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Nat Commun ; 11(1): 5990, 2020 11 25.
Artículo en Inglés | MEDLINE | ID: mdl-33239608

RESUMEN

Bioresorbable electronic stimulators are of rapidly growing interest as unusual therapeutic platforms, i.e., bioelectronic medicines, for treating disease states, accelerating wound healing processes and eliminating infections. Here, we present advanced materials that support operation in these systems over clinically relevant timeframes, ultimately bioresorbing harmlessly to benign products without residues, to eliminate the need for surgical extraction. Our findings overcome key challenges of bioresorbable electronic devices by realizing lifetimes that match clinical needs. The devices exploit a bioresorbable dynamic covalent polymer that facilitates tight bonding to itself and other surfaces, as a soft, elastic substrate and encapsulation coating for wireless electronic components. We describe the underlying features and chemical design considerations for this polymer, and the biocompatibility of its constituent materials. In devices with optimized, wireless designs, these polymers enable stable, long-lived operation as distal stimulators in a rat model of peripheral nerve injuries, thereby demonstrating the potential of programmable long-term electrical stimulation for maintaining muscle receptivity and enhancing functional recovery.


Asunto(s)
Implantes Absorbibles , Terapia por Estimulación Eléctrica/instrumentación , Traumatismos de los Nervios Periféricos/terapia , Poliuretanos/química , Tecnología Inalámbrica/instrumentación , Animales , Modelos Animales de Enfermedad , Terapia por Estimulación Eléctrica/métodos , Femenino , Humanos , Ensayo de Materiales , Músculo Esquelético/inervación , Músculo Esquelético/fisiología , Ratas , Regeneración , Nervio Ciático/lesiones , Nervio Ciático/fisiología
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