Microdevice Development and Artificial Organs.

Microdevice Development and Artificial Organs.
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微型设备开发和人造器官。

DOI:
10.1111/aor.13288
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发表时间:
2019
期刊:
影响因子:
2.4
通讯作者:
Zahn,JeffreyD
Zahn,JeffreyD
中科院分区:
工程技术3区
文献类型:
--
作者:
Zahn,JeffreyD

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在过去的几十年里,微制造医疗传感器和致动器的发展出现了爆炸式增长。从最早开发基于硅的微机电系统或MEMS器件开始,人们就有兴趣开发MEMS技术来支持医疗领域(生物医学MEMS或BioMEMS)(1,2)。其中许多技术对整个医学领域,特别是人工器官领域产生了积极的影响。这些技术将医疗传感器带入诊所、手术室,甚至作为植入式技术(图1)。随着BioMEMS领域的成熟,越来越多的设备被开发为人工微设备和患者之间的主动接口。微制造医疗传感器已经从固态物理传感器(例如用于测量呼吸、血压和流速的力、压力和流量传感器)发展到微制造多电极皮层内刺激和记录阵列(神经探针)(3,4),神经假体(5,6),和基于聚合物的微流体装置(7,8)进行高度灵敏的护理点诊断测定(9)或支持微规模细胞培养或芯片上器官平台(10,11)。在这个时候,我们也开始看到许多这些诊断技术的广泛商业化(12)。这种传感器也是创建传感器化或“智能”产品以及为可穿戴诊断或个性化医疗监护仪创建所谓的“物联网”趋势的一部分(9)。早期的医疗MEMS传感器以固态物理传感器的形式开发,用于测量压力,流量和应变(力)。这种物理传感器是一种成熟的技术,其有助于实现对患者的低成本或自主监测,向临床医生提供诊断信息,或允许对医疗设备进行反馈控制。这些类型的设备已经被用于测量或监测患者的生理参数;诸如血压(13)和流速、肺活量计和呼吸率监测器。它们还可用于监测患者在诊所外的活动,例如嵌入运动设备和头盔中的力传感器或加速度计,以评估脑震荡或损伤,或嵌入鞋类中的压力传感器和加速度计,以评估步态,平衡和足部溃疡风险。这种传感器也已被纳入
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