A Soft Robotic Actuator System for In Vivo Modeling of Normal Pressure Hydrocephalus
Name
A_Soft_Robotic_Actuator_System_for_In_Vivo_Modeling_of_Normal_Pressure_Hydrocephalus.pdf
Size
13.41 MB
Format
Adobe PDF
Checksum (MD5)
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Author(s)
Flürenbrock, Fabian
Rosalia, Luca
Podgoršak, Anthony
Sapozhnikov, Katherina
Trimmel, Nina Eva
Weisskopf, Miriam
Oertel, Markus Florian
Roche, Ellen
Zeilinger, Melanie N.
Korn, Leonie
Date Issued
March 2024
Journal
IEEE Transactions on Biomedical Engineering
Publisher
Institute of Electrical and Electronics Engineers
Citation
F. Flürenbrock et al., "A Soft Robotic Actuator System for In Vivo Modeling of Normal Pressure Hydrocephalus," in IEEE Transactions on Biomedical Engineering, vol. 71, no. 3, pp. 998-1009, March 2024.
Version
Final published version
Abstract
The intracranial pressure (ICP) affects the dynamics of cerebrospinal fluid (CSF) and its waveform contains information that is of clinical importance in medical conditions such as hydrocephalus. Active manipulation of the ICP waveform could enable the investigation of pathophysiological processes altering CSF dynamics and driving hydrocephalus. METHODS: A soft robotic actuator system for intracranial pulse pressure amplification was developed to model normal pressure hydrocephalus in vivo. Different end actuators were designed for intraventricular implantation and manufactured by applying cyclic tensile loading on soft rubber tubing. Their mechanical properties were investigated, and the type that achieved the greatest pulse pressure amplification in an in vitro simulator of CSF dynamics was selected for application in vivo. A hydraulic actuation device based on a linear voice coil motor was developed to enable automated and fast operation of the end actuators. The combined system was validated in an acute ovine pilot in vivo study. RESULTS: in vitro results show that variations in the used materials and manufacturing settings altered the end actuator's dynamic properties, such as the pressure-volume characteristics. In the in vivo model, a cardiac-gated actuation volume of 0.125 mL at a heart rate of 62 bpm caused an increase of 205% in mean peak-to-peak amplitude but only an increase of 1.3% in mean ICP. CONCLUSION: The introduced soft robotic actuator system is capable of ICP waveform manipulation. SIGNIFICANCE: Continuous amplification of the intracranial pulse pressure could enable in vivo modeling of normal pressure hydrocephalus and shunt system testing under pathophysiological conditions to improve therapy for hydrocephalus.
Subjects
Biomedical Engineering
MIT Department
Massachusetts Institute of Technology. Department of Mechanical Engineering
Massachusetts Institute of Technology. Institute for Medical Engineering & Science
Terms of Use
Creative Commons Attribution-NonCommercial-NoDerivs License
Persistent DSpace Link
DOI of Published Version
https://doi.org/10.1109/tbme.2023.3325058
