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Electronics 0.065mm2


The size of the world’s smallest injectable microchip, designed by Chen Shi.


Columbia University


The chip designed by Chen hasn’t reached the clinical trial stage yet, so it’s too early to say exactly how it will perform in vivo, but experiments on mice have returned favourable results. “For demonstration, we implant the devices in the limbs of mice and perform two sets of experiments,” Chen says. “One is to monitor the core body temperature, to show that the device can accurately acquire the body temperature of an animal; [the other is] to run modulation experiments with ultrasound [to] research the temperature behaviour of the activation site.” In both sets of experiments, the chips are performing well and Chen is hopeful for the future of his device. “I do see large potentials for this technology,” he says. “I envision that we can actually leverage this technology to develop very tiny, wireless injectables that can be delivered into living bodies to perform real-time monitoring of all the essential, physiological signals to assess diagnostic and therapeutic applications.”


Next steps


Are there any obstacles facing the development, production or use of these tiny chips? There are teething problems, Chen admits – such as stabilising the orientation of the device once implanted, or learning how to efficiently harvest ultrasound energy and transmit data at sufficiently deep implantation sites – and there are questions that still need to be answered, particularly in terms of physical impact and longevity. But such issues are to be expected in these early stages, and the initial findings look promising. What’s more, though still at the experimental stage, both Andersson and Chen agree that once the chips have been mass produced, they’re unlikely to be too costly. This


means when they do hit the markets, we should begin to see them with a degree of familiarity. But will they become widespread in healthcare? “It’s very difficult to say,” Andersson admits, “but I think we definitely will see a lot more of this.” The real question it seems, for both Chen and Andersson, isn’t if the technology can work – the trials so far suggest, that it does – but how best to harness it. “If we can find good applications,” Andersson notes, “where we can show this is actually better than using ear thermometers for home monitoring, for instance, then we could really argue that this is an important tool for clinical consultations from home.” The question we should be asking, he adds, is how can we use these devices “in combination with other implants and wearables” in order to gather more information about the state of a patient? Chen’s next step is to explore the possible medical applications of his device. “For temperature, we are just trying to do a proof of concept of this technology and this platform,” he explains. “But we want to extend it to other physiological signals as well, such as pH, blood pressure, blood glucose, blood oxygen, etcetera. We can modify this tiny device to achieve small-scale physiological monitoring. We are not only constrained to temperature: this is just the first version.”


If it seems like something that belongs to the future, that’s probably because it is; though, not in the way we might expect. Traditionally, technology emerges out of a need, but, in the case of these tiny chips, it seems that application must follow design: we have the means, but what exactly are the uses? That much remains to be seen, but one thing is for certain: there’s a world of potential in a grain of sand – or something the size of one. ●


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86


Medical Device Developments / www.nsmedicaldevices.com


2.0“


3.0“


3.0“


1.0“


1.1“


1.6“


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