News, Analysis, Trends, Management Innovations for
Clinical Laboratories and Pathology Groups

Hosted by Robert Michel

News, Analysis, Trends, Management Innovations for
Clinical Laboratories and Pathology Groups

Hosted by Robert Michel
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Microgripper Can Harvest “Microbiopsies” Via Minimally Invasive Surgery

Pathologists may eventually have a new tool that makes it possible to collect microbiopsies using minimally-invasive surgery. The invention is a product of research at Johns Hopkins University and uses biochemicals to operate the device. A tiny handlike gripper is 500 micrometers (0.05 centimeters) in diameter, and made of a film of copper and chromium covered with polymer. Scientists say the gripper can grasp tissue or cell samples inside the body.

As a proof of concept, researchers used the device to perform an in vitro biopsy on a cow’s bladder. The technology also might work in clinical labs, the researchers said. The device can be moved remotely by using a magnet. It has “fingers” that will close around the target object in response to chemical triggers.

An article in MIT’s Technology Review explained how it works. The gripper remains open if the polymer stays rigid. Researchers can activate the gripper’s fingers to make them curl inward to form a ball that is 190 micrometers wide by adding a chemical trigger or lowering the temperature, thus softening the polymer. Adding a second chemical sends a signal to reopen the gripper. The chemicals used as triggers are harmless to humans.

For clinical labs, these microgrippers could be used for lab-on-a-chip applications, the article said. The microgrippers could move samples around a chip or clean debris. One drawback, however, is that using chemical triggers can make the device difficult to control. If the chemical environment changes, it can change how the device performs.

The lead researcher is David Gracias, Ph.D., a biomolecular- and chemical-engineering professor at Johns Hopkins University. During a meeting of the American Chemical Society earlier this year, Gracias and colleagues demonstrated how the microgripper could grasp and maneuver tiny beads and clumps of cells in a petri dish.

Researchers believe the technology is a step toward surgical tools that move freely inside the human body. The gripper would respond autonomously to chemical cues in the body, and could, for example, react to the biochemicals released by infected tissue. The microgripper could close around the tissue, so that doctors could remove the pieces for analysis, the article said.

“This is the first mobile micromachine that has been shown convincingly to do very useful things,” Gracias says. “And it does not require electric power for operation. We want to make mobile surgical tools. The ultimate goal is to have a machine that you can swallow, or inject small structures that move and can do things.”

Although introduction of this tool for microsurgery is likely to be years away, it is a demonstration of micro-technologies and nano-technologies that have the potential to give pathologists new capabilities. This invention is also consistent with the trend to perform laboratory tests with smaller specimens.

Washington Post Gives Phlebotomists New Respect

One of the nation’s most prestigious newspapers recently recognized the importance of phlebotomy. The Washington Post reported that one school in our nation’s capital has phlebotomy students train on live humans rather than practice with oranges.

With the title “They’re So Vein: Tapping a Job Market,” The Washington Post did a feature on career opportunities in phlebotomy and the training provided at Sanz College , in Washington, DC. In the July 14 story, the reporter pointedly noted that many phlebotomy training classes have students practice with oranges-but that’s not the case at Sanz College, which requires each student to perform 42 successful venipunctures on humans before they successfully complete their phlebotomy training course. Each member of the class of 13 adults paid $1,900 for 92 hours of instruction in 12 weeks. In that time, the students are expected to complete the 42 venipunctures, mostly on each other.

Sanz College has only offered the phlebotomy training program since December. It recognized the strong demand for phlebotomists. In the article, Ron Sandler, a Corporate Director at Sanz, said, “We identified a market need for phlebotomists in the greater metropolitan area. As our population in the country as a whole [gets] grayer and older, there’s need for more and more [laboratory] testing as people get ill and need to get diagnosed.” The school offers two-year degree programs in computer and information sciences, English language and literature, medical assisting, and medical office management. It has an enrollment of 525 students, 76% of whom are women.

According to The Washington Post, the individuals participating in the phlebotomy class this summer came from a variety of backgrounds. There was a 60-year-old math teacher who had moved to the D.C. area from India and a 34-year-old medical assistant who had relocated from Eritrea. Also attending were 52-year-old car salesman who left New Orleans after Hurricane Katrina, a 32-year-old bank teller, and a 26-year-old college graduate. Each one wanted to learn a marketable skill in healthcare, an area where jobs are available and demand for phlebotomists will stay strong for years to come.

Demand for phlebotomy training is evidently strong in the Washington, DC area. The story noted that Northern Virginia Community College had already filled all of its 16 phlebotomy places for its fall semester training.

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They’re So Vein: Tapping A Job Market

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