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3D Printed Electronic Patch for pH and Hydration Sensing
           3.2. pH sensor and characteristics                  A                    B

           PDMS was chosen as substrate because of its mechanical
           and biocompatibility  properties. However, there is
           a downside of using PDMS  as a substrate due to its
           hydrophobic properties, which impede the printing
           of SWCNT.  The presence  of metal  in nano-form or
           introduction of silano group is known to introduce
           hydrophilicity  in PDMS . Hence, SiO  NPs were      Figure 2. (A) Fabricated patch with polydimethylsiloxane substrate
                                 [59]
                                               2
           introduced in PDMS to make it hydrophilic. Incorporation   containing 20 wt% of SiO2 NPs and Ag and single-walled carbon
           of SiO  in PDMS allows the  material  composite  to be   nanotubes (SWCNT) electrodes and (B) SEM image showing the
                 2
           more viscous and be cured in desired shape through the   surface of printed SWCNT material. The inset depicts the interface
           formation of an interconnected  three-dimensional  (3D)   between polydimethylsiloxane (darker region) and SWCNTs.
           network within. The printed patch with all components is
           shown in Figure 2A. SEM analysis of the printed SWCNT   A
           layers reveals that the printing was homogeneous without
           voids. The  observed cracks  are  due to handling  of the
           sample.
               Both acute and chronic wounds experience pH
           values between 7.15 and 8.9. The main difference lies
           in the time window for healing, wherein a chronic
           wound takes more than a week to heal [10,60] . In general,
           a wound with pH in the range 5.4 – 7.3 is considered in   B
           the proliferation phase and not categorized as a chronic
           wound. A sensitive pH sensor should thus successfully
           measure the pH range of 5.4 – 8.9. It is reported that
           the electrical resistance of SWCNT decreases in acidic
           solutions with increase in potential and vice visa for
           alkaline solutions [11,52] . Thus, the change in conductivity
           for SWCNTs depends on the pH value  [61] . For this
           reason, SWCNT inks were utilized as non-toxic material
           to fabricate a pH sensor.  Figure  3A and  S4a show   Figure 3. Measured resistance for different buffer solutions with
           the change of resistance and mean of three runs with   3 min intervals.
           respect to time for the fabricated patch, respectively.
           The  working  of the  patch  was  tested  in  pHHH  cycle   fastest response time was recorded at ~56 s when the
           of 9.18 – 6.86 – 4 – 6.86 and back to 9.18. The results   buffer solution changed from pH 9.18 to pH 6.56 and the
           were found to be consistent for all the runs throughout   slowest at ~134 s when measured for solution from pH 4
           the  cycle.  Further,  the  sensitivity  of  same  patch  was   to 6.86. The mean response time was calculated to be ~92
           measured in the pH range of 5.8 – 7.8. The results are
           shown in Figure 3B with a plot of mean values for run   s. It was observed that the response time was longer when
           2 – 5 is represented in Figure S4b. Except for the first   measuring from acidic to alkaline solutions than vice
           run, the results were consistent in the complete cycles.   versa, and can be explained by the lower concentration
           The  discrepancy  in  the  first  run  may  be  attributed  to   of  hydrogen  ions  in  more  alkaline  buffer  where  the
                                                                                                            [62]
           the  dried-out  buffer  solution  on  the  electrodes  from   protonation and deprotonation process becomes slower .
           the  previous  studies.  The  considerable  difference  in   Sensitivity  is  defined  as  the  slope  of  the  transfer
           the resistance between buffer solutions corresponds to   function of the sensor and is a measure of the magnitude
           better sensitivity.                                 of the output response to the sensor input. The fabricated
               Repeatability  is  defined  as  the  sensor’s  capability   sensor was tested  for sensitivity  in the  pH ranges of
           to provide same results under same circumstances.   4 – 9.18 and 5.2 – 7.8, where the highest sensitivity
           The repeatability of the fabricated sensor is plotted in   for each  range  was recorded  to be  4.1/pH and 7.4/pH,
           Figure  4A, where change in resistance was observed   respectively. It is also reported in the literature that the
           with  time.  The  maximum  difference  between  the  first   sensitivity varies with the number of printed layers  and
                                                                                                         [11]
           maximum and minimum resistance values was found to be   with decrease in the effective surface area . However,
                                                                                                   [52]
           0.9. Figure 4B shows the response time of the fabricated   the precision value for the sensor was found to be ~0.7
           sensor when subjected to different buffer solutions. The   pH, which renders the patch effective to determine the
           44                          International Journal of Bioprinting (2022)–Volume 8, Issue 1
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