Diaper-Embedded Urinary Tract Infection Monitoring Sensor Module Powered by Urine-Activated Batteries

Recent Advances in Wearable Healthcare Devices: From Material to Application

In recent years, the proliferation of wearable healthcare devices has marked a revolutionary shift in the personal health monitoring and management paradigm. These devices, ranging from fitness trackers to advanced biosensors, have not only made healthcare more accessible, but have also transformed the way individuals engage with their health data. By continuously monitoring health signs, from physical-based to biochemical-based such as heart rate and blood glucose levels, wearable technology offers insights into human health, enabling a proactive rather than a reactive approach to healthcare. This shift towards personalized health monitoring empowers individuals with the knowledge and tools to make informed decisions about their lifestyle and medical care, potentially leading to the earlier detection of health issues and more tailored treatment plans. This review presents the fabrication methods of flexible wearable healthcare devices and their applications in medical care. The potential challenges and future prospectives are also discussed.

End-to-end design of wearable sensors

Wearable devices provide an alternative pathway to clinical diagnostics by exploiting various physical, chemical and biological sensors to mine physiological (biophysical and/or biochemical) information in real time (preferably, continuously) and in a non-invasive or minimally invasive manner. These sensors can be worn in the form of glasses, jewellery, face masks, wristwatches, fitness bands, tattoo-like devices, bandages or other patches, and textiles. Wearables such as smartwatches have already proved their capability for the early detection and monitoring of the progression and treatment of various diseases, such as COVID-19 and Parkinson disease, through biophysical signals. Next-generation wearable sensors that enable the multimodal and/or multiplexed measurement of physical parameters and biochemical markers in real time and continuously could be a transformative technology for diagnostics, allowing for high-resolution and time-resolved historical recording of the health status of an individual. In this Review, we examine the building blocks of such wearable sensors, including the substrate materials, sensing mechanisms, power modules and decision-making units, by reflecting on the recent developments in the materials, engineering and data science of these components. Finally, we synthesize current trends in the field to provide predictions for the future trajectory of wearable sensors.

Urinalysis Using a Diaper-Based Testing Device

Urinary tract infections (UTI), one of the most common bacterial infections, annually affect 150 million people worldwide. Infants and the elderly are likely to have missed or delayed diagnosis of UTI due to difficulty clearly describing their symptoms. A rapid screening method for UTI is a critical and urgent need for these populations. The aim of our study is to develop a diaper-based testing device to assay urine biomarkers including pH, leukocyte, and nitrite level. This all-in-one device assists in urine collection and testing using a colorimetric approach to provide easily read visual results on the outside surface of a test strip-integrated diaper. In this study, we tested samples from 46 patients using testing strips and examined the results from 7 patients recruited to validate the strip-integrated diaper. In conclusion, this new diaper-based testing device is easy to use, rapid, and inexpensive, all of which imbue it with tremendous potential for development into a commercially viable UTI screening system.

Fully Integrated, Automated, and Smartphone Enabled Point-of-Source Portable Platform With Microfluidic Device for Nitrite Detection

Excess limit of Nitrites, which are prevalent within environmental and physiological systems, have severe detrimental effects, thus point-of-source detection becomes an important requirement to take suitable preventive measures. This paper presents the design and development of a standalone, point-of-source, portable, low-cost, automated and integrated microfluidic system for quick detection and quantification of nitrite. Based on multiphysics simulations, a disposable polydimethylsiloxane (PDMS) microfluidic device was employed to carry out the controlled Griess reaction based assay. A low-cost 3D printed syringe pump was developed to inject the sample and reagent. Photometric detection was employed using light emitting diode (LED) and photodiode. A transimpedance amplifier circuit was designed and fabricated to achieve amplified photodiode output with reduced noise. An off-the-shelf microprocessor was used to integrate the whole system and a smartphone application (app) was developed to control the complete system and store the data. Interaction between the application and the microprocessor was achieved using Bluetooth connectivity. Spectrophotometric validation was performed and a calibration equation was obtained which was used to convert the device voltage output to absorption, through specially programmed android app. All the components were integrated in a 3D printed platform whose virtues such as ease of usage and affordability makes, quantification of nitrite, a simple and real time process wherein the limit of detection and limit of quantification values are found to be 0.07103 ppm and 0.21524 ppm respectively with good repeatability.