journal article·2023-02

Soft, Wireless Pressure‐Sensor‐Integrated Smart Bandage for the Management of Diabetic Foot Ulcers

Ian Heck, Wei Lu, Zizheng Wang, Xincheng Zhang, Tejas Adak, Thong Cu, Carolyn Crumley, Yi Zhang, Xueju Sophie Wang

Advanced Materials Technologies· Volume 8· Issue 3
Publisher page

Abstract

Abstract Diabetic foot ulcers (DFUs) have affected millions of people in the U.S. and posed heavy burden to patients and the healthcare system due to their being slow to heal, high recurrence rate, and potential risk of amputation and even premature death. A mainstay of DFU therapy is mechanical offloading to mitigate pressure at the ulcer, which, however, is usually not effective due to patients’ diminished sensation capabilities on the foot and low adherence to offloading recommendations. This work reports a soft, flexible, wireless pressure‐sensor‐integrated smart bandage system for continuously monitoring the pressure on the foot and alerting the users to offload under exceeded pressure. The pressure sensor exhibits high linearity, negligible hysteresis, fast response time, and excellent water‐proof properties relevant for this application. Wireless data transmission onto a smartphone via Bluetooth enables the display and interpretation of the measured pressure with the option of a preset pressure threshold, when exceeded, an alert will be generated for immediate notifications. Trials on healthy subjects demonstrate reliable monitoring performance. The developed smart bandage system represents a significant advance in the prevention and management of DFUs and other pressure injuries as well as compression therapy corrections.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Diabetic Foot Ulcer Assessment and Management · Pressure Ulcer Prevention and Management · Advanced Sensor and Energy Harvesting Materials

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Biomedical Biological & Chemical Engineering University of Missouri Columbia MO 65211 USA

Department of Materials Science and Engineering University of Connecticut Storrs CT 06269 USA

Center for Bio‐Integrated Electronics Northwestern University Evanston IL 60208 USA

Department of Biomedical Engineering and the Institute of Materials Science University of Connecticut Storrs CT 06269 USA

Department of Mechanical and Aerospace Engineering University of Missouri Columbia MO 65211 USA

Department of Electrical and Computer Engineering University of Connecticut Storrs CT 06269 USA

School of Nursing University of Missouri Columbia MO 65211 USA

Department of Materials Science and Engineering Polymer Program Institute of Materials Science University of Connecticut Storrs CT 06269 USA

References (43)

Show source-provided references
1. 10.1001/jama.296.8.97410.1001/jama.296.8.974 ↗
2. 10.1016/S1553-7250(07)33069-910.1016/S1553-7250(07)33069-9 ↗
3. Al Aboud A. M. · StatPearls · 2021
4. 10.1177/000331971665116610.1177/0003319716651166 ↗
5. 10.1002/dmrr.47610.1002/dmrr.476 ↗
6. Bluestein D. · Am. Fam. Physician · 2008 · 78 · 1186
7. 10.1111/j.1346-8138.1994.tb01786.x10.1111/j.1346-8138.1994.tb01786.x ↗
8. 10.1111/j.1464-5491.2009.02835.x10.1111/j.1464-5491.2009.02835.x ↗
9. 10.1016/j.bios.2006.05.00610.1016/j.bios.2006.05.006 ↗
10. 10.1055/s-2004-81793210.1055/s-2004-817932 ↗
11. Smith A. G. · Continuum (Minneap Minn) · 2012 · 18 · 6010.1212/01.CON.0000411568.34085.3e ↗
12. 10.3390/ma1219316610.3390/ma12193166 ↗
13. 10.1109/LED.2017.278453810.1109/LED.2017.2784538 ↗
14. 10.1016/j.foot.2022.10190910.1016/j.foot.2022.101909 ↗
15. 10.1097/PRS.000000000000268610.1097/PRS.0000000000002686 ↗
16. 10.1177/1932296821107085010.1177/19322968211070850 ↗
17. 10.1159/00048639210.1159/000486392 ↗
18. 10.2337/dc17-258410.2337/dc17-2584 ↗
19. 10.1109/EMBC.2013.661104510.1109/EMBC.2013.6611045 ↗
20. 10.1177/026835551770529210.1177/0268355517705292 ↗
21. 10.1126/scitranslmed.abc432710.1126/scitranslmed.abc4327 ↗
22. Small Force Sensing Resistor FlexiForce A301 Sensor Tekscan www.tekscan.com/products-solutions/force-sensors/a301(accessed: May 2022).
23. Half Inch ThruMode FSR www.sensitronics.com/products-half-inch-thru-mode-fsr.php(accessed: May 2022).
24. Interlink Sensor Technologies www.interlinkelectronics.com/sensor-technologies(accessed: May 2022).
25. 10.1080/03091902.2022.204174810.1080/03091902.2022.2041748 ↗
26. 10.1016/j.surfin.2021.10131010.1016/j.surfin.2021.101310 ↗
27. 10.1038/s41587-019-0045-y10.1038/s41587-019-0045-y ↗
28. 10.2337/diacare.25.10.183510.2337/diacare.25.10.1835 ↗
29. 10.1155/2014/81630710.1155/2014/816307 ↗
30. 10.1038/s41586-019-1234-z10.1038/s41586-019-1234-z ↗
31. 10.3389/fbioe.2020.0018210.3389/fbioe.2020.00182 ↗
32. 10.1097/WON.000000000000088410.1097/WON.0000000000000884 ↗
33. 10.1021/acsnano.9b0203010.1021/acsnano.9b02030 ↗
34. 10.17533/udea.redin.n82a0610.17533/udea.redin.n82a06 ↗
35. 10.1073/pnas.202661011810.1073/pnas.2026610118 ↗
36. 10.1186/1471-2318-5-810.1186/1471-2318-5-8 ↗
37. 10.1177/1687813222109790410.1177/16878132221097904 ↗
38. 10.1186/s12891-021-04437-910.1186/s12891-021-04437-9 ↗
39. 10.1016/j.gaitpost.2011.06.00510.1016/j.gaitpost.2011.06.005 ↗
40. 10.1016/j.snr.2022.10007510.1016/j.snr.2022.100075 ↗
41. 10.1002/adfm.20190147410.1002/adfm.201901474 ↗
42. 10.4081/vl.2018.720410.4081/vl.2018.7204 ↗
43. Partsch H. · Dermatol. Surg. · 2006 · 32 · 224