Temperature-Responsive Ionic Conductive Hydrogel for Strain and Temperature Sensors.

Flexible wearable devices have achieved remarkable applications in health monitoring because of the advantages of multisignal collecting and real-time wireless transmission of information. However, the integration of bulky sensing elements and rigid metal circuit components in traditional wearable devices may lead to a mechanical and signal-conducting mismatch between wearable devices and biological tissues, thus restricting their wide applications in the human body. The excellent mechanical properties, conductivity, and high tissue resemblance of conductive hydrogel contribute to its application in flexible electronic sensors to monitor human health. In this work, a dual-network, temperature-responsive ionic conductive hydrogel with excellent stretchability, fast temperature responsiveness, and good conductivity was developed by introducing a polyvinylpyrrolidone (PVP)/ tannic acid (TA)/ Fe3+ cross-linked network into the N,N-methylene diacrylamide (MBAA) cross-linked poly(N-isopropylacrylamide-co-acrylamide) (P(NIPAAm-co-AM)) network. Furthermore, the introduction of the PVP/TA/Fe3+ cross-linked network endowed the hydrogel with excellent stretchability and conductivity. By adjusting the molar ratio of TA and Fe3+ to 3:5, a hydrogel with a maximal stretching ratio of 720% and sensitive strain response (GF = 3.61) was achieved, showing a promising application in wearable strain sensors to monitor both large and fine human motions. Moreover, by introducing PNIPAAm with a lower critical solution temperature (LCST), the hydrogel may be used to monitor the environmental temperature through the temperature-conductivity responsiveness, which can be applied as a wearable temperature sensor to detect fever or tissue hyperthermia in the human body.

Smart Flexible Electronics-Integrated Wound Dressing for Real-Time Monitoring and On-Demand Treatment of Infected Wounds.

As the most frequent wound complication, infection has become a major clinical challenge in wound management. To overcome the "Black Box" status of the wound-healing process, next-generation wound dressings with the abilities of real-time monitoring, diagnosis during early stages, and on-demand therapy has attracted considerable attention. Here, by combining the emerging development of bioelectronics, a smart flexible electronics-integrated wound dressing with a double-layer structure, the upper layer of which is polydimethylsiloxane-encapsulated flexible electronics integrated with a temperature sensor and ultraviolet (UV) light-emitting diodes, and the lower layer of which is a UV-responsive antibacterial hydrogel, is designed. This dressing is expected to provide early infection diagnosis via real-time wound-temperature monitoring by the integrated sensor and on-demand infection treatment by the release of antibiotics from the hydrogel by in situ UV irradiation. The integrated system possesses good flexibility, excellent compatibility, and high monitoring sensitivity and durability. Animal experiment results demonstrate that the integrated system is capable of monitoring wound status in real time, detecting bacterial infection and providing effective treatment on the basis of need. This proof-of-concept research holds great promise in developing new strategies to significantly improve wound management and other pathological diagnoses and treatments.

Smart wound dressing for infection monitoring and NIR-triggered antibacterial treatment.

Wound infection is a major challenge in the clinic that greatly hinders the wound healing process. It is highly important to develop smart wound dressings that can sense bacterial infection at early stages and provide on-demand treatment. In this work, a smart hydrogel-based wound dressing capable of monitoring bacterial infection via a pH-responsive fluorescence resonance energy transfer (FRET) transition of Cyanine3 (Cy3) and Cyanine5 (Cy5) in a bacterial environment and providing on-demand treatment of infection via near infrared (NIR) light-triggered antibiotic release was developed. The smart hydrogel was prepared by physical crosslinking of polyvinyl alcohol (PVA) and an ultraviolet (UV)-cleavable polyprodrug (GS-Linker-MPEG), in which Cy3 and Cy5-modified silica nanoparticles (SNP-Cy3/Cy5) were loaded and acted as a pH-responsive fluorescent probe to detect bacterial infection based on the FRET effect between Cy3 and Cy5. Also, up-conversion nanoparticles (UCNP) were loaded into the hydrogels to cleave the UV-responsive GS-Linker-MPEG and achieve NIR-responsive release of GS in the bacterial environment. The in vitro studies proved that the smart hydrogels present good water absorption ability and excellent mechanical properties as well as good biocompatibility, which are necessary for their application in wound dressings. Moreover, the hydrogels showed obvious FRET transitions in both acidic buffer and bacteria solution. Upon irradiating the hydrogels with NIR light, UCNP were able to convert NIR light to UV light to trigger the release of GS from the hydrogels for antibacterial treatment. This research is expected to provide a new strategy for self-reporting and effective treatment of wound infection.