Future of smart cardiovascular implants

Cardiovascular disease remains the leading cause of death in Western society. Recent technological advances have opened the opportunity of developing new and innovative smart stent devices that have advanced electrical properties that can improve diagnosis and even treatment of previously intractable conditions, such as central line access failure, atherosclerosis and reporting on vascular grafts for renal dialysis. Here we review the latest advances in the field of cardiovascular medical implants, providing a broad overview of the application of their use in the context of cardiovascular disease rather than an in-depth analysis of the current state of the art. We cover their powering, communication and the challenges faced in their fabrication. We focus specifically on those devices required to maintain vascular access such as ones used to treat arterial disease, a major source of heart attacks and strokes. We look forward to advances in these technologies in the future and their implementation to improve the human condition

Carrier systems and biosensors for biomedical applications.

This chapter addresses both carrier systems and biosensors which are often applied directly to tissues, either as skin patches, implanted or ingested by a variety of routes. It follows that there is a common theme between these applications and many of those discussed elsewhere within this book. Any device, scaffold or implant within the body must usually display extreme biocompatibility if it is not to cause harm to the patient. The techniques of tailoring surfaces to ensure no adverse reactions are a common theme running throughout this work on tissue engineering

Biomaterials Evaluation: Conceptual Refinements and Practical Reforms

Regarding the widespread and ever-increasing applications of biomaterials in different medical fields, their accurate assessment is of great importance. Hence the safety and efficacy of biomaterials is confirmed only through the evaluation process, the way it is done has direct effects on public health. Although every biomaterial undergoes rigorous premarket evaluation, the regulatory agencies receive a considerable number of complications and adverse event reports annually. The main factors that challenge the process of biomaterials evaluation are dissimilar regulations, asynchrony of biomaterials evaluation and biomaterials development, inherent biases of postmarketing data, and cost and timing issues. Several pieces of evidence indicate that current medical device regulations need to be improved so that they can be used more effectively in the evaluation of biomaterials. This article provides suggested conceptual refinements and practical reforms to increase the efficiency and effectiveness of the existing regulations. The main focus of the article is on strategies for evaluating biomaterials in US, and then in EU

Redefining biomaterial biocompatibility: challenges for artificial intelligence and text mining

The surge in ‘Big data’ has significantly influenced biomaterials research and development, with vast data volumes emerging from clinical trials, scientific literature, electronic health records, and other sources. Biocompatibility is essential in developing safe medical devices and biomaterials to perform as intended without provoking adverse reactions. Therefore, establishing an artificial intelligence (AI)-driven biocompatibility definition has become decisive for automating data extraction and profiling safety effectiveness. This definition should both reflect the attributes related to biocompatibility and be compatible with computational data-mining methods. Here, we discuss the need for a comprehensive and contemporary definition of biocompatibility and the challenges in developing one. We also identify the key elements that comprise biocompatibility, and propose an integrated biocompatibility definition that enables data-mining approaches.Peer ReviewedPostprint (published version

Surface disinfections: present and future

The propagation of antibiotic resistance increases the chances of major infections for patients during hospitalization and the spread of health related diseases. Therefore finding new and effective solutions to prevent the proliferation of pathogenic microorganisms is critical, in order to protect hospital environment, such as the surfaces of biomedical devices. Modern nanotechnology has proven to be an effective countermeasure to tackle the threat of infections. On this note, recent scientific breakthroughs have demonstrated that antimicrobial nanomaterials are effective in preventing pathogens from developing resistance. Despite the ability to destroy a great deal of bacteria and control the outbreak of infections, nanomaterials present many other advantages. Moreover, it is unlikely for nanomaterials to develop resistance due to their multiple and simultaneous bactericidal mechanisms. In recent years, science has explored more complex antimicrobial coatings and nanomaterials based on graphene have shown great potential in antibacterial treatment. The purpose of this article is to deepen the discussion on the threat of infections related to surface disinfection and to assess the state of the art and potential solutions, with specific focus on disinfection procedures using nanomaterials

Testing, characterisation and regulations of antimicrobial textiles

Nowadays, antimicrobial textile has been widely applied in several sectors, including hospitals and healthcare centres, food industry, clothing industry and in domestic environment. Antimicrobial textiles are particularly used in active patches and dressings for wound healing, infection prevention and control (IPC) articles, deodorization and anti-fungi clothing, among other applications. This chapter reviews the characterization, standard testing methods as well as existing regulations in Europe and the United States for antimicrobial textiles. Antimicrobial textiles were characterized based on their application area. A summary of the efficacy testing standards on antimicrobial textiles was presented and critically discussed. Safety evaluation, comprising the risk assessment was also introduced. The increasing use of antimicrobial textiles is in need of further development of regulations and international testing standards for safety and efficacy evaluation in vitro including preclinical testing if applicable. Moreover, particular attention was given to the development of durability test standards.The authors would like to acknowledge the project PLASMAMED - PTDC/CTMTEX/28295/2017 financed by Portuguese Foundation for Science and Technology (FCT), FEDER and POCI in the frame of the Portugal 2020 program. In addition, Xinyu Song and Ana Isabel Ribeiro acknowledge FCT PhD grants SFRH/BD/130028/2017 and SFRH/BD/137668/2018, respectivel

Communication system for a tooth-mounted RF sensor used for continuous monitoring of nutrient intake

In this Thesis, the communication system of a wearable device that monitors the user’s diet is studied. Based in a novel RF metamaterial-based mouth sensor, different decisions have to be made concerning the system’s technologies, such as the power source options for the device, the wireless technology used for communications and the method to obtain data from the sensor. These issues, along with other safety rules and regulations, are reviewed, as the first stage of development of the Food-Intake Monitoring projectOutgoin

Mouthpiece for Patients with Neuromuscular Disorders

Neuromuscular Disorders (NMDs) impact people throughout the world. An early hallmark of these disorders includes some degree of facial muscle weakness. Respiratory testing is important to evaluate the progression of these patients’ NMDs. However, these tests require that the patient purses their lips around a mouthpiece to create a tight seal. This is a difficult task for one with facial muscle degeneration. This often leads to results that fail to reflect the patient’s true respiratory ability and prevents their physician from providing the appropriate degree of care. The objective of this project was to develop a face mask or mouthpiece for Negative Inspiratory Force (NIF) testing to allow these users to create a proper seal without use of their facial muscles. Through the engineering design process, a 3D printed prototype was designed to interface with NIF testing equipment. This proposed design uses bite force to create a tight seal, allowing for accurate test results, enhanced comfort, and better patient outcomes