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Swallowable FIREFLI Capsule Detects Intestinal Ischemia With High Sensitivity in Pigs

The Science Robotics paper validates a bioluminescent, wireless pill in animals, with human trials still pending.

Overview

  • Developed by researchers at Mass General Brigham and MIT, the ingestible device uses pH-activated luciferase to illuminate intestinal tissue and gauge perfusion.
  • In nine pig studies, the capsule achieved 98% sensitivity and 85% specificity for acute mesenteric ischemia, yielding 90% overall accuracy.
  • The system wirelessly transmits luminance data to an external device, offering a potential noninvasive triage tool for emergency settings.
  • Acute mesenteric ischemia is uncommon in abdominal pain presentations but carries an estimated 55% mortality, partly due to delayed diagnosis.
  • Authors note the technology remains preclinical and will require human safety and efficacy trials as well as regulatory review before clinical use.