project description:Robots operating in changing underwater environments may be required to adapt to these varying conditions. In tidal estuaries, for example, where the degree of salinity cycles in step with the level of the water, a robot may need to adapt its behaviour depending on the position of the tide. In freshwater bodies, the unexpected presence of a pollutant may also require the robot to respond by altering its behaviour. Embodying this sensing and response in the body of the robot means that adaptivity to the environment can be achieved without resorting to centralised control. This can also allow direct responsivity using 'free' environmental energy, actuating without requiring stored onboard energy. In this work we present a soft artificial muscle, the contraction of which varies in response to the salinity the water surrounding it. The novel actuator uses a super-absorbent polymer gel encapsulated within a series of discrete cells. This gel readily absorbs water through the membrane wall of the actuator, and can swell to over 300 times its initial volume. This swelling generates significant pressure, changing the shape of the cells and driving the contraction of the muscle. The degree of swelling is significantly reduced by the presence of salts and pollutants in the surrounding water, so transitioning from a freshwater to a saltwater environment causes the muscle to relax. In this paper, we discuss the design and fabrication of these superabsorbent polymer-based Bubble Artificial Muscle (SAP-BAM) actuators. The tensile properties of the muscle under actuated (fresh water) and relaxed (salt water) conditions are characterised, showing a maximum generated force of 10.96N. The length response under constant load for a full actuation cycle is given, showing a maximum contraction of 27.5% of the initial length at 1N load, and the performance over repeated actuation and relaxation cycles is shown. The SAP-BAM muscles are straightforward to fabricate and are composed of low-cost, freely-available materials. Many existing pneumatically-actuated muscles can be modified to use the approach taken for this muscle. The muscle presented in this work represents the first example of a new class of super-absorbent polymer-driven environmental soft artificial muscles.

Dataset Information

Smart surgical sutures using soft artificial muscles.

Publications

Smart surgical sutures using soft artificial muscles.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets