Ultracompliant Carbon Nanotube Direct Bladder Device

Fiber-based Miniature Strain Sensor with Fast Response and Low Hysteresis

Flexible and stretchable strain sensors are in high demand in sports performance monitoring, structural health monitoring, and biomedical applications. However, existing stretchable soft sensors, primarily based on soft polymer materials, often suffer from drawbacks, including high hysteresis, low durability, and delayed response. To overcome these limitations, we introduced a stretchable miniature fiber sensor comprised of a stretchable core tightly coiled with parallel conductive wires. This fiber sensor is flexible and stretchable while exhibiting low hysteresis, a remarkable theoretical resolution of 0.015%, a response time of less than 30 milliseconds, and excellent stability after extensive cycling tests of over 16,000 cycles. To understand and predict the capacitive sensor response of the proposed sensor, an analytical expression was derived and proved to have good agreements with both experimental results and numerical simulation. The potential of the strain sensor as a wearable device is demonstrated by embedding it into belts, gloves, and knee protectors. Additionally, the sensor could extend its applications beyond wearable devices, as demonstrated by its integration into bladder and life safety rope monitoring systems. We envision our sensor can find applications in the field of sports performance evaluations, health care monitoring, and structural safety assessments.

Can we improve techniques and patients' selection for nerve stimulation suitable for lower urinary tract dysfunctions? ICI-RS 2023

AIMS

Lower urinary tract dysfunctions (LUTD) are very common and, importantly, affect patients' quality of life (QoL). LUTD can range from urinary retention to urgency incontinence and includes a variety of symptoms. Nerve stimulation (NS) is an accepted widespread treatment with documented success for LUTD and is used widely. The aim of this review is to report the results of the discussion about how to improve the outcomes of NS for LUTD treatment.

METHODS

During its 2023 meeting in Bristol, the International Consultation on Incontinence Research Society discussed a literature review, and there was an expert consensus discussion focused on the emerging awareness of NS suitable for LUTD.

RESULTS

The consensus discussed how to improve techniques and patients' selection in NS, and high-priority research questions were identified.

CONCLUSIONS

Technique improvement, device programming, and patient selection are the goals of the current approach to NS. The conditional nerve stimulation with minimally invasive wireless systems and tailored algorithms hold promise for improving NS for LUTD, particularly for patients with neurogenic bladder who represent the new extended population to be treated.

Exploring the Elastomer Influence on the Electromechanical Performance of Stretchable Conductors

Stretchable electronics has received major attention in recent years due to the prospects of integrating electronics onto and into the human body. While many studies investigate how different conductive fillers perform in stretchable composites, the effect of different elastomers on composite performance, and the related fundamental understanding of what is causing the performance differences, is poorly understood. Here, we perform a systematic investigation of the elastomer influence on the electromechanical performance of gold nanowire-based stretchable conductors based on five chemically different elastomers of similar Young's modulus. The choice of elastomer has a huge impact on the electromechanical performance of the conductors under cyclic strain, as some composites perform well, while others fail rapidly at 100% strain cycling. The lack of macroscopic crack formation in the failing composites indicates that the key aspect for good electromechanical performance is not homogeneous films on the macroscale but rather beneficial interactions on the nanoscale. Based on the comprehensive characterization, we propose a failure mechanism related to the mechanical properties of the elastomers. By improving our understanding of elastomer influence on the mechanisms of electrical failure, we can move toward rational material design, which could greatly benefit the field of stretchable electronics.

Wireless, Fully Implantable and Expandable Electronic System for Bidirectional Electrical Neuromodulation of the Urinary Bladder

Current standard clinical options for patients with detrusor underactivity (DUA) or underactive bladder─the inability to release urine naturally─include the use of medications, voiding techniques, and intermittent catheterization, for which the patient inserts a tube directly into the urethra to eliminate urine. Although those are life-saving techniques, there are still unfavorable side effects, including urinary tract infection (UTI), urethritis, irritation, and discomfort. Here, we report a wireless, fully implantable, and expandable electronic complex that enables elaborate management of abnormal bladder function via seamless integrations with the urinary bladder. Such electronics can not only record multiple physiological parameters simultaneously but also provide direct electrical stimulation based on a feedback control system. Uniform distribution of multiple stimulation electrodes via mesh-type geometry realizes low-impedance characteristics, which improves voiding/urination efficiency at the desired times. In vivo evaluations using live, free-moving animal models demonstrate system-level functionality.

Full-field, conformal epiretinal electrode array using hydrogel and polymer hybrid technology

Shape-morphable electrode arrays can form 3D surfaces to conform to complex neural anatomy and provide consistent positioning needed for next-generation neural interfaces. Retinal prostheses need a curved interface to match the spherical eye and a coverage of several cm to restore peripheral vision. We fabricated a full-field array that can (1) cover a visual field of 57° based on electrode position and of 113° based on the substrate size; (2) fold to form a compact shape for implantation; (3) self-deploy into a curvature fitting the eye after implantation. The full-field array consists of multiple polymer layers, specifically, a sandwich structure of elastomer/polyimide-based-electrode/elastomer, coated on one side with hydrogel. Electrodeposition of high-surface-area platinum/iridium alloy significantly improved the electrical properties of the electrodes. Hydrogel over-coating reduced electrode performance, but the electrodes retained better properties than those without platinum/iridium. The full-field array was rolled into a compact shape and, once implanted into ex vivo pig eyes, restored to a 3D curved surface. The full-field retinal array provides significant coverage of the retina while allowing surgical implantation through an incision 33% of the final device diameter. The shape-changing material platform can be used with other neural interfaces that require conformability to complex neuroanatomy.

Advances in Assistive Electronic Device Solutions for Urology

Recent technology advances have led urology to become one of the leading specialities to utilise novel electronic systems to manage urological ailments. Contemporary bladder management strategies such as urinary catheters can provide a solution but leave the user mentally and physically debilitated. The unique properties of modern electronic devices, i.e., flexibility, stretchability, and biocompatibility, have allowed a plethora of new technologies to emerge. Many novel electronic device solutions in urology have been developed for treating impaired bladder disorders. These disorders include overactive bladder (OAB), underactive bladder (UAB) and other-urinary-affecting disorders (OUAD). This paper reviews common causes and conservative treatment strategies for OAB, UAB and OUAD, discussing the challenges and drawbacks of such treatments. Subsequently, this paper gives insight into clinically approved and research-based electronic advances in urology. Advances in this area cover bladder-stimulation and -monitoring devices, robot-assistive surgery, and bladder and sphincter prosthesis. This study aims to introduce the latest advances in electronic solutions for urology, comparing their advantages and disadvantages, and concluding with open problems for future urological device solutions.

Stretchable, self-healable integrated conductor based on mechanical reinforced graphene/polyurethane composites

Stretchable conductors are susceptible to wear through repeated deformation over time. Stretchable conductors with self-healing properties can increase longevity and reduce safety hazards. However, most current self-healing conductors can only repair either the conductive layer or the insulating layer. Meantime, high mechanical robustness and self-healing efficiency are exclusive especially at ambient conditions. Realizing a stretchable conductor with integral self-healing and ultra-high mechanical strength is challenging, because this requires good interfacial compatibility and adaptability of the conductive and insulating layers. We adapt a biphasic dynamic network strategy to add toughness to self-healing materials. The DOU (dimethylglyoxime-urethane polyurethane) dynamic bonds and hydrogen bonds in the soft phase enable high self-healing efficiency, while the graphene as a hard phase supports the material's superior mechanical properties. We have prepared an overall self-healing stretchable conductor through the soft phase as a self-encapsulating insulating layer. This all-solid (Tg = -49.5 °C) graphene/dimethylglyoxime-urethane polyurethane (Gr/DOU-PU) composites characteristic of both high mechanical strength (~6 MPa, ~1000%, ~48 MJ m^-3), self-healing conductivity (~90%, 10 min, 25 °C) and conductivity (R□=47.8 Ω □^-1, d = 0.4 mm). The conductor has excellent stability for flexible electronics and for building stress sensors.

Soft Electronics Based on Stretchable and Conductive Nanocomposites for Biomedical Applications

Research on the field of implantable electronic devices that can be directly applied in the body with various functionalities is increasingly intensifying due to its great potential for various therapeutic applications. While conventional implantable electronics generally include rigid and hard conductive materials, their surrounding biological objects are soft and dynamic. The mechanical mismatch between implanted devices and biological environments induces damages in the body especially for long-term applications. Stretchable electronics with outstanding mechanical compliance with biological objects effectively improve such limitations of existing rigid implantable electronics. In this article, the recent progress of implantable soft electronics based on various conductive nanocomposites is systematically described. In particular, representative fabrication approaches of conductive and stretchable nanocomposites for implantable soft electronics and various in vivo applications of implantable soft electronics are focused on. To conclude, challenges and perspectives of current implantable soft electronics that should be considered for further advances are discussed.

Soft sensors for a sensing-actuation system with high bladder voiding efficiency

Sensing-actuation systems can assist a bladder with lost sensation and weak muscle control. Here, we advance the relevant technology by integrating a soft and thin capacitive sensor with a shape memory alloy-based actuator to achieve a high-performance closed-loop configuration. In our design, sensors capable of continuous bladder volume detection and actuators with strong emptying force have been used. This integration has previously hindered performance due to large bladder volume changes. Our solution integrates sensing-actuation elements that are bladder compatible but do not interfere with one another, achieving real-time bladder management. The system attains a highly desirable voiding target of 71 to 100% of a rat's bladder with a volume sensitivity of 0.7 μF/liter. Our system represents an efficient voiding solution that avoids overfilling and represents a technological solution to bladder impairment treatment, serving as a model for similar soft sensor-actuator integration with other organs.