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      Low-cost and prototype-friendly method for biocompatible encapsulation of implantable electronics with epoxy overmolding, hermetic feedthroughs and P3HT coating

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          Abstract

          The research of novel implantable medical devices is one of the most attractive, yet complex areas in the biomedical field. The design and development of sufficiently small devices working in an in vivo environment is challenging but successful encapsulation of such devices is even more so. Industry-standard methods using glass and titanium are too expensive and tedious, and epoxy or silicone encapsulation is prone to water ingress with cable feedthroughs being the most frequent point of failure. This paper describes a universal and straightforward method for reliable encapsulation of circuit boards that achieves ISO10993 compliance. A two-part PVDF mold was machined using a conventional 3-axis machining center. Then, the circuit board with a hermetic feedthrough was placed in the mold and epoxy resin was injected into the mold under pressure to fill the cavity. Finally, the biocompatibility was further enhanced with an inert P3HT polymer coating which can be easily formulated into an ink. The biocompatibility of the encapsulants was assessed according to ISO10993. The endurance of the presented solution compared to silicone potting and epoxy potting was assessed by submersion in phosphate-buffered saline solution at 37 °C. The proposed method showed superior results to PDMS and simple epoxy potting.

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          Size- and shape-dependent foreign body immune response to materials implanted in rodents and non-human primates

          The efficacy of implanted biomedical devices is often compromised by host recognition and subsequent foreign body responses. Here, we demonstrate the role of the geometry of implanted materials on their biocompatibility in vivo. In rodent and non-human primate animal models, implanted spheres 1.5 mm and above in diameter across a broad spectrum of materials, including hydrogels, ceramics, metals, and plastics, significantly abrogated foreign body reactions and fibrosis when compared to smaller spheres. We also show that for encapsulated rat pancreatic islet cells transplanted into streptozotocin-treated diabetic C57BL/6 mice, islets prepared in 1.5 mm alginate capsules were able to restore blood-glucose control for up to 180 days, a period more than 5-fold longer than for transplanted grafts encapsulated within conventionally sized 0.5-mm alginate capsules. Our findings suggest that the in vivo biocompatibility of biomedical devices can be significantly improved by simply tuning their spherical dimensions.
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            Assessing skin sensitization hazard in mice and men using non-animal test methods.

            Sensitization, the prerequisite event in the development of allergic contact dermatitis, is a key parameter in both hazard and risk assessments. The pathways involved have recently been formally described in the OECD adverse outcome pathway (AOP) for skin sensitization. One single non-animal test method will not be sufficient to fully address this AOP and in many cases the use of a battery of tests will be necessary. A number of methods are now fully developed and validated. In order to facilitate acceptance of these methods by both the regulatory and scientific communities, results of the single test methods (DPRA, KeratinoSens, LuSens, h-CLAT, (m)MUSST) as well for a the simple '2 out of 3' ITS for 213 substances have been compiled and qualitatively compared to both animal and human data. The dataset was also used to define different mechanistic domains by probable protein-binding mechanisms. In general, the non-animal test methods exhibited good predictivities when compared to local lymph node assay (LLNA) data and even better predictivities when compared to human data. The '2 out of 3' prediction model achieved accuracies of 90% or 79% when compared to human or LLNA data, respectively and thereby even slightly exceeded that of the LLNA.
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              A wireless millimetric magnetoelectric implant for the endovascular stimulation of peripheral nerves

              Implantable bioelectronic devices for the simulation of peripheral nerves could be used to treat disorders that are resistant to traditional pharmacological therapies. However, for many nerve targets, this requires invasive surgeries and the implantation of bulky devices (about a few centimetres in at least one dimension). Here we report the design and in vivo proof-of-concept testing of an endovascular wireless and battery-free millimetric implant for the stimulation of specific peripheral nerves that are difficult to reach via traditional surgeries. The device can be delivered through a percutaneous catheter and leverages magnetoelectric materials to receive data and power through tissue via a digitally programmable 1 mm × 0.8 mm system-on-a-chip. Implantation of the device directly on top of the sciatic nerve in rats and near a femoral artery in pigs (with a stimulation lead introduced into a blood vessel through a catheter) allowed for wireless stimulation of the animals’ sciatic and femoral nerves. Minimally invasive magnetoelectric implants may allow for the stimulation of nerves without the need for open surgery or the implantation of battery-powered pulse generators.
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                Author and article information

                Contributors
                marek.novak@cvut.cz
                jan.hajer@fnkv.cz
                Journal
                Sci Rep
                Sci Rep
                Scientific Reports
                Nature Publishing Group UK (London )
                2045-2322
                30 January 2023
                30 January 2023
                2023
                : 13
                : 1644
                Affiliations
                [1 ]GRID grid.6652.7, ISNI 0000000121738213, Department of Biomedical Technology, Faculty of Biomedical Engineering, , Czech Technical University in Prague, ; Kladno, Czech Republic
                [2 ]GRID grid.4491.8, ISNI 0000 0004 1937 116X, Department of Medical Biophysics and Medical Informatics, Third Faculty of Medicine, , Charles University, ; Prague, Czech Republic
                [3 ]GRID grid.6652.7, ISNI 0000000121738213, Department of Health Care and Population Protection, Faculty of Biomedical Engineering, , Czech Technical University in Prague, ; Kladno, Czech Republic
                [4 ]GRID grid.425485.a, ISNI 0000 0001 2184 1595, Centre of Toxicology and Health Safety, , National Institute of Public Health, ; Prague, Czech Republic
                [5 ]GRID grid.4491.8, ISNI 0000 0004 1937 116X, Department of General Surgery, Third Faculty of Medicine, , Charles University, University Hospital Královské Vinohrady, ; Prague, Czech Republic
                [6 ]GRID grid.4491.8, ISNI 0000 0004 1937 116X, Department of Internal Medicine, Third Faculty of Medicine, , Charles University, University Hospital Královské Vinohrady, ; Prague, Czech Republic
                Article
                28699
                10.1038/s41598-023-28699-6
                9887057
                36717683
                b3fc4535-dea2-4705-957b-382fcbfc919b
                © The Author(s) 2023

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 31 August 2022
                : 23 January 2023
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/100007397, Univerzita Karlova v Praze;
                Award ID: GAUK 176119
                Award ID: Cooperatio: Internal Disciplines
                Funded by: FundRef http://dx.doi.org/10.13039/501100008530, European Regional Development Fund;
                Award ID: CZ.02.1.01/0.0/0.0/16_019/0000860
                Funded by: Ministry of Health, Czech Republic
                Award ID: 75010330
                Categories
                Article
                Custom metadata
                © The Author(s) 2023

                Uncategorized
                biomedical engineering,electrical and electronic engineering,mechanical engineering,implants

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