Department of Mechanical Engineering, College of Engineering and Computer Sciences, University of Michigan at Dearborn, Dearborn, MI, USA.
Wound Repair Regen. 2013 Mar-Apr;21(2):226-34. doi: 10.1111/wrr.12021. Epub 2013 Feb 25.
Restoring tissue oxygenation has the potential to improve poorly healing wounds with impaired microvasculature. Compared with more established wound therapy using hyperbaric oxygen chambers, topical oxygen therapy has lower cost and better patient comfort, although topical devices have provided inconsistent results. To provide controlled topical oxygen while minimizing moisture loss, a major issue for topical oxygen, we have devised a novel wound bandage based on microfluidic diffusion delivery of oxygen. In addition to modulating oxygen from 0 to 100% in 60 seconds rise time, the microfluidic oxygen bandage provides a conformal seal around the wound. When 100% oxygen is delivered, it penetrates wound tissues as measured in agar phantom and in vivo wounds. Using this microfluidic bandage, we applied the oxygen modulation to 8 mm excisional wounds prepared on diabetic mice. Treatment with the microfluidic bandage demonstrated improved collagen maturity in the wound bed, although only marginal differences were observed in total collagen, microvasculature, and external closure rates. Our results show that proper topical oxygen can improve wound parameters underneath the surface. Because of the ease of fabrication, the oxygen bandage represents an economical yet practical method for oxygen wound research.
恢复组织氧合有可能改善伴有微血管受损的愈合不良的伤口。与使用高压氧舱的更成熟的伤口治疗方法相比,局部氧疗的成本更低,患者舒适度更高,尽管局部设备的结果不一致。为了在最小化水分损失的情况下提供受控的局部氧气,这是局部氧气的一个主要问题,我们设计了一种基于微流控扩散输送氧气的新型伤口绷带。除了能够在 60 秒的上升时间内将氧气从 0 调节到 100%之外,微流体氧气绷带还能在伤口周围形成贴合的密封。当输送 100%氧气时,它会穿透琼脂体和体内伤口中的组织。使用这种微流控绷带,我们将氧气调节应用于在糖尿病小鼠上制备的 8 毫米切除伤口。微流控绷带的治疗显示出伤口床中胶原成熟度的改善,尽管在总胶原、微血管和外部闭合率方面仅观察到轻微差异。我们的结果表明,适当的局部氧气可以改善表面下的伤口参数。由于制造简便,氧气绷带代表了一种经济实用的氧气伤口研究方法。