Design Optimization of Printed Multi-Layered Electroactive Actuators Used for Steerable Guidewire in Micro-Invasive Surgery

Author:

Toinet Simon1,Benwadih Mohammed1ORCID,Szambolics Helga1ORCID,Revenant Christine1ORCID,Alincant David1,Bordet Marine2ORCID,Capsal Jean-Fabien3ORCID,Della-Schiava Nellie2,Le Minh-Quyen3ORCID,Cottinet Pierre-Jean3

Affiliation:

1. University Grenoble Alpes, CEA, LITEN DTNM, 38000 Grenoble, France

2. Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, 69500 Bron, France

3. LGEF Laboratory, INSA Lyon, UR682, 69621 Villeurbanne, France

Abstract

To treat cardiovascular diseases (i.e., a major cause of mortality after cancers), endovascular-technique-based guidewire has been employed for intra-arterial navigation. To date, most commercially available guidewires (e.g., Terumo, Abbott, Cordis, etc.) are non-steerable, which is poorly suited to the human arterial system with numerous bifurcations and angulations. To reach a target artery, surgeons frequently opt for several tools (guidewires with different size integrated into angulated catheters) that might provoke arterial complications such as perforation or dissection. Steerable guidewires would, therefore, be of high interest to reduce surgical morbidity and mortality for patients as well as to simplify procedure for surgeons, thereby saving time and health costs. Regarding these reasons, our research involves the development of a smart steerable guidewire using electroactive polymer (EAP) capable of bending when subjected to an input voltage. The actuation performance of the developed device is assessed through the curvature behavior (i.e., the displacement and the angle of the bending) of a cantilever beam structure, consisting of single- or multi-stack EAP printed on a substrate. Compared to the single-stack architecture, the multi-stack gives rise to a significant increase in curvature, even when subjected to a moderate control voltage. As suggested by the design framework, the intrinsic physical properties (dielectric, electrical, and mechanical) of the EAP layer, together with the nature and thickness of all materials (EAP and substrate), do have strong effect on the bending response of the device. The analyses propose a comprehensive guideline to optimize the actuator performance based on an adequate selection of the relevant materials and geometric parameters. An analytical model together with a finite element model (FEM) are investigated to validate the experimental tests. Finally, the design guideline leads to an innovative structure (composed of a 10-stack active layer screen-printed on a thin substrate) capable of generating a large range of bending angle (up to 190°) under an acceptable input level of 550 V, which perfectly matches the standard of medical tools used for cardiovascular surgery.

Funder

CEA

Publisher

MDPI AG

Reference91 articles.

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2. Biomedical Microsystems for Minimally Invasive Diagnosis and Treatment;Haga;Proc. IEEE,2004

3. Active Catheters for Neuroradiology;Szewczyk;J. Robot. Mechatron.,2011

4. Abedin-Nasab, M.H. (2020). Handbook of Robotic and Image-Guided Surgery, Elsevier.

5. Visualization in 2D/3D Registration Matters for Assuring Technology-Assisted Image-Guided Surgery;Cho;Int. J. CARS,2023

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