Tag Archives: Giovanni Traverso

Plug me in: how to power up ingestible and implantable electroncis

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From time to time I’ve featured ‘vampire technology’, a name I vastly prefer to energy harvesting or any of its variants. The focus has usually been on implantable electronic devices such as pacemakers and deep brain stimulators.

In this February 16, 2021 Nanowerk Spotlight article, Michael Berger broadens the focus to include other electronic devices,

Imagine edible medical devices that can be safely ingested by patients, perform a test or release a drug, and then transmit feedback to your smartphone; or an ingestible, Jell-O-like pill that monitors the stomach for up to a month.

Devices like these, as well as a wide range of implantable biomedical electronic devices such as pacemakers, neurostimulators, subdermal blood sensors, capsule endoscopes, and drug pumps, can be useful tools for detecting physiological and pathophysiological signals, and providing treatments performed inside the body.

Advances in wireless communication enable medical devices to be untethered when in the human body. Advances in minimally invasive or semi-invasive surgical implantation procedures have enabled biomedical devices to be implanted in locations where clinically important biomarkers and physiological signals can be detected; it has also enabled direct administration of medication or treatment to a target location.

However, one major challenge in the development of these devices is the limited lifetime of their power sources. The energy requirements of biomedical electronic devices are highly dependent on their application and the complexity of the required electrical systems.

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Berger’s commentary was occasioned by a review article in Advanced Functional Materials (link and citation to follow at the end of this post). Based on this review, the February 16, 2021 Nanowerk Spotlight article provides insight into the current state of affairs and challenges,

Biomedical electronic devices can be divided into three main categories depending on their application: diagnostic, therapeutic, and closed-loop systems. Each category has a different degree of complexity in the electronic system.

… most biomedical electronic devices are composed of a common set of components, including a power unit, sensors, actuators, a signal processing and control unit, and a data storage unit. Implantable and ingestible devices that require a great deal of data manipulation or large quantities of data logging also need to be wirelessly connected to an external device so that data can be transmitted to an external receiver and signal processing, data storage, and display can be performed more efficiently.

The power unit, which is composed of one or more energy sources – batteries, energy-harvesting, and energy transfer – as well as power management circuits, supplies electrical energy to the whole system.

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Implantable medical devices such as cardiac pacemakers, neurostimulators and drug delivery devices are major medical tools to support life activity and provide new therapeutic strategies. Most such devices are powered by lithium batteries whose service life is as low as 10 years. Hence, many patients must undergo a major surgery to check the battery performance and replace the batteries as necessary.

In the last few decades, new battery technology has led to increases in the performance, reliability, and lifetime of batteries. However, challenges remain, especially in terms of volumetric energy density and safety.

Electronic miniaturization allows more functionalities to be added to devices, which increases power requirements. Recently, new material-based battery systems have been developed with higher energy densities.

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Different locations and organ systems in the human body have access to different types of energy sources, such as mechanical, chemical, and electromagnetic energies.

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Energy transfer technologies can deliver energy from outside the body to implanted or ingested devices. If devices are implanted at the locations where there are no accessible endogenous energies, exogenous energies in the form of ultrasonic or electromagnetic waves can penetrate through the biological barriers and wirelessly deliver the energies to the devices.

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Both images embedded in the February 16, 2021 Nanowerk Spotlight article are informative. I’m particularly taken with the timeline which follows the development of batteries, energy harvesting/transfer devices, ingestible electronics, and implantable electronics. The first battery was in 1800 followed by ingestible and implantable electronics in the 1950s.

Berger’s commentary ends on this,

Concluding their review, the authors [in Advanced Functional Materials] note that low energy conversion efficiency and power output are the fundamental bottlenecks of energy harvesting and transfer devices. They suggest that additional studies are needed to improve the power output of energy harvesting and transfer devices so that they can be used to power various biomedical electronics.

Furthermore, durability studies of promising energy harvesters should be performed to evaluate their use in long-term applications. For degradable energy harvesting devices, such as friction-based energy harvesters and galvanic cells, improving the device lifetime is essential for use in real-life applications.

Finally, manufacturing cost is another factor to consider when commercializing novel batteries, energy harvesters, or energy transfer devices as power sources for medical devices.

Here’s a link to and a citation for the paper,

Powering Implantable and Ingestible Electronics by So‐Yoon Yang, Vitor Sencadas, Siheng Sean You, Neil Zi‐Xun Jia, Shriya Sruthi Srinivasan, Hen‐Wei Huang, Abdelsalam Elrefaey Ahmed, Jia Ying Liang, Giovanni Traverso. Advanced Functional Materials DOI: https://doi.org/10.1002/adfm.202009289 First published: 04 February 2021

This paper is behind a paywall.

It may be possible to receive a full text PDF of the article from the authors. Try here.

There are others but here are two of my posts about ‘vampire energy’,

Harvesting the heart’s kinetic energy to power implants (July 26, 2019)

Vampire nanogenerators: 2017 (October 19, 2017)

Swallow your technology and wear it inside (wearable tech: 2 of 3)

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While there are a number of wearable and fashionable pieces of technology that monitor heart rate and breathing, they are all worn on the outside of your body. Researchers are working on an alternative that can be swallowed and will monitor vital signs from within the gastrointestinal tract. I believe this is a prototype of the device,

This ingestible electronic device invented at MIT can measure heart rate and respiratory rate from inside the gastrointestinal tract. Courtesy: MIT

This ingestible electronic device invented at MIT can measure heart rate and respiratory rate from inside the gastrointestinal tract. Image: Albert Swiston/MIT Lincoln Laboratory Courtesy: MIT

From a Nov. 18, 2015 news item on phys.org,

This type of sensor could make it easier to assess trauma patients, monitor soldiers in battle, perform long-term evaluation of patients with chronic illnesses, or improve training for professional and amateur athletes, the researchers say.

The new sensor calculates heart and breathing rates from the distinctive sound waves produced by the beating of the heart and the inhalation and exhalation of the lungs.

“Through characterization of the acoustic wave, recorded from different parts of the GI tract, we found that we could measure both heart rate and respiratory rate with good accuracy,” says Giovanni Traverso, a research affiliate at MIT’s Koch Institute for Integrative Cancer Research, a gastroenterologist at Massachusetts General Hospital, and one of the lead authors of a paper describing the device in the Nov. 18 issue of the journal PLOS One.

A Nov. 18, 2015 Massachusetts Institute of Technology (MIT) news release by Anne Trafton, which originated the news item, further explains the research,

Doctors currently measure vital signs such as heart and respiratory rate using techniques including electrocardiograms (ECG) and pulse oximetry, which require contact with the patient’s skin. These vital signs can also be measured with wearable monitors, but those are often uncomfortable to wear.

Inspired by existing ingestible devices that can measure body temperature, and others that take internal digestive-tract images, the researchers set out to design a sensor that would measure heart and respiratory rate, as well as temperature, from inside the digestive tract.

The simplest way to achieve this, they decided, would be to listen to the body using a small microphone. Listening to the sounds of the chest is one of the oldest medical diagnostic techniques, practiced by Hippocrates in ancient Greece. Since the 1800s, doctors have used stethoscopes to listen to these sounds.

The researchers essentially created “an extremely tiny stethoscope that you can swallow,” Swiston says. “Using the same sensor, we can collect both your heart sounds and your lung sounds. That’s one of the advantages of our approach — we can use one sensor to get two pieces of information.”

To translate these acoustic data into heart and breathing rates, the researchers had to devise signal processing systems that distinguish the sounds produced by the heart and lungs from each other, as well as from background noise produced by the digestive tract and other parts of the body.

The entire sensor is about the size of a multivitamin pill and consists of a tiny microphone packaged in a silicone capsule, along with electronics that process the sound and wirelessly send radio signals to an external receiver, with a range of about 3 meters.

In tests along the GI tract of pigs, the researchers found that the device could accurately pick up heart rate and respiratory rate, even when conditions such as the amount of food being digested were varied.

“The authors introduce some interesting and radically different approaches to wearable physiological status monitors, in which the devices are not worn on the skin or on clothing, but instead reside, in a transient fashion, inside the gastrointestinal tract. The resulting capabilities provide a powerful complement to those found in wearable technologies as traditionally conceived,” says John Rogers, a professor of materials science and engineering at the University of Illinois who was not part of the research team.

Better diagnosis

The researchers expect that the device would remain in the digestive tract for only a day or two, so for longer-term monitoring, patients would swallow new capsules as needed.

For the military, this kind of ingestible device could be useful for monitoring soldiers for fatigue, dehydration, tachycardia, or shock, the researchers say. When combined with a temperature sensor, it could also detect hypothermia, hyperthermia, or fever from infections.

In the future, the researchers plan to design sensors that could diagnose heart conditions such as abnormal heart rhythms (arrhythmias), or breathing problems including emphysema or asthma. Currently doctors require patients to wear a harness (Holter) monitor for up to a week to detect such problems, but these often fail to produce a diagnosis because patients are uncomfortable wearing them 24 hours a day.

“If you could ingest a device that would listen for those pathological sounds, rather than wearing an electrical monitor, that would improve patient compliance,” Swiston says.

The researchers also hope to create sensors that would not only diagnose a problem but also deliver a drug to treat it.

“We hope that one day we’re able to detect certain molecules or a pathogen and then deliver an antibiotic, for example,” Traverso says. “This development provides the foundation for that kind of system down the line.”

MIT has provided a video with two of the researchers describing their work and and plans for its future development,

Here’s a link to and a citation for the paper,

Physiologic Status Monitoring via the Gastrointestinal Tract by G. Traverso, G. Ciccarelli, S. Schwartz, T. Hughes, T. Boettcher, R. Barman, R. Langer, & A. Swiston. PLOS DOI: 10.1371/journal.pone.0141666 Published: November 18, 2015

This paper is open access.

Note added Nov. 25, 2015 at 1625 hours PDT: US National Public Radio (NPR) has a story on this research. You can find Nov. 23, 2015 podcast (about six minutes) and a series of textual excerpts featuring Albert Swiston, biomaterials scientist at MIT, and Stephen Shankland, senior writer for CNET covering digital technology, from the podcast here.