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NANOROBOTS
                                   -The future nano surgeons


ABSTRACT:                                              organic substances interferes with normal bodily

Like primitive engineers faced with advanced           function.

technology, medicine must „catch up' with the          In this paper, we will describe a NanoRobot

technology level of the human body before it can       that can be created with existing technology ,

become really effective. Since the human body is       that can be used to seek out and destroy inimical

basically an extremely complex system of               tissue within the human body that cannot be

interacting molecules (i.e., a molecular machine),     accessed by other means.

the technology required to truly understand and        The construction and use of such devices would

repair the body is molecular machine technology.       result in a number of benefits. Not only would it

A natural consequence of               this level of   provide either cures or at least a means of

technology will be the ability to analyze and          controlling or reducing the effects of a number of

repair the human body as completely and                ailments, but it will also provide valuable

effectively as we can repair any conventional          empirical data for the improvement and further

machine today                                          development of such machines. Practical data

            Nanotechnology is “Research and            garnered from such operations at the microscopic

technology development at the atomic, molecular        level will allow the elimination of a number of

and macromolecular levels in the length scale of       false trails and point the way to more effective

approximately 1 -100 nanometer range, to               methods of dealing with the problems inherent in

provide     a     fundamental   understanding     of   operation at that level.

phenomena and materials at the nanoscale and to        We will address and propose       the method of

create and use structures, devices and systems         entry into the body, means of propulsion, means

that have novel properties and functions because       of maintaining a fixed position while operating,

of their small and/or intermediate size.”              control of the device, power source, means of

This paper will describe a micro/nano scale            locating substances to be eliminated, mans of

medical robot that is within the range of current      doing the elimination and how to remove the

engineering technology. It is intended for the         device from the body afterward.

treatment       and/or   elimination    of   medical   NANOMEDICNE:
problems where accumulation of undesired                  It is the application of nanotechnology
                                                       (engineering of tiny machines) to the prevention
and treatment of disease in the human bodys.
More specifically, it is the use of engineered
nanodevices and nanostructures to monitor,
repair,     construct   and   control   the   human
biological system on a molecular level. The most
elementary of nanomedical devices will be used
in the diagnosis of illnesses. A more advanced
use of nanotechnology might involve implanted                         circulatory system
devices to dispense drugs or hormones as needed
                                                       be balanced against the fact that the larger the
in people with chronic imbalance or deficiency
                                                       nanomachine the more versatile and effective it
states. Lastly, the most advanced nanomedicine
                                                       can be. This is especially important in light of
involves the use of Nanorobots as miniature
                                                       the fact that external control problems become
surgeons. Such machines might repair damaged
                                                       much more difficult if we are trying to use
cells, or get inside cells and replace or assist
                                                       multiple machines, even if they don't get in each
damaged intracellular structures. At the extreme,
                                                       other's way.
nanomachines might replicate themselves, or
                                                       The second consideration is we have to get it
correct genetic deficiencies by altering or
                                                       into the body without being too destructive in the
replacing      DNA       (deoxyribonucleic     acid)
                                                       first place. This requires that we gain access to a
molecules.
                                                       large diameter artery that can be traversed easily
                                                       to gain access to most areas
Introduce the device into the body:
We need to find a way of introducing the
nanomachine into the body, and allowing it
access to the operations site without causing too
much ancillary damage. We have already made
the decision to gain access via the circulatory
system.
The first is that the size of the nanomachine
determines the minimum size of the blood vessel                       femoral artery
that it can traverse. We want to avoid damaging        of the body in minimal time. The obvious
the walls of whatever blood vessel the device is       candidate is the femoral artery in the leg. This is
in, we also do not want to block it much, which        in fact the normal access point to the circulatory
would either cause a clot to form, or just slow or     system for operations that require access to the
stop the blood flow. What this means is that the       bloodstream for catheters, dye injections, etc., so
smaller the nanomachine the better. However,           it will suit our purposes.
this must
Move the device around the body:                        smaller than we would need for our preliminary

We start with a basic assumption: that we will          microrobot. One or several of these motors could

use the circulatory system to allow our device to       be used to power propellers that would push (or

move about. We must then consider two                   pull) the microrobot through the bloodstream.

possibilities:   (a)   carried   to   the   site   of   We would want to use a shrouded blade design

operations,(b) to be propelled                          so as to avoid damage to the surrounding tissues

The first possibility is to allow the device to be      (and to the propellers) during the inevitable

carried to the site of operations by means of           collisions

normal blood flow. There are a number of                2.Cilia/flagellae:

requirements for this method . We must be able          we are using some sort of vibrating cilia

to navigate the bloodstream; to be able to guide
the device so as to make use of the blood flow.
This also requires that there be an uninterrupted
blood flow to the site of operations. In the case
of tumors, there is very often damage to the
circulatory system that would prevent our device
                                                        (similar to those of a paramecium) to propel the
from passively navigating to the site. In the case
                                                        device. A variation of this method would be to
of blood clots, of course, the flow of blood is
                                                        use a fin-shaped appendage. While this may have
dammed and thus our device would not be
                                                        its attractions at the molecular level of operation,
carried to the site without the capability for
                                                        3.Crawl along surface:
active movement. Another problem with this
                                                        Rather than have the device float in the blood, or
method is that it would be difficult to remain at
                                                        in various fluids, the device could move along
the site without some means of maintaining
                                                        the walls of the circulatory system by means of
position, either by means of an anchoring
                                                        appendages     with    specially   designed     tips,
technique, or by actively moving against the
                                                        allowing for a firm grip without excessive
current.
                                                        damage to the tissue. It must be able to do this
                                                        despite surges in the flow of blood caused by the
                                                        beating of the heart, and do it without tearing
                                                        through a blood vessel or constantly being torn
                                                        free and swept away.

There are a number of means available for active
propulsion of our device.
1.Propeller:
An electric motor that fit within a cube 1/64th of
an inch on a side is used . This is probably                along the wall of vessel
For any of these techniques to be practical, they      the operations site; that is, the location of the
must each meet certain requirements:                   clot, tumor or whatever is the unwanted tissue.
The device must be able to move at a practical         The second purpose is to gain a rough idea of
speed against the flow of blood.                       where the microrobot is in relation to that tissue.
The device must be able to move when blood is          This information will be used to navigate close
pooling rather than flowing steadily.                  enough to the operations site that short-range
The device must be able to move in surges, so as       sensors will be useful
to be able to get through the heart without being      (1).Ultrasonic:
stuck, in the case of emergencies.                     This technique can be used in either the active or
The device must either be able to react to             the passive mode. In the active mode, an
changes in blood flow rate so as to maintain           ultrasonic signal is beamed into the body, and
position, or somehow anchor itself to the body so      either reflected back, received on the other side
as to remain unmoving while operating.                 of the body, or a combination of both. The
Movement of the device :                               received      signal   is   processed   to   obtain

The next problem to consider is exactly how to         information about the material through which it

detect the problem tissue that must be treated.        has passed.

We need two types of sensors. Long-range               In the passive mode, an ultrasonic signal of a

sensors will be used to allow us to navigate to        very specific pattern is generated by the

the site of the unwanted tissue. We must be able       microrobot. By means of signal processing

to locate a tumor, blood clot or deposit of arterial   techniques, this signal can be tracked with great

plaque closely enough so that the use of short-        accuracy through the body, giving the precise

range sensors is practical. These would be used        location of the microrobot at any time. The

during actual operations, to allow the device to       signal can either be continuous or pulsed to save

distinguish between healthy and                        power, with the pulse rate increasing or being
                                                       switched to continuous if necessary for more
                                                       detailed position information.
                                                       (2).NMR/MRI:
                                                       This technique involves the application of a
                                                       powerful magnetic field to the body, and
                                                       subsequent analysis of the way in which atoms
unwanted tissue.. Another important use for
                                                       within the body react to the field.
sensors is to be able to locate the position of the
microrobot in the body. First we will examine
the various possibilities for external sensors.
These will be at least partially external to the
microrobot, and their major purpose will be
twofold. The first is to determine the location of
                                                                              MRI
It usually requires a prolonged period to obtain       and analyze the results of its operations. These
useful results, often several hours, and thus is not   sensors will be of two types. The first type will
suited to real-time applications. While the            be used to do the final navigation. When the
performance can be increased greatly, the              device is within a short distance of the operation
resolution is inherently low due to the difficulty     site, these sensors will be used to help it find the
of switching large magnetic fields quickly, and        rest of the path, beyond what the external sensors
thus, while it may be suited in some cases to the      can do. The second type of sensor will be used
original diagnosis, it is of only very limited use     during the actual operation, to guide the
to us at present.                                      microrobot to the tissue that should be removed
(3).X-ray:                                             and away from tissue that should not be
X-rays as a technique have their good points and       removed.
bad points. On the plus side, they are powerful        (1).Chemical:
enough to be able to pass through tissue, and          Chemical sensors can be used to detect trace
show density changes in that tissue. This makes        chemicals in the bloodstream and use the relative
them very useful for locating cracks and breaks        concentrations of those chemicals to determine
in hard, dense tissue such as bones and teeth. On      the path to take to reach the unwanted tissue.
the other hand, they go through soft tissue so         This would require several sensors so as to be
much                                                   able to establish a chemical gradient, the
                                                       alternative would be to try every path, and
                                                       retrace a path when the blood chemicals
                                                       diminish. While it is not difficult to create a
                                                       solid-state sensor for a given chemical, the
                                                       difficulty increases greatly when the number of
                                                       chemicals that must be analyzed increases.
                                                       Consequently, we would probably need a series
                    mobile Xray
more easily that an X-ray scan designed to show        of microrobots, one for each chemical, or at least

breaks in bone goes right through soft tissue          a set of replaceable sensor modules

without showing much detail. On the other hand,        (2).Spectroscopic:

a scan designed for soft tissue can‟t get through      This would involve taking continuous small

if there is any bone blocking the path of the x-       samples of the surrounding tissue and analyzing

rays.                                                  them for the appropriate chemicals. This could
                                                       be done either with a high-powered laser diode
Control the device:
                                                       or by means of an electrical arc to vaporize small
we consider the case of internal sensors. When
                                                       amounts of tissue. The laser diode is more
we say internal sensors, we mean sensors that are
                                                       practical due to the difficulty of striking an arc in
an integral part of the microrobot and are used by
                                                       a liquid medium and also due to the side effects
it to make the final approach to the operation site
                                                       possible when sampling near nerve tissue. The
diode could be pulsed at regular intervals, with       away,    to   be   eliminated     by   the   normal
an internal capacitor charging constantly so as to     mechanisms of the body.
provide more power to the laser diode than the         In the case of blood clots, it is possible that the
steady output of our power source.                     action of physically attacking the clot could
(3).TV camera:                                         cause it to break away in large chunks, some of
This method involves us having a TV camera in          which could subsequently cause blockages in the
the device and transmitting its picture outside the    blood flow.. We can set up some mechanism to
body to a remote control station, allowing the         catch these blood clots and further break them
people operating the device to steer it. One           up,
disadvantage of this technique is the relatively       In the case of tumors, the problem is more
high complexity of the sensors. On the other           serious. The act of physically shredding or even
hand, solid-state television sensors are an            just breaking loose clumps of cells can result in
extremely well developed technology, and it            the cancer metastasizing throughout the body.
should not be difficult to further develop it to the   One possible solution is to filter the cancerous
level needed. This could be combined with the          cells out of the blood immediately downstream
laser diode at low power                               of the tumor. Even if it is possible to distinguish
Means of treatment:                                    cancerous cells from normal cells by filtering,

The treatment for each of the medical problems         this would not prevent the spread of tumor

is the same in general; we must remove the             causing chemicals released by the ruptured cells.

tissue or substance from the body. This can be         (2).Physical trauma:

done in one of several ways. We can break up           Another way of dealing with the unwanted

the clump of substance and rely on the body‟s          tissues is by destroying them in situ. This would

normal processes to eliminate it. Alternately, we      avoid damaging the cancerous cells and releasing

can destroy the substance before allowing the          chemicals into the bloodstream. In order to do

body to eliminate the results. We can use the          this effectively, we need a means of destroying

microrobot to physically remove the unwanted           the cell without rupturing the cell wall until after

tissue. We can also use the microrobot to              it is safe. We shall consider a number of methods

enhance other efforts being performed, and             (a)Resonant microwaves/Ultrasonics:

increase their effectiveness.                          Rather than merely apply microwave/infrared or

(1).Physical removal:                                  ultrasonic energy at random frequencies, the

This method can be effective in the treatment of       frequency of the energy could be applied at the

arteriosclerosis. In this case, a blade, probe or      specific frequencies needed to disrupt specific

edge of some sort can be used to physically            chemical bonds. This would allow us to make

separate deposits of plaque from the artery walls.     sure that the tumor producing chemicals created

The bloodstream would carry these deposits             by cancerous cells would be largely destroyed,
                                                       with the remaining amounts, if any, disposed of
                                                       by the body‟s natural defenses.
(b)Heat:                                                In this case, the power would be transmitted to
The use of heat to destroy cancerous tumors             the microrobot from outside the body. This can
would seem to be a reasonable approach to take.         be done in a number of different ways, but it
There are a number of ways in which we can              boils down to two possibilities. The first is to
apply      heat,   each   with   advantages      and    transmit the power by means of a physical
disadvantages of their own. While the general           connection, and the second, of course, is to
technique is to apply relatively low levels of heat     transmit it without a physical connection.
for prolonged periods of time, we can apply             (a)Physical connection
much higher levels for shorter periods of time to       In the first case, we would need some sort of
get the same effect.                                    wire or cable to carry power between the
( c )Microwave:                                         microrobot and the outside power source.
Microwave radiation is directed at the cancerous        Problems faced are the first, of course, is that the
cells, raising their temperature for a period of        wire needs to be able to reach inside the body to
time, causing the death of the cells in question.       where the microrobot is. This means that it must
This is normally done by raising the temperature        be thin enough to fit down every blood vessel
of the cells to just enough above body                  that the microrobot can enter.
temperature to kill them after many minutes of          (b)No physical connection:
exposure.                                               we are transmitting power to the microrobot
(d)Ultrasonic:                                          without the use of wires or any sort of physical
An ultrasonic signal, which can be generated by         means to transfer the power.
a piezoelectric membrane or any other rapidly           1.Ultrasonic
vibrating object, is directed at, and absorbed by,      2.Induced magnetic
the cells being treated. This energy is converted
to heat, raising the temperature of the cells and       Means of recovery from the body:
killing.
(e)Power from the bloodstream:                          Given sufficiently accurate control of the

There are three possibilities for this scenario. In     nanomachine, or a tether, this is not a problem;

the first case, the microrobot would have               we can just retrace our path upstream. However,

electrodes mounted on its outer casing that             it would be a lot easier, and recommended, to

would combine with the electrolytes in the blood        steer a path through the body that traverses major

to form a battery. This would result in a low           blood vessels and winds up at a point where we

voltage, but it would last until the electrodes         can just filter the nanomachine out of the

were used up. The disadvantage of this method is        bloodstream. This will reduce the possibilities

that in the case of a clot or arteriosclerosis, there   for difficulties, and also cause less wear and tear

might not be enough blood flow to sustain the           on the nanomachine. Of course, either scenario is

required                                                a possibility, depending on where the actual

Power to NanoRobot:                                     operation site is. Another possibility is to have
the nanomachine anchor itself to a blood vessel     artery walls. This will allow for both improving
that is easily accessible from outside, and         the flexibility of the walls of the arteries and
perform a small surgical operation to remove it.    improving the blood flow through them. In view
Application of nanorobots :                         of the years it takes to accumulate these deposits,

1.Tumors.                                           simply removing them from the artery walls and
                                                    leaving them in the bloodstream should allow the
 We must be able to treat tumors; that is to say,   body‟s   natural   processes    to   remove    the
  cells grouped in a clumped mass. While the        overwhelming preponderance of material.
technique may eventually be used to treat small
                                                    3.Blood clots:


                                                    The cause damage when they travel to the
                                                    bloodstream to a point where they can block the
                                                    flow of blood to a vital area of the body. This

numbers of cells in                                 can result in damage to vital organs in very short
                                                    order. In many if not most cases, these
                 lung tumor

the bloodstream,,. The specified goal is to be
able to destroy tumorous tissue in such a way as
to minimize the risk of causing or allowing a
recurrence of the growth in the body. The
technique is intended to be able to treat tumors
that cannot be accessed via conventional surgery,
such as deep brain tumors.


2.Arteriosclerosis:                                                     Blood clot

                                                    blood clots are only detected when they cause a
This is caused by fatty deposits on the walls of
                                                    blockage and damage the organ in question,
arteries. The device should be able to remove
                                                    often but not always the brain. By using a
these deposits from the
                                                    microrobot in the body to break up such clots
                                                    into smaller pieces before they have a chance to
                                                    break free and move on their own


                                                    4.Kidney stones


              Arteriosclerosis
break up the liver stones as well. By continuing
                                                      on up the bile duct into the liver, they can clear
                                                      away     accumulated   deposits    of    unwanted
                                                      minerals and other substances as well.


                                                      6.Burn and wound debriding:
By introducing a microrobot into the urethra in a
                                                      The microrobots can also be used to clean
manner similar to that of inserting a catheter,
                                                      wounds and burns. Their size allows them to be
direct access to the kidney stones can be
                                                      very useful for removing dirt and foreign
obtained, and they can be broken up directly.
                                                      particles from incised and punctured wounds, as
This can be done either by means of ultrasonics
                                                      well as from burns. They can be used to do a
directly applied, or by the use of a laser or other
                                                      more complete and less traumatic job than
means of applying intense local heat to cause the
                                                      conventional techniques.
stones to break up.
                                                      7.Remove or break down tar, etc in lungs:


                                                      They could be very useful for the treatment of
                                                      dirty lungs. This could be done by removing
                                                      particles of tar and other pollutants from the
                                                      surface of the alveoli, and placing them where
                                                      the natural processes of the body can dispose of

                      kidney stones                   them. This would require a microrobot capable
                                                      of moving within the lungs, on alveolar surfaces
5.Liver stones


Liver stones accumulate in the bile duct.
Microrobots of the above type can be introduced
into the bile duct and used to


                                                      as well as
                                                      Break down of tar


                                                      over the mucus layer and over the cilia within the
                                                      lungs.


         Stones Inside Liver Bile Ducts               THE            ADVANTAGES                    OF
                                                      NANOMEDICINE:
1.Speed of Medical Treatment: Doctors may                  describing exactly what was found, and what
be surprised by the incredible quickness of                was done, and what problems were encountered,
nanorobotic action when compared to the speeds             in every cell visited
available   from       fibroblasts      or   leukocytes.
Biological cilia beat at ~30 Hz while mechanical           6.   Minimum        Side     Effects:     Mechanical

nanocilia may cycle up to ~20 MHz, though                  nanorobots may be targeted with virtually 100%

practical    power           restrictions    and   other   accuracy to specific organs, tissues, or even

considerations may limit them to the ~10 KHz               individual cellular addresses within the human

range for most of the time.                                body . Such nanorobots should have few if any
                                                           side effects, and will remain safe even in large
2. Non-degradation of Treatment Agents:                    dosages because their actions can be digitally
                                                           self-regulated using rigorous control protocols.
Diagnostic and therapeutic agents constructed of
biomaterials generally are biodegradable in vivo.          CONCLUSION:
However, suitably designed nanorobotic agents              Nanomedicine      will     eliminate    virtually    all
constructed of nonbiological materials are not             common diseases of the 20th century, virtually
biodegradable.                                             all medical pain and suffering, and allow the
                                                           extension of human capabilities most especially
3.Control of Nanomedical Treatment: A
                                                           our mental abilities.
digital biocomputer, which is possible in theory,
                                                           A nanostructured data storage device about the
has slower clock cycles, less capacious memory
                                                           size of a human liver cell implanted in the brain
per unit volume, and longer data access time and
                                                           could store a large amount of data and provides
poorer control
                                                           extremely rapid access to this information. But
                                                           perhaps the most important long-term benefit to
4.Faster and More Precise Diagnosis: The
                                                           human society as a whole could be the dawning
analytic function of medical diagnosis requires
                                                           of a new era of peace. We could hope that people
rapid communication between the injected
                                                           who are independently well fed, well-clothed,
devices     and        the       attending    physician.
                                                           well-housed, smart, well educated, healthy and
Nanomachines, with their more diverse set of
                                                           happy will have little motivation to make war.
input-output mechanisms, can out message the
                                                           Human beings who have a reasonable prospect
results of in vivo reconnaissance or testing
                                                           of living many "normal" lifetimes will learn
literally in seconds
                                                           patience from experience, and will be extremely

5. Verification of Progress and Treatment:                 unlikely to risk those "many lifetimes" for any

Using a variety of communication modalities,               but the most compelling of reasons.

nanorobots can report back to the attending                                  Finally,    and      perhaps      most

physician, with digital precision, a summary of            importantly, no actual working nanorobot has yet

diagnostically- or therapeutically-relevant data           been built. Many theoretical designs have been
proposed that look good on paper, but these
preliminary designs could change significantly
after the necessary research, development and
testing has been completed.

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Paper presentation-nano-robots

  • 1. NANOROBOTS -The future nano surgeons ABSTRACT: organic substances interferes with normal bodily Like primitive engineers faced with advanced function. technology, medicine must „catch up' with the In this paper, we will describe a NanoRobot technology level of the human body before it can that can be created with existing technology , become really effective. Since the human body is that can be used to seek out and destroy inimical basically an extremely complex system of tissue within the human body that cannot be interacting molecules (i.e., a molecular machine), accessed by other means. the technology required to truly understand and The construction and use of such devices would repair the body is molecular machine technology. result in a number of benefits. Not only would it A natural consequence of this level of provide either cures or at least a means of technology will be the ability to analyze and controlling or reducing the effects of a number of repair the human body as completely and ailments, but it will also provide valuable effectively as we can repair any conventional empirical data for the improvement and further machine today development of such machines. Practical data Nanotechnology is “Research and garnered from such operations at the microscopic technology development at the atomic, molecular level will allow the elimination of a number of and macromolecular levels in the length scale of false trails and point the way to more effective approximately 1 -100 nanometer range, to methods of dealing with the problems inherent in provide a fundamental understanding of operation at that level. phenomena and materials at the nanoscale and to We will address and propose the method of create and use structures, devices and systems entry into the body, means of propulsion, means that have novel properties and functions because of maintaining a fixed position while operating, of their small and/or intermediate size.” control of the device, power source, means of This paper will describe a micro/nano scale locating substances to be eliminated, mans of medical robot that is within the range of current doing the elimination and how to remove the engineering technology. It is intended for the device from the body afterward. treatment and/or elimination of medical NANOMEDICNE: problems where accumulation of undesired It is the application of nanotechnology (engineering of tiny machines) to the prevention
  • 2. and treatment of disease in the human bodys. More specifically, it is the use of engineered nanodevices and nanostructures to monitor, repair, construct and control the human biological system on a molecular level. The most elementary of nanomedical devices will be used in the diagnosis of illnesses. A more advanced use of nanotechnology might involve implanted circulatory system devices to dispense drugs or hormones as needed be balanced against the fact that the larger the in people with chronic imbalance or deficiency nanomachine the more versatile and effective it states. Lastly, the most advanced nanomedicine can be. This is especially important in light of involves the use of Nanorobots as miniature the fact that external control problems become surgeons. Such machines might repair damaged much more difficult if we are trying to use cells, or get inside cells and replace or assist multiple machines, even if they don't get in each damaged intracellular structures. At the extreme, other's way. nanomachines might replicate themselves, or The second consideration is we have to get it correct genetic deficiencies by altering or into the body without being too destructive in the replacing DNA (deoxyribonucleic acid) first place. This requires that we gain access to a molecules. large diameter artery that can be traversed easily to gain access to most areas Introduce the device into the body: We need to find a way of introducing the nanomachine into the body, and allowing it access to the operations site without causing too much ancillary damage. We have already made the decision to gain access via the circulatory system. The first is that the size of the nanomachine determines the minimum size of the blood vessel femoral artery that it can traverse. We want to avoid damaging of the body in minimal time. The obvious the walls of whatever blood vessel the device is candidate is the femoral artery in the leg. This is in, we also do not want to block it much, which in fact the normal access point to the circulatory would either cause a clot to form, or just slow or system for operations that require access to the stop the blood flow. What this means is that the bloodstream for catheters, dye injections, etc., so smaller the nanomachine the better. However, it will suit our purposes. this must
  • 3. Move the device around the body: smaller than we would need for our preliminary We start with a basic assumption: that we will microrobot. One or several of these motors could use the circulatory system to allow our device to be used to power propellers that would push (or move about. We must then consider two pull) the microrobot through the bloodstream. possibilities: (a) carried to the site of We would want to use a shrouded blade design operations,(b) to be propelled so as to avoid damage to the surrounding tissues The first possibility is to allow the device to be (and to the propellers) during the inevitable carried to the site of operations by means of collisions normal blood flow. There are a number of 2.Cilia/flagellae: requirements for this method . We must be able we are using some sort of vibrating cilia to navigate the bloodstream; to be able to guide the device so as to make use of the blood flow. This also requires that there be an uninterrupted blood flow to the site of operations. In the case of tumors, there is very often damage to the circulatory system that would prevent our device (similar to those of a paramecium) to propel the from passively navigating to the site. In the case device. A variation of this method would be to of blood clots, of course, the flow of blood is use a fin-shaped appendage. While this may have dammed and thus our device would not be its attractions at the molecular level of operation, carried to the site without the capability for 3.Crawl along surface: active movement. Another problem with this Rather than have the device float in the blood, or method is that it would be difficult to remain at in various fluids, the device could move along the site without some means of maintaining the walls of the circulatory system by means of position, either by means of an anchoring appendages with specially designed tips, technique, or by actively moving against the allowing for a firm grip without excessive current. damage to the tissue. It must be able to do this despite surges in the flow of blood caused by the beating of the heart, and do it without tearing through a blood vessel or constantly being torn free and swept away. There are a number of means available for active propulsion of our device. 1.Propeller: An electric motor that fit within a cube 1/64th of an inch on a side is used . This is probably along the wall of vessel
  • 4. For any of these techniques to be practical, they the operations site; that is, the location of the must each meet certain requirements: clot, tumor or whatever is the unwanted tissue. The device must be able to move at a practical The second purpose is to gain a rough idea of speed against the flow of blood. where the microrobot is in relation to that tissue. The device must be able to move when blood is This information will be used to navigate close pooling rather than flowing steadily. enough to the operations site that short-range The device must be able to move in surges, so as sensors will be useful to be able to get through the heart without being (1).Ultrasonic: stuck, in the case of emergencies. This technique can be used in either the active or The device must either be able to react to the passive mode. In the active mode, an changes in blood flow rate so as to maintain ultrasonic signal is beamed into the body, and position, or somehow anchor itself to the body so either reflected back, received on the other side as to remain unmoving while operating. of the body, or a combination of both. The Movement of the device : received signal is processed to obtain The next problem to consider is exactly how to information about the material through which it detect the problem tissue that must be treated. has passed. We need two types of sensors. Long-range In the passive mode, an ultrasonic signal of a sensors will be used to allow us to navigate to very specific pattern is generated by the the site of the unwanted tissue. We must be able microrobot. By means of signal processing to locate a tumor, blood clot or deposit of arterial techniques, this signal can be tracked with great plaque closely enough so that the use of short- accuracy through the body, giving the precise range sensors is practical. These would be used location of the microrobot at any time. The during actual operations, to allow the device to signal can either be continuous or pulsed to save distinguish between healthy and power, with the pulse rate increasing or being switched to continuous if necessary for more detailed position information. (2).NMR/MRI: This technique involves the application of a powerful magnetic field to the body, and subsequent analysis of the way in which atoms unwanted tissue.. Another important use for within the body react to the field. sensors is to be able to locate the position of the microrobot in the body. First we will examine the various possibilities for external sensors. These will be at least partially external to the microrobot, and their major purpose will be twofold. The first is to determine the location of MRI
  • 5. It usually requires a prolonged period to obtain and analyze the results of its operations. These useful results, often several hours, and thus is not sensors will be of two types. The first type will suited to real-time applications. While the be used to do the final navigation. When the performance can be increased greatly, the device is within a short distance of the operation resolution is inherently low due to the difficulty site, these sensors will be used to help it find the of switching large magnetic fields quickly, and rest of the path, beyond what the external sensors thus, while it may be suited in some cases to the can do. The second type of sensor will be used original diagnosis, it is of only very limited use during the actual operation, to guide the to us at present. microrobot to the tissue that should be removed (3).X-ray: and away from tissue that should not be X-rays as a technique have their good points and removed. bad points. On the plus side, they are powerful (1).Chemical: enough to be able to pass through tissue, and Chemical sensors can be used to detect trace show density changes in that tissue. This makes chemicals in the bloodstream and use the relative them very useful for locating cracks and breaks concentrations of those chemicals to determine in hard, dense tissue such as bones and teeth. On the path to take to reach the unwanted tissue. the other hand, they go through soft tissue so This would require several sensors so as to be much able to establish a chemical gradient, the alternative would be to try every path, and retrace a path when the blood chemicals diminish. While it is not difficult to create a solid-state sensor for a given chemical, the difficulty increases greatly when the number of chemicals that must be analyzed increases. Consequently, we would probably need a series mobile Xray more easily that an X-ray scan designed to show of microrobots, one for each chemical, or at least breaks in bone goes right through soft tissue a set of replaceable sensor modules without showing much detail. On the other hand, (2).Spectroscopic: a scan designed for soft tissue can‟t get through This would involve taking continuous small if there is any bone blocking the path of the x- samples of the surrounding tissue and analyzing rays. them for the appropriate chemicals. This could be done either with a high-powered laser diode Control the device: or by means of an electrical arc to vaporize small we consider the case of internal sensors. When amounts of tissue. The laser diode is more we say internal sensors, we mean sensors that are practical due to the difficulty of striking an arc in an integral part of the microrobot and are used by a liquid medium and also due to the side effects it to make the final approach to the operation site possible when sampling near nerve tissue. The
  • 6. diode could be pulsed at regular intervals, with away, to be eliminated by the normal an internal capacitor charging constantly so as to mechanisms of the body. provide more power to the laser diode than the In the case of blood clots, it is possible that the steady output of our power source. action of physically attacking the clot could (3).TV camera: cause it to break away in large chunks, some of This method involves us having a TV camera in which could subsequently cause blockages in the the device and transmitting its picture outside the blood flow.. We can set up some mechanism to body to a remote control station, allowing the catch these blood clots and further break them people operating the device to steer it. One up, disadvantage of this technique is the relatively In the case of tumors, the problem is more high complexity of the sensors. On the other serious. The act of physically shredding or even hand, solid-state television sensors are an just breaking loose clumps of cells can result in extremely well developed technology, and it the cancer metastasizing throughout the body. should not be difficult to further develop it to the One possible solution is to filter the cancerous level needed. This could be combined with the cells out of the blood immediately downstream laser diode at low power of the tumor. Even if it is possible to distinguish Means of treatment: cancerous cells from normal cells by filtering, The treatment for each of the medical problems this would not prevent the spread of tumor is the same in general; we must remove the causing chemicals released by the ruptured cells. tissue or substance from the body. This can be (2).Physical trauma: done in one of several ways. We can break up Another way of dealing with the unwanted the clump of substance and rely on the body‟s tissues is by destroying them in situ. This would normal processes to eliminate it. Alternately, we avoid damaging the cancerous cells and releasing can destroy the substance before allowing the chemicals into the bloodstream. In order to do body to eliminate the results. We can use the this effectively, we need a means of destroying microrobot to physically remove the unwanted the cell without rupturing the cell wall until after tissue. We can also use the microrobot to it is safe. We shall consider a number of methods enhance other efforts being performed, and (a)Resonant microwaves/Ultrasonics: increase their effectiveness. Rather than merely apply microwave/infrared or (1).Physical removal: ultrasonic energy at random frequencies, the This method can be effective in the treatment of frequency of the energy could be applied at the arteriosclerosis. In this case, a blade, probe or specific frequencies needed to disrupt specific edge of some sort can be used to physically chemical bonds. This would allow us to make separate deposits of plaque from the artery walls. sure that the tumor producing chemicals created The bloodstream would carry these deposits by cancerous cells would be largely destroyed, with the remaining amounts, if any, disposed of by the body‟s natural defenses.
  • 7. (b)Heat: In this case, the power would be transmitted to The use of heat to destroy cancerous tumors the microrobot from outside the body. This can would seem to be a reasonable approach to take. be done in a number of different ways, but it There are a number of ways in which we can boils down to two possibilities. The first is to apply heat, each with advantages and transmit the power by means of a physical disadvantages of their own. While the general connection, and the second, of course, is to technique is to apply relatively low levels of heat transmit it without a physical connection. for prolonged periods of time, we can apply (a)Physical connection much higher levels for shorter periods of time to In the first case, we would need some sort of get the same effect. wire or cable to carry power between the ( c )Microwave: microrobot and the outside power source. Microwave radiation is directed at the cancerous Problems faced are the first, of course, is that the cells, raising their temperature for a period of wire needs to be able to reach inside the body to time, causing the death of the cells in question. where the microrobot is. This means that it must This is normally done by raising the temperature be thin enough to fit down every blood vessel of the cells to just enough above body that the microrobot can enter. temperature to kill them after many minutes of (b)No physical connection: exposure. we are transmitting power to the microrobot (d)Ultrasonic: without the use of wires or any sort of physical An ultrasonic signal, which can be generated by means to transfer the power. a piezoelectric membrane or any other rapidly 1.Ultrasonic vibrating object, is directed at, and absorbed by, 2.Induced magnetic the cells being treated. This energy is converted to heat, raising the temperature of the cells and Means of recovery from the body: killing. (e)Power from the bloodstream: Given sufficiently accurate control of the There are three possibilities for this scenario. In nanomachine, or a tether, this is not a problem; the first case, the microrobot would have we can just retrace our path upstream. However, electrodes mounted on its outer casing that it would be a lot easier, and recommended, to would combine with the electrolytes in the blood steer a path through the body that traverses major to form a battery. This would result in a low blood vessels and winds up at a point where we voltage, but it would last until the electrodes can just filter the nanomachine out of the were used up. The disadvantage of this method is bloodstream. This will reduce the possibilities that in the case of a clot or arteriosclerosis, there for difficulties, and also cause less wear and tear might not be enough blood flow to sustain the on the nanomachine. Of course, either scenario is required a possibility, depending on where the actual Power to NanoRobot: operation site is. Another possibility is to have
  • 8. the nanomachine anchor itself to a blood vessel artery walls. This will allow for both improving that is easily accessible from outside, and the flexibility of the walls of the arteries and perform a small surgical operation to remove it. improving the blood flow through them. In view Application of nanorobots : of the years it takes to accumulate these deposits, 1.Tumors. simply removing them from the artery walls and leaving them in the bloodstream should allow the We must be able to treat tumors; that is to say, body‟s natural processes to remove the cells grouped in a clumped mass. While the overwhelming preponderance of material. technique may eventually be used to treat small 3.Blood clots: The cause damage when they travel to the bloodstream to a point where they can block the flow of blood to a vital area of the body. This numbers of cells in can result in damage to vital organs in very short order. In many if not most cases, these lung tumor the bloodstream,,. The specified goal is to be able to destroy tumorous tissue in such a way as to minimize the risk of causing or allowing a recurrence of the growth in the body. The technique is intended to be able to treat tumors that cannot be accessed via conventional surgery, such as deep brain tumors. 2.Arteriosclerosis: Blood clot blood clots are only detected when they cause a This is caused by fatty deposits on the walls of blockage and damage the organ in question, arteries. The device should be able to remove often but not always the brain. By using a these deposits from the microrobot in the body to break up such clots into smaller pieces before they have a chance to break free and move on their own 4.Kidney stones Arteriosclerosis
  • 9. break up the liver stones as well. By continuing on up the bile duct into the liver, they can clear away accumulated deposits of unwanted minerals and other substances as well. 6.Burn and wound debriding: By introducing a microrobot into the urethra in a The microrobots can also be used to clean manner similar to that of inserting a catheter, wounds and burns. Their size allows them to be direct access to the kidney stones can be very useful for removing dirt and foreign obtained, and they can be broken up directly. particles from incised and punctured wounds, as This can be done either by means of ultrasonics well as from burns. They can be used to do a directly applied, or by the use of a laser or other more complete and less traumatic job than means of applying intense local heat to cause the conventional techniques. stones to break up. 7.Remove or break down tar, etc in lungs: They could be very useful for the treatment of dirty lungs. This could be done by removing particles of tar and other pollutants from the surface of the alveoli, and placing them where the natural processes of the body can dispose of kidney stones them. This would require a microrobot capable of moving within the lungs, on alveolar surfaces 5.Liver stones Liver stones accumulate in the bile duct. Microrobots of the above type can be introduced into the bile duct and used to as well as Break down of tar over the mucus layer and over the cilia within the lungs. Stones Inside Liver Bile Ducts THE ADVANTAGES OF NANOMEDICINE:
  • 10. 1.Speed of Medical Treatment: Doctors may describing exactly what was found, and what be surprised by the incredible quickness of was done, and what problems were encountered, nanorobotic action when compared to the speeds in every cell visited available from fibroblasts or leukocytes. Biological cilia beat at ~30 Hz while mechanical 6. Minimum Side Effects: Mechanical nanocilia may cycle up to ~20 MHz, though nanorobots may be targeted with virtually 100% practical power restrictions and other accuracy to specific organs, tissues, or even considerations may limit them to the ~10 KHz individual cellular addresses within the human range for most of the time. body . Such nanorobots should have few if any side effects, and will remain safe even in large 2. Non-degradation of Treatment Agents: dosages because their actions can be digitally self-regulated using rigorous control protocols. Diagnostic and therapeutic agents constructed of biomaterials generally are biodegradable in vivo. CONCLUSION: However, suitably designed nanorobotic agents Nanomedicine will eliminate virtually all constructed of nonbiological materials are not common diseases of the 20th century, virtually biodegradable. all medical pain and suffering, and allow the extension of human capabilities most especially 3.Control of Nanomedical Treatment: A our mental abilities. digital biocomputer, which is possible in theory, A nanostructured data storage device about the has slower clock cycles, less capacious memory size of a human liver cell implanted in the brain per unit volume, and longer data access time and could store a large amount of data and provides poorer control extremely rapid access to this information. But perhaps the most important long-term benefit to 4.Faster and More Precise Diagnosis: The human society as a whole could be the dawning analytic function of medical diagnosis requires of a new era of peace. We could hope that people rapid communication between the injected who are independently well fed, well-clothed, devices and the attending physician. well-housed, smart, well educated, healthy and Nanomachines, with their more diverse set of happy will have little motivation to make war. input-output mechanisms, can out message the Human beings who have a reasonable prospect results of in vivo reconnaissance or testing of living many "normal" lifetimes will learn literally in seconds patience from experience, and will be extremely 5. Verification of Progress and Treatment: unlikely to risk those "many lifetimes" for any Using a variety of communication modalities, but the most compelling of reasons. nanorobots can report back to the attending Finally, and perhaps most physician, with digital precision, a summary of importantly, no actual working nanorobot has yet diagnostically- or therapeutically-relevant data been built. Many theoretical designs have been
  • 11. proposed that look good on paper, but these preliminary designs could change significantly after the necessary research, development and testing has been completed.