The rapid and unexpected spread of SARS-CoV-2 worldwide has caused unprecedented
disruption to daily life and has brought forward critical challenges for public health.
The disease was the largest cause of death in the United States in early 2021. Likewise,
the COVID-19 pandemic has highlighted the need for rapid and accurate diagnoses at
scales larger than ever before. To improve the availability of current gold standard
diagnostic testing methods, the development of point-of-care devices that can maintain
gold standard sensitivity while reducing the cost and providing portability is much
needed. In this work, we combine the amplification capabilities of reverse transcriptase
loop-mediated isothermal amplification (RT-LAMP) techniques with high-sensitivity
end-point detection of crumpled graphene field-effect transistors (cgFETs) to develop a
portable detection cell. This electrical detection method takes advantage of the ability
of graphene to adsorb single-stranded DNA due to noncovalent π–π
bonds but not double-stranded DNA. These devices have demonstrated the ability to detect
the presence of the SARS-CoV-2 virus in a range from 10 to 10
4
copies/μL in 20 viral transport medium (VTM) clinical samples. As a result, we
achieved 100% PPV, NPV, sensitivity, and specificity with 10 positive and 10 negative
VTM clinical samples. Further, the cgFET devices can differentiate between positive and
negative VTM clinical samples in 35 min based on the Dirac point shift. Likewise, the
improved sensing capabilities of the crumpled gFET were compared with those of the
traditional flat gFET devices.