Abstract
Modern technology has offered many ways to use chemical and biosensors effectively in detecting various analytes in environmental, medical, and food samples. Recently, people have started to use wearable devices to track various kinds of information about their health and fitness level. The market of wearable devices in 2015 was $5 billion which showed 25% enhancement over 2014, and it is further expected to grow for the next 5 years. The primary focus of this chapter is to bring the latest developments on nanofabricated wearable devices which integrated on the epidermis, thereby analyzing by a non-invasive and non-obtrusive fashion. We have given more emphasis on the recent developments in the fabrication methodologies toward the chemical and biosensor for physical parameter measurements of heart rate, glucose, temperature, and pressure levels. To prepare wearable devices, nanomaterials such as 2D graphene, 1D carbon nanotubes, conducting polymers, and noble metal nanoparticles have been used as transducers. There are various challenges in recording the real-time measurements on human body during physical movements when there are drastic changes in the temperature, pressure, and humidity of the device, so these parameters have to be taken into account during flexible sensor device manufacturing. There are further developments on wearable devices which can track the health of patients, and also depending on the need, it can release drug into the body in a controlled manner for a timely diagnosis. We have also discussed the need of wearable devices and their use as temperature/motion sensor, respiration rate analyzer, heart rate and blood pressure monitoring, detecting the level of glucose, lactate, pH, etc. In addition, therapeutic applications and future hopes of wearable sensors have been discussed.
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Abbreviations
- SERS:
-
Surface Enhanced Raman Spectroscopy
- PEDOT:PSS:
-
Poly(3,4-ethylenedioxythiophene):polystyrene sulfonate
- PDMS:
-
Polydimethylsiloxane
- CNTs:
-
Carbon nanotubes
- GO:
-
Graphene oxide
- rGO:
-
Reduced graphene oxide
- BN:
-
Boron nitride
- MoS2:
-
Molybdenum disulfide
- WS2:
-
Tungsten disulfide
- RFID:
-
Radio-frequency identification
- PTC:
-
Positive temperature coefficient
- NTC:
-
Negative temperature coefficient
- Ag NWs:
-
Silver nanowires
- Ag NPs:
-
Silver nanoparticles
- PET:
-
Polyethylene terephthalate
- SEBS:
-
Styrene-ethylene-butadiene-styrene
- SWCNTs:
-
Single-walled carbon nanotubes
- PU:
-
Polyurethane
- FSSF:
-
Free-standing stretchable fiber
- b.p.m:
-
Beats per minute
- HR:
-
Heart rate
- ECG:
-
Electrocardiography
- PVDF:
-
Poly(vinylidene fluoride)
- PVDF-TrFE:
-
poly(vinylidene fluoride-co-trifluoroethylene)
- PEIE:
-
Ethoxylatedpolyethylenimine
- MWCNTs:
-
multiwalled carbon nanotubes
- VS:
-
vinylsiloxane
- PFTs:
-
Pulmonary function tests
- wPt:
-
Wrinkled platinum
- IC:
-
Inspiratory capacity
- ESMF:
-
Etched single mode fiber
- CB:
-
Carbon black
- MLGs:
-
Multilayer graphene platelets
- Au NW:
-
Gold nanowire
- ROA:
-
Reflectance oximeter array
- H2O2:
-
Hydrogen peroxide
- LED:
-
Light emitting diode
- OCET:
-
Organic electrochemical transistor
- Na+ ion:
-
Sodium ion
References
Anastasova S, Crewther B, Bembnowicz P, Curto V, Ip HMD, Rosa B, Yang G-Z (2017) A wearable multisensing patch for continuous sweat monitoring. Biosens Bioelectron 93:139–145
Aroganam G, Manivannan N, Harrison D (2019) Review on wearable technology sensors used in consumer sport applications. Sensors 19:1983
Bandodkar AJ, Wang J (2014) Non-invasive wearable electrochemical sensors: a review. Trends Biotechnol 32:363–371
Bizzotto D, Burgess IJ, Doneux T, Sagara T, Yu H-Z (2018) Beyond simple cartoons: challenges in characterizing electrochemical biosensor interfaces. ACS Sens 3:5–12
Cai Y, Shen J, Dai Z, Zang X, Dong Q, Guan G, Li L, Huang W, Dong X (2017) Extraordinarily stretchable all-carbon collaborative Nanoarchitectures for epidermal sensors. Adv Mater 29:1606411
Chen Y, Lu B, Chen Y, Feng X (2015) Breathable and stretchable temperature sensors inspired by skin. Sci Rep 5:11505
Choo DC, Bae SK, Kim TW (2019) Flexible, transparent patterned electrodes based on graphene oxide/silver nanowire nanocomposites fabricated utilizing an accelerated ultraviolet/ozone process to control silver nanowire degradation. Sci Rep 9:5527
Chu M, Nguyen T, Pandey V, Zhou Y, Pham HN, Bar-Yoseph R, Radom-Aizik S, Jain R, Cooper DM, Khine M (2019) Respiration rate and volume measurements using wearable strain sensors. NPJ Digit Med 2:8
Coelho M, Giarola J, da Silva A, Tarley C, Borges K, Pereira A (2016) Development and application of electrochemical sensor based on molecularly imprinted polymer and carbon nanotubes for the determination of carvedilol. Chemosensors 4:22
Compagnone D, Di Francia G, Di Natale C, Neri G, Seeber R, Tajani A (2017) Chemical sensors and biosensors in Italy: a review of the 2015 literature. Sensors 17:868
Currano LJ, Sage FC, Hagedon M, Hamilton L, Patrone J, Gerasopoulos K (2018) Wearable sensor system for detection of lactate in sweat. Sci Rep 8:15890
Drotlef D, Amjadi M, Yunusa M, Sitti M (2017) Bioinspired composite microfibers for skin adhesion and signal amplification of wearable sensors. Adv Mater 29:1701353
Du B, Yang D, She X, Yuan Y, Mao D, Jiang Y, Lu F (2017) MoS2-based all-fiber humidity sensor for monitoring human breath with fast response and recovery. Sensors Actuators B Chem 251:180–184
Duan Y, Huang Y, Chen S, Zuo W, Shi B (2019) Cu-doped carbon dots as catalysts for the Chemiluminescence detection of glucose. ACS Omega 4:9911–9917
Forrest SR (2004) The path to ubiquitous and low-cost organic electronic appliances on plastic. Nature 428:911
Geršak V, Vitulić HS, Prosen S, Starc G, Humar I, Geršak G (2020) Use of wearable devices to study activity of children in classroom; case study—learning geometry using movement. Comput Commun 150:581–588
Godfrey A, Hetherington V, Shum H, Bonato P, Lovell NH, Stuart S (2018) From A to Z: wearable technology explained. Maturitas 113:40–47
Gong S, Schwalb W, Wang Y, Chen Y, Tang Y, Si J, Shirinzadeh B, Cheng W (2014) A wearable and highly sensitive pressure sensor with ultrathin gold nanowires. Nat Commun 5:1–8
Group, D.P.P.R, Knowler WC, Fowler SE, Hamman RF, Christophi CA, Hoffman HJ, Brenneman AT, Brown-Friday JO, Goldberg R, Venditti E, Nathan DM (2009) 10-year follow-up of diabetes incidence and weight loss in the diabetes prevention program outcomes study. Lancet 374:1677–1686
Ha M, Lim S, Ko H (2018) Wearable and flexible sensors for user-interactive health-monitoring devices. J Mater Chem B 6:4043–4064
Hazarika P (2016) Implementation of smart safety helmet for coal mine workers. In: 2016 IEEE 1st international conference power electronics, intelligent control and energy systems (ICPEICES), p 1–3
He J, **ao P, Shi J, Liang Y, Lu W, Chen Y, Wang W, Théato P, Kuo S-W, Chen T (2018) High performance humidity fluctuation sensor for wearable devices via a bioinspired atomic-precise tunable graphene-polymer heterogeneous sensing junction. Chem Mater 30:4343–4354
Heikenfeld J, Jajack A, Rogers J, Gutruf P, Tian L, Pan T, Li R, Khine M, Kim J, Wang J (2018) Wearable sensors: modalities, challenges, and prospects. Lab Chip 18:217–248
Hulanicki A, Glab S, Ingman F (1991) Chemical sensors: definitions and classification. Pure Appl Chem 63:1247–1250
Izmailova ES, Wagner JA, Perakslis ED (2018) Wearable devices in clinical trials: hype and hypothesis. Clin Pharmacol Ther 104:42–52
Jeevanandham G, Jerome R, Murugan N, Preethika M, Vediappan K, Sundramoorthy AK (2020) Nickel oxide decorated MoS2 nanosheet-based non-enzymatic sensor for the selective detection of glucose. RSC Adv 10:643–654
Kanao K, Harada S, Yamamoto Y, Honda W, Arie T, Akita S, Takei K (2015) Highly selective flexible tactile strain and temperature sensors against substrate bending for an artificial skin. RSC Adv 5:30170–30174
Khan Y, Ostfeld AE, Lochner CM, Pierre A, Arias AC (2016) Monitoring of vital signs with flexible and wearable medical devices. Adv Mater 28:4373–4395
Khan Y, Han D, Pierre A, Ting J, Wang X, Lochner CM, Bovo G, Yaacobi-Gross N, Newsome C, Wilson R (2018) A flexible organic reflectance oximeter array. Proc Natl Acad Sci 115:E11015–E11024
Kim H, Ahn J-H (2017) Graphene for flexible and wearable device applications. Carbon N Y 120:244–257
Kottmann J, Rey JM, Luginbühl J, Reichmann E, Sigrist MW (2012) Glucose sensing in human epidermis using mid-infrared photoacoustic detection. Biomed Opt Express 3:667–680
Kraft U, Molina-Lopez F, Son D, Bao Z, Murmann B (2020) Ink development and printing of conducting polymers for intrinsically stretchable interconnects and circuits. Adv Electron Mater 6:1900681
Kumar SA, Cheng H-W, Chen S-M, Wang S-F (2010) Preparation and characterization of copper nanoparticles/zinc oxide composite modified electrode and its application to glucose sensing. Mater Sci Eng C 30:86–91
Lee Y-H, Kim J-S, Noh J, Lee I, Kim HJ, Choi S, Seo J, Jeon S, Kim T-S, Lee J-Y (2013) Wearable textile battery rechargeable by solar energy. Nano Lett 13:5753–5761
Lee H, Choi TK, Lee YB, Cho HR, Ghaffari R, Wang L, Choi HJ, Chung TD, Lu N, Hyeon T (2016) A graphene-based electrochemical device with thermoresponsive microneedles for diabetes monitoring and therapy. Nat Nanotechnol 11:566
Li Y, Ren G, Zhang Z, Teng C, Wu Y, Lu X, Zhu Y, Jiang L (2016) A strong and highly flexible aramid nanofibers/PEDOT: PSS film for all-solid-state supercapacitors with superior cycling stability. J Mater Chem A 4:17324–17332
Li Q, Zhang J, Li Q, Li G, Tian X, Luo Z, Qiao F, Wu X, Zhang J (2019) Review of printed electrodes for flexible devices. Front Mater 5(77)
Lin C-C, Yang C-Y, Zhou Z, Wu S (2018) Intelligent health monitoring system based on smart clothing. Int J Distrib Sens Netw 14:1550147718794318
Lochner CM, Khan Y, Pierre A, Arias AC (2014) All-organic optoelectronic sensor for pulse oximetry. Nat Commun 5:5745
Long Y, Wei H, Li J, Yao G, Yu B, Ni D, Gibson ALF, Lan X, Jiang Y, Cai W (2018) Effective wound healing enabled by discrete alternative electric fields from wearable Nanogenerators. ACS Nano 12:12533–12540
Luo X, Shi W, Yu H, **e Z, Li K, Cui Y (2018) Wearable carbon nanotube-based biosensors on gloves for lactate. Sensors 18:3398
Mannoor MS, Tao H, Clayton JD, Sengupta A, Kaplan DL, Naik RR, Verma N, Omenetto FG, McAlpine MC (2012) Graphene-based wireless bacteria detection on tooth enamel. Nat Commun 3:763
Mardonova M, Choi Y (2018) Review of wearable device technology and its applications to the mining industry. Energies 11:547
Mehrotra P (2016) Biosensors and their applications–a review. J Oral Biol Craniofacial Res 6:153–159
Mohanraj J, Durgalakshmi D, Rakkesh RA, Balakumar S, Rajendran S, Karimi-Maleh H (2020) Facile synthesis of paper based graphene electrodes for point of care devices: a double stranded DNA (dsDNA) biosensor. J Colloid Interface Sci 566:463–472
Nakata S, Shiomi M, Fujita Y, Arie T, Akita S, Takei K (2018) A wearable pH sensor with high sensitivity based on a flexible charge-coupled device. Nat Electron 1:596
Olesen BW (1982) Thermal comfort. Tech Rev 2:3–37
Ota H, Chao M, Gao Y, Wu E, Tai L-C, Chen K, Matsuoka Y, Iwai K, Fahad HM, Gao W (2017) 3d printed “earable” smart devices for real-time detection of core body temperature. ACS Sens 2:990–997
Park J, Kim J, Kim SY, Cheong WH, Jang J, Park YG, Na K, Kim YT, Heo JH, Lee CY (2018) Soft, smart contact lenses with integrations of wireless circuits, glucose sensors, and displays. Sci Adv 4:eaap9841
Pegan JD, Zhang J, Chu M, Nguyen T, Park S-J, Paul A, Kim J, Bachman M, Khine M (2016) Skin-mountable stretch sensor for wearable health monitoring. Nanoscale 8:17295–17303
Pickup JC, Hussain F, Evans ND, Rolinski OJ, Birch DJS (2005) Fluorescence-based glucose sensors. Biosens Bioelectron 20:2555–2565
Pruvost M, Smit WJ, Monteux C, Poulin P, Colin A (2019) Polymeric foams for flexible and highly sensitive low-pressure capacitive sensors. NPJ Flex Electron 3:7
Rathee K, Dhull V, Dhull R, Singh S (2016) Biosensors based on electrochemical lactate detection: a comprehensive review. Biochem Biophys Rep 5:35–54
Rehman MM, Siddiqui GU, Doh YH, Choi KH (2017) Highly flexible and electroforming free resistive switching behavior of tungsten disulfide flakes fabricated through advanced printing technology. Semicond Sci Technol 32:95001
Rinaldi A, Tamburrano A, Fortunato M, Sarto M (2016) A flexible and highly sensitive pressure sensor based on a PDMS foam coated with graphene nanoplatelets. Sensors 16:2148
Rodger DC, Weiland JD, Humayun MS, Tai Y-C (2006) Scalable high lead-count parylene package for retinal prostheses. Sensors Actuators B Chem 117:107–114
Sekine T, Sugano R, Tashiro T, Sato J, Takeda Y, Matsui H, Kumaki D, Dos Santos FD, Miyabo A, Tokito S (2018) Fully printed wearable vital sensor for human pulse rate monitoring using ferroelectric polymer. Sci Rep 8:4442
Shan J, Li J, Chu X, Xu M, ** F, Wang X, Ma L, Fang X, Wei Z, Wang X (2018) High sensitivity glucose detection at extremely low concentrations using a MoS2-based field-effect transistor. RSC Adv 8:7942–7948
Shinde A, Sahatiya P, Kadu A, Badhulika S (2019) Wireless smartphone-assisted personal healthcare monitoring system using a MoS2-based flexible, wearable and ultra-low-cost functional sensor. Flex Print Electron 4:25003
Siddiqui GU, Rehman MM, Yang Y-J, Choi KH (2017) A two-dimensional hexagonal boron nitride/polymer nanocomposite for flexible resistive switching devices. J Mater Chem C 5:862–871
Singh E, Singh P, Kim KS, Yeom GY, Nalwa HS (2019) Flexible molybdenum disulfide (MoS2) atomic layers for wearable electronics and optoelectronics. ACS Appl Mater Interfaces 11:11061–11105
Steiner M-S, Dürkop A, Wolfbeis O (2011) Optical methods for sensing glucose. Chem Soc Rev 40:4805–4839
Sundramoorthy AK, Wang Y-C, Gunasekaran S (2015a) Low-temperature solution process for preparing flexible transparent carbon nanotube film for use in flexible supercapacitors. Nano Res 8:3430–3445
Sundramoorthy AK, Wang Y, Wang J, Che J, Thong YX, Lu ACW, Chan-Park MB (2015b) Lateral assembly of oxidized graphene flakes into large-scale transparent conductive thin films with a three-dimensional surfactant 4-sulfocalix [4] arene. Sci Rep 5:10716
Trung TQ, Dang TML, Ramasundaram S, Toi PT, Park SY, Lee N-E (2018) A stretchable strain-insensitive temperature sensor based on free-standing elastomeric composite fibers for on-body monitoring of skin temperature. ACS Appl Mater Interfaces 11:2317–2327
Wang S, Chinnasamy T, Lifson MA, Inci F, Demirci U (2016) Flexible substrate-based devices for point-of-care diagnostics. Trends Biotechnol 34:909–921
Wu C, Zhang T, Zhang J, Huang J, Tang X, Zhou T, Rong Y, Huang Y, Shi S, Zeng D (2020) A new approach for an ultrasensitive tactile sensor covering an ultrawide pressure range based on the hierarchical pressure-peak effect. Nanoscale Horiz 5:541–552
Xuan X, Yoon HS, Park JY (2018) A wearable electrochemical glucose sensor based on simple and low-cost fabrication supported micro-patterned reduced graphene oxide nanocomposite electrode on flexible substrate. Biosens Bioelectron 109:75–82
Yamamoto Y, Yamamoto D, Takada M, Naito H, Arie T, Akita S, Takei K (2017) Efficient skin temperature sensor and stable gel-less sticky ECG sensor for a wearable flexible healthcare patch. Adv Healthc Mater 6:1700495
Yan C, Wang J, Lee PS (2015) Stretchable graphene thermistor with tunable thermal index. ACS Nano 9:2130–2137
Yang J, Yu J-H, Strickler JR, Chang W-J, Gunasekaran S (2013) Nickel nanoparticle–chitosan-reduced graphene oxide-modified screen-printed electrodes for enzyme-free glucose sensing in portable microfluidic devices. Biosens Bioelectron 47:530–538
Yao H, Shum AJ, Cowan M, Lähdesmäki I, Parviz BA (2011) A contact lens with embedded sensor for monitoring tear glucose level. Biosens Bioelectron 26:3290–3296
Yogeswaran U, Chen S-M (2008) A review on the electrochemical sensors and biosensors composed of nanowires as sensing material. Sensors 8:290–313
Yoon Y, Lee G, Yoo K, Lee J-B (2013) Fabrication of a microneedle/CNT hierarchical micro/nano surface electrochemical sensor and its in-vitro glucose sensing characterization. Sensors 13:16672–16681
Zaryanov NV, Nikitina VN, Karpova EV, Karyakina EE, Karyakin AA (2017) Nonenzymatic sensor for lactate detection in human sweat. Anal Chem 89:11198–11202
Zhou HP, Ye X, Huang W, Wu MQ, Mao LN, Yu B, Xu S, Levchenko I, Bazaka K (2019) Wearable, flexible, disposable plasma-reduced graphene oxide stress sensors for monitoring activities in Austere environments. ACS Appl Mater Interfaces 11:15122–15132
Zhu B, Niu Z, Wang H, Leow WR, Wang H, Li Y, Zheng L, Wei J, Huo F, Chen X (2014) Microstructured graphene arrays for highly sensitive flexible tactile sensors. Small 10:3625–3631
Zhu C, Chortos A, Wang Y, Pfattner R, Lei T, Hinckley AC, Pochorovski I, Yan X, To JW-F, Oh JY (2018) Stretchable temperature-sensing circuits with strain suppression based on carbon nanotube transistors. Nat Electron 1:183
Zou M, Ma Y, Yuan X, Hu Y, Liu J, ** Z (2018) Flexible devices: from materials, architectures to applications. J Semicond 39:11010
Acknowledgements
This work was financially supported by the Science and Engineering Research Board, India (Ref. No.: ECR/2016/001446). We also thank DST (International Bilateral Cooperation Division) for financial support through “INDO-RUSSIA Project (File No.: INT/RUS/RFBR/385).” RDN thanks SRM IST for Ph.D. student fellowship.
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Nagarajan, R.D., Sundramoorthy, A.K. (2021). Recent Trends in Fabrication and Applications of Wearable Bioelectronics for Early-Stage Disease Monitoring and Diagnosis. In: Rai, M., Reshetilov, A., Plekhanova, Y., Ingle, A.P. (eds) Macro, Micro, and Nano-Biosensors. Springer, Cham. https://doi.org/10.1007/978-3-030-55490-3_18
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