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Short WD, Olutoye OO, Padon BW, Parikh UM, Colchado D, Vangapandu H, Shams S, Chi T, Jung JP, Balaji S. Advances in non-invasive biosensing measures to monitor wound healing progression. Front Bioeng Biotechnol 2022; 10:952198. [PMID: 36213059 PMCID: PMC9539744 DOI: 10.3389/fbioe.2022.952198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Accepted: 07/12/2022] [Indexed: 01/09/2023] Open
Abstract
Impaired wound healing is a significant financial and medical burden. The synthesis and deposition of extracellular matrix (ECM) in a new wound is a dynamic process that is constantly changing and adapting to the biochemical and biomechanical signaling from the extracellular microenvironments of the wound. This drives either a regenerative or fibrotic and scar-forming healing outcome. Disruptions in ECM deposition, structure, and composition lead to impaired healing in diseased states, such as in diabetes. Valid measures of the principal determinants of successful ECM deposition and wound healing include lack of bacterial contamination, good tissue perfusion, and reduced mechanical injury and strain. These measures are used by wound-care providers to intervene upon the healing wound to steer healing toward a more functional phenotype with improved structural integrity and healing outcomes and to prevent adverse wound developments. In this review, we discuss bioengineering advances in 1) non-invasive detection of biologic and physiologic factors of the healing wound, 2) visualizing and modeling the ECM, and 3) computational tools that efficiently evaluate the complex data acquired from the wounds based on basic science, preclinical, translational and clinical studies, that would allow us to prognosticate healing outcomes and intervene effectively. We focus on bioelectronics and biologic interfaces of the sensors and actuators for real time biosensing and actuation of the tissues. We also discuss high-resolution, advanced imaging techniques, which go beyond traditional confocal and fluorescence microscopy to visualize microscopic details of the composition of the wound matrix, linearity of collagen, and live tracking of components within the wound microenvironment. Computational modeling of the wound matrix, including partial differential equation datasets as well as machine learning models that can serve as powerful tools for physicians to guide their decision-making process are discussed.
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Affiliation(s)
- Walker D. Short
- Laboratory for Regenerative Tissue Repair, Division of Pediatric Surgery, Department of Surgery, Texas Children’s Hospital and Baylor College of Medicine, Houston, TX, United States
| | - Oluyinka O. Olutoye
- Laboratory for Regenerative Tissue Repair, Division of Pediatric Surgery, Department of Surgery, Texas Children’s Hospital and Baylor College of Medicine, Houston, TX, United States
| | - Benjamin W. Padon
- Laboratory for Regenerative Tissue Repair, Division of Pediatric Surgery, Department of Surgery, Texas Children’s Hospital and Baylor College of Medicine, Houston, TX, United States
| | - Umang M. Parikh
- Laboratory for Regenerative Tissue Repair, Division of Pediatric Surgery, Department of Surgery, Texas Children’s Hospital and Baylor College of Medicine, Houston, TX, United States
| | - Daniel Colchado
- Laboratory for Regenerative Tissue Repair, Division of Pediatric Surgery, Department of Surgery, Texas Children’s Hospital and Baylor College of Medicine, Houston, TX, United States
| | - Hima Vangapandu
- Laboratory for Regenerative Tissue Repair, Division of Pediatric Surgery, Department of Surgery, Texas Children’s Hospital and Baylor College of Medicine, Houston, TX, United States
| | - Shayan Shams
- Department of Applied Data Science, San Jose State University, San Jose, CA, United States
- School of Biomedical Informatics, University of Texas Health Science Center, Houston, TX, United States
| | - Taiyun Chi
- Department of Electrical and Computer Engineering, Rice University, Houston, TX, United States
| | - Jangwook P. Jung
- Department of Biological Engineering, Louisiana State University, Baton Rouge, LA, United States
| | - Swathi Balaji
- Laboratory for Regenerative Tissue Repair, Division of Pediatric Surgery, Department of Surgery, Texas Children’s Hospital and Baylor College of Medicine, Houston, TX, United States
- *Correspondence: Swathi Balaji,
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Wicaksono I, Hwang PG, Droubi S, Wu FX, Serio AN, Yan W, Paradiso JA. 3DKnITS: Three-dimensional Digital Knitting of Intelligent Textile Sensor for Activity Recognition and Biomechanical Monitoring. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2022; 2022:2403-2409. [PMID: 36086308 DOI: 10.1109/embc48229.2022.9871651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
We present an approach to develop seamless and scalable piezo-resistive matrix-based intelligent textile using digital flat-bed and circular knitting machines. By combining and customizing functional and common yarns, we can design the aesthetics and architecture and engineer both the electrical and mechanical properties of a sensing textile. By incorporating a melting fiber, we propose a method to shape and personalize three-dimensional piezo-resistive fabric structure that can conform to the human body through thermoforming principles. It results in a robust textile structure and intimate interfacing, suppressing sensor drifts and maximizing accuracy while ensuring comfortability. This paper describes our textile design, fabrication approach, wireless hardware system, deep-learning enabled recognition methods, experimental results, and application scenarios. The digital knitting approach enables the fabrication of 2D to 3D pressure-sensitive textile interiors and wearables, including a 45 x 45 cm intelligent mat with 256 pressure-sensing pixels, and a circularly-knitted, form-fitted shoe with 96 sensing pixels across its 3D surface both with linear piezo-resistive sensitivity of 39.4 for up to 500 N load. Our personalized convolutional neural network models are able to classify 7 basic activities and exercises and 7 yoga poses in-real time with 99.6% and 98.7% accuracy respectively. Further, we demonstrate our technology for a variety of applications ranging from rehabilitation and sport science, to wearables and gaming interfaces.
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Abstract
E-textiles is a new hybrid field developed with the help of the integration of electronic components into our daily usage of textile products. These wearable e-textiles provide user-defined applications as well as normal textile clothing. The medical field is one of the major leading areas where these new hybrid products are being implemented, and relatively mature products can be observed in the laboratory as well as in commercial markets. These products are developed for continuous patient monitoring in large-scale hospital centers as well as for customized patient requirements. Meanwhile, these products are also being used for complex medical treatments and the replacement of conventional methods. This review manuscript contains a basic overview of e-textile systems, their components, applications, and usages in the field of medical innovations. E-textile systems, integrated into customized products for medical needs, are discussed with their proposed properties and limitations. Finally, some recommendations to enhance the e-textile system’s integration into the medical field are argued.
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Kruanopparat R. Pressure-Measuring Devices for Compression Therapy in Venous Leg Ulcers: A Comprehensive Review. Adv Skin Wound Care 2021; 34:1-6. [PMID: 34415258 DOI: 10.1097/01.asw.0000767324.54122.67] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To investigate the evolution of pressure-measuring devices used in compression treatment for venous leg ulcers and assess the most practical and effective devices to determine optimal pressure in compression therapy. DATA SOURCES Relevant information was retrieved from databases including Google Scholar, PubMed, Wiley Online, and ScienceDirect without publication date restrictions. The keywords included venous leg ulcer, compression therapy, pressure measuring device, pressure sensor, and wireless system. STUDY SELECTION Studies included in the review had to be published in English and discuss or compare pressure-measuring devices/sensors for compression therapy, the development of alternative sensors, and the applications of wireless technologies. Veterinary studies, conference proceedings, and unpublished articles were excluded. Applicable studies and articles were critically evaluated and synthesized. DATA EXTRACTION After abstract review, 39 studies were identified. During full-text review, study details were collected using a data extraction form and organized into tables. Device attributes, accuracy, price, and limitations were categorized and analyzed. DATA SYNTHESIS Studies disagree on the effectiveness and user-friendliness of existing pressure-measuring devices. These devices often impact user comfort and convenience, which are crucial factors in the adoption and use of wearable devices. Potential solutions for pressure-measuring devices with promising technologies were proposed: four feasible alternative sensors are described that could improve comfort and facilitate prolonged use under bandages. Advanced communication technologies may provide more convenience for users and practitioners. CONCLUSIONS Conventional pressure-measuring devices used in compression therapy are not designed for the user's comfort and convenience. The use of flexible and stretchy pressure sensors (e-skin) provides good biocompatibility, conformability, and comfort and when integrated with near-field communication technology could address the drawbacks of current pressure-measuring devices.
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Affiliation(s)
- Rungphet Kruanopparat
- Rungphet Kruanopparat, MSc, OTR, is Occupational Therapist, Sirindhorn National Medical Rehabilitation Institute, Nonthaburi, Thailand. The author has disclosed no financial relationships related to this article. Submitted January 11, 2021; accepted in revised form February 16, 2021
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Mat Zin S, Md Rasib SZ, Suhaimi FM, Mariatti M. The technology of tongue and hard palate contact detection: a review. Biomed Eng Online 2021; 20:17. [PMID: 33549118 PMCID: PMC7866712 DOI: 10.1186/s12938-021-00854-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Accepted: 01/23/2021] [Indexed: 11/10/2022] Open
Abstract
The tongue and hard palate play an essential role in the production of sound during continuous speech. Appropriate tongue and hard palate contacts will ensure proper sound production. Electropalatography, also known as EPG, is a device that can be used to identify the location of the tongue and hard palate contact. It can also be used by a speech therapist to help patients who have a speech disorder. Among the group with the disease are cleft palate, Down syndrome, glossectomy, and autism patients. Besides identifying the contact location, EPG is a useful medical device that has been continuously developed based on the patient's needs and treatment advancement. This article reviews the technology of electropalatography since the early introduction of the device. It also discusses the development process and the drawbacks of the previous EPG systems, resulting in the EPG's upgraded system and technology. This review suggests additional features that can be useful for the future development of the EPG. The latest technology can be incorporated into the EPG system to provide a more convenient method. There are some elements to be considered in the development of EPG's new technology that were discussed in this study. The elements are essential to provide more convenience for the patient during speech therapy. New technology can accelerate the growth of medical devices, particularly on the development of speech therapy equipment that should be based on the latest technological advancements available. Thus, the advanced EPG system suggested in this article may expand the usage of the EPG and serve as a tool to provide speech therapy treatment services and not limited to monitoring only.
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Affiliation(s)
- Syatirah Mat Zin
- Craniofacial and Biomaterial Sciences Cluster, Advanced Medical and Dental Institute, Universiti Sains Malaysia, 13200, Kepala Batas, Penang, Malaysia
| | - S Z Md Rasib
- School of Materials and Mineral Resources Engineering, Universiti Sains Malaysia, Engineering Campus, 14300, Nibong Tebal, Penang, Malaysia
| | - Fatanah M Suhaimi
- Craniofacial and Biomaterial Sciences Cluster, Advanced Medical and Dental Institute, Universiti Sains Malaysia, 13200, Kepala Batas, Penang, Malaysia.
| | - M Mariatti
- School of Materials and Mineral Resources Engineering, Universiti Sains Malaysia, Engineering Campus, 14300, Nibong Tebal, Penang, Malaysia
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Wu S, Peng S, Han ZJ, Zhu H, Wang CH. Ultrasensitive and Stretchable Strain Sensors Based on Mazelike Vertical Graphene Network. ACS APPLIED MATERIALS & INTERFACES 2018; 10:36312-36322. [PMID: 30256087 DOI: 10.1021/acsami.8b15848] [Citation(s) in RCA: 46] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Here, we report a new type of strain sensors consisting of vertical graphene nanosheets (VGNs) with mazelike network, sandwiched between poly(dimethylsiloxane) (PDMS) substrates. The new sensors outperform most graphene thin-film-based sensors reported previously and show an outstanding combination of high stretchability of ∼120%, excellent linearity over the entire detection range, and high sensitivity with a gauge factor of ∼32.6. The sensitivity can be tuned by controlling the thickness of VGNs, with sensors consisting of thicker VGNs showing higher sensitivity but slightly lower stretchability (the maximum gauge factor is ∼88.4 with a maximum detection strain of ∼55%). Detailed microscopic examinations reveal that the ultrahigh sensitivity stems from the formation of microcracks initiated in the buffer layer. These microcracks are bridged by strings of graphene/PDMS, enabling the conductive network to continue to function up to a strain level significantly higher than that of previously reported graphene thin-film-based sensors. Furthermore, the present sensors have been found to be insensitive to temperatures and various liquids, including water and 0.1 mol L-1 sodium chloride solution (similar to the sweat on human skin). Demonstrations are presented to highlight the new sensors' potential as wearable devices for human motion detection and pressure distribution measurement.
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Affiliation(s)
- Shuying Wu
- School of Mechanical and Manufacturing Engineering , University of New South Wales , Sydney , NSW 2052 , Australia
| | - Shuhua Peng
- School of Mechanical and Manufacturing Engineering , University of New South Wales , Sydney , NSW 2052 , Australia
| | - Zhao Jun Han
- CSIRO Manufacturing , P.O. Box 218, 36 Bradfield Road , Lindfield , NSW 2070 , Australia
| | - Hongwei Zhu
- State Key Lab of New Ceramics and Fine Processing, School of Materials Science and Engineering, Center for Nano and Micro Mechanics , Tsinghua University , Beijing 100084 , China
| | - Chun H Wang
- School of Mechanical and Manufacturing Engineering , University of New South Wales , Sydney , NSW 2052 , Australia
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Khodasevych I, Parmar S, Troynikov O. Flexible Sensors for Pressure Therapy: Effect of Substrate Curvature and Stiffness on Sensor Performance. SENSORS (BASEL, SWITZERLAND) 2017; 17:E2399. [PMID: 29053605 PMCID: PMC5676615 DOI: 10.3390/s17102399] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/14/2017] [Revised: 10/10/2017] [Accepted: 10/17/2017] [Indexed: 11/25/2022]
Abstract
Flexible pressure sensors are increasingly being used in medical and non-medical applications, and particularly in innovative health monitoring. Their efficacy in medical applications such as compression therapy depends on the accuracy and repeatability of their output, which in turn depend on factors such as sensor type, shape, pressure range, and conformability of the sensor to the body surface. Numerous researchers have examined the effects of sensor type and shape, but little information is available on the effect of human body parameters such as support surfaces' curvature and the stiffness of soft tissues on pressure sensing performance. We investigated the effects of body parameters on the performance of pressure sensors using a custom-made human-leg-like test setup. Pressure sensing parameters such as accuracy, drift and repeatability were determined in both static (eight hours continuous pressure) and dynamic (10 cycles of pressure application of 30 s duration) testing conditions. The testing was performed with a focus on compression therapy application for venous leg ulcer treatments, and was conducted in a low-pressure range of 20-70 mmHg. Commercially available sensors manufactured by Peratech and Sensitronics were used under various loading conditions to determine the influence of stiffness and curvature. Flat rigid, flat soft silicone and three cylindrical silicone surfaces of radii of curvature of 3.5 cm, 5.5 cm and 6.5 cm were used as substrates under the sensors. The Peratech sensor averaged 94% accuracy for both static and dynamic measurements on all substrates; the Sensitronics sensor averaged 88% accuracy. The Peratech sensor displayed moderate variations and the Sensitronics sensor large variations in output pressure readings depending on the underlying test surface, both of which were reduced markedly by individual pressure calibration for surface type. Sensor choice and need for calibration to surface type are important considerations for their application in healthcare monitoring.
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Affiliation(s)
- Iryna Khodasevych
- School of Fashion and Textiles, Royal Melbourne Institute of Technology, Melbourne 3056, Australia.
| | - Suresh Parmar
- School of Fashion and Textiles, Royal Melbourne Institute of Technology, Melbourne 3056, Australia.
| | - Olga Troynikov
- School of Fashion and Textiles, Royal Melbourne Institute of Technology, Melbourne 3056, Australia.
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