Abstract
We describe a new wound dressing technology that can actively generate an inorganic germicide agent, in situ, within the wound pad. The technology provides real time control over the quantitative, spatial and temporal delivery of the germicide. The identity of the germicide is hypochlorous acid (HClO). The HClO is produced in a flexible wound pad, made of a composite of thin (micrometer scale) layers of various materials, with different electrochemical properties that enhance HClO production. Active control over the production of HClO is achieved by control of the pH and of the electric potential across the layers. The effectiveness of the Active HClO Pad (AHClOP) concept is demonstrated in a study on sterilization of E. coli in a deep wound contamination simulating gel. The performance of the AHClOP is compared with that of four commercial wound dressings. Results show that the AHClOP can sterilize throughout the gel, while the commercial dressings cannot.
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D. C. Angus, W. T. Linde-Zwirble, J. Lidicker, G. Clermont, J. Carcillo, M. R. Pinsky, Critical Care Medicine 29(7), 1303 (2001)
J. P. Banerjee, P. Das Ghatak, S. Roy, S. Khanna, E. K. Sequin, K. Bellman, B. C. Dickinson, P. Suri, V. V. Subramaniam, C. J. Chang, C. K. Sen, Plos One 9(3) (2014). doi:10.1371/journal.pone.0089239
J. Boateng, O. Catanzano, Journal of Pharmaceutical Sciences 104(11), 3653 (2015)
P. G. Bowler, B. I. Duerden, D. G. Armstrong, Clin. Microbiol. Rev. 14(2), 244 (2001)
B. D. Brooks, A. E. Brooks, Adv. Drug Deliv. Rev. 78, 14 (2014)
J. Crew, R. Varilla, T. A. Rocas, D. Debabov, L. Wang, A. Najafi, S. A. Rani, R. R. Najafi, M. Anderson, International journal of burns and trauma 2(3), 126 (2012)
S. Dhivya, V. Padma, E. Santhini, BioMedicine 5(4), 24 (2015)
S. Guo, L. A. DiPietro, J. Dent. Res. 89(3), 219 (2010)
B. Healy, A. Freedman, BMJ 332(8), 838 (2006)
R. Hoon, S. A. Rani, R. Najafi, L. Wang, D. Debabov, Wound Repair Regen. 21(2), A27 (2013)
T. C. Horan, M. Andrus, M. A. Dudeck, American Journal of Infection Control 36(5), 309 (2008)
D. Lapenna, D. F. Cuccurullo, General Pharmacology 27(7), 1145 (1996)
T. H. Leung, L. F. Zhang, J. Wang, S. Ning, S. J. Knox, S. K. Kim, Journal of Clinical Investigation 123(12), 5361 (2013)
S. M. McKenna, K. J. Davies, Basic Life Sci. 49, 829 (1988a)
S. M. McKenna, K. J. A. Davies, Biochemical Journal 254(3), 685 (1988b)
N. A. Mehmood, A. Hariz, S. Templeton, N. H. Voelcker, Biomedical engineering online 14(1), 11 (2015). doi:10.1186/s12938-015-0011-y
V. W. L. Ng, J. M. W. Chan, H. Sardon, R. J. Ono, J. M. Garcia, Y. Y. Yang, J. L. Hedrick, Adv. Drug Deliv. Rev. 78, 46 (2014)
M. Phillips, N. Raju, L. Rubinsky, B. Rubinsky, Technology 3(1), 45 (2015a)
M. Phillips, L. Rubinsky, A. Meir, N. Raju, B. Rubinsky, Technology in cancer research & treatment 14(4), 395 (2015b)
M. Pourbaix, Atlas d'equilibres electrochimiques (Gauthier-Villars, 1963)
J. Race, Chlorination of Water (John Wiley&Sons, New York, 1918)
M. Rai, A. Yadav, A. Gade, Biotechnology advances 27(1), 76 (2009)
W. A. Rutala, D. J. Weber, Clinical microbiology reviews 10(4), 597 (1997)
J. B. Selkon, G. W. Cherry, J. M. Wilson, M. A. Hughes, Journal of wound care 15(1), 33 (2006)
C. K. Sen, G. M. Gordillo, S. Roy, R. Kirsner, L. Lambert, T. K. Hunt, F. Gottrup, G. C. Gurtner, M. T. Longaker, Wound Repair and Regeneration 17(6), 763 (2009)
J. L. Smith, A. M. Drennan, T. Rettie, W. Campbell, The British Medical Journal 2(2847), 129 (1915)
R. M. S. Thorn, S. W. H. Lee, G. M. Robinson, J. Greenman, D. M. Reynolds, European Journal of Clinical Microbiology & Infectious Diseases 31(5), 641 (2012)
S. Ud-Din, A. Sebastian, P. Giddings, J. Colthurst, S. Whiteside, J. Morris, R. Nuccitelli, C. Pullar, M. Baguneid, A. Bayat, PLoS one 10(4) (2015). doi:10.1371/journal.pone.0124502
L. Wang, M. Bassiri, R. Najafi, K. Najafi, J. Yang, B. Khosrovi, W. Hwong, E. Barati, B. Belisle, C. Celeri, M. C. Robson, Journal of Burns and Wounds 6, e5 (2007)
S. J. Weiss, New England Journal of Medicine. 320(6), 365 (1989)
C. C. Winterbourn, Toxicology 181, 223 (2002)
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The authors declare a financial interest in RM2 Technologies LTD, a company whose goal is developing the AHClOP technology.
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Rubinsky, L., Patrick, B., Mikus, P. et al. Germicide wound pad with active, in situ, electrolytically produced hypochlorous acid. Biomed Microdevices 18, 26 (2016). https://doi.org/10.1007/s10544-016-0052-4
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DOI: https://doi.org/10.1007/s10544-016-0052-4