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Introduction: Leakage of orogastric secretions past the cuff of a tracheal tube is a contributory factor in ventilator-associated pneumonia. Current bench test methods specified in the International Standard for Anaesthetic and Respiratory Equipment (EN ISO 5361:2023) to test cuff leakage involve using a glass or plastic rigid cylinder model of the trachea. There is a need for more realistic models to inform cuff leakage. Methods: We used human computerised tomography data and additive manufacturing (3D printing), combined with casting techniques to fabricate a bio-inspired synthetic tracheal model with analogous tissue characteristics. We conducted cuff leakage tests according to EN ISO 5361:2023 and compared results for high-volume low-pressure polyvinyl chloride and polyurethane cuffs between the rigid cylinder trachea with our bio-inspired model. Results: The tracheal model demonstrated close agreement with published tracheal tissue hardness for cartilaginous and membranous soft tissues. For high-volume low-pressure polyvinyl chloride cuffs the leakage rate was >50% lower in the bio-inspired tracheal model compared with the rigid cylinder model (151 [8] vs 261 [11] ml h−1). For high-volume low-pressure polyurethane cuffs, much lower leakage rates were observed than polyvinyl chloride cuffs in both models with leakage rates higher for the bio-inspired trachea model (0.1 [0.2] vs 0 [0] ml h−1). Conclusion: A reproducible tracheal model that incorporates the mechanical properties of the human trachea can be manufactured from segmented CT images and additive manufactured moulds, providing a useful tool to inform future cuff development, leakage testing for industrial applications, and clinical decision-making. There are differences between cuff leakage rates between the bio-inspired model and the rigid cylinder recommended in EN ISO 5361:2023. The bio-inspired model could lead to more accurate and realistic cuff leakage rate testing which would support manufacturers in refining their designs. Clinicians would then be able to choose better tracheal tubes based on the outcomes of this testing.

The detection of chemical substances excreted from the human body offers an attractive approach for non-invasive, early diagnostics of certain diseases. In this preliminary study, we proposed a susceptible optical sensor capable of quantitatively detecting ammonia from exhaled breath. The proposed sensor consists of nanoassembled ultrathin films composed of tetrakis(4-sulfophenyl)porphine (TSPP) and poly(diallyldimethylammonium chloride) (PDDA) deposited on quartz substrates using a layer-by-layer method. Measurement principles are based on the ammonia-induced absorbance changes at 489 (Soret band) and 702 nm (Q band), associated with the deprotonation of the J-aggregated TSPPs inside the film. Before exposure to breath, the PDDA/TSPP thin film was calibrated using known concentrations of ammonia gases with a projected detection limit of 102 ± 12 parts per billion (ppb). Calibrated sensor films were then exposed to human breath and urine samples to determine the ammonia concentration. Concentrations of exhaled ammonia are influenced significantly by the consumption of food or the amount of urea. Sensor response and maximum sensitivity, obtained from the absorbance changes induced by ammonia, were achieved by initial sensor exposure to HCl vapor. Previously reported procedures for the Helicobacter pylori (HELIC Ammonia Breath) test based on urea reaction with urease were reproduced using the proposed sensor. The observed behavior corresponded very well with the kinetics of the interactions between urea and urease, i.e., ammonia reached a maximum concentration approximately 5 min after the start of the reaction. A large-scale study involving 41 healthy volunteers in their 20s to 60s was successfully conducted to test the capabilities of the sensor to determine the concentration of exhaled ammonia. The concentration of ammonia for the healthy volunteers ranged between 0.3 and 1.5 ppm, with a mean value of ca. 520 ppb in the morning (before eating) and ca. 420 ppb in the afternoon (immediately after eating). These real-test mean values are meaningful when considered against the projected LOD.

Ammonia gas sensors were fabricated via layer-by-layer (LbL) deposition of diazo resin (DAR) and a binary mixture of tetrakis(4-sulfophenyl)porphine (TSPP) and poly(styrene sulfonate) (PSS) onto the core of a multimode U-bent optical fiber. The penetration of light transferred into the evanescent field was enhanced by stripping the polymer cladding and coating the fiber core. The electrostatic interaction between the diazonium ion in DAR and the sulfonate residues in TSPP and PSS was converted into covalent bonds using UV irradiation. The photoreaction between the layers was confirmed by UV-vis and Fourier transform infrared spectroscopy. The sensitivity of the optical fiber sensors to ammonia was linear when exposed to ammonia gases generated from aqueous ammonia solutions at a concentration of approximately 17 parts per million (ppm). This linearity extended up to 50 ppm when the exposure time (30 s) was shortened. The response and recovery times were reduced to 30 s with a 5-cycle DAR/TSPP+PSS (as a mixture of 1 mM TSPP and 0.025 wt% PSS in water) film sensor. The limit of detection (LOD) of the optimized sensor was estimated to be 0.31 ppm for ammonia in solution, corresponding to approximately 0.03 ppm of ammonia gas. It is hypothesized that the presence of the hydrophobic moiety of PSS in the matrix suppressed the effects of humidity on the sensor response. The sensor response was stable and reproducible over seven days. The PSS-containing U-bent fiber sensor also showed superior sensitivity to ammonia when examined alongside amine and non-amine analytes.

Creatinine (CR) is a representative metabolic byproduct of muscles, and its sensitive and selective detection has become critical in the diagnosis of kidney diseases. In this study, poly(acrylic acid) (PAA)-assisted molecularly imprinted (MI) TiO2 nanothin films fabricated via liquid phase deposition (LPD) were employed for CR detection. The molecular recognition properties of the fabricated films were evaluated using fiber optic long period grating (LPG) and quartz crystal microbalance sensors. Imprinting effects were examined compared with nonimprinted (NI) pure TiO2 and PAA-assisted TiO2 films fabricated similarly without a template. In addition, the surface modification of the optical fiber section containing the LPG with a mesoporous base coating of silica nanoparticles, which was conducted before LPD-based TiO2 film deposition, contributed to the improvement of the sensitivity of the MI LPG sensor. The sensitivity and selectivity of LPGs coated with MI films were tested using CR solutions dissolved in different pH waters and artificial urine (near pH 7). The CR binding constants of the MI and NI films, which were calculated from the Benesi–Hildebrand plots of the wavelength shifts of the second LPG band recorded in water at pH 4.6, were estimated to be 67 and 7.8 M−1, respectively, showing an almost ninefold higher sensitivity in the MI film. The mechanism of the interaction between the template and the TiO2 matrix and the film composition was investigated via ultraviolet–visible and attenuated total reflectance Fourier-transform infrared spectroscopy along with X-ray photoelectron spectroscopy analysis. In addition, morphological studies using a scanning electron microscope and atomic force microscope were conducted. The proposed system has the potential for practical use to determine CR levels in urine samples. This LPG-based label-free CR biosensor is innovative and expected to be a new tool to identify complex biomolecules in terms of its easy fabrication and simplicity in methodology.

A tip-based fibreoptic localised surface plasmon resonance (LSPR) sensor is reported for the sensing of volatile organic compounds (VOCs). The sensor is developed by coating the tip of a multi-mode optical fibre with gold nanoparticles (size: 40 nm) via a chemisorption process and further functionalisation with the HKUST-1 metal–organic framework (MOF) via a layer-by-layer process. Sensors coated with different cycles of MOFs (40, 80 and 120) corresponding to different crystallisation processes are reported. There is no measurable response to all tested volatile organic compounds (acetone, ethanol and methanol) in the sensor with 40 coating cycles. However, sensors with 80 and 120 coating cycles show a significant redshift of resonance wavelength (up to ~9 nm) to all tested volatile organic compounds as a result of an increase in the local refractive index induced by VOC capture into the HKUST-1 thin film. Sensors gradually saturate as VOC concentration increases (up to 3.41%, 4.30% and 6.18% in acetone, ethanol and methanol measurement, respectively) and show a fully reversible response when the concentration decreases. The sensor with the thickest film exhibits slightly higher sensitivity than the sensor with a thinner film. The sensitivity of the 120-cycle-coated MOF sensor is 13.7 nm/% (R2 = 0.951) with a limit of detection (LoD) of 0.005% in the measurement of acetone, 15.5 nm/% (R2 = 0.996) with an LoD of 0.003% in the measurement of ethanol and 6.7 nm/% (R2 = 0.998) with an LoD of 0.011% in the measurement of methanol. The response and recovery times were calculated as 9.35 and 3.85 min for acetone; 5.35 and 2.12 min for ethanol; and 2.39 and 1.44 min for methanol. The humidity and temperature crosstalk of 120-cycle-coated MOF was measured as 0.5 ± 0.2 nm and 0.5 ± 0.1 nm in the humidity range of 50–75% relative humidity (RH) and temperature range of 20–25 °C, respectively.

In this study, an optical fibre long period grating (LPG) sensor functionalised with a mesoporous thin film was employed for the identification and quality assessment of beverages. The principle of the discrimination of beverages using an LPG sensor is based on the measurement of the change in refractive index of a sensitive film, induced by the binding of the chemical compounds present in the beverage. The sensitive film deposited onto the LPG consisted of poly(allylamine hydrochloride) (PAH) and silica nanospheres (SiO2 NPs) with diameters ranging from 40 nm to 50 nm. PAH imparts selectivity, while the SiO2 NPs endow the film with high porosity and enhanced sensitivity. In this study, five different types of beverages, red and white wines, brandy, nihonshyu (sake, a Japanese rice wine), and shochu (a Japanese distilled beverage), prepared via distillation and fermentation, were used to assess the capability of the sensor to identify the origin of the beverages. In addition, a selection of red wines was used to evaluate the use of the sensor in the assessment of the quality of beverages. The results obtained were benchmarked against those obtained using gas chromatography–mass spectrometry for the determination of volatile compounds contributing to the flavours of a set of red wines. Principal component analysis (PCA) was employed for data analysis. This approach enabled both quality assessment of beverages and identification of the methods and materials used for their preparation. Keywords: Long period grating, Mesoporous thin film, Layer-by-layer, Quality assessment, Beverages

The development of reliable, affordable and efficient sensors is a key step in providing tools for efficient monitoring of critical environmental parameters. This review focuses on the use of tapered optical fibres as an environmental sensing platform. Tapered fibres allow access to the evanescent wave of the propagating mode, which can be exploited to facilitate chemical sensing by spectroscopic evaluation of the medium surrounding the optical fibre, by measurement of the refractive index of the medium, or by coupling to other waveguides formed of chemically sensitive materials. In addition, the reduced diameter of the tapered section of the optical fibre can offer benefits when measuring physical parameters such as strain and temperature. A review of the basic sensing platforms implemented using tapered optical fibres and their application for development of fibre-optic physical, chemical and bio-sensors is presented.

An optical fiber sensor for ethanol detection in exhaled breath has been developed. It has been fabricated by functionalizing a Long Period Grating with a metal-organic framework, ZIF-8. The sensor’s response was tested by exposure to exhaled breath of a person before and after the ingestion of alcoholic drinks, showing a higher wavelength difference between the resonance bands in the second case. Further work will analyze cross-sensitivity towards temperature, relative humidity and carbon dioxide.

A long period grating (LPG) modified with a mesoporous film infused with a calixarene as a functional compound was employed for the detection of individual volatile organic compounds (VOCs) and their mixtures. The mesoporous film consisted of an inorganic part, SiO2 nanoparticles (NPs), along with an organic moiety of poly(allylamine hydrochloride) polycation PAH, which was finally infused with the functional compound, p-sulphanato calix[4]arene (CA[4]) or p-sulphanato calix[8]arene (CA[8]). The LPG sensor was designed to operate at the phase matching turning point to provide the highest sensitivity. The sensing mechanism is based on the measurement of the refractive index (RI) change induced by a complex of the VOCs with calixarene. The LPG, modified with a coating of 5 cycles of (SiO2 NPs/PAH) and infused with CA[4] or CA[8], was exposed to chloroform, benzene, toluene and acetone vapours. The British Standards test of the VOCs emissions from material (BS EN ISO 16000-9:2006) was used to test the LPG sensor performance.