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U21. Experimental operating rooms

U21. Experimental operating rooms

New European Project “SmILE” Aims to Revolutionize Musculoskeletal Disease Management

SmILE develops smart implants and digital health solutions to prevent and manage musculoskeletal diseases, enhancing patient care and independence.

Lübeck, February 2025. The European project “SmILE” has been launched to provide innovative solutions for reducing the burden of musculoskeletal non-communicable diseases (MSK-NCDs) among the elderly through preventive measures and early interventions. Supported by the Horizon Europe programme and the Swiss State Secretariat for Education, Research and Innovation (SERI), this collaborative initiative brings together 25 institutions from 12 European countries with a budget of €19.9 million, plus an additional €760K from SERI, over five years.

Addressing the Challenges of MSK-NCDs

With an ageing population, the prevalence of MSK-NCDs such as osteoarthritis, osteoporosis, and rheumatoid arthritis has significantly increased. These conditions often result in chronic pain, reduced mobility, and a lower quality of life. “These diseases impact bones, joints, muscles, and connective tissues, leading to chronic pain and reduced mobility,” states project coordinator Arndt-Peter Schulz.

The SmILE project aims to tackle these challenges by integrating smart implants with digital health solutions to enable continuous monitoring and tailored recommendations.

A Smart Solution for Better Healthcare

At the core of the SmILE project is the development of a universal chip platform designed to transform medical devices into active data generators. This allows for real-time data collection, enabling quicker and more precise diagnoses while facilitating advanced treatment strategies.

The collected data will be processed through an integrated patient-centred health platform tailored to the needs of elderly users. This digital ecosystem will empower patients with a comprehensive overview of their health status, personalized recommendations, and active condition monitoring.

Additionally, an AI-driven data system will integrate patient information with real-time inputs from implants, wearables, and health questionnaires. This robust data ecosystem provides valuable insights for both patients and healthcare providers, ultimately improving disease prevention and management.

NANBIOSIS’ Contribution to SmILE

NANBIOSIS plays a crucial role in the development and implementation of the SmILE project, contributing its expertise in hardware design, sensor integration, and validation processes:

  • Ramón Martínez (Director of NANBIOSIS and Scientific Director of Unit 26): Responsible for hardware design, sensor and system integration. His work includes sensor micro-housing, mechanical affixing, electronic adaptation for communication and energy transfer on metal bases, biocompatible overcoating, and risk assessment related to surgical handling and long-term performance. Additionally, he leads the development of embedded software ensuring high fidelity and data security for the sensor-electronics module.
  • CCMIJU Units (integrating Units 14, 19, 21, 22, 23 and 24): Responsible for the production of different demonstrators and the testing and validation of SmILE in six different use cases. Their work ensures that the developed solutions meet real-world requirements, enhancing their effectiveness and applicability.

A Collaborative European Effort

Building upon the success of previous EU-funded initiatives, SmILE aims to establish flexible and autonomous data ecosystems tailored to individual patient needs. By leveraging digital tools, the project enhances autonomy and independence for older adults, reducing preventable complications and alleviating pressure on healthcare systems.

With its commitment to innovation and collaboration, NANBIOSIS is at the forefront of developing groundbreaking biomedical solutions that will shape the future of MSK-NCD management.

For more information, visit the SmILE project website: www.horizon-smile.eu

What is NANBIOSIS?

The goal of NANBIOSIS is to provide comprehensive and integrated advanced solutions for companies and research institutions in biomedical applications. All of this is done through a single-entry point, involving the design and production of biomaterials, nanomaterials, and their nanoconjugates. This includes their characterization from physical-chemical, functional, toxicological, and biological perspectives (preclinical validation).

Leading scientists

The main value of NANBIOSIS is our highly qualified and experienced academic scientists, working in public institutions, renowned universities and other research institutes.

Custom solutions

Designed for either scientific collaboration or the private industry, we adapt our services to your needs, filling the gaps and paving the way towards the next breakthrough.

Cutting-Edge facilities

Publicly funded, with the most advanced equipment, offering a wide variety of services from synthesis of nanoparticles and medical devices, including up to preclinical trials.

Standards of quality

Our services have standards of quality required in the pharmaceutical, biotech and medtech sectors, from Good Practices to ISO certifications.

In order to access our Cutting-Edge Biomedical Solutions with priority access, enter our Competitive Call here.

NANBIOSIS has worked with pharmaceutical companies of all sizes in the areas of drug delivery, biomaterials and regenerative medicine. Here are a few of them:

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U21-S01. In vivo Efficacy Assays of drugs, nanomedicines, biomaterials and others

In vivo Efficacy Assays of drugs, nanomedicines, biomaterials and others

Preclinical studies for the evaluation of medical treatments, medical devices and surgical techniques in a controlled environment prior to their application in patients.
Conducting studies -both in human and veterinary medicine- of in vitro toxicity, in vivo toxicity, tolerance, pharmacodynamics, test product administration and procurement of non-clinical specimens, biocompatibility of medical devices, murine model embryo transfers, intracytoplasmic microinjection, oocyte vitrification, measurement and analysis of Natural Killer (NK) cell samples, seminogram and semen studies.
Creation of experimental animal models of various human diseases such as diabetes, obesity, hypercholesterolemia, hypertriglyceridemia, acute and chronic myocardial infarction, prostatic hyperplasia, ulcers, pleural adhesions, constrictive pericarditis and abdominal aortic aneurysm, among others. Possibility of working with a variety of animal species: rodents, rabbits, dogs, cats, pigs and sheep.
Application of experimental animal models for research in several longitudinal areas such as cardiovascular, hepatic and digestive, respiratory and systemic diseases, endocrinology and urology, gynecological and reproductive diseases, prostheses, among others.

Customer benefits

Preclinical studies can be carried out under good laboratory practice (GLP 23.05/001 AEMPS), optimal for reporting to the AEMPS, EMA and FDA.
In vivo toxicity, tolerance, pharmacodynamics, test product administration and non-clinical specimen collection and biocompatibility studies of medical devices are carried out according to OECD decision C(89)87.
Registered facilities for the use and breeding of experimental animals, which has an Animal Welfare Ethics Committee and a pharmacy and formulation laboratory.

Target customer

Entities involved in the research, development or commercialization of medical devices or treatments such as pharmaceutical and biotechnology companies, academic and scientific researchers, medical device companies, research institutions and laboratories, and governmental and regulatory organizations.

Additional information

  • Jiménez-Holguín J, Lozano D, Saiz-Pardo M, de Pablo D, Ortega L, Enciso S, Fernández-Tomé B, Díaz-Güemes I, Sánchez-Margallo FM, Portolés MT, Arcos D. Osteogenic-angiogenic coupled response of cobalt-containing mesoporous bioactive glasses in vivo. Acta Biomater. 2024 Mar 1;176:445-457. doi: 10.1016/j.actbio.2024.01.003. Epub 2024 Jan 6. PMID: 38190928.
  • Lucas-Cava V, Sánchez-Margallo FM, Moreno-Lobato B, Dávila-Gómez L, Lima-Rodríguez JR, García-Martínez V, López-Sánchez C, Sun F. Prostatic artery occlusion: initial findings on pathophysiological response in a canine prostate model. Transl Androl Urol. 2022 Dec;11(12):1655-1666. doi: 10.21037/tau-22-423. PMID: 36632152; PMCID: PMC9827397.
  • Arcos D, Gómez-Cerezo N, Saiz-Pardo M, de Pablo D, Ortega L, Enciso S, Fernández-Tomé B, Díaz-Güemes I, Sánchez-Margallo FM, Casarrubios L, Feito MJ, Portolés MT, Vallet-Regí M. Injectable mesoporous bioactive nanoparticles regenerate bone tissue under osteoporosis conditions. Acta Biomater. 2022 Oct 1;151:501-511. doi: 10.1016/j.actbio.2022.07.067. Epub 2022 Aug 3. PMID: 35933104.
  • Soria F, de La Cruz JE, Caballero-Romeu JP, Pamplona M, Pérez-Fentes D, Resel-Folskerma L, Sanchez-Margallo FM. Comparative assessment of biodegradable-antireflux heparine coated ureteral stent: animal model study. BMC Urol. 2021 Feb 28;21(1):32. doi: 10.1186/s12894-021-00802-x. PMID: 33639905; PMCID: PMC7916282.
  • Marinaro F, Casado JG, Blázquez R, Brun MV, Marcos R, Santos M, Duque FJ, López E, Álvarez V, Usón A, Sánchez-Margallo FM. Laparoscopy for the Treatment of Congenital Hernia: Use of Surgical Meshes and Mesenchymal Stem Cells in a Clinically Relevant Animal Model. Front Pharmacol. 2020 Sep 25;11:01332. doi: 10.3389/fphar.2020.01332. PMID: 33101010; PMCID: PMC7546355.
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U21-E01. Experimental operating rooms for small and large animal

Experimental operating rooms for small and large animal (inhalation anesthesia workstation, infusion pumps, electrocoagulation systems, laparoscopic surgery systems, endoscopic surgery, microsurgery, interventional and endoluminal surgery, orthopedics, etc.)

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U21-E02. Rooms for preparation and preanesthesia

Rooms for preparation and preanesthesia

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U21-E03. Sterelization rooms for medical instruments and tools

Sterelization rooms for medical instruments and tools

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U21-E04. Integrated operating room

(Karl Storz OR1, Karl Storz Spies) with possibility of integrating endoscopy images, cameras, documents, communications, etc., Allowing data transfer, videoconferences from a touch screen or voice. Single-pole and two-pole electrosurgical generators (Force Triad Valleylab, Karl Storz AUTOCON® II 200, Erbe ICC 300, Erbe VIO 310, Erbe ICC 200, 4FT10, Ultracision Harmonic scalpel, Ligasure Valleylab, Sonicision)

Laparoscopic surgery equipments: twenty high definition laparoscopic towers (nineteen Karl Storz-Endoskope,one 4k Olympus) equipped with monitors, cold light source, insuflator (Thermoflator), susction and irrigation system (Endomat) and optics with different calibers and view angles. In addition, four of them have incorporated a Visualization Enhancement Tools system (Karl Storz Image 1 SpiesTM) for fluorescence-based procedures in order to visualize what is hidden from view under conventional white lightand and another two possessed. The KARL STORZ 3D system which offers the surgeon excellent depth of field combined with outstanding hand-eye coordination.

Endoscopic equipment: Digestive video-endoscope system (Serie 200 Fujinon®) Double Balloon Enteroscopy system (Fujinon® Series 200), Video colonoscopic systems (Olympus® ViseraOlympus® Visera), Video bronchoscopic system (Serie 200 Fujinon®Fujinon® Series 200), Semi-rigid ureteroscopy system (Wolf® 9 Fr.Wolf® 9 Fr), Flexible ureteropieloscopy system (Wolf® 9 Fr.Wolf® 9 Fr). Semi-rigid ureteroscopy system (Storz® 9.5 Fr., 43 cm long). Semi-rigid ureteroscopy system (Storz® 7 Fr, 43 cm long)

Surgical microscopes: Zeiss Opmi Pico (13 units), Zeiss Opmi Movena and Zeiss Opmi Pentero 800 (with fluorescence module).

Ophthalmology equipment: corneal topographer (CSO Eye Top 2005 V.1.0), slit lamp (SL-D4 TopCon) and phacoemulsification system (Sovereign White Star AMO-ABBOTT 2 units and Sovereign Compact White Star AMO-ABBOTT 1 unit), Tonometer (TonoVet ICare), Non-contact lens system vitrectomy SDI 4b (5 units), Optical coherence tomography (OCT) (SLO Optos), phacoemulsification system (Oertli OS3)

Odontology equipment: Ultrasonic generator for treatment of dental plaque (Newtron P5, Acteon), oral radiology equipment (XGenus HF Rodable).

Vascular Surgery: Laser Doppler Imager and Transit Time Ultrasound Flowmeter

Anesthesia equipment:

6 high performance anesthesia Workstation: 2 Maquet Flow-i; 3 Dameca Siesta i Whispa; y 1 Dameca MRi 508.

11 basic performance anesthesia Workstation: 3 Heinen+Lowenstein Mod. Leon; 1 Ohmeda Excel 210 SE;  5 Ohmeda Excel 110 SE; 1 Temel Supra CM; 0 Datex Ohmeda S/5TM); 1 Anesthesia machine for rodents (Surgivet);

2 Mechanical Ventilators: 1 Transport ventilator (Transpac 200D); y 1 Puritan Bennett 980.

11 Vaporizers: 11 isoflurane, and sevoflurane vaporizers (Maquet, Dameca Sigma Delta, Dräger, Abbott laboratories).

13 cardiovascular monitors (Mindray PM-700, Mindray MEC 1000, Mindray BeneView T5, General Electric Dash 3000, General Electric Dash 4000, Drager Infinity Gamma, Datex Ohmeda S/5TM, Philips MX-450, Philips Expression MR200); 4 capnography systems (2 Maquet, 1 Philips MX450, 1 Philips MR200), and 1 bispectral electroencephalogram monitor (BIS –XP A 2000), 1 parasympathetic tone activity monitor (MDoloris PTA) and 1 muscle relaxation monitor (Organon TOF Watch); Four infusion pumps (, 3 Braun Perfusor Compact,  1 Becton Dickinson); 1 desfibrillator (Zoll Mseries, Nihon Kohden Cardiolife)

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