Smart Implantable Artificial Bladder: An Integrated Design for Organ Replacement

IEEE Trans Biomed Eng. 2021 Jul;68(7):2088-2097. doi: 10.1109/TBME.2020.3023052. Epub 2021 Jun 17.

Abstract

Substituting the natural bladder with an artificial solution, after cancer and other pathologies, is an ambitious challenge in biomedical engineering. In this work we propose a fully implantable smart artificial bladder system (ABS) that collects urinary fluids and provides the subject with real-time feedback on the implant status. To achieve long term duration, the ABS was designed to be unstretchable in order to be treated with urine resistant coatings and included built-in passive check valves preventing reflux to kidneys. To estimate the amount of fluid collected, the ABS was provided with four electromagnetic distance sensing units and a control unit. An algorithm implemented on an embedded controller enabled the reconstruction of the bladder volume through sensors readings. A wireless data transfer system allows for providing a real-time feedback to the subject. Bench tests validated volume reconstruction accuracy and ex-vivo experiments verified the implantability of the proposed device on a human cadaver, proving the reliability of a Bluetooth data transmission system and paving the way towards an in-body/out-body communication. The proposed solution has the potential to overcome the limitations of currently available replacement strategies towards a new generation of implantable devices for lost organ functions replacement.

MeSH terms

  • Humans
  • Prostheses and Implants
  • Reproducibility of Results
  • Telemetry
  • Urinary Bladder* / surgery
  • Wireless Technology*