An implantable soft robotic ventilator augments inspiration in a pig model of respiratory insufficiency

2022 · Lucy Hu, Jean Bonnemain, Mossab Saeed, Manisha Singh, Diego Moreno, Nikolay Vasilyev, Ellen Roche · Nature Biomedical Engineering

Abstract

Abstract Severe diaphragm dysfunction can lead to respiratory failure and to the need for permanent mechanical ventilation. Yet permanent tethering to a mechanical ventilator through the mouth or via tracheostomy can hinder a patient’s speech, swallowing ability and mobility. Here we show, in a porcine model of varied respiratory insufficiency, that a contractile soft robotic actuator implanted above the diaphragm augments its motion during inspiration. Synchronized actuation of the diaphragm-assist implant with the native respiratory effort increased tidal volumes and maintained ventilation flow rates within the normal range. Robotic implants that intervene at the diaphragm rather than at the upper airway and that augment physiological metrics of ventilation may restore respiratory performance without sacrificing quality of life.

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Publication Details

Journal
Nature Biomedical Engineering
Volume
7
Issue
2
Pages
110-123
Publisher
Springer Science and Business Media LLC
ISSN
2157-846X