The Graduate School of Nanoscience and Technology, Korea Advanced Institute of Science and Technology (KAIST), Daejeon 34141, Republic of Korea.
Predictive Model Research Center, Korea Institute of Toxicology (KIT), Daejeon 34114, Republic of Korea.
Nat Mater. 2017 Jan;16(1):147-152. doi: 10.1038/nmat4758. Epub 2016 Oct 3.
Bleeding is largely unavoidable following syringe needle puncture of biological tissues and, while inconvenient, this typically causes little or no harm in healthy individuals. However, there are certain circumstances where syringe injections can have more significant side effects, such as uncontrolled bleeding in those with haemophilia, coagulopathy, or the transmission of infectious diseases through contaminated blood. Herein, we present a haemostatic hypodermic needle able to prevent bleeding following tissue puncture. The surface of the needle is coated with partially crosslinked catechol-functionalized chitosan that undergoes a solid-to-gel phase transition in situ to seal punctured tissues. Testing the capabilities of these haemostatic needles, we report complete prevention of blood loss following intravenous and intramuscular injections in animal models, and 100% survival in haemophiliac mice following syringe puncture of the jugular vein. Such self-sealing haemostatic needles and adhesive coatings may therefore help to prevent complications associated with bleeding in more clinical settings.
在生物组织被注射器针头刺穿后,出血在很大程度上是不可避免的,虽然不方便,但在健康个体中通常不会造成很小或没有伤害。然而,在某些情况下,注射器注射会产生更严重的副作用,例如血友病、凝血功能障碍患者的无法控制的出血,或通过受污染的血液传播传染病。在此,我们提出了一种能够在组织穿刺后预防出血的止血皮下注射器。针的表面涂有部分交联的儿茶酚功能化壳聚糖,在原位发生固-凝胶相转变以密封穿刺组织。通过测试这些止血针的性能,我们报告了在动物模型中静脉内和肌肉内注射后完全防止失血,并且在颈静脉被注射器穿刺后,血友病小鼠的 100%存活率。因此,这种自密封止血针和粘性涂层可能有助于预防更广泛的临床环境中与出血相关的并发症。