Chronic wounds do not heal in an orderly fashion in part due to the lack of timely release of biological factors essential for healing. Topical administration of various therapeutic factors at different stages is shown to enhance the healing rate of chronic wounds. Developing a wound dressing that can deliver biomolecules with a predetermined spatial and temporal pattern would be beneficial for effective treatment of chronic wounds. Here, an actively controlled wound dressing is fabricated using composite fibers with a core electrical heater covered by a layer of hydrogel containing thermoresponsive drug carriers. The fibers are loaded with different drugs and biological factors and are then assembled using textile processes to create a flexible and wearable wound dressing. These fibers can be individually addressed to enable on-demand release of different drugs with a controlled temporal profile. Here, the effectiveness of the engineered dressing for on-demand release of antibiotics and vascular endothelial growth factor (VEGF) is demonstrated for eliminating bacterial infection and inducing angiogenesis in vitro. The effectiveness of the VEGF release on improving healing rate is also demonstrated in a murine model of diabetic wounds.
Instead of plain sterile cotton or other fibers, this dressing is made of “composite fibers with a core electrical heater covered by a layer of hydrogel containing thermoresponsive drug carriers,” which really says it all.
It acts as a regular bandage, protecting the injury from exposure and so on, but attached to it is a stamp-sized microcontroller. When prompted by an app (or an onboard timer, or conceivably sensors woven into the bandage), the microcontroller sends a voltage through certain of the fibers, warming them and activating the medications lying dormant in the hydrogel.
Those medications could be anything from topical anesthetics to antibiotics to more sophisticated things like growth hormones that accelerate healing. More voltage, more medication — and each fiber can carry a different one.