3.1. Chemical Sensing Mechanism, Matrix-Matching Strategy, and Indicator Selection
The colorimetric sensing mechanism of the proposed micro-structured plastic strip aligns with the established chemical principles utilized in commercial CIDEX™ OPA Solution Test Strips. The detection is based on a nucleophilic addition reaction wherein
ortho-phthalaldehyde (OPA) reacts with sodium sulfite (Na
2SO
3) within the reagent pad to form a sulfite addition product [
27]. As detailed in Equation (1), this stoichiometric reaction generates an equivalent amount of base (sodium hydroxide, NaOH).
The localized generation of NaOH elevates the microenvironmental pH on the test strip, which subsequently triggers a deprotonation and colorimetric transition in a selected pH-sensitive indicator dye, as simplified in Equation (2).
Given that this colorimetric transition is dependent on the NaOH-induced pH shift, the initial pH and the buffering capacity (i.e., PB concentration) of the sample solution govern the quantitative accuracy of the optical readout. Because the reaction yields two moles of NaOH for every mole of OPA consumed, overcoming the inherent buffer capacity of the disinfectant is a critical factor in sensing design. The baseline chemical matrix was characterized via acid-base titration of three independent batches of fresh CIDEX™ OPA Solution (0.55% OPA). The results confirmed a consistent baseline chemical environment, characterized by a pH of 7.4 and a PB concentration of 42–44 mM.
However, in actual clinical reprocessing workflows, a primary mechanism driving the reduction in OPA concentration from its initial 0.55% level towards the 0.30% minimum effective concentration (MEC) is physical dilution caused by residual rinsing water inside the pre-cleaned endoscopes. This physical dilution proportionally reduces the intrinsic buffering capacity of the disinfectant. Accurate quantification of real-world samples necessitates minimizing the matrix discrepancy between the standard calibration solutions and the actual clinically diluted samples. Consequently, a customized 35 mM phosphate buffer (PB, pH 7.4) was strategically selected as the universal matrix for all OPA standard solutions (0.025–0.55%), rather than calibrating against the original 44 mM PB matrix. This 35 mM PB concentration corresponds to the buffering capacity of a physically diluted 0.45% CIDEX OPA solution—a representative mid-upper value within the critical 0.30–0.55% clinical working range. By anchoring the standard calibration curve to this specific mid-point matrix, the maximum deviation in buffer capacity between the calibration standards and any clinically diluted sample is minimized. This matrix-matching strategy ensures quantitative accuracy and reliable colorimetric readout across the practical disinfection window.
In addition to physical dilution, OPA concentration also decreases via chemical consumption by residual proteins. A derivatization approach introducing glycine was employed to simulate the depletion of active OPA during the actual CIDEX™ OPA disinfection process. As depicted in
Figure 3A, the unreacted OPA standard solution was characterized by an absorption peak at 260 nm, possessing no significant optical activity above 350 nm. This 260 nm peak was thus established as the quantitative monitoring wavelength for the subsequent CE analysis. Following the introduction of 3 mM glycine, rapid derivatization was optically and visually observed. Within 0.5 min, the reaction yielded a noticeable yellow-green hue, simultaneous with the emergence of a broad absorption band at 400 nm characteristic of the newly formed isoindole derivatives. Over the incubation period, the continuous generation of these derivatives was evidenced by a progressive rise in the 400 nm absorbance [
27,
28]. Notably, by the 5 min mark, the mixture had transitioned to a deep green color, and the upward trajectory of the 400 nm absorbance began to plateau, reflecting a deceleration in the reaction kinetics as the derivatization proceeded. From a quantitative sensing perspective, this prolonged and non-linear kinetic behavior renders the 400 nm optical readout highly time-dependent. Because the generation rate of the reaction products varies significantly across the incubation window, any slight deviation in the specific detection time would introduce severe measurement variability, making this direct derivatization approach unsuitable for rapid and robust point-of-care testing.
The UV-Vis spectra (
Figure 3A) also demonstrated that the OPA-glycine isoindole derivatives exhibit no significant optical absorption at wavelengths above 500 nm. This optical property served as a fundamental criterion for the design of the chemical test strips. Circumventing spectral overlap and visual interference from the dark-green disinfection byproducts requires the target absorption shift of the colorimetric pH indicator to occur exclusively at wavelengths greater than 500 nm. Consequently, phenolphthalein disodium salt was selected as the pH indicating component for the test strips. As further demonstrated in
Figure 3B, the pH-dependent UV-Vis absorption spectra of 0.5 mM phenolphthalein disodium salt in a 20 mM borax buffer display a progressive deprotonation and colorimetric transition across an alkaline pH range from 8.60 to 10.0. This transition is characterized by the emergence of a dominant absorption peak near 555 nm, which aligns with the >500 nm requirement, ensuring an interference-free optical readout during practical disinfection monitoring.
Furthermore, as revealed in
Figure 3B, the absorbance of the phenolphthalein indicator exhibits a steep increase particularly within the pH window of 8.90 to 10.0. By precisely calibrating the initial buffer capacity of the system, the stoichiometric generation of NaOH resulting from the targeted 0.28–0.40% OPA reaction (Equation (1)) elevates the microenvironmental pH into this responsive window. This alignment between the OPA-induced pH shift and the indicator’s dynamic colorimetric range establishes an optimal detection interval that encompasses the critical 0.30% MEC, thereby ensuring reliable clinical decision-making during practical disinfection monitoring.
3.2. Microfluidic Topography Design and Volumetric Self-Metering of the Test Strip
The architectural design of the test strip plays a crucial role in maintaining fluidic stability and optical precision. As illustrated in the structural schematic (
Figure 1A), the optical measurement zone was confined to 10 mm in length and 3 mm in width using a precise cutout in the black double-sided adhesive tape. This 3 mm width was established as a critical geometric constraint. Experimental observations revealed that maintaining the reaction zone width below 6 mm is essential to ensure a uniform and steady advancing flow front. Exceeding this dimensional threshold creates a flow velocity disparity between the faster lateral edges and the slower central region, leading to the entrapment of air bubbles in the center of the channel, interfering with the multi-spectral reflectance measurements. Similarly, the vertical dimension—defined by the thickness of the black double-sided tape—was optimized. A spacer thickness below 50 μm generated excessive fluidic resistance, while exceeding 200 μm caused disparity in fluid advancing speeds and microbubble entrapment. Therefore, a commercially available 150 μm thickness was selected to prevent bubble formation while maximizing the optical reaction volume, thereby enhancing the overall sensitivity of the test strip.
Beyond the macroscopic channel dimensions, a homogeneous reagent distribution is fundamental for reliable colorimetric sensing. When dissolved reagents are deposited into the confined reaction zone on conventional flat substrates, surface tension causes the liquid to form a meniscus against the tape boundaries. This leads to the immediate outward migration and edge pooling of the liquid reagent, as observed on the wet flat PET film (
Figure 1C, top). Upon thermal drying, this physical boundary pins the contact line, solidifying and culminating in a surface-tension-driven peripheral pooling of the dried reagents. To overcome this phenomenon, a 0.2 mm × 0.2 mm cross-hatched micro-structure was patterned onto the surface of the middle PET substrate. As characterized by the surface profiler (
Figure 1B), this topographical modification creates physical micro-cavities with depths ranging from approximately 80 to 150 μm.
During the initial liquid deposition phase, the freshly dispensed reagent (which exhibits a visibly deeper color prior to drying due to the highly alkaline formulation at pH 10.0) can be observed distributing uniformly within these micro-grooves without edge pooling (
Figure 1C, bottom). However, upon thermal drying, the deprotonated phenolphthalein naturally reverts to a colorless state, making macroscopic observation of the solid reagent challenging. Therefore, a distinctively colored surrogate dye (thymol blue sodium salt) was utilized to verify this homogeneous spatial distribution after drying. As visually confirmed in
Figure A1, the light-yellow dried solid reagents remain uniformly sequestered at the bottom of these micro-cavities. Furthermore, during sample introduction, these micro-structures effectively buffer the solid reagent surface from the direct impact of the laterally flowing liquid, thereby preventing reagent washout. As a result, the patterned PET substrate eliminates this surface-tension-driven pooling effect, yielding a uniform color development across the entire reaction zone.
This engineered micro-topography also serves as the mathematical foundation for the quantitative formulation of the colorimetric sensing reagent. The total volumetric capacity of the reaction zone determines the dilution factor of the pre-coated reagents upon sample reconstitution. Based on the spatial geometry, the rectangular void of the black tape (10 mm length × 3 mm width × 0.15 mm thickness) provides a base volume of 4.5 μL. Combined with an estimated 0.9 μL fluidic capacity from the underlying micro-cavities (derived via gravimetric measurement of absorbed deionized water), the reaction zone yields a total sample-holding volume of 5.4 μL. Therefore, to dynamically achieve the optimal 1× working concentration when the 5.4 μL sample fills the zone, the 1.8 μL of dispensed reagent must be prepared at 3.0 times (5.4 μL/1.8 μL) the final target concentration. This 3× formulation ensures consistent chemical stoichiometry and reproducible optical responses during actual clinical monitoring. Unlike commercial paper-based test strips, whose absorbed sample volume is inherently variable and dependent on operator handling (e.g., dipping time and angle), this fully enclosed microfluidic architecture guarantees the precise, automatic uptake of a fixed 5.4 μL OPA sample. This quantitative, self-metering design eliminates user-induced volumetric fluctuations, thereby elevating the analytical precision and reliability of the colorimetric assay.
3.3. Hardware Architecture and Automated Steady-State Readout Algorithm
To translate the chemical colorimetric transition into a quantifiable digital signal, the sensing platform utilizes the AS7341 multi-spectral sensor. Based on the optical characterization of the phenolphthalein indicator (established in
Section 3.1), the F5 channel (515–595 nm) was selected as the primary measurement channel, as its detection band encompasses the 555 nm absorption peak of the deprotonated dye. Simultaneously, the F8 channel (630–730 nm) was designated as an optical reference to compensate for background optical scattering and inherent fluctuations in the internal LED emission intensity, thereby enabling the derivation of a robust analytical optical ratio (F8/F5). To empirically validate this ratiometric approach, signal stability was systematically evaluated. To ensure consistency with the baseline conditions of the dynamic optical response depicted in
Figure 4A, this evaluation was conducted using a 0.32% (
w/
v) OPA sample in 35 mM PB, paired with test strips containing a final effective matrix of 5 mM borax (pH 9.2), 2.0 mM phenolphthalein disodium salt, 70 mM Na
2SO
3, 0.03% Tween-20, and 2.0% PVP-360. As detailed in
Table 1, while the individual F5 and F8 channels exhibited signal fluctuations due to background optical scattering and subtle positional variations, employing the F8/F5 optical ratio effectively canceled out these common-mode interferences. Consequently, the coefficient of variation (CV) of the final ratiometric readout was reduced to 1.46%. This enhancement in signal precision confirms that the F8/F5 ratio minimizes optical and positional interferences, providing a reliable quantitative foundation for the colorimetric assay.
The real-time kinetic response of the test strip was evaluated. When the tip of the microfluidic strip contacts the OPA sample, the fluid is rapidly wicked into the reaction zone via capillary action. Notably, within 1–2 s, the synergistic hydrophilicity of the top functional cover film and the underlying PVP-360 polymer matrix bidirectionally drives the sample, ensuring a rapid and uniform fluidic distribution across the entire microfluidic cavity. Once the reaction zone is filled, the OPA solution interacts with the sequestered reagents at the bottom of the micro-grooves, initiating the stoichiometric colorimetric reaction. As depicted in the dynamic optical response (
Figure 4A), this rapid dissolution and subsequent reaction manifest as a steep decline in the F5 channel counts during the initial seconds. In contrast, the F8 reference channel remains stable throughout the entire hydration and reaction process. Consequently, the calculated optical ratio (F8/F5) exhibits a steep ascent that mirrors the reaction kinetics. The inset macroscopic photographs corroborate this dynamic behavior, revealing a distinct color transition from transparent to pink as early as 3 s after sample introduction.
In commercial paper-based test strips, the final interpretation relies on a timed visual inspection by the operator, which introduces subjective bias and temporal errors. To eliminate these uncertainties, a customized automated steady-state detection algorithm was embedded within the microcontroller (
Figure 2A). Upon activation, the algorithm continuously monitors the raw optical counts of both the F5 and F8 channels at a sampling frequency of 0.5 Hz (i.e., one measurement every 2 s). To dynamically assess the reaction equilibrium, the rate of signal variation (Δ) is calculated by comparing the current reading with the preceding sampling point. A steady-state condition is recognized when the absolute variations for both channels are simultaneously minimal (|ΔF5| < 15 and |ΔF8| < 15). This specific threshold of 15 counts corresponds to a relative signal fluctuation of less than 1%, indicating chemical equilibrium. To prevent premature evaluation during the kinetic deceleration phase, this stability criterion must be continuously satisfied for three consecutive counts. As evidenced in
Figure 4A, the raw signals progressively level off, culminating in a stable plateau for the analytical F8/F5 ratio. The system satisfies this steady-state algorithmic threshold at approximately 60 s, which coincides with the visually saturated color development observed in the corresponding 60 s inset photograph.
Upon satisfying the steady-state criterion, the stabilized F8/F5 optical ratio is processed to determine the OPA concentration. For immediate clinical decision-making, this calculated concentration is displayed on the OLED screen, accompanied by an unambiguous “[PASS]” or “[FAIL]” judgment based on a matrix-compensated diagnostic threshold of 0.32% OPA (as established in
Section 3.6). This architectural and algorithmic integration ensures that the final analytical readout is objective, real-time, and reliable at the point of care.
3.4. Systematic Optimization of Reagent Formulation and Analytical Performance
To ensure uniform spatial distribution, rapid reaction kinetics, and optical performance, the formulation of the colorimetric sensing reagent was systematically optimized. Initially, polyvinylpyrrolidone (PVP-360) was incorporated not only as a film-forming and stabilizing agent but also to impart essential fluidic advantages [
29,
30]. Upon sample introduction, the inherent hydrophilicity of the dried PVP-360 matrix guides the OPA sample to fill the entire microfluidic reaction zone. Furthermore, during the extended optical monitoring period (conservatively covering the >90 s reaction window), PVP-360 acts as a potent humectant. It retains moisture and minimizes the water evaporation rate, thereby preserving the precisely metered 5.4 μL reaction volume. During the fabrication process, the concentration of PVP-360 in the 3X coating solution was evaluated. The experimental results indicate that a 6.0% (
w/
v) coating concentration—which yields a 2.0% final effective reaction concentration upon sample rehydration—provided the optimal viscosity. Coating concentrations below 2% lacked viscosity to prevent localized reagent accumulation during thermal drying, whereas excessive concentrations (>9%) hindered uniform liquid deposition and retarded OPA diffusion and reaction kinetics. In synergy with the PVP-360 matrix, an effective concentration of 0.03% Tween-20 was introduced. This non-ionic surfactant lowers the surface tension to facilitate uniform reagent coating, stabilizes the highly concentrated phenolphthalein disodium salt, and accelerates the overall OPA colorimetric reaction. Notably, effective surfactant concentrations exceeding 0.2% were avoided, as the formation of micelles was observed to suppress the colorimetric readout.
Following the establishment of the physical polymeric matrix, the chemical reactive components were systematically evaluated. Sodium sulfite (Na2SO3) was established at an effective concentration of 70 mM. This concentration provides a sufficient stoichiometric excess to react with up to approximately 0.47% (35 mM) OPA, ensuring maximum generation of hydroxide ions (OH−) for the subsequent colorimetric shift. From a practical engineering perspective, Na2SO3 exhibits strong reducing properties and is susceptible to rapid aerial oxidation and peroxide-induced degradation. To complement the chemical formulation with physical protection, the final fabricated test strips must be packaged in a 45 mm × 75 mm polypropylene (PP) plastic bottle equipped with 2 g of silica gel desiccant and a 30 cm3 oxygen scavenger to ensure long-term storage stability and an extended shelf-life.
Controlling the baseline pH and buffering capacity of the dried test strip is critical. While hydrochloric acid (HCl) is conventionally added to borate solutions to fine-tune the initial pH in liquid-phase buffer preparations, its high volatility during the 50 °C thermal drying process leads to pH fluctuations and irreproducibility in the solid-state strips [
31]. Therefore, HCl titration was excluded from the formulation. Instead, an unadjusted pure borax buffer system (naturally at pH 9.2) was employed. Rather than artificially forcing the initial pH with an acid, the system’s performance was optimized by varying the concentration of the borax buffer to stably anchor the microenvironmental pH and counteract the intrinsic 35 mM PB background of the standardized calibration matrix. As illustrated in the preliminary calibration curves (
Figure 4B), the effective borax concentration was evaluated at 5, 7.5, and 10 mM. The experimental data revealed a rightward shift and broadening of the linear dynamic range as the borax concentration increased. The linear responsive window progressively shifted from 0.18–0.32% OPA (at 5 mM borax) to 0.20–0.36% OPA (at 7.5 mM borax), and to 0.22–0.40% OPA (at 10 mM borax, R
2 = 0.9902). While a lower borax concentration (5 mM) exhibited the highest analytical sensitivity, it led to premature signal saturation. Similarly, for the 7.5 mM borax condition, as the OPA concentration approached 0.4% (
Figure 4B), a fluctuating drop in the ratiometric signal was observed. Optically, under such highly saturated coloration, the F5 counts (the denominator) drop to a low baseline level, causing any minute physical fluctuations to be mathematically amplified in the F8/F5 calculation. This amplification effect fundamentally explains the increased error bars and the fluctuating drop of the ratiometric signal. Conversely, the 10 mM borax condition broadened the dynamic range to encompass the targeted clinical requirement, ensuring sufficient analytical resolution within the critical 0.30% to 0.40% OPA monitoring window. Furthermore, an evaluation of the system’s reproducibility revealed that the inherent error (standard deviation) of the F8/F5 ratio is consistently less than 0.08 (
n = 5). For the 10 mM borax condition, the linear regression slope is approximately 8.0, mathematically implying that a 0.01% variation in OPA concentration yields a proportional 0.08 shift in the optical ratio. Under this condition, the sensor retains adequate discriminability and resolution. If the borax concentration were increased any further, the slope would drop below this critical threshold, failing to provide sufficient resolution against the intrinsic signal variance. Therefore, 10 mM borax was selected as the optimal buffering matrix.
Finally, to compensate for the suppressed slope and elevate the resolving power under the 10 mM borax condition, the phenolphthalein indicator concentration was fine-tuned from 2.0 mM to 2.5 mM. This strategic elevation amplified the specific optical absorbance upon deprotonation, ultimately maximizing the sensitivity of the test strip. Under these optimal reagent conditions (2.5 mM phenolphthalein disodium salt, 10 mM borax, 70 mM Na
2SO
3, 0.03% Tween-20, and 2.0% PVP-360), the overall analytical performance of the sensing platform was comprehensively evaluated (
Figure 5). The customized sensor demonstrated a reliable linear response (R
2 = 0.9956) across the targeted OPA concentration window (0.26–0.40%). More importantly, as visually corroborated by the inset macroscopic photographs in
Figure 5, the test strips exhibited a vivid, easily distinguishable colorimetric progression—transitioning from a faint pink at 0.14% to a deep, saturated magenta at 0.40%. This progressive visual color development synchronizes with the quantified F8/F5 optical ratio, providing a dual-mode (visual and digital) verification. Crucially, the optimized linear dynamic range encompasses the critical 0.30% minimum effective concentration (MEC) and its surrounding clinical monitoring window. This precise alignment empowers the automated steady-state algorithm to execute accurate “[PASS]” or “[FAIL]” clinical judgments, thereby minimizing the risk of false diagnostics during routine endoscope reprocessing.
3.5. Establishment of Capillary Electrophoresis as Reference Benchmark
To evaluate the quantitative accuracy and reliability of the developed microfluidic colorimetric sensor, capillary electrophoresis (CE) was employed as an independent, standard reference method. Under the optimized electrophoretic conditions (20 mM sodium tetraborate and 20 mM SDS at pH 9.20) [
25,
26], the migration of the OPA molecule was monitored using a photodiode array (PDA) detector at its characteristic 260 nm absorption wavelength, a quantitative spectral feature previously established in
Section 3.1.
As depicted in the representative electropherograms (
Figure 6A), the electrophoretic separation was efficient. The 0.55% OPA standard solution (trace a) exhibited a well-defined analyte peak (Peak 1) at a migration time of approximately 2.9 min, achieving a separation efficiency with a theoretical plate number (
N) exceeding 50,000. The system also exhibited reproducibility, as evidenced by a coefficient of variation (CV) for the migration time of less than 0.35%. When analyzing the complex commercial 0.55% CIDEX OPA solution (trace b), the CE method achieved baseline separation between the primary OPA analyte and other fundamental formulation additives. Notably, benzotriazole (Peak 2), which is commonly utilized as a corrosion inhibitor in commercial endoscopic disinfectants [
32], was resolved at a migration time of approximately 5.4 min. This baseline resolution demonstrates that the established CE methodology is free from sample matrix interference, ensuring the analytical specificity required for a reference standard.
Based on these optimized separation parameters, a quantitative CE calibration curve was constructed by plotting the integrated peak area against OPA standard concentrations ranging from 0.025% to 0.55% (
w/
v). As plotted in
Figure 6B, the analytical results demonstrated linear proportionality across the entire tested concentration window. The linear regression equation was established as y = 488.95x − 4.8592, with a correlation coefficient (R
2) of 0.9976. Furthermore, the limit of detection (LOD) was determined to be 0.025% (
w/
v) OPA at a signal-to-noise (S/N) ratio greater than 10, with an acceptable precision (CV < 7%,
n = 5). This linearity and analytical performance confirm that the CE protocol serves as an accurate quantitative benchmark. Consequently, it provides a foundation for the subsequent cross-validation and practical performance evaluation of the proposed colorimetric test strips in real-world clinical applications.
3.6. Cross-Validation and Practical Application in Clinical Disinfectants
To demonstrate the practical utility and quantitative accuracy of the developed microfluidic colorimetric sensor, cross-validation was performed against the established capillary electrophoresis (CE) reference method. Initially, the comparison was conducted using idealized OPA standard solutions (0.24–0.40%,
w/
v) prepared in the standardized 35 mM PB (pH 7.4) matrix. As illustrated in the correlation plot (
Figure 7A), the concentrations determined by the proposed test strips exhibited quantitative agreement with those obtained by the CE method. The linear regression equation, y = 0.962x + 0.0127, accompanied by a correlation coefficient (R
2 = 0.9859), indicates the absence of significant proportional errors (slope ≈ 1) and constant bias (intercept ≈ 0) under controlled matrix conditions. Furthermore, precision analysis yielded a coefficient of variation (CV) ranging from 0.8% to 3.3%, satisfying the requirements for reliable quantitative analysis.
Subsequently, the analytical evaluation was extended to real-world clinical samples using the commercial CIDEX OPA solution. To accurately simulate the physical dilution caused by residual rinse water inside pre-cleaned endoscopes, the CIDEX stock was directly diluted with deionized (DI) water to the critical monitoring range of 0.24–0.40% (
w/
v). This preparation strategy aligns with the “negative control” validation concept outlined in the manufacturer’s Instructions for Use (IFU) for commercial strips [
23]. The IFU mandates a deliberate failure test (e.g., a 50% dilution with deionized water) to simulate a sub-MEC condition. By adopting and expanding upon this standard practice, we evaluated the sensors’ reliability across the critical decision-making window. As shown in
Figure 7B, the correlation between the proposed test strips and the CE method for these real samples yielded the regression equation y = 0.7294x + 0.1022 (R
2 = 0.9684). As observed from the correlation profile, the slope deviation (approximately 0.73) is primarily driven by a systematic overestimation at lower OPA concentrations. This phenomenon is a direct consequence of the physical dilution of the intrinsic sample matrix. The fresh CIDEX stock contains approximately 43–44 mM PB. When heavily diluted with DI water to reach lower OPA levels, the intrinsic buffering capacity is proportionally diminished. For instance, at a 0.30% CIDEX OPA concentration, the sample solution only retains roughly 23–24 mM PB. Compared to the standardized 35 mM PB used for establishing the calibration curve, this weakened buffering capacity is more easily overcome by the OPA-induced NaOH (Equation (1)), leading to an amplified pH elevation and a consequently overestimated optical readout.
This dilution approach accurately simulates the worst-case boundary conditions encountered during actual endoscope reprocessing, where cumulative residual rinse water progressively dilutes the disinfectant down to the critical MEC. At the targeted 0.30% MEC threshold, the optical readout is only slightly overestimated by approximately 0.02% (i.e., a true 0.30% CIDEX OPA sample consistently registers as 0.32% on the sensor). Based on this investigation, the diagnostic threshold programmed into the automated sensing platform was strategically adjusted. By setting the warning trigger to 0.32% OPA, the system accurately displays a “[FAIL]” alert, promptly directing the operator to replace the disinfectant. Furthermore, it should be noted that routine endoscope reprocessing and OPA monitoring are strictly performed in controlled indoor clinical environments (typically air-conditioned at 20–28 °C). Because the sensor was calibrated and operated under these stable ambient conditions, temperature-induced variations in the reaction kinetics are negligible for its intended application.
Beyond digital quantification, the proposed microfluidic platform provides distinct visual advantages compared with commercial products. As depicted in the inset photographs of
Figure 7B, the commercial ASP CIDEX™ OPA Solution Test Strips exhibit macroscopic color heterogeneity. Although their package insert claims the capability to reliably verify the 0.30% MEC threshold, practical evaluations reveal limitations. Slight color patchiness begins to emerge even at a higher concentration of 0.40%, and patchy discoloration becomes evident at 0.35%. Their varying blue-to-purple color development is affected by uneven reagent distribution and intrinsic chromatographic wicking effects inherent to conventional porous paper substrates. This macroscopic non-uniformity makes subjective visual interpretation by operators ambiguous and susceptible to critical misdiagnoses, particularly when differentiating concentrations near the MEC threshold. Furthermore, the manufacturer’s instructions mandate that the results must be visually read at exactly 90 s. This strict temporal constraint imposes considerable operational difficulties and introduces human timing errors during busy clinical workflows.
In contrast, the developed test strips demonstrate a homogeneous colorimetric progression. This spatial uniformity is attributed to the enclosed 5.4 μL microfluidic self-metering design and the engineered micro-cavities (as discussed in
Section 3.2), which eliminate operator-induced volumetric errors and edge pooling. Paired with the automated steady-state readout algorithm, the proposed sensing platform provides an unambiguous, objective, and accurate “[PASS]” or “[FAIL]” diagnostic result without the constraint of strict manual timing, overcoming the critical limitations of traditional commercial counterparts.