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Medicine Robotics Technology

3D Printing Inside the Body Could Patch Stomach Ulcers (scientificamerican.com) 34

An anonymous reader quotes a report from Scientific American: Stomach ulcers and other gastric wounds afflict one in eight people worldwide, but common conventional therapies have drawbacks. Now scientists aim to treat such problems by exploring a new frontier in 3-D printing: depositing living cells directly inside the human body. [...] In their effort to treat stomach lesions less invasively, scientists in China wanted to develop a miniature bioprinting robot that could enter the human body with relative ease. The researchers used existing techniques for creating dexterous electronic devices, such as mechanical bees and cockroach-inspired robots, says the study's senior author Tao Xu, a bioengineer at Tsinghua University in Beijing.

The resulting micro robot is just 30 millimeters wide -- less than half the width of a credit card -- and can fold to a length of 43 millimeters. Once inside a patient's body, it unfolds to become 59 millimeters long and can start bioprinting. "The team has constructed clever mechanisms that make the system compact when entering the body yet unfurl to provide a large working area once past the tight constrictions at entry," says David Hoelzle, a mechanical engineer at the Ohio State University, who did not take part in the study. In their experiments, the researchers in China fitted the micro robot onto an endoscope (a long tube that can be inserted through bodily openings) and successfully snaked it through a curved pipe into a transparent plastic model of a stomach. There, they used it to print gels loaded with human stomach lining and stomach muscle cells (which were grown in culture by a commercial laboratory) onto a lab dish. The printed cells remained viable and steadily proliferated over the course of 10 days. "This study is the first attempt to combine micro robots and bioprinting together," Xu says.
The study has been published in the journal Biofabrication.
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3D Printing Inside the Body Could Patch Stomach Ulcers

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  • The resulting micro robot is just 30 millimetres wide -- less than half the width of a credit card -- and can fold to a length of 43 millimetres. Once inside a patient's body, it unfolds to become 59 millimetres long and can start bioprinting.

    Why the hell compare 30mm to less than half the width of a credit card... Are you people still in kindergarten? Why are you always comparing to something else? Can't you at the very least convert metric measurements to your own imperial system?

    Here, let me do the job t

    • And of course Slashdot deleted the non-breaking space I put in the inches length, so it shows "13/16" instead of "1-3/16".

      So I repeat, since Slashdot can't even display a fucking non-breaking space:
      30mm = 1.1811" ~ 1 3/16"

    • 30mm is nowhere near small enough to qualify being a "micro" robot.

      O RLY?

      micro- /ËmÄkrÅ/
      combining form
      prefix: micro-

      1.
      small.
      "microcar"
      of reduced or restricted size.
      "microdot"

      You CAN look words up before you complain about their use. I believe in you!

      • We're in 2020. I don't see why a 30mm robot qualifies as small, especially since it's supposed to be the cutting-edge of medicine. That's not micro, that's just regular size now. You do know they sell flying robots that small for around 10 dollars, right?

        Also I did look up the meaning of the word. That's where this part came from:

        What is the measurement of micro?
        Micrometre, also called micron, metric unit of measure for length equal to 0.001 mm, or about 0.000039 inch. Its symbol is m. The micrometre is com

        • You do know they sell flying robots that small for around 10 dollars, right?

          Except that they're about twice that size, sure.

          Also I did look up the meaning of the word.

          Then why don't you know that the word has multiple meanings? It's right there in the dictionary.

          Micro can mean thousandth, but it can also mean smaller than usual. That's how English works. It can be annoying, but it's also very powerful.

          • by printman ( 54032 )

            I wouldn't want to try swallowing a 30x43mm "micro" robot!

            • "I wouldn't want to try swallowing a 30x43mm "micro" robot!"

              That's what she said.

            • by cusco ( 717999 )

              If bleeding ulcers are the alternative to swallowing the thing then pass me some coconut oil to make it go down easier.

              Realistically the patient would be under anesthesia for the procedure.

  • Awesome use of technology, and hope this becomes wide-spread. But does anyone else find it just a bit creepy? Thinking Pixar meets Stephen King?
    • I was thinking more about the "medical spider robots" from The Island.

      • I was thinking more about the "medical spider robots" from The Island.

        Thanks. I needed to be creeped out even more.

    • Awesome use of technology, and hope this becomes wide-spread. But does anyone else find it just a bit creepy? Thinking Pixar meets Stephen King?

      This is a solution looking for a problem.

      Once we realized most ulcers are caused by a bacteria Helicobacter pylori we learned to treat it with antibiotics which gave us cure rates > 80% and dropped the number of gastrostomies for ulcers by at least an order of magnitude and probably closer to 2 since we rarely resect stomachs anymore (causing massive drop in the number of surgeons who have a lot of experience operating on the stomach). For many of the other cases we have endocscopy, which is several dec

      • No apologies required. While it may be correct that this particular use case is well - useless - it is still awesome technology. A 'bot that can repair you from the inside. Compare a Model T to a current black automobile of today. Now, I hope they can do the same with this technology and eventually make a 'bot that could get in and repair stroke damage, or other internal bleeding. And it would still be creepy. And no, I don't want to hear about any more spiders.
      • by cusco ( 717999 )

        In my wife's experience proton pump inhibitors are crap. Her stomach problems got worse when taking them, and have improved since she stopped. Not everyone's biology is the same.

    • McCoy: What's wrong with you?
      Elderly Patient: Kidney dialysis...
      McCoy: My god, what is this, the Dark Ages?! [gives her a pill] Here, you take this.

      (A few minutes later)
      Elderly Patient: Doctor gave me a pill, and I grew a new kidney!

      --The Voyage Home

  • Stomach ulcers and other gastric wounds afflict one in eight people worldwide

    I got one from drinking a bunch of free employer-provided coca-cola. It went away when I quit. Really gives some perspective on the consequences of overconsumption. I was drinking about a six pack per day, sometimes more...

    • I think stomach ulcers and other gastric wounds were the least of your problems. Do you know how much sugar you were drinking each day?

      • Oh, an awful shitload. I was depressed, who cares under those conditions? Had to leave Texas, couldn't stand the weather. Shame really, I miss some of the people terribly. Then again, I don't miss most of them at all.

    • by thomst ( 1640045 )

      Speaking of gastric ulcers, drinkypoo claimed:

      I got one from drinking a bunch of free employer-provided coca-cola. It went away when I quit. Really gives some perspective on the consequences of overconsumption. I was drinking about a six pack per day, sometimes more...

      I doubt that. Most gastric ulcers are caused by a Helicobacter pylori infection [mayoclinic.org] - and, for practical purposes, by "most," the Mayo Clinic here means "all."

      Back in the dark ages (which is to say, "prior to about 1980 or so"), gastric ulcers were thought to be caused by stress or ingestion of irritants, including acid-y drinks (Coca-Cola, for instance), alcohol, spicy foods, etc. Then Helicobacter was discovered, and it turned out to be the culprit in virtually a

      • by nagora ( 177841 )

        Coke doesn't actually have particularly high levels of caffine.

      • by kackle ( 910159 )
        Be careful. I have read that bile can reflux from the duodenum into the stomach, causing mucosal damage.

        And like another poster here, I have experienced (confirmed) lining damage after I took much ibuprofen for several months.

        I thought it was demonstrated in animal studies that emotional stress can increase acid production in the stomach (I can't look this up right now; see "Dr. Cannon").

        The vagus nerve is involved in stomach acid production. It's theorized (and sensible) that the vagus nerve
  • by tpjunkie ( 911544 ) on Thursday September 24, 2020 @09:01AM (#60540032) Journal
    And I'm moderately baffled by a reported need for 3d printing to treat stomach ulcers "less invasively" - standard of care is an endoscopy to diagnose the ulcer (sometimes ulcers can be diagnosed by various imaging modalities, but this is much less sensitive), and if the ulcer needs treatment (visible blood vessel, visible bleeding, or a large adherent clot) you can do it then and there - typically an epinephine injection to slow active bleeding, and then either a clip which will close the ulcer and fall off and pass on its own in a few weeks, or you can apply a heat probe for coagulative coaptation of the blood vessel causing the bleeding. In either case, for the vast majority of ulcers, these treatments will stop the bleeding at the end of the procedure, typically 5-15 minutes. The stomach mucosa will then heal on its own, with the help of proton-pump inhibitors like prilosec. Not sure how this process is less invasive as it also requires endoscopic placement, or more effective as it would take much longer. I guess it could be helpful in non healing ulcers due to poor blood flow from severe vascular disease or heart failure, although I doubt the printed cells will do too well without a good blood supply.
    • About 25 years ago there was flurry of news articles that main cause of stomach ulcers was infection and the treatment should be antibiotics not the historic endless consumption of antacid and buffers. Is that true? In that case hard to see how printing more food for the germs is going to help.

      • by tpjunkie ( 911544 ) on Thursday September 24, 2020 @12:36PM (#60540818) Journal
        Worldwide yes. Helicobacter pylori is the most common cause of peptic ulcers, especially outside the USA. The guys who proved this by infecting themselves with it and getting ulcers won the Nobel prize. In the US, gastric ulcers are also frequently caused by NSAID use such as aspirin (even baby aspirin!) or ibuprofen.
  • "Hey doc, while your bot is down there, can you give me a ten-inch...

  • Stomach ulcers and other gastric wounds afflict one in eight people worldwide, but common conventional therapies have drawbacks

    I dunno. The doc said 10 years ago they'd have had to do surgery, but the new drugs were great.

    Oh, and I stopped taking 12-16 ibuprofen a day, which was the real cure.

  • China gives you ulcers.

The truth of a proposition has nothing to do with its credibility. And vice versa.

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