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Wang K, Margolis S, Cho JM, Wang S, Arianpour B, Jabalera A, Yin J, Hong W, Zhang Y, Zhao P, Zhu E, Reddy S, Hsiai TK. Non-Invasive Detection of Early-Stage Fatty Liver Disease via an On-Skin Impedance Sensor and Attention-Based Deep Learning. ADVANCED SCIENCE (WEINHEIM, BADEN-WURTTEMBERG, GERMANY) 2024:e2400596. [PMID: 38887178 DOI: 10.1002/advs.202400596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Revised: 03/17/2024] [Indexed: 06/20/2024]
Abstract
Early-stage nonalcoholic fatty liver disease (NAFLD) is a silent condition, with most cases going undiagnosed, potentially progressing to liver cirrhosis and cancer. A non-invasive and cost-effective detection method for early-stage NAFLD detection is a public health priority but challenging. In this study, an adhesive, soft on-skin sensor with low electrode-skin contact impedance for early-stage NAFLD detection is fabricated. A method is developed to synthesize platinum nanoparticles and reduced graphene quantum dots onto the on-skin sensor to reduce electrode-skin contact impedance by increasing double-layer capacitance, thereby enhancing detection accuracy. Furthermore, an attention-based deep learning algorithm is introduced to differentiate impedance signals associated with early-stage NAFLD in high-fat-diet-fed low-density lipoprotein receptor knockout (Ldlr-/-) mice compared to healthy controls. The integration of an adhesive, soft on-skin sensor with low electrode-skin contact impedance and the attention-based deep learning algorithm significantly enhances the detection accuracy for early-stage NAFLD, achieving a rate above 97.5% with an area under the receiver operating characteristic curve (AUC) of 1.0. The findings present a non-invasive approach for early-stage NAFLD detection and display a strategy for improved early detection through on-skin electronics and deep learning.
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Affiliation(s)
- Kaidong Wang
- Department of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, 90095, USA
- Department of Bioengineering, Henry Samueli School of Engineering and Applied Sciences, University of California Los Angeles, Los Angeles, CA, 90095, USA
- Department of Medicine, Greater Los Angeles Veterans Affairs (VA) Healthcare System, Los Angeles, CA, 90073, USA
| | - Samuel Margolis
- Department of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, 90095, USA
| | - Jae Min Cho
- Department of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, 90095, USA
| | - Shaolei Wang
- Department of Bioengineering, Henry Samueli School of Engineering and Applied Sciences, University of California Los Angeles, Los Angeles, CA, 90095, USA
| | - Brian Arianpour
- Department of Bioengineering, Henry Samueli School of Engineering and Applied Sciences, University of California Los Angeles, Los Angeles, CA, 90095, USA
| | - Alejandro Jabalera
- Department of Bioengineering, Henry Samueli School of Engineering and Applied Sciences, University of California Los Angeles, Los Angeles, CA, 90095, USA
| | - Junyi Yin
- Department of Bioengineering, Henry Samueli School of Engineering and Applied Sciences, University of California Los Angeles, Los Angeles, CA, 90095, USA
| | - Wen Hong
- Department of Materials Science and Engineering, University of California Los Angeles, Los Angeles, CA, 90095, USA
| | - Yaran Zhang
- Department of Bioengineering, Henry Samueli School of Engineering and Applied Sciences, University of California Los Angeles, Los Angeles, CA, 90095, USA
| | - Peng Zhao
- Department of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, 90095, USA
| | - Enbo Zhu
- Department of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, 90095, USA
- Department of Materials Science and Engineering, University of California Los Angeles, Los Angeles, CA, 90095, USA
| | - Srinivasa Reddy
- Department of Molecular and Medical Pharmacology, University of California Los Angeles, Los Angeles, CA, 90095, USA
| | - Tzung K Hsiai
- Department of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, 90095, USA
- Department of Bioengineering, Henry Samueli School of Engineering and Applied Sciences, University of California Los Angeles, Los Angeles, CA, 90095, USA
- Department of Medicine, Greater Los Angeles Veterans Affairs (VA) Healthcare System, Los Angeles, CA, 90073, USA
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Arefin MS, Rahman MM, Hasan MT, Mahmud M. A Topical Review on Enabling Technologies for the Internet of Medical Things: Sensors, Devices, Platforms, and Applications. MICROMACHINES 2024; 15:479. [PMID: 38675290 PMCID: PMC11051832 DOI: 10.3390/mi15040479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/24/2023] [Revised: 03/17/2024] [Accepted: 03/22/2024] [Indexed: 04/28/2024]
Abstract
The Internet of Things (IoT) is still a relatively new field of research, and its potential to be used in the healthcare and medical sectors is enormous. In the last five years, IoT has been a go-to option for various applications such as using sensors for different features, machine-to-machine communication, etc., but precisely in the medical sector, it is still lagging far behind compared to other sectors. Hence, this study emphasises IoT applications in medical fields, Medical IoT sensors and devices, IoT platforms for data visualisation, and artificial intelligence in medical applications. A systematic review considering PRISMA guidelines on research articles as well as the websites on IoMT sensors and devices has been carried out. After the year 2001, an integrated outcome of 986 articles was initially selected, and by applying the inclusion-exclusion criterion, a total of 597 articles were identified. 23 new studies have been finally found, including records from websites and citations. This review then analyses different sensor monitoring circuits in detail, considering an Intensive Care Unit (ICU) scenario, device applications, and the data management system, including IoT platforms for the patients. Lastly, detailed discussion and challenges have been outlined, and possible prospects have been presented.
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Affiliation(s)
- Md. Shamsul Arefin
- Department of Electrical and Electronic Engineering (EEE), Bangladesh University of Business & Technology, Dhaka 1216, Bangladesh;
| | | | - Md. Tanvir Hasan
- Department of Electrical and Electronic Engineering (EEE), Jashore University of Science & Technology, Jashore 7408, Bangladesh;
- Department of Electrical Engineering, University of South Carolina, Columbia, SC 29208, USA
| | - Mufti Mahmud
- Department of Computer Science, Nottingham Trent University, Nottingham NG11 8NS, UK
- Computing and Informatics Research Centre, Nottingham Trent University, Nottingham NG11 8NS, UK
- Medical Technologies Innovation Facility, Nottingham Trent University, Nottingham NG11 8NS, UK
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Youssef K, Ullah A, Rezai P, Hasan A, Amirfazli A. Recent advances in biosensors for real time monitoring of pH, temperature, and oxygen in chronic wounds. Mater Today Bio 2023; 22:100764. [PMID: 37674780 PMCID: PMC10477692 DOI: 10.1016/j.mtbio.2023.100764] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Revised: 07/16/2023] [Accepted: 08/05/2023] [Indexed: 09/08/2023] Open
Abstract
Chronic wounds are among the major healthcare issues affecting millions of people worldwide with high rates of morbidity, losses of limbs and mortality. Microbial infection in wounds is a severe problem that can impede healing of chronic wounds. Accurate, timely and early detection of infections, and real time monitoring of various wound healing biomarkers related to infection can be significantly helpful in the treatment and care of chronic wounds. However, clinical methodologies of periodic assessment and care of wounds require physical visit to wound care clinics or hospitals and time-consuming frequent replacement of wound dressing patches, which also often adversely affect the healing process. Besides, frequent replacements of wound dressings are highly expensive, causing a huge amount of burden on the national health care systems. Smart bandages have emerged to provide in situ physiochemical surveillance in real time at the wound site. These bandages integrate smart sensors to detect the condition of wound infection based on various parameters, such as pH, temperature and oxygen level in the wound which reduces the frequency of changing the wound dressings and its associated complications. These devices can continually monitor the healing process, paving the way for tailored therapy and improved quality of patient's life. In this review, we present an overview of recent advances in biosensors for real time monitoring of pH, temperature, and oxygen in chronic wounds in order to assess infection status. We have elaborated the recent progress in quantitative monitoring of several biomarkers important for assessing wounds infection status and its detection using smart biosensors. The review shows that real-time monitoring of wound status by quantifying specific biomarkers, such as pH, temperature and tissue oxygenation to significantly aid the treatment and care of chronic infected wounds.
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Affiliation(s)
- Khaled Youssef
- Department of Mechanical Engineering, York University, Toronto, ON, Canada
| | - Asad Ullah
- Department of Mechanical and Industrial Engineering, Qatar University, Doha, 2713, Qatar
- Biomedical Research Center, Qatar University, Doha, 2713, Qatar
| | - Pouya Rezai
- Department of Mechanical Engineering, York University, Toronto, ON, Canada
| | - Anwarul Hasan
- Department of Mechanical and Industrial Engineering, Qatar University, Doha, 2713, Qatar
- Biomedical Research Center, Qatar University, Doha, 2713, Qatar
| | - Alidad Amirfazli
- Department of Mechanical Engineering, York University, Toronto, ON, Canada
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4
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Kato I, Watanabe H, Nagashima K. Evaluation of newly developed wearable ear canal thermometer, mimicking the application to activities on sports and labor fields. J Physiol Sci 2023; 73:15. [PMID: 37464272 DOI: 10.1186/s12576-023-00874-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 07/06/2023] [Indexed: 07/20/2023]
Abstract
We evaluated the reliability of a newly developed wearable ear canal thermometer based on three different experiments, in which ear canal and rectal temperature (Tear and Trec, respectively) were simultaneously monitored. In Experiment 1, participants sat at 28 °C and 50% relative humidity (RH), during which fanning or 41 °C lower legs water immersion was conducted. In Experiment 2, participants conducted a 70-min treadmill exercise (4 km/h, 0.5% slope) at 35 °C and 50% RH with intermittent fanning. In Experiment 3, participants completed a 20 min treadmill exercise (6 km/h, 5% slope) at 35 °C and 65% RH. Bland-Altman analysis for Tear and Trec showed the difference of - 0.2-0.3 °C and the limit of agreement of the mean ± 0.3-0.6 °C. The intraclass correlation coefficient was 0.44-0.83. The results may suggest that the ear canal thermometer is useful to assess core body temperature in sports and/or labor fields.
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Affiliation(s)
- Issei Kato
- Graduate School of Human Sciences, Waseda University, Mikajima 2-579-15, Tokorozawa, Saitama, 359-1192, Japan
- Japan Society for the Promotion of Science, Kojimachi 5-3-1, Chiyoda-ku, Tokyo, 102-0083, Japan
- Body Temperature and Fluid Laboratory, Graduate School of Human Sciences, Faculty of Human Sciences, Waseda University, Mikajima 2-579-15, Tokorozawa, Saitama, 359-1192, Japan
| | - Hironori Watanabe
- Sustainable Energy and Environmental Society Open Innovation Research Organization, Waseda University, Nishiwaseda 1-6-1, Shinjuku-ku, Tokyo, 169-8050, Japan
- Body Temperature and Fluid Laboratory, Graduate School of Human Sciences, Faculty of Human Sciences, Waseda University, Mikajima 2-579-15, Tokorozawa, Saitama, 359-1192, Japan
| | - Kei Nagashima
- Sustainable Energy and Environmental Society Open Innovation Research Organization, Waseda University, Nishiwaseda 1-6-1, Shinjuku-ku, Tokyo, 169-8050, Japan.
- Body Temperature and Fluid Laboratory, Graduate School of Human Sciences, Faculty of Human Sciences, Waseda University, Mikajima 2-579-15, Tokorozawa, Saitama, 359-1192, Japan.
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Naghdi T, Ardalan S, Asghari Adib Z, Sharifi AR, Golmohammadi H. Moving toward smart biomedical sensing. Biosens Bioelectron 2023; 223:115009. [PMID: 36565545 DOI: 10.1016/j.bios.2022.115009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2022] [Revised: 11/01/2022] [Accepted: 12/12/2022] [Indexed: 12/23/2022]
Abstract
The development of novel biomedical sensors as highly promising devices/tools in early diagnosis and therapy monitoring of many diseases and disorders has recently witnessed unprecedented growth; more and faster than ever. Nonetheless, on the eve of Industry 5.0 and by learning from defects of current sensors in smart diagnostics of pandemics, there is still a long way to go to achieve the ideal biomedical sensors capable of meeting the growing needs and expectations for smart biomedical/diagnostic sensing through eHealth systems. Herein, an overview is provided to highlight the importance and necessity of an inevitable transition in the era of digital health/Healthcare 4.0 towards smart biomedical/diagnostic sensing and how to approach it via new digital technologies including Internet of Things (IoT), artificial intelligence, IoT gateways (smartphones, readers), etc. This review will bring together the different types of smartphone/reader-based biomedical sensors, which have been employing for a wide variety of optical/electrical/electrochemical biosensing applications and paving the way for future eHealth diagnostic devices by moving towards smart biomedical sensing. Here, alongside highlighting the characteristics/criteria that should be met by the developed sensors towards smart biomedical sensing, the challenging issues ahead are delineated along with a comprehensive outlook on this extremely necessary field.
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Affiliation(s)
- Tina Naghdi
- Nanosensors Bioplatforms Laboratory, Chemistry and Chemical Engineering Research Center of Iran, 14335-186, Tehran, Iran
| | - Sina Ardalan
- Nanosensors Bioplatforms Laboratory, Chemistry and Chemical Engineering Research Center of Iran, 14335-186, Tehran, Iran
| | - Zeinab Asghari Adib
- Nanosensors Bioplatforms Laboratory, Chemistry and Chemical Engineering Research Center of Iran, 14335-186, Tehran, Iran
| | - Amir Reza Sharifi
- Nanosensors Bioplatforms Laboratory, Chemistry and Chemical Engineering Research Center of Iran, 14335-186, Tehran, Iran
| | - Hamed Golmohammadi
- Nanosensors Bioplatforms Laboratory, Chemistry and Chemical Engineering Research Center of Iran, 14335-186, Tehran, Iran.
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6
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Kalasin S, Surareungchai W. Challenges of Emerging Wearable Sensors for Remote Monitoring toward Telemedicine Healthcare. Anal Chem 2023; 95:1773-1784. [PMID: 36629753 DOI: 10.1021/acs.analchem.2c02642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Digitized telemedicine tools with the Internet of Things (IoT) started advancing into our daily lives and have been incorporated with commercial wearable gadgets for noninvasive remote health monitoring. The newly established tools have been steered toward a new era of decentralized healthcare. The advancement of a telemedicine wearable monitoring system has attracted enormous interest in the multimodal big data acquisition of real-time physiological and biochemical information via noninvasive methods for any health-related industries. The expectation of telemedicine wearable creation has been focused on early diagnosis of multiple diseases and minimizing the cost of high-tech and invasive treatments. However, only limited progress has been directed toward the development of telemedicine wearable sensors. This Perspective addresses the advancement of these wearable sensors that encounter multiple challenges on the forefront and technological gaps hampering the realization of health monitoring at molecular levels related to smart materials mostly limited to single use, issues of selectivity to analytes, low sensitivity to targets, miniaturization, and lack of artificial intelligence to perform multiple tasks and secure big data transfer. Sensor stability with minimized signal drift, on-body sensor reusability, and long-term continuous health monitoring provides key analytical challenges. This Perspective also focuses on, promotes, and highlights wearable sensors with a distinct capability to interconnect with telemedicine healthcare for physical sensing and multiplex sensing at deeper levels. Moreover, it points out some critical challenges in different material aspects and promotes what it will take to advance the current state-of-art wearable sensors for telemedicine healthcare. Ultimately, this Perspective is to draw attention to some potential blind spots of wearable technology development and to inspire further development of this integrated technology in mitigating multimorbidity in aging societies through health monitoring at molecular levels to identify signs of diseases.
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Affiliation(s)
- Surachate Kalasin
- Faculty of Science and Nanoscience & Nanotechnology Graduate Program, King Mongkut's University of Technology Thonburi, 10140 Bangkok, Thailand
| | - Werasak Surareungchai
- Pilot Plant Research and Development Laboratory, King Mongkut's University of Technology Thonburi, 10150 Bangkok, Thailand
- School of Bioresource and Technology, King Mongkut's University of Technology Thonburi, 10150 Bangkok, Thailand
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7
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Madhvapathy SR, Arafa HM, Patel M, Winograd J, Kong J, Zhu J, Xu S, Rogers JA. Advanced thermal sensing techniques for characterizing the physical properties of skin. APPLIED PHYSICS REVIEWS 2022; 9:041307. [PMID: 36467868 PMCID: PMC9677811 DOI: 10.1063/5.0095157] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Accepted: 09/15/2022] [Indexed: 06/17/2023]
Abstract
Measurements of the thermal properties of the skin can serve as the basis for a noninvasive, quantitative characterization of dermatological health and physiological status. Applications range from the detection of subtle spatiotemporal changes in skin temperature associated with thermoregulatory processes, to the evaluation of depth-dependent compositional properties and hydration levels, to the assessment of various features of microvascular/macrovascular blood flow. Examples of recent advances for performing such measurements include thin, skin-interfaced systems that enable continuous, real-time monitoring of the intrinsic thermal properties of the skin beyond its superficial layers, with a path to reliable, inexpensive instruments that offer potential for widespread use as diagnostic tools in clinical settings or in the home. This paper reviews the foundational aspects of the latest thermal sensing techniques with applicability to the skin, summarizes the various devices that exploit these concepts, and provides an overview of specific areas of application in the context of skin health. A concluding section presents an outlook on the challenges and prospects for research in this field.
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Huang Q, Wu C, Hou S, Yao K, Sun H, Wang Y, Chen Y, Law J, Yang M, Chan HY, Roy VAL, Zhao Y, Wang D, Song E, Yu X, Lao L, Sun Y, Li WJ. Mapping of Spatiotemporal Auricular Electrophysiological Signals Reveals Human Biometric Clusters. Adv Healthc Mater 2022; 11:e2201404. [PMID: 36217916 DOI: 10.1002/adhm.202201404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2022] [Revised: 09/09/2022] [Indexed: 01/28/2023]
Abstract
Underneath the ear skin there are rich vascular network and sensory nerve branches. Hence, the 3D mapping of auricular electrophysiological signals can provide new biomedical perspectives. However, it is still extremely challenging for current sensing techniques to cover the entire ultra-curved auricle. Here, a 3D graphene-based ear-conformable sensing device with embedded and distributed 3D electrodes for full-auricle physiological monitoring is reported. As a proof-of-concept, spatiotemporal auricular electrical skin resistance (AESR) mapping is demonstrated for the first time, and human subject-specific AESR distributions are observed. From the data of more than 30 ears (both right and left ears), the auricular region-specific AESR changes after cycling exercise are observed in 98% of the tests and are clustered into four groups via machine learning-based data analyses. Correlations of AESR with heart rate and blood pressure are also studied. This 3D electronic platform and AESR-based biometrical findings show promising biomedical applications.
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Affiliation(s)
- Qingyun Huang
- Department of Mechanical Engineering, City University of Hong Kong, Hong Kong, 999077, P. R. China.,Department of Industrial Engineering and Management, School of Mechanical Engineering, Shanghai Jiao Tong University, Shanghai, 200240, P. R. China
| | - Cong Wu
- Department of Mechanical Engineering, City University of Hong Kong, Hong Kong, 999077, P. R. China.,Hong Kong Centre for Cerebro-cardiovascular Health Engineering (COCHE), Hong Kong Science Park, New Territories, Hong Kong, 999077, P. R. China
| | - Senlin Hou
- Department of Mechanical Engineering, City University of Hong Kong, Hong Kong, 999077, P. R. China
| | - Kuanming Yao
- Department of Biomedical Engineering, City University of Hong Kong, Hong Kong, 999077, P. R. China
| | - Hui Sun
- Department of Mechanical Engineering, City University of Hong Kong, Hong Kong, 999077, P. R. China
| | - Yufan Wang
- Department of Industrial Engineering and Management, School of Mechanical Engineering, Shanghai Jiao Tong University, Shanghai, 200240, P. R. China
| | - Yikai Chen
- Department of Industrial Engineering and Management, School of Mechanical Engineering, Shanghai Jiao Tong University, Shanghai, 200240, P. R. China
| | - Junhui Law
- Department of Mechanical and Industrial Engineering, University of Toronto, Toronto, M5S 3G8, Canada
| | - Mingxiao Yang
- Bendheim Integrative Medicine Center, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA
| | - Ho-Yin Chan
- Department of Mechanical Engineering, City University of Hong Kong, Hong Kong, 999077, P. R. China
| | - Vellaisamy A L Roy
- James Watt School of Engineering, University of Glasgow, Glasgow, G12 8QQ, UK
| | - Yuliang Zhao
- School of Control Engineering, Northeastern University at Qinhuangdao, Qinhuangdao, 066004, P. R. China
| | - Dong Wang
- Department of Industrial Engineering and Management, School of Mechanical Engineering, Shanghai Jiao Tong University, Shanghai, 200240, P. R. China
| | - Enming Song
- Shanghai Frontiers Science Research Base of Intelligent Optoelectronics and Perception, Institute of Optoelectronics, Fudan University, Shanghai, 200438, P. R. China
| | - Xinge Yu
- Hong Kong Centre for Cerebro-cardiovascular Health Engineering (COCHE), Hong Kong Science Park, New Territories, Hong Kong, 999077, P. R. China.,Department of Biomedical Engineering, City University of Hong Kong, Hong Kong, 999077, P. R. China
| | - Lixing Lao
- Virginia University of Integrative Medicine, Vienna, VA, 22182, USA
| | - Yu Sun
- Department of Mechanical and Industrial Engineering, University of Toronto, Toronto, M5S 3G8, Canada
| | - Wen Jung Li
- Department of Mechanical Engineering, City University of Hong Kong, Hong Kong, 999077, P. R. China.,Hong Kong Centre for Cerebro-cardiovascular Health Engineering (COCHE), Hong Kong Science Park, New Territories, Hong Kong, 999077, P. R. China
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Choi JY, Jeon S, Kim H, Ha J, Jeon GS, Lee J, Cho SI. Health-Related Indicators Measured Using Earable Devices: Systematic Review. JMIR Mhealth Uhealth 2022; 10:e36696. [PMID: 36239201 PMCID: PMC9709679 DOI: 10.2196/36696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2022] [Revised: 09/23/2022] [Accepted: 10/13/2022] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Earable devices are novel, wearable Internet of Things devices that are user-friendly and have potential applications in mobile health care. The position of the ear is advantageous for assessing vital status and detecting diseases through reliable and comfortable sensing devices. OBJECTIVE Our study aimed to review the utility of health-related indicators derived from earable devices and propose an improved definition of disease prevention. We also proposed future directions for research on the health care applications of earable devices. METHODS A systematic review was conducted of the PubMed, Embase, and Web of Science databases. Keywords were used to identify studies on earable devices published between 2015 and 2020. The earable devices were described in terms of target health outcomes, biomarkers, sensor types and positions, and their utility for disease prevention. RESULTS A total of 51 articles met the inclusion criteria and were reviewed, and the frequency of 5 health-related characteristics of earable devices was described. The most frequent target health outcomes were diet-related outcomes (9/51, 18%), brain status (7/51, 14%), and cardiovascular disease (CVD) and central nervous system disease (5/51, 10% each). The most frequent biomarkers were electroencephalography (11/51, 22%), body movements (6/51, 12%), and body temperature (5/51, 10%). As for sensor types and sensor positions, electrical sensors (19/51, 37%) and the ear canal (26/51, 51%) were the most common, respectively. Moreover, the most frequent prevention stages were secondary prevention (35/51, 69%), primary prevention (12/51, 24%), and tertiary prevention (4/51, 8%). Combinations of ≥2 target health outcomes were the most frequent in secondary prevention (8/35, 23%) followed by brain status and CVD (5/35, 14% each) and by central nervous system disease and head injury (4/35, 11% each). CONCLUSIONS Earable devices can provide biomarkers for various health outcomes. Brain status, healthy diet status, and CVDs were the most frequently targeted outcomes among the studies. Earable devices were mostly used for secondary prevention via monitoring of health or disease status. The potential utility of earable devices for primary and tertiary prevention needs to be investigated further. Earable devices connected to smartphones or tablets through cloud servers will guarantee user access to personal health information and facilitate comfortable wearing.
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Affiliation(s)
- Jin-Young Choi
- Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea
| | - Seonghee Jeon
- Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea
| | - Hana Kim
- Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea
| | - Jaeyoung Ha
- Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea
| | - Gyeong-Suk Jeon
- Department of Nursing, College of Natural Science, Mokpo National University, Mokpo, Republic of Korea
| | - Jeong Lee
- Department of Nursing, College of Health and Medical Science, Chodang University, Muan, Republic of Korea
| | - Sung-Il Cho
- Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea
- Institute of Health and Environment, Seoul National University, Seoul, Republic of Korea
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10
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Hussain N, Scherer T, Das C, Heuer J, Debastiani R, Gumbsch P, Aghassi-Hagmann J, Hirtz M. Correlated Study of Material Interaction Between Capillary Printed Eutectic Gallium Alloys and Gold Electrodes. SMALL (WEINHEIM AN DER BERGSTRASSE, GERMANY) 2022; 18:e2202987. [PMID: 36073667 DOI: 10.1002/smll.202202987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Revised: 07/29/2022] [Indexed: 06/15/2023]
Abstract
Liquid metals (LMs) play a growing role in flexible electronics and connected applications. Here, LMs come into direct contact with metal electrodes thus allowing for corrosion and additional alloying, potentially compromising device stability. Nevertheless, comprehensive studies on the interfacial interaction of the materials are still sparse. Therefore, a correlated material interaction study of capillary-printed Galinstan (eutetic alloy of Ga/In/Sn) with gold surfaces and electrodes is conducted. Comprehensive application of optical microscopy, vertical scanning interferometry, scanning electron microscopy/spectroscopy, x-ray photon spectroscopy, and atomic force microscopy allow for an in depth characterization of the spreading process of LM lines on gold films, revealing the differential spread of the different LM components and the formation of intermetallic nanostructures on the surface of the surrounding gold film. A model for the growth process based on the penetration of LM along the gold film grain boundaries is proposed based on the obtained time-dependent characterization. The distribution of gold, Galinstan, and intermetallic phases in a gold wire dipped into LM is observed using X-ray nano tomography as a complementary view on the internal nanostructure. Finally, resistance measurements on LM lines connecting gold electrodes over time allow to estimate the influence on the material interaction on electronic applications.
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Affiliation(s)
- Navid Hussain
- Institute of Nanotechnology (INT), Karlsruhe Institute of Technology (KIT), Hermann-von-Helmholtz-Platz 1, 76344, Eggenstein-Leopoldshafen, Germany
- Karlsruhe Nano Micro Facility (KNMFi), Karlsruhe Institute of Technology (KIT), Hermann-von-Helmholtz-Platz 1, 76344, Eggenstein-Leopoldshafen, Germany
| | - Torsten Scherer
- Institute of Nanotechnology (INT), Karlsruhe Institute of Technology (KIT), Hermann-von-Helmholtz-Platz 1, 76344, Eggenstein-Leopoldshafen, Germany
- Karlsruhe Nano Micro Facility (KNMFi), Karlsruhe Institute of Technology (KIT), Hermann-von-Helmholtz-Platz 1, 76344, Eggenstein-Leopoldshafen, Germany
| | - Chittaranjan Das
- Institute of Applied Materials (IAM-ESS), Karlsruhe Institute of Technology (KIT), Hermann-von-Helmholtz-Platz 1, 76344, Eggenstein-Leopoldshafen, Germany
| | - Janis Heuer
- Institute of Microstructure Technology (IMT), Karlsruhe Institute of Technology (KIT), Hermann-von-Helmholtz-Platz 1, 76344, Eggenstein-Leopoldshafen, Germany
| | - Rafaela Debastiani
- Institute of Nanotechnology (INT), Karlsruhe Institute of Technology (KIT), Hermann-von-Helmholtz-Platz 1, 76344, Eggenstein-Leopoldshafen, Germany
- Karlsruhe Nano Micro Facility (KNMFi), Karlsruhe Institute of Technology (KIT), Hermann-von-Helmholtz-Platz 1, 76344, Eggenstein-Leopoldshafen, Germany
| | - Peter Gumbsch
- Institute of Nanotechnology (INT), Karlsruhe Institute of Technology (KIT), Hermann-von-Helmholtz-Platz 1, 76344, Eggenstein-Leopoldshafen, Germany
- Fraunhofer Institute for Mechanics of Materials IWM, Wöhlerstr. 11, 79108, Freiburg, Germany
| | - Jasmin Aghassi-Hagmann
- Institute of Nanotechnology (INT), Karlsruhe Institute of Technology (KIT), Hermann-von-Helmholtz-Platz 1, 76344, Eggenstein-Leopoldshafen, Germany
| | - Michael Hirtz
- Institute of Nanotechnology (INT), Karlsruhe Institute of Technology (KIT), Hermann-von-Helmholtz-Platz 1, 76344, Eggenstein-Leopoldshafen, Germany
- Karlsruhe Nano Micro Facility (KNMFi), Karlsruhe Institute of Technology (KIT), Hermann-von-Helmholtz-Platz 1, 76344, Eggenstein-Leopoldshafen, Germany
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11
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Saha SS, Sandha SS, Pei S, Jain V, Wang Z, Li Y, Sarker A, Srivastava M. Auritus: An Open-Source Optimization Toolkit for Training and Development of Human Movement Models and Filters Using Earables. PROCEEDINGS OF THE ACM ON INTERACTIVE, MOBILE, WEARABLE AND UBIQUITOUS TECHNOLOGIES 2022; 6:70. [PMID: 38515794 PMCID: PMC10957139 DOI: 10.1145/3534586] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 03/23/2024]
Abstract
Smart ear-worn devices (called earables) are being equipped with various onboard sensors and algorithms, transforming earphones from simple audio transducers to multi-modal interfaces making rich inferences about human motion and vital signals. However, developing sensory applications using earables is currently quite cumbersome with several barriers in the way. First, time-series data from earable sensors incorporate information about physical phenomena in complex settings, requiring machine-learning (ML) models learned from large-scale labeled data. This is challenging in the context of earables because large-scale open-source datasets are missing. Secondly, the small size and compute constraints of earable devices make on-device integration of many existing algorithms for tasks such as human activity and head-pose estimation difficult. To address these challenges, we introduce Auritus an extendable and open-source optimization toolkit designed to enhance and replicate earable applications. Auritus serves two primary functions. Firstly, Auritus handles data collection, pre-processing, and labeling tasks for creating customized earable datasets using graphical tools. The system includes an open-source dataset with 2.43 million inertial samples related to head and full-body movements, consisting of 34 head poses and 9 activities from 45 volunteers. Secondly, Auritus provides a tightly-integrated hardware-in-the-loop (HIL) optimizer and TinyML interface to develop lightweight and real-time machine-learning (ML) models for activity detection and filters for head-pose tracking. To validate the utlity of Auritus, we showcase three sample applications, namely fall detection, spatial audio rendering, and augmented reality (AR) interfacing. Auritus recognizes activities with 91% leave 1-out test accuracy (98% test accuracy) using real-time models as small as 6-13 kB. Our models are 98-740× smaller and 3-6% more accurate over the state-of-the-art. We also estimate head pose with absolute errors as low as 5 degrees using 20kB filters, achieving up to 1.6× precision improvement over existing techniques. We make the entire system open-source so that researchers and developers can contribute to any layer of the system or rapidly prototype their applications using our dataset and algorithms.
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Affiliation(s)
| | | | - Siyou Pei
- University of California - Los Angeles, USA
| | - Vivek Jain
- University of California - Los Angeles, USA
| | - Ziqi Wang
- University of California - Los Angeles, USA
| | - Yuchen Li
- University of California - Los Angeles, USA
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12
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Shakeel T, Habib S, Boulila W, Koubaa A, Javed AR, Rizwan M, Gadekallu TR, Sufiyan M. A survey on COVID-19 impact in the healthcare domain: worldwide market implementation, applications, security and privacy issues, challenges and future prospects. COMPLEX INTELL SYST 2022; 9:1027-1058. [PMID: 35668731 PMCID: PMC9151356 DOI: 10.1007/s40747-022-00767-w] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Accepted: 04/15/2022] [Indexed: 12/23/2022]
Abstract
Extensive research has been conducted on healthcare technology and service advancements during the last decade. The Internet of Medical Things (IoMT) has demonstrated the ability to connect various medical apparatus, sensors, and healthcare specialists to ensure the best medical treatment in a distant location. Patient safety has improved, healthcare prices have decreased dramatically, healthcare services have become more approachable, and the operational efficiency of the healthcare industry has increased. This research paper offers a recent review of current and future healthcare applications, security, market trends, and IoMT-based technology implementation. This research paper analyses the advancement of IoMT implementation in addressing various healthcare concerns from the perspectives of enabling technologies, healthcare applications, and services. The potential obstacles and issues of the IoMT system are also discussed. Finally, the survey includes a comprehensive overview of different disciplines of IoMT to empower future researchers who are eager to work on and make advances in the field to obtain a better understanding of the domain.
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Affiliation(s)
- Tanzeela Shakeel
- School of System and Technology, University of Management and Technology, Lahore, Pakistan
| | - Shaista Habib
- School of System and Technology, University of Management and Technology, Lahore, Pakistan
| | - Wadii Boulila
- Robotics and Internet of Things Lab, Prince Sultan University, Riyadh, 12435 Saudi Arabia
| | - Anis Koubaa
- Robotics and Internet of Things Lab, Prince Sultan University, Riyadh, 12435 Saudi Arabia
| | - Abdul Rehman Javed
- Department of Cyber Security, PAF Complex, E-9, Air University, Islamabad, Pakistan
| | - Muhammad Rizwan
- Department of Computer Science, Kinnaird College for Women, Lahore, Pakistan
| | - Thippa Reddy Gadekallu
- School of Information Technology and Engineering, Vellore Institute of Technology, Vellore, India
| | - Mahmood Sufiyan
- School of System and Technology, University of Management and Technology, Lahore, Pakistan
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13
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Heng W, Solomon S, Gao W. Flexible Electronics and Devices as Human-Machine Interfaces for Medical Robotics. ADVANCED MATERIALS (DEERFIELD BEACH, FLA.) 2022; 34:e2107902. [PMID: 34897836 PMCID: PMC9035141 DOI: 10.1002/adma.202107902] [Citation(s) in RCA: 107] [Impact Index Per Article: 53.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/02/2021] [Revised: 12/08/2021] [Indexed: 05/02/2023]
Abstract
Medical robots are invaluable players in non-pharmaceutical treatment of disabilities. Particularly, using prosthetic and rehabilitation devices with human-machine interfaces can greatly improve the quality of life for impaired patients. In recent years, flexible electronic interfaces and soft robotics have attracted tremendous attention in this field due to their high biocompatibility, functionality, conformability, and low-cost. Flexible human-machine interfaces on soft robotics will make a promising alternative to conventional rigid devices, which can potentially revolutionize the paradigm and future direction of medical robotics in terms of rehabilitation feedback and user experience. In this review, the fundamental components of the materials, structures, and mechanisms in flexible human-machine interfaces are summarized by recent and renowned applications in five primary areas: physical and chemical sensing, physiological recording, information processing and communication, soft robotic actuation, and feedback stimulation. This review further concludes by discussing the outlook and current challenges of these technologies as a human-machine interface in medical robotics.
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Affiliation(s)
- Wenzheng Heng
- Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, Pasadena, CA, 91125, USA
| | - Samuel Solomon
- Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, Pasadena, CA, 91125, USA
| | - Wei Gao
- Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, Pasadena, CA, 91125, USA
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14
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Ali MA, Hu C, Yttri EA, Panat R. Recent Advances in 3D Printing of Biomedical Sensing Devices. ADVANCED FUNCTIONAL MATERIALS 2022; 32:2107671. [PMID: 36324737 PMCID: PMC9624470 DOI: 10.1002/adfm.202107671] [Citation(s) in RCA: 28] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Additive manufacturing, also called 3D printing, is a rapidly evolving technique that allows for the fabrication of functional materials with complex architectures, controlled microstructures, and material combinations. This capability has influenced the field of biomedical sensing devices by enabling the trends of device miniaturization, customization, and elasticity (i.e., having mechanical properties that match with the biological tissue). In this paper, the current state-of-the-art knowledge of biomedical sensors with the unique and unusual properties enabled by 3D printing is reviewed. The review encompasses clinically important areas involving the quantification of biomarkers (neurotransmitters, metabolites, and proteins), soft and implantable sensors, microfluidic biosensors, and wearable haptic sensors. In addition, the rapid sensing of pathogens and pathogen biomarkers enabled by 3D printing, an area of significant interest considering the recent worldwide pandemic caused by the novel coronavirus, is also discussed. It is also described how 3D printing enables critical sensor advantages including lower limit-of-detection, sensitivity, greater sensing range, and the ability for point-of-care diagnostics. Further, manufacturing itself benefits from 3D printing via rapid prototyping, improved resolution, and lower cost. This review provides researchers in academia and industry a comprehensive summary of the novel possibilities opened by the progress in 3D printing technology for a variety of biomedical applications.
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Affiliation(s)
- Md Azahar Ali
- Department of Mechanical Engineering, Carnegie Mellon University, Pittsburgh, PA 15238, USA
| | - Chunshan Hu
- Department of Mechanical Engineering, Carnegie Mellon University, Pittsburgh, PA 15238, USA
| | - Eric A Yttri
- Department of Biological Sciences, Carnegie Mellon University, Pittsburgh, PA 15213, USA
| | - Rahul Panat
- Department of Mechanical Engineering, Carnegie Mellon University, Pittsburgh, PA 15238, USA
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15
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Sharma PK, Choudhury D, Yadav V, Murty USN, Banerjee S. 3D printing of nanocomposite pills through desktop vat photopolymerization (stereolithography) for drug delivery reasons. 3D Print Med 2022; 8:3. [PMID: 35038049 PMCID: PMC8762875 DOI: 10.1186/s41205-022-00130-2] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Accepted: 12/22/2021] [Indexed: 12/18/2022] Open
Abstract
Background The desktop vat polymerization process or stereolithography printing is an ideal approach to develop multifunctional nanocomposites wherein a conventional solid dosage form is used as a reservoir for compliant administration of drug-loaded nanocarriers. Methods In this study, a nanocomposite drug delivery system, that is, hydrogel nanoparticles of an approved nutraceutical, berberine entrapped within vat photopolymerized monoliths, was developed for drug delivery applications. For the fabrication of the nanocomposite drug delivery systems/pills, a biocompatible vat photopolymerized resin was selected as an optimum matrix capable of efficiently delivering berberine from stereolithography mediated 3D printed nanocomposite pill. Results The obtained data reflected the efficient formation of berberine-loaded hydrogel nanoparticles with a mean particle diameter of 95.05 ± 4.50 nm but low loading. Stereolithography-assisted fabrication of monoliths was achieved with high fidelity (in agreement with computer-aided design), and photo-crosslinking was ascertained through Fourier-transform infrared spectroscopy. The hydrogel nanoparticles were entrapped within the pills during the stereolithography process, as evidenced by electron microscopy. The nanocomposite pills showed a higher swelling in an acidic environment and consequently faster berberine release of 50.39 ± 3.44% after 4 h. The overall results suggested maximal release within the gastrointestinal transit duration and excretion of the exhausted pills. Conclusions We intended to demonstrate the feasibility of making 3D printed nanocomposite pills achieved through the desktop vat polymerization process for drug delivery applications.
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Affiliation(s)
- Peeyush Kumar Sharma
- Department of Pharmaceutics, National Institute of Pharmaceutical Education & Research (NIPER)-Guwahati, Changsari, Assam, 781101, India.,National Centre for Pharmacoengineering, NIPER-Guwahati, Changsari, Assam, 781101, India
| | - Dinesh Choudhury
- Department of Pharmaceutics, National Institute of Pharmaceutical Education & Research (NIPER)-Guwahati, Changsari, Assam, 781101, India.,National Centre for Pharmacoengineering, NIPER-Guwahati, Changsari, Assam, 781101, India
| | - Vivek Yadav
- Department of Pharmaceutics, National Institute of Pharmaceutical Education & Research (NIPER)-Guwahati, Changsari, Assam, 781101, India
| | - U S N Murty
- National Centre for Pharmacoengineering, NIPER-Guwahati, Changsari, Assam, 781101, India.,NIPER-Guwahati, Changsari, Assam, 781101, India
| | - Subham Banerjee
- Department of Pharmaceutics, National Institute of Pharmaceutical Education & Research (NIPER)-Guwahati, Changsari, Assam, 781101, India. .,National Centre for Pharmacoengineering, NIPER-Guwahati, Changsari, Assam, 781101, India.
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16
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Domingo-Roca R, Macdonald AR, Hannah S, Corrigan DK. Integrated multi-material portable 3D-printed platform for electrochemical detection of dopamine and glucose. Analyst 2022; 147:4598-4606. [DOI: 10.1039/d2an00862a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Design and production of a one-step 3D-printed functional electrochemical biosensor for efficient detection of dopamine and glucose in low-volume samples (100 μL). Glucose detection via ruthenium-mediated amperometry provides results in 60 seconds.
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Affiliation(s)
- Roger Domingo-Roca
- Department of Biomedical Engineering, Wolfson Centre, University of Strathclyde, 106 Rottenrow East, G0 4NW, Glasgow, UK
| | - Alexander R. Macdonald
- Department of Biomedical Engineering, Wolfson Centre, University of Strathclyde, 106 Rottenrow East, G0 4NW, Glasgow, UK
| | - Stuart Hannah
- Department of Biomedical Engineering, Wolfson Centre, University of Strathclyde, 106 Rottenrow East, G0 4NW, Glasgow, UK
| | - Damion K. Corrigan
- Department of Pure & Applied Chemistry, University of Strathclyde, 295 Cathedral Street, G1 1BX, Glasgow, UK
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17
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Ne CKH, Muzaffar J, Amlani A, Bance M. Hearables, in-ear sensing devices for bio-signal acquisition: a narrative review. Expert Rev Med Devices 2021; 18:95-128. [PMID: 34904507 DOI: 10.1080/17434440.2021.2014321] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
INTRODUCTION Hearables are ear devices used for multiple purposes including ubiquitous/remote monitoring of vital signals. This can support early detection, prevention, and management of urgent/non-urgent healthcare needs. This review therefore seeks to analyse the challenges and capabilities of hearables used to monitor human physiological signals. AREAS COVERED Studies were identified via search (Medline, Embase, Web of Science, Cochrane Library, Scopus) and conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Bias assessment used the Mixed Methods Appraisal Tool 2018 and Quality Assessment of Diagnostic Accuracy Studies 2nd Edition. 92/631 studies met the inclusion criteria and were qualitatively analysed. The outcomes, applications, advantages and limitations were discussed according to the vital signal measured. The bias risk ranged from low to high, with most studies facing moderate to high risk in subject selection due to small sample sizes. EXPERT OPINION : Most studies reported good outcomes for ear signal acquisition compared to reference devices. To improve practicability and implementation, wireless connectivity, battery life, impact of motion/environmental artifacts and comfort need to be addressed going forward. Hearable technologies have also shown potential synergies with hearing aids. In future, multimodal ear-sensing devices opens the possibility of comprehensive health monitoring within daily life.
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Affiliation(s)
| | - Jameel Muzaffar
- Department of Clinical Neurosciences, University of Cambridge, Cambridge, United Kingdom
| | - Aakash Amlani
- Department of Ear, Nose and Throat Surgery, Birmingham Children's Hospital, Birmingham, United Kingdom
| | - Manohar Bance
- Department of Clinical Neurosciences, University of Cambridge, Cambridge, United Kingdom
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18
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Tu J, Gao W. Ethical Considerations of Wearable Technologies in Human Research. Adv Healthc Mater 2021; 10:e2100127. [PMID: 33870653 PMCID: PMC8429072 DOI: 10.1002/adhm.202100127] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Revised: 02/25/2021] [Indexed: 01/07/2023]
Abstract
Wearable technologies hold great promise for disease diagnosis and patient care. Despite the flourishing research activities in this field, only a handful of wearable devices are commercialized and cleared for medical usage. The successful translation of current proof-of-concept prototypes requires extensive in-human testing. There is a lag between current standards and operation protocols to guide the responsible and ethical conduct of researchers in such in-human studies and the rapid development of the field. This essay presents relevant ethical concerns in early-stage human research from a researcher's perspective.
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Affiliation(s)
- Jiaobing Tu
- Andrew and Peggy Cherng Department of Medical Engineering, Division of Engineering and Applied Science, California Institute of Technology, Pasadena, CA, 91125, United States
| | - Wei Gao
- Andrew and Peggy Cherng Department of Medical Engineering, Division of Engineering and Applied Science, California Institute of Technology, Pasadena, CA, 91125, United States
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19
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Park Y, Lee G, Jang J, Yun SM, Kim E, Park J. Liquid Metal-Based Soft Electronics for Wearable Healthcare. Adv Healthc Mater 2021; 10:e2002280. [PMID: 33724723 DOI: 10.1002/adhm.202002280] [Citation(s) in RCA: 48] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Revised: 02/24/2021] [Indexed: 12/19/2022]
Abstract
Wearable healthcare devices have garnered substantial interest for the realization of personal health management by monitoring the physiological parameters of individuals. Attaining the integrity between the devices and the biological interfaces is one of the greatest challenges to achieving high-quality body information in dynamic conditions. Liquid metals, which exist in the liquid phase at room temperatures, are advanced intensively as conductors for deformable devices because of their excellent stretchability and self-healing ability. The unique surface chemistry of liquid metals allows the development of various sensors and devices in wearable form. Also, the biocompatibility of liquid metals, which is verified through numerous biomedical applications, holds immense potential in uses on the surface and inside of a living body. Here, the recent progress of liquid metal-based wearable electronic devices for healthcare with respect to the featured properties and the processing technologies is discussed. Representative examples of applications such as biosensors, neural interfaces, and a soft interconnection for devices are reviewed. The current challenges and prospects for further development are also discussed, and the future directions of advances in the latest research are explored.
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Affiliation(s)
- Young‐Geun Park
- KIURI Institute Yonsei University Seoul 03722 Republic of Korea
- Nano Science Technology Institute Department of Materials Science and Engineering Yonsei University Seoul 03722 Republic of Korea
| | - Ga‐Yeon Lee
- KIURI Institute Yonsei University Seoul 03722 Republic of Korea
| | - Jiuk Jang
- Nano Science Technology Institute Department of Materials Science and Engineering Yonsei University Seoul 03722 Republic of Korea
| | - Su Min Yun
- Nano Science Technology Institute Department of Materials Science and Engineering Yonsei University Seoul 03722 Republic of Korea
| | - Enji Kim
- Nano Science Technology Institute Department of Materials Science and Engineering Yonsei University Seoul 03722 Republic of Korea
| | - Jang‐Ung Park
- KIURI Institute Yonsei University Seoul 03722 Republic of Korea
- Nano Science Technology Institute Department of Materials Science and Engineering Yonsei University Seoul 03722 Republic of Korea
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20
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Abstract
Smart materials are a kind of functional materials which can sense and response to environmental conditions or stimuli from optical, electrical, magnetic mechanical, thermal, and chemical signals, etc. Patterning of smart materials is the key to achieving large-scale arrays of functional devices. Over the last decades, printing methods including inkjet printing, template-assisted printing, and 3D printing are extensively investigated and utilized in fabricating intelligent micro/nano devices, as printing strategies allow for constructing multidimensional and multimaterial architectures. Great strides in printable smart materials are opening new possibilities for functional devices to better serve human beings, such as wearable sensors, integrated optoelectronics, artificial neurons, and so on. However, there are still many challenges and drawbacks that need to be overcome in order to achieve the controllable modulation between smart materials and device performance. In this review, we give an overview on printable smart materials, printing strategies, and applications of printed functional devices. In addition, the advantages in actual practices of printing smart materials-based devices are discussed, and the current limitations and future opportunities are proposed. This review aims to summarize the recent progress and provide reference for novel smart materials and printing strategies as well as applications of intelligent devices.
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Affiliation(s)
- Meng Su
- Key Laboratory of Green Printing, Institute of Chemistry, Chinese Academy of Sciences, Beijing Engineering Research Center of Nanomaterials for Green Printing Technology, Beijing National Laboratory for Molecular Sciences (BNLMS), Zhongguancun North First Street 2, 100190 Beijing, P. R. China.,University of Chinese Academy of Sciences, Yuquan Road no.19A, 100049 Beijing, P. R. China
| | - Yanlin Song
- Key Laboratory of Green Printing, Institute of Chemistry, Chinese Academy of Sciences, Beijing Engineering Research Center of Nanomaterials for Green Printing Technology, Beijing National Laboratory for Molecular Sciences (BNLMS), Zhongguancun North First Street 2, 100190 Beijing, P. R. China.,University of Chinese Academy of Sciences, Yuquan Road no.19A, 100049 Beijing, P. R. China
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21
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Kumar Gupta D, Ali MH, Ali A, Jain P, Anwer MK, Iqbal Z, Mirza MA. 3D printing technology in healthcare: applications, regulatory understanding, IP repository and clinical trial status. J Drug Target 2021; 30:131-150. [PMID: 34047223 DOI: 10.1080/1061186x.2021.1935973] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Mass consumerization of three-dimensional (3D) printing innovation has revolutionised admittance of 3D-printing in an expansive scope of ventures. When utilised predominantly for industrial manufacturing, 3D-printing strategies have rapidly attained acquaintance in different parts of health care industry. 3D-printing is a moderately new technology that has discovered promising applications in the medication conveyance and clinical areas. This review intends to explore different parts of 3D- printing innovation concerning pharmaceutical and clinical applications. Review on pharmaceutical products like tablets, caplets, films, polypills, microdots, biodegradable patches, medical devices (uterine and subcutaneous), patient specific implants, cardiovascular stents, etc. and prosthetics/anatomical structures, surgical models, organs and tissues created utilising 3D-printing is being presented. In addition, the regulatory understanding and current IP and clinical trial status pertaining to 3D fabricated products/medical applications have also been funnelled, garnering information from different web portals of regulatory agencies and databases. It is additionally certain that for such new innovations, there would be difficulties and questions before these are acknowledged as protected and viable. The circumstance demands purposeful and wary endeavours to acquire regulations which would at last prompt the accomplishment of this progressive innovation, thus various regulatory challenges faced have been conscientiously discussed.
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Affiliation(s)
- Dipak Kumar Gupta
- Department of Pharmaceutics, School of Pharmaceutical Education and Research (SPER), Jamia Hamdard, New Delhi, India
| | - Mohd Humair Ali
- Department of Pharmaceutics, School of Pharmaceutical Education and Research (SPER), Jamia Hamdard, New Delhi, India
| | - Asad Ali
- Department of Pharmaceutics, School of Pharmaceutical Education and Research (SPER), Jamia Hamdard, New Delhi, India
| | - Pooja Jain
- Department of Pharmaceutics, School of Pharmaceutical Education and Research (SPER), Jamia Hamdard, New Delhi, India
| | - Md Khalid Anwer
- Department of Pharmaceutics, College of Pharmacy, Prince Sattam Bin Abdulaziz University, Alkharj, Saudi Arabia
| | - Zeenat Iqbal
- Department of Pharmaceutics, School of Pharmaceutical Education and Research (SPER), Jamia Hamdard, New Delhi, India
| | - Mohd Aamir Mirza
- Department of Pharmaceutics, School of Pharmaceutical Education and Research (SPER), Jamia Hamdard, New Delhi, India
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22
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Polymer 3D Printing Review: Materials, Process, and Design Strategies for Medical Applications. Polymers (Basel) 2021; 13:polym13091499. [PMID: 34066639 PMCID: PMC8124560 DOI: 10.3390/polym13091499] [Citation(s) in RCA: 82] [Impact Index Per Article: 27.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Accepted: 04/23/2021] [Indexed: 12/12/2022] Open
Abstract
Polymer 3D printing is an emerging technology with recent research translating towards increased use in industry, particularly in medical fields. Polymer printing is advantageous because it enables printing low-cost functional parts with diverse properties and capabilities. Here, we provide a review of recent research advances for polymer 3D printing by investigating research related to materials, processes, and design strategies for medical applications. Research in materials has led to the development of polymers with advantageous characteristics for mechanics and biocompatibility, with tuning of mechanical properties achieved by altering printing process parameters. Suitable polymer printing processes include extrusion, resin, and powder 3D printing, which enable directed material deposition for the design of advantageous and customized architectures. Design strategies, such as hierarchical distribution of materials, enable balancing of conflicting properties, such as mechanical and biological needs for tissue scaffolds. Further medical applications reviewed include safety equipment, dental implants, and drug delivery systems, with findings suggesting a need for improved design methods to navigate the complex decision space enabled by 3D printing. Further research across these areas will lead to continued improvement of 3D-printed design performance that is essential for advancing frontiers across engineering and medicine.
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23
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IoT-Based Applications in Healthcare Devices. JOURNAL OF HEALTHCARE ENGINEERING 2021; 2021:6632599. [PMID: 33791084 PMCID: PMC7997744 DOI: 10.1155/2021/6632599] [Citation(s) in RCA: 60] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/25/2020] [Revised: 02/13/2021] [Accepted: 03/10/2021] [Indexed: 12/16/2022]
Abstract
The last decade has witnessed extensive research in the field of healthcare services and their technological upgradation. To be more specific, the Internet of Things (IoT) has shown potential application in connecting various medical devices, sensors, and healthcare professionals to provide quality medical services in a remote location. This has improved patient safety, reduced healthcare costs, enhanced the accessibility of healthcare services, and increased operational efficiency in the healthcare industry. The current study gives an up-to-date summary of the potential healthcare applications of IoT- (HIoT-) based technologies. Herein, the advancement of the application of the HIoT has been reported from the perspective of enabling technologies, healthcare services, and applications in solving various healthcare issues. Moreover, potential challenges and issues in the HIoT system are also discussed. In sum, the current study provides a comprehensive source of information regarding the different fields of application of HIoT intending to help future researchers, who have the interest to work and make advancements in the field to gain insight into the topic.
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Levy A, Bernstein Toker G, Winter S, Cohen SS, Ermak O, Peled I, Kotler Z, Gelbstein Y. Hybrid structural electronics printing by novel dry film stereolithography and laser induced forward transfer. NANO SELECT 2021. [DOI: 10.1002/nano.202000269] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
Affiliation(s)
- Asaf Levy
- Orbotech Ltd. AM research group Yavne 81101 Israel
- Department of Materials Engineering Ben‐Gurion University of the Negev Beer‐Sheva 8410501 Israel
| | | | | | | | - Oleg Ermak
- Orbotech Ltd. AM research group Yavne 81101 Israel
| | - Itay Peled
- Orbotech Ltd. AM research group Yavne 81101 Israel
| | - Zvi Kotler
- Orbotech Ltd. AM research group Yavne 81101 Israel
| | - Yaniv Gelbstein
- Department of Materials Engineering Ben‐Gurion University of the Negev Beer‐Sheva 8410501 Israel
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25
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Masè M, Micarelli A, Strapazzon G. Hearables: New Perspectives and Pitfalls of In-Ear Devices for Physiological Monitoring. A Scoping Review. Front Physiol 2020; 11:568886. [PMID: 33178038 PMCID: PMC7596679 DOI: 10.3389/fphys.2020.568886] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Accepted: 09/02/2020] [Indexed: 12/31/2022] Open
Abstract
Technological advancements are opening the possibility of prolonged monitoring of physiological parameters under daily-life conditions, with potential applications in sport science and medicine, and in extreme environments. Among emerging wearable technologies, in-ear devices or hearables possess technical advantages for long-term monitoring, such as non-invasivity, unobtrusivity, good fixing, and reduced motion artifacts, as well as physiological advantages related to the proximity of the ear to the body trunk and the shared vasculature between the ear and the brain. The present scoping review was aimed at identifying and synthesizing the available evidence on the use and performance of in-ear monitoring of physiological parameters, with focus on applications in sport science, sport medicine, occupational medicine, and extreme environment settings. Pubmed, Scopus, and Web of Science electronic databases were systematically searched to identify studies conducted in the last 10 years and addressing the measurement of three main physiological parameters (temperature, heart rate, and oxygen saturation) in healthy subjects. Thirty-nine studies were identified, 24 performing temperature measurement, 12 studies on heart/pulse rate, and three studies on oxygen saturation. The collected evidence supports the premise of in-ear sensors as an innovative and unobtrusive way for physiological monitoring during daily-life and physical activity, but further research and technological advancement are necessary to ameliorate measurement accuracy especially in more challenging scenarios.
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Affiliation(s)
- Michela Masè
- Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy.,Healthcare Research and Innovation Program, IRCS-HTA, Bruno Kessler Foundation, Trento, Italy
| | - Alessandro Micarelli
- Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy.,ITER Center for Balance and Rehabilitation Research (ICBRR), Rome, Italy
| | - Giacomo Strapazzon
- Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy
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Mondal S, Zehra N, Choudhury A, Iyer PK. Wearable Sensing Devices for Point of Care Diagnostics. ACS APPLIED BIO MATERIALS 2020; 4:47-70. [DOI: 10.1021/acsabm.0c00798] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
- Subrata Mondal
- Department of Chemistry, Indian Institute of Technology Guwahati, Guwahati 781039, Assam, India
| | - Nehal Zehra
- Department of Chemistry, Indian Institute of Technology Guwahati, Guwahati 781039, Assam, India
| | - Anwesha Choudhury
- Center for Nanotechnology, Indian Institute of Technology Guwahati, Guwahati 781039, Assam, India
| | - Parameswar Krishnan Iyer
- Department of Chemistry, Indian Institute of Technology Guwahati, Guwahati 781039, Assam, India
- Center for Nanotechnology, Indian Institute of Technology Guwahati, Guwahati 781039, Assam, India
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27
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Sanchez-Comas A, Synnes K, Hallberg J. Hardware for Recognition of Human Activities: A Review of Smart Home and AAL Related Technologies. SENSORS (BASEL, SWITZERLAND) 2020; 20:E4227. [PMID: 32751345 PMCID: PMC7435866 DOI: 10.3390/s20154227] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Revised: 07/19/2020] [Accepted: 07/20/2020] [Indexed: 01/09/2023]
Abstract
Activity recognition (AR) from an applied perspective of ambient assisted living (AAL) and smart homes (SH) has become a subject of great interest. Promising a better quality of life, AR applied in contexts such as health, security, and energy consumption can lead to solutions capable of reaching even the people most in need. This study was strongly motivated because levels of development, deployment, and technology of AR solutions transferred to society and industry are based on software development, but also depend on the hardware devices used. The current paper identifies contributions to hardware uses for activity recognition through a scientific literature review in the Web of Science (WoS) database. This work found four dominant groups of technologies used for AR in SH and AAL-smartphones, wearables, video, and electronic components-and two emerging technologies: Wi-Fi and assistive robots. Many of these technologies overlap across many research works. Through bibliometric networks analysis, the present review identified some gaps and new potential combinations of technologies for advances in this emerging worldwide field and their uses. The review also relates the use of these six technologies in health conditions, health care, emotion recognition, occupancy, mobility, posture recognition, localization, fall detection, and generic activity recognition applications. The above can serve as a road map that allows readers to execute approachable projects and deploy applications in different socioeconomic contexts, and the possibility to establish networks with the community involved in this topic. This analysis shows that the research field in activity recognition accepts that specific goals cannot be achieved using one single hardware technology, but can be using joint solutions, this paper shows how such technology works in this regard.
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Affiliation(s)
- Andres Sanchez-Comas
- Department of Productivity and Innovation, Universidad de la Costa, Barranquilla 080 002, Colombia
| | - Kåre Synnes
- Department of Computer Science, Electrical and Space Engineering, Luleå Tekniska Universitet, 971 87 Luleå, Sweden;
| | - Josef Hallberg
- Department of Computer Science, Electrical and Space Engineering, Luleå Tekniska Universitet, 971 87 Luleå, Sweden;
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28
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Xu C, Yang Y, Gao W. Skin-interfaced sensors in digital medicine: from materials to applications. MATTER 2020; 2:1414-1445. [PMID: 32510052 PMCID: PMC7274218 DOI: 10.1016/j.matt.2020.03.020] [Citation(s) in RCA: 72] [Impact Index Per Article: 18.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Abstract
The recent advances in skin-interfaced wearable sensors have enabled tremendous potential towards personalized medicine and digital health. Compared with traditional healthcare, wearable sensors could perform continuous and non-invasive data collection from the human body and provide an insight into both fitness monitoring and medical diagnostics. In this review, we summarize the latest progress of skin-interfaced wearable sensors along with their integrated systems. We first introduce the strategies of materials selection and structure design that can be accommodated for intimate contact with human skin. Current development of physical and biochemical sensors is then classified and discussed with an emphasis on their sensing mechanisms. System-level integration including power supply, wireless communication and data analysis are also briefly discussed. We conclude with an outlook of this field and identify the key challenges and opportunities for future wearable devices and systems.
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Affiliation(s)
- Changhao Xu
- Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, Pasadena, California, 91125, USA
| | - Yiran Yang
- Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, Pasadena, California, 91125, USA
| | - Wei Gao
- Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, Pasadena, California, 91125, USA
- Lead Contact
- Correspondence:
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29
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Shi X, Wu ZS, Bao X. Recent Advancements and Perspective of High-Performance Printed Power Sources with Multiple Form Factors. ELECTROCHEM ENERGY R 2020. [DOI: 10.1007/s41918-020-00071-6] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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30
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Hua W, Mao Y, Zhang J, Liu L, Zhang G, Yang S, Boyer D, Zhou C, Zheng F, Sun S, Lin S. Renal Clearable Gold Nanoparticle-Functionalized Silk Film for in vivo Fluorescent Temperature Mapping. Front Chem 2020; 8:364. [PMID: 32500055 PMCID: PMC7243850 DOI: 10.3389/fchem.2020.00364] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2020] [Accepted: 04/08/2020] [Indexed: 12/18/2022] Open
Abstract
Implantable optical sensing devices that can continuously monitor physiological temperature changes hold great potential toward applications in healthcare and medical field. Here, we present a conceptual foundation for the design of biocompatible temperature sensing device by integrating renal clearable luminescent gold nanoparticles (AuNPs) with silk film (AuNPs-SF). We found that the AuNPs display strong temperature dependence in both near-IR fluorescence intensity and lifetime over a large temperature range (10-60°C), with a fluorescence intensity sensitivity of 1.72%/°C and lifetime sensitivity of 0.09 μs/°C. When integrated, the AuNPs with biocompatible silk film are implanted in the dorsal region of mice. The fluorescence imaging of the AuNPs-SF in the body shows a linear relationship between the average fluorescence intensity and temperature. More importantly, <3.68% ID gold are left in the body, and no adverse effect is observed for 8 weeks. This AuNPs-SF can be potentially used as a flexible, biocompatible, and implantable sensing device for in vivo temperature mapping.
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Affiliation(s)
- Wei Hua
- School of Environmental and Chemical Engineering, Jiangsu University of Science and Technology, Zhenjiang, China
| | - Yusheng Mao
- School of Environmental and Chemical Engineering, Jiangsu University of Science and Technology, Zhenjiang, China
| | - Jinzhu Zhang
- School of Environmental and Chemical Engineering, Jiangsu University of Science and Technology, Zhenjiang, China
| | - Lang Liu
- School of Environmental and Chemical Engineering, Jiangsu University of Science and Technology, Zhenjiang, China
| | - Guolin Zhang
- School of Environmental and Chemical Engineering, Jiangsu University of Science and Technology, Zhenjiang, China
| | - Shengyang Yang
- Department of Chemistry and Chemical Engineering, Yangzhou University, Yangzhou, China
| | - Daniel Boyer
- School of Natural Sciences, University of Central Missouri, Warrensburg, MO, United States
| | - Chen Zhou
- School of Natural Sciences, University of Central Missouri, Warrensburg, MO, United States
| | - Fenfen Zheng
- School of Environmental and Chemical Engineering, Jiangsu University of Science and Technology, Zhenjiang, China
| | - Shasha Sun
- School of Environmental and Chemical Engineering, Jiangsu University of Science and Technology, Zhenjiang, China
| | - Shengling Lin
- School of Environmental and Chemical Engineering, Jiangsu University of Science and Technology, Zhenjiang, China
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31
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Gao Y, Yu L, Yeo JC, Lim CT. Flexible Hybrid Sensors for Health Monitoring: Materials and Mechanisms to Render Wearability. ADVANCED MATERIALS (DEERFIELD BEACH, FLA.) 2020; 32:e1902133. [PMID: 31339200 DOI: 10.1002/adma.201902133] [Citation(s) in RCA: 108] [Impact Index Per Article: 27.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/03/2019] [Revised: 05/03/2019] [Indexed: 05/19/2023]
Abstract
Wearable electronics have revolutionized the way physiological parameters are sensed, detected, and monitored. In recent years, advances in flexible and stretchable hybrid electronics have created emergent properties that enhance the compliance of devices to our skin. With their unobtrusive attributes, skin conformable sensors enable applications toward real-time disease diagnosis and continuous healthcare monitoring. Herein, critical perspectives of flexible hybrid electronics toward the future of digital health monitoring are provided, emphasizing its role in physiological sensing. In particular, the strategies within the sensor composition to render flexibility and stretchability while maintaining excellent sensing performance are considered. Next, novel approaches to the functionalization of the sensor for physical or biochemical stimuli are extensively covered. Subsequently, wearable sensors measuring physical parameters such as strain, pressure, temperature, as well as biological changes in metabolites and electrolytes are reported. Finally, their implications toward early disease detection and monitoring are discussed, concluding with a future perspective into the challenges and opportunities in emerging wearable sensor designs for the next few years.
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Affiliation(s)
- Yuji Gao
- Department of Biomedical Engineering, National University of Singapore, Singapore, 117583, Singapore
| | - Longteng Yu
- Department of Biomedical Engineering, National University of Singapore, Singapore, 117583, Singapore
| | - Joo Chuan Yeo
- Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore, 117599, Singapore
| | - Chwee Teck Lim
- Department of Biomedical Engineering, National University of Singapore, Singapore, 117583, Singapore
- Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore, 117599, Singapore
- Mechanobiology Institute, National University of Singapore, Singapore, 117411, Singapore
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32
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Shetti NP, Mishra A, Basu S, Mascarenhas RJ, Kakarla RR, Aminabhavi TM. Skin-Patchable Electrodes for Biosensor Applications: A Review. ACS Biomater Sci Eng 2020; 6:1823-1835. [DOI: 10.1021/acsbiomaterials.9b01659] [Citation(s) in RCA: 70] [Impact Index Per Article: 17.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Affiliation(s)
- Nagaraj P. Shetti
- Center for Electrochemical Science and Materials, Department of Chemistry, KLE Institute of Technology, Hubballi 580 030, Karnataka, India
| | - Amit Mishra
- Department of Chemistry, Bilkent University, Cankaya, Ankara 06008, Turkey
| | - Soumen Basu
- School of Chemistry and Biochemistry, Thapar Institute of Engineering & Technology, Patiala, Punjab 147004, India
| | - Ronald J. Mascarenhas
- Electrochemistry Research Group, Department of Chemistry, St. Joseph’s College (Autonomous), Lalbagh Road, Bangalore 560027, Karnataka, India
| | - Raghava Reddy Kakarla
- School of Chemical and Biomolecular Engineering, The University of Sydney, Sydney, New South Wales 2006, Australia
| | - Tejraj M. Aminabhavi
- Pharmaceutical Engineering, SET’s College of Pharmacy, Dharwad, Karnataka 580 002, India
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Perioperative measurement of core body temperature using an unobtrusive passive heat flow sensor. J Clin Monit Comput 2020; 34:1351-1359. [PMID: 31902094 DOI: 10.1007/s10877-019-00446-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2019] [Accepted: 12/13/2019] [Indexed: 01/15/2023]
Abstract
Clinicians strive to maintain normothermia, which requires measurement of core-body temperature and may necessitate active warming of patients. Monitoring temperature currently requires invasive probes. This work investigates a novel foam-based flexible sensor worn behind the ear for the measurement of core body temperature. This observational study uses the device prototype and clinical data to compare three methods for calculating the temperature from this sensor: a basic heat-flow model, a new dynamic model that addresses changing surrounding temperatures and one that combines the dynamic model with a correction for adhesive quality. Clinical validation was performed with 21 surgical patients (average length of surgery 4.4 h) using an esophageal temperature probe as reference. The operative period was divided into four segments: normal periods (with stable surrounding temperatures), surrounding temperatures increasing due to the use of the Bair Hugger™, stable periods during Bair Hugger™ use and surrounding temperatures decreasing due to its removal. The error bias and limits of agreement over these segments were on average of - 0.05 ± 0.28 °C (95% limits of agreement) overall. The dynamic model outperformed the simple heat-flow model for periods of surrounding temperature changes (12.7% of total time) while it had a similar, high, performance for the temperature-stable periods. The results suggest that our proposed topical sensor can replace invasive core temp sensors and provide a means of consistently measuring core body temperature despite surrounding temperature shifts.
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34
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Zhao B, Wang Y, Sinha S, Chen C, Liu D, Dasgupta A, Hu L, Das S. Shape-driven arrest of coffee stain effect drives the fabrication of carbon-nanotube-graphene-oxide inks for printing embedded structures and temperature sensors. NANOSCALE 2019; 11:23402-23415. [PMID: 31793973 DOI: 10.1039/c9nr08450a] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Carbon nanotube (CNT) based binder-free, syringe-printable inks, with graphene oxide (GO) being used as the dispersant, have been designed and developed. We discovered that the printability of the ink is directly attributed to the uniform deposition of the GO-CNT agglomerates, as opposed to the 'coffee-staining' despite these aggregates being micron-sized. The ellipsoidal nature of the micron-scale GO-CNT agglomerates/particles enables these particles to severely perturb the air-water interface, triggering a large long-range capillary interaction that causes the uniform deposition by overcoming the "coffee-stain"-forming forces from the evaporation-mediated flows. We evaluated the properties of this ink and identified a temperature-dependent resistance with a negative temperature coefficient of resistance (TCR) α ranging from ∼-10-3 to -10-2/°C depending on ink compositions. Finally, the printing is conducted on flat and curved surfaces, for developing polymer-ink embedded structures that might serve as precursors to syringe-printable CNT-based nanocomposites, and for fabricating sensor-like patterns that for certain ink compositions demonstrate α∼-10-3/°C with a large averaged resistance drop (per unit temperature) of -3.5 Ω°C-1.
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Affiliation(s)
- Beihan Zhao
- Department of Mechanical Engineering, University of Maryland, College Park, MD 20742, USA.
| | - Yanbin Wang
- Department of Mechanical Engineering, University of Maryland, College Park, MD 20742, USA.
| | - Shayandev Sinha
- Department of Mechanical Engineering, University of Maryland, College Park, MD 20742, USA.
| | - Chaoji Chen
- Department of Materials Science and Engineering, University of Maryland, College Park, MD 20742, USA
| | - Dapeng Liu
- Department of Materials Science and Engineering, University of Maryland, College Park, MD 20742, USA
| | - Abhijit Dasgupta
- Department of Mechanical Engineering, University of Maryland, College Park, MD 20742, USA.
| | - Liangbing Hu
- Department of Materials Science and Engineering, University of Maryland, College Park, MD 20742, USA
| | - Siddhartha Das
- Department of Mechanical Engineering, University of Maryland, College Park, MD 20742, USA.
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35
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Xu K, Lu Y, Yamaguchi T, Arie T, Akita S, Takei K. Highly Precise Multifunctional Thermal Management-Based Flexible Sensing Sheets. ACS NANO 2019; 13:14348-14356. [PMID: 31747258 DOI: 10.1021/acsnano.9b07805] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Elaborate manipulation of heat transfer renders proper operation of diverse thermal-related technologies. However, accurate implementation of thermal-based or transduction sensing on a thin flexible film over unusual surfaces remains challenging. Herein, efficient thermal management realizes highly accurate flexible multifunctional sensor sheets using a low thermal conductive medium as a thermal barrier. An approximately 50-fold enhancement in the thermal sensing accuracy, which is nearly independent of the changes in the external surroundings, is achieved. Such rational control of heat convection and conduction allows to not only dynamically monitor air flow, but also sight the large-scale air flow distribution on curved surfaces using a flexible thermal flow sensor array. Additionally, accurate wearable skin temperature monitoring independent of the sudden surrounding variations is achieved. This work addresses the formidable challenge of untethered heat transfer induced imprecise thermal related sensing, which universally exists in skin-inspired Internet of Things (IoT) applications.
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Affiliation(s)
- Kaichen Xu
- Department of Physics and Electronics , Osaka Prefecture UniversitySakai , Osaka 599-8531 , Japan
| | - Yuyao Lu
- Department of Physics and Electronics , Osaka Prefecture UniversitySakai , Osaka 599-8531 , Japan
| | - Takafumi Yamaguchi
- Department of Physics and Electronics , Osaka Prefecture UniversitySakai , Osaka 599-8531 , Japan
| | - Takayuki Arie
- Department of Physics and Electronics , Osaka Prefecture UniversitySakai , Osaka 599-8531 , Japan
| | - Seiji Akita
- Department of Physics and Electronics , Osaka Prefecture UniversitySakai , Osaka 599-8531 , Japan
| | - Kuniharu Takei
- Department of Physics and Electronics , Osaka Prefecture UniversitySakai , Osaka 599-8531 , Japan
- JST PRESTO , Kawaguchi , Saitama 332-0012 , Japan
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36
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Cecil F, Guijt RM, Henderson AD, Macka M, Breadmore MC. One step multi-material 3D printing for the fabrication of a photometric detector flow cell. Anal Chim Acta 2019; 1097:127-134. [PMID: 31910952 DOI: 10.1016/j.aca.2019.10.075] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2019] [Revised: 10/29/2019] [Accepted: 10/31/2019] [Indexed: 12/20/2022]
Abstract
Optical detection is the most common detection mode for many analytical assays. Photometric detection systems and their integration with analytical systems usually require several assembly parts and manual alignment of the capillary/tubing which affects sensitivity and repeatability. 3D printing is an innovative technology for the fabrication of integrated complex detection systems. One step multi-material 3D printing has been explored to fabricate a photometric detector flow cell from optically transparent and opaque materials using a dual-head FDM 3D printer. Integration of the microchannel, the detection window and the slit in a single device eliminates the need for manual alignment of fluidic and optical components, and hence improves sensitivity and repeatability. 3D printing allowed for rapid design optimisation by varying the slit dimension and optical pathlength. The optimised design was evaluated by determining stray light, effective path length and the signal to noise ratio using orange G. The optimised flow cell with extended path length of 10 mm and 500 μm slit yielded 0.02% stray light, 89% effective path length and detection limit of 2 nM. The sensitivity was also improved by 80% in the process of optimisation, using a blue 470 nm LED as a light source.
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Affiliation(s)
- Farhan Cecil
- Australian Centre for Research on Separation Science (ACROSS), School of Physical Sciences, University of Tasmania, Private Bag 75, Hobart, 7001, Australia
| | - Rosanne M Guijt
- Centre of Regional and Rural Futures, Deakin University, Private Bag 20000, Geelong, 3220, Australia
| | - Alan D Henderson
- School of Engineering, University of Tasmania, Private Bag 75, Hobart, 7001, Australia
| | - Mirek Macka
- Australian Centre for Research on Separation Science (ACROSS), School of Physical Sciences, University of Tasmania, Private Bag 75, Hobart, 7001, Australia; Central European Institute of Technology, Brno University of Technology, Purkynova 123, Brno, CZ-612 00, Czech Republic; Department of Chemistry and Biochemistry, Mendel University in Brno, Zemedelska 1, Brno, CZ-613 00, Czech Republic
| | - Michael C Breadmore
- Australian Centre for Research on Separation Science (ACROSS), School of Physical Sciences, University of Tasmania, Private Bag 75, Hobart, 7001, Australia; ARC Centre of Excellence for Electromaterials Science, University of Tasmania, Private Bag 75, Hobart, 7001, Tasmania, Australia.
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Morettini E, Turchini F, Tofani L, Villa G, Ricci Z, Romagnoli S. Intraoperative core temperature monitoring: accuracy and precision of zero-heat flux heated controlled servo sensor compared with esophageal temperature during major surgery; the ESOSPOT study. J Clin Monit Comput 2019; 34:1111-1119. [PMID: 31673946 DOI: 10.1007/s10877-019-00410-z] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2019] [Accepted: 10/22/2019] [Indexed: 12/12/2022]
Abstract
Monitoring of intraoperative core temperature is strongly recommended to reduce the risk of perioperative thermic imbalance and related complications. The zero-heat-flux sensor (3M Bair Hugger Temperature monitoring system, ZHF), measures core temperature in a non-invasive manner. This study was aimed at comparing accuracy and precision of the ZHF sensor compared to the esophageal thermometer. Patients scheduled for major elective abdominal or urologic surgery were considered eligible for enrollment. Core body temperature was measured using both an esophageal probe (TESO) and a ZHF sensor (TZHF) every 15 min from induction until the end of general anaesthesia. A Bland-Altman plot for repeated measures was performed. The proportion of measurements within ± 0.5 °C was estimated; from a clinical point of view, a proportion greater than 90% was considered sufficiently accurate. Lin's concordance correlation coefficient (CCC) for repeated measures were calculated. To evaluate association between the two methods, a generalized estimating equation (GEE) simple linear regression model, was elaborated. A GEE multiple regression model was also performed in order to adjust the estimate of the association between measurements from surgical and patient's features. Ninety-nine patients were enrolled. Bland-Altman plot bias was 0.005 °C with upper and lower limits of agreement for repeated measures of 0.50 °C and - 0.49 °C. The percentage of measurements within 0.5 °C of the reference value was 97.98% (95% confidence interval 92.89-99.75%), indicating a clinically sufficient agreement between the two methods. This was also confirmed by a CCC for repeated measures of 0.89 (95% CI 0.80 to 0.94). The GEE simple regression model (slope value of 0.77) was not significantly influenced by any patient or surgical variables. According to GEE multiple regression model results, the explored patient- and surgery-related variables did not influence the association between methods. ZHF sensor has shown a clinically acceptable accuracy and precision for body core temperature monitoring during elective major surgery. CLINICAL TRIALS: Clinical trial number: NCT03820232.
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Affiliation(s)
- Elena Morettini
- Department of Anesthesia and Intensive Care, Careggi University Hospital, Florence, Italy.
| | - Francesca Turchini
- Department of Anesthesia and Intensive Care, Careggi University Hospital, Florence, Italy
| | - Lorenzo Tofani
- Department of Neurosciences, Psychology, Drug Research and Child Health, University of Florence, Florence, Italy
| | - Gianluca Villa
- Section of Anesthesia, Intensive Care and Pain Medicine, Department of Health Sciences, University of Florence, Florence, Italy
| | - Zaccaria Ricci
- Pediatric Cardiac Intensive Care Unit, Department of Pediatric Cardiology and Cardiac Surgery, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio, Rome, Italy
| | - Stefano Romagnoli
- Department of Anesthesia and Intensive Care, Careggi University Hospital, Florence, Italy.,Section of Anesthesia, Intensive Care and Pain Medicine, Department of Health Sciences, University of Florence, Florence, Italy
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38
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Trenfield SJ, Awad A, Madla CM, Hatton GB, Firth J, Goyanes A, Gaisford S, Basit AW. Shaping the future: recent advances of 3D printing in drug delivery and healthcare. Expert Opin Drug Deliv 2019; 16:1081-1094. [PMID: 31478752 DOI: 10.1080/17425247.2019.1660318] [Citation(s) in RCA: 122] [Impact Index Per Article: 24.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Introduction: Three-dimensional (3D) printing is a relatively new, rapid manufacturing technology that has found promising applications in the drug delivery and medical sectors. Arguably, never before has the healthcare industry experienced such a transformative technology. This review aims to discuss the state of the art of 3D printing technology in healthcare and drug delivery. Areas covered: The current and future applications of printing technologies within drug delivery and medicine have been discussed. The latest innovations in 3D printing of customized medical devices, drug-eluting implants, and printlets (3D-printed tablets) with a tailored dose, shape, size, and release characteristics have been covered. The review also covers the state of the art of 3D printing in healthcare (covering topics such as dentistry, surgical and bioprinting of patient-specific organs), as well as the potential of recent innovations, such as 4D printing, to shape the future of drug delivery and to improve treatment pathways for patients. Expert opinion: A future perspective is provided on the potential for 3D printing in healthcare, covering strategies to overcome the major barriers to integration that are faced today.
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Affiliation(s)
| | - Atheer Awad
- UCL School of Pharmacy, University College London , London , UK
| | | | - Grace B Hatton
- UCL School of Pharmacy, University College London , London , UK
| | - Jack Firth
- Department of Biochemical Engineering, University College London, London, UK
| | - Alvaro Goyanes
- FabRx Ltd , Ashford , TN24 0RW , UK.,Departamento de Farmacología, Farmacia y Tecnología Farmacéutica, R + D Pharma Group (GI-1645), Universidade de Santiago de Compostela , Santiago de Compostela , Spain
| | - Simon Gaisford
- UCL School of Pharmacy, University College London , London , UK.,FabRx Ltd , Ashford , TN24 0RW , UK
| | - Abdul W Basit
- UCL School of Pharmacy, University College London , London , UK.,FabRx Ltd , Ashford , TN24 0RW , UK
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39
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Abstract
The fast development of the Internet of Things (IoT) technology in recent years has supported connections of numerous smart things along with sensors and established seamless data exchange between them, so it leads to a stringy requirement for data analysis and data storage platform such as cloud computing and fog computing. Healthcare is one of the application domains in IoT that draws enormous interest from industry, the research community, and the public sector. The development of IoT and cloud computing is improving patient safety, staff satisfaction, and operational efficiency in the medical industry. This survey is conducted to analyze the latest IoT components, applications, and market trends of IoT in healthcare, as well as study current development in IoT and cloud computing-based healthcare applications since 2015. We also consider how promising technologies such as cloud computing, ambient assisted living, big data, and wearables are being applied in the healthcare industry and discover various IoT, e-health regulations and policies worldwide to determine how they assist the sustainable development of IoT and cloud computing in the healthcare industry. Moreover, an in-depth review of IoT privacy and security issues, including potential threats, attack types, and security setups from a healthcare viewpoint is conducted. Finally, this paper analyzes previous well-known security models to deal with security risks and provides trends, highlighted opportunities, and challenges for the IoT-based healthcare future development.
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40
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Abstract
Wearable sensors play a crucial role in realizing personalized medicine, as they can continuously collect data from the human body to capture meaningful health status changes in time for preventive intervention. However, motion artifacts and mechanical mismatches between conventional rigid electronic materials and soft skin often lead to substantial sensor errors during epidermal measurement. Because of its unique properties such as high flexibility and conformability, flexible electronics enables a natural interaction between electronics and the human body. In this Account, we summarize our recent studies on the design of flexible electronic devices and systems for physical and chemical monitoring. Material innovation, sensor design, device fabrication, system integration, and human studies employed toward continuous and noninvasive wearable sensing are discussed. A flexible electronic device typically contains several key components, including the substrate, the active layer, and the interface layer. The inorganic-nanomaterials-based active layer (prepared by a physical transfer or solution process) is shown to have good physicochemical properties, electron/hole mobility, and mechanical strength. Flexible electronics based on the printed and transferred active materials has shown great promise for physical sensing. For example, integrating a nanowire transistor array for the active matrix and a conductive pressure-sensitive rubber enables tactile pressure mapping; tactile-pressure-sensitive e-skin and organic light-emitting diodes can be integrated for instantaneous pressure visualization. Such printed sensors have been applied as wearable patches to monitor skin temperature, electrocardiograms, and human activities. In addition, liquid metals could serve as an attractive candidate for flexible electronics because of their excellent conductivity, flexibility, and stretchability. Liquid-metal-enabled electronics (based on liquid-liquid heterojunctions and embedded microchannels) have been utilized to monitor a wide range of physiological parameters (e.g., pulse and temperature). Despite the rapid growth in wearable sensing technologies, there is an urgent need for the development of flexible devices that can capture molecular data from the human body to retrieve more insightful health information. We have developed a wearable and flexible sweat-sensing platform toward real-time multiplexed perspiration analysis. An integrated iontophoresis module on a wearable sweat sensor could enable autonomous and programmed sweat extraction. A microfluidics-based sensing system was demonstrated for sweat sampling, sensing, and sweat rate analysis. Roll-to-roll gravure printing allows for mass production of high-performance flexible chemical sensors at low cost. These wearable and flexible sweat sensors have shown great promise in dehydration monitoring, cystic fibrosis diagnosis, drug monitoring, and noninvasive glucose monitoring. Future work in this field should focus on designing robust wearable sensing systems to accurately collect data from the human body and on large-scale human studies to determine how the measured physical and chemical information relates to the individual's specific health conditions. Further research in these directions, along with the large sets of data collected via these wearable and flexible sensing technologies, will have a significant impact on future personalized healthcare.
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Affiliation(s)
- Wei Gao
- Division of Engineering and Applied Science, California Institute of Technology, Pasadena, California 91125, United States
| | - Hiroki Ota
- Department of Systems Integration, Yokohama National University, Yokohama 240-8501, Japan
| | - Daisuke Kiriya
- Department of Physics and Electronics, Osaka Prefecture University, Osaka 599-8531, Japan
| | - Kuniharu Takei
- Department of Physics and Electronics, Osaka Prefecture University, Osaka 599-8531, Japan
| | - Ali Javey
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, California 94720, United States
- Berkeley Sensor and Actuator Center, University of California, Berkeley, California 94720, United States
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, United States
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41
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Abstract
With the use of coordinated complexes between aliphatic diols and calcium chloride (CaCl2) as green electrolytes, a body compatible, ecofriendly and low-cost thermometer is successfully developed. This particular conductive liquid possesses unique features of ultrafast response and high sensitivity against temperature change. The influences of CaCl2 concentration and the category of aliphatic diols on conductivity change reveal that the thermal sensing abilities of such green electrolytes are positively relevant to the viscosity change along with temperature change. Owing to the advantages of stability, reliability, and security, the thermometer can implement long-term and continuous temperature monitoring, which can fully meet the requirements of application of medical monitors, diagnostics, and therapies. Moreover, the inherent advantages of thermometers, including satisfactory biocompatibility and nontoxicity, afford great promise for applications in invasive and inflammatory devices.
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Affiliation(s)
- Xinglei Tao
- Department of Chemistry, Renmin University of China, Beijing, 100872, China
| | - Shenglong Liao
- Department of Chemistry, Renmin University of China, Beijing, 100872, China
| | - Shuqiang Wang
- Department of
Nephrology, Chinese PLA General Hospital, Chinese PLA Institute of
Nephrology, State Key Laboratory of Kidney Diseases, National Clinical
Research Center for Kidney Diseases, Beijing Key Laboratory of Kidney
Disease, Beijing 100853, China
| | - Di Wu
- Department of
Nephrology, Chinese PLA General Hospital, Chinese PLA Institute of
Nephrology, State Key Laboratory of Kidney Diseases, National Clinical
Research Center for Kidney Diseases, Beijing Key Laboratory of Kidney
Disease, Beijing 100853, China
| | - Yapei Wang
- Department of Chemistry, Renmin University of China, Beijing, 100872, China
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Xu XY, Yan B, Lian X. Wearable glove sensor for non-invasive organophosphorus pesticide detection based on a double-signal fluorescence strategy. NANOSCALE 2018; 10:13722-13729. [PMID: 29989624 DOI: 10.1039/c8nr03352h] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
A wearable glove-based sensor has been developed for non-invasive organophosphorus pesticide (OP) monitoring via the fluorescent detection technology. The new "lab-on-a-glove" device integrates a flexible host material (CMC aerogel) and two fluorescent centers (EuMOFs for red and nanosized CDs for blue emissons). After characterizing the performance and stability of the sensor, qualitative and quantitative OP detections are successfully conducted on the surfaces of different agricultural products using swipe collection. The real-time detection system offers considerable advantages such as rapid response (30 s) due to the porous structures of CMC aerogel and MOFs, detection with the naked eye (the red to blue emission transition corresponds to an increase in the OP concentration) and high sensitivity (R2 = 0.99529, LOD = 89 nM) owing to the double-signal sensing strategy in which EuMOFs are the working fluorescence center and CDs are the reference fluorescence center. Compared with other OP detection methods, our strategy of using wearable device with the ratiometric fluorescence method leads to a convenient and reliable detection process for OP analysis. Also, considering its cost advantage, the glove-based sensor holds promise for practical applications in food safety and security.
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Affiliation(s)
- Xiao-Yu Xu
- School of Chemical Science and Engineering, Tongji University, Siping Road 1239, Shanghai 200092, P. R. China.
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43
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Sun K, Yang Y, Zhou H, Yin S, Qin W, Yu J, Chiu DT, Yuan Z, Zhang X, Wu C. Ultrabright Polymer-Dot Transducer Enabled Wireless Glucose Monitoring via a Smartphone. ACS NANO 2018; 12:5176-5184. [PMID: 29694016 DOI: 10.1021/acsnano.8b02188] [Citation(s) in RCA: 48] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
Optical methods such as absorptiometry, fluorescence, and surface plasmon resonance have long been explored for sensing glucose. However, these schemes have not had the clinical success of electrochemical methods for point-of-care testing because of the limited performance of optical sensors and the bulky instruments they require. Here, we show that an ultrasensitive optical transducer can be used for wireless glucose monitoring via a smartphone. The optical transducer combines oxygen-sensitive polymer dots (Pdots) with glucose oxidase that sensitively detect glucose when oxygen is consumed in the glucose oxidation reaction. By judicious design of the Pdots with ultralong phosphorescence lifetime, the transducer exhibited a significantly enhanced sensitivity by 1 order of magnitude as compared to the one in a previous study. As a result, the optical images of subcutaneous glucose level obtained with the smartphone camera could be utilized to clearly distinguish between euglycemia and hyperglycemia. We further developed an image processing algorithm and a software application that was installed on a smartphone. Real-time dynamic glucose monitoring in live mice was demonstrated with the smartphone and the implanted Pdot transducer.
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Affiliation(s)
- Kai Sun
- State Key Laboratory of Integrated Optoelectronics, College of Electronic Science and Engineering , Jilin University , Changchun , Jilin 130012 , China
| | - Yingkun Yang
- State Key Laboratory of Integrated Optoelectronics, College of Electronic Science and Engineering , Jilin University , Changchun , Jilin 130012 , China
| | - Hua Zhou
- State Key Laboratory of Integrated Optoelectronics, College of Electronic Science and Engineering , Jilin University , Changchun , Jilin 130012 , China
| | - Shengyan Yin
- State Key Laboratory of Integrated Optoelectronics, College of Electronic Science and Engineering , Jilin University , Changchun , Jilin 130012 , China
| | - Weiping Qin
- State Key Laboratory of Integrated Optoelectronics, College of Electronic Science and Engineering , Jilin University , Changchun , Jilin 130012 , China
| | - Jiangbo Yu
- Department of Chemistry and Bioengineering , University of Washington , Seattle , Washington 98195 , United States
| | - Daniel T Chiu
- Department of Chemistry and Bioengineering , University of Washington , Seattle , Washington 98195 , United States
| | - Zhen Yuan
- Faculty of Health Science , University of Macau , Taipa , Macau SAR 999078 , China
| | - Xuanjun Zhang
- Faculty of Health Science , University of Macau , Taipa , Macau SAR 999078 , China
| | - Changfeng Wu
- Department of Biomedical Engineering , Southern University of Science and Technology , Shenzhen 518055 , China
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44
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Tai LC, Gao W, Chao M, Bariya M, Ngo QP, Shahpar Z, Nyein HYY, Park H, Sun J, Jung Y, Wu E, Fahad HM, Lien DH, Ota H, Cho G, Javey A. Methylxanthine Drug Monitoring with Wearable Sweat Sensors. ADVANCED MATERIALS (DEERFIELD BEACH, FLA.) 2018; 30:e1707442. [PMID: 29663538 DOI: 10.1002/adma.201707442] [Citation(s) in RCA: 138] [Impact Index Per Article: 23.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2017] [Revised: 02/09/2018] [Indexed: 05/24/2023]
Abstract
Drug monitoring plays crucial roles in doping control and precision medicine. It helps physicians tailor drug dosage for optimal benefits, track patients' compliance to prescriptions, and understand the complex pharmacokinetics of drugs. Conventional drug tests rely on invasive blood draws. While urine and sweat are attractive alternative biofluids, the state-of-the-art methods require separate sample collection and processing steps and fail to provide real-time information. Here, a wearable platform equipped with an electrochemical differential pulse voltammetry sensing module for drug monitoring is presented. A methylxanthine drug, caffeine, is selected to demonstrate the platform's functionalities. Sweat caffeine levels are monitored under various conditions, such as drug doses and measurement time after drug intake. Elevated sweat caffeine levels upon increasing dosage and confirmable caffeine physiological trends are observed. This work leverages a wearable sweat sensing platform toward noninvasive and continuous point-of-care drug monitoring and management.
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Affiliation(s)
- Li-Chia Tai
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA, 94720, USA
- Berkeley Sensor and Actuator Center, University of California, Berkeley, CA, 94720, USA
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA, 94720, USA
| | - Wei Gao
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA, 94720, USA
- Berkeley Sensor and Actuator Center, University of California, Berkeley, CA, 94720, USA
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA, 94720, USA
| | - Minghan Chao
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA, 94720, USA
- Berkeley Sensor and Actuator Center, University of California, Berkeley, CA, 94720, USA
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA, 94720, USA
| | - Mallika Bariya
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA, 94720, USA
- Berkeley Sensor and Actuator Center, University of California, Berkeley, CA, 94720, USA
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA, 94720, USA
| | - Quynh P Ngo
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA, 94720, USA
- Berkeley Sensor and Actuator Center, University of California, Berkeley, CA, 94720, USA
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA, 94720, USA
| | - Ziba Shahpar
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA, 94720, USA
- Berkeley Sensor and Actuator Center, University of California, Berkeley, CA, 94720, USA
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA, 94720, USA
| | - Hnin Y Y Nyein
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA, 94720, USA
- Berkeley Sensor and Actuator Center, University of California, Berkeley, CA, 94720, USA
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA, 94720, USA
| | - Hyejin Park
- Department of Printed Electronics Engineering, Sunchon National University, 255 Jungang-ro, Suncheon-si, Jeollanam-do, 57922, Republic of Korea
| | - Junfeng Sun
- Department of Printed Electronics Engineering, Sunchon National University, 255 Jungang-ro, Suncheon-si, Jeollanam-do, 57922, Republic of Korea
| | - Younsu Jung
- Department of Printed Electronics Engineering, Sunchon National University, 255 Jungang-ro, Suncheon-si, Jeollanam-do, 57922, Republic of Korea
| | - Eric Wu
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA, 94720, USA
- Berkeley Sensor and Actuator Center, University of California, Berkeley, CA, 94720, USA
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA, 94720, USA
| | - Hossain M Fahad
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA, 94720, USA
- Berkeley Sensor and Actuator Center, University of California, Berkeley, CA, 94720, USA
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA, 94720, USA
| | - Der-Hsien Lien
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA, 94720, USA
- Berkeley Sensor and Actuator Center, University of California, Berkeley, CA, 94720, USA
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA, 94720, USA
| | - Hiroki Ota
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA, 94720, USA
- Berkeley Sensor and Actuator Center, University of California, Berkeley, CA, 94720, USA
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA, 94720, USA
| | - Gyoujin Cho
- Department of Printed Electronics Engineering, Sunchon National University, 255 Jungang-ro, Suncheon-si, Jeollanam-do, 57922, Republic of Korea
| | - Ali Javey
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA, 94720, USA
- Berkeley Sensor and Actuator Center, University of California, Berkeley, CA, 94720, USA
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA, 94720, USA
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45
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Nyein HYY, Tai LC, Ngo QP, Chao M, Zhang GB, Gao W, Bariya M, Bullock J, Kim H, Fahad HM, Javey A. A Wearable Microfluidic Sensing Patch for Dynamic Sweat Secretion Analysis. ACS Sens 2018; 3:944-952. [PMID: 29741360 DOI: 10.1021/acssensors.7b00961] [Citation(s) in RCA: 179] [Impact Index Per Article: 29.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Wearable sweat sensing is a rapidly rising research area driven by its promising potential in health, fitness, and diagnostic applications. Despite the growth in the field, major challenges in relation to sweat metrics remain to be addressed. These challenges include sweat rate monitoring for its complex relation with sweat compositions and sweat sampling for sweat dynamics studies. In this work, we present a flexible microfluidic sweat sensing patch that enhances real-time electrochemical sensing and sweat rate analysis via sweat sampling. The device contains a spiral-patterned microfluidic component that is embedded with ion-selective sensors and an electrical impedance-based sweat rate sensor on a flexible plastic substrate. The patch is enabled to autonomously perform sweat analysis by interfacing the sensing component with a printed circuit board that is capable of on-site signal conditioning, analysis, and transmission. Progressive sweat flow in the microfluidic device, governed by the pressure induced by the secreted sweat, enhances sweat sampling and electrochemical detection via a defined sweat collection chamber and a directed sweat route. The characteristic of the sweat rate sensor is validated through a theoretical simulation, and the precision and accuracy of the flow rate is verified with a commercial syringe pump and a Macroduct sweat collector. On-body simultaneous monitoring of ion (H+, Na+, K+, Cl-) concentration and sweat rate is also demonstrated for sensor functionality. This sweat sensing patch provides an integrated platform for a comprehensive sweat secretion analysis and facilitates physiological and clinical investigations by closely monitoring interrelated sweat parameters.
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Affiliation(s)
- Hnin Yin Yin Nyein
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, United States
| | - Li-Chia Tai
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, United States
| | - Quynh Phuong Ngo
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, United States
| | | | - George B. Zhang
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, United States
| | - Wei Gao
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, United States
| | - Mallika Bariya
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, United States
| | - James Bullock
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, United States
| | - Hyungjin Kim
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, United States
| | | | - Ali Javey
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, United States
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46
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Brown MS, Ashley B, Koh A. Wearable Technology for Chronic Wound Monitoring: Current Dressings, Advancements, and Future Prospects. Front Bioeng Biotechnol 2018; 6:47. [PMID: 29755977 PMCID: PMC5932176 DOI: 10.3389/fbioe.2018.00047] [Citation(s) in RCA: 87] [Impact Index Per Article: 14.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2018] [Accepted: 04/03/2018] [Indexed: 12/14/2022] Open
Abstract
Chronic non-healing wounds challenge tissue regeneration and impair infection regulation for patients afflicted with this condition. Next generation wound care technology capable of in situ physiological surveillance which can diagnose wound parameters, treat various chronic wound symptoms, and reduce infection at the wound noninvasively with the use of a closed loop therapeutic system would provide patients with an improved standard of care and an accelerated wound repair mechanism. The indicating biomarkers specific to chronic wounds include blood pressure, temperature, oxygen, pH, lactate, glucose, interleukin-6 (IL-6), and infection status. A wound monitoring device would help decrease prolonged hospitalization, multiple doctors' visits, and the expensive lab testing associated with the diagnosis and treatment of chronic wounds. A device capable of monitoring the wound status and stimulating the healing process is highly desirable. In this review, we discuss the impaired physiological states of chronic wounds and explain the current treatment methods. Specifically, we focus on improvements in materials, platforms, fabrication methods for wearable devices, and quantitative analysis of various biomarkers vital to wound healing progress.
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Affiliation(s)
- Matthew S Brown
- Department of Biomedical Engineering, State University of New York at Binghamton University, Binghamton, NY, United States
| | - Brandon Ashley
- Department of Biomedical Engineering, State University of New York at Binghamton University, Binghamton, NY, United States
| | - Ahyeon Koh
- Department of Biomedical Engineering, State University of New York at Binghamton University, Binghamton, NY, United States
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47
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Fabrication of Composite Microneedle Array Electrode for Temperature and Bio-Signal Monitoring. SENSORS 2018; 18:s18041193. [PMID: 29652837 PMCID: PMC5948585 DOI: 10.3390/s18041193] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/08/2018] [Revised: 04/10/2018] [Accepted: 04/12/2018] [Indexed: 01/15/2023]
Abstract
Body temperature and bio-signals are important health indicators that reflect the human health condition. However, monitoring these indexes is inconvenient and time-consuming, requires various instruments, and needs professional skill. In this study, a composite microneedle array electrode (CMAE) was designed and fabricated. It simultaneously detects body temperature and bio-signals. The CMAE consists of a 6 × 6 microneedles array with a height of 500 μm and a base diameter of 200 μm. Multiple insertion experiments indicate that the CMAE possesses excellent mechanical properties. The CMAE can pierce porcine skin 100 times without breaking or bending. A linear calibration relationship between temperature and voltage are experimentally obtained. Armpit temperature (35.8 °C) and forearm temperature (35.3 °C) are detected with the CMAE, and the measurements agree well with the data acquired with a clinical thermometer. Bio-signals including EII, ECG, and EMG are recorded and compared with those obtained by a commercial Ag/AgCl electrode. The CMAE continuously monitors bio-signals and is more convenient to apply because it does not require skin preparation and gel usage. The CMAE exhibits good potential for continuous and repetitive monitoring of body temperature and bio-signals.
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48
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49
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Nagels S, Deferme W. Fabrication Approaches to Interconnect Based Devices for Stretchable Electronics: A Review. MATERIALS (BASEL, SWITZERLAND) 2018; 11:E375. [PMID: 29510497 PMCID: PMC5872954 DOI: 10.3390/ma11030375] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/06/2018] [Revised: 02/27/2018] [Accepted: 03/01/2018] [Indexed: 01/15/2023]
Abstract
Stretchable electronics promise to naturalize the way that we are surrounded by and interact with our devices. Sensors that can stretch and bend furthermore have become increasingly relevant as the technology behind them matures rapidly from lab-based workflows to industrially applicable production principles. Regardless of the specific materials used, creating stretchable conductors involves either the implementation of strain reliefs through insightful geometric patterning, the dispersion of stiff conductive filler in an elastomeric matrix, or the employment of intrinsically stretchable conductive materials. These basic principles however have spawned a myriad of materials systems wherein future application engineers need to find their way. This paper reports a literature study on the spectrum of different approaches towards stretchable electronics, discusses standardization of characteristic tests together with their reports and estimates matureness for industry. Patterned copper foils that are embedded in elastomeric sheets, which are closest to conventional electronic circuits processing, make up one end of the spectrum. Furthest from industry are the more recent circuits based on intrinsically stretchable liquid metals. These show extremely promising results, however, as a technology, liquid metal is not mature enough to be adapted. Printing makes up the transition between both ends, and is also well established on an industrial level, but traditionally not linked to creating electronics. Even though a certain level of maturity was found amongst the approaches that are reviewed herein, industrial adaptation for consumer electronics remains unpredictable without a designated break-through commercial application.
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Affiliation(s)
- Steven Nagels
- Institute for Materials Research, Hasselt University, Wetenschapspark 1, B-3590 Diepenbeek, Belgium.
- IMEC VZW-Division IMOMEC, Wetenschapspark 1, B-3590 Diepenbeek, Belgium.
| | - Wim Deferme
- Institute for Materials Research, Hasselt University, Wetenschapspark 1, B-3590 Diepenbeek, Belgium.
- IMEC VZW-Division IMOMEC, Wetenschapspark 1, B-3590 Diepenbeek, Belgium.
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50
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Kim J, Campbell AS, Wang J. Wearable non-invasive epidermal glucose sensors: A review. Talanta 2017; 177:163-170. [PMID: 29108571 DOI: 10.1016/j.talanta.2017.08.077] [Citation(s) in RCA: 257] [Impact Index Per Article: 36.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2017] [Revised: 08/22/2017] [Accepted: 08/25/2017] [Indexed: 02/09/2023]
Abstract
The growing recent interest in wearable and mobile technologies has led to increased research efforts toward development of non-invasive glucose monitoring platforms. Continuous glucose monitoring addresses the limitations of finger-stick blood testing and provides the opportunity for optimal therapeutic interventions. This article reviews recent advances and challenges toward the development of non-invasive epidermal electrochemical glucose sensing systems. Recent reports claim success in glucose monitoring in human subjects using skin-worn electrochemical sensors. Such epidermal electrochemical biosensors obviate the disadvantages of minimally-invasive subcutaneous glucose biosensors and offer promise for improved glycemic control. The ability of such systems to monitor glucose non-invasively offers an attractive route toward advancing the management of diabetes and achieving improved glycemic control. However, realizing the potential diagnostic impact of these new epidermal sensing strategies would require extensive efforts toward addressing key technological challenges and establishing a reliable correlation to gold standard blood glucose meters.
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Affiliation(s)
- Jayoung Kim
- Department of Nanoengineering, University of California, San Diego La Jolla, CA 92093, USA
| | - Alan S Campbell
- Department of Nanoengineering, University of California, San Diego La Jolla, CA 92093, USA
| | - Joseph Wang
- Department of Nanoengineering, University of California, San Diego La Jolla, CA 92093, USA.
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