CUHK develops wirelessly powered electronic stents for gastric acid reflux treatment: a new non-invasive therapy

Date: 
2023-03-23
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A collaborative research team led by Professor Zhang Li from the Faculty of Engineering, and Professor Philip Chiu Wai-yan and Professor Tony Chan Kai-fung from the Faculty of Medicine (CU Medicine) at The Chinese University of Hong Kong (CUHK) has developed wirelessly powered electronic stents for a new electrical stimulation therapy to prevent and potentially cure gastric acid reflux. This collaborative work was published recently in the renowned international research journal Science Advances, and will be highlighted by Nature Reviews Bioengineering in April 2023 issue.
 
Gastric acid reflux and the limitations of current therapeutic methods
 
Gastroesophageal reflux disease (GERD) is a gastrointestinal (GI) disorder that is prevalent worldwide. Common symptoms include gastric acid reflux and chest pain, often known as heartburn. GERD is persistent and hard to cure. About 8% of patients need life-long medication, which impairs both their physical and mental health. Apart from medication, current surgical interventions include Nissen fundoplication and magnetic augmentation, which passively enhance the closure of the lower esophageal sphincter (LES) and require laparoscopic surgery. Alternatively, electrical stimulation of the LES provides a promising strategy to restore the normal functions of the LES without affecting swallowing. However, it needs invasive surgery that is associated with a risk of infection. The heavy surgical burden and potential risks prevent the widespread implementation of implantable electrical stimulation systems. With the increasing prevalence of GERD patients worldwide, there is a strong demand for a less invasive electrical stimulation system to minimise invasive surgery-induced risks and increase the acceptance of electrical stimulation among GERD patients.
 
Eliminating the need for invasive surgery to implant the device and replace batteries  
 
The wirelessly powered electronic stent (E-Stent) designed by the research team has overcome the bottleneck of powering bioelectronic implants and provides a transoral delivery and retrieval strategy for in situ diagnosis and treatment in the gastrointestinal tract. It also has the potential for other non-invasive biomedical applications in organs with a natural orifice.
 
The E-Stent consists of a super elastic clinical esophageal stent as the mechanical skeleton, a liquid metal antenna and an intrinsically stretchable pulse generator. The liquid metal has a low melting temperature of 15.4℃ and high electrical conductivity. Due to its liquid nature at body temperature, the liquid metal antenna is compliant with deformations in the esophagus. In cooperation with a wearable power transfer system designed by the research team, the elastic antenna can harvest sufficient energy for electrical stimulation therapy through deep tissue, even under compression of the esophagus. To further push technology transfer, the research team also exploited a laser engrafting machine for the batch fabrication of stretchable circuits, which improves design flexibility and speeds up production. Its intrinsic stretchability and excellent mechanical properties mean the circuit can provide stable biphasic current stimulation under various extreme deformations.  
 
Professor Philip Chiu Wai-yan, Director of the Chow Yuk Ho Technology Centre for Innovative Medicine, CU Medicine, commented, “The natural orifice procedure via the mouth offers less invasive access to the GI tract, which provides great benefits for diagnosis and surgical interventions. This work offers a bioelectronic platform to regulate GERD by electrical stimulation. We proved our concept in vivo in pig models: that continuous electrical stimulation increased the pressure on the lower esophageal sphincter, suggesting it has the potential to prevent gastric acid in a less invasive way. The next step is to optimise and transform the lab-made prototypes into clinical products. We will continue our close interdisciplinary collaboration to push this work forward and benefit more people.”
 
Professor Zhang Li, Professor in the Department of Mechanical and Automation Engineering, added, “In this collaborative work with CU Medicine, we have proposed the E-Stent platform and a transoral delivery strategy to address several key challenges in mucosa-interfacing bioelectronics: for instance, how to wirelessly power bioelectronics inside the body, especially for applications like electrical stimulation that consume a lot of power, and how to design microneedle electrodes to provide efficient, safe electrical stimulation across the mucosa, which is the natural barrier protecting the GI tract. I feel very grateful that our partners from the CU Medicine gave my team and me lots of advice and steadfast support during the collaboration, which has been a critical factor in the success of the research.”
 
Professor Tony Chan Kai-fung, Research Assistant Professor of the Chow Yuk Ho Technology Centre for Innovative Medicine, remarked, “Digital medicine can have a transformative impact on our daily life and demonstrates the clinical potential to integrate other functions. For example, we can integrate pressure sensors and other bio-sensors with the E-Stent for physiological assessment. The data we collect can be used for real-time optimisation of the electrical stimulation, realising personalised treatment. Additionally, the applications of this E-Stent platform are not limited to GERD but also take in other parts in the GI tract and other organs with natural orifices.”
 
The research team is now working closely to integrate new functions with the E-Stent for other applications in the GI tract and to conduct further preclinical studies and clinical evaluations. The team envisions that the development of the E-Stent will provide a promising non-invasive platform offering high efficiency and safety for various physiological assessments and personalised treatments, as well as diverse functions with high clinical value.
 
Appendix
 
Acknowledgement
 
This work is supported by the Research Grants Council (RGC), Innovation and Technology Commission (ITC), the Chow Yuk Ho Technology Centre for Innovative Medicine, and the CUHK T Stone Robotics Institute.
 
The full text of the research paper can be found at:
Wirelessly powered deformable electronic stent for noninvasive electrical stimulation of lower esophageal sphincter
Video source: Wirelessly powered deformable electronic stent for noninvasive electrical stimulation of lower esophageal sphincter, Science Advances, Vol. 9, Issue 10, ade8622, 2023
 

CUHK has developed wirelessly powered electronic stents for a new electrical stimulation therapy to prevent and potentially cure gastric acid reflux. (From left) Professor Tony Chan Kai-fung, Research Assistant Professor of the Chow Yuk Ho Technology Centre for Innovative Medicine, CU Medicine; Professor Zhang Li, Professor in the Department of Mechanical and Automation Engineering; Professor Philip Chiu Wai-yan, Director of the Chow Yuk Ho Technology Centre for Innovative Medicine.

The wirelessly powered electronic stent (E-Stent).

Wearable power transfer system.

 

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中大研無創式植入軟管治療胃酸倒流 冀兩年後展開臨床測試

中文大學最近研發出治療胃酸倒流的新方法,以無創方式植入軟管入病人食道,控制開合,期望兩年後展開臨床測試。
 
不少人受胃酸倒流困擾,原因之一是食道括約肌功能失調或退化,令胃酸容易倒流進入食道。
 
現時主要透過藥物或做手術,增強括約肌的閉合,不過根據以往研究,長期服藥會引致不同的後遺症,包括增加患胃癌風險。而傳統手術需要全身麻醉,亦有機會復發。
 
Date: 
Wednesday, March 22, 2023
Media: 
TVB News

中大研無線電子支架 電激控制食道 無創醫胃酸倒流

俗稱胃酸倒流的「胃食管反流病」於全球十分普遍,且難以治愈,常出現胃灼熱的情況,約8%的患者需終生服藥,另可通過入侵性手術等方式改善病情,但沉重手術費、感染風險而未廣泛應用。香港中文大學工程學院團隊最近研發無線供電的電子支架,可利用電刺激預防及治療胃酸倒流。研究詳情已於國際著名學術期刊《Science Advances》等發表
 
Date: 
Wednesday, March 22, 2023
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On.CC

中大首創防胃酸倒流無線供電電子支架 控制下食管括約肌閉合改善胃酸倒流

胃食管反流病(又稱胃酸倒流)在全球上十分普遍,而且難以治療,約有8%的患者需要終生服藥,而最新且有效的植入式電刺激系統亦因為屬於入侵性手術,加上沉重的手街費用和潛在風險難以廣泛應用。因此香港中文大學工程學院及醫學院領導的研究團隊研發出一種無線供電的電子支架,可利用電刺激預防及治療胃酸倒流,為患者提供全新且無創的治療方法

Date: 
Wednesday, March 22, 2023
Media: 
HKET Daily

Engineering scholar named Best Innopreneur Award by Federation of Hong Kong Industries

Date: 
2023-02-15
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Congratulations to Prof. Leo Jiaya Jia from the Department of Computer Science and Engineering for being awarded the Best Innopreneur Award by the Federation of Hong Kong Industries, in recognition of his significant contribution to advanced development of computer vision and machine learning technology, focusing specifically on image/video understanding.
 
The Hong Kong Innopreneur Awards (the Awards) were first launched in 2022 with the aim of endorsing and honouring forward-looking and promising startup founders on an individual basis. They have attained breakthrough innovation in their businesses and are committed to bringing positive impacts to the community and society.
 
The Awards not only commend the remarkable achievement made by the entrepreneurs, but also serve as a significant motivation for industry players, driving the entrepreneurial spirit and encouraging quality talents to be future industrial leaders who support Hong Kong’s development into an international I&T hub.
 

Secretary for Innovation, Technology and Industry Professor Dong SUN (left) presents the Best Innopreneur Award to Professor Jia at the inaugural award presentation ceremony held on 14 February 2023.

 

 

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CUHK teacher’s innovative approach enables students to continue real-time experiment remotely

Date: 
2023-02-15
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After three years of battling the COVID-19 pandemic, online learning has become more and more popular, promoting the development of innovative educational approaches. Dr Han Dongkun, a lecturer from The Chinese University of Hong Kong (CUHK)’s Department of Mechanical and Automation Engineering, and his team designed and assembled 12 robotic arms from scratch to form the “Flipped online laboratory”, a new pedagogical approach to eLearning that allows students to use cross-platform remote control technology to operate robotic arms and laboratory instruments on campus in real time.
 
The idea of a Flipped online laboratory is that students can conduct online experiments with the help of flipped laboratory instructions, in which they first watch video of an experiment at home in advance, then build and control robots in real time during online classes. A feature of the Flipped online laboratory is that the robots controlled by students in the online class are not virtual; through the cross-platform, remote control technology, students can use their personal computers to control the computers in the lab remotely, further tuning and controlling the robot in real time.
 
Even though schools resumed face-to-face classes with the relaxation of pandemic prevention measures, the Flipped online laboratory still has practical uses. Dr Han initiated a collaboration with a college in the UK that allows students to remotely control the robots in each other’s laboratories using the technology, which has promoted academic and cultural exchange between the two places. Dr Han and his team have even created a more polished version of the technology, known as Flipped online laboratory pro, which incorporates automatic assessment of students’ performance in the lab.
 
Dr Han Dongkun’s teaching philosophy is student-centred. He adopts a technology-human hybrid system to enhance students’ creativity, motivation and learning effectiveness. His innovative teaching approach earned him a University Education Award 2022. Dr Han joined CUHK in 2017. His excellence in teaching has earned him multiple accolades, including the University Education Award 2022, the Dean’s Exemplary Teaching Award twice (2019 and 2021), and the Exemplary Teaching Award in General Education 2018.
 
He said, “Teaching is my chosen calling, providing me with love, imagination, passion and satisfaction. The most rewarding thing in teaching is to find that our pedagogy helps students learn faster and smarter. I would like to thank all my colleagues and students at CUHK for their unconditional support, which inspired me to develop innovative teaching methods.”
 
(extracted from the press release issued on 15 Feb 2023 by CUHK Communications and Public Relations Office)
 

Dr Han Dongkun

Robotic arms are designed and assembled by the team.

Students use cross-platform remote control technology to operate robotic arms and laboratory instruments on campus in real time.

Automatic assessment of students’ performance in the lab.

 

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中大教授疫下研發「翻轉在線實驗室」 遙距控制機械臂在家做實驗

經歷三年疫情後,線上教學模式漸趨普及,亦促進教育創新。香港中文大學工程學院機械化與自動工程學系的韓東昆教授與團隊,在疫情爆發初期,面臨學校暫停面授課授,期間研發出「翻轉在線實驗室」

Date: 
Wednesday, February 15, 2023
Media: 
HK01

Sustainability Initiatives: Challenges around Operational Resilience, Cloud and ESG Implementation

Topic: Sustainability Initiatives: Challenges around Operational Resilience, Cloud and ESG Implementation

Date: 7 February 2023 (Tuesday)
Time: 5:30 p.m. - 6:15 p.m. 
Venue: Sapphire Room, CUHK Business School Town Centre (Unit B, 1/F, Bank of America Tower, 12 Harcourt Road, Central, Hong Kong)

Language: English

Registration link: https://cloud.itsc.cuhk.edu.hk/mycuform/view.php?id=1831048

Synopsis

In today's environment, Operational Resilience tools enable market participants (MPs) to safeguard themselves from potential threats and failures, adapt, respond, recover and also learn from disruptive events. This is critical in order to minimize the impact on the delivery of its critical services and product offerings. Also, Cloud is another key area of focus that offers a number of benefits for MPs such as increased security, faster processing speeds, and lower cost. However, the over-reliance on one cloud service provider may introduce concentration risk. Finally, key sustainable ESG initiatives such as the creation of a structured approach for flushing out and measuring the downsides and upsides of external engagement are critical. Managers who know their external value at stake (eVAS) will not only know whether they have the appropriate risk mitigation strategy but are more likely to shift their organization to attain and maintain it.

Speaker
Dr Rajeev Chib, Asia Pacific – CAO Financial Institutions Sales & Solutions,
                        Citigroup Global Markets Asia Limited 

Moderator

Prof. Chun Kwong Chan, Programme Director, MSc FinTech, Faculty of Engineering

                                                      Professor of Practice in FinTech
                                                      Secretary, CUHK Engineering FinTech Applied Research (CEFAR) Academy

BIOGRAPHY
Dr Rajeev Chib

Asia Pacific – CAO Financial Institutions Sales & Solutions

Citigroup Global Markets Asia Limited 

Dr. Chib is a seasoned Capital Markets professional with 27 years international experience with leading banks based in Hong Kong, New York and Toronto. He is the Asia CAO - Financial Institutions Sales & Solutions at Citi based in Hong Kong.

Dr. Chib is also passionate about Responsible Finance, ESG, Diversity & Talent. He is engaged with several committees and industry associations including the Co-Chair of the COO Markets committee at ASIFMA; FinTech Association of Hong Kong, Canadian Chamber of Commerce and various ESG and Citi Talent related task forces. He is also involved with several mentorship programs.

Dr. Chib received his Doctorate degree in Business Administration in October 2020 from City University of Hong Kong in Organizational Behaviour and leadership with a focus on the younger generation within Financial Services. He has a MBA (Executive MBA) and a BSc. in Quantitative Economics (with honors) from University of Toronto.

Organiser: 
Hosted by: Faculty of Engineering
Venue
Sapphire Room, CUHK Business School Town Centre
Date: 
Tuesday, February 7, 2023
Time
Tuesday, February 7, 2023 to 18:15
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Sustainability Initiatives: Challenges around Operational Resilience, Cloud and ESG Implementation
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CUHK achieves breakthrough techniques taking nanoscale 3D printing into a new era

Date: 
2023-01-12
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Multi-material 3D fabrication at nanoscale has been the holy grail of nanotechnology and a key enabler for the development of new technologies, including photonic, electronic, and biomedical devices. Professor Chen Shih-Chi and his team from The Chinese University of Hong Kong (CUHK)’s Department of Mechanical and Automation Engineering, in collaboration with Professor Zhao Yongxin from Carnegie Mellon University (CMU)’s Department of Biological Sciences and Professor Zhao Ni from CUHK’s Department of Electronic Engineering, have developed a 3D nanofabrication platform that for the first time realises multi-material fabrication, meaning it is able to make a great variety of materials, including metals, alloys, semiconductors, polymers, ceramics and biomaterials at a record-setting resolution of 20 nanometers, and a light patterning speed of 300 mm3/hour, three orders of magnitude faster than conventional serial fabrication systems that are currently used in the commercial world. The achievement has recently been published in the journal Science, affirming its status as a technological breakthrough that leads nanoscale 3D printing into a new era.

Everything started three years ago, when Professor Chen visited CMU as an invited speaker. An inspiring conversation he had with Professor Zhao at CMU sparked a collaboration between the two researchers, aiming to find new solutions to long-standing challenges in nano- and micro-fabrication: developing ways to break the limit on material selection and improve the resolution of printable nanodevices to as small as 10 nanometres at a reasonable fabrication rate for practical applications.

Professor Chen is known for inventing the femtosecond projection two-photon lithography system (an ultrafast nano-printing method, reported in the journal Science in 2019), while Professor Zhao’s Biophotonics Lab develops novel techniques to study biological and pathological processes in cells and tissues. They decided to combine their techniques and expertise to pursue the radical idea. The results of their collaboration have opened new doors for the realisation of sophisticated nanodevices.

“A major challenge in nanotechnology is to fabricate complex 3D structures with materials beyond polymers and noble metals, which was previously limited by photo-initiated chemical reactions. Based on the unique surface properties and nano-structures of the femtosecond light sheet-patterned hydrogel found by our team, we proposed a kinetically controlled nano-assembly process to substitute the conventional photo-reactions. As the strategy mainly relies on the physical properties of functional materials, such as sizes or hydrophilicity, the limit of material selections can be entirely overcome. Next, by shrinking the patterned gel substrate in acid, we can easily break the diffraction barrier,” said Professor Chen.

As a result, the team developed a general strategy for fabricating arbitrary 3D nanostructures with a library of materials including metals, metal alloys, 2D materials, oxides, diamond, upconversion materials, semiconductors, polymers, biomaterials, molecular crystals and inks. In their research, hydrogels patterned by femtosecond light sheets were used as templates that allow for direct assembly of materials to form designed nanostructures. By fine-tuning the exposure strategy, the features of the patterned gel and the kinetic effects, the team realised 2D and 3D structures of 20- to 200-nm resolution.

To demonstrate the promising capabilities of the new method, they fabricated nanodevices, including encrypted optical storage, diffractive optical elements and microelectrodes, to showcase the precision and the designed functions. The optical storage device set a new record for storage density (1.14 petabit/cm3, approximately three orders of magnitude higher than the previous record), and simultaneously set a new record for data-writing speed (84 Mbit/s), owing to the high-speed nature of the femtosecond projection method. These results showed that the method provides a systematic solution for nanofabrication across different classes of materials, and opens up further possibilities for the design of sophisticated nanodevices, creating pathways for viable manufacturing of a whole range of technologies.

Professor Chen further explained, “The true importance of this work lies in the fact that the method simultaneously achieved all key metrics in manufacturing: resolution, fabrication rate and cost. This means our new method can not only be used to make micro- and nanodevices not previously possible, but can make them at high throughput and low cost for practical applications in photonics, health, automobiles and even aerospace.”

In the future, the researchers’ goal is to build functional nanodevices with multiple materials, like nanocircuits, nanobiosensors, light-emitting diodes, and lasers, for different applications.

Other authors of this work include Han Fei and Gu Songyun (co-first authors) from CUHK, and Klimas Aleks from CMU. The full text can be found at https://www.science.org/doi/10.1126/science.abm8420.

 

Fabrication of large-scale woodpile structures: (A) 12-layer woodpile structure of florescent polystyrene (top view, stitched from 16 sub-images due to the limited microscope field of view); (B) zoomed-in view of (A), where the inset shows a 3D fluorescent image of the structural details in the selected area; (C) cuboid woodpile structure of florescent protein; (D) O-shaped 3D woodpile structure of CdSe.

Demonstration of material variety via 12 Chinese zodiac animals, including fluorescent image of two dragons of CdSe quantum dots (QDs) without shrinking (the inset shows a resolution of ~200 nm); SEM (top) and EDX (bottom) images of a monkey of Ag; pig of Au-Ag alloy; snake of TiO2; dog of Fe3O4; rabbit of NaYREF4; optical microscopy image of an ox of diamond; fluorescent images of a tiger of graphene QDs; goat of fluorescent Au; horse of polystyrene; rooster of fluorescein; and mouse of fluorescent protein.

Demonstration of optical storage and encryption: (A) an expanded hydrogel patterned with designed information; (B) the gel in (A) after fully shrinking and dehydration to realise physical encryption; (C) the re-expanded gel is deposited with CdSe and developed to decrypt the stored patterns; (D) Optical image showing two encrypted seven-layer hologram patterns in (B); (E) Fluorescent images of the decrypted holograms, decoding the word “Science”; and (F, G) 3D views of the decrypted holograms.

Nanostructures demonstrating minimum feature sizes. (A) 3D model of a nonconnected “NANO” structure comprised of arrays of parallel nanowires; (B) SEM cross-sectional images of the “NANO” structure cut by a focused ion beam (FIB); (C) zoomed-in view of the letter “A” in (B); and (D) zoomed-in view of (C); (E) Four cross-sectional patterns of the “NANO” structure (in the x-z plane of (A)); (F) SEM images showing the trenches of the gel sample opened by an FIB-cut, where the positions of each letter are labelled. All cross-sectional images were taken at a substrate tilt angle of 52°.

 

Demonstration of the femtosecond light sheet patterning process (i.e. “CUHK”) and the following self-assembly of fountain pen ink (under an optical microscope).
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中大研發 3D納米製造平台

3D納米打印技術愈見成熟,日後有望打印出金屬及陶瓷等材料。中文大學與美國卡內基梅隆大學合作,研發具材料普適性的3D納米製造平台,可用於打印金屬、金屬合金、半導體等任何3D納米材料。研究團隊冀新技術,可應用於工業,以至航天領域。

Date: 
Friday, January 13, 2023
Media: 
Sing Tao Daily

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