3D打印盆腔器官脱垂(POP)组织支架

IF 1 Q4 ENGINEERING, MANUFACTURING Journal of Micro and Nano-Manufacturing Pub Date : 2022-06-27 DOI:10.1115/msec2022-85062
Yuxiang Zhu, Dharneedar Ravichandran, Kenan Song
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引用次数: 0

摘要

在美国,近四分之一的女性因盆腔器官脱垂或尿失禁而接受手术。由于分娩损伤、衰老、肥胖等原因,骨盆底无力支撑盆腔器官,导致尿失禁、性困难、盆腔器官脱垂(POP)等。聚丙烯(PP)网常用于重建手术作为加强提供长期,持久的支持。然而,商业聚丙烯网有并发症的风险,如疼痛,网腐蚀和感染。美国食品和药物管理局(FDA)因此将聚丙烯网重新分类为高风险设备。因此,迫切需要用快速成型技术来治疗POP的新网格,特别是对于个性化医疗。因此,我们使用生物相容性聚合物(如明胶,聚乙烯醇(PVA),壳聚糖)开发了一种新的植入式网状物,具有可控制的结合强度和可调的寿命。我们的团队利用增材制造技术制造有利于细胞附着和营养传递的多孔支架结构。我们的POP支架网具有很高的生物相容性和可控的生物降解性。我们还将利用我们的制造专业知识和临床合作伙伴关系来研究组织再生的细胞增殖和分化。我们先进的制造方法与其他材料兼容,在牙科、心脏或骨工程应用的分层结构中具有潜在的用途。
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3D Printed Pelvic Organ Prolapse (POP) Tissue Scaffolds
Nearly 1 in 4 women undergo surgery for pelvic organ prolapse or urinary incontinence in the US. The weakened pelvic floor, which could be caused by childbirth injury, aging, or obesity, fails to support the pelvic organs, resulting in urinary incontinence, sexual difficulties, and pelvic organ prolapse (POP). Polypropylene (PP) meshes are often used in reconstructive surgeries as a reinforcement to provide long-term, durable support. However, commercial polypropylene meshes have a risk of complications, such as pain, mesh erosion, and infection. The United States Food and Drug Administration (FDA) has consequently re-classified the polypropylene mesh as a high-risk device. Therefore, the need for new meshes to cure POP with a rapid prototyping technique is urgent, especially for personalized medicine. Therefore, we developed a new implantable mesh using biocompatible polymers (e.g., gelatin, polyvinyl alcohol (PVA), chitosan) with controlled bonding strength and tunable lifetime. Our group has leveraged additive manufacturing for porous scaffold structures beneficial for cell attachment and nutrition transmission. Our POP scaffold mesh has demonstrated high biocompatibility and controlled biodegradability. We will also leverage our manufacturing expertise and clinical partnerships to examine cell proliferation and differentiation for tissue regeneration. Our advanced manufacturing method is compatible with other materials and has potential use in layered structures for dental, heart, or bone engineering applications.
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来源期刊
Journal of Micro and Nano-Manufacturing
Journal of Micro and Nano-Manufacturing ENGINEERING, MANUFACTURING-
CiteScore
2.70
自引率
0.00%
发文量
12
期刊介绍: The Journal of Micro and Nano-Manufacturing provides a forum for the rapid dissemination of original theoretical and applied research in the areas of micro- and nano-manufacturing that are related to process innovation, accuracy, and precision, throughput enhancement, material utilization, compact equipment development, environmental and life-cycle analysis, and predictive modeling of manufacturing processes with feature sizes less than one hundred micrometers. Papers addressing special needs in emerging areas, such as biomedical devices, drug manufacturing, water and energy, are also encouraged. Areas of interest including, but not limited to: Unit micro- and nano-manufacturing processes; Hybrid manufacturing processes combining bottom-up and top-down processes; Hybrid manufacturing processes utilizing various energy sources (optical, mechanical, electrical, solar, etc.) to achieve multi-scale features and resolution; High-throughput micro- and nano-manufacturing processes; Equipment development; Predictive modeling and simulation of materials and/or systems enabling point-of-need or scaled-up micro- and nano-manufacturing; Metrology at the micro- and nano-scales over large areas; Sensors and sensor integration; Design algorithms for multi-scale manufacturing; Life cycle analysis; Logistics and material handling related to micro- and nano-manufacturing.
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