A Bioelectrically Enabled Smart Bandage for Accelerated Wound Healing and Predictive Monitoring

Abstract

Background and Objectives: Chronic wounds pose a significant healthcare burden due to their prolonged healing times and susceptibility to infection. Electric field (EF)-enabled smart bandages offer a promising solution by combining therapeutic stimulation with real-time physiological monitoring. Materials and Methods: This study assessed a smart bandage integrating spiral stainless steel electrodes delivering a 200 millivolts per millimeter (mV/mm) EF for 5 h daily over 14 days to full-thickness excisional wounds in 100 Sprague–Dawley rats. Vital signs including heart rate (BPM), oxygen saturation (SpO2), and temperature were monitored continuously. Machine learning models were trained on these data to predict wound healing status. Results: By Day 7, EF-treated wounds demonstrated significantly faster healing, achieving an average wound closure rate of 82.0% ± 2.1% compared to 70.75% ± 2.3% in the control group (p 2, while the control group retained a wound size of 0.24 ± 0.03 cm2 (p 98% accuracy, with SHAP (SHapley Additive exPlanations) analysis identifying EF exposure and treatment duration as key predictors. Conclusions: The findings demonstrate that EF-based smart bandages significantly enhance wound healing and enable highly accurate prediction of outcomes through machine learning models. This bioelectronic approach holds strong potential for clinical translation.

Keywords

• wearable technologies
• smart bandage
• wound healing
• electric field therapy
• advanced wound care
• machine learning