Continuous pH monitoring in wounds using a composite indicator dressing - A feasibility study.

PURPOSE: Modern burn care strives for new means to guarantee optimised wound healing. Several studies have shown a correlation between the pH value in a (burn) wound and successful wound healing. A multitude of devices to monitor pH is available, all requiring direct wound contact and removal of the dressing for pH monitoring. The aim of this feasibility study was to create a sterile and easy to handle method for pH monitoring while simultaneously using an advanced wound dressing. MATERIALS AND METHODS: Dressing sheets of biotechnologically generated nanofibrillar cellulose (epicitehydro) were chemically functionalised with the indicator dye GJM-534. pH-donors with increasing pH were subsequently applied to the created indicator dressing. To investigate temporal resolution and continuous monitoring we used circular pH-donors with different pH (7 and 10) and decreasing diameters that were placed on another dressing sheet. Clinically relevant spatial resolution was checked by a wound bed simulation with small areas (8 mm) of higher pH (10) on a field of lower pH (7) and vice versa. RESULTS: The indicator dressing showed a gradual colouring from yellow to dark orange with increasing pH in steps of 0.3. After conversion of digital pictures to greyscale values, a sigmoidal distribution with a pKa-value of 8.4 was obtained. A ring-like pattern with alternating colour change corresponding to the pH was observed in the continuous monitoring experiment and the wound bed simulation delivered excellent local resolution. CONCLUSION: Since the pH of a (burn) wound can have a significant influence on wound healing, a pH indicator was successfully linked to an advanced, temporary, alloplastic wound dressing material. We were able to show the possibility of pH monitoring by the dressing itself. Additional testing, including studies with large case numbers for optimisation are necessary before clinical implementation.

Magnetic core-shell fluorescent pH ratiometric nanosensor using a Stöber coating method.

We describe the use of a modified Stöber method for coating maghemite (γ-Fe(2)O(3)) nanocrystals with silica shells in order to built magnetic fluorescent sensor nanoparticles in the 50-70nm diameter range. In detail, the magnetic cores were coated by two successive silica shells embedding two fluorophores (two different silylated dye derivatives), which allows for ratiometric pH-measurements in the pH range 5-8. Silica coated magnetic nanoparticles were prepared using maghemite nanocrystals as cores (5-10nm in diameter) coated by tetraethoxyorthosilicate via hydrolysis/condensation in ethanol, catalyzed by ammonia. In the inner shell was covalently attached a sulforhodamine B, which was used as a reference dye; while a pH-sensitive fluorescein was incorporated into the outer shell. Once synthesized, the particles were characterized in terms of morphology, size, composition and magnetization, using dynamic light scattering (DLS), transmission electron microscopy (TEM), X-ray diffraction (XRD) and vibrating sample magnetometry (VSM). TEM analysis showed the nanoparticles to be very uniform in size. Wide-angle X-ray diffractograms showed, for uncoated as well as coated nanoparticles, typical peaks for the spinel structure of maghemite at the same diffraction angle, with no structural changes after coating. When using VSM, we obtained the magnetization curves of the resulting nanoparticles and the typical magnetization parameters as saturation magnetization (M(s)), coercivity (H(c)), and remanent magnetization (M(r)). The dual-dye doped magnetic-silica nanoparticles showed a satisfactory magnetization that could be suitable for nanoparticle separation and localized concentration of them. Changes in fluorescence intensity of the pH indicator in the different pH buffered solutions were observed within few seconds indicating an easy accessibility of the embedded dye by protons through the pores of the silica shell. The relationship between the ratio in fluorescence (sensor/reference dyes) and pH was adjusted to a sigmoidal fit using a Boltzmann type equation. Finally, the proposed method was statistically validated against a reference procedure using samples of water and physiological buffer with 2% (w/v) of horse serum added, indicating that there are no significant statistical differences at a 95% confidence level.

Tailor-made dyes for fluorescence correlation spectroscopy (FCS).

Two new fluorescent labels are presented that are optimized for excitation with He/Ne laser and red diode lasers. Application in FCS and labeling of proteins and oligomers are demonstrated. A strong rise of quantum yield and emission life time upon binding to biomolecules are characteristic features of the dyes.

Fluoro reactants and dual luminophore referencing: a technique to optically measure amines.

An optical sensor for aqueous 1-butylamine is presented which combines two novel techniques: A fluorescent indicator dye (fluoro reactand) embedded in a thin polymer layer performs a reversible chemical reaction with the analyte, causing changes in luminescence intensity. At the same time, inert phosphorescent beads dispersed within the polymer layer provide luminescence signals that act as an internal reference for the indicator dye. As a consequence, the optical sensor is independent of light source fluctuations, ambient light, drifts in optoelectronic setup, or optical fiber bending.

The effect of polymeric supports and methods of immobilization on the performance of an optical copper(II)-sensitive membrane based on the colourimetric reagent Zincon.

A comparative study on the effect of different immobilization methods and matrix materials on the performance of copper(II)-sensitive membrane layers is presented. The indicator dye Zincon was immobilized in hydrophilic and hydrophobic polymers by various methods including: (a) physical entrapment of the Zincon-tetraoctylammonium ion pair in plasticized PVC, hydrogel, polystyrene, ethyl cellulose, poly-HEMA, AQ-polymer and in sol-gel glass; (b) electrostatic immobilization on an anion exchanger cellulose; and (c) covalent immobilization on cellulose via a sulfatoethylsulfonyl reactive group. The response to copper(II) ion was evaluated kinetically via the initial slope of the change in absorbance within 1 min. Layers made of hydrogel and PVC provide the highest sensitivity, while covalent immobilization is the most reproducible one, and sol-gel layers display the best mechanical stability.

Enzyme biosensor for urea based on a novel pH bulk optode membrane.

A new, absorbance-based enzymatic biosensor membrane for determination of urea is described. A lipophilic, fully LED- and diode laser-compatible pH sensitive dye was incorporated into a plasticized, carboxylated poly(vinyl chloride) membrane and served as the optical transducer of the sensor. Urease was covalently linked to the surface of the pH bulk optode membrane to form a very thin cover. The resulting biosensor membrane allows rapid determination of urea over the 0.3 to 100 mM range. The reproducibility, stability, and effects of pH and buffer concentration on the response of sensor are reported. The preparation of the pH transducer and the immobilization of the enzyme are simple and may easily be adopted to other biosensor types.

Application of a novel lipophilized fluorescent dye in an optical nitrate sensor.

A new lipophilic pH probe (1-hydroxypyrene-3,6,8-tris-octadecylsulfonamide) has been synthesized, and its spectral properties and applications in a solid state nitrate sensor are shown. The sensor is investigated with respect to sensitivity, limits of detection, and selectivity over other anions found in drinking water.