Recent Advances in Skin-Interfaced Wearable Sweat Sensors: Opportunities for Equitable Personalized Medicine and Global Health Diagnostics

Emerging innovations in portable chemical sensing devices: Advancements from microneedles to hydrogel, microfluidic, and paper-based platforms

With the public heightened emphasis on mitigating the occurrence risks of health-related ailment and optimizing personal physical performance, portable chemical sensing devices emerged as an indispensable component of pervasive health monitoring. Chemical sensing enabled the immediate and on-site identification of biomarkers in biological fluids by integrating colorimetry, fluorescence, electrochemical, and other methods into portable sensor devices. These sensor devices incorporated microneedles, hydrogels, microfluidic modules, and papers, facilitating conformal human-device contact and providing several visual sensing options for disease prevention and healthcare management. This review systematically overviewed recent advancements in chemical sensors for marker detection, categorizing them based on monitoring device types. Furthermore, we also offered recommendations and opportunities for developing portable chemical sensing devices by summarizing sensor integration methods and tracking sites on the human body.

Engineering mechanical compliance in polymers and composites for the design of smart flexible sensors

Polymers are one of the most popular materials for next-generation flexible sensing device fabrication due to their tunable mechanical and electrical properties. A series of prior research studies in the field of smart flexible and wearable sensing illustrates the potential of various polymer and composite materials to be applied in sensor development. In this direction, mechanical compliance plays a vital role as it ensures the stability and reliability of the fabricated sensor. Therefore, engineering mechanical compliance for the development of smart flexible solutions has emerged as a significant area of research. Furthermore, the usage of flexible sensing devices is rapidly increasing in the field of healthcare devices and robotic automation. This feature article summarizes the relevant contributions of the authors in the field of engineered polymers and composites for flexible sensor development with a focus on healthcare and physical sensing applications. We discuss the polymer and composite materials, their characteristics, fabrication technologies, finite element method analysis, and examples of flexible physical sensors, i.e. pressure, strain, and temperature sensors, for various wearable healthcare applications and robotic automation. Finally, we discuss examples of multi-sensory systems having flexible sensors.

Harvesting and manipulating sweat and interstitial fluid in microfluidic devices

Microfluidic devices began to be used to facilitate sweat and interstitial fluid (ISF) sensing in the mid-2010s. Since then, numerous prototypes involving microfluidics have been developed in different form factors for sensing biomarkers found in these fluids under in vitro, ex vivo, and in vivo (on-body) settings. These devices transport and manipulate biofluids using microfluidic channels composed of silicone, polymer, paper, or fiber. Fluid flow transport and sample management can be achieved by controlling the flow rate, surface morphology of the channel, and rate of fluid evaporation. Although many devices have been developed for estimating sweat rate, electrolyte, and metabolite levels, only a handful have been able to proceed beyond laboratory testing and reach the stage of clinical trials and commercialization. To further this technology, this review reports on the utilization of microfluidics towards sweat and ISF management and transport. The review is distinguished from other recent reviews by focusing on microfluidic principles of sweat and ISF generation, transport, extraction, and management. Challenges and prospects are highlighted, with a discussion on how to transition such prototypes towards personalized healthcare monitoring systems.