High Intensity Focused Ultrasound Triggered Shape Memory and Drug Release from Biodegradable Polyurethane

Shape-recovery of implanted shape-memory devices remotely triggered via image-guided ultrasound heating

Shape-memory materials hold great potential to impart medical devices with functionalities useful during implantation, locomotion, drug delivery, and removal. However, their clinical translation is limited by a lack of non-invasive and precise methods to trigger and control the shape recovery, especially for devices implanted in deep tissues. In this study, the application of image-guided high-intensity focused ultrasound (HIFU) heating is tested. Magnetic resonance-guided HIFU triggered shape-recovery of a device made of polyurethane urea while monitoring its temperature by magnetic resonance thermometry. Deformation of the polyurethane urea in a live canine bladder (5 cm deep) is achieved with 8 seconds of ultrasound-guided HIFU with millimeter resolution energy focus. Tissue sections show no hyperthermic tissue injury. A conceptual application in ureteral stent shape-recovery reduces removal resistance. In conclusion, image-guided HIFU demonstrates deep energy penetration, safety and speed.

Ultrasound robotics for precision therapy

In recent years, the application of microrobots in precision therapy has gained significant attention. The small size and maneuverability of these micromachines enable them to potentially access regions that are difficult to reach using traditional methods; thus, reducing off-target toxicities and maximizing treatment effectiveness. Specifically, acoustic actuation has emerged as a promising method to exert control. By harnessing the power of acoustic energy, these small machines potentially navigate the body, assemble at the desired sites, and deliver therapies with enhanced precision and effectiveness. Amidst the enthusiasm surrounding these miniature agents, their translation to clinical environments has proven difficult. The primary objectives of this review are threefold: firstly, to offer an overview of the fundamental acoustic principles employed in the field of microrobots; secondly, to assess their current applications in medical therapies, encompassing tissue targeting, drug delivery or even cell infiltration; and lastly, to delve into the continuous efforts aimed at integrating acoustic microrobots into in vivo applications.

Shape memory polyurethanes crosslinked with castor oil-based multifunctional polyols

As both the industry and academia become more focused on biomass-based smart materials, they are attracting a lot of attention. There has been a significant effort in the field of polyurethane (PU) synthesis to replace polyols used in synthesis with bio-derived polyols. Bio-derived polyols have limited application potential for bio-based PU due to their low functionality. Here, we reported castor oil (CO) based multifunctional polyols prepared by grafting thiols such as 1-mercaptoethanol or α-thioglycerol via a facile thiol-ene click reaction method (coded as COM and COT, respectively). Subsequently, bio-based shape memory polyurethanes (SMPU) crosslinked with prepared polyols were synthesized using a 2-step prepolymer method. By confirming the functionality of the synthesized polyols, it was determined that COT has an OH value of 380 mg KOH/g, which is approximately three times that of CO. The successful synthesis of SMPUs was confirmed through chemical structural analysis. It was also proved that the phase separation between the soft and hard segments was limited due to the increase in crosslinking density. As compared to SMPU crosslinked with CO, the mechanical strength of SMPU crosslinked with COT was improved by 80%, while the elongation was decreased by about 26%. As a result of shape memory behavior analysis, it was confirmed that the outstanding SMPU can be synthesized using CO-based multifunctional polyols.

Influence of Spinning Method on Shape Memory Effect of Thermoplastic Polyurethane Yarns

Shape memory polymers are gaining increasing attention, especially in the medical field, due to their ability to recover high deformations, low activation temperatures, and relatively high actuation stress. Furthermore, shape memory polymers can be applied as fiber-based solutions for the development of smart devices used in many fields, e.g., industry 4.0, medicine, and skill learning. These kind of applications require sensors, actors, and conductive structures. Textile structures address these applications by meeting requirements such as being flexible, adaptable, and wearable. In this work, the influence of spinning methods and parameters on the effect of shape memory polymer yarns was investigated, comparing melt and wet spinning. It is shown that the spinning method can significantly influence the strain fixation and generated stress during the activation of the shape memory effect. Furthermore, for wet spinning, the draw ratio could affect the stress conversion, influencing its efficiency. Therefore, the selection of the spinning process is essential for the setting of application-specific shape-changing properties.

A review of shape memory polymers based on the intrinsic structures of their responsive switches

Shape memory polymers (SMPs), as stimuli-responsive materials, have attracted worldwide attention. Based on the history and development of SMPs, a variety of reports about SMPs in recent years are summarized in this paper. The responsive switches are analyzed and divided into two kinds according to their intrinsic structures: physical switch and chemical one. Then, detailed classification and comprehensive discussion of SMPs are further elaborated, based on the intrinsic structures of responsive switches and stimulation types. Finally, the development and prospect of SMPs are objectively predicted and forecasted.

Principles for Controlling the Shape Recovery and Degradation Behavior of Biodegradable Shape-Memory Polymers in Biomedical Applications

Polymers with the shape memory effect possess tremendous potential for application in diverse fields, including aerospace, textiles, robotics, and biomedicine, because of their mechanical properties (softness and flexibility) and chemical tunability. Biodegradable shape memory polymers (BSMPs) have unique benefits of long-term biocompatibility and formation of zero-waste byproducts as the final degradable products are resorbed or absorbed via metabolism or enzyme digestion processes. In addition to their application toward the prevention of biofilm formation or internal tissue damage caused by permanent implant materials and the subsequent need for secondary surgery, which causes secondary infections and complications, BSMPs have been highlighted for minimally invasive medical applications. The properties of BSMPs, including high tunability, thermomechanical properties, shape memory performance, and degradation rate, can be achieved by controlling the combination and content of the comonomer and crystallinity. In addition, the biodegradable chemistry and kinetics of BSMPs, which can be controlled by combining several biodegradable polymers with different hydrolysis chemistry products, such as anhydrides, esters, and carbonates, strongly affect the hydrolytic activity and erosion property. A wide range of applications including self-expending stents, wound closure, drug release systems, and tissue repair, suggests that the BSMPs can be applied as actuators on the basis of their shape recovery and degradation ability.

Heating/Solvent Responsive Shape-Memory Polymers for Implant Biomedical Devices in Minimally Invasive Surgery: Current Status and Challenge

This review is about the fundamentals and practical issues in applying both heating and solvent responsive shape memory polymers (SMPs) for implant biomedical devices via minimally invasive surgery. After revealing the general requirements in the design of biomedical devices based on SMPs and the fundamentals for the shape-memory effect in SMPs, the underlying mechanisms, characterization methods, and several representative biomedical applications, including vascular stents, tissue scaffolds, occlusion devices, drug delivery systems, and the current R&D status of them, are discussed. The new opportunities arising from emerging technologies, such as 3D printing, and new materials, such as vitrimer, are also highlighted. Finally, the major challenge that limits the practical clinical applications of SMPs at present is addressed.

HIFU induced particles redistribution in polymer matrix via synchrotron radiation X-ray microtomography

High-intensity Focused Ultrasound (HIFU) was used to stimulate the embedded copper sulfate (CuSO₄) particles to release from the crosslinked poly (methyl methacrylate-co-butyl acrylate) copolymer solid matrix. In order to better understand the ultrasound release mechanism for drug/polymer delivery systems, the synchrotron radiation X-ray computed microtomography (SR-CT) was used to non-destructively investigate the structure of drug/polymer delivery systems after different HIFU treatment time. For the first time, we clearly demonstrate that ultrasonic waves can overcome the constraints of the polymer chain and drive the filler to move from the strong region to the weak region in the solid polymer matrix, thus resulting in a change in distribution of the filler in solid polymers. This result also demonstrates that SR-CT is a powerful technique which can be used to quantitatively study the 3D structure of fillers/polymers composite as it can take a broader and overall view than the conventional localized two-dimensional analysis method such as SEM, TEM.

High-intensity focused ultrasound selective annealing induced patterned and gradient crystallization behavior of polymer

High-intensity focused ultrasound (HIFU) was developed as a spatial selective annealing method to control the crystallization behavior and performance of polymer using amorphous polyethylene terephthalate (PET) as an example for demonstration. The spatial crystallization and morphological details of HIFU induced crystallization areas at the lamellar level and spherulite scale were studied by Micro-Focus hard X-ray diffraction, small angle X-ray scattering and optical microscopy. According to the distribution of crystallinity of PET, we can indirectly detect the history of thermal distribution of the ultrasonic focal point, which is hard to obtain by other methods. The crystallinity and the area of the crystalline region of PET sample increased with ultrasound power or irradiation time. Different from common crystalline structure of polymer materials, HIFU induced crystallinity of PET has a significant gradient distribution. The gradient crystal structure leads to a better mechanical performances, which can realize the good balance between toughness and strength. Ultrasound annealing, as a complement and development of the traditional annealing technology, has the characteristics of high efficient and spatial selectivity, showing great application prospect in post processing field.

A new ultrasonic transducer sample cell for in situ small-angle scattering experiments

Ultrasound irradiation is a commonly used technique for nondestructive diagnostics or targeted destruction. We report on a new versatile sonication device that fits in a variety of standard sample environments for neutron and X-ray scattering instruments. A piezoelectric transducer permits measuring of the time-dependent response of the sample in situ during or after sonication. We use small-angle neutron scattering (SANS) to demonstrate the effect of a time-dependent perturbation on the structure factor of micelles formed from sodium dodecyl sulfate surfactant molecules. We observe a substantial change in the micellar structure during and after exposure to ultrasonic irradiation. We also observe a time-dependent relaxation to the equilibrium values of the unperturbed system. The strength of the perturbation of the structure factor depends systematically on the duration of sonication. The relaxation behavior can be well reproduced after multiple times of sonication. Accumulation of the recorded intensities of the different sonication cycles improves the signal-to-noise ratio and permits reaching very short relaxation times. In addition, we present SANS data for the micellar form factor on alkyl-poly (ethylene oxide) surfactant molecules irradiated by ultrasound. Due to the flexibility of our new in situ sonication device, different experiments can be performed, e.g., to explore molecular potentials in more detail by introducing a systematic time-dependent perturbation.

Biodegradable Shape Memory Polymers in Medicine

Shape memory materials have emerged as an important class of materials in medicine due to their ability to change shape in response to a specific stimulus, enabling the simplification of medical procedures, use of minimally invasive techniques, and access to new treatment modalities. Shape memory polymers, in particular, are well suited for such applications given their excellent shape memory performance, tunable materials properties, minimal toxicity, and potential for biodegradation and resorption. This review provides an overview of biodegradable shape memory polymers that have been used in medical applications. The majority of biodegradable shape memory polymers are based on thermally responsive polyesters or polymers that contain hydrolyzable ester linkages. These materials have been targeted for use in applications pertaining to embolization, drug delivery, stents, tissue engineering, and wound closure. The development of biodegradable shape memory polymers with unique properties or responsiveness to novel stimuli has the potential to facilitate the optimization and development of new medical applications.

Focused ultrasound actuation of shape memory polymers; acoustic-thermoelastic modeling and testing

Controlled drug delivery (CDD) technologies have received extensive attention recently.

Combined, Independent Small Molecule Release and Shape Memory via Nanogel-Coated Thiourethane Polymer Networks

Drug releasing shape memory polymers (SMPs) were prepared from poly(thiourethane) networks that were coated with drug loaded nanogels through a UV initiated, surface mediated crosslinking reaction. Multifunctional thiol and isocyanate monomers were crosslinked through a step-growth mechanism to produce polymers with a homogeneous network structure that exhibited a sharp glass transition with 97% strain recovery and 96% shape fixity. Incorporating a small stoichiometric excess of thiol groups left pendant functionality for a surface coating reaction. Nanogels with diameter of approximately 10 nm bearing allyl and methacrylate groups were prepared separately via solution free radical polymerization. Coatings with thickness of 10-30 μm were formed via dip-coating and subsequent UV-initiated thiol-ene crosslinking between the SMP surface and the nanogel, and through inter-nanogel methacrylate homopolymerization. No significant change in mechanical properties or shape memory behavior was observed after the coating process, indicating that functional coatings can be integrated into an SMP without altering its original performance. Drug bioactivity was confirmed via in vitro culturing of human mesenchymal stem cells with SMPs coated with dexamethasone-loaded nanogels. This article offers a new strategy to independently tune multiple functions on a single polymeric device, and has broad application toward implantable, minimally invasive medical devices such as vascular stents and ocular shunts, where local drug release can greatly prolong device function.

Therapeutic-Ultrasound-Triggered Shape Memory of a Melamine-Enhanced Poly(vinyl alcohol) Physical Hydrogel

Therapeutic-ultrasound-triggered shape memory was demonstrated for the first time with a melamine-enhanced poly(vinyl alcohol) (PVA) physical hydrogel. The addition of a small amount of melamine (up to 1.5 wt %) in PVA results in a strong hydrogel due to the multiple H-bonding between the two constituents. A temporary shape of the hydrogel can be obtained by deformation of the hydrogel (∼65 wt % water) at room temperature, followed by fixation of the deformation by freezing/thawing the hydrogel under strain, which induces crystallization of PVA. We show that the ultrasound delivered by a commercially available device designed for the patient's pain relief could trigger the shape recovery process as a result of ultrasound-induced local heating in the hydrogel that melts the crystallized PVA cross-linking. This hydrogel is thus interesting for potential applications because it combines many desirable properties, being mechanically strong, biocompatible, and self-healable and displaying the shape memory capability triggered by a physiological stimulus.

Shape recovery characteristics for shape memory polymers subjected to high intensity focused ultrasound

A random copolymer shape memory behaviour triggered by high intensity focused ultrasound (HIFU) was studied in detail.