In situ precision electrospinning as an effective delivery technique for cyanoacrylate medical glue with high efficiency and low toxicity.

The side effects or toxicity of cyanoacrylate used in vivo have been argued since its first application in wound closure. We propose an airflow-assisted in situ precision electrospinning apparatus as an applicator and make a detailed comparison with traditional spraying via in vitro and in vivo experiments. This novel method can not only improve operational performance and safety by precisely depositing cyanoacrylate fibers onto a wound, but significantly reduce the dosage of cyanoacrylate by almost 80%. A white blood cell count, liver function test and histological analysis prove that the in situ precision electrospinning applicator produces a better postoperative outcome, e.g., minor hepatocyte injury, moderate inflammation and the significant ability for liver regeneration. This in situ precision electrospinning method may thus dramatically broaden both civilian and military applications of cyanoacrylates.

[1]  E. C. Rietveld,et al.  Bacterial mutagenicity of some methyl 2-cyanoacrylates and methyl 2-cyano-3-phenylacrylates. , 1987, Mutation research.

[2]  M. Marx,et al.  N-butyl cyanoacrylate embolization for control of acute arterial hemorrhage. , 2004, Journal of vascular and interventional radiology : JVIR.

[3]  S. Burks,et al.  Hemostats, sealants, and adhesives: components of the surgical toolbox , 2008, Transfusion.

[4]  Mei‐Hsiu Chen,et al.  A prospective, randomized trial of butyl cyanoacrylate injection versus band ligation in the management of bleeding gastric varices , 2001, Hepatology.

[5]  Y. Ikada,et al.  Non-adhesive cyanoacrylate as an embolic material for endovascular neurosurgery. , 2000, Biomaterials.

[6]  Y. Li,et al.  Structural lipid nanoparticles self-assembled from electrospun core–shell polymeric nanocomposites , 2015 .

[7]  C R Arciola,et al.  Cytotoxicity, blood compatibility and antimicrobial activity of two cyanoacrylate glues for surgical use. , 2001, Biomaterials.

[8]  Y Ikada,et al.  In vitro toxicity test of 2-cyanoacrylate polymers by cell culture method. , 1990, Journal of biomedical materials research.

[9]  F. Leonard,et al.  N-alkyl-alpha-cyanoacrylate monomers in surgery. Speed of polymerization and method of their application. , 1967, Archives of surgery.

[10]  A. Singer,et al.  A review of the literature on octylcyanoacrylate tissue adhesive. , 2004, American journal of surgery.

[11]  P. Couvreur,et al.  In vitro model for the degradation of alkylcyanoacrylate nanoparticles. , 1990, Biomaterials.

[12]  Deng-Guang Yu,et al.  Structure-tunable Janus fibers fabricated using spinnerets with varying port angles. , 2015, Chemical communications.

[13]  R. Derlet,et al.  Cyanoacrylate glues for wilderness and remote travel medical care. , 2013, Wilderness & environmental medicine.

[14]  P. Couvreur,et al.  Poly(alkylcyanoacrylates) as biodegradable materials for biomedical applications. , 2003, Advanced drug delivery reviews.

[15]  S. Kundu,et al.  Electrospinning: a fascinating fiber fabrication technique. , 2010, Biotechnology advances.

[16]  Jessica D. Schiffman,et al.  A Review: Electrospinning of Biopolymer Nanofibers and their Applications , 2008 .

[17]  Andreas Greiner,et al.  Electrospinning: a fascinating method for the preparation of ultrathin fibers. , 2007, Angewandte Chemie.

[18]  T. Klassen,et al.  A randomized, clinical trial comparing butylcyanoacrylate with octylcyanoacrylate in the management of selected pediatric facial lacerations. , 1999, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[19]  T. Clarke Cyanoacrylate glue burn in a child--lessons to be learned. , 2011, Journal of plastic, reconstructive & aesthetic surgery : JPRAS.

[20]  I. Stiell,et al.  A randomized, controlled trial comparing a tissue adhesive with suturing in the repair of pediatric facial lacerations. , 1993, Annals of emergency medicine.

[21]  Deng-Guang Yu,et al.  Nanofibers Fabricated Using Triaxial Electrospinning as Zero Order Drug Delivery Systems. , 2015, ACS applied materials & interfaces.

[22]  Y. Eguchi,et al.  Endoscopic hemostasis for bleeding gastric varices treated by combination of variceal ligation and sclerotherapy with N-butyl-2-cyanoacrylate , 2007, Journal of Gastroenterology.

[23]  S. Nair,et al.  Biomaterials based on chitin and chitosan in wound dressing applications. , 2011, Biotechnology advances.

[24]  J. Cameron,et al.  Histotoxicity of Cyanoacrylate Tissue Adhesive in the Rat , 1965, Annals of surgery.

[25]  Bin Sun,et al.  Solventless electrospinning of ultrathin polycyanoacrylate fibers , 2013 .

[26]  Wei Zhi,et al.  Promotion of skin regeneration in diabetic rats by electrospun core-sheath fibers loaded with basic fibroblast growth factor. , 2011, Biomaterials.

[27]  G. Cavallaro,et al.  Preparation and characterization of polyethyl-2-cyanoacrylate nanocapsules containing antiepileptic drugs. , 1996, Biomaterials.

[28]  Y. Huang,et al.  Airflow-directed in situ electrospinning of a medical glue of cyanoacrylate for rapid hemostasis in liver resection. , 2014, Nanoscale.

[29]  Yun-Ze Long,et al.  Advances in three-dimensional nanofibrous macrostructures via electrospinning , 2014 .

[30]  P. Leggat,et al.  SURGICAL APPLICATIONS OF CYANOACRYLATE ADHESIVES: A REVIEW OF TOXICITY , 2007, ANZ journal of surgery.

[31]  M. Binderup,et al.  Mutagenic action of methyl 2-cyanoacrylate vapor. , 1982, Mutation research.

[32]  P Couvreur,et al.  Drug delivery to resistant tumors: the potential of poly(alkyl cyanoacrylate) nanoparticles. , 2003, Journal of controlled release : official journal of the Controlled Release Society.

[33]  Fred Leonard,et al.  Synthesis and degradation of poly (alkyl α-cyanoacrylates) , 1966 .

[34]  S. Rana,et al.  Successful hemostasis of arterial bleeding in chronic pseudocyst by direct endoscopic injection of N-butyl-2-cyanoacrylate in the pseudoaneurysm. , 2015, Gastrointestinal endoscopy.

[35]  P. D. de Oliveira,et al.  Cytotoxicity testing of methyl and ethyl 2-cyanoacrylate using direct contact assay on osteoblast cell cultures. , 2013, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[36]  A. Singer,et al.  The cyanoacrylate topical skin adhesives. , 2008, The American journal of emergency medicine.