The DARTBAC project will prepare the Netherlands for the time when antibiotics are much less effective in the prevention and eradication of infection due to AntiMicrobial Resistance (AMR). DARTBAC will, from a material perspective, develop new antimicrobial technologies that are not based on antibiotics to target infection prevention and eradication on implant surfaces, in hard tissues and in soft tissues and assess their safety and efficacy in in vitro and in vivo models. In this way, we are unique yet synergistic with most other initiatives that focus on an antibiotics approach. Collectively, we are bridging the entire knowledge-chain regarding development of new material technologies to combat AMR. DARTBAC will develop a new workflow based on AOPs of predictive in vitro and in vivo models to test safety and efficacy of newly developed antimicrobial technology in order to shorten the time to market. DARTBAC will enhance the therapeutic efficacy of current antibiotics by combination therapy and we will develop and validate these technologies so that they can be brought to the market within the project timeframe. Finally, we will maintain awareness of the emerging AMR problem in the Netherlands by informing the general public and HealthCare Practitioners (HCPs). This increased AMR awareness by HCPs, the general public, and healthcare policy makers can speed up acceptance and market introduction of these technologies both nationally and internationally. Moreover, such acceptance will ensure that insurance providers and advisory bodies adopt and reimburse new treatment approaches quicker, thereby accelerating clinical implementation. A successful DARTBAC project with the combination of these goals and objectives can prevent a rise in infection percentage due to AMR, minimize the effect of AMR in the Netherlands, and work towards a Dutch society that is less dependent on antibiotic therapy for infection, prevention, and treatment.

Musculoskeletal injuries due to osteoarthritis and accidents are prevalent in the Netherlands with enormous treatment and lost productivity costs (€3.5 billion). However, no tools are available to provide surgeons and therapists with insights into the forces and motion occurring in the injured tissue or repaired joint. Our project aims to tightly couple ground-breaking biomechanical models and algorithms with leading-edge collaborative and interactive control to develop biomechanics-aware real-time robotics (BARR). We envision BARR providing the surgeon and therapist with critical tissue loading and joint motion awareness leading to insights that guide patient treatments towards full functional recovery from a knee injury.