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Empa researcher Simon Annaheim is working to develop a mattress for newborn babies. Image: Empa
11.03.2024

Medical textiles and sensors: Smart protection for delicate skin

Skin injuries caused by prolonged pressure often occur in people who are unable to change their position independently – such as sick newborns in hospitals or elderly people. Thanks to successful partnerships with industry and research, Empa scientists are now launching two smart solutions for pressure sores.

If too much pressure is applied to our skin over a long period of time, it becomes damaged. Populations at high risk of such pressure injuries include people in wheelchairs, newborns in intensive care units and the elderly. The consequences are wounds, infections and pain.

Skin injuries caused by prolonged pressure often occur in people who are unable to change their position independently – such as sick newborns in hospitals or elderly people. Thanks to successful partnerships with industry and research, Empa scientists are now launching two smart solutions for pressure sores.

If too much pressure is applied to our skin over a long period of time, it becomes damaged. Populations at high risk of such pressure injuries include people in wheelchairs, newborns in intensive care units and the elderly. The consequences are wounds, infections and pain.

Treatment is complex and expensive: Healthcare costs of around 300 million Swiss francs are incurred every year. "In addition, existing illnesses can be exacerbated by such pressure injuries," says Empa researcher Simon Annaheim from the Biomimetic Membranes and Textiles laboratory in St. Gallen. According to Annaheim, it would be more sustainable to prevent tissue damage from occurring in the first place. Two current research projects involving Empa researchers are now advancing solutions: A pressure-equalizing mattress for newborns in intensive care units and a textile sensor system for paraplegics and bedridden people are being developed.

Optimally nestled at the start of life
The demands of our skin are completely different depending on age: In adults, the friction of the skin on the lying surface, physical shear forces in the tissue and the lack of breathability of textiles are the main risk factors. In contrast, the skin of newborns receiving intensive care is extremely sensitive per se, and any loss of fluid and heat through the skin can become a problem. "While these particularly vulnerable babies are being nursed back to health, the lying situation should not cause any additional complications," says Annaheim. He thinks conventional mattresses are not appropriate for newborns with very different weights and various illnesses. Annaheim's team is therefore working with researchers from ETH Zurich, the Zurich University of Applied Sciences (ZHAW) and the University Children's Hospital Zurich to find an optimal lying surface for babies' delicate skin. This mattress should be able to adapt individually to the body in order to help children with a difficult start in life.

In order to do this, the researchers first determined the pressure conditions in the various regions of the newborn's body. "Our pressure sensors showed that the head, shoulders and lower spine are the areas with the greatest risk of pressure sores," says Annaheim. These findings were incorporated into the development of a special kind of air-filled mattress: With the help of pressure sensors and a microprocessor, its three chambers can be filled precisely via an electronic pump so that the pressure in the respective areas is minimized. An infrared laser process developed at Empa made it possible to produce the mattress from a flexible, multi-layered polymer membrane that is gentle on the skin and has no irritating seams.

After a multi-stage development process in the laboratory, the first small patients were allowed to lie on the prototype mattress. The effect was immediately noticeable when the researchers filled the mattress with air to varying degrees depending on the individual needs of the babies: Compared to a conventional foam mattress, the prototype reduced the pressure on the vulnerable parts of the body by up to 40 percent.

Following this successful pilot study, the prototype is now being optimized in the Empa labs. Simon Annaheim and doctoral student Tino Jucker will soon be starting a larger-scale study with the new mattress with the Department of Intensive Care Medicine & Neonatology at University Children's Hospital Zurich.

Intelligent sensors prevent injuries
In another project, Empa researchers are working on preventing so-called pressure ulcer tissue damage in adults. This involves converting the risk factors of pressure and circulatory disorders into helpful warning signals.

If you lie in the same position for a long time, pressure and circulatory problems lead to an undersupply of oxygen to the tissue. While the lack of oxygen triggers a reflex to move in healthy people, this neurological feedback loop can be disrupted in people with paraplegia or coma patients, for example. Here, smart sensors can help to provide early warning of the risk of tissue damage.

In the ProTex project, a team of researchers from Empa, the University of Bern, the OST University of Applied Sciences and Bischoff Textil AG in St. Gallen has developed a sensor system made of smart textiles with associated data analysis in real time. "The skin-compatible textile sensors contain two different functional polymer fibers," says Luciano Boesel from Empa's Biomimetic Membranes and Textiles laboratory in St. Gallen. In addition to pressure-sensitive fibers, the researchers integrated light-conducting polymer fibers (POFs), which are used to measure oxygen. "As soon as the oxygen content in the skin drops, the highly sensitive sensor system signals an increasing risk of tissue damage," explains Boesel. The data is then transmitted directly to the patient or to the nursing staff. This means, for instance, that a lying person can be repositioned in good time before the tissue is damaged.

Patented technology
The technology behind this also includes a novel microfluidic wet spinning process developed at Empa for the production of POFs. It allows precise control of the polymer components in the micrometer range and smoother, more environmentally friendly processing of the fibers. The microfluidic process is one of three patents that have emerged from the ProTex project to date.

Another product is a breathable textile sensor that is worn directly on the skin. The spin-off Sensawear in Bern, which emerged from the project in 2023, is currently pushing ahead with the market launch. Empa researcher Boesel is also convinced: "The findings and technologies from ProTex will enable further applications in the field of wearable sensor technology and smart clothing in the future."

Source:

Dr. Andrea Six, Empa

Better Manufacturing Method for Wound Closures (c) Wilson College of Textiles
03.01.2024

Better Manufacturing Method for Wound Closures

If you’ve ever gotten stitches or had surgery, you may have had a suture. They’re the threads used to close wounds or join tissues together for other purposes.

But did you know that there are different types of sutures which can have an effect on your experience at the doctor or surgeon’s office?

Barbed sutures, for example, can reduce the amount of time you spend on the operating table and lower the likelihood of surgical complications. That type of suture has its roots in the Triangle and is being advanced by students and faculty at the Wilson College of Textiles.

Dr. Gregory Ruff, a nationally-renowned plastic surgeon, first invented the innovative closure in 1991, just down the road in Chapel Hill, North Carolina.

“I was thinking about the fact that we sew wounds together with a loop and a knot and if you tie it too tight, it can constrict the circulation and kill the tissue in that loop,” Dr. Ruff remembers.

If you’ve ever gotten stitches or had surgery, you may have had a suture. They’re the threads used to close wounds or join tissues together for other purposes.

But did you know that there are different types of sutures which can have an effect on your experience at the doctor or surgeon’s office?

Barbed sutures, for example, can reduce the amount of time you spend on the operating table and lower the likelihood of surgical complications. That type of suture has its roots in the Triangle and is being advanced by students and faculty at the Wilson College of Textiles.

Dr. Gregory Ruff, a nationally-renowned plastic surgeon, first invented the innovative closure in 1991, just down the road in Chapel Hill, North Carolina.

“I was thinking about the fact that we sew wounds together with a loop and a knot and if you tie it too tight, it can constrict the circulation and kill the tissue in that loop,” Dr. Ruff remembers.

“I was thinking about animals, and a porcupine’s quill came to mind. And the aha moment was, ‘What if we put a quill on one side of the wound and another one on the other side of the wound, so there’s no loop: the barbs go in but they don’t come out?’”

As the name suggests, barbed sutures have small projections shooting out of them that can latch onto tissues: think about barbed wire or a fishing hook. Those “quills,” or barbs, allow the suture to self-anchor. Since no knot is needed to secure the suture, the closure is faster, and the lack of knots and constricting loops promotes healing. This also allows surgeons to schedule more surgeries.

Soon after his aha moment, Dr. Ruff started his own company, Quill Medical, to fabricate these barbed sutures. While he had the medical expertise and a solid business partner, Dr. Ruff was looking for someone who could advise him in terms of the material makeup of the suture. The Wilson College’s Biomedical Textile Research Group, under the direction of Professor Martin King, quickly proved to be the perfect partner.

Using the Wilson College’s labs, King’s graduate students conducted a number of tests on Ruff’s sutures across different types of tissues (such as skin, muscle, etc.). One of those students, Nilesh Ingle, found that the barbed sutures worked best when the angles of the barbs were tailored specifically to the type of tissue being sutured.

Years later, one of King’s current graduate students is building on that research insight.
 
Understanding challenges and innovating solutions
Nearly three decades after the barbed suture’s invention, the majority of surgeons still use conventional sutures despite the advantages documented by researchers and surgeons. Why?

Karuna Nambi Gowri, a fiber and polymer science doctoral student in King’s research group, says it comes down to two reasons. The first of these is resistance to change. Most practicing surgeons learned how to use a suture before barbed sutures became more broadly available.

The second obstacle to the use of barbed sutures is procuring them. Barbed sutures tend to be both expensive and low in supply. That’s because the current process for making them (mechanical and blade-based) is inefficient in terms of both time and resources.

That’s where Nambi Gowri’s research with the Wilson College’s Biomedical Textiles Research Group comes in. She’s developing a faster and cheaper method for making the same quality of barbed suture.

“If I fabricate using a laser, the fabrication time is pretty short compared to a mechanical barbing technique,” Nambi Gowri says.

Moving from a mechanical method to a laser method has another advantage.

“The manipulation of the barbed suture itself is easier using a laser,” she says.

In other words, using the lasers will allow Nambi Gowri to apply the custom barb geometries, or angles, suggested by prior researchers on a commercial scale. These custom geometries will allow the barbed suture to be optimized for the type of tissue it will be connecting.

In addition to the new process, Nambi Gowri is also developing a new suture.

“I’m the first one to actually study Catgut barbed sutures,” she explains.

Catgut was actually one of the earliest materials used to make sutures. The filament is made from tissue taken from an animal’s stomach – especially cattle stomachs – hence the name. While the industry had moved away from this material in favor of synthetic polymers, Nambi Gowri sees the potential for Catgut in barbed sutures because of their quick degradation rate.

“These are useful external wound closures,” she says. “Because our body contains so much collagen and Catgut is made up of 90% collagen, it’s a more suitable polymer that can be used in human tissue.”

Hands-on experience informs research
In the meantime, Nambi Gowri has gained hands-on experience to inform her research by fabricating all of the barbed sutures used in Dr. Ruff’s micro facelift surgeries.

The surgery itself is made possible because of the shape and the material composition of the sutures: poly 4-hydroxybutyrate (P4HB). This polymer is already present naturally within our bodies, so sutures made from P4HB are naturally and safely absorbed by the body over time. That means patients don’t have to schedule an appointment after surgery for the sutures to be removed.
 
P4HB also provides the perfect combination of strength and elasticity to hold up the facial tissue until the wound has healed. The barbs, on the other hand, allow for the suture to be placed and stay secure within the skin without the need for large incisions.

“That skin tightens up right away,” Dr. Ruff says of the procedure, which draws patients from across the country. “So I don’t have to remove hair, and I don’t have to put a scar at the hairline.”

“These sutures are not available commercially anywhere in the world. So, to be able to mechanically barb different size sutures in a reliable and consistent manner for use in clinical practice, requires skill, experience and knowledge of quality control,” Professor King says of Nambi Gowri’s work.

This has given Karuna a hands-on understanding of the sutures she’s hoping to improve upon.

She says her fiber and polymer science knowledge has played a key role in helping her approach all sides of her research.

“All the analytical characterization techniques that are used for characterization of sutures – like identifying mechanical properties and measuring tensile strength – is actually from my knowledge of textiles,” she says. “I’m applying my polymer chemistry knowledge  to make sure that the laser doesn’t cause the sutures to degrade, melt or experience thermal damage.”

What’s next?
As she works to patent her designs, Nambi Gowri feels confident that her dissertation will set her up for success in the research and development (R&D) field after graduation.

In the meantime, she’s already finding out about the ways her research can have a broader impact.

“Dr. Dan Duffy, DVM, a surgeon at the NC State College of Veterinary Medicine is also interested in using barbed sutures to repair torn and failed tendons on his animals, but he finds the cost of buying commercial barbed sutures prohibitively expensive. So we need to collaborate,” King says. “Karuna to the rescue!”

Source:

North Carolina State University, Sarah Stone

Silk Provides the Building Blocks to Transform Modern Medicine Photo: Jenna Schad
31.10.2023

Silk Provides the Building Blocks to Transform Modern Medicine

Tufts researchers harness protein from silk to make virus-sensing gloves, surgical screws that dissolve in your body, and other next-generation biomedical materials

About a mile northwest of Tufts’ Medford/Somerville campus, on the fourth floor of a refurbished woolen factory, there is a shrine to silk. Glass vases filled with silkworm cocoons and washed silk fibers sit artfully on a shelf across from a colorful drawing of the life cycle of Bombyx mori, the domesticated silk moth. Farther in, more cocoons in wall-mounted cases border a large, close-up image of silk fibers, and displays hold dozens of prototypes made from silk, including smart fabrics, biosensors, a helmet that changes color upon impact, and potential replacements for materials like leather, plastic, and particle board.

Tufts researchers harness protein from silk to make virus-sensing gloves, surgical screws that dissolve in your body, and other next-generation biomedical materials

About a mile northwest of Tufts’ Medford/Somerville campus, on the fourth floor of a refurbished woolen factory, there is a shrine to silk. Glass vases filled with silkworm cocoons and washed silk fibers sit artfully on a shelf across from a colorful drawing of the life cycle of Bombyx mori, the domesticated silk moth. Farther in, more cocoons in wall-mounted cases border a large, close-up image of silk fibers, and displays hold dozens of prototypes made from silk, including smart fabrics, biosensors, a helmet that changes color upon impact, and potential replacements for materials like leather, plastic, and particle board.

The only things missing are the silkworms themselves, but Fiorenzo Omenetto, the director of Silklab and the Frank C. Doble Professor of Engineering at Tufts, said they will be arriving soon. The lab is building a terrarium so that visitors can view the animals.
“We’re going to have a celebration of silkworms and moths,” Omenetto said.

Silk has been cultivated and harvested for thousands of years. It is best known for the strong, shimmering fabric that can be woven from its fibers, but it also has a long history of use in medicine to dress injuries and suture wounds. At Silklab, Omenetto and his colleagues are building on silk’s legacy, proving that this ancient fiber could help create the next generation of biomedical materials.

Silk moth caterpillars, known as silkworms, extrude a single sticky strand of silk from their mouths to form cocoons, which are harvested by silk farmers to make silk thread. At its core, silk is a mixture of two proteins: fibroin, which provides the fiber’s structure, and sericin, which binds it together. With a few steps in the lab, Tufts researchers can remove the sericin and dissolve the fibers, turning a dry cocoon into a fibroin-filled liquid.

“Nature builds structural proteins that are very tough and very strong,” Omenetto said. “Your bricks are these fibroin proteins floating in water. From there, you can build whatever you want.”
Starting with shipments of dried cocoons from silk farms, Omenetto and his colleagues have been able to create gels, sponges, clear plastic-like sheets, printable inks, solids that look like amber, dippable coatings, and much more.

“Each of the materials that you make can contain all these different functions, and there’s only 24 hours in a day,” Omenetto said with a laugh. “This is why I don’t sleep.”

Biocompatible and Biodegradable
When Omenetto arrived at Tufts almost two decades ago, his research was focused on lasers and optics—silk wasn’t in the picture. But a chance conversation with David Kaplan, the Stern Family Professor of Engineering and chair of the biomedical engineering department, set him on a new path.

Kaplan, who has been working with silk since the early ’90s, was designing a silk scaffold that would help rebuild a person’s cornea, allowing cells to grow between the layers. He needed a way to ensure that the growing cells would have enough oxygen and showed the small, transparent sheet to Omenetto, who was immediately intrigued by the material. Omenetto was able to use his lab’s lasers to put tiny holes in Kaplan’s silk cornea. More collaborations quickly followed.
“We’ve worked together incessantly since then,” Kaplan said.

One of those lines of research has been finding ways to use silk to help repair and regrow bone, blood vessels, nerves, and other tissue. Silk is biocompatible, meaning it doesn’t cause harm in the body and breaks down in predictable ways. With the right preparation, silk materials can provide necessary strength and structure while the body is healing.

“You can mold and shape silk to whatever you need, and it will hold that volume while the native tissue regrows into the space and the silk material degrades,” Kaplan said. “Eventually it’s 100 percent gone, and you’re back to your normal tissue.”

Some of this work has already been approved for use by the U.S. Food and Drug Administration. A company called Sofregen, which spun out of Kaplan and Omenetto’s research, is using an injectable silk-based gel to repair damaged vocal cords, the tissues that regulate air flow and help us speak.

On their own, sturdy silk structures can keep their size, shape, and function for years before degrading. But in some instances, such as those involving surgical screws and plates intended for use in rapidly growing children, this pace would be too slow. The researchers had to find a way to speed up the time it takes for dense silk biomaterials to break down. They introduced an enzyme that our bodies produce naturally into the silk to hasten the breakdown process. The idea is that the enzyme would sit dry and inactive within the silk device until the structure is installed in a person, then the device would hydrate and activate the enzyme to digest the material more rapidly.

“We can titer in just the right amount of enzyme to make a screw go away in a week, a month, a year,” Kaplan said. “We have control over the process.”

Currently, Kaplan and his lab are working on other small, degradable medical devices that would help cut down on the number of surgeries that patients need. Ear tubes, for example, are often surgically implanted to help alleviate chronic ear infections and then need to be surgically removed. Kaplan and his colleagues have designed silk-based ear tubes that degrade on their own and can even carry antibiotics.

“As someone with a daughter who went through six surgeries on her ear, I know how helpful this could be,” Kaplan said.

Source:

Laura Castañón, Tufts University, Massachusetts USA

Researchers made shape-changing fibers by encapsulating a balloon-like tube in a braided textile sheath. (c) : Muh Amdadul Hoque. Researchers made shape-changing fibers by encapsulating a balloon-like tube in a braided textile sheath.
27.09.2023

Artificial Muscle Fibers Could Serve as Cell Scaffolds

In two new studies, North Carolina State University researchers designed and tested a series of textile fibers that can change shape and generate force like a muscle. In the first study, the researchers focused on the materials’ influence on the artificial muscles’ strength and contraction length. The findings could help researchers tailor the fibers for different applications.

In the second, proof-of-concept study, the researchers tested their fibers as scaffolds for live cells. Their findings suggest the fibers – known as “fiber robots” – could potentially be used to develop 3D models of living, moving systems in the human body.

In two new studies, North Carolina State University researchers designed and tested a series of textile fibers that can change shape and generate force like a muscle. In the first study, the researchers focused on the materials’ influence on the artificial muscles’ strength and contraction length. The findings could help researchers tailor the fibers for different applications.

In the second, proof-of-concept study, the researchers tested their fibers as scaffolds for live cells. Their findings suggest the fibers – known as “fiber robots” – could potentially be used to develop 3D models of living, moving systems in the human body.

“We found that our fiber robot is a very suitable scaffold for the cells, and we can alter the frequency and contraction ratio to create a more suitable environment for cells,” said Muh Amdadul Hoque, graduate student in textile engineering, chemistry and science at NC State. “These were proof-of concept studies; ultimately, our goal is to see if we can study these fibers as a scaffold for stem cells, or use them to develop artificial organs in future studies.”
 
Researchers made the shape-changing fibers by encapsulating a balloon-like tube, made of a material similar to rubber, in a braided textile sheath. Inflating the interior balloon with an air pump makes the braided sheath expand, causing it to shorten.

The researchers measured the force and contraction rates of fibers made from different materials in order to understand the relationship between material and performance. They found that stronger, larger diameter yarns generated a stronger contraction force. In addition, they found that the material used to make the balloon impacted the magnitude of the contraction and generated force.
 
“We found that we could tailor the material properties to the required performance of the device,” said Xiaomeng Fang, assistant professor of textile engineering, chemistry and science at NC State. “We also found that we can make this device small enough so we can potentially use it in fabric formation and other textile applications, including in wearables and assistive devices.”
 
In a follow-up study, researchers evaluated whether they could use the shape-changing fibers as a scaffold for fibroblasts, a cell type found in connective tissues that help support other tissues or organs.

“The idea with stretching is to mimic the dynamic nature of how your body moves,” said Jessica Gluck, assistant professor of textile engineering, chemistry and science at NC State, and a study co-author.

They studied the cells’ response to the motion of the shape-changing fibers, and to different materials used in the fibers’ construction. They found the cells were able to cover and even penetrate the fiber robot’s braiding sheath. However, they saw decreases in the cells’ metabolic activity when the fiber robot’s contraction extended beyond a certain level, compared to a device made of the same material that they kept stationary.

The researchers are interested in building on the findings to see if they could use the fibers as a 3D biological model, and to investigate whether movement would impact cell differentiation. They said their model would be an advance over other existing experimental models that have been developed to show cellular response to stretching and other motion, since they can only move in two dimensions.
 
“Typically, if you want to add stretch or strain on cells, you would put them onto a plastic dish, and stretch them in one or two directions,” Gluck said. “In this study, we were able to show that in this 3D dynamic culture, the cells can survive for up to 72 hours.

“This is particularly useful for stem cells,” Gluck added. “What we could do in the future is look at what could happen at the cellular level with mechanical stress on the cells. You could look at muscle cells and see how they’re developing, or see how the mechanical action would help differentiate the cells.”

The study, “Effect of Material Properties on Fiber-Shaped Pneumatic Actuators Performance” was published in Actuators on March 18. Emily Petersen was a co-author. The study was funded by start-up funding awarded to Fang from the Department of Textile Engineering, Chemistry and Science at NC State.

The study, “Development of a Pneumatic-Driven Fiber-Shaped Robot Scaffold for Use as a Complex 3D Dynamic Culture System” was published online in Biomimetics on April 21. In addition to Gluck, Hoque and Fang, co-authors included Nasif Mahmood, Kiran M. Ali, Eelya Sefat, Yihan Huang, Emily Petersen and Shane Harrington. The study was funded by the NC State Wilson College of Textiles, the Department of Textile Engineering, Chemistry and Science and the Wilson College of Textiles Research Opportunity Seed Fund Program.

Source:

North Carolina State University, Laura Oleniacz. Übersetzung Textination

(c) NC State
07.08.2023

Wearable Connector Technology - Benefits to Military, Medicine and beyond

What comes to mind when you think about “wearable technology?” In 2023, likely a lot, at a time when smartwatches and rings measure heart rates, track exercise and even receive text messages. Your mind might even drift to that “ugly” light-up sweater or costume you saw last Halloween or holiday season.

At the Wilson College of Textiles, though, researchers are hard at work optimizing a truly new-age form of wearable technology that can be proven useful in a wide range of settings, from fashion and sports to augmented reality, the military and medicine.

Currently in its final stages, this grant-funded project could help protect users in critical situations, such as soldiers on the battlefield and patients in hospitals, while simultaneously pushing the boundaries of what textiles research can accomplish.

What comes to mind when you think about “wearable technology?” In 2023, likely a lot, at a time when smartwatches and rings measure heart rates, track exercise and even receive text messages. Your mind might even drift to that “ugly” light-up sweater or costume you saw last Halloween or holiday season.

At the Wilson College of Textiles, though, researchers are hard at work optimizing a truly new-age form of wearable technology that can be proven useful in a wide range of settings, from fashion and sports to augmented reality, the military and medicine.

Currently in its final stages, this grant-funded project could help protect users in critical situations, such as soldiers on the battlefield and patients in hospitals, while simultaneously pushing the boundaries of what textiles research can accomplish.

“The goals set for this research are quite novel to any other literature that exists on wearable connectors” says Shourya Dhatri Lingampally, Wilson College of Textiles graduate student and research assistant involved in the project alongside Wilson College Associate Professor Minyoung Suh.

Ongoing since the fall of 2021, Suh and Lingampally’s work focuses on textile-integrated wearable connectors, a unique, high-tech sort of “bridge” between flexible textiles and external electronic devices. At its essence, the project aims to improve these connectors’ Technology Readiness Level — a key rating used by NASA and the Department of Defense used to assess a particular technology’s maturity.

To do this, Lingampally and her colleagues’ research examines problems that have, in the past, affected the performance of wearable devices.

Sure, these advances may benefit fashion, leading to eccentric shirts, jackets, or accessories — “to light up or change its color based on the wearer’s biometric data,” Lingampally offers — the research has roots in a much deeper mission.

Potential benefits to military, medicine and beyond
The project is funded through more than $200,000 in grant money from Advanced Functional Fabrics of America (AFFOA), a United States Manufacturing Innovation Institute (MII) located in Cambridge, Massachusetts. The mission of AFFOA is to support domestic manufacturing capability to support new technical textile products, such as textile-based wearable technologies.

A key purpose of the research centers around improving the functionality of wearable monitoring devices with which soldiers are sometimes outfitted to monitor the health and safety of their troops remotely.

Similar devices allow doctors and other medical personnel to remotely monitor the health of patients even while away from the bedside.

Though such technology has existed for years, it’s too often required running wires and an overall logistically-unfriendly design. That could soon change.

“We have consolidated the electronic components into a small snap or buckle, making the circuits less obtrusive to the wearer,” Lingampally says, explaining the team’s innovations, which include 3D printing the connector prototypes using stereolithography technology.

“We are trying to optimize the design parameters in order to enhance the electrical and mechanical performance of these connectors,” she adds.

To accomplish their goals, the group collaborated with NC State Department of Electrical and Computer Engineering Assistant Research Professor James Dieffenderfer. The team routed a variety of electrical connections and interconnects like conductive thread, epoxy and solder through textile materials equipped with rigid electronic devices.

They also tested the components for compatibility with standard digital device connections like USB 2.0 and I2C.

Ultimately, Lingampally hopes their work will make wearable technology not only easier and more comfortable to use, but available at a lower price, too.

“I would like to see them scaled, to be mass manufactured, so they can be cost efficient for any industry to use,” she explains.

In a bigger-picture sense, though, her team’s work is reinforcing the far-reaching boundaries of what smart textile research can accomplish; a purpose that stretches far beyond fashion or comfort.

Pushing the boundaries of textiles research
Suh and Lingampally’s work is just the latest breakthrough research originating from the Wilson College of Textiles that’s aimed at solving critical problems in the textile industry and beyond.

“The constant advancements in technology and materials present immense potential for the textile industry to drive positive change across a range of fields from fashion to healthcare and beyond,” Lingampally, a graduate student in the M.S. Textiles program, says, noting the encouragement she feels in her program to pursue innovation and creativity in selecting and advancing her research.

Additionally, in the fiber and polymer science doctoral program, which Suh does research with, candidates focus their research on a seemingly endless array of STEM topics, ranging from forensics to medical textiles, nanotechnology and, indeed, smart wearable technology (just to name a few).

In this case, Suh says, the research lent itself to “unexpected challenges” that required intriguing adaptations “at every corner.” But, ultimately, it led to breakthroughs not previously seen in the wearable technology industry, attracting interest from other researchers outside the university, and private companies, too.

“This project was quite exploratory by nature as there hasn’t been any prior research aiming to the same objectives,” Suh says.

Meanwhile, the team has completed durability and reliability testing on its textile-integrated wearable connectors. Eventually, the group would like to increase the sample size for testing to strengthen and validate the findings. The team also hopes to evaluate new, innovative interconnective techniques, as well as other 3D printing techniques and materials as they work to further advance wearable technologies.

Source:

North Carolina State University, Sean Cudahy

Functional textiles – an alternative to antibiotics University of Borås
04.07.2023

Functional textiles – an alternative to antibiotics

Tuser Biswas conducts research that aims to develop modern medical textiles that are good for both the environment and human health. Textiles with antimicrobial properties could reduce the use of antibiotics.

Tuser Biswas conducts research that aims to develop modern medical textiles that are good for both the environment and human health. Textiles with antimicrobial properties could reduce the use of antibiotics.

His work involves research and teaching activities within the area of textile material technology. The current research involves resource-efficient inkjet printing of functional materials on various textile surfaces for advanced applications.
 
The conventional textile industry devours natural resources in the form of water, energy, and chemicals. A more resource-efficient way to produce textiles is with ink jet printing. Tuser Biswas, who recently defended his doctoral thesis in Textile Material Technology, seeks to develop methods for functional textiles. He has shown that it is possible to print enzymes on textiles. These are proteins that function as catalysts in the body, as they set chemical processes in motion without themselves changing. They could, for example, be used in medical textiles with antimicrobial properties or to measure biological or chemical reactions.

“Ever since the industrial revolution, our society has used an abundance of synthetic and harsh chemicals. Our research works to replace these chemicals with environmentally friendly and bio-based materials,” said Tuser Biswas.
 
Promising results with enzymes on textiles
Developing a good enzyme ink was not entirely easy and it took a number of attempts before he finally, to his great joy, had successful results. Tuser Biswas explained that the most important result is to show how a printed enzyme could bind another enzyme to the surface of a fabric. Although the activity of the enzymes decreased by 20-30 percent after printing, the results are still promising for future applications. At the same time, the work has provided new knowledge about many fundamental questions about printing biomaterials on fabric.

“Before starting the project, we found several related studies that focused on producing a finished product. But we wanted to study the fundamental challenges of this subject, and now we know how to make it work,” said Tuser Biswas.

He is now seeking funding to continue researching the subject and has so far received a grant from the Sjuhärad Savings Bank Foundation. During the Days of Knowledge event in April 2023, he presented his research to representatives from the City of Borås and business, the Sjuhärad Savings Bank Foundation, and the University of Borås.
     
Medical textiles instead of antibiotics
Tuser Biswas hopes that continued research in textile technology can provide alternatives to using antibiotics. With increasing antibiotic resistance, it is an important issue not only locally but worldwide.

“Instead of treating the patient with a course of antibiotics, one can act preventively and more effectively by damaging the bacteria on the surface where they start to grow. In a wound dressing, for example. Nanoparticle-based antimicrobials can reduce growth effectively. It is possible as nanoparticles can interact better with the bacterial membrane and reach the target more easily than conventional antimicrobials.”

Source:

Lina Färm. Translation by Eva Medin. University of Borås

A shirt that monitors breathing. Bild EMPA
28.12.2022

Wearables for healthcare: sensors to wear

Stylish sensors to wear 
With sensors that measure health parameters and can be worn on the body, we do let technology get very close to us. A collaboration between Empa and designer Laura Deschl, sponsored by the Textile and Design Alliance (TaDA) of Eastern Switzerland, shows that medical monitoring of respiratory activity, for example, can also be very stylish – as a shirt.
 
With sensors that measure health parameters and can be worn on the body, we do let technology get very close to us. A collaboration between Empa and designer Laura Deschl, sponsored by the Textile and Design Alliance (TaDA) of Eastern Switzerland, shows that medical monitoring of respiratory activity, for example, can also be very stylish – as a shirt.

Stylish sensors to wear 
With sensors that measure health parameters and can be worn on the body, we do let technology get very close to us. A collaboration between Empa and designer Laura Deschl, sponsored by the Textile and Design Alliance (TaDA) of Eastern Switzerland, shows that medical monitoring of respiratory activity, for example, can also be very stylish – as a shirt.
 
With sensors that measure health parameters and can be worn on the body, we do let technology get very close to us. A collaboration between Empa and designer Laura Deschl, sponsored by the Textile and Design Alliance (TaDA) of Eastern Switzerland, shows that medical monitoring of respiratory activity, for example, can also be very stylish – as a shirt.

The desire for a healthy lifestyle has triggered a trend towards self-tracking. Vital signs should be available at all times, for example to consistently measure training effects. At the same time, among the continuously growing group of people over 65, the desire to maintain performance into old age is stronger than ever. Preventive, health-maintaining measures must be monitored if they are to achieve the desired results. The search for measurement systems that reliably determine the corresponding health parameters is in full swing. In addition to the leisure sector, medicine needs suitable and reliable measurement systems that enable efficient and effective care for an increasing number of people in hospital and at home. After all, the increase in lifestyle diseases such as diabetes, cardiovascular problems or respiratory diseases is putting a strain on the healthcare system.

Researchers led by Simon Annaheim from Empa's Biomimetic Membranes and Textiles laboratory in St. Gallen are therefore developing sensors for monitoring health status, for example for a diagnostic belt based on flexible sensors with electrically conductive or light-conducting fibers. However, other, less technical properties can be decisive for the acceptance of continuous medical monitoring by patients. For example, the sensors must be comfortable to wear and easy to handle – and ideally also look good.

This aspect is addressed by a cooperation between the Textile and Design Alliance, or TaDA for short, in eastern Switzerland and Empa. The project showed how textile sensors can be integrated into garments. In addition to technical reliability and a high level of comfort, another focus was on the design of the garments. The interdisciplinary TaDA designer Laura Deschl worked electrically conductive fibers into a shirt that change their resistance depending on how much they are stretched. This allows the shirt to monitor how much the subjects' chest and abdomen rise and fall while they breathe, allowing conclusions to be drawn about breathing activity. Continuous monitoring of respiratory activity is of particular interest for patients during the recovery phase after surgery and for patients who are being treated with painkillers. Such a shirt could also be helpful for patients with breathing problems such as sleep apnea or asthma. Moreover, Deschl embroidered electrically conductive fibers from Empa into the shirt, which are needed to connect to the measuring device and were visually integrated into the shirt's design pattern.

The Textile and Design Alliance is a pilot program of the cultural promotion of the cantons of Appenzell Ausserrhoden, St.Gallen and Thurgau to promote cooperation between creative artists from all over the world and the textile industry. Through international calls for proposals, cultural workers from all disciplines are invited to spend three months working in the textile industry in eastern Switzerland. The TaDA network comprises 13 cooperation partners – textile companies, cultural, research and educational institutions – and thus offers the creative artists direct access to highly specialized know-how and technical means of production in order to work, research and experiment on their textile projects on site. This artistic creativity is in turn made available to the partners as innovative potential.

(c) Fraunhofer IKTS
02.08.2022

Fraunhofer technology: High-tech vest monitors lung function

Patients with severe respiratory or lung diseases require intensive treatment and their lung function needs to be monitored on a continuous basis. As part of the Pneumo.Vest project, Fraunhofer researchers have developed a technology whereby noises in the lungs are recorded using a textile vest with integrated acoustic sensors. The signals are then converted and displayed visually using software. In this way, patients outside of intensive care units can still be monitored continuously. The technology increases the options for diagnosis and improves the patient’s quality of life.

For over 200 years, the stethoscope has been a standard tool for doctors and, as such, is a symbol of the medical profession. In television hospital dramas, doctors are seen rushing through the halls with a stethoscope around their neck. Experienced doctors do indeed use them to listen very accurately to heartbeats and the lungs and, as a result, to diagnose illnesses.

Patients with severe respiratory or lung diseases require intensive treatment and their lung function needs to be monitored on a continuous basis. As part of the Pneumo.Vest project, Fraunhofer researchers have developed a technology whereby noises in the lungs are recorded using a textile vest with integrated acoustic sensors. The signals are then converted and displayed visually using software. In this way, patients outside of intensive care units can still be monitored continuously. The technology increases the options for diagnosis and improves the patient’s quality of life.

For over 200 years, the stethoscope has been a standard tool for doctors and, as such, is a symbol of the medical profession. In television hospital dramas, doctors are seen rushing through the halls with a stethoscope around their neck. Experienced doctors do indeed use them to listen very accurately to heartbeats and the lungs and, as a result, to diagnose illnesses.

Now, the stethoscope is getting some help. As part of the Pneumo.Vest project, researchers of the Fraunhofer Institute for Ceramic Technologies and Systems IKTS at the Berlin office have developed a textile vest with integrated acoustic sensors, presenting a high-performance addition to the traditional stethoscope. Piezoceramic acoustic sensors have been incorporated into the front and back of the vest to register any noise produced by the lungs in the thorax, no matter how small. A software program records the signals and electronically amplifies them, while the lungs are depicted visually on a display. As the software knows the position of each individual sensor, it can attribute the data to its precise location. This produces a detailed acoustic and optical picture of the ventilation situation of all parts of the lungs. Here is what makes it so special: As the system collects and stores the data permanently, examinations can take place at any given time and in the absence of hospital staff. Pneumo.Vest also indicates the status of the lungs over a period of time, for example over the previous 24 hours. Needless to say, traditional auscultation can also be carried out directly on the patients. However, instead of carrying out auscultation manually at different points with a stethoscope, a number of sensors are used simultaneously.

“Pneumo.Vest is not looking to make the stethoscope redundant and does not replace the skills of experienced pneumologists. However, auscultation or even CT scans of the lungs only ever present a snapshot at the time of the examination. Our technology provides added value because it allows for the lungs to be monitored continuously in the same way as a long-term ECG, even if the patient is not attached to machines in the ICU but has instead been admitted to the general ward,” explains Ralf Schallert, project manager at Fraunhofer IKTS.

Machine learning algorithms aid with diagnosis
Alongside the acoustic sensors, the software is at the core of the vest. It is responsible for storing, depicting and analyzing the data. It can be used by the doctor to view the acoustic events in specific individual areas of the lungs on the display. The use of algorithms in digital signal processing enables a targeted evaluation of acoustic signals. This means it is possible, for example, to filter out heartbeats or to amplify characteristic frequency ranges, making lung sounds, such as rustling or wheezing, much easier to hear.

On top of this, the researchers at Fraunhofer IKTS are developing machine learning algorithms. In the future, these will be able to structure and classify complex ambient noises in the thorax. Then, the pneumologist will carry out the final assessment and diagnosis.

Discharge from the ICU
Patients can also benefit from the digital sensor alternative. When wearing the vest, they can recover without requiring constant observation from medical staff. They can transfer to the general ward and possibly even be sent home and move about more or less freely. Despite this, the lungs are monitored continuously, and any sudden deterioration can be reported to medical personnel straight away.

The first tests with staff at the University Clinic for Anesthesiology and Intensive Therapy at the University of Magdeburg have shown that the concept is successful in practice. “The feedback from doctors was overwhelmingly positive. The combination of acoustic sensors, visualization and machine learning algorithms will be able to reliably distinguish a range of different lung sounds,” explains Schallert. Dr. Alexander Uhrig from Charité – Universitätsmedizin Berlin is also pleased with the technology. The specialist in infectiology and pneumology at the renowned Charité hospital was one of those who initiated the idea: “Pneumo.Vest addresses exactly what we need. It serves as an instrument that expands our diagnostic options, relieves the burden on our hospital staff and makes hospital stays more pleasant for patients.”

The technology was initially designed for respiratory patients, but it also works well for people in care facilities and for use in sleep laboratories. It can also be used to train young doctors in auscultation.

Increased need for clinical-grade wearables
With Pneumo.Vest, the researchers at Fraunhofer IKTS have developed a product that is cut out for the increasingly strained situation at hospitals. In Germany, 385,000 patients with respiratory or lung diseases require inpatient treatment every year. Over 60 percent are connected to a ventilator for more than 24 hours. This figure does not account for the current increase in respiratory patients due to the COVID-19 pandemic. As a result of increasing life expectancy, the medical industry also expects the number of older patients with breathing problems to increase. With the help of technology from Fraunhofer IKTS, the burden on hospitals and, in particular, costly ICUs can be relieved as their beds will no longer be occupied for quite as long.

It should be added that the market for such clinical-grade wearables is growing rapidly. These are compact medical devices that can be worn directly on the body to measure vital signs such as heartbeat, blood oxygen saturation, respiratory rate or skin temperature. As a medical device that can be used flexibly, Pneumo.Vest fits in perfectly with this development. But do not worry: Doctors will still be using the beloved stethoscope in the future.

Fraunhofer “M³ Infekt” cluster project
Pneumo.Vest is just one part of the extensive M³ Infekt cluster project. Its objective is to develop monitoring systems for the decentralized monitoring of patients. The current basis of the project is the treatment of COVID-19 patients. With the SARS-CoV2 virus, it is common for even mild cases to suddenly deteriorate significantly. By continuously monitoring vital signs, any deterioration in condition can be quickly identified and prompt measures for treatment can be taken.

M3 Infekt can also be used for a number of other symptoms and scenarios. The systems have been designed to be modular and multimodal so that biosignals such as heart rate, ECG, oxygen saturation, or respiratory rate and volume can be measured, depending on the patient and illness.

A total of ten Fraunhofer institutes are working on the cluster project under the leadership of the Fraunhofer Institute for Integrated Circuits IIS in Dresden. Klinikum Magdeburg, Charité – Universitätsmedizin Berlin and the University Hospitals of Erlangen and Dresden are involved as clinical partners.

Source:

Fraunhofer Institute for Ceramic Technology and Systems IKTS

(c) Empa
05.04.2022

In the heat of the wound: Smart bandage

A bandage that releases medication as soon as an infection starts in a wound could treat injuries more efficiently. Empa researchers are currently working on polymer fibers that soften as soon as the environment heats up due to an infection, thereby releasing antimicrobial drugs.

It is not possible to tell from the outside whether a wound will heal without problems under the dressing or whether bacteria will penetrate the injured tissue and ignite an inflammation. To be on the safe side, disinfectant ointments or antibiotics are applied to the wound before the dressing is applied. However, these preventive measures are not necessary in every case. Thus, medications are wasted and wounds are over-treated.

A bandage that releases medication as soon as an infection starts in a wound could treat injuries more efficiently. Empa researchers are currently working on polymer fibers that soften as soon as the environment heats up due to an infection, thereby releasing antimicrobial drugs.

It is not possible to tell from the outside whether a wound will heal without problems under the dressing or whether bacteria will penetrate the injured tissue and ignite an inflammation. To be on the safe side, disinfectant ointments or antibiotics are applied to the wound before the dressing is applied. However, these preventive measures are not necessary in every case. Thus, medications are wasted and wounds are over-treated.

Even worse, the wasteful use of antibiotics promotes the emergence of multi-resistant germs, which are an immense problem in global healthcare. Empa researchers at the two Empa laboratories Biointerfaces and Biomimetic Membranes and Textiles in St. Gallen want to change this. They are developing a dressing that autonomously administers antibacterial drugs only when they are really needed.

The idea of the interdisciplinary team led by Qun Ren and Fei Pan: The dressing should be "loaded" with drugs and react to environmental stimuli. "In this way, wounds could be treated as needed at exactly the right moment," explains Fei Pan. As an environmental stimulus, the team chose a well-known effect: the rise in temperature in an infected, inflamed wound.

Now the team had to design a material that would react appropriately to this increase in temperature. For this purpose, a skin-compatible polymer composite was developed made of several components: acrylic glass (polymethyl methacrylate, or PMMA), which is used, for example, for eyeglass lenses and in the textile industry, and Eudragit, a biocompatible polymer mixture that is used, for example, to coat pills. Electrospinning was used to process the polymer mixture into a fine membrane of nanofibers. Finally, octenidine was encapsulated in the nanofibers as a medically active component. Octenidine is a disinfectant that acts quickly against bacteria, fungi and some viruses. In healthcare, it can be used on the skin, on mucous membranes and for wound disinfection.

Signs of inflammation as triggers
As early as in the ancient world, the Greek physician Galen described the signs of inflammation. The five Latin terms are still valid today: dolor (pain), calor (heat), rubor (redness), tumor (swelling) and functio laesa (impaired function) stand for the classic indications of inflammation. In an infected skin wound, local warmth can be as high as five degrees. This temperature difference can be used as a trigger: Suitable materials change their consistency in this range and can release therapeutic substances.

Shattering glove
"In order for the membrane to act as a "smart bandage" and actually release the disinfectant when the wound heats up due to an infection, we put together the polymer mixture of PMMA and Eudragit in such a way that we could adjust the glass transition temperature accordingly," says Fei Pan. This is the temperature, at which a polymer changes from a solid consistency to a rubbery, toughened state. Figuratively, the effect is often described in reverse: If you put a rubber glove in liquid nitrogen at –196 degrees, it changes its consistency and becomes so hard that you can shatter it like glass with one blow.

The desired glass transition temperature of the polymer membrane, on the other hand, was in the range of 37 degrees. When inflammation kicks in and the skin heats up above its normal temperature of 32 to 34 degrees, the polymer changes from its solid to a softer state. In laboratory experiments, the team observed the disinfectant being released from the polymer at 37 degrees – but not at 32 degrees. Another advantage: The process is reversible and can be repeated up to five times, as the process always "switches itself off" when it cools down. Following these promising initial tests, the Empa researchers now want to fine-tune the effect. Instead of a temperature range of four to five degrees, the smart bandage should already switch on and off at smaller temperature differences.

Smart and unsparing
To investigate the efficacy of the nanofiber membranes against wound germs, further laboratory experiments are now in the pipeline. Team leader Qun Ren has long been concerned with germs that nestle in the interface between surfaces and the environment, such as on a skin wound. "In this biological setting, a kind of no man's land between the body and the dressing material, bacteria find a perfect biological niche," says the Empa researcher. Infectious agents such as staphylococci or Pseudomonas bacteria can cause severe wound healing disorders. It was precisely these wound germs that the team allowed to become acquainted with the smart dressing in the Petri dish. And indeed: The number of bacteria was reduced roughly 1000-fold when octenidine was released from the smart dressing. "With octenidine, we have achieved a proof of principle for controlled drug release by an external stimulus," said Qun Ren. In future, she said, the technology could be applied to other types of drugs, increasing the efficiency and precision in their dosage.

The smart dressing
Empa researchers are working in interdisciplinary teams on various approaches to improve medical wound treatment. For example, liquid sensors on the outside of the dressing are to make it visible when a wound is healing poorly by changing their color. Critical glucose and pH values serve as biomarkers.

To enable bacterial infections to be contained directly in the wound, the researchers are also working on a polymer foam loaded with anti-inflammatory substances and on a skin-friendly membrane made of plant material. The cellulose membrane is equipped with antimicrobial protein elements and kills bacteria extremely efficiently in laboratory tests.

Moreover, digitalization can achieve more economical and efficient dosages in wound care: Empa researchers are developing digital twins of the skin that allow control and prediction of the course of a therapy using real-time modeling.

Further information:
Prof. Dr. Katharina
Maniura Biointerfaces
Phone +41 58 765 74 47
Katharina.Maniura@empa.ch

Prof. Dr. René Rossi
Biomimetic Membranes and Textiles
Phone +41 58 765 77 65
Rene.rossi@empa.ch

Source:

EMPA, Andrea Six

Photo: pixabay
17.08.2021

Innovative wound care: Customized wound dressings made from tropoelastin

Customized, biomedically applicable materials based on tropoelastin are being developed in a joint project by Skinomics GmbH from Halle, Martin Luther University Halle-Wittenberg and the Fraunhofer Institute for Microstructure of Materials and Systems IMWS. The material combines biocompatibility, durability, biodegradability and favorable mechanical properties similar to those of skin. Preclinical tests have confirmed that it is suitable for use as a wound dressing material used in the treatment of chronic and complex wounds.

Customized, biomedically applicable materials based on tropoelastin are being developed in a joint project by Skinomics GmbH from Halle, Martin Luther University Halle-Wittenberg and the Fraunhofer Institute for Microstructure of Materials and Systems IMWS. The material combines biocompatibility, durability, biodegradability and favorable mechanical properties similar to those of skin. Preclinical tests have confirmed that it is suitable for use as a wound dressing material used in the treatment of chronic and complex wounds.

Particularly in the context of an aging society, special wound dressings are gaining in importance. The treatment of complex wound diseases such as venous ulcers, leg ulcers, or foot ulcers is challenging for medical staff, long-term and painful for those affected and cost-intensive for the healthcare system. Innovative protein-based materials are now being used for the treatment of such wounds. However, since they are made from animal tissues, they carry increased risks of infection or can result in undesirable immune reactions. In addition, there are increasing reservations in the population about medical products of animal origin.

In the joint research project, the project partners are currently developing customized, biomedically applicable materials based on human tropoelastin. This precursor protein is converted in the body to elastin, a vital and long-lived structural biopolymer that has exceptional mechanical properties and thus gives the skin and other organs the elasticity and resilience they need to function.

“Elastin is chemically and enzymatically extremely stable, biocompatible and does not produce immunological rejections when used as a biomaterial in humans. Therefore, we want to create new and innovative solutions for the treatment of complex wounds based on human tropoelastin,” says Dr. Christian Schmelzer, Head of the Department of Biological and Macromolecular Materials at Fraunhofer IMWS.

Individual wound treatment
As part of the research project led by Prof. Dr. Markus Pietzsch of Martin Luther University Halle-Wittenberg, the researchers succeeded in developing a biotechnological process for modifying tropoelastin. The modified tropoelastin is processed at Fraunhofer IMWS. Here, an electrospinning procedure is used to produce ultra-thin nanofibers with diameters of only a few hundred nanometers. The resulting nonwovens are further crosslinked to stabilize them for the respective application. The procedures developed have been optimized so that biomedical parameters such as pore size, stability and mechanical properties are variable and can thus be customized to meet the requirements of the respective wound treatment. The materials produced using the new procedures are being investigated by Skinomics GmbH in initial preclinical tests with regard to their skin compatibility and have already achieved promising results.

At the end of the project by the end of this year, applications for intellectual property rights are to be filed, building the basis for a subsequent product development phase for certified medical products.

TECHNICAL TEXTILES CONTINUE STEDAY RISE IN SHARE OF TOTAL EU TEXTILE PRODUCTION Foto: Gerd Altmann, Pixabay
26.11.2019

TECHNICAL TEXTILES CONTINUE STEDAY RISE IN SHARE OF TOTAL EU TEXTILE PRODUCTION

  • European Textile and Clothing Sector consolidates satisfactory evolution in 2018

The EU textile and Clothing industry finished the year 2018 with a consolidation of the positive key figures achieved over the last 5 years. First data published by Eurostat enhanced by EURATEX’s own calculations and estimates show a total industry turnover of € 178 billion, a minimal increase to last year’s € 177.6 billion, but significantly above the 2013 figure of € 163.8 billion. Investments of € 5.0 billion again increased slightly, as they did every year since 2013.

Employment of 1.66 million registered a small dip compared to 2017 but remained essentially unchanged over the last 5 years – a remarkable achievement for a sector that keeps realizing labour efficiencies. As a result, the average turnover per employee has increased from 97,000 € in 2013 to 107,000 € in 2018. Over the last 10 years, turnover and value-added per employee have increased by over 30%.

  • European Textile and Clothing Sector consolidates satisfactory evolution in 2018

The EU textile and Clothing industry finished the year 2018 with a consolidation of the positive key figures achieved over the last 5 years. First data published by Eurostat enhanced by EURATEX’s own calculations and estimates show a total industry turnover of € 178 billion, a minimal increase to last year’s € 177.6 billion, but significantly above the 2013 figure of € 163.8 billion. Investments of € 5.0 billion again increased slightly, as they did every year since 2013.

Employment of 1.66 million registered a small dip compared to 2017 but remained essentially unchanged over the last 5 years – a remarkable achievement for a sector that keeps realizing labour efficiencies. As a result, the average turnover per employee has increased from 97,000 € in 2013 to 107,000 € in 2018. Over the last 10 years, turnover and value-added per employee have increased by over 30%.

The brightest spot again is the export figure, which grew by 7% compared to last year and for the first time reached € 50 billion. The industry’s extra-EU exports which now stand at 28% of annual turnover, up from less than 20% 10 years ago, is the clearest proof of the increasing global competitiveness of Europe’s textile and clothing companies.

European high quality textiles and premium fashion products are in growing demand, both in high income countries such as the United States (our biggest export destination in non-European countries with € 6 billion), Switzerland, Japan or Canada, but also emerging countries such as China and Hong Kong (over € 6.7 billion in combined exports), Russia, Turkey and the Middle-East.

European exports benefit from faster economic growth in many non-European markets, but also from better market access as a result of successful EU trade negotiations with countries such as South Korea, Canada or Japan.

Since 2015, export growth has slightly outpaced import growth, which means that our trade deficit of approximately € 65 billion has stopped widening. Rather than an absolute import growth, recent  years have brought important shifts in the main import countries. While China remains by far the number one import source, lower cost countries such as Bangladesh, Cambodia, Myanmar and Vietnam have gained in relative importance, especially for clothing.

Technical textiles are an undisputed success story of the European industry. Exact figures for this part of the industry are difficult to compute due to the dual use of many yarns and fabrics for both technical and conventional applications. National statistics become available only with a significant time lag or remain unpublished for smaller EU countries. For 2016, EURATEX estimates that EU industry turnover of technical textiles, (including yarn-type, fabric-type and non-woven materials but excluding any made-up articles) reached about € 24 billion or 27% of total textile industry turnover. Over the years this percentage has steadily grown and is expected to continue to do so in the future.

Italy and Germany are Europe’s biggest producers of technical textiles, each producing over € 4.5 billion worth of technical textiles per year. The highest share for technical textiles in national textile turnover is registered in Scandinavian countries such as Sweden and Finland and central European countries such as Germany, the Czech Republic or Slovenia. The fastest growth of technical textiles over the last 10 years has been achieved by Poland, followed by Belgium, Austria and Portugal. This clearly demonstrates that technical textiles are gaining in importance all over Europe.

Labour productivity is much higher in the technical textiles part of the industry. Turnover per employee stands at € 215,000, more than twice the average textile and clothing industry rate. In this regard, EURATEX Innovation & Skills Director Lutz Walter indicates how “innovation and employee expertise are fundamental to reach and defend the strong technical textile position of the EU industry”.

In terms of international trade, both exports and imports of technical textiles have grown continuously over the years, with an almost zero trade balance in Euro terms. However, when looking into the product category types, it is clear that Europe’s trade balance is massively positive in higher added value products such as medical textiles, highly technical finished fabrics and non-wovens, but negative in such categories as bags, sacks, tarpaulins or cleaning cloths.

Again the United States is Europe’s largest technical textiles customer, followed by China, which has registered very fast growth in recent years.

 

More information:
Euratex Technical Textiles
Source:

EURATEX

Industry Check in Asia Photo: Pixabay
19.06.2018

TEXTILE AND CLOTHING INDUSTRY IN ASIA: GTAI CHECKING THE SECTOR

Every day, GTAI experts observe and analyze the development of the most important German export industries on the world markets. Here you will find summarized information on the textile and clothing industry in Asian markets.
 
GTAI Industry Check - Vietnam
Textile and clothing industry: Vietnam needs more than sewing

Every day, GTAI experts observe and analyze the development of the most important German export industries on the world markets. Here you will find summarized information on the textile and clothing industry in Asian markets.
 
GTAI Industry Check - Vietnam
Textile and clothing industry: Vietnam needs more than sewing
The textile and clothing industry is one of the most important pillars of the Vietnamese industry and accounted for around 6 percent of total exports in 2017 with exports amounting to USD 26 billion. For 2018, the industry is aiming for growth of 7 to 8 percent and exports are expected to rise to over USD 33 billion. In order to comply with the rules of origin of the free trade agreements concluded by Vietnam, the country must achieve a higher added value. Domestic companies such as the Vinatex Group or Garco10, but also foreign companies are increasingly investing in technical innovations and expanding processes such as spinning, weaving and dyeing upstream of pure sewing. In addition, the first companies are beginning to automate their production processes.

GTAI Industry Check - Uzbekistan
Textile and clothing industry: Investments of more than USD 2 billion planned
The industry program for 2017 to 2020 lists around 130 projects with a total value of USD 2 billion. About half of the planned investments are to be
accounted for foreign commitments. The aim is to double the annual output of finished textile products during this period. With an annual production of more than 3 million tons of raw cotton, Uzbekistan is one of the world's largest producers of the white gold. A second industry programme foresees the implementation of five projects for the production of raw silk, silk wadding and silk fabrics and finished silk products between 2018 and 2021. The minimum investments required are estimated at USD 26 million.
 
GTAI Industry Check – Myanmar
Textile and clothing industry: Export strength through low wages
The lifting of sanctions by the EU and the US has noticeably revived the investment climate in the sector, especially as this was linked to the reactivation of the EU's GSP import status (Generalized System of Preferences). Most investors came from China, Hong Kong, Taiwan or South Korea, and Western brands such as GAP, H & M, Primark or Marks & Spencer were also included. Currently, about 400,000 workers are employed in almost 400 factories, mostly geared to CMP (cut-make-pack), including 171 foreign investors and 22 joint ventures. According to the Myanmar Garment Entrepreneurs Association, exports are expected to have increased by 40 percent to over USD 3 billion by 2017. For the first time the largest customer was the European Union, primarily Germany, ahead of Japan and South Korea.

GTAI Industry Check – Georgian Republic
Textile and clothing industry: Several expansion projects planned
The apparel industry produces garments for up to USD 70 million annually. The main products manufactured are international brands for export. Several new projects in the industry are in preparation. For example, the Turkish jeans manufacturer Baykanlar Textil plans to build a factory for the production of brand jeans in Ozurgeti by the end of 2018. A total of USD 15 million will be invested in the project. The Romanian company MGMtex, a subsidiary of the Swiss company Ottorose, is planning to start production of branded clothing in Kutaisi in cooperation with a local partner. The investments for the first and second project phases amount to more than USD 1.5 million. For the procurement of equipment, the company benefits from subsidies from the state program Produce in Georgia.

GTAI Industry Check - Turkmenistan
Textile and Clothing Industry: Investments of around 300 million US dollars planned
The textile and clothing industry represents 20 percent of Turkmenistan's industrial production and 30 percent of its manufacturing industry. A good USD 300 million will be invested in 2018 to 2020/21. The project list includes the construction of a large textile complex for the annual processing of up to 5,000 tons of fine-fibred cotton into semi-finished and finished products. Start March 2021; contractor: Cotam Enterprises Ltd, British Virgin Islands/Turkey) and a factory for the annual production of 6,000 tons of cotton yarn (2019/20, Hilli yol), the modernization of a textile factory (Daschogus), a cotton spinning mill (Tachtabasar) and a factory for medical wadding and cosmetic cotton (Ashgabat; 2018/2019 each). The potential of medical textiles, cotton fabrics, man-made fibers and the processing of wool and cocoons is still little used.
 
GTAI Industry Check – Azerbaijan
Textile and clothing industry: Light industry business park attracts investors
Azerbaijan launched several projects to revive the industry (output in 2017: USD 100 million). An industrial park for light industry has been under construction in Mingachevir since autumn 2016. Nine new factories are planned for cotton, acrylic and woolen yarn, clothing, hosiery and leather shoes. The project is worth up to USD 150 million. The first factory for the annual production of 20,000 tons of yarn is under construction. Under the umbrella organization for the Azerkhalcha carpet weaving mill founded in 2016, ten further smaller factories will be put into operation in 2018. Gilan Textil Park, Sumqayit, wants to expand its exports of home textiles. In the medium term, the construction of a silk spinning mill with an annual capacity of 3,000 tons of yarn is also planned.
 
GTAI Industry Check - Armenia
Textile and clothing industry: interest from abroad increases
Rising exports of clothing to Russia and western markets lead to expect further investments in the textile and clothing industry in 2018. Italian investors are planning to build a large jersey factory in Kapan (Sjunik region). The company SASSTEX in Artik (Schirak region) invests in two factories for the production of fashion (ZARA brand) and workwear. The Egyptian Wassef Group is considering the production of cotton fabrics and products therefrom. Yerevan-based hosiery and children's apparel manufacturer Alex Textile will continue its USD 28 million investment program in 2018 to expand apparel and hosiery production at several sites in Armenia.

More information:
Asia Export
Source:

Germany Trade & Invest www.gtai.de

INDEX17:  Manage change in healthcare © INDEX™17 Press Office
04.04.2017

INDEX17: MANAGING CHANGE IN HEALTHCARE

An aging population is a critical issue facing the medical and healthcare industry. The European Wound Management Association (EWMA) maintains that persons aged 65 and over will account for 30% of the EU27’s population by 2060, compared to 17% in 2008, and that the highest share of inhabitants aged over 80 years in 2060, will be in Italy (14.9%), Spain (14.5%) and Germany (13.2%), closely followed by Greece (13.5 %).

There has been an exponential growth in healthcare costs mainly driven by the increased cost of medication and devices, and in tandem, a rise in the prevalence of chronic conditions. These trends have resulted in significant changes in European hospital services, with the number of hospital facilities, as well as the number of hospital beds decreasing. Furthermore, increasing pressures for early discharge from hospitals have caused a shift in the delivery of services from the hospital to the home, especially in the field of wound management.

An aging population is a critical issue facing the medical and healthcare industry. The European Wound Management Association (EWMA) maintains that persons aged 65 and over will account for 30% of the EU27’s population by 2060, compared to 17% in 2008, and that the highest share of inhabitants aged over 80 years in 2060, will be in Italy (14.9%), Spain (14.5%) and Germany (13.2%), closely followed by Greece (13.5 %).

There has been an exponential growth in healthcare costs mainly driven by the increased cost of medication and devices, and in tandem, a rise in the prevalence of chronic conditions. These trends have resulted in significant changes in European hospital services, with the number of hospital facilities, as well as the number of hospital beds decreasing. Furthermore, increasing pressures for early discharge from hospitals have caused a shift in the delivery of services from the hospital to the home, especially in the field of wound management.


Visitors and exhibitors at INDEX™17, the world’s leading nonwovens exhibition held in Geneva from 4th-7th April 2017, will have the opportunity to hear from “Big Picture” speaker Prof. Dr. Sebastien Probst, Professor of Tissue Viability and Wound Care at the School of Health Sciences, University of Applied Sciences and Arts Western Switzerland. “Chronic and highly-exuding wounds can often lead to the use of unreliable and costly treatments,” explains Prof. Dr. Probst. “Patients are frequently found to be at an increased risk of infection and delayed healing, which results in an enormous negative impact on their quality of life, both physically and psychologically. Superabsorbent nonwoven dressings are increasingly being used for a more effective wound care, removing bacteria and exudates and keeping the wound bed moist. Reducing healthcare costs while maintaining high quality of care remains paramount.” Another less visible but important benefit is that these products can contribute to reducing health associated infections (HAI) which still affect 1 out of 18 patients every day in Europe.

The rich three-day INDEX™17 programme, features a Medical & Healthcare seminar on 5th April organised in conjunction with market intelligence partners WTiN, where leading speaker Prof. Dr. Sebastien Probst will put forward the key challenges faced by the medical industry, and renowned experts in the field will then discuss how nonwovens are contributing to solving these challenges.

Medical & Healthcare seminar speakers include:

  • Dr. Parikshit Goswami, Associate Professor, Director of Research and Innovation, MSc Textiles Programme Leader, Technology Research Area Leader, will deliver a welcome note.
  • Prof. Dr. Sebastian Probst, DClinPrac, RN, Professor of Tissue Viability and Wound Care, School of Health Sciences, University of Applied Sciences and Arts Western Switzerland, Geneva, will address global trends in nonwoven medical textiles.
  • Dionysia Patrinou, Intelligence Manager/Market Strategist, Advanced Medical Materials, World Textile Information Network (WTiN), will discuss opportunities in the medical market. .
  • Paul Greenhalgh, Director of Industrial Design, Team Consulting, will speak about a patient centric approach to medical technology development.
  • Dr. Bernd Schlesselmann, Head of R&D, Freudenberg Performance Materials, will discuss the future of nonwovens in advanced wound care..

Visitors from around the world will have the opportunity to gain first-hand knowledge of the latest developments in nonwovens for medical applications.
To attend INDEX™17, you can register online at www.index17.org/.