Sweat sensing technologies have enormous potential for applications ranging from athletics, to neonatology, to pharmacological monitoring, to personal digital health, to name a few applications. This is because sweat contains many of the same biomarkers, chemicals, or solutes that are carried in blood, which can provide significant information which enables one to diagnose ailments, health status, toxins, performance, and other physiological attributes even in advance of any physical sign. Furthermore, sweat itself, and the action of sweating, or other parameters, attributes, solutes, or features on or near skin or beneath the skin, can be measured to further reveal physiological information.
Of all the other physiological fluids used for bio monitoring (e.g., blood, urine, saliva, tears), sweat has arguably the least predictable sampling rate in the absence of technological solutions. An excellent summary is provided by Sonner, et al. in the 2015 article titled “The microfluidics of the eccrine sweat gland, including biomarker partitioning, transport, and biosensing implications,” Biomicrofluidics 9, 031301, herein included by reference. However, with proper application of technology, sweat can be made to outperform other non-invasive or less invasive biofluids in predictable sampling. Many of the drawbacks and limitations of the sweat medium can be resolved by creating novel and advanced interplays of chemicals, materials, sensors, electronics, microfluidics, algorithms, computing, software, systems, and other features or designs, in a manner that affordably, effectively, conveniently, intelligently, or reliably brings sweat sensing and stimulating technology into intimate proximity with sweat as it is generated. With the improvements embodied in the current invention, sweat sensing can become a compelling new biosensing medium.
In particular, sweat sensing devices hold tremendous promise for use in workplace safety, athletic, military, and clinical diagnostic settings. For many of these applications to be effective, however, it is desirable that the patch be comfortably integrated into headgear equipment, such as a helmet or hardhat, while maintaining adequate contact with the skin. As disclosed herein, a sweat sensing device is incorporated into an inner surface or support structure of headgear for use in physically active conditions.
Before continuing with the background, a variety of definitions should be made, these definitions gaining further appreciation and scope in the detailed description and embodiments of the disclosed invention.
“Sweat sensor” means any type of sensor that measures a state, presence, flow rate, solute concentration, solute presence, in absolute, relative, trending, or other ways in biofluid. Sweat sensors can include, for example, potentiometric, amperometric, impedance, optical, mechanical, antibody, peptide, aptamer, or other means known by those skilled in the art of sensing or biosensing.
“Analyte” means a substance, molecule, ion, or other material that is measured by a sweat sensing device.
“Measured” can imply an exact or precise quantitative measurement and can include broader meanings such as, for example, measuring a relative amount of change of something. Measured can also imply a binary measurement, such as ‘yes’ or ‘no’ type measurements.
As used herein, “biofluid” is a fluid that is comprised mainly of interstitial fluid or sweat as it emerges from the skin. For example, a fluid that is 45% interstitial fluid, 45% sweat, and 10% blood is a biofluid as used herein. For example, a fluid that is 20% interstitial fluid, 20% sweat, and 60% blood is not a biofluid as used herein. For example, a fluid that is 100% sweat or 100% interstitial fluid is a biofluid. A biofluid may be diluted with water or other solvents inside a device because the term biofluid refers to the state of the fluid as it emerges from the skin.
“Chronological assurance” means the sampling rate or sampling interval that assures measurement(s) of analytes in biofluid in terms of the rate at which measurements can be made of new biofluid analytes emerging from the body. Chronological assurance may also include a determination of the effect of sensor function, potential contamination with previously generated analytes, other fluids, or other measurement contamination sources for the measurement(s). Chronological assurance may have an offset for time delays in the body (e.g., a well-known 5 to 30 minute lag time between analytes in blood emerging in interstitial fluid), but the resulting sampling interval (defined below) is independent of lag time, and furthermore, this lag time is inside the body, and therefore, for chronological assurance as defined above and interpreted herein, this lag time does not apply.
As used herein, the term “analyte-specific sensor” is a sensor specific to an analyte and performs specific chemical recognition of the analytes presence or concentration (e.g., ion-selective electrodes, enzymatic sensors, electro-chemical aptamer based sensors, etc.). For example, sensors that sense impedance or conductance of a fluid, such as biofluid, are excluded from the definition of “analyte-specific sensor” because sensing impedance or conductance merges measurements of all ions in biofluid (i.e., the sensor is not chemically selective; it provides an indirect measurement). Sensors could also be optical, mechanical, or use other physical/chemical methods which are specific to a single analyte. Further, multiple sensors can each be specific to one of multiple analytes.
“Sweat sensor data” means all of the information collected by device sensor(s) and communicated via the device to a user or a data aggregation location.
“Correlated aggregated sweat sensor data” means sweat sensor data that has been collected in a data aggregation location and correlated with relevant outside information such as time, temperature, weather, location, user profile, other sweat sensor data, or any other relevant data.
“EAB sensor” means an electronic aptamer-based sensor, such as is disclosed in U.S. Pat. Nos. 7,803,542 and 8,003,374.
“Operation and compliance warning” means an alert generated by the sweat sensing device and relayed to the system user if a reading indicates a device is not in adequate skin contact.
This has served as a background for the disclosed invention, including background technical invention needed to fully appreciate the disclosed invention, which will now be summarized.
The disclosed invention addresses a difficulty involving the use of sweat sensing devices as part of a biological monitoring system by incorporating a sweat sensing device into headgear, while maintaining skin contact that is calibrated to allow accurate sweat analyte measurements.
The objects and advantages of the disclosure will be further appreciated in light of the following detailed descriptions and drawings in which:
The present disclosure provides a device capable of being incorporated into headgear systems that provides sweat sensor data capable of translation into physiological information about the wearer to enhance safety and improve performance.
Physiologically, the forehead area is an ideal location for collecting data with a sweat sensing device. Compared to other locations on the body, the eccrine sweat glands of the forehead readily produce sweat, even at lower sweat threshold temperatures. This allows multiple or near-continuous sweat measurements to reliably take place with minimal sweat stimulation. The skin surface of the forehead is also relatively smooth, lacks substantial hair, and benefits from the support of underlying bone structure. These features facilitate close fluidic contact between sweat sensors and newly emerging sweat, thereby reducing risk of contamination by surface contaminants and old sweat. Additionally, these features help reduce sweat volumes beneath the sensor, which allows the device to take measurements at lower sweat generation rates, allowing relatively more chronologically assured measurements per unit time, and enhancing detection of large, slow-diffusing analytes.
The forehead location is also advantageous because of the widespread use of headgear for multiple applications. Such headgear, such as military flight helmets, industrial hardhats and visors, and sports helmets, are increasingly outfitted with communications and sensing devices to improve the safety and performance of the wearer. Locating a sweat sensing device in headgear, therefore allows the device to use existing communications, processing and power infrastructures, and adds the capability of measuring and interpreting biomarkers in real time as they emerge from the wearer. Other headgear formats, such as sweat bands, caps, visors, and watch caps, will also benefit from incorporated sweat sensing devices, as electronics continue to miniaturize.
However, the incorporation of sweat sensing devices into headgear also presents several challenges, including the potential for electrical interference or abrasion to device sensors caused by contact with the forehead or skin if the sensors are not properly shielded or otherwise protected. Further, use with headgear may result in sensor output variations caused by the motion of the wearer's head, relative motion between the wearer's head and the headgear, and pressure variations between the headgear, the device, and the wearer's skin.
The present disclosure applies at least to any type of sweat sensing device that measures sweat, biofluid, sweat generation rate, sweat chronological assurance, its solutes, solutes that transfer into sweat from skin, a property of or things on the surface of skin, or properties or things beneath the skin. The disclosure applies to sweat sensing devices which can take on forms including patches, bands, straps, portions of clothing or equipment, or any suitable mechanism that reliably brings sweat stimulating, sweat collecting, and/or sweat sensing technology into intimate proximity with biofluid as it is generated.
Certain embodiments of the invention show sensors as simple individual elements. It is understood that many sensors require two or more electrodes, reference electrodes, or additional supporting technology or features that are not captured in the description herein. Sensors are preferably electrical in nature, but may also include optical, chemical, mechanical, or other known biosensing mechanisms. Sensors can be in duplicate, triplicate, or more, to provide improved data and readings. Sensors may be referenced herein by what the sensor is sensing, for example: an analyte-specific sensor; an impedance sensor; a sweat volume sensor; a sweat generation rate sensor; and a solute generation rate sensor. Certain embodiments of the disclosed invention show sub-components of what would be sweat sensing devices with more sub-components needed for use of the device in various applications, which are obvious (such as a battery), and for purpose of brevity and focus on inventive aspects, are not explicitly shown in the diagrams or described in the embodiments of the present disclosure.
Use of a sweat sensing device within headgear as disclosed presents a potentially difficult environment for proper sweat sensor function. As is discussed in PCT/US16/43771, when ionophore sweat sensors are placed directly in contact with skin, they can be subject to failure due to the delamination of ionophore membranes from the sensor. This is a particularly acute problem for sweat sensing devices mounted in helmets or other headgear, which are worn for long periods of time, usually in physically active applications that subject the device to a great deal of movement relative to the wearer. As discussed, comfortable wear of such devices requires a somewhat flexible interface between the sweat sensing devices and skin, however, such an interface would increase abrasion and sensor failure for sensors placed directly against the skin. Further, as disclosed in PCT/US2016/59392, electrical noise from the body can also interfere with sweat analyte measurements if analyte-specific sensors are placed in direct contact with skin. Therefore, in certain embodiments of the disclosed invention, sweat sensors will be configured to remain out of direct physical contact with the wearer's skin. In such embodiments, sweat may be wicked off the skin and across the analyte-specific sensors for analyte detection. Alternatively, sweat sensors may be separated from skin by a layer of protective material deposited on the sensors. In some embodiments, the devices may also have electromagnetic shielding materials between the sensors and skin.
The invention also includes a means to determine if the sweat sensing device is being worn by an individual, and whether it is in proper skin contact to allow accurate sweat sensing device readings, as disclosed in PCT/US15/55756, which is incorporated herein in its entirety. This may be accomplished through skin impedance electrodes or by use of capacitive sensor electrodes, as are commonly used in consumer wearable health monitoring devices and mobile computing devices. If impedance electrode contact with the skin is, or becomes inadequate, this can be detected as an increase in impedance and the device can send an alert signal to the user or another device. Similarly, capacitance sensors may be placed on selected locations on the skin-facing side of the device, and could convey information about the distance between the device and the skin. Inadequate contact can indicate that the device has been removed by the user, or has become detached from the skin for other reasons.
Also during use, the sweat sensing device's skin contact sensor may continuously or near-continuously monitor the adequacy of skin contact. During times of poor or no skin contact, the device may avoid taking measurements, or may, via algorithm, account for the poor or no skin contact when weighting the measurements. The device may also communicate to the wearer or user to inform them of the inadequacy or absence of skin contact and to advise corrective action. Alternately, the device may track periods during which the device is out of contact with skin (when the headgear is removed) and discard any collected data, or extrapolate previous measurements to bridge gaps in device use.
With reference to
The mounting surface 105 may be, for example, a suspension-type support structure for a hardhat, the forehead pad structure of a sports helmet, a military flight helmet, or other helmet. Alternatively, the mounting surface 105 may be a flexible or semi-flexible headband, or any other device that can comfortably secure the sweat sensing device next to the skin. Other suitable attachment means may be used as long as consistent pressure within the specified range is maintained during use. Adequate and consistent pressure may be maintained through use of a spacer component, such as a spring, sponge, or foam block that presses the device against the skin in the necessary pressure range. In other embodiments, the pressure provided by the mounting surface will be calibrated to facilitate proper device operation, for example through a strap adjustment mechanism.
With further reference to
With further reference to
In other embodiments of the disclosed invention, the sweat sensing device may include a reusable component and a disposable component. As depicted in
With reference to
Several configurations of the disclosed invention are possible depending on the application needs of the device user. For example, with reference to
With reference to
The following examples are provided to help illustrate the present disclosure, and are not comprehensive or limiting in any manner.
An advantage of the present disclosure would be the ease with which such a device may be incorporated into the operational activities of its wearers. For example, a firefighting company could use the devices to monitor the hydration level or cardiac stress of firefighters as they respond to an emergency call. At the start of a firefighter's shift, they are required to install a fresh sweat sensing device into the headband in their helmet suspension apparatus. During the shift, the helmet or device may be plugged in for recharging or for the performance of system diagnostics, for instance, to verify good electrical connections among the components. When a fire alarm is sounded, the firefighter places the helmet on her head, and the sweat sensing device is automatically positioned in contact with the firefighter's forehead. When the firefighter begins to sweat, a sweat dissolvable film protecting the device dissolves, and the device begins to take measurements.
A military flight helmet is configured with an integrated partially disposable sweat sensing device in the forehead pad. During the pre-flight check of the equipment, an aircraft physiology technician inspects and readies the helmet's sweat sensing device for use. The device has a reusable component that is embedded in the exterior surface of the helmet, and which carries memory, processing and re-chargeable battery power. The technician performs an operational check of the reusable component and ensures it is in good electrical connection with the rest of the helmet's communication and sensing systems. Then, the technician clips a new disposable component into a receptacle in the forehead pad of the helmet. The disposable component includes sweat sensors for detecting K+, Na+, Cl−, pH, and cortisol, and has capacitive skin contact sensors, as well as electrical connections with the reusable portion of the device. Before donning the helmet, the fighter pilot removes the protective backing covering the disposable component. During the mission, the sweat sensing device performs periodic measurements to assess the pilot's hydration, stress and fatigue levels and communicates the results to the aircraft physiological monitoring system. The sweat sensing device continuously assesses the quality of skin contact and times its analyte readings accordingly. After the mission, the technician performs diagnostics on the reusable portion of the device, which is still operational and therefore does not need replacement, then the technician removes the used disposable component and plugs in the helmet to recharge the device battery.
This has been a description of the disclosed invention along with a preferred method of practicing the disclosed invention, however the invention itself should only be defined by the appended claims.
The present application claims priority to U.S. Provisional Application No. 62/232,799, filed Sep. 25, 2015; and PCT/US16/53625, filed Sep. 25, 2016; and has specification that builds upon PCT/US16/43771, filed Jul. 23, 2016; and PCT/US2016/59392, filed Oct. 28, 2016, the disclosures of which are hereby incorporated herein by reference in their entirety.
Filing Document | Filing Date | Country | Kind |
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PCT/US16/53625 | 9/25/2016 | WO | 00 |
Number | Date | Country | |
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62232799 | Sep 2015 | US |