A Wearable Hydration Sensor with Conformal Nanowire Electrodes

Breathable and imperceptible on-skin electronic tattoos with a hybrid of silk and cellulose and highly conductive electrodes for monitoring skin hydration

Skin, the largest organ protecting the body, acts as a pathway connecting the inside and outside of the body, allowing us to examine health conditions. Therefore, on-skin electronics are attractive for monitoring biosignals in daily life for point-on-care healthcare. However, integrating highly conductive electrodes while maintaining all the properties suitable for on-skin devices, such as flexibility, imperceptibility, breathability, and biocompatibility, is still challenging. Here, we present breathable and imperceptible electronic tattoos (E-tattoos), on which highly conductive gold (Au) electrodes are integrated. The E-tattoo, which a hybrid of two nanostructured biomaterials, ultrathin silk film and cellulose nanofiber mat, possesses all favorable properties for on-skin electronics. Due to the inherent strong adhesion of silk to Au, patterned Au electrodes, with a high conductivity (2.84 × 107 S/m) comparable to that of pure Au (4.01 × 107 S/m), can be integrated on the E-tattoo. High water-vapor transmission and low leakage current through E-tattoos provide skin-compatibility (nonirritating response). With these advantages, the E-tattoo is applied to monitor skin hydration. On-skin impedance measurements reveal dependency on skin hydration, and impedances measured with E-tattoos show better signal stability than those measured for Au nanomesh patches. This study presents a new on-skin electronic platform for monitoring skin conditions.

Characterizing random complex biological media by quantifying ultrasound multiple scattering

Introduction

In this in silico, in vitro, and in vivo study, we propose metrics for the characterization of highly scattering media using backscattered acoustic waves in the MHz range, for application to the characterization of biological media.

Methods

Multi-element array transducers are used to record the ultrasonic Inter element Response Matrix (IRM) of scattering phantoms and of lung tissue in rodent models of pulmonary fibrosis. The distribution of singular values of the IRM in the frequency domain is then studied to quantify the multiple scattering contribution. Numerical models of scattering media, as well as gelatin-glass bead and polydimethylsiloxane phantoms with different scatterer densities, are used as a first step to demonstrate the proof of concept.

Results

The results show that changes in microstructure of a complex random medium affect parameters associated with the distribution of singular values. Two metrics are proposed: E(X), which is the expected value of the singular value distribution, andλ max , the maximum value of the probability density function of the singular value distribution, i.e., the most represented singular value. After validation of the methods in silico and in phantoms, we show that these metrics are relevant to evaluate pulmonary fibrosis in an in vivo rodent study on six control rats and eighteen rats with varying degrees of severity of pulmonary fibrosis. In rats, a moderate correlation was found between the severity of pulmonary fibrosis and metrics E(X) andλ max .

Discussion

These results suggest that such parameters could be used as metrics to estimate the amount of multiple scattering in highly heterogeneous media, and that these parameters could contribute to the evaluation of structural changes in lung microstructure.

Synergistic Strategies of Biomolecular Transport Technologies in Transdermal Healthcare Systems

Transdermal healthcare systems have gained significant attention for their painless and convenient drug administration, as well as their ability to detect biomarkers promptly. However, the skin barrier limits the candidates of biomolecules that can be transported, and reliance on simple diffusion poses a bottleneck for personalized diagnosis and treatment. Consequently, recent advancements in transdermal transport technologies have evolved toward active methods based on external energy sources. Multiple combinations of these technologies have also shown promise for increasing therapeutic effectiveness and diagnostic accuracy as delivery efficiency is maximized. Furthermore, wearable healthcare platforms are being developed in diverse aspects for patient convenience, safety, and on-demand treatment. Herein, a comprehensive overview of active transdermal delivery technologies is provided, highlighting the combination-based diagnostics, therapeutics, and theragnostics, along with the latest trends in platform advancements. This offers insights into the potential applications of next-generation wearable transdermal medical devices for personalized autonomous healthcare.

Future of service member monitoring: the intersection of biology, wearables and artificial intelligence

While substantial investment has been made in the early identification of mental and behavioural health disorders in service members, rates of depression, substance abuse and suicidality continue to climb. Objective and persistent measures are needed for early identification and treatment of these rising health issues. Considerable potential lies at the intersection of biology, wearables and artificial intelligence to provide high accuracy, objective monitoring of mental and behavioural health in training, operations and healthcare settings. While the current generation of wearable devices has predominantly targeted non-military use cases, military agencies have demonstrated successes in monitoring and diagnosis via off-label uses. Combined with context-aware and individualised algorithms, the integration of wearable data with artificial intelligence allows for a deeper understanding of individual-level and group-level mental and behavioural health at scale. Emerging digital phenotyping approaches which leverage ubiquitous sensing technology can provide monitoring at a greater scale, lower price point and lower individual burden by removing the need for additional body-worn technology. The intersection of this technology will enable individualised strategies to promote service member mental and physical health, reduce injury, and improve long-term well-being and deployability.

Monoolein-Based Wireless Capacitive Sensor for Probing Skin Hydration

Capacitive humidity sensors typically consist of interdigitated electrodes coated with a dielectric layer sensitive to varying relative humidity levels. Previous studies have investigated different polymeric materials that exhibit changes in conductivity in response to water vapor to design capacitive humidity sensors. However, lipid films like monoolein have not yet been integrated with humidity sensors, nor has the potential use of capacitive sensors for skin hydration measurements been fully explored. This study explores the application of monoolein-coated wireless capacitive sensors for assessing relative humidity and skin hydration, utilizing the sensitive dielectric properties of the monoolein-water system. This sensitivity hinges on the water absorption and release from the surrounding environment. Tested across various humidity levels and temperatures, these novel double functional sensors feature interdigitated electrodes covered with monoolein and show promising potential for wireless detection of skin hydration. The water uptake and rheological behavior of monoolein in response to humidity were evaluated using a quartz crystal microbalance with dissipation monitoring. The findings from these experiments suggest that the capacitance of the system is primarily influenced by the amount of water in the monoolein system, with the lyotropic or physical state of monoolein playing a secondary role. A proof-of-principle demonstration compared the sensor's performance under varying conditions to that of other commercially available skin hydration meters, affirming its effectiveness, reliability, and commercial viability.

Skin Model for Monitoring Atopic Dermatitis Using Interdigitated Capacitive Sensor

Atopic dermatitis is the most common inflammatory skin disease worldwide but empirical work on monitoring the condition using digital technologies is lacking. This work presents a skin model for predicting the dielectric properties of skin with atopic dermatitis, to correlate those properties to the severity of the condition using an interdigitated capacitive sensor. A new parametric prediction of the dielectric spectrum of skin with the condition is estimated and plugged into finite element analysis software. The capacitance and phase of an interdigitated capacitor, tailored for the application of monitoring skin with AD, are computed from the simulation. The results show that the transducer's sensitivity towards changes in the severity of the condition is increased when the excitation frequency is between 10 kHz and 1 MHz. Also, the simulation confirms that the interdigitated capacitor is only sensitive towards skin with AD, and can distinguish it from other conditions.

Recent advances in multifunctional electromagnetic interference shielding materials

Electromagnetic interference (EMI) shielding material is the most effective solution to protect electronic devices and human health from the harmful effects of electromagnetic radiation. The study of EMI shielding materials is intensifying in the constantly developing picture of the fourth industrial revolution. Many EMI shielding materials based on metal, carbon, emerging MXene materials, and their composites have been discovered to utilize the EMI shielding performance. However, a huge demand for compact and multi-functional devices requires the integration of new functions into EMI shielding materials. Multifunctional EMI shielding materials perform multiple functions beyond their main function of EMI shielding in a system due to their specific properties. The additional functions can either naturally exist or be specially engineered. This review summarizes the recent progress of cutting-edge multifunctional EMI shielding materials. The possibility of combining multifunction EMI shielding materials, such as strain sensing, humidity sensing, temperature sensing, thermal management, etc., and the difficulties in balancing EMI shielding performance with other functions are also discussed. Lastly, we point out challenges and propose future directions to develop research on multifunctional EMI shielding materials.

Multi-Modal Spectroscopic Assessment of Skin Hydration

Human skin acts as a protective barrier, preserving bodily functions and regulating water loss. Disruption to the skin barrier can lead to skin conditions and diseases, emphasizing the need for skin hydration monitoring. The gold-standard sensing method for assessing skin hydration is the Corneometer, monitoring the skin's electrical properties. It relies on measuring capacitance and has the advantage of precisely detecting a wide range of hydration levels within the skin's superficial layer. However, measurement errors due to its front end requiring contact with the skin, combined with the bipolar configuration of the electrodes used and discrepancies due to variations in various interfering analytes, often result in significant inaccuracy and a need to perform measurements under controlled conditions. To overcome these issues, we explore the merits of a different approach to sensing electrical properties, namely, a tetrapolar bioimpedance sensing approach, with the merits of a novel optical sensing modality. Tetrapolar bioimpedance allows for the elimination of bipolar measurement errors, and optical spectroscopy allows for the identification of skin water absorption peaks at wavelengths of 970 nm and 1450 nm. Employing both electrical and optical sensing modalities through a multimodal approach enhances skin hydration measurement sensitivity and validity. This layered approach may be particularly beneficial for minimising errors, providing a more robust and comprehensive tool for skin hydration assessment. An ex vivo desorption experiment was carried out on fresh porcine skin, and an in vivo indicative case study was conducted utilising the developed optical and bioimpedance sensing devices. Expected outcomes were expressed from both techniques, with an increase in the output of the optical sensor voltage and a decrease in bioimpedance as skin hydration decreased. MLR models were employed, and the results presented strong correlations (R-squared = 0.996 and p-value = 6.45 × 10-21), with an enhanced outcome for hydration parameters when both modalities were combined as opposed to independently, highlighting the advantage of the multimodal sensing approach for skin hydration assessment.

Multi-characteristic tannic acid-reinforced polyacrylamide/sodium carboxymethyl cellulose ionic hydrogel strain sensor for human-machine interaction

Big data and cloud computing are propelling research in human-computer interface within academia. However, the potential of wearable human-machine interaction (HMI) devices utilizing multiperformance ionic hydrogels remains largely unexplored. Here, we present a motion recognition-based HMI system that enhances movement training. We engineered dual-network PAM/CMC/TA (PCT) hydrogels by reinforcing polyacrylamide (PAM) and sodium carboxymethyl cellulose (CMC) polymers with tannic acid (TA). These hydrogels possess exceptional transparency, adhesion, and remodelling features. By combining an elastic PAM backbone with tunable amounts of CMC and TA, the PCT hydrogels achieve optimal electromechanical performance. As strain sensors, they demonstrate higher sensitivity (GF = 4.03), low detection limit (0.5 %), and good linearity (0.997). Furthermore, we developed a highly accurate (97.85 %) motion recognition system using machine learning and hydrogel-based wearable sensors. This system enables contactless real-time training monitoring and wireless control of trolley operations. Our research underscores the effectiveness of PCT hydrogels for real-time HMI, thus advancing next-generation HMI systems.

Wide Remote-Range and Accurate Wireless LC Temperature-Humidity Sensor Enabled by Efficient Mutual Interference Mitigation

Inductor-capacitor wireless integrated sensors (LCWISs) featuring untethered and multitarget measurements are promising in health monitoring and human-machine interfaces. However, the lack of a profound understanding of the internal interference hinders the design of the LCWIS, which has a wide remote sensing range and high accuracy. Herein, a mutually exclusive effect of the mutual inductance interferences in LCWIS was revealed and quantified, enabling a design with a wide range of remote sensing (working distance comparable to the single-target device, working radius: 4 mm) and 16% reduced area. As a key to accurate multitarget measurement, a quantified target interference model based on interference decomposition was proposed to understand the target interferences, providing profound guidance for the design of ultra-accurate LCWIS. As a proof, we designed a cellulose-polyacrylate-cellulose LCWIS (CPC-LCWIS) with ultrahigh accuracies (∼1.2% RH and ∼0.18 °C) beyond commercial wired gauges. The CPC-LCWIS with full-coil sensing structures achieved exceptionally high sensitivities (0.36 MHz/°C and 0.25 MHz/% RH). The CPC-LCWIS was validated for health monitoring and human-machine interfaces. The concept studied in this work provides profound guidance for designing a high-performance flexible LCWIS for advanced wearable electronics.

The Emergence of AI-Based Wearable Sensors for Digital Health Technology: A Review

Disease diagnosis and monitoring using conventional healthcare services is typically expensive and has limited accuracy. Wearable health technology based on flexible electronics has gained tremendous attention in recent years for monitoring patient health owing to attractive features, such as lower medical costs, quick access to patient health data, ability to operate and transmit data in harsh environments, storage at room temperature, non-invasive implementation, mass scaling, etc. This technology provides an opportunity for disease pre-diagnosis and immediate therapy. Wearable sensors have opened a new area of personalized health monitoring by accurately measuring physical states and biochemical signals. Despite the progress to date in the development of wearable sensors, there are still several limitations in the accuracy of the data collected, precise disease diagnosis, and early treatment. This necessitates advances in applied materials and structures and using artificial intelligence (AI)-enabled wearable sensors to extract target signals for accurate clinical decision-making and efficient medical care. In this paper, we review two significant aspects of smart wearable sensors. First, we offer an overview of the most recent progress in improving wearable sensor performance for physical, chemical, and biosensors, focusing on materials, structural configurations, and transduction mechanisms. Next, we review the use of AI technology in combination with wearable technology for big data processing, self-learning, power-efficiency, real-time data acquisition and processing, and personalized health for an intelligent sensing platform. Finally, we present the challenges and future opportunities associated with smart wearable sensors.

Wearable sensor platforms for real-time monitoring and early warning of metabolic disorders in humans

Nowadays, the prevalence of metabolic syndromes (MSs) has attracted increasing concerns as it is closely related to overweight and obesity, physical inactivity and overconsumption of energy, making the diagnosis and real-time monitoring of the physiological range essential and necessary for avoiding illness due to defects in the human body such as higher risk of cardiovascular disease, diabetes, stroke and diseases related to artery walls. However, the current sensing techniques are inconvenient and do not continuously monitor the health status of humans. Alternatively, the use of recent wearable device technology is a preferable method for the prevention of these diseases. This can enable the monitoring of the health status of humans in different health domains, including environment and structure. The use wearable devices with the purpose of facilitating rapid treatment and real-time monitoring can decrease the prevalence of MS and long-time monitor the health status of patients. This review highlights the recent advances in wearable sensors toward continuous monitoring of blood pressure and blood glucose, and further details the monitoring of abnormal obesity, triglycerides and HDL. We also discuss the challenges and future prospective of monitoring MS in humans.

Continuous roller nanoimprinting: next generation lithography

Nanoimprint lithography (NIL) is a cost-effective and high-throughput technique for replicating nanoscale structures that does not require expensive light sources for advanced photolithography equipment. NIL overcomes the limitations of light diffraction or beam scattering in traditional photolithography and is suitable for replicating nanoscale structures with high resolution. Roller nanoimprint lithography (R-NIL) is the most common NIL technique benefiting large-scale, continuous, and efficient industrial production. In the past two decades, a range of R-NIL equipment has emerged to meet the industrial needs for applications including biomedical devices, semiconductors, flexible electronics, optical films, and interface functional materials. R-NIL equipment has a simple and compact design, which allows multiple units to be clustered together for increased productivity. These units include transmission control, resist coating, resist curing, and imprinting. This critical review summarizes the hitherto R-NIL processes, their typical technical problems, and corresponding solutions and gives guidelines for developing advanced R-NIL equipment.

Electromagnetic Sensing Techniques for Monitoring Atopic Dermatitis-Current Practices and Possible Advancements: A Review

Atopic dermatitis (AD) is one of the most common skin disorders, affecting nearly one-fifth of children and adolescents worldwide, and currently, the only method of monitoring the condition is through an in-person visual examination by a clinician. This method of assessment poses an inherent risk of subjectivity and can be restrictive to patients who do not have access to or cannot visit hospitals. Advances in digital sensing technologies can serve as a foundation for the development of a new generation of e-health devices that provide accurate and empirical evaluation of the condition to patients worldwide. The goal of this review is to study the past, present, and future of AD monitoring. First, current medical practices such as biopsy, tape stripping and blood serum are discussed with their merits and demerits. Then, alternative digital methods of medical evaluation are highlighted with the focus on non-invasive monitoring using biomarkers of AD-TEWL, skin permittivity, elasticity, and pruritus. Finally, possible future technologies are showcased such as radio frequency reflectometry and optical spectroscopy along with a short discussion to provoke research into improving the current techniques and employing the new ones to develop an AD monitoring device, which could eventually facilitate medical diagnosis.

Electromyogram-Based Lip-Reading via Unobtrusive Dry Electrodes and Machine Learning Methods

Lip-reading provides an effective speech communication interface for people with voice disorders and for intuitive human-machine interactions. Existing systems are generally challenged by bulkiness, obtrusiveness, and poor robustness against environmental interferences. The lack of a truly natural and unobtrusive system for converting lip movements to speech precludes the continuous use and wide-scale deployment of such devices. Here, the design of a hardware-software architecture to capture, analyze, and interpret lip movements associated with either normal or silent speech is presented. The system can recognize different and similar visemes. It is robust in a noisy or dark environment. Self-adhesive, skin-conformable, and semi-transparent dry electrodes are developed to track high-fidelity speech-relevant electromyogram signals without impeding daily activities. The resulting skin-like sensors can form seamless contact with the curvilinear and dynamic surfaces of the skin, which is crucial for a high signal-to-noise ratio and minimal interference. Machine learning algorithms are employed to decode electromyogram signals and convert them to spoken words. Finally, the applications of the developed lip-reading system in augmented reality and medical service are demonstrated, which illustrate the great potential in immersive interaction and healthcare applications.

Technology Roadmap for Flexible Sensors

Humans rely increasingly on sensors to address grand challenges and to improve quality of life in the era of digitalization and big data. For ubiquitous sensing, flexible sensors are developed to overcome the limitations of conventional rigid counterparts. Despite rapid advancement in bench-side research over the last decade, the market adoption of flexible sensors remains limited. To ease and to expedite their deployment, here, we identify bottlenecks hindering the maturation of flexible sensors and propose promising solutions. We first analyze challenges in achieving satisfactory sensing performance for real-world applications and then summarize issues in compatible sensor-biology interfaces, followed by brief discussions on powering and connecting sensor networks. Issues en route to commercialization and for sustainable growth of the sector are also analyzed, highlighting environmental concerns and emphasizing nontechnical issues such as business, regulatory, and ethical considerations. Additionally, we look at future intelligent flexible sensors. In proposing a comprehensive roadmap, we hope to steer research efforts towards common goals and to guide coordinated development strategies from disparate communities. Through such collaborative efforts, scientific breakthroughs can be made sooner and capitalized for the betterment of humanity.

Curvilinear soft electronics by micromolding of metal nanowires in capillaries

Soft electronics using metal nanowires have attracted notable attention attributed to their high electrical conductivity and mechanical flexibility. However, high-resolution complex patterning of metal nanowires on curvilinear substrates remains a challenge. Here, a micromolding-based method is reported for scalable printing of metal nanowires, which enables complex and highly conductive patterns on soft curvilinear and uneven substrates with high resolution and uniformity. Printing resolution of 20 μm and conductivity of the printed patterns of ~6.3 × 10⁶ S/m are achieved. Printing of grid structures with uniform thickness for transparent conductive electrodes (TCEs) and direct printing of pressure sensors on curved surfaces such as glove and contact lens are also realized. The printed hybrid soft TCEs and smart contact lens show promising applications in optoelectronic devices and personal health monitoring, respectively. This printing method can be extended to other nanomaterials for large-scale printing of high-performance soft electronics.

Translational gaps and opportunities for medical wearables in digital health

A confluence of advances in biosensor technologies, enhancements in health care delivery mechanisms, and improvements in machine learning, together with an increased awareness of remote patient monitoring, has accelerated the impact of digital health across nearly every medical discipline. Medical grade wearables-noninvasive, on-body sensors operating with clinical accuracy-will play an increasingly central role in medicine by providing continuous, cost-effective measurement and interpretation of physiological data relevant to patient status and disease trajectory, both inside and outside of established health care settings. Here, we review current digital health technologies and highlight critical gaps to clinical translation and adoption.

Ultrasoft Porous 3D Conductive Dry Electrodes for Electrophysiological Sensing and Myoelectric Control

Biopotential electrodes have found broad applications in health monitoring, human-machine interactions, and rehabilitation. Here, we report the fabrication and applications of ultrasoft breathable dry electrodes that can address several challenges for their long-term wearable applications - skin compatibility, wearability, and long-term stability. The proposed electrodes rely on porous and conductive silver nanowire based nanocomposites as the robust mechanical and electrical interface. The highly conductive and conformable structure eliminates the necessity of conductive gel while establishing a sufficiently low electrode-skin impedance for high-fidelity electrophysiological sensing. The introduction of gas-permeable structures via a simple and scalable method based on sacrificial templates improves breathability and skin compatibility for applications requiring long-term skin contact. Such conformable and breathable dry electrodes allow for efficient and unobtrusive monitoring of heart, muscle, and brain activities. In addition, based on the muscle activities captured by the electrodes and a musculoskeletal model, electromyogram-based neural-machine interfaces were realized, illustrating the great potential for prosthesis control, neurorehabilitation, and virtual reality.

Smart Steering Sleeve (S3): A Non-Intrusive and Integrative Sensing Platform for Driver Physiological Monitoring

Driving is a ubiquitous activity that requires both motor skills and cognitive focus. These aspects become more problematic for some seniors, who have underlining medical conditions and tend to lose some of these capabilities. Therefore, driving can be used as a controlled environment for the frequent, non-intrusive monitoring of bio-physical and cognitive status within drivers. Such information can then be utilized for enhanced assistive vehicle controls and/or driver health monitoring. In this paper, we present a novel multi-modal smart steering sleeve (S3) system with an integrated sensing platform that can non-intrusively and continuously measure a driver's physiological signals, including electrodermal activity (EDA), electromyography (EMG), and hand pressure. The sensor suite was developed by combining low-cost interdigitated electrodes with a piezoresistive force sensor on a single, flexible polymer substrate. Comprehensive characterizations on the sensing modalities were performed with promising results demonstrated. The sweat-sensing unit (SSU) for EDA monitoring works under a 100 Hz alternative current (AC) source. The EMG signal acquired by the EMG-sensing unit (EMGSU) was amplified to within 5 V. The force-sensing unit (FSU) for hand pressure detection has a range of 25 N. This flexible sensor was mounted on an off-the-shelf steering wheel sleeve, making it an add-on system that can be installed on any existing vehicles for convenient and wide-coverage driver monitoring. A cloud-based communication scheme was developed for the ease of data collection and analysis. Sensing platform development, performance, and limitations, as well as other potential applications, are discussed in detail in this paper.

Review of Advances in the Measurement of Skin Hydration Based on Sensing of Optical and Electrical Tissue Properties

The presence of water in the skin is crucial for maintaining the properties and functions of the skin, in particular its outermost layer, known as the stratum corneum, which consists of a lipid barrier. External exposures can affect the skin's hydration levels and in turn, alter its mechanical and physical properties. Monitoring these alterations in the skin's water content can be applicable in clinical, cosmetic, athletic and personal settings. Many techniques measuring this parameter have been investigated, with electrical-based methods currently being widely used in commercial devices. Furthermore, the exploration of optical techniques to measure hydration is growing due to the outcomes observed through the penetration of light at differing levels. This paper comprehensively reviews such measurement techniques, focusing on recent experimental studies and state-of-the-art devices.

Textile-Based Wearable Sensor for Skin Hydration Monitoring

This research describes a wearable skin hydration sensor based on cotton textile to determine the state of hydration within the skin via impedance analysis. The sensor structure comprises a textile substrate, thermoplastic over-layer, conductive patterns, and encapsulant, designed for stable and reliable monitoring of the skin's impedance change in relation to hydration level. The porcine skin with different hydration levels was prepared as a model system of the skin, and the textile-based sensor carefully investigated the porcine skin samples' impedance characteristics. The impedance study reveals that (1) the total impedance of skin decreases as its hydration level increases, and (2) the impedance of the stratum corneum and epidermis layers are more dominantly affected by the hydration level of the skin than the dermis layer. Even after repetitive bending cycles, the impedance data of skin measured by the sensor exhibit a reliable dependence on the skin hydration level, which validates the flexibility and durability of the sensor. Finally, it is shown that the textile-based skin hydration sensor can detect various body parts' different hydration levels of human skin while maintaining a stable conformal contact with the skin. The resulting data are well-matched with the readings from a commercial skin hydration sensor.

Hydration Assessment Using the Bio-Impedance Analysis Method

Body hydration is considered one of the most important physiological parameters to measure and one of the most challenging. Current methods to assess hydration are invasive and require costly clinical settings. The bio-impedance analysis offers a noninvasive and inexpensive tool to assess hydration, and it can be designed to be used in wearable health devices. The use of wearable electronics in healthcare applications has received increased attention over the last decade. New, emerging medical devices feature continuous patient monitoring and data collection to provide suitable treatment and preventive actions. In this paper, a model of human skin is developed and simulated to be used as a guide to designing a dehydration monitoring system based on a bio-impedance analysis technique. The study investigates the effect of applying different frequencies on the dielectric parameters of the skin and the resulting measured impedance. Two different interdigitated electrode designs are presented, and a comparison of the measurements is presented. The rectangular IDE is printed and tested on subjects to validate the bio-impedance method and study the interpretation of its results. The proposed design offers a classification criterion that can be used to assess dehydration without the need for a complex mathematical model. Further clinical testing and data are needed to refine and finalize the criteria.

Stretchable and Directly Patternable Double-Layer Structure Electrodes with Complete Coverage

Stretchable electrodes are widely used in next-generation wearable electronics. Recent studies incorporated designs that help rigid electrodes attain stretchability. However, these structures exhibited unsatisfactory charge/signal extraction efficiency because of their low areal fill factor. Additionally, they cannot be photolithographically patterned on polymer substrates because of their low adhesion, requiring additional complicated fabrication steps. We developed photolithographically patternable stretchable electrodes with complete coverage and enhanced charge-extraction efficiency. The electrodes, comprising double layers, included a chemically treated Ag nanowire mesh and Au thin film. The interfacial linker role of polyvinylpyrrolidone chemically strengthened the interfacial bonds, and the reinforced concrete structure of nanowire-embedded metal thin films enhanced the mechanical properties. Therefore, the electrodes provided superior efficiency and stability in capturing physical, electromagnetic, and electrophysiological signals while exceeding the existing stretchable electrode limits. A broad range of applications are foreseen, such as electrocardiogram sensing electrodes, strain sensors, temperature sensors, and antennas.

Inkjet Printing and 3D Printing Strategies for Biosensing, Analytical, and Diagnostic Applications

Inkjet printing and 3D inkjet printing have found many applications in the fabrication of a great variety of devices, which have been developed with the aim to improve and simplify the design, fabrication, and performance of sensors and analytical platforms. Here, developments of these printing technologies reported during the last 10 years are reviewed and their versatile applicability for the fabrication of improved sensing platforms and analytical and diagnostic sensor systems is demonstrated. Illustrative examples are reviewed in the context of particular advantages provided by inkjet printing technologies. Next to aspects of device printing and fabrication strategies, the utilization of inkjet dispensing, which can be implemented into common analytical tools utilizing customized inkjet printing equipment as well as state-of-the-art consumer inkjet printing devices, is highlighted. This review aims to providing a comprehensive overview of examples integrating inkjet and 3D inkjet printing technologies into device layout fabrication, dosing, and analytical applications to demonstrate the versatile applicability of these technologies, and furthermore, to inspire the utilization of inkjet printing for future developments.

Wearable CNTs-based humidity sensors with high sensitivity and flexibility for real-time multiple respiratory monitoring

Sensors, such as optical, chemical, and electrical sensors, play an important role in our lives. While these sensors already have widespread applications, such as humidity sensors, most are generally incompatible with flexible/inactive substrates and rely on conventional hard materials and complex manufacturing processes. To overcome this, we develop a CNT-based, low-resistance, and flexible humidity sensor. The core-shell structured CNT@CPM is prepared with Chit and PAMAM to achieve reliability, accuracy, consistency, and durability, resulting in a highly sensitive humidity sensor. The average response/recovery time of optimized sensor is only less than 20 s, with high sensitivity, consistent responsiveness, good linearity according to humidity rates, and low hysteresis (- 0.29 to 0.30 %RH). Moreover, it is highly reliable for long-term (at least 1 month), repeated bending (over 15,000 times), and provides accurate humidity measurement results. We apply the sensor to smart-wear, such as masks, that could conduct multi-respiratory monitoring in real-time through automatic ventilation systems. Several multi-respiratory monitoring results demonstrate its high responsiveness (less than 1.2 s) and consistent performance, indicating highly desirable for healthcare monitoring. Finally, these automatic ventilation systems paired with flexible sensors and applied to smart-wear can not only provide comfort but also enable stable and accurate healthcare in all environments.

Capacitive humidity sensing properties of freestanding bendable porous SiO2/Si thin films

The fabrication of freestanding bendable films without polymer substrates is demonstrated as a capacitive humidity-sensing material. The bendable and porous SiO₂/Si films are simply prepared by electrochemical-assisted stripping, metal-assisted chemical etching, followed by oxidation procedures. The capacitive humidity-sensing properties of the fabricated porous SiO₂/Si film are characterized as a function of the relative humidity and frequency. The remarkable sensing performance is demonstrated in the wide RH range from 13.8 to 79.0%. The sensing behavior of the porous SiO₂/Si film is studied by electrochemical impedance spectroscopy analysis. Additionally, the reliability of the porous SiO₂/Si sensing material is confirmed by cyclic and long-term sensing tests.

A biomimetic skin phantom for characterizing wearable electrodes in the low-frequency regime

Advances in the integration of wearable devices in our daily life have led to the development of new electrode designs for biopotential monitoring. Historically, the development and testing of wearable electrodes for the acquisition of biopotential signals has been empirical, relying on experiments on human volunteers. However, the lack of explicit control on human variables, the intra-, and inter-subject variability complicates the understanding of the performance of these wearable electrodes. Herein, phantom mimicking the electrical properties of the skin in the low-frequency range (1 Hz-1000 Hz), which has the potential to be used as a platform for controlled benchtop experiments for testing electrode functionality, is demonstrated. The fabricated phantom comprises two layers representing the deeper tissues and stratum corneum. The lower layer of the phantom mimicking deeper tissues was realized using polyvinyl alcohol cryogel (PVA-c) prepared with 0.9% W/W saline solution by a freeze-thaw technique. The properties of the upper layer representing the stratum corneum were simulated using a 100μm thick layer fabricated by spin-coating a mixture of polydimethylsiloxane (PDMS), 2.5% W/W carbon black (CB) for conductance, and 40% W/W barium titanate (BaTiO₃) as a dielectric. The hydration of the stratum corneum was modeled in a controlled way by varying porosity of the phantom's upper layer. Impedance spectroscopy measurements were carried out to investigate the electrical performance of the fabricated phantom and validated against the impedance response obtained across a physiological skin impedance range of five human subjects. The results indicated that the Bode plot depicting the impedance response obtained on the phantom was found to lie in the human skin range. Moreover, it was observed that the change of porosity provides control over the hydration and the phantom can be tuned as per the skin ranges among different individuals. Also, the phantom was able to mimic the impact of dry and hydrated skin on a simulated ECG signal in the time domain. The developed skin phantom is affordable, fairly easy to manufacture, stable over time, and can be used as a platform for benchtop testing of new electrode designs.

Integrating charge mobility, stability and stretchability within conjugated polymer films for stretchable multifunctional sensors

Conjugated polymers (CPs) are promising semiconductors for intrinsically stretchable electronic devices. Ideally, such CPs should exhibit high charge mobility, excellent stability, and high stretchability. However, converging all these desirable properties in CPs has not been achieved via molecular design and/or device engineering. This work details the design, synthesis and characterization of a random polythiophene (RP-T50) containing ~50 mol% of thiophene units with a thermocleavable tertiary ester side chain and ~50 mol% of unsubstituted thiophene units, which, upon thermocleavage of alkyl chains, shows significant improvement of charge mobility and stability. Thermal annealing a RP-T50 film coated on a stretchable polydimethylsiloxane substrate spontaneously generates wrinkling in the polymer film, which effectively enhances the stretchability of the polymer film. The wrinkled RP-T50-based stretchable sensors can effectively detect humidity, ethanol, temperature and light even under 50% uniaxial and 30% biaxial strains. Our discoveries offer new design rationale of strategically applying CPs to intrinsically stretchable electronic systems.

Highly Conformal Polymers for Ambulatory Electrophysiological Sensing

Stable ambulatory electrophysiological sensing is widely utilized for smart e-healthcare monitoring, clinical diagnosis of cardiovascular diseases, treatment of neurological diseases, and intelligent human-machine interaction. As the favorable signal interaction platform of electrophysiological sensing, the conformal property of on-skin electrodes is an extremely crucial factor that can affect the stability of long-term ambulatory electrophysiological sensing. From the perspective of materials, to realize conformal contact between electrodes and skin for stable sensing, highly conformal polymers are strongly demanding and attracting ever-growing attention. In this review, we focused on the recent progress of highly conformal polymers for ambulatory electrophysiological sensing, including their synthetic methods, conformal property, and potential applications. Specifically, three main types of highly conformal polymers for stable long-term electrophysiological signals monitoring were proposed, including nature silk fibroin based conformal polymers, marine mussels bio-inspired conformal polymers, and other conformal polymers such as zwitterionic polymers and polyacrylamide. Furthermore, the future challenges and opportunities of preparing highly conformal polymers for on-skin electrodes were also highlighted. This article is protected by copyright. All rights reserved.

Island Effect in Stretchable Inorganic Electronics

Island-bridge architectures represent a widely used structural design in stretchable inorganic electronics, where deformable interconnects that form the bridge provide system stretchability, and functional components that reside on the islands undergo negligible deformations. These device systems usually experience a common strain concentration phenomenon, i.e., "island effect", because of the modulus mismatch between the soft elastomer substrate and its on-top rigid components. Such an island effect can significantly raise the surrounding local strain, therefore increasing the risk of material failure for the interconnects in the vicinity of the islands. In this work, a systematic study of such an island effect through combined theoretical analysis, numerical simulations and experimental measurements is presented. To relieve the island effect, a buffer layer strategy is proposed as a generic route to enhanced stretchabilities of deformable interconnects. Both experimental and numerical results illustrate the applicability of this strategy to 2D serpentine and 3D helical interconnects, as evidenced by the increased stretchabilities (e.g., by 1.5 times with a simple buffer layer, and 2 times with a ring buffer layer, both for serpentine interconnects). The application of the patterned buffer layer strategy in a stretchable light emitting diodes system suggests promising potentials for uses in other functional device systems.

Patterning of Metal Nanowire Networks: Methods and Applications

With the advance in flexible and stretchable electronics, one-dimensional nanomaterials such as metal nanowires have drawn much attention in the past 10 years or so. Metal nanowires, especially silver nanowires, have been recognized as promising candidate materials for flexible and stretchable electronics. Owing to their high electrical conductivity and high aspect ratio, metal nanowires can form electrical percolation networks, maintaining high electrical conductivity under deformation (e.g., bending and stretching). Apart from coating metal nanowires for making large-area transparent conductive films, many applications require patterned metal nanowires as electrodes and interconnects. Precise patterning of metal nanowire networks is crucial to achieve high device performances. Therefore, a high-resolution, designable, and scalable patterning of metal nanowire networks is important but remains a critical challenge for fabricating high-performance electronic devices. This review summarizes recent advances in patterning of metal nanowire networks, using subtractive methods, additive methods of nanowire dispersions, and printing methods. Representative device applications of the patterned metal nanowire networks are presented. Finally, challenges and important directions in the area of the patterning of metal nanowire networks for device applications are discussed.

A Biaxially Stretchable and Self-Sensing Textile Heater Using Silver Nanowire Composite

Wearable heaters have garnered significant attention from academia and industry for their great potential in thermotherapy. Silver nanowire (AgNW) is a promising conductive material for flexible and stretchable electrodes. Here, a resistive, biaxially stretchable heater based on AgNW composite is reported for the first time, where a AgNW percolation network is encased in a thin polyimide (PI) film and integrated with a highly stretchable textile. AgNW/PI is patterned with a 2D Kirigami structure, which enables constant resistance under a large tensile strain (up to uniaxial 100% strain and 50% biaxial strain). The heater can achieve a high temperature of ∼140 °C with a low current of 0.125 A, fast heating and cooling rates of ∼16.5 and ∼14.1 °C s^-1, respectively, and stable performance over 400 heating cycles. A feedback control system is developed to provide constant heating temperature under a temperature change of the surrounding environment. Demonstrated applications in applying thermotherapy at the curvilinear surface of the knee using the stretchable heater illustrate its promising potential for wearable applications.

Electrical aspects of skin as a pathway to engineering skin devices

Skin is one of the indispensable organs for life. The epidermis at the outermost surface provides a permeability barrier to infectious agents, chemicals, and excessive loss of water, while the dermis and subcutaneous tissue mechanically support the structure of the skin and appendages, including hairs and secretory glands. The integrity of the integumentary system is a key for general health, and many techniques have been developed to measure and control this protective function. In contrast, the effective skin barrier is the major obstacle for transdermal delivery and detection. Changes in the electrical properties of skin, such as impedance and ionic activity, is a practical indicator that reflects the structures and functions of the skin. For example, the impedance that reflects the hydration of the skin is measured for quantitative assessment in skincare, and the current generated across a wound is used for the evaluation and control of wound healing. Furthermore, the electrically charged structure of the skin enables transdermal drug delivery and chemical extraction. This paper provides an overview of the electrical aspects of the skin and summarizes current advances in the development of devices based on these features.

Sensors for Context-Aware Smart Healthcare: A Security Perspective

The advances in the miniaturisation of electronic devices and the deployment of cheaper and faster data networks have propelled environments augmented with contextual and real-time information, such as smart homes and smart cities. These context-aware environments have opened the door to numerous opportunities for providing added-value, accurate and personalised services to citizens. In particular, smart healthcare, regarded as the natural evolution of electronic health and mobile health, contributes to enhance medical services and people's welfare, while shortening waiting times and decreasing healthcare expenditure. However, the large number, variety and complexity of devices and systems involved in smart health systems involve a number of challenging considerations to be considered, particularly from security and privacy perspectives. To this aim, this article provides a thorough technical review on the deployment of secure smart health services, ranging from the very collection of sensors data (either related to the medical conditions of individuals or to their immediate context), the transmission of these data through wireless communication networks, to the final storage and analysis of such information in the appropriate health information systems. As a result, we provide practitioners with a comprehensive overview of the existing vulnerabilities and solutions in the technical side of smart healthcare.

A flexible, stretchable system for simultaneous acoustic energy transfer and communication

The use of implantable medical devices, including cardiac pacemakers and brain pacemakers, is becoming increasingly prevalent. However, surgically replacing batteries owing to their limited lifetime is a drawback of those devices. Such an operation poses a risk to patients—a problem that, to date, has not yet been solved. Furthermore, current devices are large and rigid, potentially causing patient discomfort after implantation. To address this problem, we developed a thin, battery-free, flexible, implantable system based on flexible electronic technology that can not only achieve wireless recharging and communication simultaneously via ultrasound but also perform many current device functions, including in vivo physiological monitoring and cardiac pacing. To prove this, an animal experiment was conducted involving creating a cardiac arrest model and powering the system by ultrasound. The results showed that it automatically detected abnormal heartbeats and responded by electrically stimulating the heart, demonstrating the device’s potential clinical utility for emergent treatment.

Non-Invasive Cardiac and Respiratory Activity Assessment From Various Human Body Locations Using Bioimpedance

Objective: Bioimpedance sensing is a powerful technique that measures the tissue impedance and captures important physiological parameters including blood flow, lung movements, muscle contractions, body fluid shifts, and other cardiovascular parameters. This paper presents a comprehensive analysis of the modality at different arterial (ulnar, radial, tibial, and carotid arteries) and thoracic (side-rib cage and top thoracolumbar fascia) body regions and offers insights into the effectiveness of capturing various cardiac and respiratory activities. Methods: We assess the bioimpedance performance in estimating inter-beat (IBI) and inter -breath intervals (IBrI) on six-hours of data acquired in a pilot-study from five healthy participants at rest. Results: Overall, we achieve mean errors as low as 0.003 ± 0.002 and 0.67 ± 0.28 seconds for IBI and IBrI estimations, respectively. Conclusions: The results show that bioimpedance can be effectively used to monitor cardiac and respiratory activities both at limbs and upper body and demonstrate a strong potential to be adopted by wearables that aim to provide high-fidelity physiological sensing to address precision medicine needs.

An intelligent face mask integrated with high density conductive nanowire array for directly exhaled coronavirus aerosols screening

The current ongoing outbreak of Coronavirus Disease 2019 (COVID-19) has globally affected the lives of more than one hundred million people. RT-PCR based molecular test is recommended as the gold standard method for diagnosing current infections. However, transportation and processing of the clinical sample for detecting virus require an expert operator and long processing time. Testing device enables on-site virus detection could reduce the sample-to-answer time, which plays a central role in containing the pandemic. In this work, we proposed an intelligent face mask, where a flexible immunosensor based on high density conductive nanowire array, a miniaturized impedance circuit, and wireless communication units were embedded. The sub-100 nm size and the gap between the neighbored nanowires facilitate the locking of nanoscale virus particles by the nanowire arrays and greatly improve the detection efficiency. Such a point-of-care (POC) system was demonstrated for coronavirus 'spike' protein and whole virus aerosol detection in simulated human breath. Detection of viral concentration as low as 7 pfu/mL from the atomized sample of coronavirus aerosol mimic was achieved in only 5 min. The POC systems can be readily applied for preliminary screening of coronavirus infections on-site and may help to understand the COVID-19 progression while a patient is under prescribed therapy.

A Novel Wearable Flexible Dry Electrode Based on Cowhide for ECG Measurement

The electrocardiogram (ECG) electrode, as a sensor, is an important part of the wearable ECG monitoring device. Natural leather is rarely used as the electrode substrate. In this paper, wearable flexible silver electrodes based on cowhide were prepared by sputtering and brush-painting. A signal generator, oscilloscope, impedance test instrument, and ECG monitor were used to build the test platform evaluating the performance of electrodes with six subjects. The lossless waveform transmission can be achieved with our electrodes. Therefore, the Pearson’s correlation coefficient calculated with input waveform and output waveform of the electrodes based on the top grain layer (GLE) and the split layer (SLE) of cowhide were 0.997 and 0.998 at 0.1 Hz respectively. The skin electrode impedance (Z) was tested, and the parameters of the equivalent circuit model of the skin electrode interface were calculated by a fitting method, indicating that the Z of the prepared electrodes was comparable with the standard gel electrode when the skin is moist enough. The signal-to-noise ratio of the ECG of the GLE and the SLE were 1.148 and 1.205 times that of the standard electrode in the standing posture, which meant the ECG measured by our electrodes was basically consistent with that measured by the standard electrode.

Monitoring Body Fluids in Textiles: Combining Impedance and Thermal Principles in a Printed, Wearable, and Washable Sensor

This work explores the feasibility of coupling two different techniques, the impedance and the transient plane source (TPS) principle, to quantify the moisture content and its compositional parameters simultaneously. The sensor is realized directly on textiles with the use of printing and coating technology. Impedance measurements use the fluid's electrical properties, while the TPS measurements are based on the thermal effusivity of the liquid. Impedance and TPS measurements show equal competency in measuring the fluid volume with a lowest measurable quantity of 0.5 μL, enabling ultralow volume passive measurements for sweat analysis. Both sensor principles were tested by monitoring the drying of a wet cloth and the measurements show perfect repeatability and accuracy. Nevertheless, when the biofluid property changes, the TPS sensor does not reflect this information on its readings, whereas, on the other hand, impedance can provide information on compositional changes. However, since the volume of the fluid changes simultaneously, one cannot differentiate between a volume change and a compositional change from impedance measurements alone. Therefore, we show in this work that we can apply impedance to measure the compositional properties; meanwhile, the TPS measurements accurately carry out volume measurements irrespective of the interferences from its compositional variations. To prove this, both of these techniques are applied for the quantification and composition monitoring of sweat, showing the capability to measure moisture content and compositional parameters simultaneously. TPS measurements can also be an indicator of the local temperature of the medium confined by the sensor, and it does not influence the fluid parameters. Compiling both impedance and thermal sensors in a single platform triggers smart wearable prospects of metering the liquid volume and simultaneously analyzing other compositional changes and body temperature. Finally, the repeatability and stability of the sensor readings and the washability of the device are tested. This device could be a potential sensing tool in real-life applications, such as wound monitoring and sweat analysis, and could be a promising addition toward future smart wearable sensors.

Next-Generation Continuous Metabolite Sensing toward Emerging Sensor Needs

This article discusses the emergent biosensor technology focused on continuous biosensing of metabolites by non-invasive sampling of body fluids emphasized on physiological monitoring in mobility-constrained populations, resource-challenged settings, and harsh environments. The boom of innovative ideas and endless opportunities in healthcare technologies has transformed traditional medicine into a sustainable link between medical practitioners and patients to provide solutions for faster disease diagnosis. The future of healthcare is focused on empowering users to manage their own health. The confluence of big data and predictive analysis and the internet of things (IoT) technology have shown the potential of converting the abundant health profile data amassed from medical diagnosis of patients into useable information, whilst allowing caregivers to provide suitable treatment plans. The implementation of the IoT technology has opened up advanced approaches in real-time, continuous, remote monitoring of patients. Wearable, point-of-care biosensors are the future roadmap to providing direct, real-time information of health status to the user and medical professionals in this digitized era.

Materials, Devices, and Systems of On-Skin Electrodes for Electrophysiological Monitoring and Human-Machine Interfaces

On-skin electrodes function as an ideal platform for collecting high-quality electrophysiological (EP) signals due to their unique characteristics, such as stretchability, conformal interfaces with skin, biocompatibility, and wearable comfort. The past decade has witnessed great advancements in performance optimization and function extension of on-skin electrodes. With continuous development and great promise for practical applications, on-skin electrodes are playing an increasingly important role in EP monitoring and human-machine interfaces (HMI). In this review, the latest progress in the development of on-skin electrodes and their integrated system is summarized. Desirable features of on-skin electrodes are briefly discussed from the perspective of performances. Then, recent advances in the development of electrode materials, followed by the analysis of strategies and methods to enhance adhesion and breathability of on-skin electrodes are examined. In addition, representative integrated electrode systems and practical applications of on-skin electrodes in healthcare monitoring and HMI are introduced in detail. It is concluded with the discussion of key challenges and opportunities for on-skin electrodes and their integrated systems.

Flexible temperature sensors based on carbon nanomaterials

Flexible temperature sensors based on carbon nanomaterials can be attached to the surface of human skin or curved surfaces directly for continuous and stable data measurements, and have attracted extensive attention in myriad areas.

Skin Impedance Measurements with Nanomesh Electrodes for Monitoring Skin Hydration

The importance of continuous monitoring of skin hydration in daily life, to aid in the diagnosis of skin diseases, is rising. Electrodes that can be worn directly on the skin are attracting attention as an effective means. However, they should not inhibit natural water evaporation from the skin and should not cause inflammation or irritation even if they are attached to the body for long periods of time. In this study, nanomesh electrodes that have previously been reported to exhibit high biocompatibility are also found to exhibit high water vapor permeability, resulting in properties that prevent skin dampness. Furthermore, the skin impedance measured using nanomesh electrodes is found to correlate with the hydration level of skin measured using existing medical equipment. This study provides a new approach to measure skin hydration in conditions close to bare skin.

Ultrasonically Patterning Silver Nanowire-Acrylate Composite for Highly Sensitive and Transparent Strain Sensors Based on Parallel Cracks

It has long been a challenge to develop strain sensors with large gauge factor (GF) and high transparency for a broad strain range, to which field silver nanowires (AgNWs) have recently been applied. A dense nanowire (NW) network benefits achieving large stretchability, while a sparse NW network favors realizing high transparency and sensitive response to small strains. Herein, a patterned AgNW-acrylate composite-based strain sensor is developed to circumvent the above trade-off issue via a novel ultrasonication-based patterning technique, where a water-soluble, UV-curable acrylate composite was blended with AgNWs as both a tackifier and a photoresist for finely patterning dense AgNWs to achieve high transparency, while maintaining good stretchability. Moreover, the UV-cured AgNW-acrylate patterns are brittle and capable of forming parallel cracks which effectively evade the Poisson effect and thus increase the GF by more than 200-fold compared to that of the bulk AgNW film-based strain sensor. As a result, the AgNW-based strain sensor possesses a GF of ∼10,486 at a large strain (8%), a high transparency of 90.3%, and a maximum stretchability of 20% strain. The precise monitoring of human radial pulse and throat movements proves the great potential of this sensor as a measurement module for wearable healthcare systems.

Ultra-conformal drawn-on-skin electronics for multifunctional motion artifact-free sensing and point-of-care treatment

An accurate extraction of physiological and physical signals from human skin is crucial for health monitoring, disease prevention, and treatment. Recent advances in wearable bioelectronics directly embedded to the epidermal surface are a promising solution for future epidermal sensing. However, the existing wearable bioelectronics are susceptible to motion artifacts as they lack proper adhesion and conformal interfacing with the skin during motion. Here, we present ultra-conformal, customizable, and deformable drawn-on-skin electronics, which is robust to motion due to strong adhesion and ultra-conformality of the electronic inks drawn directly on skin. Electronic inks, including conductors, semiconductors, and dielectrics, are drawn on-demand in a freeform manner to develop devices, such as transistors, strain sensors, temperature sensors, heaters, skin hydration sensors, and electrophysiological sensors. Electrophysiological signal monitoring during motion shows drawn-on-skin electronics' immunity to motion artifacts. Additionally, electrical stimulation based on drawn-on-skin electronics demonstrates accelerated healing of skin wounds.

Advances in Materials for Soft Stretchable Conductors and Their Behavior under Mechanical Deformation

Soft stretchable sensors rely on polymers that not only withstand large deformations while retaining functionality but also allow for ease of application to couple with the body to capture subtle physiological signals. They have been applied towards motion detection and healthcare monitoring and can be integrated into multifunctional sensing platforms for enhanced human machine interface. Most advances in sensor development, however, have been aimed towards active materials where nearly all approaches rely on a silicone-based substrate for mechanical stability and stretchability. While silicone use has been advantageous in academic settings, conventional silicones cannot offer self-healing capability and can suffer from manufacturing limitations. This review aims to cover recent advances made in polymer materials for soft stretchable conductors. New developments in substrate materials that are compliant and stretchable but also contain self-healing properties and self-adhesive capabilities are desirable for the mechanical improvement of stretchable electronics. We focus on materials for stretchable conductors and explore how mechanical deformation impacts their performance, summarizing active and substrate materials, sensor performance criteria, and applications.

Dry Electrodes for Human Bioelectrical Signal Monitoring

Bioelectrical or electrophysiological signals generated by living cells or tissues during daily physiological activities are closely related to the state of the body and organ functions, and therefore are widely used in clinical diagnosis, health monitoring, intelligent control and human-computer interaction. Ag/AgCl electrodes with wet conductive gels are widely used to pick up these bioelectrical signals using electrodes and record them in the form of electroencephalograms, electrocardiograms, electromyography, electrooculograms, etc. However, the inconvenience, instability and infection problems resulting from the use of gel with Ag/AgCl wet electrodes can't meet the needs of long-term signal acquisition, especially in wearable applications. Hence, focus has shifted toward the study of dry electrodes that can work without gels or adhesives. In this paper, a retrospective overview of the development of dry electrodes used for monitoring bioelectrical signals is provided, including the sensing principles, material selection, device preparation, and measurement performance. In addition, the challenges regarding the limitations of materials, fabrication technologies and wearable performance of dry electrodes are discussed. Finally, the development obstacles and application advantages of different dry electrodes are analyzed to make a comparison and reveal research directions for future studies.

Facile and Efficient Patterning Method for Silver Nanowires and Its Application to Stretchable Electroluminescent Displays

The patterning of silver nanowires (AgNWs) is subject to critical challenges, which have seriously limited their practical applications. This work describes a simple and efficient method combining screen printing with vacuum filtration for patterning AgNW networks. The screen-printed poly(dimethylsiloxane) (PDMS) mask layer was shown to be strongly adhered to the filtration membrane, which resulted in well-defined sharp edges of the deposited AgNW patterns, and a 50 μm patterning resolution was achieved. The patterned films with low densities of AgNWs (≤15 μg/cm²) were transferred to the surface of PDMS to make patterned stretchable transparent conductive films (TCFs). The low sheet resistance of 7.3 Ω/sq was achieved at an optical transmittance of 79.6% (at 550 nm wavelength) with a AgNW deposition density of only 12.5 μg/cm². As an application example, the patterned TCFs were used as the top electrodes to fabricate stretchable alternating current electroluminescent (ACEL) displays with stretchability up to 70% of their original dimension, which were applied to a smart system for simulating heart beats together with a digitally operated flexible circuit. The ACEL device exhibited a bright and uniform emission with a clear and smooth edge even with a pattern width as narrow as 100 μm, as well as exceptional elasticity and durability in spite of bending, stretching, and twisting. The present work provides a new way of patterning AgNWs and can be extended to a variety of applications.