Biodegradable medical devices that release drugs and then safely disappear could greatly improve treatments in areas like heart disease, cancer, and tissue repair. These devices are meant to deliver the right amount of medicine exactly where and when it is needed. A well known example is a biodegradable vascular scaffold, i.e. fibre-based tubular structure, which opens a blocked artery, releases a drug, and then breaks down into harmless components.
However, current biodegradable devices have a major limitation: once implanted, their drug release behaviour cannot be changed. As the material degrades inside the body, its properties change in ways we cannot monitor or control. This can lead to drugs being released too early, too late, or in the wrong amount.
MAD Control aims to solve this problem by creating a new type of biodegradable scaffold that can be monitored and controlled from outside the body. The idea is to combine smart materials, magnetic nanoparticles, real time imaging, and predictive computer models to achieve image-guidance of drug release inside the body.
For this, imaging data with models that predict how the scaffold is degrading are linked to determine the best moment and the best way to activate drug release. The magnetic nanoparticles inside the scaffold act as sensors for Magnetic Particle Imaging (MPI) to monitor the degradation inside the body and as actuators for magnetic hyperthermia (MH), which can trigger drug release through heat. These capabilities are combined in one device. For the development of prediction models, an automated measurement system continuously tracks how the material behaves under realistic conditions, and this information feeds into control algorithms that are used for image-guidance of drug release.
The result is a new theranostic platform that can release drugs on demand and monitor the scaffold’s condition at the same time. After extensive laboratory testing, the approach will be validated in a coronary stent model. This work opens the door to a new generation of biodegradable, personalized medical implants.