A Multifunctional Electronic Skin Empowered with Damage Mapping and Autonomic Acceleration of Self-Healing in Designated Locations

Bacterial microenvironment-responsive antibacterial, adhesive, and injectable oxidized dextran-based hydrogel for chronic diabetic wound healing

Diabetic wounds are highly susceptible to bacterial infections, often resulting in chronic wounds that pose a substantial challenge to clinical treatment. Furthermore, the irregular shapes of these wounds limit the effectiveness of conventional dressings. Therefore, development of a new type of antibacterial dressing that can accommodate various wound shapes is urgently required. In this study, we designed injectable hydrogels with bacterial microenvironment-responsive antibacterial, adhesive, and antioxidant properties. These hydrogels were developed by incorporating polydopamine nanoparticles (PDA NPs) into a gelatin/oxidized dextran (Gel-oDex) network crosslinked via dynamic Schiff base reactions. Notably, the Gel-oDex-PDA-PHMB hydrogel demonstrated strong antibacterial efficacy against S. aureus, E. coli, and MRSA (all exceeding 99%), with PHMB-release experiments confirming its responsiveness to the bacterial microenvironment. Additionally, the hydrogel exhibited significant antioxidant activity, as evidenced by the DPPH radical scavenging assays. With good biocompatibility, the Gel-oDex-PDA-PHMB hydrogel also demonstrated effectiveness in killing bacteria and promoting the regeneration and functional reconstruction of skin tissue in bacteria-infected diabetic rats.

Simultaneous Visualization of Dynamical and Static Tactile Perception Using Piezoelectric-Ultrasonic Bimodal Electronic Skin Based on In Situ Polarized PVDF-TrFE/2DBP Composites and the TFT Array

The key to realizing completed bionic tactile perception of human skin using electronic skin relies on simultaneously distinguishing dynamic and static stimuli and restoring their characteristic information, which is realized by integration of several individual sensors but remains certain limitations including large physical size and high energy consumption. In this study, a piezoelectric-ultrasonic bimodal electronic skin (PUVE) based on in situ polarized PVDF-TrFE/2DBP composites and a thin-film transistor (TFT) array is fabricated. The incorporation of 2DBP into the PVDF-TrFE film and the in situ polarization approach provide excellent piezoelectric and ultrasonic performances of PVDF-TrFE/2DBP composites. PUVE has an ultrahigh sensitivity of 3.2 mV kPa-1 over a wide pressure (0-310 kPa) range, with excellent spatial resolution (50 μm) and response time (40 ms). Meanwhile, the PUVE demonstrated outstanding repeatability and bending stability in 1500 cycles of cyclic pressure and 4000 cycles of 180° bending. The integrated piezoelectric and ultrasonic functions of PUVE can respond individually to dynamic and static tactile stimuli to ensure perceiving and decoupling of the dynamical and static mechanical signals with one single sensor. The PVDF-TrFE/2DBP composites is further integrated with the TFT array, realizing visualization function of contacting objects and restoring their characteristic information including the texture and location. Thus, the PUVE is expected to have a wide range of applications in intelligent robots and human prostheses.

Bioinspired Intelligent Electronic Skin for Medicine and Healthcare

Intelligent electronic skin aims to mimic, enhance, and even surpass the functions of biological skin, enabling artificial systems to sense environmental stimuli and interact more naturally with humans. In healthcare, intelligent electronic skin is revolutionizing diagnostics and personalized medicine by detecting early signs of diseases and programming exogenous stimuli for timely intervention and on-demand treatment. This review discusses latest progress in bioinspired intelligent electronic skin and its application in medicine and healthcare. First, strategies for the development of intelligent electronic skin to simulate or even surpass human skin are discussed, focusing on its basic characteristics, as well as sensing and regulating functions. Then, the applications of electronic skin in health monitoring and wearable therapies are discussed, illustrating its potential to provide early warning and on-demand treatment. Finally, the significance of electronic skin in bridging the gap between electronic and biological systems is emphasized and the challenges and future perspectives of intelligent electronic skin are summarized.

Bioinspired Passive Tactile Sensors Enabled by Reversible Polarization of Conjugated Polymers

Tactile perception plays a vital role for the human body and is also highly desired for smart prosthesis and advanced robots. Compared to active sensing devices, passive piezoelectric and triboelectric tactile sensors consume less power, but lack the capability to resolve static stimuli. Here, we address this issue by utilizing the unique polarization chemistry of conjugated polymers for the first time and propose a new type of bioinspired, passive, and bio-friendly tactile sensors for resolving both static and dynamic stimuli. Specifically, to emulate the polarization process of natural sensory cells, conjugated polymers (including poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate), polyaniline, or polypyrrole) are controllably polarized into two opposite states to create artificial potential differences. The controllable and reversible polarization process of the conjugated polymers is fully in situ characterized. Then, a micro-structured ionic electrolyte is employed to imitate the natural ion channels and to encode external touch stimulations into the variation in potential difference outputs. Compared with the currently existing tactile sensing devices, the developed tactile sensors feature distinct characteristics including fully organic composition, high sensitivity (up to 773 mV N-1), ultralow power consumption (nW), as well as superior bio-friendliness. As demonstrations, both single point tactile perception (surface texture perception and material property perception) and two-dimensional tactile recognitions (shape or profile perception) with high accuracy are successfully realized using self-defined machine learning algorithms. This tactile sensing concept innovation based on the polarization chemistry of conjugated polymers opens up a new path to create robotic tactile sensors and prosthetic electronic skins.

Strong and Healable Elastomers with Photothermal-Stimulus Dynamic Nanonetworks Enabled by Subnano Ultrafine MoO3-x Nanowires

One-dimensional nanomaterials have become one of the most available nanoreinforcing agents for developing next-generation high-performance functional self-healing composites owing to their unique structural characteristics and surface electron structure. However, nanoscale control, structural regulation, and crystal growth are still enormous challenges in the synthesis of specific one-dimensional nanomaterials. Here, oxygen-defective MoO3-x nanowires with abundant surface dynamic bonding were successfully synthesized as novel nanofillers and photothermal response agents combined with a polyurethane matrix to construct composite elastomers, thus achieving mechanically enhanced and self-healing properties. Benefiting from the surface plasmon resonance of the MoO3-x nanowires and interfacial multiple dynamic bonding interactions, the composite elastomers demonstrated strong mechanical performance (with a strength of 31.45 MPa and elongation of 1167.73%) and ultrafast photothermal toughness self-healing performance (20 s and an efficiency of 94.34%). The introduction of MoO3-x nanowires allows the construction of unique three-dimensional cross-linked nanonetworks that can move and regulate interfacial dynamic interactions under 808 nm infrared laser stimulation, resulting in controlled mechanical and healing performance. Therefore, such special elastomers with strong photothermal responses and mechanical properties are expected to be useful in next-generation biological antibacterial materials, wearable devices, and artificial muscles.

Healing Function for Abraded Fingerprint Ridges in Tactile Texture Sensors

Tactile texture sensors are designed to evaluate the sensations felt when a human touches an object. Prior studies have demonstrated the necessity for these sensors to have compliant ridges on their surfaces that mimic human fingerprints. These features enable the simulation of contact phenomena, especially friction and vibration, between human fingertips and objects, enhancing the tactile sensation evaluation. However, the ridges on tactile sensors are susceptible to abrasion damage from repeated use. To date, the healing function of abraded ridges has not been proposed, and its effectiveness needs to be demonstrated. In this study, we investigated whether the signal detection capabilities of a sensor with abraded epidermal ridges could be restored by healing the ridges using polyvinyl chloride plastisol as the sensor material. We developed a prototype tactile sensor with an embedded strain gauge, which was used to repeatedly scan roughness specimens. After more than 1000 measurements, we observed significant deterioration in the sensor's output signal level. The ridges were then reshaped using a mold with a heating function, allowing the sensor to partially regain its original signal levels. This method shows potential for extending the operational lifespan of tactile texture sensors with compliant ridges.

Anti-Wound Dehiscence and Antibacterial Dressing with Highly Efficient Self-Healing Feature for Guided Bone Regeneration Wound Closure

Guided bone regeneration (GBR) is a well-established technique for preserving and enhancing alveolar ridge structures. Success in GBR relies on fulfilling the Primary wound closure, Angiogenesis, Space maintenance, and Stability (PASS) principles. Conventional methods, involving titanium meshes and sutures, have drawbacks, including the need for secondary removal and customization challenges. To address these issues, an innovative multifunctional GBR dressing (MGD) based on self-healing elastomer (PUIDS) is introduced. MGD provides sutureless wound closure, prevents food particle accumulation, and maintains a stable environment for bone growth. It offers biocompatibility, bactericidal properties, and effectiveness in an oral GBR model. In summary, MGD provides a reliable, stable osteogenic environment for GBR, aligning with PASS principles and promoting superior post-surgery bone regeneration.

Advanced Dressings for Chronic Wound Management

Wound healing, particularly for chronic wounds, presents a considerable difficulty due to differences in biochemical and cellular processes that occur in different types of wounds. Recent technological breakthroughs have notably advanced the understanding of diagnostic and therapeutic approaches to wound healing. The evolution in wound care has seen a transition from traditional textile dressings to a variety of advanced alternatives, including self-healing hydrogels, hydrofibers, foams, hydrocolloids, environment responsive dressings, growth factor-based therapy, bioengineered skin substitutes, and stem cell and gene therapy. Technological advancements, such as 3D printing and electronic skin (e-skin) therapy, contribute to the customization of wound healing. Despite these advancements, effectively managing chronic wounds remains challenging. This necessitates the development of treatments that consider performance, risk-benefit balance, and cost-effectiveness. This review discusses innovative strategies for the healing of chronic wounds. Incorporating biomarkers into advanced dressings, coupled with corresponding biosensors and drug delivery formulations, enables the theranostic approach to the treatment of chronic wounds. Furthermore, integrating advanced dressings with power sources and user interfaces like near-field communication, radio frequency identification, and Bluetooth enhances real-time monitoring and on-demand drug delivery. It also provides a thorough evaluation of the advantages, patient compliance, costs, and durability of advanced dressings, emphasizing smart formulations and their preparation methods.

Age of Flexible Electronics: Emerging Trends in Soft Multifunctional Sensors

With the commercialization of first-generation flexible mobiles and displays in the late 2010s, humanity has stepped into the age of flexible electronics. Inevitably, soft multifunctional sensors, as essential components of next-generation flexible electronics, have attracted tremendous research interest like never before. This review is dedicated to offering an overview of the latest emerging trends in soft multifunctional sensors and their accordant future research and development (R&D) directions for the coming decade. First, key characteristics and the predominant target stimuli for soft multifunctional sensors are highlighted. Second, important selection criteria for soft multifunctional sensors are introduced. Next, emerging materials/structures and trends for soft multifunctional sensors are identified. Specifically, the future R&D directions of these sensors are envisaged based on their emerging trends, namely i) decoupling of multiple stimuli, ii) data processing, iii) skin conformability, and iv) energy sources. Finally, the challenges and potential opportunities for these sensors in future are discussed, offering new insights into prospects in the fast-emerging technology.

Strain Sensors Made of MXene, CNTs, and TPU/PSF Asymmetric Structure Films with Large Tensile Recovery and Applied in Human Health Monitoring

Designing flexible wearable sensors with a wide sensing range, high sensitivity, and high stability is a vulnerable research direction with a futuristic field to study. In this paper, Ti3C2Tx MXene/carbon nanotube (CNT)/thermoplastic polyurethane (TPU)/polysulfone (PSF) composite films with excellent sensor performance were obtained by self-assembly of conductive fillers in TPU/PSF porous films with an asymmetric structure through vacuum filtration, and the porous films were prepared by the phase inversion method. The composite films consist of the upper part with finger-like "cavities" filled by MXene/CNTs, which reduces the microcracks in the conductive network during the tensile process, and the lower part has smaller apertures of a relatively dense resin cortex assisting the recovery process. The exclusive layer structure of the MXene/CNTs/TPU/PSF film sensor, with a thickness of 46.95 μm, contains 0.0339 mg/cm2 single-walled carbon nanotubes (SWNTs) and 0.348 mg/cm2 MXene only, providing functional range (0-80.7%), high sensitivity (up to 1265.18), and excellent stability and durability (stable sensing under 2300 fatigue tests, viable to the initial resistance), endurably cycled under large strains with serious damage to the conductive network. Finally, the MXene/CNTs/TPU/PSF film sensor is usable for monitoring pulse, swallow, tiptoe, and various joint bends in real time and distributing effective electrical signals. This paper implies that the MXene/CNTs/TPU/PSF film sensor has broad prospects in pragmatic applications.

Asymmetric and Skin-Mimicking Hydrogels with Wide Temperature Tolerance and Superior Elasticity for High-Performance Strain Sensors

Wide temperature tolerance and superior mechanical properties are highly required for composite hydrogels in electronic applications such as electronic skins and soft robotics. In this work, a unique polyacrylamide-based and double-network hydrogel system is designed and fabricated by introducing graphene oxide and glycerol to improve mechanical properties as well as antifreezing and antiheating properties. Maximum stress of the graphene oxide-incorporated hydrogel increases rapidly to 500.0 kPa which is much higher than that of polymetric acrylamide/carboxymethylcellulose sodium hydrogel (281.7 kPa), probably due to the inhibition from graphene oxide in generation and propagation of cracks. With constantly adding glycerol, total elongation and antifreezing and heating properties of the composite hydrogels increase gradually. Especially, sample with 20 vol % of glycerol not only shows stable conductivity and wide temperature tolerance (-50 to 50 °C) but also has ideal strength-toughness match (597.6 kPa and 1263.4%), suggesting that synergistic effect of different layers in the asymmetric structure plays an active role in improvement of mechanical properties.

Construction of Wearable Touch Sensors by Mimicking the Properties of Materials and Structures in Nature

Wearable touch sensors, which can convert force or pressure signals into quantitative electronic signals, have emerged as essential smart sensing devices and play an important role in various cutting-edge fields, including wearable health monitoring, soft robots, electronic skin, artificial prosthetics, AR/VR, and the Internet of Things. Flexible touch sensors have made significant advancements, while the construction of novel touch sensors by mimicking the unique properties of biological materials and biogenetic structures always remains a hot research topic and significant technological pathway. This review provides a comprehensive summary of the research status of wearable touch sensors constructed by imitating the material and structural characteristics in nature and summarizes the scientific challenges and development tendencies of this aspect. First, the research status for constructing flexible touch sensors based on biomimetic materials is summarized, including hydrogel materials, self-healing materials, and other bio-inspired or biomimetic materials with extraordinary properties. Then, the design and fabrication of flexible touch sensors based on bionic structures for performance enhancement are fully discussed. These bionic structures include special structures in plants, special structures in insects/animals, and special structures in the human body. Moreover, a summary of the current issues and future prospects for developing wearable sensors based on bio-inspired materials and structures is discussed.

Biomimetic Flexible Sensors and Their Applications in Human Health Detection

Bionic flexible sensors are a new type of biosensor with high sensitivity, selectivity, stability, and reliability to achieve detection in complex natural and physiological environments. They provide efficient, energy-saving and convenient applications in medical monitoring and diagnosis, environmental monitoring, and detection and identification. Combining sensor devices with flexible substrates to imitate flexible structures in living organisms, thus enabling the detection of various physiological signals, has become a hot topic of interest. In the field of human health detection, the application of bionic flexible sensors is flourishing and will evolve into patient-centric diagnosis and treatment in the future of healthcare. In this review, we provide an up-to-date overview of bionic flexible devices for human health detection applications and a comprehensive summary of the research progress and potential of flexible sensors. First, we evaluate the working mechanisms of different classes of bionic flexible sensors, describing the selection and fabrication of bionic flexible materials and their excellent electrochemical properties; then, we introduce some interesting applications for monitoring physical, electrophysiological, chemical, and biological signals according to more segmented health fields (e.g., medical diagnosis, rehabilitation assistance, and sports monitoring). We conclude with a summary of the advantages of current results and the challenges and possible future developments.

Autonomous alignment and healing in multilayer soft electronics using immiscible dynamic polymers

Self-healing soft electronic and robotic devices can, like human skin, recover autonomously from damage. While current devices use a single type of dynamic polymer for all functional layers to ensure strong interlayer adhesion, this approach requires manual layer alignment. In this study, we used two dynamic polymers, which have immiscible backbones but identical dynamic bonds, to maintain interlayer adhesion while enabling autonomous realignment during healing. These dynamic polymers exhibit a weakly interpenetrating and adhesive interface, whose width is tunable. When multilayered polymer films are misaligned after damage, these structures autonomously realign during healing to minimize interfacial free energy. We fabricated devices with conductive, dielectric, and magnetic particles that functionally heal after damage, enabling thin-film pressure sensors, magnetically assembled soft robots, and underwater circuit assembly.

A review related to MXene preparation and its sensor arrays of electronic skins

MXenes have been flourishing over the last decade as a high-performance 2D material, which combines the advantages of high electrical conductivity, photothermal conversion, and easy dispersion. They have been used to create soft, highly conductive, self-healing, and tactile-simulating electronic skins (E-skins). However, these E-skins remain generally limited to one or two functions with a complex preparation process. Next-generation E-skins necessitate not only large-scale fabrication using simple and fast methods but also the integration of multiple sensing functions and signal analysis components in order to provide functionality that was not unattainable in the past. Starting with the synthesis of pure MXenes, we walk through the steps of designing MXene sensors, integrating electronic skin arrays, and determining the function of MXene-based electronic skins. We also summarise the problems with existing MXene-based E-skins and possible futuristic directions.

Epoxy-Based Catalyst-Free Self-Healing Elastomers at Room Temperature Employing Aromatic Disulfide and Hydrogen Bonds

In this paper, catalyst-free room-temperature healing epoxy vitrimer-like materials (S-vitrimer) are introduced. The S-vitrimer can be healed at room temperature without any external stimuli such as solvent, pressure, heat, and catalyst through an aromatic disulfide exchange reaction and a hydrogen bond because the glass transition temperature of the S-vitrimer is lower than room temperature. Self-healing materials are attracting widespread attention nowadays with their potential to increase the durability of the materials. However, there is still elevating need for research, considering the limitations of various self-healing methods. To the best of our knowledge, epoxy-based catalyst-free room-temperature healing materials have not been investigated until now, yet they are promising to make self-healing easier. Moreover, the S-vitrimer showed higher healing efficiency when healed for a longer time and at a higher temperature. Especially when healed at room temperature for 96 h, the S-vitrimer presented an 80% healing efficiency. The S-vitrimer also showed an 80% healing efficiency when healed at 60 °C for 48 h. To investigate the factors affecting self-healing behavior, three control experiments were carried out. Control experiments showed that the S-vitrimer is healed mainly due to a disulfide exchange reaction, but hydrogen bonds also contribute to self-healing behavior. Also, it was found that tightly packed segments can hinder self-healing through control experiments.

Data-driven method for damage localization on soft robotic grippers based on motion dynamics

Damage detection is one of the critical challenges in operating soft robots in an industrial setting. In repetitive tasks, even a small cut or fatigue can propagate to large damage ceasing the complete operation process. Although research has shown that damage detection can be performed through an embedded sensor network, this approach leads to complicated sensorized systems with additional wiring and equipment, made using complex fabrication processes and often compromising the flexibility of the soft robotic body. Alternatively, in this paper, we proposed a non-invasive approach for damage detection and localization on soft grippers. The essential idea is to track changes in non-linear dynamics of a gripper due to possible damage, where minor changes in material and morphology lead to large differences in the force and torque feedback over time. To test this concept, we developed a classification model based on a bidirectional long short-time memory (biLSTM) network that discovers patterns of dynamics changes in force and torque signals measured at the mounting point. To evaluate this model, we employed a two-fingered Fin Ray gripper and collected data for 43 damage configurations. The experimental results show nearly perfect damage detection accuracy and 97% of its localization. We have also tested the effect of the gripper orientation and the length of time-series data. By shaking the gripper with an optimal roll angle, the localization accuracy can exceed 95% and increase further with additional gripper orientations. The results also show that two periods of the gripper oscillation, i.e., roughly 50 data points, are enough to achieve a reasonable level of damage localization.

Human Skin-Inspired Electrospun Patterned Robust Strain-Insensitive Pressure Sensors and Wearable Flexible Light-Emitting Diodes

Wearable skin-inspired electronic skins present remarkable outgrowth in recent years because their promising comfort device integration, lightweight, and mechanically robust durable characteristics led to significant progresses in wearable sensors and optoelectronics. Wearable electronic devices demand real-time applicability and factors such as complex fabrication steps, manufacturing cost, and reliable and durable performances, severely limiting the utilization. Herein, we nominate a scalable solution-processable electrospun patterned candidate capable of forming ultralong mechanically robust nano-microdimensional fibers with higher uniformity. Nanofibrous patterned substrates present surface energy and silver nanoparticle crystallization shifts, contributing to strain-sensitive and -insensitive conductive electrodes (10 000 cycles of 50% strain). Synergistic robust stress releasing and durable electromechanical behavior engenders stretchable durable health sensors, strain-insensitive pressure sensors (sensitivity of ∼83 kPa^-1 and 5000 durable cycles), robust alternating current electroluminescent displays, and flexible organic light-emitting diodes (20% improved luminescence and 300 flex endurance of 2 mm bend radius).

Recent Advances of Self-Healing Electronic Materials Applied in Organic Field-Effect Transistors

Self-healing materials play an essential role in the field of organic electronics with numerous stunning applications such as novel integrated and wearable devices. With the development of stretchable, printable, and implantable electronics, organic field-effect transistors (OFETs) with a self-healable capability are becoming increasingly important both academically and industrially. However, the related research work is still in the initial stage due to the challenges in developing robust self-healing electronic materials with both electronic and mechanical properties. In this mini-review, we have summarized the recent research progress in self-healing materials used in OFETs from conductor, semiconductor, and insulator materials. Moreover, the relationship between the material design and device performance for self-healing properties is also further discussed. Finally, the primary challenges and outlook in this field are introduced. We believe that the review will shed light on the development of self-healing electronic materials for application in OFETs.

Self-Healing Polymers and Composites: Extrinsic Routes

:

Polymers have the property to convert the physical stress to covalent bond shuffling, thereby acting as the healing agents. Polymeric coatings, paints, electronic devices, drug delivery, and many other applications find self-healing materials as a smart technique to prolong the life cycle of the end products. The idea behind these artificial materials is to make them behave like the human body. It should sense the failure and repair it before it becomes worse or irreparable. Researchers have explored several polymeric materials which can self-heal through intrinsic or extrinsic mechanisms. This review specifically focuses on extrinsic routes governed by mechanical stress, temperature change in a covalent bond, humidity, variation in pH, optical sensitivity, and electrochemical effects. Each possible mechanism is further supported by the molecules or bonds which can undergo the transformations under given conditions. On a broader scale, bonds that can self-repair by mechanical force, thermal treatment, chemical modifications, UV irradiation, or electromagnetic phenomenon are covered under this review. It brings into the notice the shortcomings or challenges in adopting the technology to the commercial scale. The possible molecules or bonds which can undergo self-healing under certain conditions have been distinctly presented in a well-segregated manner. This review is envisaged to act as a guide for researchers working in this area.

Sensors for Volatile Organic Compounds

This paper provides an overview of recent developments in the field of volatile organic compound (VOC) sensors, which are finding uses in healthcare, safety, environmental monitoring, food and agriculture, oil industry, and other fields. It starts by briefly explaining the basics of VOC sensing and reviewing the currently available and quickly progressing VOC sensing approaches. It then discusses the main trends in materials' design with special attention to nanostructuring and nanohybridization. Emerging sensing materials and strategies are highlighted and their involvement in the different types of sensing technologies is discussed, including optical, electrical, and gravimetric sensors. The review also provides detailed discussions about the main limitations of the field and offers potential solutions. The status of the field and suggestions of promising directions for future development are summarized.

Superstable and Intrinsically Self-Healing Fibrous Membrane with Bionic Confined Protective Structure for Breathable Electronic Skin

Considerable effort has been devoted to the fabrication of electronic skin that can imitate the self-healing and sensing function of biological skin. Almost all self-healing electronic skins are composed of airtight elastomers or hydrogels, which will cause skin inflammation. Fibrous membranes are ideal materials for preparing highly sensitive breathable electronic skins. However, the development of intrinsically self-healing fibrous membranes with high stability is still a challenge. Here, a novel interface protective strategy is reported to develop intrinsically self-healing fibrous membranes with a bionic confined structure for the first time, which were further assembled into an all-fiber structured electronic skin through interfacial hydrogen bonding. The electronic skin is multifunctional with self-powering, self-healing, breathability, stretchability, and thermochromism functionalities, which is highly promising for application in intelligent wearable sensing systems.

Self-Powered Multifunctional Electronic Skin Based on Carbon Nanotubes/Poly(dimethylsiloxane) for Health Monitoring

Flexible and multifunctional electronic skin (e-skin) has received remarkable attention for its potential applications in health monitoring, human-machine interface, and artificial sensory nerves. However, conventional multifunctional e-skins require complex material systems, sophisticated fabrication, and external power supplies, leading to increased preparation cost and duration, thus hindering their large-scale utilization. Herein, a self-powered multifunctional e-skin system with properties of pressure, temperature, underwater sensing, and photothermal heating is designed based on carbon nanotubes/poly(dimethylsiloxane) (CNT/PDMS) acting as both the multifunctional sensing layer and the cathode of the power supply. Our micropyramidal structured e-skin exhibits outstanding pressure sensitivity (1.51 × 10³ kPa^-1) over a wide sensing range (2.5-255.7 kPa) and maintains ultralong-term durability (>20 000 cycles). It can also provide personalized photothermal therapy at an adjustable temperature (40-110 °C) and heating area under near-infrared irradiation due to the photothermal effect of CNTs, with the temperature being detected synchronously by current signals. Additionally, the hydrophobicity of the CNT/PDMS film endows our device with underwater sensing capability. Furthermore, practical healthcare applications have been demonstrated with reliable signal quality and stability, such as daily activities and underwater movements/temperature monitoring, SOS Morse code communication, and human-machine interface. This work could provide insight on developing simple, stable, and wearable healthcare devices with self-power supply and multifunction.

Biodiagnostics in an era of global pandemics-From biosensing materials to data management

The novel corona virus SARS-CoV-2 (COVID-19) has exposed the world to challenges never before seen in fast diagnostics, monitoring, and prevention of the outbreak. As a result, different approaches for fast diagnostic and screening are made and yet to find the ideal way. The current mini-review provides and examines evidence-based innovative and rapid chemical sensing and related biodiagnostic solutions to deal with infectious disease and related pandemic emergencies, which could offer the best possible care for the general population and improve the approachability of the pandemic information, insights, and surrounding contexts. The review discusses how integration of sensing devices with big data analysis, artificial Intelligence or machine learning, and clinical decision support system, could improve the accuracy of the recorded patterns of the disease conditions within an ocean of information. At the end, the mini-review provides a prospective on the requirements to improve our coping of the pandemic-related biodiagnostics as well as future opportunities.

Recent Advances in Multiresponsive Flexible Sensors towards E-skin: A Delicate Design for Versatile Sensing

Multiresponsive flexile sensors with strain, temperature, humidity, and other sensing abilities serving as real electronic skin (e-skin) have manifested great application potential in flexible electronics, artificial intelligence (AI), and Internet of Things (IoT). Although numerous flexible sensors with sole sensing function have already been reported since the concept of e-skin, that mimics the sensing features of human skin, was proposed about a decade ago, the ones with more sensing capacities as new emergences are urgently demanded. However, highly integrated and highly sensitive flexible sensors with multiresponsive functions are becoming a big thrust for the detection of human body motions, physiological signals (e.g., skin temperature, blood pressure, electrocardiograms (ECG), electromyograms (EMG), sweat, etc.) and environmental stimuli (e.g., light, magnetic field, volatile organic compounds (VOCs)), which are vital to real-time and all-round human health monitoring and management. Herein, this review summarizes the design, manufacturing, and application of multiresponsive flexible sensors and presents the future challenges of fabricating these sensors for the next-generation e-skin and wearable electronics.

Processing of Self-Healing Polymers for Soft Robotics

Soft robots are, due to their softness, inherently safe and adapt well to unstructured environments. However, they are prone to various damage types. Self-healing polymers address this vulnerability. Self-healing soft robots can recover completely from macroscopic damage, extending their lifetime. For developing healable soft robots, various formative and additive manufacturing methods have been exploited to shape self-healing polymers into complex structures. Additionally, several novel manufacturing techniques, noted as (re)assembly binding techniques that are specific to self-healing polymers, have been created. Herein, the wide variety of processing techniques of self-healing polymers for robotics available in the literature is reviewed, and limitations and opportunities discussed thoroughly. Based on defined requirements for soft robots, these techniques are critically compared and validated. A strong focus is drawn to the reversible covalent and (physico)chemical cross-links present in the self-healing polymers that do not only endow healability to the resulting soft robotic components, but are also beneficial in many manufacturing techniques. They solve current obstacles in soft robots, including the formation of robust multi-material parts, recyclability, and stress relaxation. This review bridges two promising research fields, and guides the reader toward selecting a suitable processing method based on a self-healing polymer and the intended soft robotics application.

Moisture-Wicking, Breathable, and Intrinsically Antibacterial Electronic Skin Based on Dual-Gradient Poly(ionic liquid) Nanofiber Membranes

Electronic skin can detect minute electrical potential changes in the human skin and represent the body's state, which is critical for medical diagnostics and human-computer interface development. On the other hand, sweat has a significant effect on the signal stability, comfort, and safety of electronic skin in a real-world application. In this study, by modifying the cation and anion of a poly(ionic liquid) (PIL) and employing a spinning process, a PIL-based multilayer nanofiber membrane (PIL membrane) electronic skin with a dual gradient is created. The PIL electronic skin is moisture-wicking and breathable due to the hydrophilicity and pore size-gradients. The intrinsically antimicrobial activities of PILs allow the safe collection of bioelectrical signals from the human body, such as electrocardiography (ECG) and electromyography (EMG). In addition, a robotic hand may be operated in real-time, and a preliminary human-computer interface can be accomplished by simple processing of the collected EMG signal. This study establishes a novel practical approach for monitoring and using bioelectrical signals in real-world circumstances via the multifunctional electronic skin.

Bioinspired Triboelectric Nanosensors for Self-Powered Wearable Applications

The sustainable operation of wearable sensors plays an important role in continuous and longtime health monitoring. Conventional batteries, which are bulky and rigid, do not satisfy these requirements and, rather, cause additional economic burdens and environmental problems by regular replacement of power sources. This article provides a review on an alternative solution in the form of self-powered devices that can harvest energy from the surrounding environment to support the operation of the wearable sensor. The Review starts with an introduction of the self-powered triboelectric nanosensors (TENSs) and its two independent modules: the energy harvester and the sensing module. The Review continues with the TENS-related bioinspired designs for wearable applications, while providing a bird's-eye view of their characteristics and applications. The ongoing challenges and prospects for providing personal healthcare with self-powered TENS are presented and discussed.

A multifunctional electronic skin based on patterned metal films for tactile sensing with a broad linear response range

Electronic skins (e-skins) with multifunctional sensing functions have attracted a lot of attention due to their promising applications in intelligent robotics, human-machine interfaces, and wearable healthcare systems. Here, we report a multifunctional e-skin based on patterned metal films for tactile sensing of pressure and temperature with a broad linear response range by implementing the single sensing mechanism of piezoresistivity, which allows for the easy signal processing and simple device configuration. The sensing pixel features serpentine metal traces and spatially distributed microprotrusions. Experimental and numerical studies reveal the fundamental aspects of the multifunctional tactile sensing mechanism of the e-skin, which exhibits excellent flexibility and wearable conformability. The fabrication approach being compatible with the well-established microfabrication processes has enabled the scalable manufacturing of a large-scale e-skin for spatial tactile sensing in various application scenarios.

Soft Self-Healing Fluidic Tactile Sensors with Damage Detection and Localization Abilities

Self-healing sensors have the potential to increase the lifespan of existing sensing technologies, especially in soft robotic and wearable applications. Furthermore, they could bestow additional functionality to the sensing system because of their self-healing ability. This paper presents the design for a self-healing sensor that can be used for damage detection and localization in a continuous manner. The soft sensor can recover full functionality almost instantaneously at room temperature, making the healing process fully autonomous. The working principle of the sensor is based on the measurement of air pressure inside enclosed chambers, making the fabrication and the modeling of the sensors easy. We characterize the force sensing abilities of the proposed sensor and perform damage detection and localization over a one-dimensional and two-dimensional surface using multilateration techniques. The proposed solution is highly scalable, easy-to-build, cheap and even applicable for multi-damage detection.

A Systematic Review on Recent Trends, Challenges, Privacy and Security Issues of Underwater Internet of Things

Owing to the hasty growth of communication technologies in the Underwater Internet of Things (UIoT), many researchers and industries focus on enhancing the existing technologies of UIoT systems for developing numerous applications such as oceanography, diver networks monitoring, deep-sea exploration and early warning systems. In a constrained UIoT environment, communication media such as acoustic, infrared (IR), visible light, radiofrequency (RF) and magnet induction (MI) are generally used to transmit information via digitally linked underwater devices. However, each medium has its technical limitations: for example, the acoustic medium has challenges such as narrow-channel bandwidth, low data rate, high cost, etc., and optical medium has challenges such as high absorption, scattering, long-distance data transmission, etc. Moreover, the malicious node can steal the underwater data by employing blackhole attacks, routing attacks, Sybil attacks, etc. Furthermore, due to heavyweight, the existing privacy and security mechanism of the terrestrial internet of things (IoT) cannot be applied directly to UIoT environment. Hence, this paper aims to provide a systematic review of recent trends, applications, communication technologies, challenges, security threats and privacy issues of UIoT system. Additionally, this paper highlights the methods of preventing the technical challenges and security attacks of the UIoT environment. Finally, this systematic review contributes much to the profit of researchers to analyze and improve the performance of services in UIoT applications.

Smart Materials Enabled with Artificial Intelligence for Healthcare Wearables

Contemporary medicine suffers from many shortcomings in terms of successful disease diagnosis and treatment, both of which rely on detection capacity and timing. The lack of effective, reliable, and affordable detection and real‐time monitoring limits the affordability of timely diagnosis and treatment. A new frontier that overcomes these challenges relies on smart health monitoring systems that combine wearable sensors and an analytical modulus. This review presents the latest advances in smart materials for the development of multifunctional wearable sensors while providing a bird's eye‐view of their characteristics, functions, and applications. The review also presents the state‐of‐the‐art on wearables fitted with artificial intelligence (AI) and support systems for clinical decision in early detection and accurate diagnosis of disorders. The ongoing challenges and future prospects for providing personal healthcare with AI‐assisted support systems relating to clinical decisions are presented and discussed.

Multifunctional Dressing for Wound Diagnosis and Rehabilitation

A wound dressing is a sterile pad or compress that is used in direct contact with a wound to help it heal and prevent further issues or complications. Though wound healing is an intricate dynamic process that involves multiple biomolecular species, conventional wound dressings have a limited ability to provide timely information of abnormal conditions, missing the best time for early treatment. The current perspective presents and discusses the design and development of smart wound dressings that are integrated with multifunctional materials, wearable sensors and drug delivery systems as well as their application ranging from wound monitoring to timely application of therapeutics. The perspective also discusses the ongoing challenges and exciting opportunities associated with the development of wearable sensor-based smart wound dressing and provide critical insights into wound healing monitoring and management.

Stretchable and Highly Permeable Nanofibrous Sensors for Detecting Complex Human Body Motion

Wearable strain sensors have been attracting special attention in the detection of human posture and activity, as well as for the assessment of physical rehabilitation and kinematics. However, it is a challenge to fabricate stretchable and comfortable-to-wear permeable strain sensors that can provide highly accurate and continuous motion recording while exerting minimal constraints and maintaining low interference with the body. Herein, covalently grafting nanofibrous polyaniline (PANI) onto stretchable elastomer nanomeshes is reported to obtain a freestanding ultrathin (varying from 300 to 10 000 nm) strain sensor that has high gas permeability (10-33 mg h^-1 ). The sensor demonstrates a low weight and can be directly laminated onto the dynamic human skin for long periods of time. The sensor, which produces an intimate connection with solid or living objects, has a stable performance with excellent sustainability, linearity, durability, and low hysteresis. It exibits excellent performance for continuous interrogation of complex movements, mimicking muscle activities, and resembling brain activity. This includes a very precise discrimination of bending and twisting stimuli at different angles (1-180°) and speeds (3-18 rpm) and very low exertion of counter-interference. These results imply the utility of this appraoch for advanced developments of robotic e-skins or e-muscles.

Minireview on Self-Healing Polymers: Versatility, Application, and Prospects

Nature is blessed with self-healing properties. Mimicking nature is a traditional practice to innovate new classes of materials for researchers. In this practice, researchers made a revolutionary approach to innovate self-healing polymer (SHP) that can be used to treat damage-related losses. Different SHPs with various properties have been developed for a wide range of applications. SHPs unlocked the key to the taste of real life through their application and versatility in the sectors close to our day-by-day life of this age and the near future. In this study, we reviewed the scopes and prospects of the application of SHPs owing to different properties. Varieties of amazing properties made SHPs fit in different sectors such as construction, paint and coat, electronics, healthcare, textile, and automotive and aerospace. Similarly, due to having suitable functionality, SHPs can also be used in different industries. Therefore, it is high time to generalize the production of SHPs by suitable research and make sure the easy application for the welfare of human civilization and other living creatures.

Wound Healing: From Passive to Smart Dressings

The universal increase in the number of patients with nonhealing skin wounds imposes a huge social and economic burden on the patients and healthcare systems. Although, the application of traditional wound dressings contributes to an effective wound healing outcome, yet, the complexity of the healing process remains a major health challenge. Recent advances in materials and fabrication technologies have led to the fabrication of dressings that provide proper conditions for effective wound healing. The 3D-printed wound dressings, biomolecule-loaded dressings, as well as smart and flexible bandages are among the recent alternatives that have been developed to accelerate wound healing. Additionally, the new generation of wound dressings contains a variety of microelectronic sensors for real-time monitoring of the wound environment and is able to apply required actions to support the healing progress. Moreover, advances in manufacturing flexible microelectronic sensors enable the development of the next generation of wound dressing substrates, known as electronic skin, for real-time monitoring of the whole physiochemical markers in the wound environment in a single platform. The current study reviews the importance of smart wound dressings as an emerging strategy for wound care management and highlights different types of smart dressings for promoting the wound healing process.

High-Performance Polyimide-Based Water-Solid Triboelectric Nanogenerator for Hydropower Harvesting

Water-solid triboelectric nanogenerators (TENGs) are insensitive to ambient humidity, providing a wide range of possibilities for designing stable water-energy-based harvesters and self-powered sensors. However, the wide application of most water-solid TENGs has been limited by low triboelectrification performance. To boost the output performance of water-solid TENGs, a newly structured TENG has been developed by adding a polyimide (PI) as a charge storage intermediate layer between the friction layer and the conducting layer, significantly improving the output performance (1.260 mW), with a 5-fold increase compared to the water-solid TENG without the PI intermediate layer (0.234 mW). This analysis shows that adding an intermediate layer with a high density of electron capture sites to the TENG results in more triboelectric charge being retained, thereby improving the electrical performance of TENG. The electrical performance of TENG is related to the thickness of the PI layer, but this is not a positive correlation. Contact angles and falling heights between the droplet and the device also affect the output performance. Finally, the water-solid PI-TENG we have developed has promise in hydropower harvesting capabilities and can be used to power warning signals on a dark and rainy night to ensure the safety of people.

Wearable and Mobile Sensors for Personalized Nutrition

While wearable and mobile chemical sensors have experienced tremendous growth over the past decade, their potential for tracking and guiding nutrition has emerged only over the past three years. Currently, guidelines from doctors and dietitians represent the most common approach for maintaining optimal nutrition status. However, such recommendations rely on population averages and do not take into account individual variability in responding to nutrients. Precision nutrition has recently emerged to address the large heterogeneity in individuals' responses to diet, by tailoring nutrition based on the specific requirements of each person. It aims at preventing and managing diseases by formulating personalized dietary interventions to individuals on the basis of their metabolic profile, background, and environmental exposure. Recent advances in digital nutrition technology, including calories-counting mobile apps and wearable motion tracking devices, lack the ability of monitoring nutrition at the molecular level. The realization of effective precision nutrition requires synergy from different sensor modalities in order to make timely reliable predictions and efficient feedback. This work reviews key opportunities and challenges toward the successful realization of effective wearable and mobile nutrition monitoring platforms. Non-invasive wearable and mobile electrochemical sensors, capable of monitoring temporal chemical variations upon the intake of food and supplements, are excellent candidates to bridge the gap between digital and biochemical analyses for a successful personalized nutrition approach. By providing timely (previously unavailable) dietary information, such wearable and mobile sensors offer the guidance necessary for supporting dietary behavior change toward a managed nutritional balance. Coupling of the rapidly emerging wearable chemical sensing devices-generating enormous dynamic analytical data-with efficient data-fusion and data-mining methods that identify patterns and make predictions is expected to revolutionize dietary decision-making toward effective precision nutrition.

Bio-Inspired Multi-Mode Pain-Perceptual System (MMPPS) with Noxious Stimuli Warning, Damage Localization, and Enhanced Damage Protection

The multi-mode pain-perceptual system (MMPPS) is essential for the human body to perceive noxious stimuli in all circumstances and make an appropriate reaction. Based on the central sensitization mechanism, the MMPPS can switch between different working modes and thus offers a smarter protection mechanism to human body. Accordingly, before injury MMPPS can offer warning of excessive pressure with normal pressure threshold. After injury, extra care on the periphery of damage will be activated by decreasing the pressure threshold. Furthermore, the MMPPS will gradually recover back to a normal state as damage heals. Although current devices can realize basic functions like damage localization and nociceptor signal imitating, the development of a human-like MMPPS is still a great challenge. Here, a bio-inspired MMPPS is developed for prosthetics protection, in which all working modes is realized and controlled by mimicking the central sensitization mechanism. Accordingly, the system warns one of a potential injury, identifies the damaged area, and subsequently offers extra care. The proposed system can open new avenues for designing next-generation prosthetics, especially make other smart sensing systems operate under complete protection against injuries.

Progress and Roadmap for Intelligent Self-Healing Materials in Autonomous Robotics

Robots are increasingly assisting humans in performing various tasks. Like special agents with elite skills, they can venture to distant locations and adverse environments, such as the deep sea and outer space. Micro/nanobots can also act as intrabody agents for healthcare applications. Self-healing materials that can autonomously perform repair functions are useful to address the unpredictability of the environment and the increasing drive toward the autonomous operation. Having self-healable robotic materials can potentially reduce costs, electronic wastes, and improve a robot endowed with such materials longevity. This review aims to serve as a roadmap driven by past advances and inspire future cross-disciplinary research in robotic materials and electronics. By first charting the history of self-healing materials, new avenues are provided to classify the various self-healing materials proposed over several decades. The materials and strategies for self-healing in robotics and stretchable electronics are also reviewed and discussed. It is believed that this article encourages further innovation in this exciting and emerging branch in robotics interfacing with material science and electronics.

Wearable Sensors and Systems for Wound Healing-Related pH and Temperature Detection

Wound healing is a complex tissue regeneration process involving many changes in multiple physiological parameters. The pH and temperature of a wound site have long been recognized as important biomarkers for assessing wound healing status. For effective wound management, wound dressings integrated with wearable sensors and systems used for continuous monitoring of pH and temperature have received much attention in recent years. Herein, recent advances in the development of wearable pH and temperature sensors and systems based on different sensing mechanisms for wound status monitoring and treatment are comprehensively summarized. Challenges in the areas of sensing performance, infection identification threshold, large-area 3-dimensional detection, and long-term reliable monitoring in current wearable sensors/systems and emerging solutions are emphasized, providing critical insights into the development of wearable sensors and systems for wound healing monitoring and management.

Artificial Intelligence in Medical Sensors for Clinical Decisions

Due to the limited ability of conventional methods and the limited perspective of human diagnostics, patients are often diagnosed incorrectly or at a late stage as their disease condition progresses. They may then undergo unnecessary treatments due to inaccurate diagnoses. In this Perspective, we offer a brief overview on the integration of nanotechnology-based medical sensors and artificial intelligence (AI) for advanced clinical decision support systems to help decision-makers and healthcare systems improve how they approach information, insights, and the surrounding contexts, as well as to promote the uptake of personalized medicine on an individualized basis. Relying on these milestones, wearable sensing devices could enable interactive and evolving clinical decisions that could be used for evidence-based analysis and recommendations as well as for personalized monitoring of disease progress and treatment. We present and discuss the ongoing challenges and future opportunities associated with AI-enabled medical sensors in clinical decisions.

Self-Healing Soft Sensors: From Material Design to Implementation

The demand for interfacing electronics in everyday life is rapidly accelerating, with an ever-growing number of applications in wearable electronics and electronic skins for robotics, prosthetics, and other purposes. Soft sensors that efficiently detect environmental or biological/physiological stimuli have been extensively studied due to their essential role in creating the necessary interfaces for these applications. Unfortunately, due to their natural softness, these sensors are highly sensitive to structural and mechanical damage. The integration of natural properties, such as self-healing, into these systems should improve their reliability, stability, and long-term performance. Recent studies on self-healing soft sensors for varying chemical and physical parameters are herein reviewed. In addition, contemporary studies on material design, device structure, and fabrication methods for sensing platforms are also discussed. Finally, the main challenges and future perspectives in this field are introduced, while focusing on the most promising examples and directions already reported.

Resistive crack-based nanoparticle strain sensors with extreme sensitivity and adjustable gauge factor, made on flexible substrates

In this paper, we report the demonstration of highly sensitive flexible strain sensors formed by a network of metallic nanoparticles (NPs) grown under vacuum on top of a cracked thin alumina film which has been deposited by atomic layer deposition. It is shown that the sensor sensitivity depends on the surface density of NPs as well as on the thickness of alumina thin films that can both be well controlled via the deposition techniques. This method allows reaching a record strain sensitivity value of 2.6 × 108 at 7.2% strain, while exhibiting high sensitivity in a large strain range from 0.1% to 7.2%. The demonstration is followed by a discussion enlightening the physical understanding of sensor operation, which enables the tuning of its performance according to the above process parameters.