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Flexible Wearable Bioadhesive Ultrasound Patch for Synergistic Piezoelectric and Acoustic Stimulation in Diabetic Wound Healing

Objective

Diabetic foot ulcers (DFUs) present serious clinical and socioeconomic challenges, often becoming chronic wounds that raise morbidity and risk of limb loss. Pharmacological treatments face limitations such as drug resistance, poor delivery, and immune complications, emphasizing the urgent need for effective, noninvasive alternatives. Ultrasound, electrostimulation, and photomodulation are FDA-approved, noninvasive options for tissue engineering. To address this, we propose a flexible wearable bioadhesive ultrasound patch (FW-BAUS) designed to actively modulate the DFU microenvironment. FW-BAUS combines a flexible ultrasound patch with dense piezoelectric transducers embedded in a bioadhesive hydrogel composed of piezoelectric poly-L-lactic acid nanofibers (NF-PLLA), chitosan, gelatin methacryloyl (GelMA), α-ketoglutaric acid, and acrylic acid N-hydroxysuccinimide ester (AAc-NHS). The hydrogel’s physical and covalent bonds allow strong yet reversible adhesion to moist skin, while its bioactive components support cell migration, neovascularization, collagen synthesis, and clotting. NF-PLLA nanofibers synergize with the patch’s piezoelectric elements to provide simultaneous mechanical and electrical stimulation. Ultrasound energy converts in situ into localized electric fields at the wound interface through NF-PLLA, while acoustic radiation force delivers mechanical stimuli. This dual stimulation is expected to accelerate diabetic wound healing. Furthermore, NF-PLLA’s intrinsic antibacterial properties, combined with chitosan’s antimicrobial effects and ultrasound-enhanced bacterial sensitivity, offer potent infection defense, aiding the healing process. Electrospinning aligns NF-PLLA nanofibers to maximize piezoelectricity while minimizing processing steps. By integrating biocompatible adhesion, mechanical-electrical stimulation, and antibacterial activity, FW-BAUS offers an innovative, noninvasive platform to accelerate DFU healing and improve clinical outcomes.

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HORIZON-TMA-MSCA-PF-EF - HORIZON TMA MSCA Postdoctoral Fellowships - European Fellowships

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Call for proposal

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(opens in new window) HORIZON-MSCA-2025-PF

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Coordinator

DANMARKS TEKNISKE UNIVERSITET
Net EU contribution

Net EU financial contribution. The sum of money that the participant receives, deducted by the EU contribution to its linked third party. It considers the distribution of the EU financial contribution between direct beneficiaries of the project and other types of participants, like third-party participants.

€ 247 553,28
Address
ANKER ENGELUNDS VEJ 101
2800 KONGENS LYNGBY
Denmark

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Region
Danmark Hovedstaden Københavns omegn
Activity type
Higher or Secondary Education Establishments
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Total cost

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