한빛사논문
Seung-Rok Kima,1, Soyeon Leea,b,1, Jihee Kimc,d,e,1, Eunbin Kimc,d, Hye-Jun Kila, Ju-Hyun Yooa, Je-Heon Oha, Jiwan Jeona, Ey-In Leea, Jun-Woo Jeona, Kun-Hoo Jeona, Ju Hee Leec,d, Jin-Woo Parka,b
aDepartment of Materials Science and Engineering, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea
bAsen Company, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea
cDepartment of Dermatology, Severance Hospital, Cutaneous Biology Research Institute, College of Medicine, Yonsei University, Seoul, 03722, South Korea
dScar Laser and Plastic Surgery Center, Yonsei Cancer Hospital, College of Medicine, Yonsei University, Seoul, 03722, South Korea
eDepartment of Dermatology, Yongin Severance Hospital, Yongin, 16995, South Korea
1 These authors contributed equally.
Corresponding authors: Ju Hee Lee; Jin-Woo Park
Abstract
Monitoring biosignals at the skin interface is necessary to suppress the potential for decubitus ulcers in immobile patients confined to bed. We develop conformally contacted, disposable, and breathable fabric-based electronic devices to detect skin impedance, applied pressure, and temperature, simultaneously. Based on the experimental evaluation of the multifunctional sensors, a combination of robust AgNW electrodes, soft ionogel capacitive pressure sensor, and resistive temperature sensor on fabric provides alarmed the initiation of early-stage decubitus ulcers without signal distortion under the external stimulus. For clinical verification, an animal model is established with a pair of magnets to mimic a human decubitus ulcers model in murine in vivo. The evidence of pressure-induced ischemic injury is confirmed with the naked eye and histological and molecular biomarker analyses. Our multifunctional integrated sensor detects the critical time for early-stage decubitus ulcer, establishing a robust correlation with the biophysical parameters of skin ischemia and integrity, including temperature and impedance.
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