Expanding pill could be used to monitor stomach conditions for up to one month

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By Sally Robertson, B.Sc.Jan 30 2019Reviewed by Kate Anderton, B.Sc.

Engineers at Massachusetts Institute of Technology have developed a Jell-O-like pill that quickly expands on reaching the stomach and uses an embedded sensor to monitor health status over an extended period of time.

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The soft, squishy device, which is made from hydrogel materials, is softer, longer lasting and more biocompatible than some of the current ingestible stomach sensors that can only stay in the stomach for a few days.

The dream is to have a Jell-O-like smart pill, that once swallowed stays in the stomach and monitors the patient's health for a long time such as a month.
Xuanhe Zhao, Senior Author

Lin and colleagues wanted to design a hydrogel-based pill that could be used to carry sensors into the stomach to monitor vital signs or disease states over an extended period.

However, they knew that a pill tiny enough to pass down the esophagus and into the stomach would also be small enough to pass through a structure called the pylorus and out of the stomach.

They therefore looked at ways of designing a pill that would quickly expand to the size of a ping-pong ball to prevent it from leaving the stomach.

The inflatable device is made up of one inner hydrogel layer containing superabsorbent particles that quickly soak up liquid and expand and a second outer layer that forms a protective layer that is impervious to churning stomach acids.

You would have to crack through many crystalline domains to break this membrane. That's what makes this hydrogel extremely robust, and at the same time, soft.
Shaoting Lin, Co-author

As reported in the journal Nature Communications, on immersing the pill in solutions that mimicked gastric juices, the pill expanded to 100 times its original size within about one-quarter of an hour, which is much faster than the rate seen with existing hydrogel-based devices. Senior author Xuanhe Zhao says that once inflated, the pill resembles the softness of Jell-O, but is surprisingly strong.

To test the strength of the pill, the team squeezed it thousands of times, applying forces even greater than those it would be subjected to as the stomach contracts.

“We found that even when we make a small cut in the membrane, and then stretch and squeeze it thousands of times, the cut does not grow larger. Our design is very robust,” says Lin.

Finally, small temperature sensors were embedded in the pill which was then fed to pigs. The sensors were later retrieved from the pigs’ stool and used to plot temperature measurements over time.

The team reports that the sensors were accurate at tracking the pigs’ daily activity over a period of 30 days.

Liu and colleagues hope the pill could one day be used to deliver sensors to the stomach that could measure pH levels and signs of bacterial or viral infection, for example, or cameras that could capture images of ulcers or tumors.

Sources:

Ingestible, expanding pill monitors the stomach for up to a month.

Ingestible hydrogel device. Nature Communications. Jan 2019.