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New implant design prevents scar tissue without drugs, MIT says

August 8, 2022 By Jim Hammerand

A portrait of Ellen Roche, MIT School of Engineering associate professor

Ellen Roche, MIT School of Engineering associate professor, and a team of researchers developed a new implant design for delaying scar tissue formation. [Photo courtesy of MIT]

Mechanically inflating and deflating an implantable device for 10 minutes a day prevents immune cells from building the scar tissue that has been a major obstacle for artificial pancreas researchers.

That’s according to new findings from a team of MIT engineers who built mechanical deflection into a two-chambered, soft polyurethane device tested on mice. By pumping up and down for five minutes every 12 hours, the device prevented immune cells from accumulating and building scar tissue without immunosuppressants.

The researchers reported fewer neutrophils surrounding the device in the short term. And when scar tissue did eventually form, the researchers described an unusual structure of highly aligned collagen fibers instead of the tangled fibers that can lead to device failure within weeks. The aligned structure of the scar tissue that formed around the actuated devices may be easier for drug molecules to pass through.

“We’re using this type of motion to extend the lifetime and the efficacy of these implanted reservoirs that can deliver drugs like insulin, and we think this platform can be extended beyond this application,” Ellen Roche, the study’s co-senior author and an MIT School of Engineering associate professor, said in a news release.

The device could allow for the delivery of pancreatic islet cells acting as a bioartificial pancreas, immunotherapy for ovarian cancer and drugs to prevent heart failure in heart attack patients.

“You can imagine that we can apply this technology to anything that is hindered by a foreign body response or fibrous capsule, and have a long-term effect,” Roche said. “I think any sort of implantable drug delivery device could benefit.”

The researchers created a larger version of the device (120 mm by 80 mm) and successfully implanted it in the abdomen of a human cadaver using a minimally invasive surgical technique. They plan to add the ability to deliver stem-cell-derived pancreatic cells that could automatically monitor and manage glucose levels.

“The idea would be that the cells would be resident in the reservoir, and they would act as an insulin factory,” Roche said. “They would detect the levels of glucose in blood and then release insulin according to what was necessary.”

The study was published last week in Nature Communications.

An infographic showing how an inflatable implant can delay scar tissue formation

[Image courtesy of MIT]

About The Author

Jim Hammerand

Jim Hammerand is the managing editor of Arrowfly's Medical Design & Outsourcing, where he leads coverage of medtech innovation, design, engineering and manufacturing. He also reports breaking news at Arrowfly's MassDevice and contributes to our DeviceTalks podcasts and live events. Hammerand has more than two decades of journalism experience spanning newspapers, magazines, websites, live events, radio and TV news. For nearly a decade, Hammerand reported and edited business news for American City Business Journals as a reporter and digital editor at the Minneapolis/St. Paul Business Journal and then as managing editor of the Puget Sound Business Journal in Seattle. He holds degrees in journalism and management from the University of Minnesota and has won journalism awards from the Society of Professional Journalists, American Society of Business Publication Editors, and Trade, Association, Business Publications International. Connect with him on LinkedIn or by email at [email protected].

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