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               824                                                                             Fiber-Optic Chemical Sensors


                                                                 semicontinuously without requiring blood samples to be
                                                                 taken from the patient.
                                                                   Fiber-opticbiosensorcanbepotentiallyusedforclinical
                                                                 sample analysis. As described above, by using enzymes
                                                                 and antibodies immobilized on the fiber tip or around the
                                                                 fiber core (evanescent field), different fiber-optic biosen-
                                                                 sors have been developed. In most cases, the measurement
                                                                 is based on changes in fluorescence intensity. The target
                                                                 analytes include glucose, cholesterol, enzymes, antibod-
                                                                 ies, bacteria, and viruses. Measurements are usually fast
                                                                 and simple, and in many devices, the probe is disposable;
                                                                 however, the instability of the biological recognition ma-
               FIGURE 18 Bilitec 2000 fiber-optic chemical sensor for in vivo  terials reduces the sensor lifetime.
               gastric diagnostics. (a) The external unit and the optical fibers.
               (b) The optical fiber’s distal end that is inserted into the body.  Recently, fiber-optic biosensors for detecting DNA se-
               [Reproduced with permission from Medtronic Synectics AB.]  quences have been reported. These fiber-optic biosensors
                                                                 can be used for detecting pathogenic microorganisms and
                                                                 for identifying defective genes. The sensors are usually
               diodes that emit light at λ = 465 nm (bilrubin absorption)
                                                                 designed in an array format (Fig. 19) allowing the simul-
               and 570 nm (reference). The light is transmitted by the
                                                                 taneous analysis of hundreds or thousands of samples.
               fiber bundles to the probe (miniaturized spectrophotomet-
                                                                 Although just recently developed, these sensors will un-
               riccell)atthefiber’sdistalend.Bilirubin’slightabsorption
                                                                 doubtedly revolutionize the clinical diagnostics field.
               is measured by the detector and bilirubin concentrations
               are calculated.
                 Several clinical fiber-optic chemical sensors are com-  B. Environmental Fiber-Optic
               mercially available and others are in different stages of  Chemical Sensors
               development. The demand for in vivo fiber-optic chemi-
                                                                 Both short- and long-term harmful effects of toxic chemi-
               cal sensors for monitoring important analytes such as glu-
                                                                 cal accumulation in the environment have become appar-
               cose, potassium, urea, lactate, and some enzymes has led
                                                                 ent in the last few decades. In order to reduce the envi-
               to concerted research efforts in this field.
                                                                 ronmental damage caused by these pollutants, regulations
                                                                 were set that either restricted or completely prohibited the
                 2. Clinical Fiber-Optic Chemical Sensors
                                                                 release of environmentally hazardous chemicals into the
                    for In Situ Sample Analysis
                                                                 environment. The efficient enforcement of these regula-
               Fiber-optic chemical sensors can be located at the patient’s  tions is highly dependent on sensitive and reliable ana-
               bedside or even in the patient’s home for self-use. Such  lytical tools for environmental monitoring. These analyt-
               sensors are designed as compact, simple–to-use devices.  ical tools ideally should be sensitive, simple to construct,
               While these sensors employ essentially the same sensing  portable, and suitable for continuous field (i.e., in situ)
               chemistry as with in vivo sensors, the overall sensor design  measurements. Fiber-optic chemical sensor systems can
               can be much simpler and a wider range of materials may be  meet most of these requirements since they can be minia-
               used for sensor fabrication. Fiber-optic chemical sensors  turized and integrated into portable analytical devices that
               for blood gases (PO 2 , PCO 2 , and pH) are commercially  can offer high specificity and sensitivity, fast response,
               available. Measurements are based on the use of immobi-  mechanical stability, and low cost. Furthermore, by us-
               lized fluorescent dyes. In one device, the dyes are incor-  ing long optical fibers, the sensors can be used for remote
               porated into a disposable apparatus that is inserted into an  analytical monitoring.
               extracorporeal blood circuit on one side and connected to  Most commercially available environmental fiber-optic
               a fiber bundle on the other. These sensors are mainly used  chemical sensors are for pH and oxygen monitoring in wa-
               to monitor blood gases during open heart surgery.  ter and wastewater. The monitoring of unusual changes in
                 Another approach is to measure pH and blood gases us-  oxygen and pH can be used as an indirect indication of the
               ing a paracorporeal measurement at the patient’s bedside.  presence of pollutants. These sensors are based on fluo-
               The sensors are three fluorescent-sensing materials re-  rescent dyes as the sensing material. The optical fiber and
               sponsive to each of the blood gases. The sensors are placed  the sensing elements are covered with a metal jacket that
               into an external tube connected to an arterial blood line.  provides immunity from harsh environmental conditions.
               Blood samples are periodically and automatically pumped  Environmental sensors capable of detecting specific
               into the tube, analyzed by the sensors, and then returned  pollutants such as volatile organic compounds and heavy
               to the blood line. In this way, the blood can be monitored  metals (two of the largest classes of chemical pollutants)
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