wound08 yurt

Upload: erick-james-lagleva

Post on 14-Apr-2018

230 views

Category:

Documents


0 download

TRANSCRIPT

  • 7/27/2019 Wound08 Yurt

    1/32

    Wound Healing, Tissue

    Engineering and New Materials

    Roger W. Yurt, M.D.

    William Randolph Hearst BurnCenter

  • 7/27/2019 Wound08 Yurt

    2/32

    Burn Center

    Clinical care of burn injured patients

    including smoke inhalation and carbon

    monoxide poisoning

    Clinical care of patients with acute and

    chronic woundseg, purpura fulminans

    Clinical care of patients with exfoliatingskin disease - TENS

  • 7/27/2019 Wound08 Yurt

    3/32

    Skin bank

  • 7/27/2019 Wound08 Yurt

    4/32

    HyperbaricOxygen Program

  • 7/27/2019 Wound08 Yurt

    5/32

    (Full thickness)

    (Partial thickness)

    Superficial

    Deep

  • 7/27/2019 Wound08 Yurt

    6/32

  • 7/27/2019 Wound08 Yurt

    7/32

  • 7/27/2019 Wound08 Yurt

    8/32

  • 7/27/2019 Wound08 Yurt

    9/32

    Wound Closure

    Life-saving - large surface areas, closure

    ASAP

    Cosmetic - life time deficits/defects

    Functionjoint, tactile, sight, oral

  • 7/27/2019 Wound08 Yurt

    10/32

    Life-saving

    Excise &Autograft

    Recrop Autograft

    Excise & Allograft

    Excise & Allograft

    Recrop Autograft

  • 7/27/2019 Wound08 Yurt

    11/32

    Life-saving

    Excise &Autograft

    Recrop Autograft

    Excise & Integra

    Excise & Allograft

    Recrop Autograft

  • 7/27/2019 Wound08 Yurt

    12/32

  • 7/27/2019 Wound08 Yurt

    13/32

  • 7/27/2019 Wound08 Yurt

    14/32

  • 7/27/2019 Wound08 Yurt

    15/32

  • 7/27/2019 Wound08 Yurt

    16/32

  • 7/27/2019 Wound08 Yurt

    17/32

  • 7/27/2019 Wound08 Yurt

    18/32

  • 7/27/2019 Wound08 Yurt

    19/32

    Collaboration with School of Chemical

    and Biomolecular Engineering Abraham Stroock

    Microfluidic wound dressings

    Cabodi M et al J. Biomedical Materials

    Research

  • 7/27/2019 Wound08 Yurt

    20/32

    ConceptActive Dressing

    hydration

    sanitation

    drug delivery

    gene delivery

    diagnostics

    patient profiling

    biochemical

    analysis

    biochemical regulation

    mechanical stimulation

    perfusion of tissue

    vapor barrier

    mechanical barrier

    wound bed

    flow

    Inputs Outputs

    Interface

    Dressing

  • 7/27/2019 Wound08 Yurt

    21/32

    Technical Approach: Soft Lithographysilicone

    micro-molding

    release

    sealing

    fluidic connections

    monomer

    polymerizationmicro-mold

    release

    photo-patterning

    UV light

  • 7/27/2019 Wound08 Yurt

    22/32

    Model System

  • 7/27/2019 Wound08 Yurt

    23/32

    Extraction

    FunctionExtraction

  • 7/27/2019 Wound08 Yurt

    24/32

    Delivery

    FunctionDelivery

  • 7/27/2019 Wound08 Yurt

    25/32

    Prototype Active Wound Dressing

  • 7/27/2019 Wound08 Yurt

    26/32

    Collaboration with College of Human

    Ecology C.C. Chu

    Department of Fiber Science and Apparel

    Design

  • 7/27/2019 Wound08 Yurt

    27/32

    Newly Invented Biodegradable

    Biomaterials: Poly(ester-amide) (PEA)

    C (CH2)4

    O

    C NH CH C

    O O

    CH2CH(CH3)2

    O (CH2)6 O C CH

    O

    CH2CH(CH3)2

    NH C

    O

    (CH2)4 C

    O

    NH (CH2)4 CH

    COOH

    NH

    0.75 0.25

    Adipic acid L-Leucine 1,6-HexanediolL-Leucine Adipic acid L-Lysine n

    Load

    (g)

    Strain

    (%)

    Stress

    (Kg/mm2)

    Modulus

    (Kg/mm2)

    Toughness

    (Kg-mm)

    GJ-X 133.1 5.2 881.879.9 0.10480.0041 1.5900.449 1.02100.1354

    C. C. Chu, et al., US Patent 6,503,538, January 7, 2003

    An example of PEA:

    An elastomer: biodegradable rubber band

    amino acids as main building blocks

  • 7/27/2019 Wound08 Yurt

    28/32

  • 7/27/2019 Wound08 Yurt

    29/32

    SEM Image of 3D Microporous

    PEA Fibrous Structure

    PEA control (no GN) PEA w/ GN loaded

    Fiber diameter: 1/1003/100 of human hair

  • 7/27/2019 Wound08 Yurt

    30/32

    Collaboration with the Department of

    Biomedical Engineering

    Moonsoo Jin, C.C. Chu

    A novel growth factor and matrix mimetic-enhanced biodegradable scaffold for skin

    tissue engineering

  • 7/27/2019 Wound08 Yurt

    31/32

    Collaboration with the Department of

    Biomedical Engineering

    Recently funded seed grant

    Jingrowth factors, matrix-mimeticproduction, conjugation and cell culture

    Chu3 dimensional PEA scaffold design

    and fabrication Burn Centeranimal laboratory and

    clinical application

  • 7/27/2019 Wound08 Yurt

    32/32

    Burn Research Team

    Palmer Q. Joe Bessey, M.D.

    Joe Turkowski, M.D.

    Suzanne Schwartz, M.D.

    Research co-ordinators:

    Nicole Alden, RN, MPH

    Angela Rabbitts, RN, MS