1
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Ding H, Yang H, Tsujimura S. Nature-Inspired Superhydrophilic Biosponge as Structural Beneficial Platform for Sweating Analysis Patch. ADVANCED SCIENCE (WEINHEIM, BADEN-WURTTEMBERG, GERMANY) 2024:e2401947. [PMID: 38868908 DOI: 10.1002/advs.202401947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/23/2024] [Revised: 05/07/2024] [Indexed: 06/14/2024]
Abstract
Perspiration plays a pivotal role not only in thermoregulation but also in reflecting the body's internal state and its response to external stimuli. The up-to-date skin-based wearable platforms have facilitated the monitoring and simultaneous analysis of sweat, offering valuable physiological insights. Unlike conventional passive sweating, dynamic normal perspiration, which occurs during various activities and rest periods, necessitates a more reliable method of collection to accurately capture its real-time fluctuations. An innovative microfluidic patch incorporating a hierarchical superhydrophilic biosponge, poise to significantly improve the efficiency capture of dynamic sweat is introduced. The seamlessly integrated biosponge microchannel showcases exceptional absorption capabilities, efficiently capturing non-sensitive sweat exuding from the skin surface, mitigating sample loss and minimizing sweat volatilization. Furthermore, the incorporation of sweat-rate sensors alongside a suite of functional electrochemical sensors endows the patch of uninterrupted monitoring and analysis of dynamic sweat during various activities, stress events, high-energy intake, and other scenarios.
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Affiliation(s)
- Hanlin Ding
- Department of Materials Science, Institute of Pure and Applied Sciences, University of Tsukuba, 1-1-1, Tennodai, Tsukuba, Ibaraki, 305-8573, Japan
| | - Hao Yang
- Department of Materials Science, Institute of Pure and Applied Sciences, University of Tsukuba, 1-1-1, Tennodai, Tsukuba, Ibaraki, 305-8573, Japan
| | - Seiya Tsujimura
- Department of Materials Science, Institute of Pure and Applied Sciences, University of Tsukuba, 1-1-1, Tennodai, Tsukuba, Ibaraki, 305-8573, Japan
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2
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Palmieri E, Cancelliere R, Maita F, Micheli L, Maiolo L. An ethyl cellulose novel biodegradable flexible substrate material for sustainable screen-printing. RSC Adv 2024; 14:18103-18108. [PMID: 38847004 PMCID: PMC11154189 DOI: 10.1039/d4ra02993c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2024] [Accepted: 05/30/2024] [Indexed: 06/09/2024] Open
Abstract
We introduce an innovative solution to reduce plastic dependence in flexible electronics: a biodegradable, water-resistant, and flexible cellulose-based substrate for crafting electrochemical printed platforms. This sustainable material based on ethyl cellulose (EC) serves as an eco-friendly alternative to PET in screen printing, boasting superior water resistance compared to other biodegradable options. Our study evaluates the performance of carbon-based screen-printed electrodes (SPEs) fabricated on conventional PET, recycled PET (r-PET), and (EC)-based materials. Electrochemical characterization reveals that EC-SPEs exhibit comparable analytical performance to both P-SPEs and rP-SPEs, as evidenced by similar limits of detection (LOD), limits of quantification (LOQ), and reproducibility values for all the analytes tested (ferro-ferricyanide, hexaammineruthenium chloride, uric acid, and hydroquinone). This finding underscores the potential of our cellulose-based substrate to match the performance of conventional PET-based electrodes. Moreover, the scalability and low-energy requirements of our fabrication process highlight the potential of this material to revolutionize eco-conscious manufacturing. By offering a sustainable alternative without compromising performance, our cellulose-based substrate paves the way for greener practices in flexible electronics production.
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Affiliation(s)
- Elena Palmieri
- Istituto per la Microelettronica e i Microsistemi, Consiglio Nazionale delle Ricerche Via del Fosso del Cavaliere 100 Rome 00133 Italy
| | - Rocco Cancelliere
- Department of Chemical Science and Technologies, University of Rome Tor Vergata Via della Ricerca Scientifica 1 Rome 00133 Italy
| | - Francesco Maita
- Istituto per la Microelettronica e i Microsistemi, Consiglio Nazionale delle Ricerche Via del Fosso del Cavaliere 100 Rome 00133 Italy
| | - Laura Micheli
- Department of Chemical Science and Technologies, University of Rome Tor Vergata Via della Ricerca Scientifica 1 Rome 00133 Italy
| | - Luca Maiolo
- Istituto per la Microelettronica e i Microsistemi, Consiglio Nazionale delle Ricerche Via del Fosso del Cavaliere 100 Rome 00133 Italy
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3
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Konno S, Kudo H. Fundamental Study of a Wristwatch Sweat Lactic Acid Monitor. BIOSENSORS 2024; 14:187. [PMID: 38667180 PMCID: PMC11048019 DOI: 10.3390/bios14040187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/02/2024] [Revised: 04/06/2024] [Accepted: 04/08/2024] [Indexed: 04/28/2024]
Abstract
A lactic acid (LA) monitoring system aimed at sweat monitoring was fabricated and tested. The sweat LA monitoring system uses a continuous flow of phosphate buffer saline, instead of chambers or cells, for collecting and storing sweat fluid excreted at the skin surface. To facilitate the use of the sweat LA monitoring system by subjects when exercising, the fluid control system, including the sweat sampling device, was designed to be unaffected by body movements or muscle deformation. An advantage of our system is that the skin surface condition is constantly refreshed by continuous flow. A real sample test was carried out during stationary bike exercise, which showed that LA secretion increased by approximately 10 μg/cm2/min compared to the baseline levels before exercise. The LA levels recovered to baseline levels after exercise due to the effect of continuous flow. This indicates that the wristwatch sweat LA monitor has the potential to enable a detailed understanding of the LA distribution at the skin surface.
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Affiliation(s)
| | - Hiroyuki Kudo
- Department of Electronics and Bioinformatics, School of Science and Technology, Meiji University, Tokyo 214-8571, Kanagawa, Japan
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4
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Saha T, Mukherjee S, Dickey MD, Velev OD. Harvesting and manipulating sweat and interstitial fluid in microfluidic devices. LAB ON A CHIP 2024; 24:1244-1265. [PMID: 38197332 DOI: 10.1039/d3lc00874f] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/11/2024]
Abstract
Microfluidic devices began to be used to facilitate sweat and interstitial fluid (ISF) sensing in the mid-2010s. Since then, numerous prototypes involving microfluidics have been developed in different form factors for sensing biomarkers found in these fluids under in vitro, ex vivo, and in vivo (on-body) settings. These devices transport and manipulate biofluids using microfluidic channels composed of silicone, polymer, paper, or fiber. Fluid flow transport and sample management can be achieved by controlling the flow rate, surface morphology of the channel, and rate of fluid evaporation. Although many devices have been developed for estimating sweat rate, electrolyte, and metabolite levels, only a handful have been able to proceed beyond laboratory testing and reach the stage of clinical trials and commercialization. To further this technology, this review reports on the utilization of microfluidics towards sweat and ISF management and transport. The review is distinguished from other recent reviews by focusing on microfluidic principles of sweat and ISF generation, transport, extraction, and management. Challenges and prospects are highlighted, with a discussion on how to transition such prototypes towards personalized healthcare monitoring systems.
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Affiliation(s)
- Tamoghna Saha
- Department of Chemical and Biomolecular Engineering, North Carolina State University, Raleigh, NC 27695, USA.
| | - Sneha Mukherjee
- Department of Chemical and Biomolecular Engineering, North Carolina State University, Raleigh, NC 27695, USA.
| | - Michael D Dickey
- Department of Chemical and Biomolecular Engineering, North Carolina State University, Raleigh, NC 27695, USA.
| | - Orlin D Velev
- Department of Chemical and Biomolecular Engineering, North Carolina State University, Raleigh, NC 27695, USA.
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5
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Eiler J, Ehtiati K, Sørensen IE, Thormann E. Measuring the Salt Content of Sweat inside a Sweat-Absorbing Skin Adhesive. ACS APPLIED BIO MATERIALS 2024; 7:452-461. [PMID: 38064363 DOI: 10.1021/acsabm.3c01051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2024]
Abstract
Biofluids contain a wealth of different biomarkers, and their concentrations are indicative of the state of the body. As one of those biofluids, sweat is easily accessible, and its composition can, for example, be related to particular diseases or sports performance. Due to the relatively low sweat flow rates, however, adequate sampling is paramount. Here, we aim to explore the potential use of sweat-absorbing skin adhesives as a sweat sampling system for wearable sensors with a simple construction. Upon absorption of sweat, the electrochemical properties of the skin adhesive are determined by the composition of sweat and the amount of sweat within the skin adhesive (i.e., hydration). Through the incorporation of two polarizable electrodes within the skin adhesive, its electrical properties can be monitored using impedance spectroscopy. Here, the double layer capacitance is used as an indicator of hydration, while the conductance depends on both the ion concentration and hydration (the mobility of ions). By evaluating the conductance as a function of hydration, the ion concentration within an electrolyte solution can be estimated. We demonstrate the concept based on a simple model sensor patch, which is exposed to electrolyte solutions containing various concentrations of NaCl and an artificial sweat solution. Finally, we show that ion concentrations in human sweat can be estimated when the model sensor patch is worn during exercise.
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Affiliation(s)
- Johannes Eiler
- Department of Chemistry, Technical University of Denmark, Lyngby 2800 Kgs., Denmark
| | - Koosha Ehtiati
- Department of Chemistry, Technical University of Denmark, Lyngby 2800 Kgs., Denmark
| | | | - Esben Thormann
- Department of Chemistry, Technical University of Denmark, Lyngby 2800 Kgs., Denmark
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6
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Watkins Z, McHenry A, Heikenfeld J. Wearing the Lab: Advances and Challenges in Skin-Interfaced Systems for Continuous Biochemical Sensing. ADVANCES IN BIOCHEMICAL ENGINEERING/BIOTECHNOLOGY 2024; 187:223-282. [PMID: 38273210 DOI: 10.1007/10_2023_238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/27/2024]
Abstract
Continuous, on-demand, and, most importantly, contextual data regarding individual biomarker concentrations exemplify the holy grail for personalized health and performance monitoring. This is well-illustrated for continuous glucose monitoring, which has drastically improved outcomes and quality of life for diabetic patients over the past 2 decades. Recent advances in wearable biosensing technologies (biorecognition elements, transduction mechanisms, materials, and integration schemes) have begun to make monitoring of other clinically relevant analytes a reality via minimally invasive skin-interfaced devices. However, several challenges concerning sensitivity, specificity, calibration, sensor longevity, and overall device lifetime must be addressed before these systems can be made commercially viable. In this chapter, a logical framework for developing a wearable skin-interfaced device for a desired application is proposed with careful consideration of the feasibility of monitoring certain analytes in sweat and interstitial fluid and the current development of the tools available to do so. Specifically, we focus on recent advancements in the engineering of biorecognition elements, the development of more robust signal transduction mechanisms, and novel integration schemes that allow for continuous quantitative analysis. Furthermore, we highlight the most compelling and promising prospects in the field of wearable biosensing and the challenges that remain in translating these technologies into useful products for disease management and for optimizing human performance.
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Affiliation(s)
- Zach Watkins
- Department of Biomedical Engineering, University of Cincinnati, Cincinnati, OH, USA.
| | - Adam McHenry
- Department of Biomedical Engineering, University of Cincinnati, Cincinnati, OH, USA
| | - Jason Heikenfeld
- Department of Biomedical Engineering, University of Cincinnati, Cincinnati, OH, USA
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7
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Saha T, Del Caño R, De la Paz E, Sandhu SS, Wang J. Access and Management of Sweat for Non-Invasive Biomarker Monitoring: A Comprehensive Review. SMALL (WEINHEIM AN DER BERGSTRASSE, GERMANY) 2023; 19:e2206064. [PMID: 36433842 DOI: 10.1002/smll.202206064] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 11/07/2022] [Indexed: 06/16/2023]
Abstract
Sweat is an important biofluid presents in the body since it regulates the internal body temperature, and it is relatively easy to access on the skin unlike other biofluids and contains several biomarkers that are also present in the blood. Although sweat sensing devices have recently displayed tremendous progress, most of the emerging devices primarily focus on the sensor development, integration with electronics, wearability, and data from in vitro studies and short-term on-body trials during exercise. To further the advances in sweat sensing technology, this review aims to present a comprehensive report on the approaches to access and manage sweat from the skin toward improved sweat collection and sensing. It is begun by delineating the sweat secretion mechanism through the skin, and the historical perspective of sweat, followed by a detailed discussion on the mechanisms governing sweat generation and management on the skin. It is concluded by presenting the advanced applications of sweat sensing, supported by a discussion of robust, extended-operation epidermal wearable devices aiming to strengthen personalized healthcare monitoring systems.
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Affiliation(s)
- Tamoghna Saha
- Department of Nanoengineering, University of California San Diego La Jolla, California, CA, 92093, USA
| | - Rafael Del Caño
- Department of Nanoengineering, University of California San Diego La Jolla, California, CA, 92093, USA
- Department of Physical Chemistry and Applied Thermodynamics, University of Cordoba, Cordoba, E-14014, Spain
| | - Ernesto De la Paz
- Department of Nanoengineering, University of California San Diego La Jolla, California, CA, 92093, USA
| | - Samar S Sandhu
- Department of Nanoengineering, University of California San Diego La Jolla, California, CA, 92093, USA
| | - Joseph Wang
- Department of Nanoengineering, University of California San Diego La Jolla, California, CA, 92093, USA
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8
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Clark KM, Ray TR. Recent Advances in Skin-Interfaced Wearable Sweat Sensors: Opportunities for Equitable Personalized Medicine and Global Health Diagnostics. ACS Sens 2023; 8:3606-3622. [PMID: 37747817 PMCID: PMC11211071 DOI: 10.1021/acssensors.3c01512] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/27/2023]
Abstract
Recent advances in skin-interfaced wearable sweat sensors enable the noninvasive, real-time monitoring of biochemical signals associated with health and wellness. These wearable platforms leverage microfluidic channels, biochemical sensors, and flexible electronics to enable the continuous analysis of sweat-based biomarkers such as electrolytes, metabolites, and hormones. As this field continues to mature, the potential of low-cost, continuous personalized health monitoring enabled by such wearable sensors holds significant promise for addressing some of the formidable obstacles to delivering comprehensive medical care in under-resourced settings. This Perspective highlights the transformative potential of wearable sweat sensing for providing equitable access to cutting-edge healthcare diagnostics, especially in remote or geographically isolated areas. It examines the current understanding of sweat composition as well as recent innovations in microfluidic device architectures and sensing strategies by showcasing emerging applications and opportunities for innovation. It concludes with a discussion on expanding the utility of wearable sweat sensors for clinically relevant health applications and opportunities for enabling equitable access to innovation to address existing health disparities.
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Affiliation(s)
- Kaylee M. Clark
- Department of Mechanical Engineering, University of Hawai’i at Mãnoa, Honolulu, HI 96822, USA
| | - Tyler R. Ray
- Department of Mechanical Engineering, University of Hawai’i at Mãnoa, Honolulu, HI 96822, USA
- Department of Cell and Molecular Biology, John. A. Burns School of Medicine, University of Hawai’i at Mãnoa, Honolulu, HI 96813, USA
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9
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Young T, Clark V, Arroyo-Currás N, Heikenfeld J. Perspective-The Feasibility of Continuous Protein Monitoring in Interstitial Fluid. ECS SENSORS PLUS 2023; 2:027001. [PMID: 37128505 PMCID: PMC10140668 DOI: 10.1149/2754-2726/accd7e] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 04/09/2023] [Indexed: 05/03/2023]
Abstract
Real-time continuous monitoring of proteins in-vivo holds great potential for personalized medical applications. Unfortunately, a prominent knowledge gap exists in the fundamental biology regarding protein transfer and correlation between interstitial fluid and blood. Additionally, technological sensing will require affinity-based platforms that cannot be robustly protected in-vivo and will therefore be challenged in sensitivity, longevity, and fouling over multi-day to week timelines. Here we use electrochemical aptamer sensors as a model system to discuss further research necessary to achieve continuous protein sensing.
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Affiliation(s)
- Thomas Young
- Department of Biomedical Engineering, University of Cincinnati, Cincinnati, OH 45221, United States of America
| | - Vincent Clark
- Chemistry-Biology Interface Program, Zanvyl Krieger School of Arts & Sciences, Johns Hopkins University, Baltimore, MD 21218, United States of America
| | - Netzahualcóyotl Arroyo-Currás
- Chemistry-Biology Interface Program, Zanvyl Krieger School of Arts & Sciences, Johns Hopkins University, Baltimore, MD 21218, United States of America
| | - Jason Heikenfeld
- Department of Biomedical Engineering, University of Cincinnati, Cincinnati, OH 45221, United States of America
- Department of Electrical & Computer Engineering, University of Cincinnati, Cincinnati, OH 45221, United States of America
- Department of Pharmacology and Molecular Sciences, Johns Hopkins University School of Medicine, Baltimore, MD 21205, United States of America
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10
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Min J, Tu J, Xu C, Lukas H, Shin S, Yang Y, Solomon SA, Mukasa D, Gao W. Skin-Interfaced Wearable Sweat Sensors for Precision Medicine. Chem Rev 2023; 123:5049-5138. [PMID: 36971504 PMCID: PMC10406569 DOI: 10.1021/acs.chemrev.2c00823] [Citation(s) in RCA: 68] [Impact Index Per Article: 68.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/29/2023]
Abstract
Wearable sensors hold great potential in empowering personalized health monitoring, predictive analytics, and timely intervention toward personalized healthcare. Advances in flexible electronics, materials science, and electrochemistry have spurred the development of wearable sweat sensors that enable the continuous and noninvasive screening of analytes indicative of health status. Existing major challenges in wearable sensors include: improving the sweat extraction and sweat sensing capabilities, improving the form factor of the wearable device for minimal discomfort and reliable measurements when worn, and understanding the clinical value of sweat analytes toward biomarker discovery. This review provides a comprehensive review of wearable sweat sensors and outlines state-of-the-art technologies and research that strive to bridge these gaps. The physiology of sweat, materials, biosensing mechanisms and advances, and approaches for sweat induction and sampling are introduced. Additionally, design considerations for the system-level development of wearable sweat sensing devices, spanning from strategies for prolonged sweat extraction to efficient powering of wearables, are discussed. Furthermore, the applications, data analytics, commercialization efforts, challenges, and prospects of wearable sweat sensors for precision medicine are discussed.
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Affiliation(s)
- Jihong Min
- Andrew and Peggy Cherng Department of Medical Engineering, Division of Engineering and Applied Science, California Institute of Technology, Pasadena, California, 91125, USA
| | - Jiaobing Tu
- Andrew and Peggy Cherng Department of Medical Engineering, Division of Engineering and Applied Science, California Institute of Technology, Pasadena, California, 91125, USA
| | - Changhao Xu
- Andrew and Peggy Cherng Department of Medical Engineering, Division of Engineering and Applied Science, California Institute of Technology, Pasadena, California, 91125, USA
| | - Heather Lukas
- Andrew and Peggy Cherng Department of Medical Engineering, Division of Engineering and Applied Science, California Institute of Technology, Pasadena, California, 91125, USA
| | - Soyoung Shin
- Andrew and Peggy Cherng Department of Medical Engineering, Division of Engineering and Applied Science, California Institute of Technology, Pasadena, California, 91125, USA
| | - Yiran Yang
- Andrew and Peggy Cherng Department of Medical Engineering, Division of Engineering and Applied Science, California Institute of Technology, Pasadena, California, 91125, USA
| | - Samuel A. Solomon
- Andrew and Peggy Cherng Department of Medical Engineering, Division of Engineering and Applied Science, California Institute of Technology, Pasadena, California, 91125, USA
| | - Daniel Mukasa
- Andrew and Peggy Cherng Department of Medical Engineering, Division of Engineering and Applied Science, California Institute of Technology, Pasadena, California, 91125, USA
| | - Wei Gao
- Andrew and Peggy Cherng Department of Medical Engineering, Division of Engineering and Applied Science, California Institute of Technology, Pasadena, California, 91125, USA
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11
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Levin A, Gong S, Cheng W. Wearable Smart Bandage-Based Bio-Sensors. BIOSENSORS 2023; 13:bios13040462. [PMID: 37185537 PMCID: PMC10136806 DOI: 10.3390/bios13040462] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Revised: 03/29/2023] [Accepted: 03/30/2023] [Indexed: 05/17/2023]
Abstract
Bandage is a well-established industry, whereas wearable electronics is an emerging industry. This review presents the bandage as the base of wearable bioelectronics. It begins with introducing a detailed background to bandages and the development of bandage-based smart sensors, which is followed by a sequential discussion of the technical characteristics of the existing bandages, a more practical methodology for future applications, and manufacturing processes of bandage-based wearable biosensors. The review then elaborates on the advantages of basing the next generation of wearables, such as acceptance by the customers and system approvals, and disposal.
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Affiliation(s)
- Arie Levin
- Department of Chemical & Biological Engineering, Faculty of Engineering, Monash University, Clayton, VIC 3168, Australia
| | - Shu Gong
- Department of Chemical & Biological Engineering, Faculty of Engineering, Monash University, Clayton, VIC 3168, Australia
| | - Wenlong Cheng
- Department of Chemical & Biological Engineering, Faculty of Engineering, Monash University, Clayton, VIC 3168, Australia
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12
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Parolo C, Idili A, Heikenfeld J, Plaxco KW. Conformational-switch biosensors as novel tools to support continuous, real-time molecular monitoring in lab-on-a-chip devices. LAB ON A CHIP 2023; 23:1339-1348. [PMID: 36655710 PMCID: PMC10799767 DOI: 10.1039/d2lc00716a] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
Recent years have seen continued expansion of the functionality of lab on a chip (LOC) devices. Indeed LOCs now provide scientists and developers with useful and versatile platforms across a myriad of chemical and biological applications. The field still fails, however, to integrate an often important element of bench-top analytics: real-time molecular measurements that can be used to "guide" a chemical response. Here we describe the analytical techniques that could provide LOCs with such real-time molecular monitoring capabilities. It appears to us that, among the approaches that are general (i.e., that are independent of the reactive or optical properties of their targets), sensing strategies relying on binding-induced conformational change of bioreceptors are most likely to succeed in such applications.
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Affiliation(s)
- Claudio Parolo
- Barcelona Institute for Global Health, Hospital Clínic Universitat de Barcelona, 08036, Barcelona, Spain
| | - Andrea Idili
- Department of Chemical Science and Technologies, University of Rome, Tor Vergata, 00133 Rome, Italy
| | - Jason Heikenfeld
- Novel Devices Laboratory, University of Cincinnati, Cincinnati, Ohio, USA
| | - Kevin W Plaxco
- Department of Chemistry and Biochemistry, University of California Santa Barbara, Santa Barbara, California, USA.
- Interdepartmental Program in Biomolecular Science and Engineering, University of California Santa Barbara, Santa Barbara, California, USA
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13
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Yuan X, Li C, Yin X, Yang Y, Ji B, Niu Y, Ren L. Epidermal Wearable Biosensors for Monitoring Biomarkers of Chronic Disease in Sweat. BIOSENSORS 2023; 13:313. [PMID: 36979525 PMCID: PMC10045998 DOI: 10.3390/bios13030313] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Revised: 02/15/2023] [Accepted: 02/21/2023] [Indexed: 06/18/2023]
Abstract
Biological information detection technology is mainly used for the detection of physiological and biochemical parameters closely related to human tissues and organ lesions, such as biomarkers. This technology has important value in the clinical diagnosis and treatment of chronic diseases in their early stages. Wearable biosensors can be integrated with the Internet of Things and Big Data to realize the detection, transmission, storage, and comprehensive analysis of human physiological and biochemical information. This technology has extremely wide applications and considerable market prospects in frontier fields including personal health monitoring, chronic disease diagnosis and management, and home medical care. In this review, we systematically summarized the sweat biomarkers, introduced the sweat extraction and collection methods, and discussed the application and development of epidermal wearable biosensors for monitoring biomarkers in sweat in preclinical research in recent years. In addition, the current challenges and development prospects in this field were discussed.
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Affiliation(s)
- Xichen Yuan
- School of Mechanical Engineering, Northwestern Polytechnical University, Xi’an 710072, China
- Key Laboratory for Space Bioscience and Biotechnology, School of Life Sciences, Northwestern Polytechnical University, Xi’an 710072, China
- MOE Key Laboratory of Micro and Nano Systems for Aerospace, Northwestern Polytechnical University, Xi’an 710072, China
| | - Chen Li
- Key Laboratory for Space Bioscience and Biotechnology, School of Life Sciences, Northwestern Polytechnical University, Xi’an 710072, China
- Key Laboratory of Flexible Electronics of Zhejiang, Ningbo Institute of Northwestern Polytechnical University, Ningbo 315103, China
| | - Xu Yin
- School of Mechanical Engineering, Northwestern Polytechnical University, Xi’an 710072, China
| | - Yang Yang
- Ministry of Education Key Laboratory of Low-Grade Energy Utilization Technologies and Systems, Chongqing University, Chongqing 400030, China
| | - Bowen Ji
- Unmanned System Research Institute, Northwestern Polytechnical University, Xi’an 710072, China
| | - Yinbo Niu
- Key Laboratory for Space Bioscience and Biotechnology, School of Life Sciences, Northwestern Polytechnical University, Xi’an 710072, China
| | - Li Ren
- Key Laboratory for Space Bioscience and Biotechnology, School of Life Sciences, Northwestern Polytechnical University, Xi’an 710072, China
- Key Laboratory of Flexible Electronics of Zhejiang, Ningbo Institute of Northwestern Polytechnical University, Ningbo 315103, China
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14
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Gao F, Liu C, Zhang L, Liu T, Wang Z, Song Z, Cai H, Fang Z, Chen J, Wang J, Han M, Wang J, Lin K, Wang R, Li M, Mei Q, Ma X, Liang S, Gou G, Xue N. Wearable and flexible electrochemical sensors for sweat analysis: a review. MICROSYSTEMS & NANOENGINEERING 2023; 9:1. [PMID: 36597511 PMCID: PMC9805458 DOI: 10.1038/s41378-022-00443-6] [Citation(s) in RCA: 64] [Impact Index Per Article: 64.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/04/2022] [Revised: 07/26/2022] [Accepted: 08/10/2022] [Indexed: 06/10/2023]
Abstract
Flexible wearable sweat sensors allow continuous, real-time, noninvasive detection of sweat analytes, provide insight into human physiology at the molecular level, and have received significant attention for their promising applications in personalized health monitoring. Electrochemical sensors are the best choice for wearable sweat sensors due to their high performance, low cost, miniaturization, and wide applicability. Recent developments in soft microfluidics, multiplexed biosensing, energy harvesting devices, and materials have advanced the compatibility of wearable electrochemical sweat-sensing platforms. In this review, we summarize the potential of sweat for medical detection and methods for sweat stimulation and collection. This paper provides an overview of the components of wearable sweat sensors and recent developments in materials and power supply technologies and highlights some typical sensing platforms for different types of analytes. Finally, the paper ends with a discussion of the challenges and a view of the prospective development of this exciting field.
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Affiliation(s)
- Fupeng Gao
- School of Electronic, Electrical, and Communication Engineering, University of Chinese Academy of Sciences (UCAS), 100190 Beijing, China
- State Key Laboratory of Transducer Technology, Aerospace Information Research Institute (AIR), Chinese Academy of Sciences, 100190 Beijing, China
| | - Chunxiu Liu
- School of Electronic, Electrical, and Communication Engineering, University of Chinese Academy of Sciences (UCAS), 100190 Beijing, China
- State Key Laboratory of Transducer Technology, Aerospace Information Research Institute (AIR), Chinese Academy of Sciences, 100190 Beijing, China
| | - Lichao Zhang
- School of Electronic, Electrical, and Communication Engineering, University of Chinese Academy of Sciences (UCAS), 100190 Beijing, China
- State Key Laboratory of Transducer Technology, Aerospace Information Research Institute (AIR), Chinese Academy of Sciences, 100190 Beijing, China
| | - Tiezhu Liu
- School of Electronic, Electrical, and Communication Engineering, University of Chinese Academy of Sciences (UCAS), 100190 Beijing, China
- State Key Laboratory of Transducer Technology, Aerospace Information Research Institute (AIR), Chinese Academy of Sciences, 100190 Beijing, China
| | - Zheng Wang
- School of Electronic, Electrical, and Communication Engineering, University of Chinese Academy of Sciences (UCAS), 100190 Beijing, China
- State Key Laboratory of Transducer Technology, Aerospace Information Research Institute (AIR), Chinese Academy of Sciences, 100190 Beijing, China
| | - Zixuan Song
- School of Electronic, Electrical, and Communication Engineering, University of Chinese Academy of Sciences (UCAS), 100190 Beijing, China
- State Key Laboratory of Transducer Technology, Aerospace Information Research Institute (AIR), Chinese Academy of Sciences, 100190 Beijing, China
| | - Haoyuan Cai
- School of Electronic, Electrical, and Communication Engineering, University of Chinese Academy of Sciences (UCAS), 100190 Beijing, China
- State Key Laboratory of Transducer Technology, Aerospace Information Research Institute (AIR), Chinese Academy of Sciences, 100190 Beijing, China
| | - Zhen Fang
- School of Electronic, Electrical, and Communication Engineering, University of Chinese Academy of Sciences (UCAS), 100190 Beijing, China
- State Key Laboratory of Transducer Technology, Aerospace Information Research Institute (AIR), Chinese Academy of Sciences, 100190 Beijing, China
| | - Jiamin Chen
- School of Electronic, Electrical, and Communication Engineering, University of Chinese Academy of Sciences (UCAS), 100190 Beijing, China
- State Key Laboratory of Transducer Technology, Aerospace Information Research Institute (AIR), Chinese Academy of Sciences, 100190 Beijing, China
| | - Junbo Wang
- School of Electronic, Electrical, and Communication Engineering, University of Chinese Academy of Sciences (UCAS), 100190 Beijing, China
- State Key Laboratory of Transducer Technology, Aerospace Information Research Institute (AIR), Chinese Academy of Sciences, 100190 Beijing, China
| | - Mengdi Han
- Department of Biomedical Engineering, College of Future Technology, Peking University, 100871 Beijing, China
| | - Jun Wang
- Beijing Shuimujiheng Biotechnology Company, 101102 Beijing, China
| | - Kai Lin
- PLA Air Force Characteristic Medical Center, 100142 Beijing, China
| | - Ruoyong Wang
- PLA Air Force Characteristic Medical Center, 100142 Beijing, China
| | - Mingxiao Li
- Institute of Microelectronics of the Chinese Academy of Sciences, 100029 Beijing, China
| | - Qian Mei
- CAS Key Laboratory of Biomedical Diagnostics, Suzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Sciences (CAS), 215163 Suzhou, China
| | - Xibo Ma
- CBSR&NLPR, Institute of Automation, Chinese Academy of Sciences, Beijing, China
| | - Shuli Liang
- Functional Neurosurgery Department, Beijing Children’s Hospital, Capital Medical University, 100045 Beijing, China
| | - Guangyang Gou
- School of Electronic, Electrical, and Communication Engineering, University of Chinese Academy of Sciences (UCAS), 100190 Beijing, China
- State Key Laboratory of Transducer Technology, Aerospace Information Research Institute (AIR), Chinese Academy of Sciences, 100190 Beijing, China
| | - Ning Xue
- School of Electronic, Electrical, and Communication Engineering, University of Chinese Academy of Sciences (UCAS), 100190 Beijing, China
- State Key Laboratory of Transducer Technology, Aerospace Information Research Institute (AIR), Chinese Academy of Sciences, 100190 Beijing, China
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15
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Development of an insilico model of eccrine sweat using molecular modelling techniques. Sci Rep 2022; 12:20263. [PMID: 36424428 PMCID: PMC9691721 DOI: 10.1038/s41598-022-24440-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Accepted: 11/15/2022] [Indexed: 11/27/2022] Open
Abstract
Eccrine sweat is an ideal surrogate diagnostic biofluid for physiological and metabolic biomarkers for wearable biosensor design. Its periodic and non-invasive availability for candidate analytes such as glucose and cortisol along with limited correlation with blood plasma is of significant research interest. An insilico model of eccrine sweat can assist in the development of such wearable biosensors. In this regard, molecular modelling can be employed to observe the most fundamental interactions. Here, we determine a suitable molecular model for building eccrine sweat. The basic components of sweat are water and sodium chloride, in which glucose and other analytes are present in trace quantities. Given the wide range of water models available in the molecular dynamics space, in this study, we first validate the water models. We use three compounds to represent the base to build bulk sweat fluid and validate the force fields. We compare the self-diffusivity of water, glucose, sodium, and chloride ions as well as bulk viscosity values and present the results which are > 90% accurate as compared with the available literature. This validated insilico eccrine sweat model can serve as an aid to expedite the development de novo biosensors by addition of other analytes of interest e.g. cortisol, uric acid etc., simulate various temperatures and salt concentrations, expand search space for screening candidate target receptors by their binding affinity and assess the interference between competing species via simulations.
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16
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Sempionatto JR, Lasalde-Ramírez JA, Mahato K, Wang J, Gao W. Wearable chemical sensors for biomarker discovery in the omics era. Nat Rev Chem 2022; 6:899-915. [PMID: 37117704 DOI: 10.1038/s41570-022-00439-w] [Citation(s) in RCA: 93] [Impact Index Per Article: 46.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/13/2022] [Indexed: 11/16/2022]
Abstract
Biomarkers are crucial biological indicators in medical diagnostics and therapy. However, the process of biomarker discovery and validation is hindered by a lack of standardized protocols for analytical studies, storage and sample collection. Wearable chemical sensors provide a real-time, non-invasive alternative to typical laboratory blood analysis, and are an effective tool for exploring novel biomarkers in alternative body fluids, such as sweat, saliva, tears and interstitial fluid. These devices may enable remote at-home personalized health monitoring and substantially reduce the healthcare costs. This Review introduces criteria, strategies and technologies involved in biomarker discovery using wearable chemical sensors. Electrochemical and optical detection techniques are discussed, along with the materials and system-level considerations for wearable chemical sensors. Lastly, this Review describes how the large sets of temporal data collected by wearable sensors, coupled with modern data analysis approaches, would open the door for discovering new biomarkers towards precision medicine.
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17
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Handrea-Dragan IM, Botiz I, Tatar AS, Boca S. Patterning at the micro/nano-scale: Polymeric scaffolds for medical diagnostic and cell-surface interaction applications. Colloids Surf B Biointerfaces 2022; 218:112730. [DOI: 10.1016/j.colsurfb.2022.112730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 07/15/2022] [Accepted: 07/25/2022] [Indexed: 11/27/2022]
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18
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A touch-based multimodal and cryptographic bio-human-machine interface. Proc Natl Acad Sci U S A 2022; 119:e2201937119. [PMID: 35377784 PMCID: PMC9169842 DOI: 10.1073/pnas.2201937119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
The awareness of the individuals’ biological status is critical for creating interactive environments. Accordingly, we devised a multimodal cryptographic bio-human–machine interface (CB-HMI), which seamlessly translates touch-based entries into encrypted biochemical, biophysical, and biometric indices (i.e., circulating biomarkers levels, heart rate, oxygen saturation level, and fingerprint pattern). As its central component, the CB-HMI features thin hydrogel-coated chemical sensors and a signal interpretation framework to access/interpret biochemical indices, bypassing the challenge of circulating analyte accessibility and the confounding effect of pressing force variability. Upgrading the surrounding objects with CB-HMI, we demonstrated new interactive solutions for driving safety and medication use, where the integrated CB-HMI uniquely enabled one-touch bioauthentication (based on the user’s biological state/identity), prior to rendering the intended services. The awareness of individuals’ biological status is critical for creating interactive and adaptive environments that can actively assist the users to achieve optimal outcomes. Accordingly, specialized human–machine interfaces—equipped with bioperception and interpretation capabilities—are required. To this end, we devised a multimodal cryptographic bio-human–machine interface (CB-HMI), which seamlessly translates the user’s touch-based entries into encrypted biochemical, biophysical, and biometric indices. As its central component, the CB-HMI features thin hydrogel-coated chemical sensors and inference algorithms to noninvasively and inconspicuously acquire biochemical indices such as circulating molecules that partition onto the skin (here, ethanol and acetaminophen). Additionally, the CB-HMI hosts physical sensors and associated algorithms to simultaneously acquire the user’s heart rate, blood oxygen level, and fingerprint minutiae pattern. Supported by human subject studies, we demonstrated the CB-HMI’s capability in terms of acquiring physiologically relevant readouts of target bioindices, as well as user-identifying and biometrically encrypting/decrypting these indices in situ (leveraging the fingerprint feature). By upgrading the common surrounding objects with the CB-HMI, we created interactive solutions for driving safety and medication use. Specifically, we demonstrated a vehicle-activation system and a medication-dispensing system, where the integrated CB-HMI uniquely enabled user bioauthentication (on the basis of the user’s biological state and identity) prior to rendering the intended services. Harnessing the levels of bioperception achieved by the CB-HMI and other intelligent HMIs, we can equip our surroundings with a comprehensive and deep awareness of individuals’ psychophysiological state and needs.
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19
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Liu H, Gu Z, Liu Y, Xiao X, Xiu G. Validation of the Application of Solid Contact Ion-Selective Electrode for Off-Body Sweat Ion Monitoring. BIOSENSORS 2022; 12:bios12040229. [PMID: 35448288 PMCID: PMC9026306 DOI: 10.3390/bios12040229] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/12/2022] [Revised: 03/29/2022] [Accepted: 04/06/2022] [Indexed: 11/29/2022]
Abstract
The solid contact ion-selective electrode (ISE) is a promising skin-interfaced monitoring system for sweat ions. Despite a growing number of on-body usages of ISE with fancy new materials and device fabrications, there are very few reports attempting to validate ISE results with a gold standard technique. For this purpose, this work uses inductively coupled plasma-optical emission spectrometry (ICP-OES) as a reference technique to conduct a direct evaluation of the sweat sodium and potassium ion levels obtained by ISE in an off-body approach. Eight healthy male subjects were recruited to collect exercise-induced sweat. It was found that sweat sodium and potassium ions present a rather wide concentration range. The sweat sodium concentration did not vary greatly in an exercise period of half an hour, while the sweat potassium concentration typically decreased with exercise. Mineral drink intake had no clear impact on the sweat sodium level, but increased the sweat potassium level. A paired t-test and mean absolute relative difference (MARD) analysis, a method typically used for evaluating the performance of glucometers, was employed to compare the results of ISE and ICP-OES. The statistical analysis validated the feasibility of ISE for measuring sweat ions, although better accuracy is required. Our data suggests that overweight subjects are likely to possess a higher sweat sodium level.
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Affiliation(s)
- Huixin Liu
- Shanghai Environmental Protection Key Laboratory for Environmental Standard and Risk Management of Chemical Pollutants, School of Resources & Environmental Engineering, East China University of Science & Technology, Shanghai 200237, China;
- State Environmental Protection Key Laboratory of Environmental Risk Assessment and Control on Chemical Processes, School of Resources & Environmental Engineering, East China University of Science & Technology, Shanghai 200237, China
- Shanghai Institute of Pollution Control and Ecological Security, Shanghai 200092, China
| | - Zhen Gu
- Department of Automation, School of Information Science and Engineering, East China University of Science & Technology, Shanghai 200237, China;
| | - Yuan Liu
- COFCO Corporation, Chao Yang Men South St. No. 8, Beijng 100020, China;
| | - Xinxin Xiao
- Department of Chemistry, Technical University of Denmark, 2800 Kongens Lyngby, Denmark
- Correspondence: (X.X.); (G.X.)
| | - Guangli Xiu
- Shanghai Environmental Protection Key Laboratory for Environmental Standard and Risk Management of Chemical Pollutants, School of Resources & Environmental Engineering, East China University of Science & Technology, Shanghai 200237, China;
- State Environmental Protection Key Laboratory of Environmental Risk Assessment and Control on Chemical Processes, School of Resources & Environmental Engineering, East China University of Science & Technology, Shanghai 200237, China
- Shanghai Institute of Pollution Control and Ecological Security, Shanghai 200092, China
- Correspondence: (X.X.); (G.X.)
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20
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A One-Dollar, Disposable, Paper-Based Microfluidic Chip for Real-Time Monitoring of Sweat Rate. MICROMACHINES 2022; 13:mi13030414. [PMID: 35334706 PMCID: PMC8950908 DOI: 10.3390/mi13030414] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Revised: 03/03/2022] [Accepted: 03/04/2022] [Indexed: 12/19/2022]
Abstract
Collecting sweat and monitoring its rate is important for determining body condition and further sweat analyses, as this provides vital information about physiologic status and fitness level and could become an alternative to invasive blood tests in the future. Presented here is a one-dollar, disposable, paper-based microfluidic chip for real-time monitoring of sweat rate. The chip, pasted on any part of the skin surface, consists of a skin adhesive layer, sweat-proof layer, sweat-sensing layer, and scale layer with a disk-shape from bottom to top. The sweat-sensing layer has an impressed wax micro-channel containing pre-added chromogenic agent to show displacement by sweat, and the sweat volume can be read directly by scale lines without any electronic elements. The diameter and thickness of the complete chip are 25 mm and 0.3 mm, respectively, permitting good flexibility and compactness with the skin surface. Tests of sweat flow rate monitoring on the left forearm, forehead, and nape of the neck of volunteers doing running exercise were conducted. Average sweat rate on left forearm (1156 g·m−2·h−1) was much lower than that on the forehead (1710 g·m−2·h−1) and greater than that on the nape of the neck (998 g·m−2·h−1), in good agreement with rates measured using existing common commercial sweat collectors. The chip, as a very low-cost and convenient wearable device, has wide application prospects in real-time monitoring of sweat loss by body builders, athletes, firefighters, etc., or for further sweat analyses.
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21
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22
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Tiwari N, Chatterjee S, Kaswan K, Chung JH, Fan KP, Lin ZH. Recent advancements in sampling, power management strategies and development in applications for non-invasive wearable electrochemical sensors. J Electroanal Chem (Lausanne) 2022. [DOI: 10.1016/j.jelechem.2022.116064] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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23
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Bolat G, De la Paz E, Azeredo NF, Kartolo M, Kim J, de Loyola E Silva AN, Rueda R, Brown C, Angnes L, Wang J, Sempionatto JR. Wearable soft electrochemical microfluidic device integrated with iontophoresis for sweat biosensing. Anal Bioanal Chem 2022; 414:5411-5421. [PMID: 35015101 DOI: 10.1007/s00216-021-03865-9] [Citation(s) in RCA: 27] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2021] [Revised: 12/20/2021] [Accepted: 12/22/2021] [Indexed: 12/18/2022]
Abstract
A soft and flexible wearable sweat epidermal microfluidic device capable of simultaneously stimulating, collecting, and electrochemically analyzing sweat is demonstrated. The device represents the first system integrating an iontophoretic pilocarpine delivery system around the inlet channels of epidermal polydimethylsiloxane (PDMS) microfluidic device for sweat collection and analysis. The freshly generated sweat is naturally pumped into the fluidic inlet without the need of exercising. Soft skin-mounted systems, incorporating non-invasive, on-demand sweat sampling/analysis interfaces for tracking target biomarkers, are in urgent need. Existing skin conformal microfluidic-based sensors for continuous monitoring of target sweat biomarkers rely on assays during intense physical exercising. This work demonstrates the first example of combining sweat stimulation, through transdermal pilocarpine delivery, with sample collection through a microfluidic channel for real-time electrochemical monitoring of sweat glucose, in a fully integrated soft and flexible multiplexed device which eliminates the need of exercising. The on-body operational performance and layout of the device were optimized considering the fluid dynamics and evaluated for detecting sweat glucose in several volunteers. Furthermore, the microfluidic monitoring device was integrated with a real-time wireless data transmission system using a flexible electronic board PCB conformal with the body. The new microfluidic platform paves the way to real-time non-invasive monitoring of biomarkers in stimulated sweat samples for diverse healthcare and wellness applications.
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Affiliation(s)
- Gulcin Bolat
- Department of NanoEngineering, University of California, San Diego, La Jolla, CA, 92093, USA
| | - Ernesto De la Paz
- Department of NanoEngineering, University of California, San Diego, La Jolla, CA, 92093, USA
| | - Nathalia F Azeredo
- Department of NanoEngineering, University of California, San Diego, La Jolla, CA, 92093, USA
- Department of Fundamental Chemistry, Institute of Chemistry, University of Sao Paulo, Sao Paulo, Brazil
| | - Michael Kartolo
- Department of NanoEngineering, University of California, San Diego, La Jolla, CA, 92093, USA
| | - Jayoung Kim
- Department of NanoEngineering, University of California, San Diego, La Jolla, CA, 92093, USA
| | | | - Ricardo Rueda
- Department of NanoEngineering, University of California, San Diego, La Jolla, CA, 92093, USA
| | - Christopher Brown
- Department of NanoEngineering, University of California, San Diego, La Jolla, CA, 92093, USA
| | - Lúcio Angnes
- Department of Fundamental Chemistry, Institute of Chemistry, University of Sao Paulo, Sao Paulo, Brazil
| | - Joseph Wang
- Department of NanoEngineering, University of California, San Diego, La Jolla, CA, 92093, USA.
| | - Juliane R Sempionatto
- Department of NanoEngineering, University of California, San Diego, La Jolla, CA, 92093, USA.
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24
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Chung M, Skinner WH, Robert C, Campbell CJ, Rossi RM, Koutsos V, Radacsi N. Fabrication of a Wearable Flexible Sweat pH Sensor Based on SERS-Active Au/TPU Electrospun Nanofibers. ACS APPLIED MATERIALS & INTERFACES 2021; 13:51504-51518. [PMID: 34672514 DOI: 10.1021/acsami.1c15238] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Abstract
Development of wearable sensing platforms is essential for the advancement of continuous health monitoring and point-of-care testing. Eccrine sweat pH is an analyte that can be noninvasively measured and used to diagnose and aid in monitoring a wide range of physiological conditions. Surface-enhanced Raman scattering (SERS) offers a rapid, optical technique for fingerprinting of biomarkers present in sweat. In this paper, a mechanically flexible, nanofibrous, SERS-active substrate was fabricated by a combination of electrospinning of thermoplastic polyurethane (TPU) and Au sputter coating. This substrate was then investigated for suitability toward wearable sweat pH sensing after functionalization with two commonly used pH-responsive molecules, 4-mercaptobenzoic acid (4-MBA), and 4-mercaptopyridine (4-MPy). The developed SERS pH sensor was found to have good resolution (0.14 pH units for 4-MBA; 0.51 pH units for 4-MPy), with only 1 μL of sweat required for a measurement, and displayed no statistically significant difference in performance after 35 days (p = 0.361). Additionally, the Au/TPU nanofibrous SERS pH sensors showed fast sweat-absorbing ability as well as good repeatability and reversibility. The proposed methodology offers a facile route for the fabrication of SERS substrates which could also be used to measure a wide range of health biomarkers beyond sweat pH.
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Affiliation(s)
- Michael Chung
- School of Engineering, Institute for Materials and Processes, The University of Edinburgh, King's Buildings, Robert Stevenson Road, Edinburgh EH9 3FB, United Kingdom
- Empa, Swiss Federal Laboratories for Materials Science and Technology, Laboratory for Biomimetic Membranes and Textiles, Lerchenfeldstrasse 5, CH-9014 St. Gallen, Switzerland
| | - William H Skinner
- EaStCHEM School of Chemistry, The University of Edinburgh, King's Buildings, Edinburgh EH9 3FJ, United Kingdom
| | - Colin Robert
- School of Engineering, Institute for Materials and Processes, The University of Edinburgh, King's Buildings, Robert Stevenson Road, Edinburgh EH9 3FB, United Kingdom
| | - Colin J Campbell
- EaStCHEM School of Chemistry, The University of Edinburgh, King's Buildings, Edinburgh EH9 3FJ, United Kingdom
| | - René M Rossi
- Empa, Swiss Federal Laboratories for Materials Science and Technology, Laboratory for Biomimetic Membranes and Textiles, Lerchenfeldstrasse 5, CH-9014 St. Gallen, Switzerland
| | - Vasileios Koutsos
- School of Engineering, Institute for Materials and Processes, The University of Edinburgh, King's Buildings, Robert Stevenson Road, Edinburgh EH9 3FB, United Kingdom
| | - Norbert Radacsi
- School of Engineering, Institute for Materials and Processes, The University of Edinburgh, King's Buildings, Robert Stevenson Road, Edinburgh EH9 3FB, United Kingdom
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25
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26
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Manjakkal L, Yin L, Nathan A, Wang J, Dahiya R. Energy Autonomous Sweat-Based Wearable Systems. ADVANCED MATERIALS (DEERFIELD BEACH, FLA.) 2021; 33:e2100899. [PMID: 34247412 DOI: 10.1002/adma.202100899] [Citation(s) in RCA: 35] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Revised: 03/03/2021] [Indexed: 05/05/2023]
Abstract
The continuous operation of wearable electronics demands reliable sources of energy, currently met through Li-ion batteries and various energy harvesters. These solutions are being used out of necessity despite potential safety issues and unsustainable environmental impact. Safe and sustainable energy sources can boost the use of wearables systems in diverse applications such as health monitoring, prosthetics, and sports. In this regard, sweat- and sweat-equivalent-based studies have attracted tremendous attention through the demonstration of energy-generating biofuel cells, promising power densities as high as 3.5 mW cm-2 , storage using sweat-electrolyte-based supercapacitors with energy and power densities of 1.36 Wh kg-1 and 329.70 W kg-1 , respectively, and sweat-activated batteries with an impressive energy density of 67 Ah kg-1 . A combination of these energy generating, and storage devices can lead to fully energy-autonomous wearables capable of providing sustainable power in the µW to mW range, which is sufficient to operate both sensing and communication devices. Here, a comprehensive review covering these advances, addressing future challenges and potential solutions related to fully energy-autonomous wearables is presented, with emphasis on sweat-based energy storage and energy generation elements along with sweat-based sensors as applications.
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Affiliation(s)
- Libu Manjakkal
- Bendable Electronics and Sensing Technologies (BEST) Group, James Watt School of Engineering, University of Glasgow, Glasgow, G12 8QQ, UK
| | - Lu Yin
- Department of Nanoengineering, Centre of Wearable Sensors, University of California, San Diego, CA, 92093, USA
| | - Arokia Nathan
- Darwin College, University of Cambridge, Silver Street, Cambridge, CB3 9EU, UK
| | - Joseph Wang
- Department of Nanoengineering, Centre of Wearable Sensors, University of California, San Diego, CA, 92093, USA
| | - Ravinder Dahiya
- Bendable Electronics and Sensing Technologies (BEST) Group, James Watt School of Engineering, University of Glasgow, Glasgow, G12 8QQ, UK
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27
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Li Y, Liu Y, Chen L, Xu J. A Conformable, Gas-Permeable, and Transparent Skin-Like Micromesh Architecture for Glucose Monitoring. Adv Healthc Mater 2021; 10:e2100046. [PMID: 34263551 DOI: 10.1002/adhm.202100046] [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] [Received: 01/09/2021] [Revised: 05/24/2021] [Indexed: 11/06/2022]
Abstract
Monitoring the concentration of useful biomarkers via electronic skins (e-skins) is highly important for the development of wearable health management systems. While some biosensor e-skins with high flexibility, sensitivity, and stability have been developed, little attention has been paid to their long-term comfortability and optical transparency. Here, a conformable, gas permeable, and transparent skin-like Cu2 O@Ni micromesh structural glucose monitoring patch is reported. With its self-supporting micromesh structure, the skin-like glucose monitoring patch exhibits excellent shape conformability, high gas permeability, and high optical transmittance. The skin-like glucose biosensor achieves real-time monitoring of glucose concentrations with high sensitivity (15 420 µA cm- 2 mM- 1 ), low detection limit (50 nM), fast response time (<2 s), high selectivity, and long-term stability. These desirable performance properties arise from the synergistic effects of the self-supporting micromesh configuration, high conductivity of the metallic Ni micromesh, and high electrocatalytic activities of the Cu2 O toward glucose. This work presents a versatile and efficient strategy for constructing conformable, gas permeable, and transparent biosensor e-skins with excellent practicability towards wearable electronics.
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Affiliation(s)
- Ya‐Lei Li
- School of Optoelectronic Science and Engineering Soochow University Suzhou Jiangsu 215006 P. R. China
| | - Yan‐Hua Liu
- School of Optoelectronic Science and Engineering Soochow University Suzhou Jiangsu 215006 P. R. China
| | - Lin‐Sen Chen
- School of Optoelectronic Science and Engineering Soochow University Suzhou Jiangsu 215006 P. R. China
| | - Jian‐Long Xu
- Institute of Functional Nano & Soft Materials (FUNSOM) Jiangsu Key Laboratory for Carbon‐Based Functional Materials & Devices Soochow University Suzhou Jiangsu 215123 P. R. China
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28
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Ghaffari R, Yang DS, Kim J, Mansour A, Wright JA, Model JB, Wright DE, Rogers JA, Ray TR. State of Sweat: Emerging Wearable Systems for Real-Time, Noninvasive Sweat Sensing and Analytics. ACS Sens 2021; 6:2787-2801. [PMID: 34351759 DOI: 10.1021/acssensors.1c01133] [Citation(s) in RCA: 42] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Skin-interfaced wearable systems with integrated colorimetric assays, microfluidic channels, and electrochemical sensors offer powerful capabilities for noninvasive, real-time sweat analysis. This Perspective details recent progress in the development and translation of novel wearable sensors for personalized assessment of sweat dynamics and biomarkers, with precise sampling and real-time analysis. Sensor accuracy, system ruggedness, and large-scale deployment in remote environments represent key opportunity areas, enabling broad deployment in the context of field studies, clinical trials, and recent commercialization. On-body measurements in these contexts show good agreement compared to conventional laboratory-based sweat analysis approaches. These device demonstrations highlight the utility of biochemical sensing platforms for personalized assessment of performance, wellness, and health across a broad range of applications.
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Affiliation(s)
- Roozbeh Ghaffari
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, Illinois 60202, United States
- Department of Biomedical Engineering, Northwestern University, Evanston, Illinois 60202, United States
- Epicore Biosystems, Inc., Cambridge, Massachusetts 02139, United States
| | - Da Som Yang
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, Illinois 60202, United States
| | - Joohee Kim
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, Illinois 60202, United States
| | - Amer Mansour
- Division of Biological Sciences, The University of Chicago, Chicago, Illinois 60637, United States
| | - John A. Wright
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, Illinois 60202, United States
- Epicore Biosystems, Inc., Cambridge, Massachusetts 02139, United States
| | - Jeffrey B. Model
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, Illinois 60202, United States
- Epicore Biosystems, Inc., Cambridge, Massachusetts 02139, United States
| | - Donald E. Wright
- Epicore Biosystems, Inc., Cambridge, Massachusetts 02139, United States
| | - John A. Rogers
- Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, Illinois 60202, United States
- Department of Biomedical Engineering, Northwestern University, Evanston, Illinois 60202, United States
- Epicore Biosystems, Inc., Cambridge, Massachusetts 02139, United States
- Departments of Materials Science and Engineering, Mechanical Engineering, Electrical and Computer Engineering, and Chemistry, Northwestern University, Evanston, Illinois 60202, United States
- Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, United States
| | - Tyler R. Ray
- Department of Mechanical Engineering, University of Hawai’i at Ma̅noa, Honolulu, Hawaii 96822, United States
- Department of Cell and Molecular Biology, John A. Burns School of Medicine, University of Hawai’i at Ma̅noa, Honolulu, Hawaii 96813, United States
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29
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Zhou Z, Shu T, Sun Y, Si H, Peng P, Su L, Zhang X. Luminescent wearable biosensors based on gold nanocluster networks for "turn-on" detection of Uric acid, glucose and alcohol in sweat. Biosens Bioelectron 2021; 192:113530. [PMID: 34325319 DOI: 10.1016/j.bios.2021.113530] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Revised: 07/21/2021] [Accepted: 07/22/2021] [Indexed: 11/28/2022]
Abstract
From the difficulty of awareness of abnormal concentrations of biochemical indexes in people's daily life come wearable sensing technologies. Recently, luminescent wearable biosensors are emerging with simple fabrication, easy use, cost-effectivity and reliability. But several challenges should be taken up, such as availability of varied analytes, high sensitivity, stability of enzymes, photostability, low signal noises and recyclability of sensors. Here, the Luminescent Wearable Sweat Tape (LWST) biosensor is developed via embedding multi-component nanoprobes onto microwell-patterned paper substrates of hollowed-out double-side tapes. The nanoprobes consist of responsive luminophores, enzyme-loaded gold nanocluster (AuNCs) nano-networks, which are wrapped by the switch, MnO2 nanosheets. The responsive luminophores are constructed by 3 substitutable components: enzymes (uricase, GOx and alcohol dehydrogenase) for molecular target recognition, glutathione-protected AuNCs (yellow, red and green) for luminescent signal output and polycations PAH for integration. MnO2 NSs as the switch can quench the emission of the AuNCs but degraded by the reductive product of incorporated enzymes. Thus, targeting analysts (uric acid, glucose and alcohol) can be dose-dependently detected through "turn-on" luminescence approach. After incorporating the nanoprobes into hollow-out tapes, the formed LWST biosensors can detect uric acid, glucose and alcohol in sweat with the help of a smartphone. Subsequently, we primarily apply them into human daily life scenario, sampling from dine parties, and the positive relationships of analyte intakes and the increase of analytes in sweat are significant with individual difference.
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Affiliation(s)
- Ziping Zhou
- Beijing Key Laboratory for Bioengineering and Sensing Technology, Research Center for Bioengineering and Sensing Technology, School of Chemistry and Biological Engineering, University of Science and Technology Beijing, Beijing, 100083, PR China; Research Center for Biosensor and Nanotheranostic, School of Biomedical Engineering, Health Science Center, Shenzhen University, Guangdong, 518060, PR China
| | - Tong Shu
- Beijing Key Laboratory for Bioengineering and Sensing Technology, Research Center for Bioengineering and Sensing Technology, School of Chemistry and Biological Engineering, University of Science and Technology Beijing, Beijing, 100083, PR China; Research Center for Biosensor and Nanotheranostic, School of Biomedical Engineering, Health Science Center, Shenzhen University, Guangdong, 518060, PR China; Guangdong Provincial Key Laboratory of Luminescence from Molecular Aggregates, South China University of Technology, Guangzhou, 510640, China.
| | - Yafang Sun
- Research Center for Biosensor and Nanotheranostic, School of Biomedical Engineering, Health Science Center, Shenzhen University, Guangdong, 518060, PR China
| | - Hongxin Si
- Beijing Key Laboratory for Bioengineering and Sensing Technology, Research Center for Bioengineering and Sensing Technology, School of Chemistry and Biological Engineering, University of Science and Technology Beijing, Beijing, 100083, PR China
| | - Peiwen Peng
- Research Center for Biosensor and Nanotheranostic, School of Biomedical Engineering, Health Science Center, Shenzhen University, Guangdong, 518060, PR China
| | - Lei Su
- Beijing Key Laboratory for Bioengineering and Sensing Technology, Research Center for Bioengineering and Sensing Technology, School of Chemistry and Biological Engineering, University of Science and Technology Beijing, Beijing, 100083, PR China
| | - Xueji Zhang
- Research Center for Biosensor and Nanotheranostic, School of Biomedical Engineering, Health Science Center, Shenzhen University, Guangdong, 518060, PR China.
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Sempionatto JR, Lin M, Yin L, De la Paz E, Pei K, Sonsa-Ard T, de Loyola Silva AN, Khorshed AA, Zhang F, Tostado N, Xu S, Wang J. An epidermal patch for the simultaneous monitoring of haemodynamic and metabolic biomarkers. Nat Biomed Eng 2021; 5:737-748. [PMID: 33589782 DOI: 10.1038/s41551-021-00685-1] [Citation(s) in RCA: 210] [Impact Index Per Article: 70.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Accepted: 01/12/2021] [Indexed: 02/02/2023]
Abstract
Monitoring the effects of daily activities on the physiological responses of the body calls for wearable devices that can simultaneously track metabolic and haemodynamic parameters. Here we describe a non-invasive skin-worn device for the simultaneous monitoring of blood pressure and heart rate via ultrasonic transducers and of multiple biomarkers via electrochemical sensors. We optimized the integrated device so that it provides mechanical resiliency and flexibility while conforming to curved skin surfaces, and to ensure reliable sensing of glucose in interstitial fluid and of lactate, caffeine and alcohol in sweat, without crosstalk between the individual sensors. In human volunteers, the device captured physiological effects of food intake and exercise, in particular the production of glucose after food digestion, the consumption of glucose via glycolysis, and increases in blood pressure and heart rate compensating for oxygen depletion and lactate generation. Continuous and simultaneous acoustic and electrochemical sensing via integrated wearable devices should enrich the understanding of the body's response to daily activities, and could facilitate the early prediction of abnormal physiological changes.
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Affiliation(s)
- Juliane R Sempionatto
- Department of Nanoengineering, University of California, San Diego, La Jolla, CA, USA
| | - Muyang Lin
- Department of Nanoengineering, University of California, San Diego, La Jolla, CA, USA
| | - Lu Yin
- Department of Nanoengineering, University of California, San Diego, La Jolla, CA, USA
| | - Ernesto De la Paz
- Department of Nanoengineering, University of California, San Diego, La Jolla, CA, USA
| | - Kexin Pei
- Department of Nanoengineering, University of California, San Diego, La Jolla, CA, USA
| | - Thitaporn Sonsa-Ard
- Department of Nanoengineering, University of California, San Diego, La Jolla, CA, USA
| | | | - Ahmed A Khorshed
- Department of Nanoengineering, University of California, San Diego, La Jolla, CA, USA
| | - Fangyu Zhang
- Department of Nanoengineering, University of California, San Diego, La Jolla, CA, USA
| | - Nicholas Tostado
- Department of Nanoengineering, University of California, San Diego, La Jolla, CA, USA
| | - Sheng Xu
- Department of Nanoengineering, University of California, San Diego, La Jolla, CA, USA.
| | - Joseph Wang
- Department of Nanoengineering, University of California, San Diego, La Jolla, CA, USA.
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Jo S, Sung D, Kim S, Koo J. A review of wearable biosensors for sweat analysis. Biomed Eng Lett 2021; 11:117-129. [PMID: 34150348 DOI: 10.1007/s13534-021-00191-y] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 04/26/2021] [Accepted: 04/30/2021] [Indexed: 11/26/2022] Open
Abstract
Recent advances in the skin-interfaced wearable sweat sensors allow a personalized daily diagnosis and prognosis of the diseases in a form of a non-invasive, portable, and continuous monitoring system. Especially, the soft microfluidic system provides robust quantitative analysis platforms that integrate sweat sampling, storing, and various sensing capabilities. This review systematically introduces the sweat collecting mechanism using soft microfluidic valves, including calculation of sweat storage and loss. In terms of sweat analysis, colorimetric (e.g. enzymatic, chemical, or their mixed reactions), electrochemical (e.g. voltammetric, potentiometric, amperometric, or conductometric), and multiplex measurements of sweat contents facilitate diagnosis of diseases via analysis of combined multiple data, such as vital signals (e.g. ECG, EMG, EEG, etc.) and information from the skin (e.g. temperature, GSR, etc.). The integration of wireless communication with the microfluidic systems enables point-of-care health monitoring for disease and specific physiological status.
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Affiliation(s)
- Seongbin Jo
- School of Biomedical Engineering, Korea University, Seoul, 02841 Republic of Korea
| | - Daeun Sung
- School of Biomedical Engineering, Korea University, Seoul, 02841 Republic of Korea
| | - Sungbong Kim
- Department of Materials Science and Engineering and Materials Research Laboratory, University of Illinois At Urbana-Champaign, Urbana, IL 61801 USA
| | - Jahyun Koo
- School of Biomedical Engineering, Korea University, Seoul, 02841 Republic of Korea
- Interdisciplinary Program in Precision Public Health, Korea University, Seoul, 02841 Republic of Korea
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Yokus BMA, Daniele MA. Integrated non-invasive biochemical and biophysical sensing systems for health and performance monitoring: A systems perspective. Biosens Bioelectron 2021; 184:113249. [PMID: 33895689 DOI: 10.1016/j.bios.2021.113249] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Revised: 04/09/2021] [Accepted: 04/12/2021] [Indexed: 12/21/2022]
Abstract
Advances in materials, bio-recognition elements, transducers, and microfabrication techniques, as well as progress in electronics, signal processing, and wireless communication have generated a new class of skin-interfaced wearable health monitoring systems for applications in personalized medicine and digital health. In comparison to conventional medical devices, these wearable systems are at the cusp of initiating a new era of longitudinal and noninvasive sensing for the prevention, detection, diagnosis, and treatment of diseases at the molecular level. Herein, we provide a review of recent developments in wearable biochemical and biophysical systems. We survey the sweat sampling and collection methods for biochemical systems, followed by an assessment of biochemical and biophysical sensors deployed in current wearable systems with an emphasis on their hardware specifications. Specifically, we address how sweat collection and sample handling platforms may be a rate limiting technology to realizing the clinical translation of wearable health monitoring systems; moreover, we highlight the importance of achieving both longitudinal sensing and assessment of intrapersonal variation in sweat-blood correlations to have the greatest clinical impact. Lastly, we assess a snapshot of integrated wireless wearable systems with multimodal sensing capabilities, and we conclude with our perspective on the state-of-the-art and the required developments to achieve the next-generation of integrated wearable health and performance monitoring systems.
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Affiliation(s)
- By Murat A Yokus
- Department of Electrical & Computer Engineering, North Carolina State University, 890 Oval Dr., Raleigh, NC, 27695, USA
| | - Michael A Daniele
- Department of Electrical & Computer Engineering, North Carolina State University, 890 Oval Dr., Raleigh, NC, 27695, USA; Joint Department of Biomedical Engineering, North Carolina State University and University of North Carolina at Chapel Hill, 911 Oval Dr., Raleigh, NC, 27695, USA.
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Modha S, Castro C, Tsutsui H. Recent developments in flow modeling and fluid control for paper-based microfluidic biosensors. Biosens Bioelectron 2021; 178:113026. [PMID: 33545552 DOI: 10.1016/j.bios.2021.113026] [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] [Received: 06/02/2020] [Revised: 12/31/2020] [Accepted: 01/19/2021] [Indexed: 12/30/2022]
Abstract
Over the last 10 years, researchers have shown that paper is a promising substrate for affordable biosensors. The field of paper-microfluidics has evolved rapidly in that time, with simple colorimetric assays giving way to more complex electrochemical devices that can handle multiple samples at a given time. As paper devices become more complex, the ability to precisely control different fluids simultaneously becomes a challenge. Specifically, automated flow control is a necessary attribute to make paper-based devices more useable in resource-limited settings. Flow control strategies on paper are typically developed experimentally through trial-and-error, with little focus on theory. This is because flow behavior in paper is not well understood and sometimes difficult to predict precisely. Additionally, popular theoretical models are too simplistic, making them unsuitable for complex device designs and application conditions. A better understanding of flow theory would allow devices conceived straight from theoretical models. This could save time and resources by reducing experimental work. In this review, we provide an overview of different theoretical models used to characterize imbibition in paper substrates and document the latest flow control strategies that have been applied to automated fluid control on paper. Additionally, we look at current efforts to commercialize paper-based devices along with challenges facing this industry.
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Affiliation(s)
- Sidharth Modha
- Department of Bioengineering, University of California, Riverside, Riverside, CA, 92521, USA
| | - Carlos Castro
- Department of Mechanical Engineering, California State Polytechnic University, Pomona, Pomona, CA, 91768, USA
| | - Hideaki Tsutsui
- Department of Bioengineering, University of California, Riverside, Riverside, CA, 92521, USA; Department of Mechanical Engineering, University of California, Riverside, Riverside, CA, 92521, USA; Stem Cell Center, University of California, Riverside, Riverside, CA, 92521, USA.
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Ghaffari R, Rogers JA, Ray TR. Recent progress, challenges, and opportunities for wearable biochemical sensors for sweat analysis. SENSORS AND ACTUATORS. B, CHEMICAL 2021; 332:129447. [PMID: 33542590 PMCID: PMC7853653 DOI: 10.1016/j.snb.2021.129447] [Citation(s) in RCA: 74] [Impact Index Per Article: 24.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
Sweat is a promising, yet relatively unexplored biofluid containing biochemical information that offers broad insights into the underlying dynamic metabolic activity of the human body. The rich composition of electrolytes, metabolites, hormones, proteins, nucleic acids, micronutrients, and exogenous agents found in sweat dynamically vary in response to the state of health, stress, and diet. Emerging classes of skin-interfaced wearable sensors offer powerful capabilities for the real-time, continuous analysis of sweat produced by the eccrine glands in a manner suitable for use in athletics, consumer wellness, military, and healthcare industries. This perspective examines the rapid and continuous progress of wearable sweat sensors through the most advanced embodiments that address the fundamental challenges currently restricting widespread deployment. It concludes with a discussion of efforts to expand the overall utility of wearable sweat sensors and opportunities for commercialization, in which advances in biochemical sensor technologies will be critically important.
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Affiliation(s)
- Roozbeh Ghaffari
- -Querrey Simpson Institute for Bioelectronics and Department of Biomedical Engineering, Northwestern University, Evanston, IL, USA
- -Epicore Biosystems, Inc., Cambridge, MA, USA
| | - John A. Rogers
- -Querrey Simpson Institute for Bioelectronics and Department of Biomedical Engineering, Northwestern University, Evanston, IL, USA
- -Epicore Biosystems, Inc., Cambridge, MA, USA
- -Departments of Materials Science and Engineering, Mechanical Engineering, Electrical and Computer Engineering, Chemistry, Northwestern University, Evanston, IL, USA
- -Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Tyler R. Ray
- -Department of Mechanical Engineering, University of Hawai‘i at Mānoa, Honolulu, HI
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Nyein HYY, Bariya M, Tran B, Ahn CH, Brown BJ, Ji W, Davis N, Javey A. A wearable patch for continuous analysis of thermoregulatory sweat at rest. Nat Commun 2021; 12:1823. [PMID: 33758197 PMCID: PMC7987967 DOI: 10.1038/s41467-021-22109-z] [Citation(s) in RCA: 110] [Impact Index Per Article: 36.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Accepted: 02/24/2021] [Indexed: 11/18/2022] Open
Abstract
The body naturally and continuously secretes sweat for thermoregulation during sedentary and routine activities at rates that can reflect underlying health conditions, including nerve damage, autonomic and metabolic disorders, and chronic stress. However, low secretion rates and evaporation pose challenges for collecting resting thermoregulatory sweat for non-invasive analysis of body physiology. Here we present wearable patches for continuous sweat monitoring at rest, using microfluidics to combat evaporation and enable selective monitoring of secretion rate. We integrate hydrophilic fillers for rapid sweat uptake into the sensing channel, reducing required sweat accumulation time towards real-time measurement. Along with sweat rate sensors, we integrate electrochemical sensors for pH, Cl-, and levodopa monitoring. We demonstrate patch functionality for dynamic sweat analysis related to routine activities, stress events, hypoglycemia-induced sweating, and Parkinson's disease. By enabling sweat analysis compatible with sedentary, routine, and daily activities, these patches enable continuous, autonomous monitoring of body physiology at rest.
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Affiliation(s)
- Hnin Yin Yin Nyein
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA, USA
- Berkeley Sensor and Actuator Center, University of California, Berkeley, CA, USA
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA, USA
| | - Mallika Bariya
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA, USA
- Berkeley Sensor and Actuator Center, University of California, Berkeley, CA, USA
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA, USA
| | - Brandon Tran
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA, USA
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA, USA
| | - Christine Heera Ahn
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA, USA
| | - Brenden Janatpour Brown
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA, USA
| | - Wenbo Ji
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA, USA
- Berkeley Sensor and Actuator Center, University of California, Berkeley, CA, USA
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA, USA
| | - Noelle Davis
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA, USA
| | - Ali Javey
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA, USA.
- Berkeley Sensor and Actuator Center, University of California, Berkeley, CA, USA.
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA, USA.
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Karki HP, Jang Y, Jung J, Oh J. Advances in the development paradigm of biosample-based biosensors for early ultrasensitive detection of alzheimer's disease. J Nanobiotechnology 2021; 19:72. [PMID: 33750392 PMCID: PMC7945670 DOI: 10.1186/s12951-021-00814-7] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2021] [Accepted: 02/25/2021] [Indexed: 02/07/2023] Open
Abstract
This review highlights current developments, challenges, and future directions for the use of invasive and noninvasive biosample-based small biosensors for early diagnosis of Alzheimer's disease (AD) with biomarkers to incite a conceptual idea from a broad number of readers in this field. We provide the most promising concept about biosensors on the basis of detection scale (from femto to micro) using invasive and noninvasive biosamples such as cerebrospinal fluid (CSF), blood, urine, sweat, and tear. It also summarizes sensor types and detailed analyzing techniques for ultrasensitive detection of multiple target biomarkers (i.e., amyloid beta (Aβ) peptide, tau protein, Acetylcholine (Ach), microRNA137, etc.) of AD in terms of detection ranges and limit of detections (LODs). As the most significant disadvantage of CSF and blood-based detection of AD is associated with the invasiveness of sample collection which limits future strategy with home-based early screening of AD, we extensively reviewed the future trend of new noninvasive detection techniques (such as optical screening and bio-imaging process). To overcome the limitation of non-invasive biosamples with low concentrations of AD biomarkers, current efforts to enhance the sensitivity of biosensors and discover new types of biomarkers using non-invasive body fluids are presented. We also introduced future trends facing an infection point in early diagnosis of AD with simultaneous emergence of addressable innovative technologies.
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Affiliation(s)
- Hem Prakash Karki
- Department of Mechanical Design Engineering, College of Engineering, Jeonbuk National University, Jeonju, 54896, South Korea
| | - Yeongseok Jang
- Department of Mechanical Design Engineering, College of Engineering, Jeonbuk National University, Jeonju, 54896, South Korea
| | - Jinmu Jung
- Department of Mechanical Design Engineering, College of Engineering, Jeonbuk National University, Jeonju, 54896, South Korea.
- Department of Nano-bio Mechanical System Engineering, College of Engineering, Jeonbuk National University, Jeonju, 54896, South Korea.
| | - Jonghyun Oh
- Department of Mechanical Design Engineering, College of Engineering, Jeonbuk National University, Jeonju, 54896, South Korea.
- Department of Nano-bio Mechanical System Engineering, College of Engineering, Jeonbuk National University, Jeonju, 54896, South Korea.
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De Pascali C, Francioso L, Giampetruzzi L, Rescio G, Signore MA, Leone A, Siciliano P. Modeling, Fabrication and Integration of Wearable Smart Sensors in a Monitoring Platform for Diabetic Patients. SENSORS (BASEL, SWITZERLAND) 2021; 21:1847. [PMID: 33800949 PMCID: PMC7962045 DOI: 10.3390/s21051847] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Revised: 02/26/2021] [Accepted: 03/02/2021] [Indexed: 12/13/2022]
Abstract
The monitoring of some parameters, such as pressure loads, temperature, and glucose level in sweat on the plantar surface, is one of the most promising approaches for evaluating the health state of the diabetic foot and for preventing the onset of inflammatory events later degenerating in ulcerative lesions. This work presents the results of sensors microfabrication, experimental characterization and FEA-based thermal analysis of a 3D foot-insole model, aimed to advance in the development of a fully custom smart multisensory hardware-software monitoring platform for the diabetic foot. In this system, the simultaneous detection of temperature-, pressure- and sweat-based glucose level by means of full custom microfabricated sensors distributed on eight reading points of a smart insole will be possible, and the unit for data acquisition and wireless transmission will be fully integrated into the platform. Finite element analysis simulations, based on an accurate bioheat transfer model of the metabolic response of the foot tissue, demonstrated that subcutaneous inflamed lesions located up to the muscle layer, and ischemic damage located not below the reticular/fat layer, can be successfully detected. The microfabrication processes and preliminary results of functional characterization of flexible piezoelectric pressure sensors and glucose sensors are presented. Full custom pressure sensors generate an electric charge in the range 0-20 pC, proportional to the applied load in the range 0-4 N, with a figure of merit of 4.7 ± 1 GPa. The disposable glucose sensors exhibit a 0-6 mM (0-108 mg/dL) glucose concentration optimized linear response (for sweat-sensing), with a LOD of 3.27 µM (0.058 mg/dL) and a sensitivity of 21 µA/mM cm2 in the PBS solution. The technical prerequisites and experimental sensing performances were assessed, as preliminary step before future integration into a second prototype, based on a full custom smart insole with enhanced sensing functionalities.
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Affiliation(s)
| | - Luca Francioso
- National Research Council of Italy, Institute for Microelectronics and Microsystems (CNR-IMM), 95121 Lecce, Italy; (C.D.P.); (G.R.); (M.A.S.); (A.L.); (P.S.)
| | - Lucia Giampetruzzi
- National Research Council of Italy, Institute for Microelectronics and Microsystems (CNR-IMM), 95121 Lecce, Italy; (C.D.P.); (G.R.); (M.A.S.); (A.L.); (P.S.)
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Li G, Wen D. Wearable biochemical sensors for human health monitoring: sensing materials and manufacturing technologies. J Mater Chem B 2021; 8:3423-3436. [PMID: 32022089 DOI: 10.1039/c9tb02474c] [Citation(s) in RCA: 44] [Impact Index Per Article: 14.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Wearable biochemical sensors are of great interest nowadays due to their powerful potential in personalized medicine and continuous monitoring of human health. Thus, a great deal of effort has been put into the development of such sensors to enable real-time and non-invasive quantification of various chemical constituents in the human body such as sweat, saliva, and tears. Owing to the advances in materials science and mechanical engineering, wearable biochemical sensors have been developed to probe various biomarkers and have been subsequently considered as wearable electronic devices for practical applications. In this review, we present a broad overview on the recent advances in electrochemical wearable sensors towards various organic components and ions closely linked to human health. With an emphasis on materials and manufacturing technologies of the sensing electrodes, the research status is summarized, and the challenges and opportunities in this growing field are prospected.
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Affiliation(s)
- Guanglei Li
- State Key Laboratory of Solidification Processing, Center for Nano Energy Materials, School of Materials Science and Engineering, Northwestern Polytechnical University and Shaanxi Joint Laboratory of Graphene (NPU), Xi'an, 710072, P. R. China.
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Ichimura Y, Kuritsubo T, Nagamine K, Nomura A, Shitanda I, Tokito S. A fully screen-printed potentiometric chloride ion sensor employing a hydrogel-based touchpad for simple and non-invasive daily electrolyte analysis. Anal Bioanal Chem 2021; 413:1883-1891. [PMID: 33479820 DOI: 10.1007/s00216-021-03156-3] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Revised: 12/23/2020] [Accepted: 01/05/2021] [Indexed: 12/22/2022]
Abstract
This is the first report demonstrating proof of concept for the passive, non-invasive extraction and in situ potentiometric detection of human sweat chloride ions (Cl- ions) using a stable printed planar liquid-junction reference electrode-integrated hydrogel-based touch-sensor pad without activities such as exercise to induce perspiration, environmental temperature control, or requiring cholinergic drug administration. The sensor pad was composed entirely of a screen-printed bare Ag/AgCl-based chloride ion-selective electrode and a planar liquid-junction Ag/AgCl reference electrode, which were fully covered by an agarose hydrogel in phosphate-buffered saline (PBS). When human skin contacted the hydrogel pad, sweat Cl- ions were continuously extracted into the gel, followed by in situ potentiometric detection. The planar liquid-junction Ag/AgCl reference electrode had a polymer-based KCl-saturated inner electrolyte layer to stabilize the potential of the Ag/AgCl electrode even with a substantial change in the chloride ion concentration in the hydrogel pad. We expect this fully screen-printed sensor to achieve the low-cost passive and non-invasive daily monitoring of human Cl- ions in sweat in the future.
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Affiliation(s)
- Yusuke Ichimura
- Graduate School of Organic Materials Science, Yamagata University, 4-3-16 Jonan, Yonezawa, Yamagata, 992-8510, Japan
| | - Takumi Kuritsubo
- Graduate School of Organic Materials Science, Yamagata University, 4-3-16 Jonan, Yonezawa, Yamagata, 992-8510, Japan
| | - Kuniaki Nagamine
- Graduate School of Organic Materials Science, Yamagata University, 4-3-16 Jonan, Yonezawa, Yamagata, 992-8510, Japan.
- Research Center of Organic Electronics (ROEL), Yamagata University, 4-3-16 Jonan, Yonezawa, Yamagata, 992-8510, Japan.
| | - Ayako Nomura
- Research Center of Organic Electronics (ROEL), Yamagata University, 4-3-16 Jonan, Yonezawa, Yamagata, 992-8510, Japan
| | - Isao Shitanda
- Research Center of Organic Electronics (ROEL), Yamagata University, 4-3-16 Jonan, Yonezawa, Yamagata, 992-8510, Japan
- Department of Pure and Applied Chemistry, Faculty of Science and Technology, Tokyo University of Science, Noda, Chiba, 278-8510, Japan
| | - Shizuo Tokito
- Graduate School of Organic Materials Science, Yamagata University, 4-3-16 Jonan, Yonezawa, Yamagata, 992-8510, Japan.
- Research Center of Organic Electronics (ROEL), Yamagata University, 4-3-16 Jonan, Yonezawa, Yamagata, 992-8510, Japan.
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Min J, Sempionatto JR, Teymourian H, Wang J, Gao W. Wearable electrochemical biosensors in North America. Biosens Bioelectron 2021; 172:112750. [DOI: 10.1016/j.bios.2020.112750] [Citation(s) in RCA: 65] [Impact Index Per Article: 21.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Revised: 10/18/2020] [Accepted: 10/19/2020] [Indexed: 02/08/2023]
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Falk M, Psotta C, Cirovic S, Shleev S. Non-Invasive Electrochemical Biosensors Operating in Human Physiological Fluids. SENSORS (BASEL, SWITZERLAND) 2020; 20:E6352. [PMID: 33171750 PMCID: PMC7664326 DOI: 10.3390/s20216352] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/10/2020] [Revised: 11/03/2020] [Accepted: 11/04/2020] [Indexed: 12/14/2022]
Abstract
Non-invasive healthcare technologies are an important part of research and development nowadays due to the low cost and convenience offered to both healthcare receivers and providers. This work overviews the recent advances in the field of non-invasive electrochemical biosensors operating in secreted human physiological fluids, viz. tears, sweat, saliva, and urine. Described electrochemical devices are based on different electrochemical techniques, viz. amperometry, coulometry, cyclic voltammetry, and impedance spectroscopy. Challenges that confront researchers in this exciting area and key requirements for biodevices are discussed. It is concluded that the field of non-invasive sensing of biomarkers in bodily fluid is highly convoluted. Nonetheless, if the drawbacks are appropriately addressed, and the pitfalls are adroitly circumvented, the approach will most certainly disrupt current clinical and self-monitoring practices.
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Affiliation(s)
- Magnus Falk
- Department of Biomedical Science, Faculty of Health and Society, and Biofilms—Research Center for Biointerfaces, Malmö University, 20506 Malmö, Sweden; (M.F.); (C.P.); (S.C.)
| | - Carolin Psotta
- Department of Biomedical Science, Faculty of Health and Society, and Biofilms—Research Center for Biointerfaces, Malmö University, 20506 Malmö, Sweden; (M.F.); (C.P.); (S.C.)
- Aptusens AB, 293 94 Kyrkhult, Sweden
| | - Stefan Cirovic
- Department of Biomedical Science, Faculty of Health and Society, and Biofilms—Research Center for Biointerfaces, Malmö University, 20506 Malmö, Sweden; (M.F.); (C.P.); (S.C.)
| | - Sergey Shleev
- Department of Biomedical Science, Faculty of Health and Society, and Biofilms—Research Center for Biointerfaces, Malmö University, 20506 Malmö, Sweden; (M.F.); (C.P.); (S.C.)
- Aptusens AB, 293 94 Kyrkhult, Sweden
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42
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Kim YJ, Park SY. Optical Multisensor Array with Functionalized Photonic Droplets by an Interpenetrating Polymer Network for Human Blood Analysis. ACS APPLIED MATERIALS & INTERFACES 2020; 12:47342-47354. [PMID: 33030883 DOI: 10.1021/acsami.0c15718] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Photonic solid-state cholesteric liquid crystal (CLCsolid) droplets intertwined with a poly(acrylic acid) (PAA) network that has an interpenetrating polymer network (IPN) structure (referred to as photonic IPN CLCsolid-PAA droplets) were used as individual sensors in the dots of a PAA-patterned array film after functionalization via immobilization of the receptors and a metal-ion treatment. The photonic IPN CLCsolid-PAA droplets in the PAA-patterned array film were pH-responsive and showed an observable change in the reflected central color. This "smart" property, coupled with the photonic color response, makes these devices ideal photonic sensors. The immobilization of urease and phenylboronic acid on the PAA network allowed for the application of several 10 μm photonic IPN CLCsolid-PAA droplets to the optical photonic biosensors through facilitated volumetric changes in the PAA network in response to urea and glucose analytes, with high selectivity for major components in human serum, acceptable sensitivity for use with human serum, and extreme stability due to a solid-state structure. The blueshift of the reflected color of the KOH-treated photonic IPN CLCsolid-PAA droplets could be used for divalent metal-ion detection. The compartmentalized photonic IPN CLCsolid-PAA droplets in the patterned array film could be used for multiple detection applications, as evidenced by the ability to conduct pH, divalent metal ion, urea, and glucose detections in one patterned array film. This new platform opens the door for many interesting applications with numerous combinations of responsive hydrogel matrices and receptors.
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Affiliation(s)
- Ye-Ji Kim
- School of Applied Chemical Engineering, Polymeric Nano Materials Laboratory, Kyungpook National University, Daegu 41566, Republic of Korea
| | - Soo-Young Park
- School of Applied Chemical Engineering, Polymeric Nano Materials Laboratory, Kyungpook National University, Daegu 41566, Republic of Korea
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Moonen EJ, Haakma JR, Peri E, Pelssers E, Mischi M, den Toonder JM. Wearable sweat sensing for prolonged, semicontinuous, and nonobtrusive health monitoring. VIEW 2020. [DOI: 10.1002/viw.20200077] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Affiliation(s)
- Emma J.M. Moonen
- Department of Mechanical Engineering Eindhoven University of Technology Eindhoven The Netherlands
- Institute for Complex Molecular Systems (ICMS) Eindhoven University of Technology Eindhoven The Netherlands
| | - Jelte R. Haakma
- Department of Electrical Engineering, Laboratory of Biomedical Diagnostics Eindhoven University of Technology Eindhoven The Netherlands
| | - Elisabetta Peri
- Department of Electrical Engineering, Laboratory of Biomedical Diagnostics Eindhoven University of Technology Eindhoven The Netherlands
| | - Eduard Pelssers
- Department of Mechanical Engineering Eindhoven University of Technology Eindhoven The Netherlands
- Philips Research Royal Philips High Tech Campus Eindhoven The Netherlands
| | - Massimo Mischi
- Department of Electrical Engineering, Laboratory of Biomedical Diagnostics Eindhoven University of Technology Eindhoven The Netherlands
| | - Jaap M.J. den Toonder
- Department of Mechanical Engineering Eindhoven University of Technology Eindhoven The Netherlands
- Institute for Complex Molecular Systems (ICMS) Eindhoven University of Technology Eindhoven The Netherlands
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Teymourian H, Parrilla M, Sempionatto JR, Montiel NF, Barfidokht A, Van Echelpoel R, De Wael K, Wang J. Wearable Electrochemical Sensors for the Monitoring and Screening of Drugs. ACS Sens 2020; 5:2679-2700. [PMID: 32822166 DOI: 10.1021/acssensors.0c01318] [Citation(s) in RCA: 140] [Impact Index Per Article: 35.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Wearable electrochemical sensors capable of noninvasive monitoring of chemical markers represent a rapidly emerging digital-health technology. Recent advances toward wearable continuous glucose monitoring (CGM) systems have ignited tremendous interest in expanding such sensor technology to other important fields. This article reviews for the first time wearable electrochemical sensors for monitoring therapeutic drugs and drugs of abuse. This rapidly emerging class of drug-sensing wearable devices addresses the growing demand for personalized medicine, toward improved therapeutic outcomes while minimizing the side effects of drugs and the related medical expenses. Continuous, noninvasive monitoring of therapeutic drugs within bodily fluids empowers clinicians and patients to correlate the pharmacokinetic properties with optimal outcomes by realizing patient-specific dose regulation and tracking dynamic changes in pharmacokinetics behavior while assuring the medication adherence of patients. Furthermore, wearable electrochemical drug monitoring devices can also serve as powerful screening tools in the hands of law enforcement agents to combat drug trafficking and support on-site forensic investigations. The review covers various wearable form factors developed for noninvasive monitoring of therapeutic drugs in different body fluids and toward on-site screening of drugs of abuse. The future prospects of such wearable drug monitoring devices are presented with the ultimate goals of introducing accurate real-time drug monitoring protocols and autonomous closed-loop platforms toward precise dose regulation and optimal therapeutic outcomes. Finally, current unmet challenges and existing gaps are discussed for motivating future technological innovations regarding personalized therapy. The current pace of developments and the tremendous market opportunities for such wearable drug monitoring platforms are expected to drive intense future research and commercialization efforts.
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Affiliation(s)
- Hazhir Teymourian
- Department of Nanoengineering, University of California San Diego, La Jolla, California 92093, United States
| | - Marc Parrilla
- AXES Research Group, Bioscience Engineering Department, Groenenborgerlaan 171, 2020 Antwerp, Belgium
| | - Juliane R. Sempionatto
- Department of Nanoengineering, University of California San Diego, La Jolla, California 92093, United States
| | - Noelia Felipe Montiel
- AXES Research Group, Bioscience Engineering Department, Groenenborgerlaan 171, 2020 Antwerp, Belgium
| | - Abbas Barfidokht
- Department of Nanoengineering, University of California San Diego, La Jolla, California 92093, United States
| | - Robin Van Echelpoel
- AXES Research Group, Bioscience Engineering Department, Groenenborgerlaan 171, 2020 Antwerp, Belgium
| | - Karolien De Wael
- AXES Research Group, Bioscience Engineering Department, Groenenborgerlaan 171, 2020 Antwerp, Belgium
| | - Joseph Wang
- Department of Nanoengineering, University of California San Diego, La Jolla, California 92093, United States
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Bariya M, Li L, Ghattamaneni R, Ahn CH, Nyein HYY, Tai LC, Javey A. Glove-based sensors for multimodal monitoring of natural sweat. SCIENCE ADVANCES 2020; 6:eabb8308. [PMID: 32923646 PMCID: PMC7455190 DOI: 10.1126/sciadv.abb8308] [Citation(s) in RCA: 55] [Impact Index Per Article: 13.8] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Accepted: 07/15/2020] [Indexed: 05/18/2023]
Abstract
Sweat sensors targeting exercise or chemically induced sweat have shown promise for noninvasive health monitoring. Natural thermoregulatory sweat is an attractive alternative as it can be accessed during routine and sedentary activity without impeding user lifestyles and potentially preserves correlations between sweat and blood biomarkers. We present simple glove-based sensors to accumulate natural sweat with minimal evaporation, capitalizing on high sweat gland densities to collect hundreds of microliters in just 30 min without active sweat stimulation. Sensing electrodes are patterned on nitrile gloves and finger cots for in situ detection of diverse biomarkers, including electrolytes and xenobiotics, and multiple gloves or cots are worn in sequence to track overarching analyte dynamics. Direct integration of sensors into gloves represents a simple and low-overhead scheme for natural sweat analysis, enabling sweat-based physiological monitoring to become practical and routine without requiring highly complex or miniaturized components for analyte collection and signal transduction.
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Affiliation(s)
- 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
| | - Lu Li
- 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
| | - Rahul Ghattamaneni
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA 94720, USA
| | - Christine Heera Ahn
- Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, CA 94720, USA
| | - Hnin Yin Yin 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
| | - 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
| | - 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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46
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Noninvasive wearable electroactive pharmaceutical monitoring for personalized therapeutics. Proc Natl Acad Sci U S A 2020; 117:19017-19025. [PMID: 32719130 DOI: 10.1073/pnas.2009979117] [Citation(s) in RCA: 47] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
To achieve the mission of personalized medicine, centering on delivering the right drug to the right patient at the right dose, therapeutic drug monitoring solutions are necessary. In that regard, wearable biosensing technologies, capable of tracking drug pharmacokinetics in noninvasively retrievable biofluids (e.g., sweat), play a critical role, because they can be deployed at a large scale to monitor the individuals' drug transcourse profiles (semi)continuously and longitudinally. To this end, voltammetry-based sensing modalities are suitable, as in principle they can detect and quantify electroactive drugs on the basis of the target's redox signature. However, the target's redox signature in complex biofluid matrices can be confounded by the immediate biofouling effects and distorted/buried by the interfering voltammetric responses of endogenous electroactive species. Here, we devise a wearable voltammetric sensor development strategy-centering on engineering the molecule-surface interactions-to simultaneously mitigate biofouling and create an "undistorted potential window" within which the target drug's voltammetric response is dominant and interference is eliminated. To inform its clinical utility, our strategy was adopted to track the temporal profile of circulating acetaminophen (a widely used analgesic and antipyretic) in saliva and sweat, using a surface-modified boron-doped diamond sensing interface (cross-validated with laboratory-based assays, R 2 ∼ 0.94). Through integration of the engineered sensing interface within a custom-developed smartwatch, and augmentation with a dedicated analytical framework (for redox peak extraction), we realized a wearable solution to seamlessly render drug readouts with minute-level temporal resolution. Leveraging this solution, we demonstrated the pharmacokinetic correlation and significance of sweat readings.
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47
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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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48
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Pirovano P, Dorrian M, Shinde A, Donohoe A, Brady AJ, Moyna NM, Wallace G, Diamond D, McCaul M. A wearable sensor for the detection of sodium and potassium in human sweat during exercise. Talanta 2020; 219:121145. [PMID: 32887090 DOI: 10.1016/j.talanta.2020.121145] [Citation(s) in RCA: 51] [Impact Index Per Article: 12.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Revised: 05/02/2020] [Accepted: 05/08/2020] [Indexed: 12/20/2022]
Abstract
The SwEatch platform, a wearable sensor for sampling and measuring the concentration of electrolytes in human sweat in real time, has been improved in order to allow the sensing of two analytes. The solid contact ion-sensitive electrodes (ISEs) for the detection of Na+ and K+ have been developed in two alternative formulations, containing either poly(3,4-ethylenedioxythiophene) (PEDOT) or poly(3-octylthiophene-2,5-diyl) (POT) as a conductive polymer transducing component. The solution-processable POT formulation simplifies the fabrication process, and sensor to sensor reproducibility has been improved via partial automation using an Opentron® automated pipetting robot. The resulting electrodes showed good sensitivity (52.4 ± 6.3 mV/decade (PEDOT) and 56.4 ± 2.2 mV/decade (POT) for Na+ ISEs, and 45.7 ± 7.4 mV/decade (PEDOT) and 54.3 ± 1.5 mV/decade (POT) for K+) and excellent selectivity towards potential interferents present in human sweat (H+, Na+, K+, Mg2+, Ca2+). The 3D printed SwEatch platform has been redesigned to incorporate a double, mirrored fluidic unit which is capable of drawing sweat from the skin through passive capillary action and bring it in contact with two independent electrodes. The potentiometric signal generated by the electrodes is measured by an integrated electronics board, digitised and transmitted via Bluetooth to a laptop. The results obtained from on-body trials on athletes during cycling show a relatively small increase in sodium (1.89 mM-2.97 mM) and potassium (3.31 mM-7.25 mM) concentrations during the exercise period of up to 90 min.
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Affiliation(s)
- Paolo Pirovano
- Insight Centre for Data Analytics, National Centre for Sensor Research, Dublin City University, Glasnevin, Dublin 9, Ireland
| | - Matthew Dorrian
- Insight Centre for Data Analytics, National Centre for Sensor Research, Dublin City University, Glasnevin, Dublin 9, Ireland
| | - Akshay Shinde
- Insight Centre for Data Analytics, National Centre for Sensor Research, Dublin City University, Glasnevin, Dublin 9, Ireland
| | - Andrew Donohoe
- Insight Centre for Data Analytics, National Centre for Sensor Research, Dublin City University, Glasnevin, Dublin 9, Ireland
| | - Aidan J Brady
- School of Health and Human Performance, Dublin City University, Dublin 9, Ireland
| | - Niall M Moyna
- School of Health and Human Performance, Dublin City University, Dublin 9, Ireland
| | - Gordon Wallace
- ARC Centre of Excellence for Electromaterials Science, University of Wollongong, Wollongong, NSW, 2522, Australia
| | - Dermot Diamond
- Insight Centre for Data Analytics, National Centre for Sensor Research, Dublin City University, Glasnevin, Dublin 9, Ireland
| | - Margaret McCaul
- Insight Centre for Data Analytics, National Centre for Sensor Research, Dublin City University, Glasnevin, Dublin 9, Ireland.
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Affiliation(s)
- Aung Than
- School of Chemical and Biomedical Engineering, Innovative Centre for Flexible DevicesNanyang Technological University Singapore
| | - Ping Zan
- School of Chemical and Biomedical Engineering, Innovative Centre for Flexible DevicesNanyang Technological University Singapore
| | - Peng Chen
- School of Chemical and Biomedical Engineering, Innovative Centre for Flexible DevicesNanyang Technological University Singapore
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50
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Shay T, Saha T, Dickey MD, Velev OD. Principles of long-term fluids handling in paper-based wearables with capillary-evaporative transport. BIOMICROFLUIDICS 2020; 14:034112. [PMID: 32566070 PMCID: PMC7286699 DOI: 10.1063/5.0010417] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/10/2020] [Accepted: 05/11/2020] [Indexed: 05/24/2023]
Abstract
We construct and investigate paper-based microfluidic devices, which model long-term fluid harvesting, transport, sensing, and analysis in new wearables for sweat analysis. Such devices can continuously wick fluid mimicking sweat and dispose of it on evaporation pads. We characterize and analyze how the action of capillarity and evaporation can cooperatively be used to transport and process sweat mimics containing dissolved salts and model analytes. The results point out that non-invasive osmotic extraction combined with paper microfluidics and evaporative disposal can enable sweat collection and monitoring for durations longer than 10 days. We model the fluid flow in the new capillary-evaporative devices and identify the parameters enabling their long-term operation. We show that the transport rates are sufficiently large to handle natural sweat rates, while we envision that such handling can be interfaced with osmotic harvesting of sweat, a concept that we demonstrated recently. Finally, we illustrate that the salt film deposited at the evaporation pad would eventually lead to cessation of the process but at the same time will preserve a record of analytes that may be used for long-term biomarker monitoring in sweat. These principles can be implemented in future platforms for wearable skin-interfacing assays or electronic biomarker monitors.
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