| Some wounds just won’t heal. Infections, diseases like diabetes, and suppressed immune systems often stack up to slow healing. Chronic wounds can last months and lead to anxiety and depression. In the worst cases, they are life threatening. Cost of treatment has soared to $25 billion each year. | |
| So far, however, solutions for treating chronic wounds have been few and far between, but researchers at Stanford University now report that they have developed a wireless smart bandage that has shown promise in speeding up tissue repair by monitoring the wound healing process and treating the wound simultaneously. The researchers say in a paper published in Nature Biotechnology (“Wireless, closed-loop, smart bandage with integrated sensors and stimulators for advanced wound care and accelerated healing”) that their device promotes faster closure of wounds, increases new blood flow to injured tissue, and enhances skin recovery by significantly reducing scar formation. | |
| The smart bandage is composed of wireless circuitry that uses impedance/temperature sensors to monitor the progression of wound healing. If the wound is less healed or an infection is detected, the sensors inform a central processing unit to apply more electrical stimulation across the wound bed to accelerate tissue closure and reduce infection. The researchers were able to track the sensor data in real time on a smart phone, all without the need for wires. |
Engineering marvel |
|
| The electronic layer, including a microcontroller unit (MCU), radio antenna, memory, electrical stimulator, biosensors, and other components, is just 100 microns thick—about the thickness of a single coat of latex paint. | |
| All that circuitry rides atop a cleverly engineered hydrogel – a rubbery, skin-like polymer – that is integrated to both deliver healing electrical stimulation to the injured tissue and collect real-time biosensor data. | |
| The polymer in the hydrogel is carefully designed to adhere securely to the wound surface when needed, yet to pull away cleanly and gently without harm to the wound when warmed to just a few degrees above body temperature (40°C/104°F). | |
| “In sealing the wound, the smart bandage protects as it heals,” says Yuanwen Jiang, co-first author of the study and a post-doctoral scholar in the lab of Zhenan Bao, the K.K. Lee Professor in Chemical Engineering in the Stanford School of Engineering. “But it is not a passive tool. It is an active healing device that could transform the standard of care in the treatment of chronic wounds.” | |
| Electrical stimulation, also known as galvanotaxis, has been previously reported to accelerate the migration of keratinocytes to the wound site, limit bacterial infections and prevent the development of biofilms on wound surfaces, to proactively promote tissue growth and help with tissue repair. The researchers were able to take this well-studied technology and integrate it with real-time biosensor data to provide a novel automated treatment modality that is informed by biosensors. | |
| The smart bandage’s biosensing capabilities monitor biophysical changes in the local environment, providing a real-time, rapid, robust, and extremely accurate way to measure wound condition. Technically speaking, the smart bandage senses conductivity and temperature changes in the skin as the wound heals—electrical impedance increases as wounds heal and local temperatures decline as inflammation subsides. | |
| “With stimulation and sensing in one device, the smart bandage speeds healing, but it also keeps track as the wound is improving,” says Artem Trotsyuk, likewise a co-first author of the study who completed his graduate work in the lab of Geoffrey Gurtner, MD, formerly the Johnson & Johnson Distinguished Professor of Surgery (Emeritus) in the Stanford School of Medicine, and currently the Chair of the Department of Surgery and Professor of Biomedical Engineering at the University of Arizona in Tucson. “We think it represents a new modality that will enable new biological discovery and the exploration of previously difficult-to-test hypotheses on the human healing process.” |
Welcome results, new directions
The researchers took their study a step further, venturing to understand why and how electrical stimulation heals the wound faster. They now believe that electrical stimulation promotes the activation of pro-regenerative genes such as Selenop, an anti-inflammatory gene that has been found to help with pathogen clearance and wound repair, and Apoe, which has been shown to increase muscle and soft tissue growth. Likewise, electrical stimulation increased the amount of white blood cell populations, namely monocytes and macrophages, through the recruitment of greater amounts of M2 anti-inflammatory macrophages, which have been previously reported as pro-regenerative and playing a key role in the extracellular matrix formation that is required during the proliferative phases of wound healing.
The researchers caution that the smart bandage is, as yet, a proof of concept, albeit a promising one. Many challenges remain, however. These include increasing the size of the device to human scale, reducing cost, and solving long-term data storage issues – all necessary to scale up to mass production should need and opportunity arise. Likewise, there are potentially new sensors not currently integrated that might be added, such as those that measure metabolites, biomarkers, and pH. And there are some potential roadblocks to clinical use, such as hydrogel rejection, in which the skin may react to the device and create a bad gel-to-skin combination, or biofouling of the sensors, which can cause irritation.
Despite these hurdles, the researchers are pushing ahead and remain optimistic about the potential of their smart bandage to provide hope for patients suffering with chronic wounds.
Stanford co-first authors: Yuanwen Jiang is a postdoctoral fellow in the Bao Group; Artem Trotsyuk is a former graduate student in the Gurtner Lab; Simiao Niu is a former postdoctoral scholar in the Bao Group.
News
Scientists Discover the Brain Protein That Helps Alzheimer’s Spread Through the Brain
Scientists have identified a brain protein that may help Alzheimer’s spread, revealing a potential new target for slowing the disease’s progression. Alzheimer’s disease is closely linked to the accumulation of a toxic form of the protein [...]
How Immune Dysregulation Contributes to Psychiatric Disorders
Introduction Growing evidence suggests that disruptions in immune function may play an important role in the development and progression of psychiatric disorders. However, immune mechanisms probably contribute more strongly in some patients than others, [...]
Electrostatic Discharge Boosts Triboelectric Nanogenerator Current and Enables DC Output
Controlled electrical discharges could enable triboelectric nanogenerators to achieve higher peak currents, extending nano-enabled energy harvesting into chemical processing and self-powered sensing. Paper: Electrostatic discharge as a breakthrough strategy for triboelectric nanogenerators. A new review [...]
Swiss laboratory uses old drugs against rare diseases
Researchers at the University of Geneva are combing through collections of approved drugs to find new therapies for rare diseases – with some success. This approach is gaining traction around the world, while pharmaceutical [...]
Nanozyme Aptasensors Show Promise for Faster Food, Health, and Environmental Testing
By pairing robust artificial enzymes with highly selective aptamers, nanozyme aptasensors could help detect disease biomarkers, pathogens, and contaminants faster, but the review shows that real-world deployment still depends on overcoming matrix interference, biofouling, [...]
Paralyzed Man Feels Sensation Again With Brain Stimulation Device
Aneuroprosthetic system has allowed a man with paralysis to grasp and lift objects and feel touch again. The device helped 42-year-old Keith Thomas of Massapequa, New York, who was paralyzed from the chest down [...]
Global Cancer Cases Could Surge 67% by 2050, New Report Warns
New data reveal major geographic disparities and highlight the urgent need for global action on prevention, early detection, and equitable access to treatment. For roughly one in five people worldwide, cancer will become part [...]
A Deadly Ebola-Like Virus Is Spreading. Are We Ready?
BU virologist Nancy Sullivan says the Bundibugyo outbreak in the Democratic Republic of the Congo underscores the need for broader outbreak preparedness. The death of a nurse marked the moment health officials recognized that [...]
Why Most Animal Viruses Never Become Human Pandemics
From receptor mismatch to risky human-animal interfaces, this article explains why spillover is common but true pandemic emergence remains rare. Introduction Humans are constantly exposed to animal viruses through farming, wildlife contact, and the [...]
Stem cell organoids repair heart microvessels in coronary artery disease models
A Stanford University team has shown that vascular organoids derived from human stem cells can repair the heart’s microvessel network in pigs with ischaemic heart disease – a proof-of-concept advancement that could open new therapeutic [...]
Goodbye GP waiting rooms, hello prevention at home
Prevention is suddenly everywhere in NHS reform. The recent £340m community pharmacy deal is moving more services onto the high street. Community Diagnostic Centres are being expanded, and the Neighbourhood Health Framework sets out [...]
Ebola control is weakened by mistrust and cultural insensitivity
Effective response depends on cooperation with communities and frontline workers, writes Zaeem ul Haq The current Bundibugyo Ebola outbreak in the Democratic Republic of the Congo (DRC) and Uganda is exposing dangerous gaps in [...]
Building the Brain Requires Millions of Dangerous DNA Breaks
Scientists discovered that building a healthy brain involves an unexpected step: young neurons routinely break and rapidly repair their own DNA. As the brain develops, newly formed nerve cells must travel through tightly packed tissue [...]
One Tiny Change May Explain How Viruses Jump From Bats to Humans
Scientists found that one tiny genetic change may determine whether a bat virus stays in bats or becomes a human threat. Most infectious disease outbreaks begin when a virus or other pathogen crosses from animals into [...]
Scientists Discover 250+ Genes That Could Lead to New Ways To Prevent Melanoma
The world’s largest study of mole genetics identified hundreds of genes tied to melanoma risk, uncovering potential new drug targets and paving the way for more accurate melanoma screening and prevention. Researchers at QIMR [...]
Breakthrough Diabetes Treatment Reprograms the Immune System
An engineered stem cell therapy reversed new-onset Type 1 diabetes in mice by shifting the immune system away from attacking insulin-producing cells. For more than a century, people with Type 1 diabetes have relied [...]
