Development of the defecation pacemaker using artificial muscle
Grant-in-Aid for Scientific Research (A)
|Research Institution||Keio University|
YOKOYAMA Jotaro Pediatric Surgery School of Medicine Keio University, Associate Professor, 医学部, 助教授 (80051407)
平林 健 慶応義塾大学, 医学部外科, 助手 (40228812)
MATSUFUJI Hiroshi Pediatric Surgery St.Luke's International Hospital, 小児外科, 副医長(研究職) (80190502)
大西 誠人 テルモ(株), 研究開発センター開発研究所, 研究員
WATANABE Shuichi Physiology, School of Medicine Keio University, Associate Professor, 医学部・生理学, 助教授 (60138120)
OSADA Yoshihito Division of Biological Science Graduate School of Science Hokkaido University, P, 大学院・理学研究科生物学, 教授 (60007804)
HOSHINO Ken Pediatric Surgery, Medical school Keio University, 医学部外科, 助手 (70190197)
ONISHI Seijin Terumo..K.K.
|Project Fiscal Year
1996 – 1998
Completed(Fiscal Year 1998)
|Budget Amount *help
¥3,000,000 (Direct Cost : ¥3,000,000)
Fiscal Year 1998 : ¥1,500,000 (Direct Cost : ¥1,500,000)
Fiscal Year 1997 : ¥1,500,000 (Direct Cost : ¥1,500,000)
|Keywords||intelligent gel / artificial muscle / anal sphincter / colon / rectum / defecation / sacral nerve / fecal incontinence / 高分子形状記憶ゲル / 人工筋肉 / 肛門括約筋 / 結腸 / 直腸 / 排便 / 仙骨神経 / 便失禁. 排便時に特徴的な結腸, 直腸, 肛門の運動の同定. / 大腸肛門運動 / 神経刺激 / 結腸直腸運動 / 形状記憶ゲル / Giant Migrating Contraction|
1. Motility patterns of the colon and anorectum during spontaneous defecation.
(1) Migration of giant contraction of the colon to the rectum (2) rectal relaxation-contraction sequence (3) anal sphincter relaxation play important roles during defecation.
2. Responses of the colon and anorectum to the first or second sacral nerve electric stimulation
(1) The colon shows contractions propagated distally. (2) The rectum isrelaxed or contracted. (3) The internal anal sphincter is relaxed. These responses are similar to the motility patterns observed during spontaneous defecation.
3. Possibility of the intelligent gel as an artificial anal sphincter The intelligent gel is prepared by the radical polymerization of methylacrylate and stearylacrylate. It exhibits the reversible transition of mechanical properties by the change of temperature at 38ﾟC.While the modulus and elasticity of this gel is very high and low, respectively, at 35ﾟC, it can be extended highly by the low force at 40ﾟC.Namely the intelligent gel can show the similar mechanical behavior as the muscle. A tube shaped artificial anal sphincter 2.0 cm in diameter ; 2.0 cm long is made of the gel. The canine colon is pull through it. The giant contractions of the colon propel the fecal material and widen the artificial sphincter to evacuate it at a temperature 4OﾟC.The sphincter returns to the original shape when the colon is emptied. The contraction fails to widen the gel and the contents is not expelled at a temperature 35ﾟC.
These findings suggest two possible systems to control defecation and to maintain continence.
(1) The sacral nerve stimulator to induce defecation for the patients with central nervous system problems.
(2) The pacemaker systems, which detect the giant contraction of the colon and heat the gel simultaneously for the patients who, loosed the function of the anorectum.
Research Output (7results)