Wirelessly powered deformable electronic stent for noninvasive electrical stimulation of lower esophageal sphincter

Author:

Zhang Chong1ORCID,Pan Chengfeng23ORCID,Chan Kai Fung145ORCID,Gao Jinyang2,Yang Zhengxin2ORCID,Leung Kevin Kai Chung5ORCID,Jin Dongdong2,Wang Yuqiong2,Xia Neng2ORCID,Ning Zhipeng2,Wang Xin2ORCID,Jiang Shuai1ORCID,Zhang Zifeng2ORCID,Wang Qinglong2,Hao Bo2,Chiu Philip Wai Yan456ORCID,Zhang Li1256ORCID

Affiliation:

1. Department of Biomedical Engineering, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong SAR, China.

2. Department of Mechanical and Automation Engineering, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong SAR, China.

3. The State Key Laboratory of Fluid Power and Mechatronic Systems, College of Mechanical Engineering, Zhejiang University, Hangzhou 310027, P. R. China.

4. Chow Yuk Ho Technology Center for Innovative Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong SAR, China.

5. Multi-Scale Medical Robotics Center, Hong Kong Science Park, Shatin, New Territories, Hong Kong SAR, China.

6. Department of Surgery, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong SAR, China.

Abstract

Electrical stimulation is a promising method to modulate gastrointestinal disorders. However, conventional stimulators need invasive implantation and removal surgeries associated with risks of infection and secondary injuries. Here, we report a battery-free and deformable electronic esophageal stent for wireless stimulation of the lower esophageal sphincter in a noninvasive fashion. The stent consists of an elastic receiver antenna infilled with liquid metal (eutectic gallium-indium), a superelastic nitinol stent skeleton, and a stretchable pulse generator that jointly enables 150% axial elongation and 50% radial compression for transoral delivery through the narrow esophagus. The compliant stent adaptive to the dynamic environment of the esophagus can wirelessly harvest energy through deep tissue. Continuous electrical stimulations delivered by the stent in vivo using pig models significantly increase the pressure of the lower esophageal sphincter. The electronic stent provides a noninvasive platform for bioelectronic therapies in the gastrointestinal tract without the need for open surgery.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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