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1.
Proc Natl Acad Sci U S A ; 120(11): e2217734120, 2023 03 14.
Artículo en Inglés | MEDLINE | ID: mdl-36888661

RESUMEN

Degradable polymer matrices and porous scaffolds provide powerful mechanisms for passive, sustained release of drugs relevant to the treatment of a broad range of diseases and conditions. Growing interest is in active control of pharmacokinetics tailored to the needs of the patient via programmable engineering platforms that include power sources, delivery mechanisms, communication hardware, and associated electronics, most typically in forms that require surgical extraction after a period of use. Here we report a light-controlled, self-powered technology that bypasses key disadvantages of these systems, in an overall design that is bioresorbable. Programmability relies on the use of an external light source to illuminate an implanted, wavelength-sensitive phototransistor to trigger a short circuit in an electrochemical cell structure that includes a metal gate valve as its anode. Consequent electrochemical corrosion eliminates the gate, thereby opening an underlying reservoir to release a dose of drugs by passive diffusion into surrounding tissue. A wavelength-division multiplexing strategy allows release to be programmed from any one or any arbitrary combination of a collection of reservoirs built into an integrated device. Studies of various bioresorbable electrode materials define the key considerations and guide optimized choices in designs. In vivo demonstrations of programmed release of lidocaine adjacent the sciatic nerves in rat models illustrate the functionality in the context of pain management, an essential aspect of patient care that could benefit from the results presented here.


Asunto(s)
Implantes Absorbibles , Sistemas de Liberación de Medicamentos , Ratas , Animales , Electrónica , Polímeros
2.
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
3.
Adv Mater ; 27(37): 5553-8, 2015 Oct 07.
Artículo en Inglés | MEDLINE | ID: mdl-26292202

RESUMEN

Negatively polarized ferroelectric polymer ß-P(VDF-TrFE) shows higher positive triboelectric properties than skin, which could lead to new medical applications. Kelvin force microscope measurements and triboelectric nanogenerator characterizations are performed to demonstrate this new property. In addition, how many negative charges are exchanged by contact electrification between the negatively polarized ß-P(VDF-TrFE) and the skin is estimated.


Asunto(s)
Estimulación Eléctrica , Electricidad , Polímeros/química , Fenómenos Fisiológicos de la Piel , Animales , Estimulación Eléctrica/instrumentación , Estimulación Eléctrica/métodos , Electrodos , Humanos , Hidrocarburos Fluorados/síntesis química , Hidrocarburos Fluorados/química , Masculino , Ratones Endogámicos ICR , Modelos Animales , Nanotecnología/métodos , Oscilometría , Polímeros/síntesis química , Espectroscopía Infrarroja por Transformada de Fourier , Compuestos de Vinilo/síntesis química , Compuestos de Vinilo/química
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