Intelligent Ureteral Stent for Early Detection of Hydronephrosis

Mohammad Reza Yousefi Darestani, N. Shalabi, D. Lange, B. Chew, K. Takahata
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引用次数: 4

Abstract

Millions of people around the world currently suffer from kidney stone diseases. While ureteral stenting is an unmistakably effective treatment of these patients, their long‐term adverse effects can result in the build‐up of crystals around the stent. This, in turn, can lead to new ureter blockages that can dangerously increase kidney pressure, a condition known as hydronephrosis, which, if severe and prolonged, can cause irreversible kidney damage. Toward enabling early detection of hydronephrosis, this paper investigates the first intelligent ureteral stent with an integrated radiofrequency antenna and micro pressure sensor for resonance‐based wireless tracking of kidney pressure. Prototyping is conducted using a commercial ureteral stent as the substrate for microfabrication of the device. The packaged device is experimentally assessed for electrical characterizations and wireless pressure sensing using an in vitro test model. Preliminary telemetry testing demonstrates the fundamental ability of the device with its approximately linear responses of up to 1.7 kHz mmHg−1 over a pressure range of up to 120 mmHg in air, water, and artificial urine. These findings verify the efficacy of the device design and the approach to kidney pressure monitoring through indwelling stents, paving the way for the transfer of this technology to today's ureteral stent products.
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智能输尿管支架在肾积水早期检测中的应用
目前全世界有数百万人患有肾结石疾病。虽然输尿管支架置入术无疑是治疗这些患者的有效方法,但其长期的不良反应可能导致支架周围结晶体的形成。这反过来又会导致新的输尿管阻塞,从而危险地增加肾脏压力,这种情况被称为肾积水,如果严重和长期存在,可能会导致不可逆的肾脏损伤。为了能够早期发现肾积水,本文研究了第一个集成射频天线和微型压力传感器的智能输尿管支架,用于基于共振的肾压力无线跟踪。原型是使用商业输尿管支架作为设备微加工的基质进行的。使用体外测试模型对封装的设备进行电学特性和无线压力传感的实验评估。初步的遥测测试证明了该设备的基本能力,在高达120 mmHg的空气、水和人工尿液压力范围内,其近似线性响应高达1.7 kHz mmHg−1。这些发现验证了该装置设计和通过留置支架监测肾压的方法的有效性,为将该技术应用于今天的输尿管支架产品铺平了道路。
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