LAUSR

Tough bioadhesion has important implications in engineering and medicine but remains challenging to form and control. We report an ultrasound (US)–mediated strategy to achieve tough bioadhesion with controllability and fatigue resistance. Without chemical reaction, the US can amplify the adhesion energy and interfacial fatigue threshold between hydrogels and porcine skin by up to 100 and 10 times. Combined experiments and theoretical modeling suggest that the key mechanism is US-induced cavitation, which propels and immobilizes anchoring primers into tissues with mitigated barrier effects. Our strategy achieves spatial patterning of tough bioadhesion, on-demand detachment, and transdermal drug delivery. This work expands the material repertoire for tough bioadhesion and enables bioadhesive technologies with high-level controllability. Description A sound way to make it stick Tissue adhesives play a role in temporary or permanent tissue repair, wound management, and the attachment of wearable electronics. However, it can be challenging to tailor the adhesive strength to ensure reversibility when desired and to maintain permeability. Ma et al. designed hydrogels made of polyacrylamide or poly(N-isopropylacrylamide) combined with alginate that are primed using a solution containing nanoparticles of chitosan, gelatin, or cellulose nanocrystals (see the Perspective by Es Sayed and Kamperman). The application of ultrasound causes cavitation that pushes the primer molecules into the tissue. The mechanical interlocking of the anchors eventually results in strong adhesion between hydrogel and tissue without the need for chemical bonding. Tests on porcine or rat skin showed enhanced adhesion energy and interfacial fatigue resistance with on-demand detachment. —MSL Reversible, tough bioadhesion can be generated and controlled by applying ultrasound to hydrogels.