Bacteria-sized medical robots inside our bodies?

April 24, 2009

What if doctors could inject robots the size of microorganisms into our bloodstreams and send them to attack individual cancer cells, remove plaque deposits from the walls of our arteries, fix damaged kidneys, deliver drug treatments and perform various bodily repairs from the inside on a scale too tiny for regular-sized human surgeons to attempt?

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The benefits of medical micro-robots could be enormous. Some types of operations, such as coronary bypass surgery, would no longer be necessary at all, while others, such as repair of damaged heart valves, conceivably might be transformed into outpatient procedures.

Patients might be spared the potential risks that now accompany invasive surgeries, and they’d conceivably be less vulnerable to “superbug” infections contracted in the hospital, which kill thousands of patients every year.


The downsides, caveats and complications? For one, obviously, we can expect that people who get nervous about going to the doctor are going to be considerably more squeamish about having tiny robots set loose to roam their insides. And unless we also develop bacteria-sized video cams, doctors aren’t going to be able to guide them by sight, so controlling them and tracking what they’re doing inside people is going to be a considerable technical challenge. Additionally, medical micro-robot manufacturers will have to be extremely careful to use only biocompatible materials, or else the little surgeons themselves might only do more damage to the patient’s body, or worse yet, trigger a fierce counterattack by his or her immune system. 


And no, this topic wasn’t inspired by the upcoming remake of the classic 1966 sci-fi flick Fantastic Voyage, which tells the story of the micro-submarine Proteus and its intrepid “four men, one girl” crew, who are somehow shrunk to microscopic size and injected into the body of the miniaturization process’s ailing inventor to fix a blood clot in his brain. (Though I must confess that it’s one of my faves, especially the scene in which the Proteus and Donald Pleasence, as the treacherous Dr. Michaels, start to de-miniaturize and are devoured by white blood cells.) I actually got the idea for this week's story from the recent revelation that  scientists at the Swiss Federal Institute of Technology Zurich have created tiny replicas of bacteria called Artificial Bacterial Flagella, which are capable of swimming by whipping their tails, just like the real thing. 


    An article on the institute’s Web site provides more detail:

    Artificial bacterial flagella are about half as long as the thickness of a human hair. They can swim at a speed of up to one body length per second. This means that they already resemble their natural role models very closely. 

They look like spirals with tiny heads, and screw through the liquid like miniature corkscrews. When moving, they resemble rather ungainly bacteria with long whip-like tails. They can only be observed under a microscope because, at a total length of 25 to 60 micrometers, they are almost as small as natural flagellated bacteria. Most are between 5 and 15 micrometers long, a few are more than 20 micrometers.

From YouTube, here’s an institute video of how an ABF looks under a microscope. It sure does a pretty good imitation of an actual bacterium, that’s for sure.

Unlike a garden variety E. coli, though, an ABF is fabricated by putting ultra-thin layers of indium, gallium, arsenic and chromium onto a surface, and then patterning those substances with lithography and etching to create a microbe-like flagellum, or spiral tail. (It sounds a lot like the process for making a computer chip.) A tiny magnetic head made of chromium-nickel-gold tri-layer film is then attached to the tail. By tuning the strength and direction of a rotating magnetic field, scientists can steer the fake microbe in whatever direction they want. The current generation of ABFs can swim slightly slower than E. coli, but scientists envision making ones that thrash along several times faster. (They’re also hoping to make ABFs that are even smaller.)


    While lead researcher Brad Nelson cautions that the faux germs are still in the early stages of development, the goal is to turn them into medical micro-robots. Already, the researchers have been able to get ABFs to carry around tiny polystyrene spheres. Someday, that payload could be a dose of medication or a surgical tool.


    So what do you think? Are bacteria-sized micro-robots the wave of the future? Or is the whole idea too buggy? Express your opinion below.


Patrick J. Kiger has written for print publications ranging from GQ to the Los Angeles Times Magazine, and is the co-author of two books, Poplorica: A popular history of the fads, mavericks, inventions and lore that shaped modern America," and Oops: 20 life lessons from the fiascoes that shaped America. For more of his work, check out his web site, www.patrickjkiger.com.
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