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Wearable biosensors are transforming personal healthcare by enabling real-time, non-invasive monitoring of vital physiological and biochemical markers. While first-generation wearables focused on physical metrics like heart rate and body temperature, next-gen systems now analyze biomarkers such as glucose, electrolytes, hormones, and pH levels from biofluids like sweat, saliva, interstitial fluid (ISF), and tears.

 The Challenge: Power-Efficient Fluid Handling

Despite these advancements, integrating miniaturized and energy-efficient fluidic systems remains a major challenge. Traditional microfluidic platforms often rely on external pumps or batteries, which limit portability and long-term use.

The Solution: Capillary Microfluidics

Capillary microfluidics offers a breakthrough by using engineered surface properties and smart channel geometries to autonomously move fluids—no external power required.

  • Material Design:
    • Constructed from layered hydrophilic/hydrophobic materials
    • Biofluids are drawn directly from the skin via contact inlets or wicking textiles
  • Fluid Control:
    • Fluids are guided into sensing zones with high precision
    • Prevents contamination, backflow, and saturation
    • Evaporative outlets and optimized geometries ensure consistent, long-term operation

 Multimodal Sensing Capabilities

Capillary-based wearables support both electrochemical and optical biosensing:

Detection Method Mechanism Advantages
Electrochemical Uses electrodes to detect redox reactions High sensitivity, low power
Optical Employs colorimetric or fluorescent reagents Visual feedback, multiplexing

Advanced materials like molecularly imprinted polymers (MIPs) and aptamers enhance specificity, stability, and sensor longevity, making these platforms ideal for continuous health monitoring.

 A Holistic Review: Beyond Materials and Electronics

Unlike earlier reviews that narrowly focus on sensing components, this work provides a comprehensive assessment of capillary microfluidics as the core fluid-handling technology in wearable diagnostics.

Key Differentiators:

  • Chrono-sampling vs. Continuous Flow: Understanding sampling dynamics for different use cases
  • On-body vs. Off-body Analysis: Flexibility in data collection and processing
  • Sensor Integration: Bridging fluidics with biosensing for robust performance

Toward Autonomous, Clinically Ready Diagnostics

Capillary microfluidics enables a new generation of smart, autonomous wearable devices that are:

  • Miniaturized and power-free
  • Capable of multimodal sensing
  • Clinically scalable and user-friendly

These innovations pave the way for decentralized health monitoring—whether at home, in clinical settings, or on the move.

Hanieh Rezaee

Author Hanieh Rezaee

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