Smart battery-free and wireless bioelectronic platform based on a nature-skin-derived organohydrogel for chronic wound diagnosis, assessment, and accelerated healing

Using smart electroactive hydrogels with emerging bioelectronics to monitor wound status wirelessly in real-time is a promising approach as an unremitting therapy for refractory chronic wounds. Based on a natural skin -derived organohydrogel (SGC@MA-Gel) triboelectric nanogenerator, a bioresorbable, battery-free, and wire-less smart wound treatment bioelectronic system for pharmacological treatment, nanogenerator-driven elec-trostimulation, and visual wound condition assessment was engineered in this study. The inherent hierarchical architecture and origins of natural skin, in tandem with the substantial loading capabilities of collagen-based biomaterials, endowed SGC@MA-Gel with favorable characteristics. These included mechanical and adhesive robustness, electrical conductivity, antibacterial properties, controlled on-demand drug release capabilities, and human physiological signal monitoring performance. The customizable bioelectronic system, developed in-house, employs a single-electrode triboelectric nanogenerator, which facilitates skin wound healing via elec-trostimulation. Consequently, the system's biosensors can simultaneously measure glucose, uric acid, and pH at wound sites, thereby enabling accurate wound diagnosis and real-time assessment. This system accelerates cell proliferation and wound healing in vitro and in vivo, which validates its effectiveness in chronic wound treat-ment. The results demonstrated that the smart wound treatment bioelectronic system could provide a facile therapeutic strategy to assist with integrated wound monitoring, diagnosis, and therapy for hospitalized patients and those recovering at home.