“…In particular, Calafiore’s Minimal Volume Capsules which are small alginate micro-capsules with 300–400 µm in diameter were implanted intraperitoneally in patients under echography guidance and local anesthesia and showed clinical relevance with reduced exogenous insulin requirements (Basta et al, 2011b; Calafiore et al, 2006a, c). The large surface area to volume ratio is advantageous for mass transport in microcapsules; however, limitations of this technology include the need for a large transplantation site that accommodates the necessary number of capsules, a favorable microvascular bed that provides immediate nutrient access, difficulty in microcapsule removal if required, and insufficient long-term survival rates for functional islets to adequately address the daily insulin requirement (Khanna et al, 2010; Levesque et al, 1992; Moya et al, 2010; Shin et al, 2013). Though notable applications of microcapsules have been attempted in large animals (Elliott et al, 2005; Wang et al, 1997) and human subjects (Basta et al, 2011a; Calafiore et al, 2006b; Elliott et al, 2007; Limited, 2012; Soon-Shiong, 1999; Tuch et al, 2009), the challenges such as cell sources, implant location, mass transfer, and vascularization remain unsolved.…”