The present invention relates to an artificial muscle device for controlling a tissue or organ and more particularly to an artificial muscle device composed of one or more electrothermally active contractile polymers that are able to control tissues, organs, bones and the like.
Among all transplantation surgeries, heart transplantation is amongst the major surgical procedures of organ replacement. There are approximately 5,000 heart transplantations performed each year worldwide. Furthermore, there are 250,000 deaths reported annually in the United States with 9,00,000 hospitalizations due to heart failure. In contrast, it has been estimated that over 60,000 patients in the United States can benefit from heart transplantation. However, the critical shortage of this organ has led many researchers to explore ways to assist heart patients, at least temporarily, until a transplantation takes place.
In the 1960's researchers developed ventricular assist devices (“VADs”). VADs are mechanical circulatory systems that have clinically evolved as a promising substitute for the treatment of end-stage heart failure due to shortage of donor hearts. VADs reported to date use electric, pneumatic, hydraulic, electromagnetic, and electro-hydraulic systems. VADs having continuous-flow technology has also entered the market.
VADs, however, fall short of an ideal solution for numerous reasons. For instance, VADs use rigid components and/or bulky power systems made from metals or plastic, which are unsuitable for use in some heart patients due to the size limitations. Another shortcoming of conventional VADs is that they have been associated with driveline infections with their external energy source. Additionally, the non-pulsatile blood flow in left VADs has led to new complications such as increased aortic valve regurgitation and spontaneous bleedings.
In the late 1980's and early 1990s surgeons attempted to overcome the shortcomings of the VADs by creating simulated cardiac tissue by placing skeletal muscle around a diseased heart. The skeletal muscle acted as a “backstop” to mechanically assist the diseased cardiac tissue. This approach to solving the problem was called skeletal cardiomyoplasty. However, skeletal muscles as a contractile substrate proved not suitable for long-standing cardiac support.
More recently, researchers have devised regenerative treatment strategies for partial or complete replacement of diseased myocardium. These strategies include cellular cardiomyoplasty which attempts to engineer artificial heart tissue from a mixture of a collagen matrix and neonatal cardiomyocytes. These engineered artificial heart tissues have been transplanted into small animals resulting in some improvement of ventricular function.
However, the engineered artificial heart tissues have several challenges that have slowed down the progress in this field. For instance, finding the optimal cell source remains a challenge as fetal and neonatal cardiomyocytes are not available in large numbers. Additionally, the myocardium is more complex and heterogeneous than other cardiac structures such as heart valves where first tissue engineered products have been introduced to the market. Therefore, production of cells for largescale therapeutic measures is continuing to be a challenge.
More recently, researchers have developed various purely artificial heart tissue devices and systems to overcome the failings of the above cardiomyoplasty devices. In this respect, the purely artificial tissue or muscles constitute a modern alternative for cardiomyoplasty.
These purely artificial heart tissue devices have taken many forms including, patches attached to the cardiac tissue as a treatment for patients with end stage heart failure and pneumatic sleeves placed around the heart that are able to compress or squeeze the heart. The patches fail to provide an effective solution due to their small surface area. Pneumatic systems also have several disadvantages when compared to applicant's invention. For example, they generally require installation of air-producing equipment, which is subject to air leakage. Additionally, they easily develop condensation.
There has been a need for miniaturization and technical advances in material science to develop a more modern approach that address the failings of the conventional cardiac disease treatments.
There is a need for electrically active contractile polymers that can generate significantly higher forces with no fatigue.
There is a need for electrically active contractile polymers that can generate significantly higher forces with no fatigue that can be connected to bone for the purpose of enabling or assisting mobility.
There is a need for electrically active contractile polymers that can augment the heart ventricle and its functions.
There is a need for an electrically active contractile polymer that eliminates the use of anticoagulants.
There is a need for electrically active contractile polymers that can be manufactured by additive manufacturing and that are able to fabricate soft heart chambers with heat insulating polymers.
There is a need for electrically active contractile polymers that incorporate phase change materials for heat-absorbing and printed actuators that can also have an added advantage for the fabrication of AHM.
There is a need for electrically active contractile polymers that can be formed into an artificial muscle that can be implanted into humans and animals.
There is a need for electrically active contractile polymers that can be formed into an artificial muscle that may provide an improved power system for VADs by miniaturization and for maintaining pulsatility.
There is a need for electrically active contractile polymer-based actuators to be used in artificial heart muscle (AHM) as an effective cardiac pouch, sleeve, or patch that are able to avoid direct contact with a patient's blood.
There is a need for miniaturization, speed modulation, total implantability, and preservation of pulsatility with no contact with a patient's blood.
There is a need for novel electrically active contractile polymers that form an apparatus, device, system or part of a method of treatment that may be adapted to various and unique anatomy so that therapy may be properly applied to treat various conditions.
There is a need for novel electrically active contractile polymers that form an apparatus, device, system or part of a method of treatment that may be adapted to any part of a patient's circulatory system, including but not limited to arteries and veins to treat various circulatory disorders.
There is a need for novel electrically active contractile polymers that form an apparatus, device, system or part of a method of treatment that may be adapted to a patient's bladder to treat various urinary or excretory disorders.
The object of the present invention is to address one or more of the above problems, while maintaining the advantages of prior art.
Artificial muscle device and method of manufacturing the same for the treatment or control of an organ such as the heart. The artificial muscle device comprises artificial actuators or fibers that can work together to form the artificial muscle. The artificial fibers or actuators are electrically active and more particularly electrothermally active contractile polymers capable of various characteristics, including increased contractile forces. The artificial actuators or fibers are knittable or weavable into patterns and shapes to create unique artificial muscles that can be shaped into implantable devices.
Additional features and embodiments will be apparent from the detailed description and the attached patent claims.
The invention will be described in more detail in the detailed description below with reference to the appended drawings, in which:
The detailed description and specific examples contained herein, while indicating example embodiments of the apparatus, systems and methods, are intended only for the purpose of illustration and are not intended to limit the scope or breadth of the invention. Features, aspects, and advantages of the present invention are discussed in the following description, claims, and the accompanying figures. The figures are for illustration purposes only and are not drawn to scale. Identical reference numbers are used throughout the figures and description to indicate same or similar parts.
The present invention, illustrated in
The artificial muscle device 10 also includes a power supply 18 and a controller 20. In one example embodiment of the present invention, the power supply 18 and/or controller 20 are contained within a housing that can be implanted or secured external to a patient. The housing, while illustrated in
Referring to
Referring to
Referring to
Referring to
Turning now to the electrothermally active contractile polymers or fibers 16 that make up the artificial muscle device 10, each of the polymers or fibers 16 is able to move from a first position (e.g., non-contracted state) to a second position (e.g., contracted state), such as in a contraction or contractile movement. They can also move back from the second position to the first position to complete a full cycle. As illustrated in
As mentioned above, the electrothermally active contractile polymers or fibers 16 can also be knitted into various configurations and patterns. For example, the electrothermally active contractile polymers or fibers 16 can be formed into a parallelly arrangement (
The contractile polymers or fibers 16 can also be used to fabricate device 10 with various fiber 16 architectures. For instance, electrothermally active contractile polymers or fibers 16 oriented in one direction may have a greater contractile force than electrothermally active contractile polymers or fibers 16 oriented in a different or angular direction. As a result, the artificial muscle device 10 of the present invention is able to provide more tailored or custom devices, implants, and treatments for personalized therapies. As will be discussed more fully below, other properties of the electrothermally active contractile polymers or fibers 16 can also be controlled, including but not limited to an amount or location of heat generation/dissipation and stroke (or actuation) length/distance.
As mentioned above, while a substrate 14 is not required it can provide some advantages in certain situations. When substrate 14 is used, the electrothermally active contractile polymers or fibers 16 can be positioned anywhere within, on, or on the substrate 14. For instance, as illustrated in
The construction of the electrothermally active contractile polymers or fibers 16 (as described in more detail below provides a high degree of polymer/fiber alignment of synthetic fibers giving them a high amount of strength. Moreover, twisting of these polymers or fibers 16 to form a helical pattern causes an amplified thermally persuaded length change and corresponding force generation. The giant or increased force actuation of these electrothermally active contractile polymers or fibers 16 is achieved through a partial untwisting of the twisted polymers or fibers 16.
The electrothermally active contractile polymers or fibers 16 of the present invention are thermally driven making them candidates for many applications including, but not limited to biomedical devices and smart textiles. Their construction utilizes electrothermal energy as a clean source of energy for their operation. Additionally, the improved properties of the electrothermally active contractile polymers or fibers 16 and their ability to be electrothermally driven as active components make them an excellent artificial heart muscle (“AHM”) that may improve or replace the current VAD of the present invention.
Turning now to
Referring to
As mentioned above, the artificial muscle devices 10 of the present invention may include a VCAD placed around a diseased heart. The VCAD artificial muscle device 10 comprises the electrothermally active contractile polymers or fibers 16 extending about the heart. When activated, controller 20 causes voltage of approximately 13 V-32.5 V to be supplied from the power supply 18 to one or more of the electrothermally active contractile polymers or fibers 16. The electrothermally active contractile polymers or fibers 16 are then evenly heated to a temperature of approximately 48° C.-65° C. causing one or more of them to contract creating a pressure of approximately 120 mm Hg-140 mm Hg. The controller 20 then stops the supply of voltage, causing a decrease in temperature and a de-actuation of the electrothermally active contractile polymers or fibers 16. The controller 20 of the present invention is able to consistently operate the electrothermally active contractile polymers or fibers 16 of the artificial muscle device 10. While particular temperatures and voltages is discussed, other temperatures and voltages may be utilized to alter or change a characteristic of the device 10.
In another example embodiment of the present invention, a voltage of 2.1 V is applied to the electrothermally active contractile polymers or fibers 16 to produce 433 mN of force. Stress generated by individual electrothermally active contractile polymers or fibers 16 are generally 47 times that of natural cardiac filaments. It should be noted that the maximum stress of natural heart muscle is generated at the end of the systolic phase, which produces a blood pressure of approximately 120 mm Hg. The blocked stress of the electrothermally active contractile polymers or fibers 16 is approximately 89 kPa, which is fourfold as human heart muscle (“HHM”). As such, the electrothermally active contractile polymers or fibers 16 of the present invention have a higher performance compared to HHM. The stress generated by the electrothermally active contractile polymers or fibers 16 is approximately 89 kPa in the direction of the polymers 16 at 120 mm Hg, which is similar to the stress generated by natural heart muscle at end of systole phase.
In another example embodiment of the present invention, one or more sensors 17, such as a pressure sensor, can be integrated into the artificial muscle device 10. The sensor 17 can be in operative communication with the substrate 14, the electrothermally active contractile polymers or fibers 16, or a portion of organ being treated.
The sensor(s) 17 can also be configured to automatically control the electrothermally active contractile polymers or fibers 16 of the artificial muscle device 10. When power is applied to the electrothermally active contractile polymers or fibers 16, the pressure increases reaching an upper pressure limit of approximately 120 mm Hg, which is sensed by the sensor 17. As described above, when the sensor 17 detects the 120 mm Hg, it is able to communicate with the controller 20, which terminates the power causing deactivation of the electrothermally active contractile polymers or fibers 16. As the polymers or fibers 16 begin to cool a corresponding decrease in pressure begins and continues to a lower pressure limit of approximately 80 mm Hg. The sensor 17 is activated upon reaching the preset lower limit causing the electric power to be switched on again by the controller 20, thereby beginning another full cardiac cycle.
The electrothermally active contractile polymers 1 or fibers 6 are able to operate with an approximate frequency of 1.4 Hz, which is approximately 14 beats within 10 s, which is approximately 84 cycles per minute and can be altered as needed compared to 72 human heartbeat cycles. The ability of the artificial muscle device 10 of the present invention to control and vary heartbeat cycles provides cardiologist with the ability to tailor the device 10 to the particular needs of patients.
One example embodiment of the present invention includes artificial muscle device 10 having a size or dimension of approximately 1.13 cm×10 cm×0.2 cm and weighing only 3.9 g with a density of 1.73 g cm−3. The artificial muscle device 10 of the present invention is able to reduce the total weight and volume of artificial heart devices while maintaining pulsatility on LV assist devices.
Manufacturing of the Conductive Actuators
We will now turn to the fabrication and material of the individual electrothermally active contractile polymers or actuators 16 of the present invention. The electrothermally active contractile polymers or actuators 16 of the present invention are improved electroactive polymers having mechanical properties, durability, and abrasion resistance necessary for implantation and for generating a force necessary to control a diseased organ.
In an example embodiment, the electrothermally active contractile polymers 16 are manufactured from one or more fibers 30 that are combined and then coiled along a long axis of the fibers 30. The fibers 30 can comprise a polyester material that is capable of being readily converted to nonwoven textiles by various methods including by a wet-laid and melt-blown web forming process bonded with mechanical methods such as needle punching, chemical or thermal bonding. Nonwoven polyester textiles can be advantageously used in the present invention as they are strong, permeable, and resistant to stretching, heating, shrinking, abrasion, mildew and most chemicals. In one example embodiment, the fibers 30 have a linear density of 180 g/m2. However, the density may vary depending upon the desired active medical device 10 and its particular function.
Turning to
The other end of the fibers 30 are then attached to a twisting device or mechanism 32c such as a power drill or other rotation imparting mechanism or device. The precursor or uncoiled fibers 30 are twisted by rotating the twisting device 32c or powered drill in either a clockwise direction (from the top view) to form a “S” twist or an anti-clockwise direction to form a “Z” twist.
The coiled fibers 30 can then be mounted on a stand 32d that is operated to stretch the coiled fibers 30 for approximately 8% with respect to the initial coiled length of the fiber 30. Lastly, the stretched coiled fibers 30 on the stand 32d are then thermally annealed at 200° C. for 1 hour to stabilize the actuator (stretched coiled fibers 30), which may then undergo a coating process. A coiling method was described in Haines, C. S., et al., Artificial Muscles from Fishing Line and Sewing Thread. Science, 2014. 343(6173): p. 868-872).
Once the fibers are coiled, coated, and annealed, they now act as the individual electroactive polymers or actuators 16 capable of exerting force upon a treated organ.
Electrical Insulation Coating for Conductive Actuators
In conventional actuating devices, electrical shorting of the actuating device will change the conductive pathways, which can result in inconsistent functionalities. As a precaution for electrical shorting, the present invention coats the fibers 30 with a coating such as silicone. While a coating material of silicone is discussed, it is also feasible to use other coating materials that prevent electrical shorting.
After the twisting and thermal annealing processes (discussed above), the actuator 16 is coated with a silicone material. The coating process, illustrated in
A control tip 33b, such as a pipette tip, is then connected to the delivery device or syringe 33a to direct a flow of the silicone material onto the actuator 16.
In another example embodiment of the invention, the actuator 16 is placed inside of a delivery device or syringe 33a having a control 33b. An end of the actuator 16 is passed through the control tip 33b and is then slowly pulled in a straight position, as pictured in
In an example embodiment, the conductive actuator 16 was passed through a modified syringe 33a in-between a gap 33c formed in a plunger 33d and a syringe surface. A part of the syringe plunger 33d was removed, as shown in the cross section shown in
The coating thickness may be controlled by precision measuring and trimming of the pipette tip as shown in
As discussed above, the conductive actuator 16 is prepared only with a first stage of thermal annealing by stretching it to around 8%. The second stage of annealing is completed after the coating as the 50% stretch during second annealing produced a gap in between adjacent turns in the coils. Applying the silicone substrate after this second stage of annealing would mean that the silicone material would fill the gaps between turns in the coil and restrict the actuator 16 movement and further diminish the actuator 16 performance.
Any number of coatings, application methods, and/or coating locations may be applied to the actuators 16. A different number of coatings, application methods, and/or coating locations generally impart a different characteristic to the actuator 16.
Changing Actuator Properties
Depending upon the functional needs of the artificial muscle device 10, a surface resistivity of the fibers 30 can be altered during the manufacturing process. In particular, the surface resistivity can be altered by controlling the number of coatings.
Hybrid Electrothermally Active Contractile Polymers
Turning to
In an example manufacturing process, a hybrid electrothermally active contractile polymers or actuators 16 of the present invention are fabricated with non-conductive fiber (e.g., monofilament nylon-6) 34a having a diameter of approximately 0.4 mm. The filament is co-twisted with the thermally conductive fiber (e.g., SCN yarn) 34b. The hybrid electrothermally active contractile polymers or actuators 16 are fabricated with 10 MPa stress calculated with respect to the sum of the cross-sectional areas of the fibers 30.
Referring to
Sole Hybrid Conductive Actuator
Turning now to
Heating
The electrothermally active contractile polymers or actuators 16 of the present invention are able to generate an average temperature of 69.5° C. As described above, the polymers or actuators 16 are manufactured using both one or more polymer fibers 34a and conductive yarns 34b. The manufacturing methods of the present invention result in hybrid polymers or actuators 16 that provide even heating across or along its length. It should be noted that manufacturing hybrid electrothermally active contractile polymers or actuators 16 with a metal material such as steel or copper 38 may provide an increase in strength but decrease the even heating along the length of hybrid polymer or actuator 16.
Turning to
The Type 2 and Type 3 hybrid electrothermally active contractile polymers or actuators 16, as shown in
Force and Work of Hybrid Conductive Actuators
Turning to
An important aspect of the present invention is that the type of construction of the hybrid electrothermally active contractile polymers or actuators 16, allow for selection of hybrid polymer/actuator 16 characteristics. For instance, having an electrothermally heated fiber (such as SCN) 34b, with and out gaps 36, wrapped about a coiled conductive actuator fiber (such as nylon-6 monofilament) 34a, can be heated within the same range of temperature, and exhibit the same work outputs, by provide different force and stroke values (see
Insulation
To prevent shorting of the hybrid electrothermally active contractile polymers 16 of the present invention, some or all of the hybrid polymers/actuators 16 are coated or insulated with a non-electroactive material 14 such as silicone. Ideally, a soft silicone (such as Smooth-On Inc Pvt. Ltd) is used. The insulating coating process begins by slowly pulling one or more hybrid electrothermally active contractile polymers or actuators16 in a generally straight or uncoiled position. This results in applying an insulating coating around the entire surface area of the hybrid electrothermally active contractile polymers or actuators 16. The silicone coated polymers/actuators 16 are then allowed to cure for approximately 1 hr. at room temperature. Other insulating materials and drying processes are also contemplated herein and should be considered to be within the spirit and the scope of the present invention.
It should be noted that the thickness of the insulating coating may be modified in order to alter one or more properties of the hybrid electrothermally active contractile polymers or actuators 16. For instance, a thicker coating of insulating material 14 can be applied if all or part of the hybrid electrothermally active contractile polymers or actuators 16 generate heat higher than desired in a particular application. In another instance, a thicker coating of insulating material 14 may be applied to limit a stroke length or force of a hybrid electrothermally active contractile polymers or actuators 16 requiring an increased voltage for operation.
In another example embodiment of the present invention, hybrid electrothermally active contractile polymers or actuators 16 can have uncoated and coated actuator segments that are heated with the same voltage. The coated actuator segments demonstrate a lower temperature than the un-coated actuator segments as the silicone coating acts as a thermal insulation. Due to the low thermal conductivity of the coating or insulation 14, such as silicone, heat generated by the hybrid electrothermally active contractile polymers or actuators 16 is not transmitted to the surface of the coating and likewise to the surface of an organ or a patient's skin.
An advantage of having coated and un-coated actuator segments is that the artificial muscle device 10, can be manufactured with un-coated actuator segments in non-critical locations, such as non-tissue contacting areas. Heat generated by the hybrid electrothermally active contractile polymers or actuators 16 are able to escape through the un-coated actuator segments, thereby assist to dissipate heat.
Knitting of Implantable Devices
Referring to
wtex=(1.32*10+(1*(9))=23 mm
The thickness of the woven textile used to manufacture the artificial muscle device 10 of the present invention is the thickness of the hybrid conductive electrothermally active contractile polymers or actuators 16 (warp yarn) and two times of the thickness of the weft cotton yarn as can be seen in the cross section of the woven textile in
t=(1.32+(1*2))=3.32 mm
The force generated by one actuator is F1 and the number of parallel actuators in a textile is nw, the force generated by the woven textile (Fw) is equal to the sum of parallel forces given by below equation
F
W
=F
1
*n
w
The strain of the single actuator (ΔL %) and the strain of the woven textile is (ΔLw %) are equal.
The medical device 40 may include one or more selvages or ribs 44a and 44b that are spaced apart and to which one or more of the electrothermally active contractile polymers or actuators 16 connect or attach. One or more interconnecting ribs 44c may extend between the spaced apart ribs 42a and 42b to aid in reducing or preventing movement away from each other. One or more of the selvages or ribs 42a-42c may be electrothermally active contractile polymers or actuators 16 or non-electrothermally active contractile polymers. Additionally, any number of selvages or ribs may be used in the construction of the medical device 40.
Referring to
Referring to
Referring to
The medical device 40 of
Referring to
Referring to
As particularly illustrated in
Turning to
One or more sensors 50 can be imbedded or attached to the substrate 14 or electrothermally active contractile polymers 16. Placement of one or more sensors 50 can measure or detect various physiological and/or device parameters.
As illustrated in
The present invention may be embodied in other specific forms without departing from the spirit or essential attributes thereof, and it is, therefore, desired that the present embodiment be considered in all respects as illustrative and not restrictive. Similarly, the above-described methods and techniques for forming the present invention are illustrative processes and are not intended to limit the methods of manufacturing/forming the present invention to those specifically defined herein.
This application claims the priority benefit of U.S. Provisional Application No. 63/243,170, filed on Sep. 12, 2021, which is hereby incorporated herein by reference in its entirety.
Number | Date | Country | |
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63243170 | Sep 2021 | US |