SMART FABRICS{biosensing textiles}TO HEALTH
A cluster of EU research projects (SFIT Group) is
supporting this burgeoning field of smart fabrics, interactive textiles
and flexible wearable systems. Jean Luprano, a researcher at the Swiss
Centre for Electronics and Microtechnology (CSEM), coordinates the
BIOTEX project.
“One of the most obvious applications for smart fabrics is in the
medical field,” he says. “There has been a good deal of progress with
physiological measurements, body temperature or electro-cardiograms. But
no-one has yet developed biochemical sensing techniques that can take
measurements from fluids like sweat and blood. We are developing a suite
of sensors that can be integrated into a textile patch. The patch is a
sensing and processing unit, adaptable to target different body fluids
and biochemical species. At the very least, some basic biochemical
analyses could complement the physiological measurements that can
already be monitored. In some circumstances, fluidic analysis may be the
only way to get information on a patient's health status.”
Sensing success
But there is a simple reason why researchers have shied away from
developing smart textiles for fluid monitoring: it is extremely tricky.
How do you collect a fluid and transport it to a biosensing unit? Can
you perform non-invasive blood tests? Can measurements be reliable and
accurate with tiny volumes of liquid?
The BIOTEX partners – universities and small enterprises from Italy,
France and Ireland – have collaborated with CSEM to overcome some of the
technical barriers to biosensing textiles.
One of the main achievements of the project has been the development
of a suite of prototype ionic biosensors, capable of measuring sodium,
potassium and chloride in sweat samples. Another probe measures the
conductivity of sweat and a miniaturised pH sensor uses colour changes
to indicate the pH of sweat. An immunosensor, which could be integrated
into wound dressings or bandages, can detect the presence of specific
proteins in fluid samples.
These biosensors are not just scaled-down versions of existing
technology, Luprano is keen to point out. “Many of the chemical or
biochemical reactions used in sample assays are non-reversible and some
part of the biosensor has to be replaced. When you monitor continuously
you can't do that – you need a sensor that binds your substrate
reversibly. Also, the BIOTEX sensors work on tiny volumes of liquid, so
we had to come up with innovative designs and materials that would make
it possible to miniaturise the sensors and make them compatible with
fabrics.”
Several of the BIOTEX probes, including the pH sensor, use colour
changes or other optical measurements. For example, as sweat passes
through the pH sensor it causes an indicator to change colour which is
detected by a portable spectrometer device. The immunosensor technology
works in a similar fashion. Plastic optical fibres (POFs) are woven into
the fabric so that light can be supplied to the optical sensors and the
reflected light directed to the spectrometer.
Small and smart
The BIOTEX oxygen probe measures levels of oxygen saturation in the
blood around the thorax using a technique called reflective oximetry. A
cluster of POFs allows a large surface of the thorax to be illuminated
and improves the collection of the reflected red and infrared light used
for the oximeter sensor. Signal processing also improves the
sensitivity of this method.
Having an array of biosensors in a textile patch is one thing, but how do you get fluids to them in the first place?
“The volume of fluid secreted from sweat glands is just a few
millilitres over a small surface,” says Luprano, “and the body's heat
means this is rapidly vaporised. We needed some kind of pump that could
collect sweat in one area and bring it to the sensor array, where it
could be channelled through each sensor.”
The solution uses a combination of hydrophilic (water-loving) and
hydrophobic (water-repellent) yarns. It is possible to weave these two
threads to direct the sweat through fabric channels to the sensor array.
It is a passive system using no power, thereby reducing the power
demands of the BIOTEX system (and the weight of a battery pack that the
wearer would have to carry).
In the first BIOTEX trials, the smart patches will be worn in clothes
by people with obesity and diabetes, as well as athletes. Once the
technology has been validated, the plan is to take on industrial backers
to commercialise it. Meanwhile, a large EU-funded project within the
same SFIT group, called PROETEX, is integrating the technology with
other micro- and nanosystems for specific applications (fire fighting
and rescue teams).
However, whilst BIOTEX has solved several of the technical aspects of
continuous biochemical monitoring, Luprano calls for more research into
the application of this technology.
“It's new and healthcare providers are not used to it. We are not
used to the information that continuous, remote monitoring can provide –
so different to the one-off laboratory tests that are usually taken.
BIOTEX makes this remote monitoring possible, but more research into the
links between these indicators and disease conditions and states will
make it realistic. Nevertheless, in the long-term we expect continuous
monitoring, made possible with smart textiles, to make a major
improvement to the way we approach the treatment of metabolic disorders
and leisure.”
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