Australian
 researchers have developed a new form of hybridised sound wave - the 
first in 50 years - and it opens up new possibilities for stem cell 
treatments. The waves are gentle enough to be used in biomedical 
applications and manipulate stem cells in non-disruptive ways.
The
 new hybrid sound waves are called "surface-reflected bulk waves", and 
combine two existing types: bulk waves (think a carpet being shaken from
 one end affecting the whole of the material) and surface waves (think 
waves rolling across the surface of the ocean without really affecting 
the depths underneath). By mixing these two types together, a powerful 
wave with high frequencies, but low amplitudes, is produced.
And 
that means drugs and vaccines can be delivered directly to the body 
through a nebuliser device. In the case of the tests that the scientists
 have already carried out, that means a fine mist inhaled into the 
lungs. "It's basically 'yelling' at the liquid so it vibrates, breaking 
it down into vapour," said one of the team, Amgad Rezk from RMIT 
University.
While surface acoustic waves have already been used 
to pump and mix liquids at very small scales, until now the process has 
been a very slow one: as the energy of the waves is increased, the 
device applying the waves becomes unstable. The addition of bulk waves 
stabilises the procedure again and means a higher level of power can be 
reached.
"We have used the new sound waves to slash the time 
required for inhaling vaccines through the nebuliser device, from 30 
minutes to as little as 30 seconds," Rezk adds. "But our work also opens
 up the possibility of using stem cells more efficiently for treating 
lung disease, enabling us to nebulise stem cells straight into a 
specific site within the lung to repair damaged tissue. This is a real 
game changer for stem cell treatment in the lungs."
The combined 
power of the surface and bulk waves means that drugs can be administered
 at a rate of up to 5 ml per minute rather than around 0.2 ml per 
minute, which can make a "huge difference", according to Rezk.
A 
new device called HYDRA has been built to take advantage of these new 
surface reflected bulk waves. It converts electricity passing through a 
piezoelectric chip into vibrating sound waves - waves that are then used
 to break the liquid drugs into a spray.
HYDRA in turn improves 
the effectiveness of the advanced Respite nebuliser already in use at 
the Royal Melbourne Institute of Technology, a machine that's capable of
 doing everything from giving precise drug doses to asthma patients to 
providing needle-free vaccinations for infants. "The combination of 
surface and bulk wave means they work in harmony and produce a much more
 powerful wave," said Rezk.

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