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      Stimuli-Responsive Soft Untethered Grippers for Drug Delivery and Robotic Surgery

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          Abstract

          Untethered microtools that can be precisely navigated into deep in vivo locations are important for clinical procedures pertinent to minimally invasive surgery and targeted drug delivery. In this mini-review, untethered soft grippers are discussed, with an emphasis on a class of autonomous stimuli-responsive gripping soft tools that can be used to excise tissues and release drugs in a controlled manner. The grippers are composed of polymers and hydrogels and are thus compliant to soft tissues. They can be navigated using magnetic fields and controlled by robotic path-planning strategies to carry out tasks like pick-and-place of microspheres and biological materials either with user assistance, or in a fully autonomous manner. It is envisioned that the use of these untethered soft grippers will translate from laboratory experiments to clinical scenarios and the challenges that need to be overcome to make this transition are discussed.

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          Most cited references86

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          Design, fabrication and control of soft robots.

          Conventionally, engineers have employed rigid materials to fabricate precise, predictable robotic systems, which are easily modelled as rigid members connected at discrete joints. Natural systems, however, often match or exceed the performance of robotic systems with deformable bodies. Cephalopods, for example, achieve amazing feats of manipulation and locomotion without a skeleton; even vertebrates such as humans achieve dynamic gaits by storing elastic energy in their compliant bones and soft tissues. Inspired by nature, engineers have begun to explore the design and control of soft-bodied robots composed of compliant materials. This Review discusses recent developments in the emerging field of soft robotics.
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            Multigait soft robot.

            This manuscript describes a unique class of locomotive robot: A soft robot, composed exclusively of soft materials (elastomeric polymers), which is inspired by animals (e.g., squid, starfish, worms) that do not have hard internal skeletons. Soft lithography was used to fabricate a pneumatically actuated robot capable of sophisticated locomotion (e.g., fluid movement of limbs and multiple gaits). This robot is quadrupedal; it uses no sensors, only five actuators, and a simple pneumatic valving system that operates at low pressures (< 10 psi). A combination of crawling and undulation gaits allowed this robot to navigate a difficult obstacle. This demonstration illustrates an advantage of soft robotics: They are systems in which simple types of actuation produce complex motion.
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              Microrobots for minimally invasive medicine.

              Microrobots have the potential to revolutionize many aspects of medicine. These untethered, wirelessly controlled and powered devices will make existing therapeutic and diagnostic procedures less invasive and will enable new procedures never before possible. The aim of this review is threefold: first, to provide a comprehensive survey of the technological state of the art in medical microrobots; second, to explore the potential impact of medical microrobots and inspire future research in this field; and third, to provide a collection of valuable information and engineering tools for the design of medical microrobots.
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                Author and article information

                Journal
                101753367
                48878
                Front Mech Eng
                Front Mech Eng
                Frontiers in Mechanical Engineering
                2297-3079
                5 September 2019
                26 July 2017
                July 2017
                12 September 2019
                : 3
                : 7
                Affiliations
                [1 ]Chemical and Biomolecular Engineering, Johns Hopkins University, Baltimore, MD, United States
                [2 ]Materials Science and Engineering, Johns Hopkins University, Baltimore, MD, United States
                [3 ]Surgical Robotics Laboratory, Department of Biomechanical Engineering, MIRA - Institute for Biomedical Technology and Technical Medicine, University of Twente, Enschede, Netherlands
                [4 ]Division of Gastroenterology and Hepatology, Department of Medicine, Johns Hopkins University, Baltimore, MD, United States
                [5 ]Department of Biomedical Engineering, University of Groningen and University Medical Centre Groningen, Groningen, Netherlands
                Author notes

                AUTHOR CONTRIBUTIONS

                AG and DG wrote the manuscript. FS and SM provided expert inputs to improve the manuscript. CY, FO, and SS provided data for the manuscript. All authors helped to edit the manuscript.

                [* ]Correspondence: David H. Gracias dgracias@ 123456jhu.edu
                Article
                NIHMS1048054
                10.3389/fmech.2017.00007
                6740326
                31516892
                0ba41902-5c62-48f0-ba50-0a8d5efa5f10

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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                Categories
                Article

                robotics,surgery,computer-assisted,nanotechnology,microtechnology,polymers

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