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Gervasoni S, Pedrini N, Rifai T, Fischer C, Landers FC, Mattmann M, Dreyfus R, Viviani S, Veciana A, Masina E, Aktas B, Puigmartí-Luis J, Chautems C, Pané S, Boehler Q, Gruber P, Nelson BJ. A Human-Scale Clinically Ready Electromagnetic Navigation System for Magnetically Responsive Biomaterials and Medical Devices. ADVANCED MATERIALS (DEERFIELD BEACH, FLA.) 2024; 36:e2310701. [PMID: 38733269 DOI: 10.1002/adma.202310701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Revised: 04/15/2024] [Indexed: 05/13/2024]
Abstract
Magnetic navigation systems are used to precisely manipulate magnetically responsive materials enabling the realization of new minimally invasive procedures using magnetic medical devices. Their widespread applicability has been constrained by high infrastructure demands and costs. The study reports on a portable electromagnetic navigation system, the Navion, which is capable of generating a large magnetic field over a large workspace. The system is easy to install in hospital operating rooms and transportable through health care facilities, aiding in the widespread adoption of magnetically responsive medical devices. First, the design and implementation approach for the system are introduced and its performance is characterized. Next, in vitro navigation of different microrobot structures is demonstrated using magnetic field gradients and rotating magnetic fields. Spherical permanent magnets, electroplated cylindrical microrobots, microparticle swarms, and magnetic composite bacteria-inspired helical structures are investigated. The navigation of magnetic catheters is also demonstrated in two challenging endovascular tasks: 1) an angiography procedure and 2) deep navigation within the circle of Willis. Catheter navigation is demonstrated in a porcine model in vivo to perform an angiography under magnetic guidance.
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Affiliation(s)
- Simone Gervasoni
- Multi-Scale Robotics Lab, ETH Zurich, CH-8092, Zurich, Switzerland
| | - Norman Pedrini
- Multi-Scale Robotics Lab, ETH Zurich, CH-8092, Zurich, Switzerland
| | - Tarik Rifai
- Multi-Scale Robotics Lab, ETH Zurich, CH-8092, Zurich, Switzerland
| | - Cedric Fischer
- Multi-Scale Robotics Lab, ETH Zurich, CH-8092, Zurich, Switzerland
| | - Fabian C Landers
- Multi-Scale Robotics Lab, ETH Zurich, CH-8092, Zurich, Switzerland
| | - Michael Mattmann
- Multi-Scale Robotics Lab, ETH Zurich, CH-8092, Zurich, Switzerland
| | - Roland Dreyfus
- Multi-Scale Robotics Lab, ETH Zurich, CH-8092, Zurich, Switzerland
| | - Silvia Viviani
- Multi-Scale Robotics Lab, ETH Zurich, CH-8092, Zurich, Switzerland
| | - Andrea Veciana
- Multi-Scale Robotics Lab, ETH Zurich, CH-8092, Zurich, Switzerland
| | - Enea Masina
- Multi-Scale Robotics Lab, ETH Zurich, CH-8092, Zurich, Switzerland
| | - Buse Aktas
- Multi-Scale Robotics Lab, ETH Zurich, CH-8092, Zurich, Switzerland
| | - Josep Puigmartí-Luis
- Departament de Ciència dels Materials i Química Física, Institut de Química Teòrica i Computacional, University of Barcelona (UB), 08028, Barcelona, Spain
- Institució Catalana de Recerca i Estudis Avançats (ICREA), Pg. Lluís Companys 23, 08010, Barcelona, Spain
| | | | - Salvador Pané
- Multi-Scale Robotics Lab, ETH Zurich, CH-8092, Zurich, Switzerland
| | - Quentin Boehler
- Multi-Scale Robotics Lab, ETH Zurich, CH-8092, Zurich, Switzerland
| | - Philipp Gruber
- Kantonsspital Aarau AG, Tellstrasse 25, CH-5001, Aarau, Switzerland
| | - Bradley J Nelson
- Multi-Scale Robotics Lab, ETH Zurich, CH-8092, Zurich, Switzerland
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