Significance: Measuring physiological pressures such as lung pressure, brain pressure, eye pressure, etc. is important for monitoring health status, preventing the buildup of dangerous internal forces in impaired organs, and enabling novel approaches of using mechanical stimulation for tissue regeneration. Pressure sensors are often implanted and directly integrated with soft biological systems. Therefore, the devices should be flexible and at the same time biodegradable to avoid invasive removal surgery. Here, we present the study and processing of a biodegradable polymer which can convert mechanical force to electricity, and employ the polymer to develop a biocompatible implanted force sensor. The sensor, relying solely on common medical materials, can monitor important biological forces and eventually self-vanish, causing no harm to the body.

Osteoarthritis affects millions of people worldwide but current treatments using analgesics or anti-inflammatory drugs only alleviate symptoms of this disease. Here, we present an injectable, biodegradable piezoelectric hydrogel, made of short electrospun poly-L-lactic acid nanofibers embedded inside a collagen matrix, which can be injected into the joints and self-produce localized electrical cues under ultrasound activation to drive cartilage healing. In vitro, data shows that the piezoelectric hydrogel with ultrasound can enhance cell migration and induce stem cells to secrete TGF-β1, which promotes chondrogenesis. In vivo, the rabbits with osteochondral critical-size defects receiving the ultrasound-activated piezoelectric hydrogel show increased subchondral bone formation, improved hyaline-cartilage structure, and good mechanical properties, close to healthy native cartilage. This piezoelectric hydrogel is not only useful for cartilage healing but also potentially applicable to other tissue regeneration, offering a significant impact on the field of regenerative tissue engineering.

A biodegradable piezoelectric scaffold excited by exercise promotes chondrogenesis and cartilage regeneration in rabbit osteochondral defects.

Significance: This paper describes a powerful biodegradable and biocompatible piezoelectric nanofiber platform for significant medical implant applications, including a highly sensitive, wireless, biodegradable force sensor for the monitoring of physiological pressures, and a biodegradable ultrasonic transducer for the delivery of drugs across the blood–brain barrier. Built upon materials commonly utilized in medical implants, the devices can self-degrade, causing no harm to the body, and avoid any invasive removal surgeries.