Skin-interfaced microfluidic systems with spatially engineered 3D fluidics for sweat capture and analysis
Chung-Han Wu, Howin Jian Hing Ma, Paul Baessler, Roxanne Kate Balanay, Tyler R. Ray
Skin-interfaced wearable systems with integrated microfluidic structures and sensing capabilities offer powerful platforms for monitoring the signals arising from natural physiological processes. This paper introduces a set of strategies, processing approaches, and microfluidic designs that harness recent advances in additive manufacturing [three-dimensional (3D) printing] to establish a unique class of epidermal microfluidic (“epifluidic”) devices. A 3D-printed epifluidic platform, called a “sweatainer,” demonstrates the potential of a true 3D design space for microfluidics through the fabrication of fluidic components with previously inaccessible complex architectures. These concepts support the integration of colorimetric assays to facilitate in situ biomarker analysis operating in a mode analogous to traditional epifluidic systems. The sweatainer system enables a new mode of sweat collection, termed multidraw, which facilitates the collection of multiple, independent sweat samples for either on-body or external analysis. Field studies of the sweatainer system demonstrate the practical potential of these concepts.
Eccrine sweat is an attractive class of biofluid suitable for the noninvasive monitoring of body chemistry. Sweat contains a rich composition of biomarkers relevant to physiological health status including electrolytes (1), metabolites (2–4), hormones (5, 6), proteins (7), and exogenous agents (8). Studies demonstrate the intermittent or continuous assessment of these, and other sweat biomarkers offer time dynamic insight into the metabolic processes of the body relevant to applications ranging from athletic performance (9–11) to medical diagnostics (2, 12–14).
Recent advances in soft microfluidics, sensing technologies, and electronics establish the foundations for a unique class of skin-like epidermal microfluidic (“epifluidic”) systems. Adapting concepts from traditional lab-on-chip technologies, these wearable microfluidic platforms comprise sophisticated networks of channels, valves, and reservoirs embedded in elastomeric substrates (15–20). The thin, flexible device construct facilitates a conformal, fluid-tight skin interface by virtue of skin-compatible adhesives to collect sweat directly from sweat glands. The integration of colorimetric, fluorometric, and electrochemical measurement techniques enable such platforms to measure sweat constituents in situ across a wide array of applications and environments (21).
The typical epifluidic fabrication pathway uses soft lithography techniques (25) to produce devices with microfluidic components and complex geometries. A common, well-established process for fabricating lab-on-chip microfluidic devices (26), soft lithography, requires high-precision molds to form discrete, patterned layers of an elastomeric material [e.g., poly(dimethylsiloxane) (PDMS)] that when bonded together yield a sealed device. Traditionally, producing molds with sufficient feature resolution (>20 μm) requires expensive, time-consuming processing methods [micromachining (27) and micromilling (28)] and access to specialized environments (cleanroom). Such requirements result in elongated device design cycles, inequitable access to equipment necessary for innovation, and additional challenges for commercial deployment due to incompatibilities with large-scale manufacturing.
Additive manufacturing (AM), or three-dimensional (3D) printing, represents an attractive alternative to conventional planar (2D) fabrication methods. AM offers powerful capabilities for producing structurally complex objects with true 3D architectures through a rapidly expanding library of printing methods. In general, these methods create solid objects in a sequential, layer-by-layer manner directly from a digital computer-aided design (CAD) file. In the context of microfluidics, the use of 3D printing is well established (29) for the rapid, cost-effective fabrication of high-resolution templates for soft lithography. In particular, vat photopolymerization techniques [e.g., resin-based printing, stereolithography, digital light processing (DLP), and continuous liquid interface polymerization] (30) enable rapid production of microscale features (>100 μm) over large areas (>600 mm2) with high precision (31). Innovations in printer hardware, software processing, and materials chemistry further extend these 3D printing capabilities to enable the direct production of enclosed microfluidic channels for lab-on-chip applications. Although manufacturers advertise printers with high resolution (xy resolution: >50 μm and z-resolution: >5 μm), in practice, the obtainable channel dimensions and device complexity are typically limited to millifluidic features (>250 μm) (29). Printer specifications represent only one key constraint to printing devices with micron-scale internal fluidic features (<100 μm). Successful fabrication requires optimization of other critical factors including printing technology (e.g., vat photopolymerization versus extrusion), feature design and spatial location, and printer-dependent parameters. AM process optimization, particularly for vat photopolymerization, demands careful attention to the chemistry of printed materials (30, 32). Resin formulations must simultaneously satisfy application specific requirements, such as biocompatibility or optical clarity, while preserving printability. Recent reports (32, 33) leverage specialized DLP-based printers and customized resins to fabricate devices containing microfluidic components with <50-μm dimensions.
In general, wearable system designs must address the inherent mismatch between the mechanical properties of skin and rigid, planar device components. The most advanced platforms fabricated by conventional (non-AM) methods exploit sophisticated strategies, combining complex device geometries and soft (low modulus) materials to establish a seamless, nonirritating epidermal interface. Recent advances in soft materials chemistry support 3D printing approaches to fabricating wearable devices for applications spanning biophysical (34), biochemical (35, 36), and environmental (37) monitoring. However, such capabilities remain limited for the 3D fabrication of epifluidic devices as a result of the high Young’s moduli of the primary material chemistries (i.e., methacrylate-based resins) (38) suitable for printing high-resolution microfluidics. Current efforts to fabricate skin-interfaced 3D printed microfluidics use alternative printing methods [e.g., fused deposition modeling (34) and direct ink writing (39)] that support fabrication with low modulus materials at the expense of printer resolution (>200 μm). In the context of epifluidics, the ideal fabrication scheme would use resin-based printing to fabricate devices with feature sizes comparable to conventional methods with biologically compliant form factors. Such an approach would transform the fluidic design space with truly 3D device architectures while enabling a rapid, iterative design process, facilitating individual-specific device customization, and reducing the cost for low-volume production.
This paper introduces a set of strategies, processing approaches, and microfluidic designs that support such fabrication capabilities using a commercial DLP 3D printer in a simple manner of operation. A modular 3D printed epifluidic platform, termed a “sweatainer,” demonstrates several unique aspects of an AM approach to fabricating epifluidic systems. This platform, to our knowledge, represents the first 3D printed epifluidic platform with true microfluidic dimensions. Specifically, the results highlight the potential of a true 3D design space for microfluidics through the fabrication of fluidic components (channels and valves) with previously inaccessible complex architectures. Printer optimization strategies and systematic experiments enable realization of micron-scale feature sizes (<100 μm) and enhancement of optical transparency of 3D printed channels. In combination, these concepts support integration of colorimetric assays to facilitate in situ biomarker analysis operating in a mode analogous to traditional epifluidic systems. Drawing inspiration from the vacutainer blood collection tube, the sweatainer system introduces a novel mode of sweat collection, termed “multidraw.” This method overcomes the inherent limitations of single-use devices by enabling the collection of multiple, independent pristine sweat samples during a single collection period. Field studies of the sweatainer system demonstrate the practical potential of these concepts.