1.清华大学电子工程系,北京100084
2.天津网联一生科技有限公司,天津300450
3.中山大学附属第一医院,广东广州510080
4.中卫科创(北京)医学研究院有限公司,北京100089
[ "张 明 男,1994年9月出生于山西省朔州市,现为清华大学电子系硕士,主要研究植入式医疗共形天线设计及人体信道特性. E-mail: zhangming2020@foxmail.com" ]
[ "王景璟(通信作者) 男,1990年7月出生于辽宁大连,博士,现为清华大学电子系助理研究员,主要研究复杂异构信息系统及异构网络环境下体域网系统架构. E-mail: wjj2019@mail.tsinghua.edu.cn" ]
[ "马 骏 男,1994年1月出生于青海省格尔木市,硕士,主要研究植入式医疗系统设计及植入式低功耗电路实现. E-mail: ma.mail@foxmail.com" ]
[ "杨 涛 男,1986年8月出生于湖北恩施,硕士,主要研究体内外中远距离无线供电.E-mail: hwip6958@163.com" ]
[ "胡作军 男,1969年5月出生于广东省肇庆市,现为中山大学附属第一医院主任医师,博士生导师,主要从事外周血管疾病发病机制和人工血管新材料及新载体研究. E-mail: zsyyyb@mail.sysu.edu.cn" ]
[ "任 勇 男,1963年5月出生于黑龙江哈尔滨,现为清华大学电子系教授,博士生导师,主要研究植入式医疗电子及复杂信息网络. E-mail: reny@tsinghua.edu.cn" ]
收稿:2020-08-24,
修回:2020-12-23,
纸质出版:2021-07-25
移动端阅览
张明,王景璟,马骏等.从智能支架看植入式医疗电子的发展[J].电子学报,2021,49(07):1406-1416.
ZHANG Ming,WANG Jing-jing,MA Jun,et al.Discussion on the New Generation of Vascular Stent from the Development of Implantable Medical Devices[J].ACTA ELECTRONICA SINICA,2021,49(07):1406-1416.
张明,王景璟,马骏等.从智能支架看植入式医疗电子的发展[J].电子学报,2021,49(07):1406-1416. DOI: 10.12263/DZXB.20200939.
ZHANG Ming,WANG Jing-jing,MA Jun,et al.Discussion on the New Generation of Vascular Stent from the Development of Implantable Medical Devices[J].ACTA ELECTRONICA SINICA,2021,49(07):1406-1416. DOI: 10.12263/DZXB.20200939.
植入式医疗电子设备向着微型化、网络化、智能化方向快速发展,其涉及的科学技术也不断更新迭代.本文回顾植入式医疗电子设备及其核心关键技术的发展历程,探讨从体内生理信息精准传感、经体无线可靠传输到体外大数据高效处理的各项技术,呈现相关科学研究的最新动态和发展方向,并提出可智能实时监测支架植入术后“再狭窄”与“内漏”的新一代智能血管支架,为未来血管支架的发展提供全新理念及方向,推动我国植入式医疗电子设备朝着高端化、智能化道路发展.
With miniaturization
networklization and intelligentization of implantable medical electronic devices
the science and technology related are constantly updated and iterative. This paper reviews the development of implantable medical electronic devices as well as related crucial technologies
discusses from accurate sensing of physiological information in vivo
wireless reliable transmission to efficient processing of in vitro big data
and presents the latest development and direction of the scientific research. On this basis
the paper proposes a generation of intelligent vascular stents that can intelligently and constantly monitor "restenosis" and "endoleak" after stent implantation
which provides a concept and direction for the future development of vascular stents. This technology promotes China's internal implantable medical electronic devices to develop in the direction of high‑end and intelligentization.
谢步东 , 刘启榆 , 王东 . 对介入医学发展的思考 [J]. 中国现代药物应用 , 2008 , 2 ( 4 ): 117 - 118 .
徐克 . 卫生部《介入诊疗技术管理规范》解读 [J]. 放射学实践 , 2012 , 27 ( 12 ): 8 - 12 .
本刊 . 植入式左心室辅助系统批准上市 [J]. 中国医疗器械杂志 , 2019 , 43 ( 5 ): 325 - 325 .
赵毅 . 生物体导电能量传递模型的研究 [D]. 重庆 : 重庆大学 , 2008 .
ZHAO Yi . Research of the Biological Volume Conduction Energy Transfer Model [D]. Chongqing : Chongqing University , 2008 . (in Chinese)
谢翔 , 张春 , 王志华 . 生物医学中的植入式电子系统的现状与发展 [J]. 电子学报 , 2004 , 32 ( 3 ): 462 - 467 .
XIE Xiang , ZHANG Chun , WANG Zhi-hua . A review of the implantable electronic devices in biology and medicine [J]. Acta Electronica Sinica , 2004 , 32 ( 3 ): 462 - 467 . (in Chinese)
Kim S H , Moon J H , et al . Flexible, stretchable and implantable PDMS encapsulated cable for implantable medical device [J]. Biomedical Engineering Letters , 2011 , 1 ( 3 ): 199 - 203 .
翟颖 . 植入抗MRI起搏系统的运用及护理体会 [J]. 信息记录材料 , 2016 , 17 ( 3 ): 101 - 103 .
ZHAI Ying . Use and nursing experience of MRI pacemaker implantation resistance system [J]. Information Recording Materials , 2016 , 17 ( 3 ): 101 - 103 . (in Chinese)
Boston Scientific Neuromodulation Corp . Skull-Mounted Deep Brain Stimulator [P]. United States : 0151438 A1 , 2017⁃06⁃01 .
Moon K S , Ozturk Y , et al . Apparatus and Method of Implantable Bidirectional Wireless Neural Recording and Stimulation [P]. United States : 0108926 A1 , 2017-04-20 .
Crema A , Malešević N , et al . A wearable multi‑site system for NMES‑based hand CMOS [J]. IEEE Transactions on Biomedical Circuits and Systems , 2018 , 12 ( 3 ): 589 - 600 .
Swain P . The future of wireless capsule endoscopy [J]. World Journal of Gastroenterology: WJG , 2008 , 14 ( 26 ): 4142 - 4145 .
Gong F , Swain P , Mills T . Wireless endoscopy [J]. Gastrointestinal Endoscopy , 2000 , 51 ( 6 ): 725 - 729 .
Yeh J Y , Wu T H , Tsai W J . Bleeding and ulcer detection using wireless capsule endoscopy images [J]. Journal of Software Engineering and Applications , 2014 , 7 ( 05 ): 422 - 432 .
Laiz P , Vitria J , Segui S . Using the triplet loss for domain adaptation in WCE [A]. Proceedings of the IEEE International Conference on Computer Vision Workshops [C]. Piscataway, NJ : IEEE , 2019 . 399 - 405 .
Vezakis I A , Toumpaniaris P , Polydorou A A , Koutsouris D . A novel real‑time automatic angioectasia detection method in wireless capsule endoscopy video feed [A]. 2019 41st Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) [C]. Piscataway, NJ : IEEE , 2019 . 4072 - 4075 .
Kissi C , Särestöniemi M , et al . On‑body cavity‑backed low-UWB antenna for capsule localization [J]. International Journal of Wireless Information Networks , 2020 , 27 ( 1 ): 30 - 44 .
王建平 , 邓文军 , 沈刘帮 , 王川 . 一种胶囊式内窥镜及内窥镜检查系统 [P]. 中国专利 : CN207506552U , 2018‑06‑19 .
Hakemibarabadi A , Vilathgamuwa M , Walker G . Controller design for wirelessly powered heart pump drive [A]. 2019 21st European Conference on Power Electronics and Applications (EPE’19 ECCE Europe) [C]. Piscataway, NJ : IEEE , 2019 . 1 - 8 .
Ouyang H , Liu Z , Li N , et al . Symbiotic cardiac pacemaker [J]. Nature Communications , 2019 , 10 ( 1 ): 1 - 10 .
Unthan K , Cuenca‑Navalon E , et al . Driver electronics design and control for a total artificial heart linear motor [J]. Medical & Biological Engineering & Computing , 2018 , 56 ( 8 ): 1487 - 1498 .
Wu L , Du X , Guizani M , Mohamed A . Access control schemes for implantable medical devices: A survey [J]. IEEE Internet of Things Journal , 2017 , 4 ( 5 ): 1272 - 1283 .
Kakkar V . An ultra low power system architecture for implantable medical devices [J]. IEEE Access , 2019 , 7 ( 1 ): 111160 - 111167 .
Hernández Sebastián N , Villa Villaseñor N , et al . Design of a fully integrated inductive coupling system: A discrete approach towards sensing ventricular pressure [J]. Sensors , 2020 , 20 ( 5 ): 1525 - 1545 .
Kwon Y H , Fernandes J , et al . Two‑dimensional plasmonic grating for intraocular pressure sensing [J]. IEEE Sensors Letters , 2019 , 3 ( 10 ): 1 - 4 .
Zhong Y , Qian B , et al . Development of an implantable wireless and batteryless bladder pressure monitor system for lower urinary tract dysfunction [J]. IEEE Journal of Translational Engineering in Health and Medicine , 2019 , 8 ( 1 ): 1 - 7 .
Herbert R , Yeo W H . Stretchable , implantable nanomembrane biosensor for wireless, real‑time monitoring of hemodynamics [A]. 2019 IEEE 69th Electronic Components and Technology Conference (ECTC) [C]. Piscataway, NJ : IEEE , 2019 . 1233 - 1239 .
De Santis M , Cacciotti I . Wireless implantable and biodegradable sensors for postsurgery monitoring: current status and future perspectives [J]. Nanotechnology , 2020 , 31 ( 25 ): 1 - 26 .
Yeap K , Voon C , et al . A compact dual‑band implantable antenna for medical telemetry [J]. Microwave and Optical Technology Letters , 2019 , 61 ( 9 ): 2105 - 2109 .
Molisch A F , Cassioli D , Chong C C . A comprehensive standardized model for ultrawideband propagation channels [J]. IEEE Transactions on Antennas and Propagation , 2006 , 54 ( 11 ): 3151 - 3166 .
Kulaç S . Security belt for wireless implantable medical devices [J]. Journal of Medical Systems , 2017 , 41 ( 11 ): 1 - 9 .
Chávez‑Santiago R , Garcia‑Pardo C , et al . Experimental path loss models for in‑body communications within 2.36-2.5GHz [J]. IEEE Journal of Biomedical and Health Informatics , 2015 , 19 ( 3 ): 930 - 937 .
Movassaghi S , Abolhasan M , Lipman J , Smith D , Jamalipour A . Wireless body area networks: A survey [J]. IEEE Communications Surveys & Tutorials , 2014 , 16 ( 3 ): 1658 - 1686 .
Chandrakasan A P , Lee F S , et al . Low‑power impulse UWB architectures and circuits [J]. Proceedings of the IEEE , 2009 , 97 ( 2 ): 332 - 352 .
Gao Y , Zheng Y , et al . Low‑power ultrawideband wireless telemetry transceiver for medical sensor applications [J]. IEEE Transactions on Biomedical Engineering , 2010 , 58 ( 3 ): 768 - 772 .
Zhang S , Pun S H , et al . Experimental verifications of low frequency path gain channel modeling for implantable medical device [J]. IEEE Access , 2019 , 7 ( 1 ): 11934 - 11945 .
Zimmerman T G . Personal area networks: near-field intrabody communication [J]. IBM Systems Journal , 1996 , 35 ( 3.4 ): 609 - 617 .
Cho N , Yoo J , et al . The human body characteristics as a signal transmission medium for intrabody communication [J]. IEEE Transactions on Microwave Theory and Techniques , 2007 , 55 ( 5 ): 1080 - 1086 .
Xu R , Zhu H , Yuan J . Electric‑field intrabody communication channel modeling with finite‑element method [J]. IEEE Transactions on Biomedical Engineering , 2010 , 58 ( 3 ): 705 - 712 .
Shen Voon C , Yeap K H , et al . A compact double‑psis‑ haped dual band patch antenna for WLAN/LTE applications [J]. Microwave and Optical Technology Letters , 2018 , 60 ( 5 ): 1271 - 1275 .
Cheong H R , Yeap K H , et al . A compact CPW‑fed antenna with fractal S‑shaped patches for multiband applications [J]. Microwave and Optical Technology Letters , 2017 , 59 ( 3 ): 541 - 546 .
Karacolak T , Hood A Z , Topsakal E . Design of a dual‑band implantable antenna and development of skin mimicking gels for continuous glucose monitoring [J]. IEEE Transactions on Microwave Theory and Techniques , 2008 , 56 ( 4 ): 1001 - 1008 .
Zhao Y . Antenna for an Implantable Medical Device [P]. United States : 93333652 B2 , 2016-05-10 .
Zaeimbashi M , Lin H , et al . NanoNeuroRFID: A wireless implantable device based on magnetoelectric antennas [J]. IEEE Journal of Electromagnetics , RF and Microwaves in Medicine and Biology, 2019 , 3 ( 3 ): 206 - 215 .
Cheikh M , Vassilieff Y , et al . Human body exposure to low frequency wireless charging: Direct coupling mechanisms and interferences with medical devices [A]. 2017 Progress in Electromagnetics Research Symposium‑Fall (PIERS‑FALL) [C]. Piscataway, NJ : IEEE , 2017 . 1048 - 1054 .
Wu H H , Boys J T , Covic G A . An AC processing pickup for IPT systems [J]. IEEE Transactions on Power Electronics , 2009 , 25 ( 5 ): 1275 - 1284 .
Kissin M L , Huang C Y , Covic G A , Boys JT . Detection of the tuned point of a fixed-frequency LCL resonant power supply [J]. IEEE Transactions on Power Electronics , 2009 , 24 ( 4 ): 1140 - 1143 .
Wang C S , Stielau O H , Covic G A . Design considerations for a contactless electric vehicle battery charger [J]. IEEE Transactions on Industrial Electronics , 2005 , 52 ( 5 ): 1308 - 1314 .
Kurs A , Karalis A , et al . Wireless power transfer via strongly coupled magnetic resonances [J]. Science , 2007 , 317 ( 5834 ): 83 - 86 .
马官营 , 颜国正 , 王文兴 . 微型诊疗系统无线供能技术及其生物电磁效应研究 [J]. 北京生物医学工程 , 2013 , 32 ( 4 ): 347 - 352 .
MA Guan‑ying , YAN Guo‑zheng , WANG Wen‑xing . Wireless power transmission of microsystem and bioelectromagnetic effects [J]. Beijing Biomedical Engineering , 2013 , 32 ( 4 ): 347 - 352 . (in Chinese)
Li X , Tsui C Y , Ki W H . A 13.56 MHz wireless power transfer system with reconfigurable resonant regulating rectifier and wireless power control for implantable medical devices [J]. IEEE Journal of Solid-State Circuits , 2015 , 50 ( 4 ): 978 - 989 .
Ling Y , Hasan S A , et al . Learning to diagnose: assimilating clinical narratives using deep reinforcement learning [A]. Proceedings of the Eighth International Joint Conference on Natural Language Processing [C]. Taiwan : Asian Federation of Natural Language Processing , 2017 . 895 - 905 .
王淑平 , 梁颖 . 大数据背景下医疗卫生行业数据应用研究 [J]. 自动化技术与应用 , 2020 , 39 ( 01 ): 54 - 57 .
WANG Shu‑ping , LING Ying . Research on Data Application of Medical and Health Industry in Big Data Background [J]. Techniques of Automation & Applications , 2020 , 39 ( 01 ): 54 - 57 . (in Chinese)
Khiati R , Hanif M , Lee C . Adapting distributed stream processing technologies for the automation of modern health care systems [A]. 2020 22nd International Conference on Advanced Communication Technology (ICACT) [C]. Piscataway, NJ : IEEE , 2020 . 491 - 496 .
Clim A , Zota R , Constantinescu R , Ilie‑Nemedi I . Health services in smart cities: Choosing the big data mining based decision support [J]. International Journal of Healthcare Management , 2020 , 13 ( 1 ): 79 - 87 .
Xu J , Wei L , et al . Privacy‑preserving data integrity verification by using lightweight streaming authenticated data structures for healthcare cyber‑physical system [J]. Future Generation Computer Systems , 2020 , 108 ( 1 ): 1287 - 1296 .
Falcone T , Dagar A , et al . Digital conversations about suicide among teenagers and adults with epilepsy: A big‐data, machine learning analysis [J]. Epilepsia , 2020 , 61 ( 5 ): 951 - 958 .
Huang M J , Sung H S , et al . Applying data‑mining techniques for discovering association rules [J]. Soft Computing , 2019 , 24 ( 11 ): 8069 - 8075 .
马丽媛 , 吴亚哲 , 陈伟伟 . 《中国心血管病报告2018》要点介绍 [J]. 中华高血压杂志 , 2019 , 27 ( 08 ): 712 - 716 .
Alraies M C , Darmoch F , Tummala R , Waksman R . Diagnosis and management challenges of in‑stent restenosis in coronary arteries [J]. World Journal of Cardiology , 2017 , 9 ( 8 ): 640 - 651 .
Oshima T , Minatsuki S , et al . Coronary artery aneurysm caused by a stent fracture [J]. International Heart Journal , 2018 , 59 ( 1 ): 203 - 208 .
Takamatsu M , Sano A , et al . Effectiveness of paclitaxel-coated balloon angioplasty for drug‑eluting stent restenosis in the left main coronary artery [J]. Journal of the American College of Cardiology , 2019 , 73 ( 9 ): 1366 - 1366 .
刘静 , 安尼瓦尔·阿不里孜 , 黄定 . 629例冠心病患者经PCI术血运重建后12个月随访分析 [J]. 新疆医科大学学报 , 2014 , 37 ( 10 ): 1315 - 1317 .
LIU Jing , Annware Abulizi , HUANG Ding . The follow-up analysis of 1‑year‑post PCI operation revascularization of 629 patients with coronary heart disease [J]. Journal of Xingjiang Medical University , 2014 , 37 ( 10 ): 1315 - 1317 . (in Chinese)
王东 , 王东琦 . 冠状动脉支架植入术后支架再狭窄发生情况及其影响因素分析 [J]. 医药前沿 , 2015 , 5 ( 6 ): 55 - 56 .
WANG Dong , WANG Dong‑qi . Artery stent restenosis after stent implantation is happening and its influencing factors is analyzed [J]. Journal of Frontiers of Medical , 2015 , 5 ( 6 ): 55 - 56 . (in Chinese)
张宏鹏 , 郭伟 . 腹主动脉瘤腔内修复术后Ⅰb型内漏的预防和处理 [J]. 中国普外基础与临床杂志 , 2019 , 26 ( 1 ): 8 - 10 .
Dijkstra M L , Zeebregts C J , et al . Incidence, natural course, and outcome of type II endoleaks in infrarenal endovascular aneurysm repair based on the ENGAGE registry data [J]. Journal of Vascular Surgery , 2020 , 71 ( 3 ): 780 - 789 .
Chow E Y , Chlebowski A L , et al . Fully wireless implantable cardiovascular pressure monitor integrated with a medical stent [J]. IEEE Transactions on Biomedical Engineering , 2010 , 57 ( 6 ): 1487 - 1496 .
Son D , Lee J , et al . Bioresorbable electronic stent integrated with therapeutic nanoparticles for endovascular diseases [J]. Acs Nano , 2015 , 9 ( 6 ): 5937 - 5946 .
Chen X , Assadsangabi B , Brox D , Hsiang Y , Takahata K . A pressure‑sensing smart stent compatible with angioplasty procedure and its in vivo testing [A]. 2017 IEEE 30th International Conference on Micro Electro Mechanical Systems(MEMS) [C]. Piscataway, NJ : IEEE , 2017 . 133 - 136 .
周峰 , 张小雨 , 韩皓 , 张睿 , 王悦欣 , 向罗勇 . 无线通信频段上人体的穿透损耗测量 [J]. 现代电信科技 , 2012 , 1 ( 08 ): 20 - 22 .
Xu M , Wang L . Photoacoustic imaging in biomedicine [J]. Review of Scientific Instruments , 2006 , 77 ( 4 ): 305 - 598 .
0
浏览量
22
下载量
2
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621