CN109528392A - A kind of intelligent antiseptic dressing for infective wound surface perception and therapeutic intervention - Google Patents

A kind of intelligent antiseptic dressing for infective wound surface perception and therapeutic intervention Download PDF

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Publication number
CN109528392A
CN109528392A CN201811223273.7A CN201811223273A CN109528392A CN 109528392 A CN109528392 A CN 109528392A CN 201811223273 A CN201811223273 A CN 201811223273A CN 109528392 A CN109528392 A CN 109528392A
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CN
China
Prior art keywords
intelligent
antiseptic dressing
therapeutic intervention
wound
dressing
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Pending
Application number
CN201811223273.7A
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Chinese (zh)
Inventor
马列
董树荣
李石坚
郭维
庞倩
王光明
楼栋
高长有
吴朝晖
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Zhejiang University ZJU
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Zhejiang University ZJU
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Priority to CN201811223273.7A priority Critical patent/CN109528392A/en
Publication of CN109528392A publication Critical patent/CN109528392A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/02Adhesive plasters or dressings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/00051Accessories for dressings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/00051Accessories for dressings
    • A61F13/00063Accessories for dressings comprising medicaments or additives, e.g. odor control, PH control, debriding, antimicrobic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/06Radiation therapy using light
    • A61N5/0613Apparatus adapted for a specific treatment
    • A61N5/0624Apparatus adapted for a specific treatment for eliminating microbes, germs, bacteria on or in the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00361Plasters
    • A61F2013/00365Plasters use
    • A61F2013/00429Plasters use for conducting tests
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/06Radiation therapy using light
    • A61N2005/0658Radiation therapy using light characterised by the wavelength of light used
    • A61N2005/0661Radiation therapy using light characterised by the wavelength of light used ultraviolet

Abstract

The present invention relates to a kind of intelligent antiseptic dressings for infective wound surface perception and therapeutic intervention, which includes the ultraviolet light response intelligence antiseptic dressing layer for having the flexible electronic device layer of wound temperature perceptional function and having treatment function;The intelligence dressing can be prejudged by wound temperature data and the generation of timely learning trauma surface infestation, and acts on intelligent antiseptic dressing layer by emitting ultraviolet light in situ and realize that effective control of antibiotic discharges, and is treated in time to infective wound surface.The present invention has broken the incomprehensiveness that infection occurs caused by the covering of dressing in traditional surface of a wound nursing process, so that infection can be perceived and be obtained in time, dressing is and guided to carry out effective prevention treatment to the surface of a wound, promote wound repair, avoids a large amount of uncontrollable release bring side effects of antibiotic in traditional antiseptic dressing.Raw material of the present invention has good describing property of biology, and preparation process is simple, strong operability.

Description

A kind of intelligent antiseptic dressing for infective wound surface perception and therapeutic intervention
Technical field
The present invention relates to intelligent antiseptic dressing field, in particular to a kind of intelligence for infective wound surface perception and therapeutic intervention It can antiseptic dressing.
Background technique
Skin is outer since large area is exposed to, and is highly prone to damage in daily life, the reparation of the surface of a wound be a complexity and Dynamic process again, trauma surface infestation has become most common complication during wound repair, serious to result even in extremely It dies.However from the point of view of current clinical care means, wounds infection can only often be checked by replacing wound dressing, this The delay of acquisition of information probably delays the best period of Wound treating, brings pain to patient;Meanwhile traditional antibacterial wound Mouth dressing can not accomplish effective control release of antibiotic, and causing a large amount of abuse problems of antibiotic is also clinically to be badly in need of solving The problem of.Therefore Development of Novel antiseptic dressing, can break the "black box" state of wound repair, obtain surface of a wound letter in time Breath realizes the early monitoring to trauma surface infestation and prevention, while to surface of a wound abnormality can timely and effectively intervene and control It treats, reduces antibiotic and largely abuse the High-Interest Object that bring side effect is current antibacterial wound dressing research.
Flexible electronic sensing technology is an emerging in recent years cutting edge technology, and is widely used in wearable device, people The research fields such as body clinical diagnosis, health evaluating, health monitoring, flexible electronic skin, or even industrial robot.Flexible electronic passes Sensor is that the sensor element that can perceive various physiochemical signals is produced in extendable flexible substrates, then with Stimulus signal is converted to the form that electric signal etc. is easy to export by the mode of signal transduction, wherein the appreciable physics of sensor Chemical signal includes temperature, humidity, pressure, pH, frequency, ionized water equality.And skin wound is a dynamic and complicated Environment, the various signal levels (temperature, humidity, pH, enzyme, ion etc.) on the surface of a wound become with the variation of wound repair different phase Change, therefore such flexible electronic sensor can be by being bonded the real-time prison realized to surface of a wound signal specific with the close of skin It surveys.Using trauma surface infestation as model, using this apparent signature variations of temperature during trauma surface infestation, temperature sensor can To realize to the early stage perception of trauma surface infestation and intelligent early-warning.
Stimulating responsive material is a kind of new type functional material booming in recent years.This kind of material can be right Minor change in external environment generates quickly response, so as to cause the variation of its physical and chemical performance.Common stimuli responsive Property include temperature-responsive, pH response, photoresponse, ionic strength response, enzyme response, redox response etc..Stimulating responsive material At present in drug delivery, the fields such as organizational project are widely applied material, therefore can realize antibiotic by introducing environmental stimuli Effectively control release, and in all stimulation types, light as it is a kind of it is efficient, convenient, can remote control means with it Unique advantage.Therefore, the present invention is by flexible electronic sensor technology and stimulating responsive intelligence wound dressing composite design structure A kind of intelligent antiseptic dressing for infective wound surface perception and therapeutic intervention has been built, has realized wound site temperature using temperature sensor The real-time monitoring of degree, and use light as effective control on demand release that stimulus realizes infective wound surface antibiotic.
Summary of the invention
The object of the present invention is to provide a kind of intelligent antiseptic dressing for infective wound surface perception and therapeutic intervention, the dressing Used raw material has good describing property of biology, and preparation process is simple, strong operability, is expected to break traditional surface of a wound nursing The incomprehensiveness that infection occurs caused by the covering of dressing in the process, so that infection can be perceived and be obtained in time, It and guides dressing to carry out effective prevention treatment to the surface of a wound, promotes wound repair, it is a large amount of to avoid antibiotic in traditional antiseptic dressing Uncontrollable release bring side effect.
The intelligent antiseptic dressing for infective wound surface perception and therapeutic intervention of the invention, including flexible electronic device layer and Antiseptic dressing layer, the flexible electronic device layer have the function of wound temperature perceptional function and ultraviolet light, flexible electronic Device layer controls ultraviolet light antiseptic dressing layer according to wound temperature, and antiseptic dressing layer directly contacts the surface of a wound can ultraviolet light response Discharge antibacterials.
In above-mentioned technical proposal, the antiseptic dressing layer uses modified poly (ethylene glycol) base anti-bacterial hydrogel dressing, uses Following method is made: the small molecule covalent modification that antibiotic can be broken by ultraviolet light is big to the double bond containing polyethylene glycol in end Macromonomer is obtained on strand, crosslinking agent is then made with the double bond containing polyethylene glycol of both-end, and heat causes double bond crosslinking preparation It obtains, the ester bond connecting in resulting materials with antibiotic can be broken to release antibiotic under ultraviolet light.Described Antibiotic can be gentamicin, and the small molecule that ultraviolet light can be broken can be 1- (5- methoxyl group -2- nitro -2-propynyl) - Acetophenone, the double bond containing polyethylene glycol in the end can be nitrine polyethylene glycol acrylate, and the both-end contains double bond Polyethylene glycol can be polyethyleneglycol diacrylate.
The flexible electronic device layer include the temperature sensor being produced on polyethyleneimine substrate, transmitting it is ultraviolet The LED light and power supply and control unit of light, and power supply and control unit and temperature sensor, LED light pass through respectively it is snakelike curved Curve connection, entire flexible electronic device layer are encapsulated using PDMS.
The monitoring accuracy of the temperature sensor is ± 0.3 DEG C (such as chip of model SHT21), and the wavelength of LED light is 365nm (such as model NVSU233A, can in situ emitting ultraviolet light).
Bluetooth antenna (such as model CC2541) is also provided in the flexible electronic device layer, for blue with outside Tooth equipment is communicated.
The intelligence antiseptic dressing can use bandage form, and flexible electronic device layer is bonded composition with antiseptic dressing layer Integration, antiseptic dressing layer are directly contacted with the surface of a wound, and responsiveness discharges antibiotic under the action of emitting ultraviolet light in situ, are realized Effective treatment to wound site.
Dressing of the invention is mainly used for infective wound surface, and intelligence is embodied in the intelligence sense that can be realized infective wound surface Know, and effective therapeutic intervention can be provided for trauma surface infestation.
Detailed description of the invention
Fig. 1 is the building schematic diagram of intelligent antiseptic dressing system;
Fig. 2 is (a) photomacrograph (front and back sides) and physical property (b) fatigue performance of intelligent antiseptic dressing system;(c) Tensile property;
Fig. 3 is the temperature real-time monitoring performance of the intelligent antiseptic dressing system In vivo infection surface of a wound;
Fig. 4 is intelligent anti-microbial property in intelligent antiseptic dressing system body;
Fig. 5 is the biocompatibility of intelligent antiseptic dressing system.
Specific embodiment
Elaborate below with reference to specific example to the present invention, it should be understood that these examples be merely to illustrate the present invention without For limiting the scope of the invention.In addition, it should also be understood that, those skilled in the art can be right after having read elaboration content of the invention The present invention makes an amendment, and such equivalent forms equally fall within the application the appended claims and limit range.
Example 1
(a) has the flexible electronic device layer building method of wound temperature perceptional function
Flexible circuit board mainly includes three modules: power management module, sensing and execution module, control circuit module. Wherein power management module includes DC-DC module TPS62730 and boost module LM3410X two parts, for powering, sensing with Execution module includes temperature sensor SHT21 and four LED ultraviolet lamp NVSU233A-U365, and control circuit module is mainly indigo plant Tooth chip CC2541.The main chip in three modules is produced on by polyethyleneimine using FPC technique processing method first In flexible substrate, wherein temperature sensor is located at the center of circuit board, and four LED light are distributed in the four of temperature sensor Week.Coupling part makes system have certain ductility convenient for fitting closely with wound using serpentine bend line, and system uses External 3.3V lithium battery power supply.Obtained circuit board is encapsulated by the method that PDMS is poured.Temperature sensor detects Data be transferred in the cell phone application of receiving end by bluetooth approach, acquisition data simultaneously analyzed.
(b) has the ultraviolet light response intelligence antiseptic dressing layer building method for the treatment of function
The antibiotics gentamycin for selecting aminoglycoside is model drug, by gentamicin by way of covalence graft With adjacent nitro benzyl molecule 1- (5- methoxyl group -2- nitro -2-propynyl)-acetophenone covalent bond of ultraviolet photo-labile, institute Molecular end the further polyethylene glycol acrylate (N with end containing nitrine of alkynyl3- PEG5000-DA) click-reaction system It is standby to obtain modified poly (ethylene glycol) base macromonomer, the monomer and unmodified polyethylene glycol acrylate (PEG5000-DA) with 1:7 (w/w) ratio mixing be used as co-monomer, while with crosslinking agent polyethyleneglycol diacrylate (DA-PEG2000-DA) with And initiator A PS/TEMED is blended, mixed solution pours into the mold of polytetrafluoroethylene (PTFE), and 90 DEG C of heating 30min cause double bond and hand over The polyethylene glycol groups aerogel dressing with ultraviolet light response anti-microbial property is prepared in connection.In the aerogel dressing, celebrating The ester bond that the adjacent nitro benzyl molecule covalent of big mycin and ultraviolet photo-labile is formed can be under the ultraviolet light irradiation of 365nm wavelength Fracture occurs to release antibiotics gentamycin.The dressing layer is set to below the LED light of flexible electronic device layer, entirely Dressing is designed as bandage form.
Intelligent dressing of the invention can be prejudged by wound temperature data and the generation of timely learning trauma surface infestation, and passes through Emitting ultraviolet light in situ acts on effective control release that intelligent antiseptic dressing layer realizes antibiotic, carries out to infective wound surface timely Treatment.The present invention has broken the incomprehensiveness that infection occurs caused by the covering of dressing in traditional surface of a wound nursing process, So that infection can be perceived and be obtained in time, dressing is and guided to carry out effective prevention treatment to the surface of a wound, promotes wound repair, keep away The a large amount of uncontrollable release bring side effects of antibiotic in traditional antiseptic dressing are exempted from.

Claims (10)

1. a kind of intelligent antiseptic dressing for infective wound surface perception and therapeutic intervention, which is characterized in that the dressing includes flexibility Electronic device layer and antiseptic dressing layer, the flexible electronic device layer have wound temperature perceptional function and ultraviolet light function Can, flexible electronic device layer controls ultraviolet light antiseptic dressing layer according to wound temperature, and antiseptic dressing layer directly contacts the surface of a wound It can ultraviolet light response release antibacterials.
2. the intelligent antiseptic dressing according to claim 1 for infective wound surface perception and therapeutic intervention, which is characterized in that The antiseptic dressing layer uses modified poly (ethylene glycol) base anti-bacterial hydrogel dressing, is made with the following method: antibiotic is led to It crosses on the small molecule covalent modification to the double bond containing polyethylene glycol macromolecular chain in end that ultraviolet light can be broken and obtains macromonomer, Then crosslinking agent is made with the double bond containing polyethylene glycol of both-end, heat causes double bond crosslinking and prepares, in resulting materials with antibiotic The ester bond of connection can be broken to release antibiotic under ultraviolet light.
3. the intelligent antiseptic dressing according to claim 2 for infective wound surface perception and therapeutic intervention, which is characterized in that The antibiotic is gentamicin.
4. the intelligent antiseptic dressing according to claim 2 for infective wound surface perception and therapeutic intervention, which is characterized in that The small molecule that the ultraviolet light can be broken is 1- (5- methoxyl group -2- nitro -2-propynyl)-acetophenone.
5. the intelligent antiseptic dressing according to claim 2 for infective wound surface perception and therapeutic intervention, which is characterized in that The double bond containing polyethylene glycol in the end is nitrine polyethylene glycol acrylate.
6. the intelligent antiseptic dressing according to claim 2 for infective wound surface perception and therapeutic intervention, which is characterized in that The double bond containing polyethylene glycol of the both-end is polyethyleneglycol diacrylate.
7. the intelligent antiseptic dressing according to claim 1 for infective wound surface perception and therapeutic intervention, which is characterized in that The flexible electronic device layer includes the temperature sensor being produced on polyethyleneimine substrate, the LED of emitting ultraviolet light Lamp and power supply and control unit, power supply and control unit pass through serpentine bend line with temperature sensor, LED light respectively and connect, Entire flexible electronic device layer is encapsulated using PDMS.
8. the intelligent antiseptic dressing according to claim 7 for infective wound surface perception and therapeutic intervention, which is characterized in that The monitoring accuracy of the temperature sensor is ± 0.3 DEG C, and the wavelength of LED light is 365nm.
9. the intelligent antiseptic dressing according to claim 1 for infective wound surface perception and therapeutic intervention, which is characterized in that The intelligence antiseptic dressing uses bandage form.
10. the intelligent antiseptic dressing according to claim 1 for infective wound surface perception and therapeutic intervention, feature exist In Bluetooth antenna being additionally provided in the flexible electronic device layer, for being communicated with external bluetooth equipment.
CN201811223273.7A 2018-10-19 2018-10-19 A kind of intelligent antiseptic dressing for infective wound surface perception and therapeutic intervention Pending CN109528392A (en)

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110314039A (en) * 2019-07-09 2019-10-11 黄冈市维科曼医用材料有限责任公司 A kind of medical dressing automatic production line
CN111135341A (en) * 2020-01-20 2020-05-12 浙江大学 Intelligent hydrogel dressing for early warning and controllable treatment of infected wound
CN111603298A (en) * 2020-05-19 2020-09-01 成都怀慈福佑电子科技有限公司 Preparation process method of transient medical chip
WO2021156711A1 (en) * 2020-02-06 2021-08-12 Kci Licensing, Inc. Wound dressing with integral uv disinfection
CN115645149A (en) * 2022-12-14 2023-01-31 宁夏医科大学总医院 Intelligent dressing system for chronic wounds

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CN105852806A (en) * 2016-03-24 2016-08-17 浙江大学 Electronic skin for wound real-time monitoring
CN107496975A (en) * 2017-08-14 2017-12-22 浙江大学 A kind of polyvinyl alcohol with optical Response antibacterial/sodium alginate carries liquid medicine gel dressing and preparation method thereof

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WO2006135848A2 (en) * 2005-06-10 2006-12-21 Pamela Howard Wound management system
CN202554548U (en) * 2012-03-30 2012-11-28 深圳市源兴纳米医药科技有限公司 Absorbing dressing with wound surface infection indication function
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Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110314039A (en) * 2019-07-09 2019-10-11 黄冈市维科曼医用材料有限责任公司 A kind of medical dressing automatic production line
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CN115645149A (en) * 2022-12-14 2023-01-31 宁夏医科大学总医院 Intelligent dressing system for chronic wounds
CN115645149B (en) * 2022-12-14 2024-01-23 宁夏医科大学总医院 Intelligent dressing system for chronic wounds

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