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无线、闭环、智能绷带,集成传感器和刺激器,用于高级伤口护理和加速愈合。

Wireless, closed-loop, smart bandage with integrated sensors and stimulators for advanced wound care and accelerated healing.

作者信息

Jiang Yuanwen, Trotsyuk Artem A, Niu Simiao, Henn Dominic, Chen Kellen, Shih Chien-Chung, Larson Madelyn R, Mermin-Bunnell Alana M, Mittal Smiti, Lai Jian-Cheng, Saberi Aref, Beard Ethan, Jing Serena, Zhong Donglai, Steele Sydney R, Sun Kefan, Jain Tanish, Zhao Eric, Neimeth Christopher R, Viana Willian G, Tang Jing, Sivaraj Dharshan, Padmanabhan Jagannath, Rodrigues Melanie, Perrault David P, Chattopadhyay Arhana, Maan Zeshaan N, Leeolou Melissa C, Bonham Clark A, Kwon Sun Hyung, Kussie Hudson C, Fischer Katharina S, Gurusankar Gurupranav, Liang Kui, Zhang Kailiang, Nag Ronjon, Snyder Michael P, Januszyk Michael, Gurtner Geoffrey C, Bao Zhenan

机构信息

Department of Chemical Engineering, Stanford University, Stanford, CA, USA.

Department of Surgery, Division of Plastic and Reconstructive Surgery, Stanford University School of Medicine, Stanford, CA, USA.

出版信息

Nat Biotechnol. 2023 May;41(5):652-662. doi: 10.1038/s41587-022-01528-3. Epub 2022 Nov 24.

Abstract

'Smart' bandages based on multimodal wearable devices could enable real-time physiological monitoring and active intervention to promote healing of chronic wounds. However, there has been limited development in incorporation of both sensors and stimulators for the current smart bandage technologies. Additionally, while adhesive electrodes are essential for robust signal transduction, detachment of existing adhesive dressings can lead to secondary damage to delicate wound tissues without switchable adhesion. Here we overcome these issues by developing a flexible bioelectronic system consisting of wirelessly powered, closed-loop sensing and stimulation circuits with skin-interfacing hydrogel electrodes capable of on-demand adhesion and detachment. In mice, we demonstrate that our wound care system can continuously monitor skin impedance and temperature and deliver electrical stimulation in response to the wound environment. Across preclinical wound models, the treatment group healed ~25% more rapidly and with ~50% enhancement in dermal remodeling compared with control. Further, we observed activation of proregenerative genes in monocyte and macrophage cell populations, which may enhance tissue regeneration, neovascularization and dermal recovery.

摘要

基于多模态可穿戴设备的“智能”绷带能够实现实时生理监测和主动干预,以促进慢性伤口的愈合。然而,目前的智能绷带技术在集成传感器和刺激器方面的发展有限。此外,虽然粘性电极对于强大的信号转导至关重要,但现有粘性敷料的脱落会对脆弱的伤口组织造成二次损伤,且不具备可切换的粘附性。在此,我们通过开发一种灵活的生物电子系统来克服这些问题,该系统由无线供电的闭环传感和刺激电路以及能够按需粘附和脱离的皮肤接口水凝胶电极组成。在小鼠实验中,我们证明了我们的伤口护理系统能够持续监测皮肤阻抗和温度,并根据伤口环境提供电刺激。在临床前伤口模型中,与对照组相比,治疗组的愈合速度加快了约25%,皮肤重塑增强了约50%。此外,我们观察到单核细胞和巨噬细胞群体中促再生基因的激活,这可能会增强组织再生、新血管形成和皮肤恢复。

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