An international research team led by the University of Waterloo in Ontario, Canada, is developing technology to dissolve painful kidney stones in the urinary tract using tiny robots.
The new technique, tested in a life-size, 3D-printed model, features thin, spaghetti-like strips fitted with magnets that can be moved into place near uric acid kidney stones with a robotic arm operated by doctors.
The soft, flexible robot strips are about a centimetre long and contain an enzyme called urease. Once in place, the urease reduces the acidity of the surrounding urine, thereby dissolving stones until they are small enough to pass naturally in just a few days.
‘There is currently no good treatment method available for this type of kidney stone,’ said Veronika Magdanz, a professor of systems design engineering at Waterloo who consulted urologists in Spain and Canada during the research project. ‘Patients are typically prescribed painkillers and oral dissolving medication that provides slow relief over the course of weeks or months. And in urgent
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Magdanz said researchers are optimistic their minimally invasive treatment system will be particularly beneficial for people known as recurring stone formers who don’t tolerate oral medication well or can’t undergo surgery due to risk factors such as chronic infections.
‘Our goal is to provide an effective alternative to existing treatment methods,’ said Magdanz, who is also director of the Medical Microrobotics Lab at Waterloo. ‘We hope accelerated stone dissolution will relieve the pain faster and help patients pass stones quicker.’
Next steps in the development process include studies with large animals and refinement of the control system, which includes a motorized magnet on a robotic arm, and real-time ultrasound imaging that enables doctors to precisely manipulate robots into place near stones.
The research has been published in Advanced Healthcare Materials.