Perspective: The Physics, Diagnostics, and Applications of Atmospheric Pressure Low Temperature Plasma Sources Used in Plasma Medicine

Low temperature plasmas have been used in various plasma processing applications for several decades. But it is only in the last thirty years or so that sources generating such plasmas at atmospheric pressure in reliable and stable ways have become more prevalent. First, in the late 1980s, the dielectric barrier discharge was used to generate relatively large volume diffuse plasmas at atmospheric pressure. Then, in the early 2000s, plasma jets that can launch cold plasma plumes in ambient air were developed. Extensive experimental and modeling work was carried out on both methods and much of the physics governing such sources was elucidated. Starting in the mid-1990s, low temperature plasma discharges have been used as sources of chemically reactive species that can be transported to interact with biological media, cells, and tissues and induce impactful biological effects. However, many of the biochemical pathways whereby plasma affects cells remain not well understood. This situation is changing rather quickly because the field, known today as plasma medicine, has experienced exponential growth in the last few years thanks to a global research community that engaged in fundamental and applied research involving the use of cold plasma for the inactivation of bacteria, dental applications, wound healing, and the destruction of cancer cells/tumors. In this perspective, the authors first review the physics as well as the diagnostics of the principal plasma sources used in plasma medicine. Then, brief descriptions of their biomedical applications are presented. To conclude, the authors\u27 personal assessment of the present status and future outlook of the field is given. Published by AIP Publishing

Ignition of a Large Volume Plasma with a Plasma Jet

Here we report on a method to generate a long plasma plume and to ignite a large volume plasma by means of the jet. The plasma plume is generated by our tube reactor and then introduced into a chamber where the pressure is controlled. We discovered there are three operating phases:Aphasewhere the plume length remains approximately constant, followed by a second phase where the jet increases in length as the pressure decreases. Then at pressures below 70 Torr a mode transition occurs where the plume length decreases and the plasma expands until the entire chamber is filled

Foundations of plasmas for medical applications

Plasma medicine refers to the application of nonequilibrium plasmas at approximately body temperature, for therapeutic purposes. Nonequilibrium plasmas are weakly ionized gases which contain charged and neutral species and electric fields, and emit radiation, particularly in the visible and ultraviolet range. Medically-relevant cold atmospheric pressure plasma (CAP) sources and devices are usually dielectric barrier discharges and nonequilibrium atmospheric pressure plasma jets. Plasma diagnostic methods and modelling approaches are used to characterize the densities and fluxes of active plasma species and their interaction with surrounding matter. In addition to the direct application of plasma onto living tissue, the treatment of liquids like water or physiological saline by a CAP source is performed in order to study specific biological activities. A basic understanding of the interaction between plasma and liquids and bio-interfaces is essential to follow biological plasma effects. Charged species, metastable species, and other atomic and molecular reactive species first produced in the main plasma ignition are transported to the discharge afterglow to finally be exposed to the biological targets. Contact with these liquid-dominated bio-interfaces generates other secondary reactive oxygen and nitrogen species (ROS, RNS). Both ROS and RNS possess strong oxidative properties and can trigger redox-related signalling pathways in cells and tissue, leading to various impacts of therapeutic relevance. Dependent on the intensity of plasma exposure, redox balance in cells can be influenced in a way that oxidative eustress leads to stimulation of cellular processes or oxidative distress leads to cell death. Currently, clinical CAP application is realized mainly in wound healing. The use of plasma in cancer treatment (i.e. plasma oncology) is a currently emerging field of research. Future perspectives and challenges in plasma medicine are mainly directed towards the control and optimization of CAP devices, to broaden and establish its medical applications, and to open up new plasma-based therapies in medicine

Plasma Interaction With Microbes

The germicidal effects of a non-equilibrium atmospheric pressure plasma generated by a novel resistive barrier discharge on representatives of the two classes of bacteria (Gram-negative and Gram-positive) are discussed. The plasma exposure, while being lethal to both bacterial classes, also produced gross structural damage in the Gram-negative E. coli while none was observed in the more structurally robust Gram-positive Bacillus subtilis. An electrophysical process involving the role of the electrostatic tension on a charged body in a plasma is invoked to explain both observations. Since the efficacy of this electrophysical process depends not only on the tensile strength of the bacterial cell wall but also on its shape and texture, the need for more experimental studies, using a wide range of bacteria belonging to various morphological groups, is suggested. Ways to further test the validity of this electrophysical lysis mechanism for Gram-negative bacteria on one hand, and also to extend its operation to the more robust Gram-positive bacteria on the other, are suggested

Foundations of Plasmas for Medical Applications

Plasma medicine refers to the application of nonequilibrium plasmas at approximately body temperature, for therapeutic purposes. Nonequilibrium plasmas are weakly ionized gases which contain charged and neutral species and electric fields, and emit radiation, particularly in the visible and ultraviolet range. Medically-relevant cold atmospheric pressure plasma (CAP) sources and devices are usually dielectric barrier discharges and nonequilibrium atmospheric pressure plasma jets. Plasma diagnostic methods and modelling approaches are used to characterize the densities and fluxes of active plasma species and their interaction with surrounding matter. In addition to the direct application of plasma onto living tissue, the treatment of liquids like water or physiological saline by a CAP source is performed in order to study specific biological activities. A basic understanding of the interaction between plasma and liquids and bio-interfaces is essential to follow biological plasma effects. Charged species, metastable species, and other atomic and molecular reactive species first produced in the main plasma ignition are transported to the discharge afterglow to finally be exposed to the biological targets. Contact with these liquid-dominated bio-interfaces generates other secondary reactive oxygen and nitrogen species (ROS, RNS). Both ROS and RNS possess strong oxidative properties and can trigger redox-related signalling pathways in cells and tissue, leading to various impacts of therapeutic relevance. Dependent on the intensity of plasma exposure, redox balance in cells can be influenced in a way that oxidative eustress leads to stimulation of cellular processes or oxidative distress leads to cell death. Currently, clinical CAP application is realized mainly in wound healing. The use of plasma in cancer treatment (i.e. plasma oncology) is a currently emerging field of research. Future perspectives and challenges in plasma medicine are mainly directed towards the control and optimization of CAP devices, to broaden and establish its medical applications, and to open up new plasma-based therapies in medicine

Power Consideration in the Pulsed Dielectric Barrier Discharge at Atmospheric Pressure

Nonequilibrium, atmospheric pressure discharges are rapidly becoming an important technological component in material processing applications. Amongst their attractive features is the ability to achieve enhanced gas phase chemistry without the need for elevated gas temperatures. To further enhance the plasma chemistry, pulsed operation with pulse widths in the nanoseconds range has been suggested. We report on a specially designed, dielectric barrier discharge based diffuse pulsed discharge and its electrical characteristics. Two current pulses corresponding to two consecutive discharges are generated per voltage pulse. The second discharge, which occurs at the falling edge of the voltage pulse, is induced by the charges stored on the electrode dielectric during the initial discharge. Therefore, the power supplied to ignite the first discharge is partly stored to later ignite a second discharge when the applied voltage decays. This process ultimately leads to a much improved power transfer to the plasma

Evaluation of the Effects of a Plasma Activated Medium on Cancer Cells

The interaction of low temperature plasma with liquids is a relevant topic of study to the field of plasma medicine. This is because cells and tissues are normally surrounded or covered by biological fluids. Therefore, the chemistry induced by the plasma in the aqueous state becomes crucial and usually dictates the biological outcomes. This process became even more important after the discovery that plasma activated media can be useful in killing various cancer cell lines. Here, we report on the measurements of concentrations of hydrogen peroxide, a species known to have strong biological effects, produced by application of plasma to a minimum essential culture medium. The activated medium is then used to treat SCaBER cancer cells. Results indicate that the plasma activated medium can kill the cancer cells in a dose dependent manner, retain its killing effect for several hours, and is as effective as apoptosis inducing drugs

Numerical simulation of the force generated by a superelastic NiTi orthodontic archwire during tooth alignment phase: comparison between different constitutive models

International audienceNickel Titanium (NiTi) Superelastic (SE) Shape Memory Alloys (SMAs) are widely considered for applications that need high reversible strain or high recovery forces. In particular, the SE SMAs present a high interest for biomedical applications such as endodontic and orthodontic apparatus. They are available in a large variety of archwires exerting continuum forces to ensure the dental displacement. The purpose of this study is to report the clinical implications of NiTi SE wires for dental treatment in a given configuration. Three main constitutive models of the literature (Lagoudas and Boyd 1996 Int. J. Plast. 12 805–842, Auricchio and Petrini 2004 Int. J. Numer. Meth. Engng . 61 807–836 and Chemisky et al 2011 Mech. Mater . 68 361–376) are considered for the finite element (FE) numerical simulations of the SMA archwires response. Tensile tests had been carried out in order to identify the material parameters of these constitutive models. The FE numerical study allowed to predict the dental displacement and its corresponding orthodontic force level exerted by the wire in similar conditions to those in the oral environment. This work allows to predict the orthodontic generated load by a NiTi SE archwire with a 0.64 × 0.46 mm 2 rectangular cross section under prescribed thermomechanical conditions. The effect of the temperature and the alveolar bone stiffness on the orthodontic load level and the tooth displacement degree has been investigated. The performed numerical simulations demonstrate that the orthodontic load is sensitive to the displacement magnitude, to the tooth stiffness and to the temperature variations. The obtained forces applied continuously and at a constant level are within the acceptable orthodontic force level range. Some directives are therefore provided to help orthodontists to select the optimal archwire

A cardiac hydatid cyst underlying pulmonary embolism: a case report

Hydatid cysts located in the interatrial septum are especially rare but when they occur, they might cause intracavity rupture. We report on a patient with acute pulmonary embolism caused by an isolated, ruptured hydatid cyst on the right side of the interatrial septum. A 16-year-old-boy with an uneventful history was hospitalized for exercise-induced dyspnea and blood expectorations. Multiple and bilateral opacities were visualized on standard chest x-ray. Signs of right-sided hypertrophy were seen on ECG. Imaging findings led to the diagnosis of pulmonary embolism complicating cardiac hydatid cysts. An operation was performed through median sternotomy to remove the cardiac cyst. The pleural cavity was entered through the fifth intercostal space to withdraw lung hydatid cysts. Operative recovery was uneventful and the patient resumed his normal activities 19 months later. Prompt diagnosis and an appropriate surgical treatment prevented a potentially fatal outcome.Key words: Echinococcosis, Hydatidosis, Pulmonary embolism, cardiac, hydatid cys

Structure-property and composition-property relationships for poly(ethylene terephthalate) surfaces modified by helium plasma-based ion implantation

The surfaces of untreated and helium plasma-based ion implantation (He PBII) treated poly(ethylene terephthalate) (PET) samples were characterised by reflectance colorimetry, contact angle studies and measurements of surface electrical resistance. The results were related to the structural and compositional data obtained by the authors earlier on parallel samples by XPS and Raman spectroscopy. Inverse correlations between lightness and ID/IG ratio and between chroma and ID/IG ratio were obtained, suggesting that the PBII-treated PET samples darken and their colourfulness decreases with the increase of the portion of aromatic sp2 carbon rings in the chemical structure of the modified layer. Direct correlation between water contact angle and the ID/IG ratio and inverse correlations between surface energy and ID/IG ratio and between dispersive component of surface energy and ID/IG ratio were found, reflecting that surface wettability, surface energy and its dispersive component decrease with the formation of surface structure, characterised again by enhanced portion of aromatic sp2 carbon rings. The surface electrical resistance decreased with the increase of the surface C-content determined by XPS and also with the increase of the surface concentration of conjugated double bonds, reflected by the increase of the pi-pi* shake-up satellite of the C 1s peak