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Bio-Design and Manufacturing  2025 Vol.8 No.6 P.948-961

http://doi.org/10.1631/bdm.2500183


Development of novel microtubular ionic actuators for endovascular navigation


Author(s):  Qingsong He (???), Siyuan Liu (???), Xiaofang Liu (???), Weixiang Gao (???), Zhihao Lv (???), Xin Shen (??), Jinjun Duan (???), Yunfei Han (???), Jianfeng Zhao (???), Ying Hu (??), Wenqi Liu (???), Fengjiang Zhan (???), Longfei Chang (???), Tao Wang (??), Yuze Ye (???), Qiyun Zhong (???), Xinyu Lu (???), Weiming Xu (???), Yefu Wang (???), Yang Gu (??), Chenchu Zhang (???), Dong Wu (??) & Yong Li (??)

Affiliation(s):  1 Jiangsu Provincial Key Laboratory of Bionic Materials and Equipment, College of Mechanical and Electrical Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing 210016, China 2 State Key Laboratory of Mechanics and Control for Aerospace Structures, Nanjing University of Aeronautics and Astronautics, Nanjing 210016, China 3 Key Laboratory of Advanced Technology for Small and Medium-sized UAV, Ministry of Industry and Information Technology, Unmanned Aerial Vehicles Research Institute, Nanjing University of Aeronautics and Astronautics, Nanjing 210016, China 4 Center for X-Mechanics, Department of Engineering Mechanics, Zhejiang University, Hangzhou 310027, China 5 Department of Neurology, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210023, China 6 Anhui Province Key Lab of Aerospace Structural Parts Forming Technology and Equipment, School of Materials Science and Engineering, Hefei University of Technology, Hefei 230009, China 7 Innovation Center of Genesis MedTech Group, Wuxi 214000, China 8 Department of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China 9 Department of Cardiology, The Affiliated Huaian No. 1 Peoples Hospital of Nanjing Medical University, Huaian 223300, China 10 CAS Key Laboratory of Mechanical Behavior and Design of Materials, Department of Precision Machinery and Precision Instrumentation, University of Science and Technology of China, Hefei 230027, China

Corresponding email(s):   heqingsong@nuaa.edu.cn, huying@hfut.edu.cn, liyongmydream@126.com

Key Words:  Microtubular ionic (MTi) actuators Steerable interventional catheters Endovascular navigation Endovascular therapy Contrast medium delivery


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Qingsong He (???), Siyuan Liu (???), Xiaofang Liu (???), Weixiang Gao (???), Zhihao Lv (???), Xin Shen (??), Jinjun Duan (???), Yunfei Han (???), Jianfeng Zhao (???), Ying Hu (??), Wenqi Liu (???), Fengjiang Zhan (???), Longfei Chang (???), Tao Wang (??), Yuze Ye (???), Qiyun Zhong (???), Xinyu Lu (???), Weiming Xu (???), Yefu Wang (???), Yang Gu (??), Chenchu Zhang (???), Dong Wu (??) & Yong Li (??) . Development of novel microtubular ionic actuators for endovascular navigation[J]. Journal of Zhejiang University Science D, 2025, 8(6): 948-961.

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Abstract: 
Minimally invasive interventional surgery techniques using guidewire-based catheters are widely adopted to treat vascular diseases. However, commonly used interventional catheters lack active guidance. The use of guidewires is associated with risks, including increased exposure to X-rays and potential vascular damage during withdrawal from complex vessels. Herein, we developed sub-millimeter microtubular ionic actuators (0.60.8 mm outer diameter) integrated into steerable inter ventional catheters. These actuators can generate large deformations (>10 mm) under 7 V direct current due to enhanced ion migration, enabling precise navigation without the need for guidewires. The designed catheters achieved active bending and accurate positioning in complex arterial vascular branches within a human model. They were also able to navigate within dif ferent arterial locations (e.g., the innominate, subclavian, and carotid arteries) in pigs without the use of guidewires, and even access the ventricle and deliver contrast medium, indicating their great potential for future endovascular therapy.

用于血管内导航的新型微管离子致动器研发

作者:何青松1,2,3,刘思远1,刘小芳1,高伟翔1,3,吕志豪1,4,沈鑫1, 段晋军1,韩云飞5,赵剑峰1,胡颖6,刘文奇7,展凤江3,常龙飞6, 王涛6,叶玉泽1,仲启云1,3,卢鑫雨1,3,徐伟鸣1,王业甫8, 谷阳9,张晨初6,吴东10,李勇8 机构:1南京航空航天大学机电学院,江苏省仿生材料与装备重点实验室,中国南京市,210016;2南京航空航天大学航空航天结构力学及控制全国重点实验室,中国南京市,210016;3南京航空航天大学无人机研究院,中小型无人机先进技术工业和信息化部重点实验室,中国南京市,210016;4浙江大学工程力学系交叉力学研究中心,中国杭州市,310027;5南京中医药大学附属医院神经内科,中国南京市,210023;6合肥工业大学材料科学与工程学院,航空结构件成形制造与装备安徽省重点实验室,中国合肥市,230009;7健适医疗科技集团创新中心,中国无锡市,214000;8南京医科大学第一附属医院心内科,中国南京市,210029;9南京医科大学附属淮安第一医院心内科,中国淮安市,223300;10中国科学技术大学精密机械与精密仪器系,中国科学院材料力学行为和设计重点实验室,中国合肥市,230027 目的:导管辅助微创介入手术技术已广泛应用于治疗血管疾病,但现有介入导管缺乏主动导向能力,操作需依赖导丝引导,这伴随延长X射线暴露时间和血管损伤的风险。本研究旨在开发一种可集成于主动导向介入导管的亚毫米级微管离子型致动器,实现无需导丝的精确导航。 创新点:开发了一种可集成于主动导向介入导管的亚毫米级微管离子型致动器(外径0.6–0.8 mm)。该驱动器基于增强的离子迁移效应,可在7 V直流电压下产生大幅变形(>10 mm),从而实现无需导丝的精确导航,解决了现有介入导管缺乏主动导向能力的问题。 方法:研制出亚毫米级微管离子型致动器,并将其集成到主动导向介入导管中。测试了该导管在人体模型中复杂动脉分支的主动弯曲和精准定位能力。此外,还进行了猪不同动脉部位(如无名动脉、锁骨下动脉及颈动脉)的无导丝导航实验,并测试了其进入心室和递送造影剂的功能。 结论:基于微管离子型致动器的主动导向介入导管在人体模型中实现了精准定位,并在猪体内成功进行了无导丝导航和造影剂递送。结果表明该导管在未来的血管内治疗中具有广阔的应用潜力。
关键词:微管离子致动器;可操纵介入导管;血管内导航;血管内治疗;造影剂递送;无导丝

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