Soft Artificial Ciliary Brush with Integrated Haptic Feedback for Efficient Airway Mucus Cleaning

Mucus accumulation is a major complication in cystic fibrosis (CF) and chronic obstructive pulmonary disease (COPD), increasing risks of airway obstruction and impairing drug delivery. Maintaining the patency of airway prosthetic devices such as stents and endotracheal tubes also requires effective clearance. Current approaches, primarily blind suction, are ineffective against viscous mucus and risk tissue trauma. Here, it proposes a mucus‐cleaning catheter that integrates a rotational soft ciliary brush with suction for efficient and safe clearance on tracheobronchial tissues and within airway prosthetic devices. The soft artificial cilia efficiently wrap up mucus around the suction inlets for removing viscous mucus while a haptic sensing unit provides real‐time feedback for operational safety. The device can remove mucus in thin layers without damaging the tissue, typically difficult for pure suction by a therapeutic bronchoscope. This study demonstrates that the device can access airway phantom models, ex vivo ovine lungs, airway stents, and endotracheal tubes, performing on‐demand mucus clearance under real‐time visualization via an onboard camera. Compared with therapeutic bronchoscopes with pure suction, the catheter provides faster clearance and minimal damage to tissues, offering a promising strategy for safe, efficient, and timely mucus cleaning for patients with excessive mucus accumulation in the airway.

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Publication Details

Journal
Advanced Intelligent Systems
Published
2026-01-06
DOI
https://doi.org/10.1002/aisy.202501236
Primary Topic
Nosocomial Infections in ICU
Type
article
Field-Weighted Citation Impact
0.00

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article

Soft Artificial Ciliary Brush with Integrated Haptic Feedback for Efficient Airway Mucus Cleaning

D. W. Wang, Caitlin T. Demarest, Matthew D. Bacchetta, Ruijian Ge et al.
Advanced Intelligent Systems
Nosocomial Infections in ICU
article

Soft Artificial Ciliary Brush with Integrated Haptic Feedback for Efficient Airway Mucus Cleaning

D. W. Wang, Caitlin T. Demarest, Matthew D. Bacchetta, Ruijian Ge, Xiaoguang Dong, Yusheng Wang, Zhongming Lyu, Fabien Maldonado
article en

Abstract

Mucus accumulation is a major complication in cystic fibrosis (CF) and chronic obstructive pulmonary disease (COPD), increasing risks of airway obstruction and impairing drug delivery. Maintaining the patency of airway prosthetic devices such as stents and endotracheal tubes also requires effective clearance. Current approaches, primarily blind suction, are ineffective against viscous mucus and risk tissue trauma. Here, it proposes a mucus‐cleaning catheter that integrates a rotational soft ciliary brush with suction for efficient and safe clearance on tracheobronchial tissues and within airway prosthetic devices. The soft artificial cilia efficiently wrap up mucus around the suction inlets for removing viscous mucus while a haptic sensing unit provides real‐time feedback for operational safety. The device can remove mucus in thin layers without damaging the tissue, typically difficult for pure suction by a therapeutic bronchoscope. This study demonstrates that the device can access airway phantom models, ex vivo ovine lungs, airway stents, and endotracheal tubes, performing on‐demand mucus clearance under real‐time visualization via an onboard camera. Compared with therapeutic bronchoscopes with pure suction, the catheter provides faster clearance and minimal damage to tissues, offering a promising strategy for safe, efficient, and timely mucus cleaning for patients with excessive mucus accumulation in the airway.

Advanced Intelligent Systems
Vanderbilt University (US), Vanderbilt Health (US), Vanderbilt University Medical Center (US)
Vanderbilt University, National Institutes of Health
Good health and well-being
Openalex Percentile: Top 94%
Nosocomial Infections in ICU
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