Publications

Surgical sutures are long-established medical devices that play an important role closing and healing damaged tissues and organs postoperatively. However, current commercial sutures are not able to detect infections at the wound site, which are quite frequent after surgery. In this work, we present mechanically stable smart sutures for the real-time monitoring of bacterial growth and biofilm formation. For this purpose, a conducting polymer named poly(3,4-ethylenedioxythiophene) (PEDOT), which is able to detect bacteria metabolites, was implemented as a coating onto commercial biostable sutures. A protecting hydrogel layer with adhesive properties, which was made of polydopamine-polyacrylamide (PDA-PAM), was used to prevent the detachment of the sensing coating of PEDOT upon looping and knotting the suture. The protective hydrogel preserved not only the knot mechanical properties of the suture but also the electrochemical response of the PEDOT-coating and, therefore, its ability to detect NADH from bacteria respiration. Ex-vivo assays using sutured swine intestine samples demonstrated that the suture with the PDA-PAM hydrogel layer detects the growth of bacteria in real tissues. As a proof of concept, sutures coated with PEDOT and protected with PDA-PAM were used to inhibit the local growth of bacteria in sutured intestines by applying controlled electrostimuli. Results evidenced that smart electro-responsive sutures can be used as multi-task devices focused on fighting bacterial infections, meaning not only monitoring but also hampering bacteria growth.

JTD Keywords: 4-ethylenedioxythiophene), Bacteria growth detection, Bacteria growth inhibition, Multi-task biomedical devices, Nanoparticles, Pape, Poly(3, Polydopamine-polyacrylamide, Sensor, Smart suture

When danger is perceived, the human body responds to overcome obstacles and survive a stressful situation; however, sustained levels of stress are associated with health disorders and diminished life quality. Hence, stress biomarkers are monitored to control stress quantitatively. Herein, a porous sensor (4l-COP/p) composed of poly(3,4-ethylenedioxythiophene) (PEDOT) and poly(3,4-ethylenedioxythiophene-co-N-methylpyrrole) (COP), which is prepared in a four-layered fashion to detect dopamine (DA) and serotonin (5-HT), is presented. Specifically, the detection is conducted in phosphate-buffered saline (PBS), as well as artificial urine and sweat, by applying cyclic voltammetry. The limit of detection values obtained are as low as 5.7 x 10(-6) and 1.4 x 10(-6) m for DA and 5-HT, respectively, when assessed individually in artificial urine. When mixed in PBS, 4l-COP/p detects both biomarkers with a resolution of 0.18 V and a sensitivity of 40 and 30 mu A mm(-1) for DA and 5-HT, respectively. Additionally, by theoretical calculations, the interaction pattern that each stress biomarker establishes with the PEDOT outer layer is elucidated. Whereas DA interacts with the pi-system of PEDOT, 5-HT forms specific hydrogen bonds with the conducting polymer chains. The resolution value obtained depends upon such interactions. Overall, 4l-COP/p electrodes display potential as stress sensing devices for healthcare technologies.

JTD Keywords: Artificial body fluids, Boron-doped diamond, Cortisol, Cyclic voltammetry, Dopamine, Multilayered films, Paper, Saliva, Selective detection, Sensor, Sensors, Serotonin, Serum

Commercial printers based on fused deposition modeling (FDM) are widely adopted for 3D printing applications. This method consists of the heating of polymeric filaments over the melting point followed by their deposition onto a solid base to create the desirable 3D structure. Prior investigation using chromatographic techniques has shown that chemical compounds (e.g. VOCs), which can be harmful to users, are emitted during the printing process, producing adverse effects to human health and contributing to indoor air pollution. In this study, we present a simple, inexpensive and disposable paperbased optoelectronic nose (i.e. colorimetric sensor array) to identify the gaseous emission fingerprint of five different types of thermoplastic filaments (ABS, TPU, PETG, TRITAN and PLA) in the indoor environment. The optoelectronic nose is comprised of selected 15 dyes with different chemical properties deposited onto a microfluidic paper-based device with spots of 5 mm in diameter each. Digital images were obtained from an ordinary flatbed scanner, and the RGB information collected before and after air exposure was extracted by using an automated routine designed in MATLAB, in which the color changes provide a unique fingerprint for each filament in 5 min of printing. Reproducibility was obtained in the range of 2.5-10% (RSD). Hierarchical clustering analysis (HCA) and principal component analysis (PCA) were successfully employed, showing suitable discrimination of all studied filaments and the non-polluted air. Besides, air spiked with vapors of the most representative VOCs were analyzed by the optoelectronic nose and visually compared to each filament. The described study shows the potential of the paper-based optoelectronic nose to monitor possible hazard emissions from 3D printers. (C) 2020 Elsevier B.V. All rights reserved.

JTD Keywords: 3d printing, colorimetric sensor array, indoor air pollution, optoelectronic nose, paper-based, 3d printing, Colorimetric sensor array, Emissions, Indoor air pollution, Optoelectronic nose, Paper-based, Thermoplastic filaments

Malaria, a parasitic infection caused by Plasmodium parasites and transmitted through the bite of infected female Anopheles mosquitos, is one of the main causes of mortality in many developing countries. Over 200 million new infections and nearly half a million deaths are reported each year, and more than three billion people are at risk of acquiring malaria worldwide. Nevertheless, most malaria cases could be cured if detected early. Malaria eradication is a top priority of the World Health Organisation. However, achieving this goal will require mass population screening and treatment, which will be hard to accomplish with current diagnostic tools. We report an electrochemical point-of-care device for the fast, simple and quantitative detection of Plasmodium falciparum lactate dehydrogenase (PfLDH) in whole blood samples. Sample analysis includes 5-min lysis to release intracellular parasites, and stirring for 5 more min with immuno-modified magnetic beads (MB) along with an immuno-modified signal amplifier. The rest of the magneto-immunoassay, including sample filtration, MB washing and electrochemical detection, is performed at a disposable paper electrode microfluidic device. The sensor provides PfLDH quantitation down to 2.47 ng mL−1 in spiked samples and for 0.006–1.5% parasitemias in Plasmodium-infected cultured red blood cells, and discrimination between healthy individuals and malaria patients presenting parasitemias >0.3%. Quantitative malaria diagnosis is attained with little user intervention, which is not achieved by other diagnostic methods.

JTD Keywords: Electrochemical magneto-immunosensor, Malaria quantitative diagnosis, Paper microfluidic electrode, Plasmodium LDH, Point-of-care (POC) testing