Engineers at the University of California San Diego have developed a flexible wearable sensor that can accurately measure a person's blood alcohol level from sweat and transmit the data wirelessly to a laptop, smartphone or other mobile device. The device can be worn on the skin and could be used by doctors and police officers for continuous, non-invasive and real-time monitoring of blood alcohol content.

The device consists of a temporary tattoo -- which sticks to the skin, induces sweat and electrochemically detects the alcohol level -- and a portable flexible electronic circuit board, which is connected to the tattoo by a magnet and can communicate the information to a mobile device via Bluetooth. The work, led by nanoengineering professor Joseph Wang and electrical engineering professor Patrick Mercier, both at UC San Diego, was published recently in the journal ACS Sensors.

"Lots of accidents on the road are caused by drunk driving. This technology provides an accurate, convenient and quick way to monitor alcohol consumption to help prevent people from driving while intoxicated," Wang said. The device could be integrated with a car's alcohol ignition interlocks, or friends could use it to check up on each other before handing over the car keys, he added.

"When you're out at a party or at a bar, this sensor could send alerts to your phone to let you know how much you've been drinking," said Jayoung Kim, a materials science and engineering PhD student in Wang's group and one of the paper's co-first authors.

Blood alcohol concentration is the most accurate indicator of a person's alcohol level, but measuring it requires pricking a finger. Breathalyzers, which are the most commonly used devices to indirectly estimate blood alcohol concentration, are non-invasive, but they can give false readouts. For example, the alcohol level detected in a person's breath right after taking a drink would typically appear higher than that person's actual blood alcohol concentration. A person could also fool a breathalyzer into detecting a lower alcohol level by using mouthwash.

Recent research has shown that blood alcohol concentration can also be estimated by measuring alcohol levels in what's called insensible sweat -- perspiration that happens before it's perceived as moisture on the skin. But this measurement can be up to two hours behind the actual blood alcohol reading. On the other hand, the alcohol level in sensible sweat -- the sweat that's typically seen -- is a better real-time indicator of the blood alcohol concentration, but so far the systems that can measure this are neither portable nor fit for wearing on the body.

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Now, UC San Diego researchers have developed an alcohol sensor that's wearable, portable and could accurately monitor alcohol level in sweat within 15 minutes.

"What's also innovative about this technology is that the wearer doesn't need to be exercising or sweating already. The user can put on the patch and within a few minutes get a reading that's well correlated to his or her blood alcohol concentration. Such a device hasn't been available until now," Mercier said.

How it works

Wang and Mercier, the director and co-director, respectively, of the UC San Diego Center for Wearable Sensors, collaborated to develop the device. Wang's group fabricated the tattoo, equipped with screen-printed electrodes and a small hydrogel patch containing pilocarpine, a drug that passes through the skin and induces sweat.

Mercier's group developed the printed flexible electronic circuit board that powers the tattoo and can communicate wirelessly with a mobile device. His team also developed the magnetic connector that attaches the electronic circuit board to the tattoo, as well as the device's phone app.

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"This device can use a Bluetooth connection, which is something a breathalyzer can't do. We've found a way to make the electronics portable and wireless, which are important for practical, real-life use," said Somayeh Imani, an electrical engineering PhD student in Mercier's lab and a co-first author on the paper.

The tattoo works first by releasing pilocarpine to induce sweat. Then, the sweat comes into contact with an electrode coated with alcohol oxidase, an enzyme that selectively reacts with alcohol to generate hydrogen peroxide, which is electrochemically detected. That information is sent to the electronic circuit board as electrical signals. The data are communicated wirelessly to a mobile device.

Putting the tattoo to the test

Researchers tested the alcohol sensor on 9 healthy volunteers who wore the tattoo on their arms before and after consuming an alcoholic beverage (either a bottle of beer or glass of red wine). The readouts accurately reflected the wearers' blood alcohol concentrations.

The device also gave accurate readouts even after repeated bending and shaking. This shows that the sensor won't be affected by the wearer's movements, researchers said.

As a next step, the team is developing a device that could continuously monitor alcohol levels for 24 hours.