Microfluidics by Additive Manufacturing for Wearable Biosensors: A Review

Wearable devices are nowadays at the edge-front in both academic research as well as in industry, and several wearable devices have been already introduced in the market. One of the most recent advancements in wearable technologies for biosensing is in the area of the remote monitoring of human health by detection on-the-skin. However, almost all the wearable devices present in the market nowadays are still providing information not related to human ‘metabolites and/or disease’ biomarkers, excluding the well-known case of the continuous monitoring of glucose in diabetic patients. Moreover, even in this last case, the glycaemic level is acquired under-the-skin and not on-the-skin. On the other hand, it has been proven that human sweat is very rich in molecules and other biomarkers (e.g., ions), which makes sweat a quite interesting human liquid with regards to gathering medical information at the molecular level in a totally non-invasive manner. Of course, a proper collection of sweat as it is emerging on top of the skin is required to correctly convey such liquid to the molecular biosensors on board of the wearable system. Microfluidic systems have efficiently come to the aid of wearable sensors, in this case. These devices were originally built using methods such as photolithographic and chemical etching techniques with rigid materials. Nowadays, fabrication methods of microfluidic systems are moving towards three-dimensional (3D) printing methods. These methods overcome some of the limitations of the previous method, including expensiveness and non-flexibility. The 3D printing methods have a high speed and according to the application, can control the textures and mechanical properties of an object by using multiple materials in a cheaper way. Therefore, the aim of this paper is to review all the most recent advancements in the methods for 3D printing to fabricate wearable fluidics and provide a critical frame for the future developments of a wearable device for the remote monitoring of the human metabolism directly on-the-skin.

[1]  J. Lewis,et al.  Conformal Printing of Electrically Small Antennas on Three‐Dimensional Surfaces , 2011, Advanced materials.

[2]  Hye Rim Cho,et al.  A graphene-based electrochemical device with thermoresponsive microneedles for diabetes monitoring and therapy. , 2016, Nature nanotechnology.

[3]  Yongan Huang,et al.  Microfluidic serpentine antennas with designed mechanical tunability. , 2014, Lab on a chip.

[4]  Yuanyuan Xu,et al.  The crossing and integration between microfluidic technology and 3D printing for organ-on-chips. , 2018, Journal of materials chemistry. B.

[5]  J. Marin-Neto,et al.  Challenges and opportunities for primary, secondary, and tertiary prevention of Chagas’ disease , 2008, Heart.

[6]  Marta Esteban,et al.  Non-invasive matrices in human biomonitoring: a review. , 2009, Environment international.

[7]  Kyoungchul Kong,et al.  A mobile motion capture system based on inertial sensors and smart shoes , 2013, 2013 IEEE International Conference on Robotics and Automation.

[8]  Amay J Bandodkar,et al.  Non-invasive wearable electrochemical sensors: a review. , 2014, Trends in biotechnology.

[9]  Wunyuh Jywe Progress on advanced manufacture for micro/nano technology 2005 : proceedings of the 2005 International Conference on Advanced Manufacture Tipei, Taiwan, R.O.C. November 28th-December 2nd, 2005 , 2006 .

[10]  Alicja B. Stannard,et al.  Wearable Sweat Sensors: Background and Current Trends , 2018, Electroanalysis.

[11]  Amir Shamloo,et al.  Numerical simulation of mixing and heat transfer in an integrated centrifugal microfluidic system for nested-PCR amplification and gene detection , 2019, Sensors and Actuators B: Chemical.

[12]  J. Lewis,et al.  3D Printing of Interdigitated Li‐Ion Microbattery Architectures , 2013, Advanced materials.

[13]  Ali Javey,et al.  Wearable sweat sensors , 2018 .

[14]  Kwok-wing Chau,et al.  Developing an ANFIS-based swarm concept model for estimating the relative viscosity of nanofluids , 2018, Engineering Applications of Computational Fluid Mechanics.

[15]  Phillip Won,et al.  A soft, wearable microfluidic device for the capture, storage, and colorimetric sensing of sweat , 2016, Science Translational Medicine.

[16]  Daniel M. Vogt,et al.  Embedded 3D Printing of Strain Sensors within Highly Stretchable Elastomers , 2014, Advanced materials.

[17]  Niall P Macdonald,et al.  Increasing the functionalities of 3D printed microchemical devices by single material, multimaterial, and print-pause-print 3D printing. , 2019, Lab on a chip.

[18]  Rafał Walczak,et al.  Inkjet 3D printing of microfluidic structures—on the selection of the printer towards printing your own microfluidic chips , 2015 .

[19]  Albert Folch,et al.  3D-Printed Microfluidics. , 2016, Angewandte Chemie.

[20]  Wei Gao,et al.  Wearable and flexible electronics for continuous molecular monitoring. , 2019, Chemical Society reviews.

[21]  Sam Emaminejad,et al.  Fully integrated wearable sensor arrays for multiplexed in situ perspiration analysis , 2016, Nature.

[22]  P. Dagum Digital biomarkers of cognitive function , 2018, npj Digital Medicine.

[23]  Jingquan Liu,et al.  Lab-on-paper micro- and nano-analytical devices: Fabrication, modification, detection and emerging applications , 2016, Microchimica Acta.

[24]  Rob N. Candler,et al.  Characterization of 3D-printed microfluidic chip interconnects with integrated O-rings , 2014 .

[25]  J. Windmiller,et al.  Electrochemical tattoo biosensors for real-time noninvasive lactate monitoring in human perspiration. , 2013, Analytical chemistry.

[26]  Sam Emaminejad,et al.  Autonomous sweat extraction and analysis applied to cystic fibrosis and glucose monitoring using a fully integrated wearable platform , 2017, Proceedings of the National Academy of Sciences.

[27]  Ryan B. Wicker,et al.  Integrating stereolithography and direct print technologies for 3D structural electronics fabrication , 2012 .

[28]  J M Pingarrón,et al.  A novel non-invasive electrochemical biosensing device for in situ determination of the alcohol content in blood by monitoring ethanol in sweat. , 2014, Analytica chimica acta.

[29]  Joseph Wang,et al.  Wearable salivary uric acid mouthguard biosensor with integrated wireless electronics. , 2015, Biosensors & bioelectronics.

[30]  Wei Gao,et al.  Wearable Microsensor Array for Multiplexed Heavy Metal Monitoring of Body Fluids , 2016 .

[31]  G. Whitesides,et al.  Paper-Based Electrical Respiration Sensor. , 2016, Angewandte Chemie.

[32]  Dong-Yol Yang,et al.  Rapid Prototyping and Reverse Engineering Application for Orthopedic Surgery Planning , 2006 .

[33]  Rosa Maria Dangelico,et al.  Smart wearable technologies: Current status and market orientation through a patent analysis , 2017, 2017 IEEE International Conference on Industrial Technology (ICIT).

[34]  M Odijk,et al.  A microfluidic chip for electrochemical conversions in drug metabolism studies. , 2009, Lab on a chip.

[35]  Jie Xu,et al.  Microstructures Fabricated by Two‐Photon Polymerization and Their Remote Manipulation Techniques: Toward 3D Printing of Micromachines , 2018 .

[36]  Daeshik Kang,et al.  Thin, Soft, Skin‐Mounted Microfluidic Networks with Capillary Bursting Valves for Chrono‐Sampling of Sweat , 2017, Advanced healthcare materials.

[37]  J. Windmiller,et al.  A potentiometric tattoo sensor for monitoring ammonium in sweat. , 2013, The Analyst.

[38]  Rafał Walczak,et al.  Inkjet 3D printed modular microfluidic chips for on-chip gel electrophoresis , 2019, Journal of Micromechanics and Microengineering.

[39]  Richard P. Martin,et al.  A Review of Medication Adherence Monitoring Technologies , 2018 .

[40]  Yu-Te Liao,et al.  A 3-$\mu\hbox{W}$ CMOS Glucose Sensor for Wireless Contact-Lens Tear Glucose Monitoring , 2012, IEEE Journal of Solid-State Circuits.

[41]  Christian Holz,et al.  Glabella: Continuously Sensing Blood Pressure Behavior using an Unobtrusive Wearable Device , 2017, Proc. ACM Interact. Mob. Wearable Ubiquitous Technol..

[42]  Min Chen,et al.  Smart Clothing: Connecting Human with Clouds and Big Data for Sustainable Health Monitoring , 2016, Mobile Networks and Applications.

[43]  Wenzhao Jia,et al.  Tattoo-based noninvasive glucose monitoring: a proof-of-concept study. , 2015, Analytical chemistry.

[44]  Jason Heikenfeld,et al.  Integrated sudomotor axon reflex sweat stimulation for continuous sweat analyte analysis with individuals at rest. , 2017, Lab on a chip.

[45]  Sanat S Bhole,et al.  Soft Microfluidic Assemblies of Sensors, Circuits, and Radios for the Skin , 2014, Science.

[46]  Michael C. McAlpine,et al.  3D Printed Bionic Ears , 2013, Nano letters.

[47]  Jayoung Kim,et al.  Simultaneous Monitoring of Sweat and Interstitial Fluid Using a Single Wearable Biosensor Platform , 2018, Advanced science.

[48]  G. Murtaza,et al.  Recent Developments in Sweat Analysis and Its Applications , 2015, International journal of analytical chemistry.

[49]  James D. Amor,et al.  Preliminary study on activity monitoring using an android smart-watch , 2015, Healthcare technology letters.

[50]  Arzu Ersöz,et al.  3D Micropatterned All-Flexible Microfluidic Platform for Microwave-Assisted Flow Organic Synthesis. , 2018, ChemPlusChem.

[51]  Michael C. McAlpine,et al.  3D printed quantum dot light-emitting diodes. , 2014, Nano letters.

[52]  Dishit P. Parekh,et al.  3D printing of liquid metals as fugitive inks for fabrication of 3D microfluidic channels. , 2016, Lab on a chip.

[53]  Joseph Wang,et al.  Epidermal tattoo potentiometric sodium sensors with wireless signal transduction for continuous non-invasive sweat monitoring. , 2014, Biosensors & bioelectronics.

[54]  N E Day,et al.  Primary and secondary prevention in the reduction of cancer morbidity and mortality. , 2001, European journal of cancer.

[55]  X. Tao,et al.  Fiber‐Based Wearable Electronics: A Review of Materials, Fabrication, Devices, and Applications , 2014, Advanced materials.

[56]  James F Rusling,et al.  3D-Printed Fluidic Devices for Nanoparticle Preparation and Flow-Injection Amperometry Using Integrated Prussian Blue Nanoparticle-Modified Electrodes. , 2015, Analytical chemistry.

[57]  Jun Yang,et al.  3D printing of ionic conductors for high-sensitivity wearable sensors , 2019, Materials Horizons.

[58]  Mark Tamsin,et al.  Wearable Biosensor Technologies , 2015 .

[59]  Denis Cormier,et al.  Inkjet Printed Polyethylene Glycol as a Fugitive Ink for the Fabrication of Flexible Microfluidic Systems. , 2018, Materials & design.

[60]  Bobby Mathew,et al.  Magnetophoretic microdevice for size-based separation: model-based study , 2020 .

[61]  Xingyu Jiang,et al.  A microfluidic flow-stretch chip for investigating blood vessel biomechanics. , 2012, Lab on a chip.

[62]  J. Reginster,et al.  Smart wearable body sensors for patient self-assessment and monitoring , 2014, Archives of Public Health.

[63]  Sidra Waheed,et al.  3D printed microfluidic devices: enablers and barriers. , 2016, Lab on a chip.

[64]  Hye Rim Cho,et al.  Wearable/disposable sweat-based glucose monitoring device with multistage transdermal drug delivery module , 2017, Science Advances.

[65]  Albert Folch,et al.  Desktop‐Stereolithography 3D‐Printing of a Poly(dimethylsiloxane)‐Based Material with Sylgard‐184 Properties , 2018, Advanced materials.

[66]  David Elashoff,et al.  Salivary Proteomics for Oral Cancer Biomarker Discovery , 2008, Clinical Cancer Research.

[67]  Gianluca Percoco,et al.  Extrusion-Based 3D Printing of Microfluidic Devices for Chemical and Biomedical Applications: A Topical Review , 2018, Micromachines.

[68]  G. Emri,et al.  Highly abundant defense proteins in human sweat as revealed by targeted proteomics and label‐free quantification mass spectrometry , 2015, Journal of the European Academy of Dermatology and Venereology : JEADV.

[69]  P. Augustyniak,et al.  Human activity surveillance based on wearable body sensor network , 2012, 2012 Computing in Cardiology.

[70]  Sima Ajami,et al.  Features and application of wearable biosensors in medical care , 2015, Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences.

[71]  Ricardo Ramina,et al.  Rapid prototyping of three-dimensional biomodels as an adjuvant in the surgical planning for intracranial aneurysms. , 2013, Acta cirurgica brasileira.

[72]  Akash S Munshi,et al.  Microchip-based electrochemical detection using a 3-D printed wall-jet electrode device. , 2016, The Analyst.

[73]  Cristina B. Adamo,et al.  A simple procedure to produce FDM-based 3D-printed microfluidic devices with an integrated PMMA optical window , 2019, Analytical Methods.

[74]  Ali Javey,et al.  A Wearable Microfluidic Sensing Patch for Dynamic Sweat Secretion Analysis. , 2018, ACS sensors.

[75]  G. Jung,et al.  3D-Printed Microfluidic Device for the Detection of Pathogenic Bacteria Using Size-based Separation in Helical Channel with Trapezoid Cross-Section , 2015, Scientific Reports.

[76]  Niall P Macdonald,et al.  Multimaterial 3D Printed Fluidic Device for Measuring Pharmaceuticals in Biological Fluids. , 2018, Analytical chemistry.

[77]  Zhilin Zhang,et al.  Photoplethysmography-Based Heart Rate Monitoring Using Asymmetric Least Squares Spectrum Subtraction and Bayesian Decision Theory , 2015, IEEE Sensors Journal.

[78]  Donald Wlodkowic,et al.  3D Printed Microfluidic Devices , 2015 .

[79]  Dongping Jin,et al.  A Modular Microfluidic Device via Multimaterial 3D Printing for Emulsion Generation , 2018, Scientific Reports.

[80]  Khaled N. Salama,et al.  A hybrid modular microfluidic device for emulsion generation , 2018, Sensors and Actuators A: Physical.

[81]  Jie Xu,et al.  3D printing: an emerging tool for novel microfluidics and lab-on-a-chip applications , 2016, Microfluidics and Nanofluidics.

[82]  Aliaa I. Shallan,et al.  Cost-effective three-dimensional printing of visibly transparent microchips within minutes. , 2014, Analytical chemistry.

[83]  Alessandro Marro,et al.  Three-Dimensional Printing and Medical Imaging: A Review of the Methods and Applications. , 2016, Current problems in diagnostic radiology.

[84]  Bruce K. Gale,et al.  A Review of Current Methods in Microfluidic Device Fabrication and Future Commercialization Prospects , 2018, Inventions.

[85]  Chengpeng Chen,et al.  3D-printed Microfluidic Devices: Fabrication, Advantages and Limitations-a Mini Review. , 2016, Analytical methods : advancing methods and applications.

[86]  Sam Emaminejad,et al.  A Wearable Electrochemical Platform for Noninvasive Simultaneous Monitoring of Ca(2+) and pH. , 2016, ACS nano.

[87]  Alessandro Chiolerio,et al.  Wearable Electronics and Smart Textiles: A Critical Review , 2014, Sensors.

[88]  Jia Jiang,et al.  Interfacial microfluidic transport on micropatterned superhydrophobic textile. , 2013, Lab on a chip.

[89]  Shailesh Kulkarni,et al.  The impact of wearable devices and performance payments on health outcomes , 2018, International Journal of Production Economics.

[90]  Xiaoyong Tian,et al.  Development Trends in Additive Manufacturing and 3D Printing , 2015 .

[91]  Wenzhao Jia,et al.  Non-invasive mouthguard biosensor for continuous salivary monitoring of metabolites. , 2014, The Analyst.

[92]  Hossam Haick,et al.  Materials and Wearable Devices for Autonomous Monitoring of Physiological Markers , 2018, Advanced materials.

[93]  Chwee Teck Lim,et al.  Emergence of microfluidic wearable technologies. , 2016, Lab on a chip.

[94]  Petr Smejkal,et al.  Comparing Microfluidic Performance of Three-Dimensional (3D) Printing Platforms. , 2017, Analytical chemistry.

[95]  David Elashoff,et al.  Discovery and Preclinical Validation of Salivary Transcriptomic and Proteomic Biomarkers for the Non-Invasive Detection of Breast Cancer , 2010, PloS one.

[96]  Tim Caffrey,et al.  Wohlers report 2013 : additive manufacturing and 3D printing state of the industry : annual worldwide progress report , 2013 .

[97]  A. Kashani,et al.  Additive manufacturing (3D printing): A review of materials, methods, applications and challenges , 2018, Composites Part B: Engineering.

[98]  Srikrishnan Pillai Raju,et al.  Rapid Low-Cost Microfluidic Detection in Point of Care Diagnostics , 2018, Journal of Medical Systems.

[99]  Dermot Diamond,et al.  Wearable Platform for Real-time Monitoring of Sodium in Sweat. , 2018, Chemphyschem : a European journal of chemical physics and physical chemistry.

[100]  Alan S. Campbell,et al.  Epidermal Microfluidic Electrochemical Detection System: Enhanced Sweat Sampling and Metabolite Detection. , 2017, ACS sensors.

[101]  Po Ki Yuen,et al.  Low-cost rapid prototyping of flexible microfluidic devices using a desktop digital craft cutter. , 2010, Lab on a chip.

[102]  A. Javey,et al.  Roll-to-Roll Gravure Printed Electrochemical Sensors for Wearable and Medical Devices. , 2018, ACS nano.

[103]  Sameer Sonkusale,et al.  A flexible pH sensing smart bandage with wireless CMOS readout for chronic wound monitoring , 2017, 2017 19th International Conference on Solid-State Sensors, Actuators and Microsystems (TRANSDUCERS).

[104]  Z. Tehrani,et al.  3-D printed composite microfluidic pump for wearable biomedical applications , 2016 .

[105]  Kai Kunze,et al.  Making Regular Eyeglasses Smart , 2015, IEEE Pervasive Computing.

[106]  Nancy Kelley-Loughnane,et al.  Adhesive RFID Sensor Patch for Monitoring of Sweat Electrolytes , 2015, IEEE Transactions on Biomedical Engineering.

[107]  Albert Folch,et al.  The upcoming 3D-printing revolution in microfluidics. , 2016, Lab on a chip.

[108]  Ronen Polsky,et al.  Integrated carbon fiber electrodes within hollow polymer microneedles for transdermal electrochemical sensing. , 2011, Biomicrofluidics.

[109]  Joseph Wang,et al.  Noninvasive Alcohol Monitoring Using a Wearable Tattoo-Based Iontophoretic-Biosensing System , 2016 .

[110]  A Bertsch,et al.  Static micromixers based on large-scale industrial mixer geometry. , 2001, Lab on a chip.

[111]  D. Sidransky,et al.  Gene mutations in saliva as molecular markers for head and neck squamous cell carcinomas. , 1994, American journal of surgery.

[112]  Wing-Cheung Law,et al.  Wearable Fluid Capture Devices for Electrochemical Sensing of Sweat. , 2018, ACS applied materials & interfaces.

[113]  Wendell K. T. Coltro,et al.  Salivary diagnostics on paper microfluidic devices and their use as wearable sensors for glucose monitoring , 2019, Analytical and Bioanalytical Chemistry.

[114]  Steffen Cosson,et al.  Ultra-rapid prototyping of flexible, multi-layered microfluidic devices via razor writing. , 2015, Lab on a chip.

[115]  M. Breadmore,et al.  One-Step Fabrication of a Microfluidic Device with an Integrated Membrane and Embedded Reagents by Multimaterial 3D Printing. , 2017, Analytical chemistry.

[116]  J. Shear,et al.  Microreplication and design of biological architectures using dynamic-mask multiphoton lithography. , 2009, Small.

[117]  G. Whitesides,et al.  Flexible Methods for Microfluidics , 2001 .