胎児手術中に健康状態を監視する新型プローブの開発(First-of-its-kind probe monitors fetal health in utero during surgery)

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2026-01-26 ノースウェスタン大学

米ノースウェスタン大学の研究チームは、胎児手術中に子宮内で胎児の健康状態を直接モニタリングできる世界初のプローブを開発した。これまで胎児手術では、母体側の指標や間接的な画像情報に頼らざるを得ず、胎児自身の生理状態をリアルタイムで把握することが困難だった。本研究で開発された小型プローブは、胎児の血中酸素濃度や循環状態などの重要指標を、侵襲を最小限に抑えながら連続測定できる。これにより、手術中の胎児ストレスや低酸素状態を即座に検知し、医師が迅速に対応することが可能となる。今回の成果は、胎児外科手術の安全性向上に大きく貢献し、将来的には周産期医療全体の質を高める技術基盤となることが期待される。

胎児手術中に健康状態を監視する新型プローブの開発(First-of-its-kind probe monitors fetal health in utero during surgery)
Just three times the width of a diameter of a single hair, the robotic probe enters through a surgerical port to track heart rate, blood oxygen level and temperature. Credit: John A. Rogers/Northwestern University

<関連情報>

胎児の健康状態を子宮内でマルチモーダルモニタリングするためのフィラメント状ソフトロボットプローブ A filamentary soft robotic probe for multimodal in utero monitoring of fetal health

Hedan Bai,Jianlin Zhou,Mingzheng Wu,Steven Papastefan,Xiuyuan Li,Haohui Zhang,Kaiyu Zhao,Zhuoran Zhang,Wei Ouyang,Catherine R. Redden,Amir M. Alhajjat,Heyang Wang,Yibo Zhou,Kenneth Madsen,Shuo Li,Andrew I. Efimov,Katelyn Ma,Lisa Kovacs,Sahdev Patel,Daniel R. Liesman,Katherine C. Ott,Rinaldo Garziera,Steffen Sammet,Wenming Zhang,… John A. Rogers
Nature Biomedical Engineering  Published:26 January 2026
DOI:https://doi.org/10.1038/s41551-025-01605-3

Abstract

Fetal surgery offers valuable opportunities to address severe congenital disabilities, yet accurate evaluation of fetal physiological changes during in utero procedures to mitigate the risk of operative complications remains an unmet need. Conventional unimodal approaches lack predictive value, specificity and compatibility with minimally invasive interventions. Here we present a bioelectronic system featuring a multimodal, steerable filamentary probe that interfaces directly with the fetus in utero, enabling reliable and minimally invasive monitoring of various physiological parameters. Integrated soft robotic actuators ensure consistent contact through controlled navigation and force delivery, creating a gentle and secure interface with delicate fetal surfaces. In a sheep fetal surgery model, the multifunctional probe effectively monitored in utero conditions during fetoscopic surgeries, detecting fetal bradycardia, hypoxia and hypothermia, potentially informing for early intervention. Experimental results on rodents and large animal fetuses demonstrate potential for direct translation to human use. This system offers continuous, comprehensive fetal monitoring, addressing gaps in current clinical practices, and provides real-time insights during fetal surgeries.

医療・健康
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