Temperature- and pH-sensitive wearable materials for monitoring foot ulcers

Int J Nanomedicine. 2017 Jan 31:12:949-954. doi: 10.2147/IJN.S121726. eCollection 2017.

Abstract

Foot ulcers account for 15% of comorbidities associated with diabetes. Presently, no device allows the status of foot ulcers to be continuously monitored when patients are not hospitalized. In this study, we describe a temperature and a pH sensor capable of monitoring diabetic foot and venous leg ulcers developed in the frame of the seventh framework program European Union project SWAN-iCare (smart wearable and autonomous negative pressure device for wound monitoring and therapy). Temperature is measured by exploiting the variations in the electrical resistance of a nanocomposite consisting of multiwalled carbon nanotubes and poly(styrene-b-(ethylene-co-butylene)-b-styrene). The pH sensor used a graphene oxide (GO) layer that changes its electrical potential when pH changes. The temperature sensor has a sensitivity of ~85 Ω/°C in the range 25°C-50°C and a high repeatability (maximum standard deviation of 0.1% over seven repeated measurements). For a GO concentration of 4 mg/mL, the pH sensor has a sensitivity of ~42 mV/pH and high linearity (R2=0.99).

Keywords: diabetic foot ulcer; wearable sensors; wound pH; wound temperature.

MeSH terms

  • Diabetic Foot / diagnosis
  • Equipment Design
  • Foot Ulcer / diagnosis*
  • Graphite
  • Humans
  • Hydrogen-Ion Concentration
  • Monitoring, Ambulatory / instrumentation*
  • Monitoring, Ambulatory / methods
  • Nanomedicine / instrumentation
  • Nanomedicine / methods
  • Nanotubes, Carbon
  • Polyethylenes / chemistry
  • Polystyrenes / chemistry
  • Pressure
  • Sensitivity and Specificity
  • Temperature

Substances

  • Nanotubes, Carbon
  • Polyethylenes
  • Polystyrenes
  • styrene-ethylene-butylene-styrene-block copolymer
  • Graphite