Interdigitated microelectronic bandage augments hemostasis and clot formation at low applied voltage in vitro and in vivo

Role of Electrode Configuration and Morphology in Printed Prothrombin Time Sensors

Patients on long-term anticoagulation therapy require frequent testing of prothrombin time/international normalized ratio (PT/INR) to ensure therapeutic efficacy. Point-of-care (POC) PT tests for at-home monitoring eliminate the burden of visiting the clinic, but realizing a cost-effective and robust at-home POC test for PT has remained elusive. Recent demonstrations of printed PT sensors show promise for addressing the cost concerns; however, the printed sensors have lacked quality control to ensure reliability between tests. In this work, on-chip redundancy is introduced with fully printed impedimetric PT sensors by incorporating simultaneous testing with a single fingerstick volume of blood (8 μL). The influence of electrode dimensions and composition were studied, revealing an optimal electrode spacing of 200 μm and an unexpected dependence on the morphology of the electrodes. Three distinct silver morphologies were studied: aerosol jet printed silver nanoparticles (AgNPs), aerosol jet printed silver nanowires (AgNWs), and evaporated silver (Ag). In general, AgNPs exhibited the best PT sensor performance, due to relatively low conductance and high porosity. Overall, the printed impedimetric PT sensor functionalization was improved by incorporating simultaneous testing and, when combined with a handheld control device, shows promise for leading to a system that overcomes the challenges of commercial PT/INR coagulometers.

A Transparent, Tough and Self-Healable Biopolymeric Composites Hydrogel for Open Wound Management

Modern healthcare engineering requires a wound dressing solution supported by materials with outstanding features such as high biological compatibility, strong mechanical strength, and higher transparency with effective antibacterial properties. Here, we present a unique hydrogel technology consisting of two negatively charged biopolymers and a positively charged synthetic polymer. The interaction between charged polymers through hydrogen bonds has been created, which are revealed in the simulation by density functional theory and Fourier transform infrared spectra of individual polymers and the hydrogel film. The transparent hydrogel film dressings showed excellent stretchability, a higher water swelling ratio (60%), and strong mechanical strength (∼100 MPa) with self-healing abilities (85-90%). The fabricated hydrogel film showed stable blood clots (within 119 ± 15 s) with rapid hemostasis (<2%) properties and effective antibacterial studies against E. coli and S. aureus bacterial strains. In addition, the obtained hydrogel film also showed excellent cell viability on mouse fibroblast cells. With their enormous amenability to modification, these hydrogel films may serve as promising biomaterials for wound dressing applications.

An Integrated Microheater Array With Closed-Loop Temperature Regulation Based on Ferromagnetic Resonance of Magnetic Nanoparticles

Magnetic nanoparticles (MNP) can generate localized heat in response to an external alternating magnetic field, a unique capability that has enabled a wide range of biomedical applications. Compared with other heating mechanisms such as dielectric heating and ohmic heating, MNP-based magnetic heating offers superior material specificity and minimal damage to the surrounding environment since most biological systems are non-magnetic. This paper presents a first-of-its-kind fully integrated magnetic microheater array based on the ferromagnetic resonance of MNP at Gigahertz (GHz) microwave frequencies. Each microheater pixel consists of a stacked oscillator to actuate MNP with a high magnetic field intensity and an electro-thermal feedback loop for precise temperature regulation. The four-stacked/five-stacked oscillator achieves >19.5/26.5 V_pp measured RF output swing from 1.18 to 2.62 GHz while only occupying a single inductor footprint, which eliminates the need for additional RF power amplifiers for compact pixel size (0.6 mm × 0.7 mm) and high dc-to-RF energy efficiency (45%). The electro-thermal feedback loop senses the local temperature and enables closed-loop temperature regulation by controlling the biasing voltage of the stacked oscillator, achieving a measured maximum/RMS temperature error of 0.53/0.29 °C. In the localized heating demonstration, two PDMS membranes mixed with and without MNP are attached to the microheater array chip, respectively, and their surface temperatures are monitored by an infrared (IR) camera. Only the area above the inductor (∼0.03 mm²) is efficiently heated up to 43 °C for the MNP-PDMS membrane, while the baseline temperature stays <37.8 °C for the PDMS membrane without MNP.

Impact of electric cardioversion on platelet activation

Introduction

Atrial fibrillation (AF) comes along with high risk of stroke. This risk continues even after re-establishing sinus rhythm with cardioversion. Aim of this study is to evaluate the contribution of electric cardioversion (EC) to platelet activation and procoagulatory tendency.

Methods

Extent of platelet activation before and after electric cardioversion was quantified using flow cytometry, impedance aggregation measurements with Multiplate®, and quantification of serum levels of platelet factor 4 (PF4) and ß-thromboglobulin (ß-TG) in patients with AF (N = 10).

Results

No significant differences were observed in any of the measured parameters comparing the values from before and after cardioversion. Geometric means of P-selectin expression and integrin αIIbβ3 activation were 0.27 (+/- 0.07) and 2.30 (+/- 2.61) before EC and 0.28 (+/- 0.17) and 1.67 (+/- 1.82) after EC. Levels of ß-TG were 110.11 ng/ml (+/- 3.78) before and 110.51 ng/ml (+/- 2.56) after EC, levels of PF4 were 35.64 ng/ml (+/- 12.94) before and 32.40 ng/ml (+/- 4.95) after EC. Platelet aggregation triggered with adenosine diphosphate (ADP), arachidonic acid, collagen, Ristocetin, or thrombin receptor activating peptide (TRAP) revealed results within the normally expected ranges without significant changes before and after EC.

Discussion

Electric cardioversion has no influence on platelet activation markers which is in agreement with other studies reporting electrical cardioversion to be safe.