ABSTRACT:
This article analyzes the
state-of-the-art technology of Medical Nanorobots. And how this technology is
applied in modern era of medical applications. This paper describes therapeutic
and diagnostic applications and provides a possible approach to control some
medical conditions. Doctors and other experts in the medical field have gained
much interest in the field of medical nanorobots over the past few years. The
motive is to generate a nanorobot that is able to both chemically and
physically within the human body. Eventhough there are some biomedical
procedures and instruments used by physicians to explore tissues and cells, the
physicians show some new field of interest towards exploring the human body
with nanorobots. These nanorobots must pass through a person's body and causes
excessive bruising, itching, and other disturbances. The successfull study in
this field is finding a way nanorobots can perform the maximum amount of
biomedical with the less amount of irritation and other illnesses to the
patient. This paper intends to discuss the following: An introduction about
nanorobots which describes its physical size and structures and how they can
perform tasks in medical and industrial field heading towards science fiction,
The several approaches of nanorobotics, Applications in Dentistry, Gene
therapy, Surgery, Diagnosis and Testing. This article also includes an
important conversation between Nano VIP and Calvancalti which shows how
nanorobots are applied in the field of Diagnosis and treatment of Diabetes.
Apart from the advantages of medical nanorobotics, will also be discussing
certain disadvantages.
1. INTRODUCTION:
Nanorobots are the therotical
microscopic devices which is measured on the scale of Nanometers(nm). 1nm is
equal to 1 millionth of 1 milimeter. Nanomedicine is termed as the medical
application of nanotechnology. Its approaches lies between the use of
nanomaterials to nanoelectric biocensors. And even possible applications of
molecular nanotechnology. Nanomedicine's nanorobots can easily traverse into
the human body because they are very tiny in size. After realizing them from
the hypothetical stage, they can work in atomic, molecular and cellular levels.
And they can perform tasks in medical and industrial field heading towards
science fiction.
The exterior of nanorobots is in
diamondoid structure and it is constructed of carbon atoms. Nanorobot implants
into the human body, like other elements that are implanted into the human,
must be studied for any and all side effects that it will have on a particular
patient. This has focused the study of nanorobots on mechanocompatibility. The
term mechanocompatibility refers to the mechanical ability of a nanorobot to
react to human body so as not to disturb other biological functions of the
body.
When nanorobots with super smooth
surfaces are injected, they may affect the human immune system, so glucose and
blood sugar might be used a source of propulsion for the nanorobots. When
nanorobots performs some duties around the body, there may be some reasons that
the nanorobots may results in irritation around various areas of the body.
Itching is the one of the rritation that the nanorobot could cause. This may
happen in the areas like ears and mouth. This itching sensation caused by the
nanorobot could happen internally, which could cause interruption into the
nerves of the body as well as the activity in other functions of the body which
might give off certain unwanted impulses. Robert Freitas stated that to avoid
chemical irritation by a nanorobot, “Nanorobots should be designed with
chemically nonpruitic (non-itching) external surfaces”. With nanorobots
traveling possibly throughout the body, it may cause some side effectes to the
human body because certain chemicals are hazardous to certain people.
To perform microscopic and
macroscopic tasks, there comes a necessary for very large number of nanorobots
to work together since it is very small in size.
2. APPROACHES:
2.1 BIOCHIP
To enable the manufacturing
technology towards nanorobots for some common medical applications like
surgical instrumentation, diagnosis and drug delivery, the joint use of
nanoelectronics, photolithography and new identified biomaterials can be
considered. This feasible approaches in manufacturing nanorobots is a
methedology which is used from the electronic industries. Thus nanorobots
should be integrated practically as nanoelectronic devices which will in turn
allows advanced capabilities for medical instrumentation.
2.2 NUBOTS
Nucleic acid robots are
abbrevated as nubots and they are synthetic robotics devices at the nanoscale.
Ned Seeman's group at NYU, Niles Pierce's group at Caltech, John Reif's group
at Duke University, Chengde Mao's group at Purdue, and Andrew Turberfield's
group at the University of Oxford reported that the representative nubots may
include the several DNA walkers.
2.3 POSITIONAL NANOASSEMBLY
Robert Frietas and Ralph Merkle
in 2000 found Nanofactory collaboration which is a focused ongoing effort and
it consists of ten organizations from four countries with 23 researchers. This
collaboration is developing a practical research agenda which is pointed at
developing diamond mechanosynthesis which is positionally controlled and a
diamondoid structured nanofactory which is capable of building diamondoid
medical nanorobots.
2.4 USAGE OF BACTERIA
The model uses biological
micro-organisms like E coli bacteria's flagellum for propulsion purposes. To
control the motion of this biological integrated device electromagnetic fields
are normally used.
3. POTENTIAL APPLICATIONS:
3.1 NANOROBOTICS IN DENTISTRY
The future of dental applications
of nanotechnology is now a new field called Nanodentistry. The Nanorobots
induce Desensitize tooth, oral analgesia, re-align and straighten irregular set
of teeth and to improve the durability of teeth. Nanodental techniques involve
many tissue engineering procedures for major tooth repair. The complete
dentition replacement therapy is done by manufacturing and installation of
whole replacement tooth which is biologically autologous. It also includes both
mineral and cellular components.
The nanostructured composite
material, sapphire which is given by the nanodentistry increases tooth
durability and appearance. The covalently bonded artificial material such as
sapphire replaces the upper enamel layers. Sapphire is also susceptible to acid
corrosion like enamel. And it has 100 to 200 times hardness and failure
strength than ceramic. Sapphire has cosmetic alternative and best standard
whitening sealant. To increase tooth durability new restorative nanomaterial is
used and it is called nanocomposites.Nanocomposites are manufactured by
nanoagglomerated discrete nanoparticles. It is homogeneously distributed in
resins or coatings to produce those nanocomposites.Nanofillers are superior to
conventional composites and blend with the natural tooth structure.The
nanofiller include an aluminosilicate powder having a mean particle size of
about 80nm and a 1:4ratio of alumina to silica. The nanofiller has a refractive
index of 1.503, it has superior hardness, modulous of elasticity, translucency,
esthetic appeal, excellent color density, high polish and 50% reduction in
filling shrinkage.
Impression material is available
with nanotechnology application. Nanofiller are integrated in the
vinylpolysiloxanes, producing aunique addition siloxane impression material.
The main advantage of material is it has better flow, improved hydrophilic
properties hence fewer voidsat margin and better model pouring, enhanced detail
precision.
3.2 NANOROBOTICS IN SURGERY
Surgical nanorobots can be
introduced into te human body through the vascular systems and other cavities.
Surgical nanorobots could act as a semiautonomous on-site surgion inside the
human body when its is programmed or guided by a human surgeon. This programmed
surgical nanorobot could perform some functions like searching for pathology
and then diagnosing and correcting lesions by nanomanipulation, coordinated by
an on-board computer while maintaining contact with the supervising surgeon
through coded ultrasound
signals. Today the earlier forms
of cellular nanosurgery are explored. Say for example, a micropipette with
rapidly vibrating at 100 Hz micropipette with a less than 1 micron tip diameter
has been used to cut dendrites from single neurons. But the process sholud not
damage the cell viability. Femtosecond laser surgery performs axotomy of
roundworm neurons, and as a result after axons are functionally regenerated.
3.3 DIAGNOSIS AND TESTING
Diagnosing, testing and
monitoring functions in both tissues and in the blood stream can be vitally
performed by medical nanorobots. These nanorobots can record and report the
vital signs of temperature, chemical composition, pressure and immnume system
activity from all different parts of the body continuously. When these devices
swallowed by a patient for diagnostic purposes, it approaches the surface of
the stomach for searching signs of infection.
3.4 NANOROBOTS IN GENE THERAPY
Genetic diseases can be treated
by medical nanorobots by comparing the molecular structures of both DNA and
protiens in the cell. Then irregularities can be corrected and modificatons
could be done. The chromosomal replacement therapy is more efficient than in
cytorepair. An assembly built repair vessel perform some genetic maintenance by
floating inside the nucleus of the cell. Supercoil of DNA when stretched within
its lower pair of robot arms, the nanomachine generally pulls the strand which
is unwounded for analysis, meanwhile the upper arms detach regulatory protiens
from the chain. After that it places them in an intake port. The information
which is stored in the large nanocomputer's database is positioned outside the
nucleus is compared with the molecular structures of both DNA and protiens, and
they are connected through communication link to the cell repair ship.
Abnormals found in the structures are corrected and protiens reattached to the
DNA chain, which then recoils into its original form. The repair vessel are
generally smaller than most bacteria and viruses with the diameter of only 50
nanometers, and they are capable of therapies and cures much ahead of the
present-day physicians.
3.5 NANOROBOTS IN THE DIAGNOSIS AND TREATMENT OF DIABETES
For the human metabolism
maintenance, glucose must be carried through the blood stream and its correct
level is the important issue in diagnosis of diabetes and even in the treatment
of diabetes. Related to the glucose molecules, a protein called hSGLT3 has some
huge power for the maintenance of the gastrointestinal cholinergic nerve.
Additionally the protien also maintains the skeletal muscle function
activities. The protien maintain the both for regulating the concentration of
extracellular glucose. The protien molecule could be used to the diabetes
patients to define their glucose level and it also serves as a sensor to
glucose identification. The Complementary Metal Oxide semiconductor (CMOS)
nanobioelectronics is embedded in simulated nanorobot prototype model. It
features a size of 2 micronmeter(approximately), which allows it to operate
inside the body without any interference. The nanorobot has no interference in
detecting the glucose level in the blood stream wheather it may visible or
invisible with respect to the immune reactions. With the immune system reaction
inside the human body, the device is not disturbed or attacked by the white
blood corpuscles due biocompatability. For monitoring the glucose level the
nanorobot uses chemosensor which is embedded that involves the hSGLT3 protein
modulation glucosensor activity. The nanorobot can thus able to determine if
the diabetes patient has to be injected with insulin or take any other further
action, such as any clinically prescribed medication through its onboard
chemical sensor. The image of the NCD simulator workspace generically shows the
inner view of a venule blood vessel in the format grid texture, red blood cells
(RBCs) and nanorobots. They can detect the glucose levels by flowing with the
red blood cells through the bloodstream . As a limitatation to the Blood
Glucose Levels the device try to keep the them around 130 mg/dl . A variation
of 30mg/dl can be adopted as a displacement range, eventhough this could be
altered with respect to the medical prescriptions. Again in the architecture of
medical nanorobot , the data measured can be automatically transferred through
the Radio Frequency signals to the mobile phone that is carried by the patient.
If the glucose reaches critical levels, the nanorobot gives out an alarm
through the mobile phone.
The detailed work describing the
medical nanorobot hardware architecture for diabetes is published by Adriano
Calvancati in february 2007. It is published in the journals recent called
Patents on nanotechnology (Bentham science). It addresses on how nanorobots are
emergingly used as the device which monitors to help in the therapy of diabetes
patients. Nano VIP interiewed Calvancanti about his current and future projects
about how nanorobotics could help in the treatment of diabetes, its future
usage and about its limitations. Some of the interview questions and answers
from Nano VIP and calvancati is as follows respectively.
3.5.1 HOW NANOROBOTS MAY HELP PATIENTS WITH DIABETES?
The nanorobots monitors the blood
glucose level and for every two hours it transmit the information through RF
signal to mobile phones which is carried with patients. The nanorobots use
embedded nanobiosensors for doing the above mentioned action. If the glucose is
not in the actual levels, the nanorobots will initiate a pre-programmed alert
in the cellular phone which then inform the patients to take the necessary
actions regarding the control of diabetes with prescribed medicaments.
3.5.2 WHAT IS THE ADVANTAGE ON NANOROBOTS FOR DIABETES?
To control their glucose levels
patients with diabetes nowadays are forced to take some small blood samples
number times in a day. These procedures are not very comfortable and extremely
inconvenient. So constant glucose monitoring using medical nanorobots may solve
this problem by observing the level of sugar in the body. This important data
may help the doctors to advise and improve the patient medication. This process
of using the nanorobots for data collection and patient monitoring is very safe
and more convenient. This technology may avoid some infections which may happen
to collect blood samples when they have a cut to do it. The technology also
avoids the patients forgetting their glucose sampling and even avoid possible
loss of data.
3.5.3 HOW DO YOU EXPECT TO ACHIEVE NANOROBOTS MANUFACTURING?
Latest developments on
nanobioelectronics literally shows the method of integrating cellular phones
and system devices in order to achieve a good level of glucose in the blood for
patients with diabetes.Nanometers in terms of VLSI circuits have demonstrated
feasible devices with nanometer scales. Through the exact manufacturing
technique these devices could help in integrating nanorobots and actuators to
order to build molecular machines. But the integration is done when the
nanorobots are with the embedded sensors. They are together accelerating the
electronics manufacturing possibilities. Genomics investgation is the one which
gathers the biologists, doctors and even engineers for giving some
comprehension in an interdisciplinary manner about protien based mechanism for
the metabolism process of the human body. This kind of information has become
crucial and perceptive for the investigation and development of applied
electrical devices as nanodevices for biomedical problems.
3.5.4 WHAT IS NEW ABOUT NANOROBOTS IN THIS WORK?
The work describes a system and
the architecture of hardware with a wireless communication technique which is
used to address the interface, data trasmission and teleoperation of nanorobots
for diabetes. The hardware architecture description may support and hence
advances towards manufacturing development of nanorobots. This approach may
allow the practical use of nanorobots for continously monitoring the patients
who are in a pervasive manner. This can be useful for early diagnosis of
complex diseases and equally useful for elder people who needs constant
monitoring. The same kind of architecture which is presented in terms of
hardware and also system integration can also be used for several applications
in the field of medicine.
3.5.5 BEYOND DIABETES, WHAT KINDS OF OTHER BIOMEDICAL
APPLICATIONS CAN FIT FROM THIS ARCHITECTURE?
The nanorobot with the same
concept is used earlier for the diagnosis of cancer. The disease cancer can be
treated with various stages of technologies and medical therapy tools. But how
can we find a patient suffering from cancer can survive or not is by putting
the following questions such as how early it was diagnosied; how the possible
symptoms of cancer should be detected atleast before the metastastis has began.
As the property of a nonorobot is to navigate with the flow of the blood as
bloodborne devices, they can help in the process of early diagnosis. Therefore
this integrated architecture accompanies molecular machines development to
advance new therapies in medicine.
4. DISADVANTAGES
· The initial design cost is
huge.
· The design of the nanorbot is a
very complicated one.
· Electrical systems can create
abandoned fields which activate
molecular recognition systems
which is bioelectric based in biology.
· Electrical nanorobots are
easily impressed to electrical interference from external sources such as RF or
electric fields and EMP pulses.
· Hard to Interface, Customize
and Design, Complex
· Nanorobots can cause a brutal
risk in the field of terrorism. The terrorism and anti
groups can make use of nanorobots
as a new form of torturing the communities as
nanotechnology also has the
capability of destructing the human body at the molecular level.
· Privacy is the other potential
risk involved with Nanorobots. As Nanorobots deals with the designing of
compact and minute devices, there are chances for more eavesdropping than that
already exists.
5. CONCLUSION
The nanotechnology as a tool to
diagnosing and treating patients with diabetes and cancer shows how development
in new technologies provides innovative works that helps nanorobots employment
and its property most effectively for treating problems in medical field.
Nanorobot applied to medicine promises from destroying diseases to reversing
the aging process and conditions related to age can be treated at the cellular
level. Nanorobots and its technology are widely used in industrial
applications. They provide personalised treatments with improved efficiency and
reduced side effects. Combined actions like imaging agents acting as drugs,
drugs marketed with diagnostic, surgery with instant diagnostic feedback are
provided by nanorobots. The most awaited molecular technology enlarge the
effectiveness,speed and comfort enormously which are required for future
medical treatments but at the same instant reducing their cost, risk and
invasiveness. The theory of Nanorobotics has strong potential to revolutionize
healthcare, to treat disease in future. It will also change human life and
health care more profoundly than other medical developments. Simultaneously it
will change the shape of the industry, enhancing the product development and
marketing interaction between pharma, biotech, diagnostic and healthcare
industries. Future healthcare will make use of sensitive new diagnostics for an
improvedpersonal risk assessment. Highest impact can be expected if those major
diseases are addressed first, which impose the highest burden on the aging
population: cardiovascular diseases, cancer, musculoskeletal conditions,
neurodegenerative and psychiatric diseases, diabetes, and viral infections.
Nanomedicine holds the promise to lead to an earlier diagnosis, better therapy
and improved follow up care, making the health care more effective and
affordable. Nanomedicine will also allow a more personalised treatment for many
diseases, exploiting the in-depth understanding of diseases on a molecular
level.
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