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Advances in Smart Medical Textiles
The Textile Institute and Woodhead Publishing
The Textile Institute is a unique organisation in textiles, clothing and footwear.
Incorporated in England by a Royal Charter granted in 1925, the Institute has
individual and corporate members in over 90 countries. The aim of the Institute
is to facilitate learning, recognise achievement, reward excellence and dissem-
inate information within the global textiles, clothing and footwear industries.
Historically, The Textile Institute has published books of interest to its mem-
bers and the textile industry. To maintain this policy, the Institute has entered
into partnership with Woodhead Publishing Limited to ensure that Institute
members and the textile industry continue to have access to high calibre titles
on textile science and technology.
Most Woodhead titles on textiles are now published in collaboration with
The Textile Institute. Through this arrangement, the Institute provides an Edi-
torial Board which advises Woodhead on appropriate titles for future publica-
tion and suggests possible editors and authors for these books. Each book
published under this arrangement carries the Institute’s logo. Woodhead books
published in collaboration with The Textile Institute are offered to Textile
Institute members at a substantial discount. These books, together with those
published by The Textile Institute that are still in print, are offered on the
Elsevier website at: http://store.elsevier.com/.. Textile Institute books still in
print are also available directly from the Institute’s web site at: www.
textileinstitutebooks.com.
A list of Woodhead books on textiles science and technology, most of which
have been published in collaboration with the Textile Institute, can be found
towards the end of the contents pages.

Related titles
Handbook of Medical Textiles
(ISBN: 978-0-85709-369-1)
Advanced Textiles for Wound Care
(ISBN: 978-1-84569-271-1)
Smart Textiles for Medicine and Healthcare: Materials, Systems and Applications
(ISBN: 978-1-84569-293-3)
Woodhead Publishing Series in Textiles:
Number 173

Advances in Smart
Medical Textiles
Treatments and Health Monitoring

Edited by

L. van Langenhove

AMSTERDAM • BOSTON • CAMBRIDGE • HEIDELBERG

LONDON • NEW YORK • OXFORD • PARIS • SAN DIEGO
SAN FRANCISCO • SINGAPORE • SYDNEY • TOKYO
Woodhead Publishing is an imprint of Elsevier
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Notices
Knowledge and best practice in this field are constantly changing. As new research and
experience broaden our understanding, changes in research methods, professional practices,
or medical treatment may become necessary.

Practitioners and researchers must always rely on their own experience and knowledge in
evaluating and using any information, methods, compounds, or experiments described herein.
In using such information or methods they should be mindful of their own safety and the safety
of others, including parties for whom they have a professional responsibility.

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assume any liability for any injury and/or damage to persons or property as a matter of products
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ISBN: 978-1-78242-379-9 (print)

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Contents

List of contributors ix
Woodhead Publishing Series in Textiles xi

Part One Materials for smart medical textiles 1

1 Shape memory polymers in medical textiles 3

Mohsen Miraftab
1.1 Introduction 3
1.2 Types and properties of shape memory materials 5
1.3 Shape memory coating and finishing techniques for smart
textiles 9
1.4 Applications of shape memory materials in medical textiles 10
1.5 Future trends 15
Sources of further information and advice 15
References 16

2 Smart dyes for medical textiles 19

Vedran Durasevic
2.1 Introduction 19
2.2 Chromism 20
2.3 Photochromism 21
2.4 Thermochromism 37
2.5 Conclusion 50
References 51

3 Nanofibres for medical textiles 57

Wen Zhong
3.1 Introduction 57
3.2 Types and properties of nanofibres 57
3.3 Applications of nanotechnology in medical textiles 63
3.4 Future trends 65
3.5 Conclusion 66
References 67
vi Contents

Part Two Smart textiles for medical treatments 71

4 Active textile dressings for wound healing 73

Bojana Voncina, Lidija Zemlji
c Fras, Tiana Ristic
4.1 Introduction 73
4.2 Principles of wound healing 73
4.3 Types of textile used in wound healing 74
4.4 Applications of smart materials in wound care 80
4.5 Future trends 86
4.6 Conclusion 87
References 87

5 Smart textiles for infection control management 93

Subbiyan Rajendran, Subhash C. Anand
5.1 Introduction 93
5.2 Infection control 94
5.3 Conclusions 114
References 114

6 Drug-releasing textiles 119

Tahir Shah, Silviya Halacheva
6.1 Introduction 119
6.2 Principles of drug release 121
6.3 Classification of drug-release textiles 132
6.4 Fabrication of drug-release systems 136
6.5 Characterisation of drug-release textiles 141
6.6 Applications of drug-releasing textiles 142
6.7 Future trends 145
6.8 Conclusions 146
References 146

7 Designing ultra-personalised embodied smart textile services

for well-being 155
Martijn ten Bh€omer, Oscar Tomico, Stephan Wensveen
7.1 Introduction 155
7.2 Designing embodied smart textile services 156
7.3 Exploring embodiment in smart textile services for well-being 157
7.4 Case studies 161
7.5 Conclusions 173
Acknowledgements 174
References 175

8 Light-emitting fabrics for photodynamic therapy 177

Yesim Oguz, Cédric Cochrane, Serge R. Mordon, Jean Claude Lesage,
Vladan Koncar
8.1 Introduction 177
8.2 Materials and methods 182
Contents vii

8.3 Results and discussion 186

8.4 Conclusions 192
References 193

Part Three Textile-based sensors for health monitoring 195

9 Textiles with integrated sleep-monitoring sensors 197

Anne Schwarz-Pfeiffer, Melanie Hoerr, Viktorija Mecnika
9.1 Introduction 197
9.2 The need for textiles with integrated sleep-monitoring sensors 198
9.3 Principles of textile-based sensors for sleep-monitoring 199
9.4 Applications of textile-based sensors for sleep-monitoring 204
9.5 Conclusions 211
References 212

10 Medical applications of smart textiles 215

Shirley Coyle, Dermot Diamond
10.1 Introduction 215
10.2 Monitoring of body parameters 216
10.3 Challenges in medical smart textiles 226
10.4 Trends and applications of medical smart textiles 229
10.5 Conclusions 233
References 233

11 Textile-integrated electronics for ambulatory pregnancy

monitoring 239
Monica Perusquía-Hern andez, Wei Chen, Loe Feijs
11.1 Introduction 239
11.2 Trends and innovation in pregnancy monitoring 240
11.3 Design space 246
11.4 Towards the ideal pregnancy monitoring system 247
11.5 User research 248
11.6 Case study of a wearable pregnancy monitoring system 253
11.7 Future trends 263
References 265

Index 269
This page intentionally left blank
List of contributors

Subhash C. Anand Institute for Materials Research and Innovation, University of

Bolton, Bolton, UK
Martijn ten Bh€omer Department of Industrial Design, Eindhoven University
of Technology, The Netherlands, Den Dolech, AZ, Eindhoven
Wei Chen Industrial Design, Eindhoven University of Technology, Eindhoven, The
Netherlands, Den Dolech, AZ, Eindhoven
Cédric Cochrane Univ Lille Nord de France, Lille, France; ENSAIT, GEMTEX,
Roubaix, France
Shirley Coyle Insight Centre for Data Analytics, National Centre for Sensor
Research, Dublin City University, Dublin, Ireland
Dermot Diamond Insight Centre for Data Analytics, National Centre for Sensor
Research, Dublin City University, Dublin, Ireland
Vedran Durasevic Colour Science Department, School of Chemistry, University of
Leeds, Leeds, UK
Loe Feijs Industrial Design, Eindhoven University of Technology, Eindhoven, The
Netherlands, Den Dolech, AZ, Eindhoven
Silviya Halacheva Institute of Materials Research and Innovation (IMRI),
University of Bolton, Bolton, UK
Melanie Hoerr RWTH Aachen University – Institut f€ur Textiltechnik, Aachen,
Germany
Vladan Koncar Univ Lille Nord de France, Lille, France; ENSAIT, GEMTEX,
Roubaix, France
Jean Claude Lesage Univ Lille Nord de France, Lille, France; INSERM U 703,
Lille University Hospital – CHRU, Lille, France
Viktorija Mecnika RWTH Aachen University – Institut f€ur Textiltechnik, Aachen,
Germany
Mohsen Miraftab University of Bolton, Institute for Materials Research and
Innovation, Bolton, UK
x List of contributors

Serge R. Mordon Univ Lille Nord de France, Lille, France; INSERM U 703, Lille
University Hospital – CHRU, Lille, France
Yesim Oguz Univ Lille Nord de France, Lille, France; ENSAIT, GEMTEX,
Roubaix, France
Monica Perusquía-Hern andez Industrial Design, Eindhoven University of
Technology, Eindhoven, The Netherlands, Den Dolech, AZ, Eindhoven
Subbiyan Rajendran Institute for Materials Research and Innovation, University of
Bolton, Bolton, UK
Tiana Ristic 
Tosama d.o.o. Vir, Saranovi
ceva cesta, Domzale, Slovenia
Anne Schwarz-Pfeiffer Hochschule Niederrhein University of Applied Sciences,
M€
onchengladbach, Germany
Tahir Shah Institute of Materials Research and Innovation (IMRI), University
of Bolton, Bolton, UK
Oscar Tomico Department of Industrial Design, Eindhoven University
of Technology, The Netherlands, Den Dolech, AZ, Eindhoven
Bojana Voncina Department of Textile Materials and Design, University
of Maribor, Smetanova, Maribor, Slovenia
Stephan Wensveen Department of Industrial Design, Eindhoven University
of Technology, The Netherlands, Den Dolech, AZ, Eindhoven
Lidija Zemljic Fras Department of Textile Materials and Design, University
of Maribor, Smetanova, Maribor, Slovenia
Wen Zhong University of Manitoba, Canada
Woodhead Publishing Series in Textiles

1 Watson’s textile design and colour Seventh edition

Edited by Z. Grosicki
2 Watson’s advanced textile design
Edited by Z. Grosicki
3 Weaving Second edition
P. R. Lord and M. H. Mohamed
4 Handbook of textile fibres Volume 1: Natural fibres
J. Gordon Cook
5 Handbook of textile fibres Volume 2: Man-made fibres
J. Gordon Cook
6 Recycling textile and plastic waste
Edited by A. R. Horrocks
7 New fibers Second edition
T. Hongu and G. O. Phillips
8 Atlas of fibre fracture and damage to textiles Second edition
J. W. S. Hearle, B. Lomas and W. D. Cooke
9 Ecotextile ’98
Edited by A. R. Horrocks
10 Physical testing of textiles
B. P. Saville
11 Geometric symmetry in patterns and tilings
C. E. Horne
12 Handbook of technical textiles
Edited by A. R. Horrocks and S. C. Anand
13 Textiles in automotive engineering
W. Fung and J. M. Hardcastle
14 Handbook of textile design
J. Wilson
15 High-performance fibres
Edited by J. W. S. Hearle
16 Knitting technology Third edition
D. J. Spencer
17 Medical textiles
Edited by S. C. Anand
18 Regenerated cellulose fibres
Edited by C. Woodings
19 Silk, mohair, cashmere and other luxury fibres
Edited by R. R. Franck
xii Woodhead Publishing Series in Textiles

20 Smart fibres, fabrics and clothing

Edited by X. M. Tao
21 Yarn texturing technology
J. W. S. Hearle, L. Hollick and D. K. Wilson
22 Encyclopedia of textile finishing
H-K. Rouette
23 Coated and laminated textiles
W. Fung
24 Fancy yarns
R. H. Gong and R. M. Wright
25 Wool: Science and technology
Edited by W. S. Simpson and G. Crawshaw
26 Dictionary of textile finishing
H-K. Rouette
27 Environmental impact of textiles
K. Slater
28 Handbook of yarn production
P. R. Lord
29 Textile processing with enzymes
Edited by A. Cavaco-Paulo and G. G€ubitz
30 The China and Hong Kong denim industry
Y. Li, L. Yao and K. W. Yeung
31 The World Trade Organization and international denim trading
Y. Li, Y. Shen, L. Yao and E. Newton
32 Chemical finishing of textiles
W. D. Schindler and P. J. Hauser
33 Clothing appearance and fit
J. Fan, W. Yu and L. Hunter
34 Handbook of fibre rope technology
H. A. McKenna, J. W. S. Hearle and N. O’Hear
35 Structure and mechanics of woven fabrics
J. Hu
36 Synthetic fibres: Nylon, polyester, acrylic, polyolefin
Edited by J. E. McIntyre
37 Woollen and worsted woven fabric design
E. G. Gilligan
38 Analytical electrochemistry in textiles
P. Westbroek, G. Priniotakis and P. Kiekens
39 Bast and other plant fibres
R. R. Franck
40 Chemical testing of textiles
Edited by Q. Fan
41 Design and manufacture of textile composites
Edited by A. C. Long
42 Effect of mechanical and physical properties on fabric hand
Edited by H. M. Behery
43 New millennium fibers
T. Hongu, M. Takigami and G. O. Phillips
Woodhead Publishing Series in Textiles xiii

44 Textiles for protection

Edited by R. A. Scott
45 Textiles in sport
Edited by R. Shishoo
46 Wearable electronics and photonics
Edited by X. M. Tao
47 Biodegradable and sustainable fibres
Edited by R. S. Blackburn
48 Medical textiles and biomaterials for healthcare
Edited by S. C. Anand, M. Miraftab, S. Rajendran and J. F. Kennedy
49 Total colour management in textiles
Edited by J. Xin
50 Recycling in textiles
Edited by Y. Wang
51 Clothing biosensory engineering
Y. Li and A. S. W. Wong
52 Biomechanical engineering of textiles and clothing
Edited by Y. Li and D. X-Q. Dai
53 Digital printing of textiles
Edited by H. Ujiie
54 Intelligent textiles and clothing
Edited by H. R. Mattila
55 Innovation and technology of women’s intimate apparel
W. Yu, J. Fan, S. C. Harlock and S. P. Ng
56 Thermal and moisture transport in fibrous materials
Edited by N. Pan and P. Gibson
57 Geosynthetics in civil engineering
Edited by R. W. Sarsby
58 Handbook of nonwovens
Edited by S. Russell
59 Cotton: Science and technology
Edited by S. Gordon and Y-L. Hsieh
60 Ecotextiles
Edited by M. Miraftab and A. R. Horrocks
61 Composite forming technologies
Edited by A. C. Long
62 Plasma technology for textiles
Edited by R. Shishoo
63 Smart textiles for medicine and healthcare
Edited by L. Van Langenhove
64 Sizing in clothing
Edited by S. Ashdown
65 Shape memory polymers and textiles
J. Hu
66 Environmental aspects of textile dyeing
Edited by R. Christie
67 Nanofibers and nanotechnology in textiles
Edited by P. Brown and K. Stevens
xiv Woodhead Publishing Series in Textiles

68 Physical properties of textile fibres Fourth edition

W. E. Morton and J. W. S. Hearle
69 Advances in apparel production
Edited by C. Fairhurst
70 Advances in fire retardant materials
Edited by A. R. Horrocks and D. Price
71 Polyesters and polyamides
Edited by B. L. Deopura, R. Alagirusamy, M. Joshi and B. S. Gupta
72 Advances in wool technology
Edited by N. A. G. Johnson and I. Russell
73 Military textiles
Edited by E. Wilusz
74 3D fibrous assemblies: Properties, applications and modelling of three-dimensional
textile structures
J. Hu
75 Medical and healthcare textiles
Edited by S. C. Anand, J. F. Kennedy, M. Miraftab and S. Rajendran
76 Fabric testing
Edited by J. Hu
77 Biologically inspired textiles
Edited by A. Abbott and M. Ellison
78 Friction in textile materials
Edited by B. S. Gupta
79 Textile advances in the automotive industry
Edited by R. Shishoo
80 Structure and mechanics of textile fibre assemblies
Edited by P. Schwartz
81 Engineering textiles: Integrating the design and manufacture of textile products
Edited by Y. E. El-Mogahzy
82 Polyolefin fibres: Industrial and medical applications
Edited by S. C. O. Ugbolue
83 Smart clothes and wearable technology
Edited by J. McCann and D. Bryson
84 Identification of textile fibres
Edited by M. Houck
85 Advanced textiles for wound care
Edited by S. Rajendran
86 Fatigue failure of textile fibres
Edited by M. Miraftab
87 Advances in carpet technology
Edited by K. Goswami
88 Handbook of textile fibre structure Volume 1 and Volume 2
Edited by S. J. Eichhorn, J. W. S. Hearle, M. Jaffe and T. Kikutani
89 Advances in knitting technology
Edited by K-F. Au
90 Smart textile coatings and laminates
Edited by W. C. Smith
91 Handbook of tensile properties of textile and technical fibres
Edited by A. R. Bunsell
Woodhead Publishing Series in Textiles xv

92 Interior textiles: Design and developments

Edited by T. Rowe
93 Textiles for cold weather apparel
Edited by J. T. Williams
94 Modelling and predicting textile behaviour
Edited by X. Chen
95 Textiles, polymers and composites for buildings
Edited by G. Pohl
96 Engineering apparel fabrics and garments
J. Fan and L. Hunter
97 Surface modification of textiles
Edited by Q. Wei
98 Sustainable textiles
Edited by R. S. Blackburn
99 Advances in yarn spinning technology
Edited by C. A. Lawrence
100 Handbook of medical textiles
Edited by V. T. Bartels
101 Technical textile yarns
Edited by R. Alagirusamy and A. Das
102 Applications of nonwovens in technical textiles
Edited by R. A. Chapman
103 Colour measurement: Principles, advances and industrial applications
Edited by M. L. Gulrajani
104 Fibrous and composite materials for civil engineering applications
Edited by R. Fangueiro
105 New product development in textiles: Innovation and production
Edited by L. Horne
106 Improving comfort in clothing
Edited by G. Song
107 Advances in textile biotechnology
Edited by V. A. Nierstrasz and A. Cavaco-Paulo
108 Textiles for hygiene and infection control
Edited by B. McCarthy
109 Nanofunctional textiles
Edited by Y. Li
110 Joining textiles: Principles and applications
Edited by I. Jones and G. Stylios
111 Soft computing in textile engineering
Edited by A. Majumdar
112 Textile design
Edited by A. Briggs-Goode and K. Townsend
113 Biotextiles as medical implants
Edited by M. W. King, B. S. Gupta and R. Guidoin
114 Textile thermal bioengineering
Edited by Y. Li
115 Woven textile structure
B. K. Behera and P. K. Hari
xvi Woodhead Publishing Series in Textiles

116 Handbook of textile and industrial dyeing. Volume 1: Principles, processes

and types of dyes
Edited by M. Clark
117 Handbook of textile and industrial dyeing. Volume 2: Applications of dyes
Edited by M. Clark
118 Handbook of natural fibres. Volume 1: Types, properties and factors affecting
breeding and cultivation
Edited by R. Kozłowski
119 Handbook of natural fibres. Volume 2: Processing and applications
Edited by R. Kozłowski
120 Functional textiles for improved performance, protection and health
Edited by N. Pan and G. Sun
121 Computer technology for textiles and apparel
Edited by J. Hu
122 Advances in military textiles and personal equipment
Edited by E. Sparks
123 Specialist yarn and fabric structures
Edited by R. H. Gong
124 Handbook of sustainable textile production
M. I. Tobler-Rohr
125 Woven textiles: Principles, developments and applications
Edited by K. Gandhi
126 Textiles and fashion: Materials design and technology
Edited by R. Sinclair
127 Industrial cutting of textile materials
I. Viļumsone-Nemes
128 Colour design: Theories and applications
Edited by J. Best
129 False twist textured yarns
C. Atkinson
130 Modelling, simulation and control of the dyeing process
R. Shamey and X. Zhao
131 Process control in textile manufacturing
Edited by A. Majumdar, A. Das, R. Alagirusamy and V. K. Kothari
132 Understanding and improving the durability of textiles
Edited by P. A. Annis
133 Smart textiles for protection
Edited by R. A. Chapman
134 Functional nanofibers and applications
Edited by Q. Wei
135 The global textile and clothing industry: Technological advances and future
challenges
Edited by R. Shishoo
136 Simulation in textile technology: Theory and applications
Edited by D. Veit
137 Pattern cutting for clothing using CAD: How to use Lectra Modaris pattern cutting
software
M. Stott
Woodhead Publishing Series in Textiles xvii

138 Advances in the dyeing and finishing of technical textiles

M. L. Gulrajani
139 Multidisciplinary know-how for smart textiles developers
Edited by T. Kirstein
140 Handbook of fire resistant textiles
Edited by F. Selcen Kilinc
141 Handbook of footwear design and manufacture
Edited by A. Luximon
142 Textile-led design for the active ageing population
Edited by J. McCann and D. Bryson
143 Optimizing decision making in the apparel supply chain using artificial intelligence
(AI): From production to retail
Edited by W. K. Wong, Z. X. Guo and S. Y. S. Leung
144 Mechanisms of flat weaving technology
V. V. Choogin, P. Bandara and E. V. Chepelyuk
145 Innovative jacquard textile design using digital technologies
F. Ng and J. Zhou
146 Advances in shape memory polymers
J. Hu
147 Design of clothing manufacturing processes: A systematic approach to planning,
scheduling and control
J. Gersak
148 Anthropometry, apparel sizing and design
D. Gupta and N. Zakaria
149 Silk: Processing, properties and applications
Edited by K. Murugesh Babu
150 Advances in filament yarn spinning of textiles and polymers
Edited by D. Zhang
151 Designing apparel for consumers: The impact of body shape and size
Edited by M.-E. Faust and S. Carrier
152 Fashion supply chain management using radio frequency identification (RFID)
technologies
Edited by W. K. Wong and Z. X. Guo
153 High performance textiles and their applications
Edited by C. A. Lawrence
154 Protective clothing: Managing thermal stress
Edited by F. Wang and C. Gao
155 Composite nonwoven materials
Edited by D. Das and B. Pourdeyhimi
156 Functional finishes for textiles: Improving comfort, performance and protection
Edited by R. Paul
157 Assessing the environmental impact of textiles and the clothing supply chain
S. S. Muthu
158 Braiding technology for textiles
Y. Kyosev
159 Principles of colour appearance and measurement Volume 1: Object appearance,
colour perception and instrumental measurement
A. K. R. Choudhury
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