The distribution of electrical potentials and current in exogenous electrostimulation has significant impacts on its effectiveness in promoting tissue repair. However, there is still a lack of a flexible, implantable power source capable of generating customizable patterned electric fields for in situ electrostimulation(electrical stimulation). Herein, this study reports a fuel cell patch (FCP) that can provide in situ electrostimulation and a hypoxic microenvironment to promote tissue repair synergistically. Stable and highly efficient PtNi nanochains and PtNi nanocages electrocatalysts with anti-interference properties catalyze glucose oxidation and oxygen reduction respectively in an encapsulation-free fuel cell. The laser-induced graphene (LIG) electrode loaded with PtNi electrocatalysts is transferred to the surface of a flexible chitosan hydrogel. The resulting flexible FCP can adapt to tissues with different morphologies, firmly adhere to prevent suturing, and provide potent electrostimulation (0.403 V, 51.55 µW cm-2). Additionally, it consumes oxygen in situ to create a hypoxic microenvironment, increasing the expression of hypoxia-inducible factor-1α (HIF-1α). Based on the different pattern requirements of exogenous electrostimulation during the repair of various types of tissue, an axial FCP for peripheral nerves and a flower-patterned FCP for myocardial tissue are constructed and transplanted into animals, showing significant tissue repair in both models.
Keywords: fuel cells; hydrogels; patterned electrostimulation; tissue repair.
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