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Biomimetic artificial sphincter muscles - status and challenges

文献类型: 会议论文

第一作者: Vanessa Leung

作者: Vanessa Leung 1 ; Elisa Fattorini 1 ; Maria Karapetkova 1 ; Bekim Osmani 1 ; Tino T?pper 1 ; Florian Weiss 1 ; Bert Müllera 1 ;

作者机构: 1.Biomaterials Science Center, University of Basel, Gewerbestrasse 14, 4123 Allschwil, Switzerland

关键词: Fecal incontinence;artificial sphincter;dielectric elastomer;nanometer thin films;sensors;actuators

会议名称: SPIE Conference on Bioinspiration, Biomimetics, and Bioreplication

主办单位:

页码: 97970M-1-97970M-7

摘要: Fecal incontinence is the involuntary loss of bowel content and affects more than 12 % of the adult population, including 45 % of retirement home residents. Severe fecal incontinence is often treated by implanting an artificial sphincter. Currently available implants, however, have long-term reoperation rates of 95 % and definitive explantation rates of 40 %. These statistics show that the implants fail to reproduce the capabilities of the natural sphincter and that the development of an adaptive, biologically inspired implant is required. Dielectric elastomer actuators (DEA) are being developed as artificial muscles for a biomimetic sphincter, due to their suitable response time, reaction forces, and energy consumption. However, at present the operation voltage of DEAs is too high for artificial muscles implanted in the human body. To reduce the operating voltage to tens of volts, we are using microfabrication to reduce the thickness of the elastomer layer to the nanometer level. Two microfabrication methods are being investigated: molecular beam deposition and electrospray deposition. This communication covers the current status and a perspective on the way forward, including the long-term prospects of constructing a smart sphincter from low-voltage sensors and actuators based on nanometer-thin dielectric elastomer films. As DEA can also provide sensory feedback, a biomimetic sphincter can be designed in accordance with the geometrical and mechanical parameters of its natural counterpart. The availability of such technology will enable fast pressure adaption comparable to the natural feedback mechanism, so that tissue atrophy and erosion can be avoided while maintaining continence during daily activities.

分类号: N-532

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