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Research Article

Wireless, intraoral hybrid electronics for real-time quantification of sodium intake toward hypertension management

Yongkuk Lee, Connor Howe, Saswat Mishra, View ORCID ProfileDong Sup Lee, Musa Mahmood, Matthew Piper, Youngbin Kim, Katie Tieu, View ORCID ProfileHun-Soo Byun, James P. Coffey, Mahdis Shayan, Youngjae Chun, View ORCID ProfileRichard M. Costanzo, and View ORCID ProfileWoon-Hong Yeo
PNAS May 22, 2018 115 (21) 5377-5382; first published May 7, 2018; https://doi.org/10.1073/pnas.1719573115
Yongkuk Lee
aGeorge W. Woodruff School of Mechanical Engineering, College of Engineering, Georgia Institute of Technology, Atlanta, GA 30332;
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Connor Howe
bDepartment of Mechanical and Nuclear Engineering, School of Engineering, Virginia Commonwealth University, Richmond, VA 23284;
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Saswat Mishra
aGeorge W. Woodruff School of Mechanical Engineering, College of Engineering, Georgia Institute of Technology, Atlanta, GA 30332;
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Dong Sup Lee
bDepartment of Mechanical and Nuclear Engineering, School of Engineering, Virginia Commonwealth University, Richmond, VA 23284;
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Musa Mahmood
aGeorge W. Woodruff School of Mechanical Engineering, College of Engineering, Georgia Institute of Technology, Atlanta, GA 30332;
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Matthew Piper
bDepartment of Mechanical and Nuclear Engineering, School of Engineering, Virginia Commonwealth University, Richmond, VA 23284;
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Youngbin Kim
bDepartment of Mechanical and Nuclear Engineering, School of Engineering, Virginia Commonwealth University, Richmond, VA 23284;
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Katie Tieu
bDepartment of Mechanical and Nuclear Engineering, School of Engineering, Virginia Commonwealth University, Richmond, VA 23284;
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Hun-Soo Byun
cDepartment of Chemical and Biomolecular Engineering, Chonnam National University, 59626 Jeonnam, South Korea;
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  • ORCID record for Hun-Soo Byun
James P. Coffey
dDepartment of Prosthodontics, School of Dentistry, Virginia Commonwealth University, Richmond, VA 23298;
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Mahdis Shayan
eDepartment of Industrial Engineering, University of Pittsburgh, Pittsburgh, PA 15261;
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Youngjae Chun
eDepartment of Industrial Engineering, University of Pittsburgh, Pittsburgh, PA 15261;
fDepartment of Bioengineering, University of Pittsburgh, Pittsburgh, PA 15261;
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Richard M. Costanzo
gDepartment of Physiology and Biophysics, School of Medicine, Virginia Commonwealth University, Richmond, VA 23298;
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Woon-Hong Yeo
aGeorge W. Woodruff School of Mechanical Engineering, College of Engineering, Georgia Institute of Technology, Atlanta, GA 30332;
hInstitute for Electronics and Nanotechnology, Georgia Institute of Technology, Atlanta, GA 30332;
iPetit Institute for Bioengineering & Bioscience, Georgia Institute of Technology, Atlanta, GA 30332;
jCenter for Flexible Electronics, Georgia Institute of Technology, Atlanta, GA 30332
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  • For correspondence: whyeo@gatech.edu
  1. Edited by John A. Rogers, Northwestern University, Evanston, IL, and approved April 11, 2018 (received for review November 13, 2017)

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Significance

We introduce a soft, low-profile, intraoral electronics that offers continuous real-time monitoring of sodium intake via long-range wireless telemetry. The stretchable, hybrid electronic system integrates chip-scale components and microstructured sodium sensors with stretchable interconnects, together in an ultrasoft, breathable, microporous membrane. The quantitative computational and experimental studies of antenna performance optimize the wireless electronics, offering consistent functionality with minimal loss during multimodal deformation. Examples of in vivo study with human subjects demonstrate a highly sensitive, real-time quantification of sodium intake.

Abstract

Recent wearable devices offer portable monitoring of biopotentials, heart rate, or physical activity, allowing for active management of human health and wellness. Such systems can be inserted in the oral cavity for measuring food intake in regard to controlling eating behavior, directly related to diseases such as hypertension, diabetes, and obesity. However, existing devices using plastic circuit boards and rigid sensors are not ideal for oral insertion. A user-comfortable system for the oral cavity requires an ultrathin, low-profile, and soft electronic platform along with miniaturized sensors. Here, we introduce a stretchable hybrid electronic system that has an exceptionally small form factor, enabling a long-range wireless monitoring of sodium intake. Computational study of flexible mechanics and soft materials provides fundamental aspects of key design factors for a tissue-friendly configuration, incorporating a stretchable circuit and sensor. Analytical calculation and experimental study enables reliable wireless circuitry that accommodates dynamic mechanical stress. Systematic in vitro modeling characterizes the functionality of a sodium sensor in the electronics. In vivo demonstration with human subjects captures the device feasibility for real-time quantification of sodium intake, which can be used to manage hypertension.

  • wireless intraoral system
  • stretchable hybrid electronics
  • sodium intake quantification
  • hypertension management

Footnotes

  • ↵1To whom correspondence should be addressed. Email: whyeo{at}gatech.edu.
  • Author contributions: Y.L., J.P.C., R.M.C., and W.-H.Y. designed research; Y.L., C.H., S.M., D.S.L., M.M., M.P., Y.K., K.T., J.P.C., M.S., Y.C., and W.-H.Y. performed research; Y.L., C.H., S.M., D.S.L., M.M., M.P., Y.K., K.T., H.-S.B., M.S., Y.C., R.M.C., and W.-H.Y. analyzed data; and Y.L., C.H., H.-S.B., Y.C., R.M.C., and W.-H.Y. wrote the paper.

  • Conflict of interest statement: R.M.C. and W.-H.Y. are inventors on Patent Application US 2017/0087363A1 that covers “Wireless implantable taste system.” The other authors declare that they have no competing financial interests.

  • This article is a PNAS Direct Submission.

  • This article contains supporting information online at www.pnas.org/lookup/suppl/doi:10.1073/pnas.1719573115/-/DCSupplemental.

Published under the PNAS license.

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Wireless, intraoral hybrid electronics for real-time quantification of sodium intake toward hypertension management
Yongkuk Lee, Connor Howe, Saswat Mishra, Dong Sup Lee, Musa Mahmood, Matthew Piper, Youngbin Kim, Katie Tieu, Hun-Soo Byun, James P. Coffey, Mahdis Shayan, Youngjae Chun, Richard M. Costanzo, Woon-Hong Yeo
Proceedings of the National Academy of Sciences May 2018, 115 (21) 5377-5382; DOI: 10.1073/pnas.1719573115

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Wireless, intraoral hybrid electronics for real-time quantification of sodium intake toward hypertension management
Yongkuk Lee, Connor Howe, Saswat Mishra, Dong Sup Lee, Musa Mahmood, Matthew Piper, Youngbin Kim, Katie Tieu, Hun-Soo Byun, James P. Coffey, Mahdis Shayan, Youngjae Chun, Richard M. Costanzo, Woon-Hong Yeo
Proceedings of the National Academy of Sciences May 2018, 115 (21) 5377-5382; DOI: 10.1073/pnas.1719573115
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