A soft robot could help doctors diagnose and treat disorders of the small intestine

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The head and tail segments of the robot contain additional expandable anchoring balloons that take turns inflating and deflating, helping the robot move forward. These head and tail segments are coated with special patterned sleeves inspired by kirigami — a variation of origami that involves cutting paper as well as folding it.

Using this technique, the researchers created coatings that lie flat until they are stretched by the expansion of the balloon, which causes three-dimensional kirigami needles to pop out. Similar to the scales of a snake, these needles give the robot more traction within the slippery lining of the intestine. 

In previous work, Traverso’s lab has used this approach to create coatings for shoe soles that give them more traction, as well as stents that can temporarily lodge in the esophagus and release drugs. 

“By using kirigami sleeves to enhance surface friction, the robot can generate localized tissue engagement traction for locomotion without relying on excessive stretching of the delicate small intestinal tissue,” Jebran says.

Diagnosis and treatment

The system also includes electronics that allow for navigation, with a controller that the person operating the device can use to guide the robot through narrow passages and around tight corners. The soft robot is tethered to the external controllers by a cable and is designed so that it could enter the body through either the mouth or the rectum. 

The robot contains tools including a camera for imaging, a sprayer for drug delivery, and clips that can take tissue biopsies or remove polyps. 

In animal studies, the researchers showed that the robot could travel about six and a half feet through the small intestine. They also successfully demonstrated the drug sprayer, tissue clips, and camera. The team is now working on improving the navigation systems and testing this approach for additional applications in the small intestine.

“We hope we can continue to move it forward to eventually develop systems that can help achieve more automated evaluation of the small intestine,” Traverso says.

The research was funded, in part, by the Karl van Tassel Career Development Professorship, the MIT Department of Mechanical Engineering, a Banting Postdoctoral Fellowship, an NSERC Postdoctoral Fellowship, the UT Southwestern Medical Center Startup Fund, Samsung Semiconductor and Eurnekian Nanotechnology Graduate Student Fellowships, the Cooke Undergraduate Transfer Scholarship, and the MIT Undergraduate Research Opportunities Program.

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