Ex vivo validation of magnetically actuated intravascular untethered robots in a clinical setting

Abstract Intravascular surgical instruments require precise navigation within narrow vessels, necessitating maximum flexibility, minimal diameter, and high degrees of freedom. Existing tools often lack control during insertion due to undesirable bending, limiting vessel accessibility and risking tis...

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Main Authors: Leendert-Jan W. Ligtenberg, Nicole C. A. Rabou, Constantinos Goulas, Wytze C. Duinmeijer, Frank R. Halfwerk, Jutta Arens, Roger Lomme, Veronika Magdanz, Anke Klingner, Emily A. M. Klein Rot, Colin H. E. Nijland, Dorothee Wasserberg, H. Remco Liefers, Pascal Jonkheijm, Arturo Susarrey-Arce, Michiel Warlé, Islam S. M. Khalil
Format: Article
Language:English
Published: Nature Portfolio 2024-05-01
Series:Communications Engineering
Online Access:https://doi.org/10.1038/s44172-024-00215-2
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author Leendert-Jan W. Ligtenberg
Nicole C. A. Rabou
Constantinos Goulas
Wytze C. Duinmeijer
Frank R. Halfwerk
Jutta Arens
Roger Lomme
Veronika Magdanz
Anke Klingner
Emily A. M. Klein Rot
Colin H. E. Nijland
Dorothee Wasserberg
H. Remco Liefers
Pascal Jonkheijm
Arturo Susarrey-Arce
Michiel Warlé
Islam S. M. Khalil
author_facet Leendert-Jan W. Ligtenberg
Nicole C. A. Rabou
Constantinos Goulas
Wytze C. Duinmeijer
Frank R. Halfwerk
Jutta Arens
Roger Lomme
Veronika Magdanz
Anke Klingner
Emily A. M. Klein Rot
Colin H. E. Nijland
Dorothee Wasserberg
H. Remco Liefers
Pascal Jonkheijm
Arturo Susarrey-Arce
Michiel Warlé
Islam S. M. Khalil
author_sort Leendert-Jan W. Ligtenberg
collection DOAJ
description Abstract Intravascular surgical instruments require precise navigation within narrow vessels, necessitating maximum flexibility, minimal diameter, and high degrees of freedom. Existing tools often lack control during insertion due to undesirable bending, limiting vessel accessibility and risking tissue damage. Next-generation instruments aim to develop hemocompatible untethered devices controlled by external magnetic forces. Achieving this goal remains complex due to testing and implementation challenges in clinical environments. Here we assess the operational effectiveness of hemocompatible untethered magnetic robots using an ex vivo porcine aorta model. The results demonstrate a linear decrease in the swimming speed of untethered magnetic robots as arterial blood flow increases, with the capability to navigate against a maximum arterial flow rate of 67 mL/min. The untethered magnetic robots effectively demonstrate locomotion in a difficult-to-access target site, navigating through the abdominal aorta and reaching the distal end of the renal artery.
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publishDate 2024-05-01
publisher Nature Portfolio
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spelling doaj-art-b6b9cb6c9e7e4a78a29bec813faa03e82025-02-09T12:39:20ZengNature PortfolioCommunications Engineering2731-33952024-05-013111510.1038/s44172-024-00215-2Ex vivo validation of magnetically actuated intravascular untethered robots in a clinical settingLeendert-Jan W. Ligtenberg0Nicole C. A. Rabou1Constantinos Goulas2Wytze C. Duinmeijer3Frank R. Halfwerk4Jutta Arens5Roger Lomme6Veronika Magdanz7Anke Klingner8Emily A. M. Klein Rot9Colin H. E. Nijland10Dorothee Wasserberg11H. Remco Liefers12Pascal Jonkheijm13Arturo Susarrey-Arce14Michiel Warlé15Islam S. M. Khalil16Department of Biomechanical Engineering, University of TwenteDepartment of Biomechanical Engineering, University of TwenteDepartment of Design Production and Management, University of TwenteDepartment of Biomechanical Engineering, University of TwenteDepartment of Biomechanical Engineering, University of TwenteDepartment of Biomechanical Engineering, University of TwenteRadboud University Medical CenterDepartment of System Design Engineering, University of WaterlooDepartment of Physics, German University in CairoLipoCoat B.V.LipoCoat B.V.LipoCoat B.V.Technical Medical Centre, University of TwenteLipoCoat B.V.Mesoscale Chemical Systems, MESA+ Institute, University of TwenteDepartment of Surgery, Division of Vascular and Transplant Surgery, Radboud University Medical Center NijmegenDepartment of Biomechanical Engineering, University of TwenteAbstract Intravascular surgical instruments require precise navigation within narrow vessels, necessitating maximum flexibility, minimal diameter, and high degrees of freedom. Existing tools often lack control during insertion due to undesirable bending, limiting vessel accessibility and risking tissue damage. Next-generation instruments aim to develop hemocompatible untethered devices controlled by external magnetic forces. Achieving this goal remains complex due to testing and implementation challenges in clinical environments. Here we assess the operational effectiveness of hemocompatible untethered magnetic robots using an ex vivo porcine aorta model. The results demonstrate a linear decrease in the swimming speed of untethered magnetic robots as arterial blood flow increases, with the capability to navigate against a maximum arterial flow rate of 67 mL/min. The untethered magnetic robots effectively demonstrate locomotion in a difficult-to-access target site, navigating through the abdominal aorta and reaching the distal end of the renal artery.https://doi.org/10.1038/s44172-024-00215-2
spellingShingle Leendert-Jan W. Ligtenberg
Nicole C. A. Rabou
Constantinos Goulas
Wytze C. Duinmeijer
Frank R. Halfwerk
Jutta Arens
Roger Lomme
Veronika Magdanz
Anke Klingner
Emily A. M. Klein Rot
Colin H. E. Nijland
Dorothee Wasserberg
H. Remco Liefers
Pascal Jonkheijm
Arturo Susarrey-Arce
Michiel Warlé
Islam S. M. Khalil
Ex vivo validation of magnetically actuated intravascular untethered robots in a clinical setting
Communications Engineering
title Ex vivo validation of magnetically actuated intravascular untethered robots in a clinical setting
title_full Ex vivo validation of magnetically actuated intravascular untethered robots in a clinical setting
title_fullStr Ex vivo validation of magnetically actuated intravascular untethered robots in a clinical setting
title_full_unstemmed Ex vivo validation of magnetically actuated intravascular untethered robots in a clinical setting
title_short Ex vivo validation of magnetically actuated intravascular untethered robots in a clinical setting
title_sort ex vivo validation of magnetically actuated intravascular untethered robots in a clinical setting
url https://doi.org/10.1038/s44172-024-00215-2
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