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Bioresorbable, wireless, and battery-free system for electrotherapy and impedance sensing at wound sites.

Joseph W SongHanjun RyuWubin BaiZhaoqian XieAbraham Vázquez-GuardadoKhizar R NandoliyaRaudel AvilaGeumbee LeeZhen SongJihye KimMin-Kyu LeeYugang LiuMirae KimHuifeng WangYixin WuHong-Joon YoonSung Soo KwakJaeho ShinKyeongha KwonWei LuXuexian ChenYonggang HuangGuillermo A AmeerJohn A Rogers
Published in: Science advances (2023)
Chronic wounds, particularly those associated with diabetes mellitus, represent a growing threat to public health, with additional notable economic impacts. Inflammation associated with these wounds leads to abnormalities in endogenous electrical signals that impede the migration of keratinocytes needed to support the healing process. This observation motivates the treatment of chronic wounds with electrical stimulation therapy, but practical engineering challenges, difficulties in removing stimulation hardware from the wound site, and absence of means to monitor the healing process create barriers to widespread clinical use. Here, we demonstrate a miniaturized wireless, battery-free bioresorbable electrotherapy system that overcomes these challenges. Studies based on a splinted diabetic mouse wound model confirm the efficacy for accelerated wound closure by guiding epithelial migration, modulating inflammation, and promoting vasculogenesis. Changes in the impedance provide means for tracking the healing process. The results demonstrate a simple and effective platform for wound site electrotherapy.
Keyphrases
  • wound healing
  • public health
  • surgical site infection
  • oxidative stress
  • type diabetes
  • spinal cord injury
  • metabolic syndrome
  • low cost
  • skeletal muscle
  • bone marrow
  • adipose tissue
  • smoking cessation