Self-healing, stretchable, and highly adhesive hydrogels for epidermal patch electrodes

A photothermal-enhanced thermoelectric nanosheet incorporated with zwitterionic hydrogels for wound repair and bioelectronics

The new generation of smart wound dressings aims to encompass sensory restoration capabilities through multi-stimulation rather than merely focusing on skin rebuilding and repair. Wound dressings integrated with real-time measurement of wound motion can improve healing efficiency considerably by providing crucial guidance during the skin regeneration process. Herein, we report a conductive zwitterionic hydrogel dressing with photothermal and thermoelectric properties prepared using a poly(3,4-ethylenedioxythiophene)-modified polydopamine-functionalized bismuth telluride (PEDOT@PBT) sandwich-like nanosheet-incorporated poly(sulfobetaine methacrylate)/silk fibroin (PEDOT@PBT-PSBMA/SF) semi-interpenetrating polymer network hydrogel, which can accelerate chronic wound healing and monitor motion. With the incorporation of PEDOT@PBT nanosheets, the hydrogel exhibits remarkable photothermal and thermoelectric effects, endowing it with broad-spectrum antibacterial properties against Escherichia coli (E. coli, 99.02 %), Staphylococcus aureus (S. aureus, 99.14 %), and methicillin-resistant Staphylococcus aureus (MRSA, 97.70 %). Additionally, the PEDOT@PBT-PSBMA/SF hydrogel can be employed in bioelectronics because of its good conductivity (0.13 S/m). In-vivo experiments show that the PEDOT@PBT-PSBMA/SF hydrogel actively promotes the regeneration of MRSA-infected wounds through immunomodulation, collagen deposition, and vascularization. Consequently, this study presents a promising strategy for the development of next-generation multifunctional hydrogel dressings with considerable potential for application in chronic skin wound therapy and bioelectronics. STATEMENT OF SIGNIFICANCE: Thermoelectric materials are increasingly being incorporated into hydrogels to enhance tissue regeneration. However, improving the thermoelectric efficiency while effectively harnessing the generated electricity for tissue regeneration remains a significant challenge. This study presents a multifunctional hydrogel dressing that integrates advanced photothermal and thermoelectric properties with real-time motion sensing, offering a breakthrough in chronic wound therapy. The PEDOT@PBT-PSBMA/SF hydrogel demonstrates exceptional antibacterial efficacy against E. coli, S. aureus, and MRSA, along with remarkable conductivity suitable for bioelectronic applications. In vivo results highlight its ability to accelerate wound healing through immunomodulation, enhanced collagen deposition, and improved vascularization. In conclusion, this multifunctional hydrogel holds great promise for future development as an integrated platform for diabetic skin wound repair and real-time monitoring.

Highly Stable Polymeric Electrooculography Electrodes for Contactless Human-Machine Interactions

Capturing the electrooculography (EOG) signals is very attractive for assistive devices and user interfaces for virtual reality (VR) systems. However, the current EOG acquisition systems face challenges in ensuring user comfort, particularly in terms of electrode electrical and mechanical performance, long-term usability, thermal effects, and overall system portability. This study presents polymeric dry flexible electrodes, composed of a composite of poly(3,4-ethylenedioxythiophene):polystyrenesulfonate (PEDOT:PSS), poly(vinyl alcohol) (PVA), Gallic acid (GA), and D-sorbitol, forming a dynamic cross-linked network that ensures strong adhesion, stretchability, and electrical stability. These electrodes maintain their performance for up to 72 h, and can be restored through heat reactivation if performance degrades after prolonged storage. This electrode exhibits excellent biocompatibility, causing no skin irritation or thermal effects with continuous use. We have also developed a flexible circuit for real-time signal processing and wireless transmission, which operates in coordination with the EOG electrodes. The system employs a convolutional neural network (CNN) to achieve a 97.1% accuracy in classifying various eye movement patterns. The system enables contactless control of digital interfaces through simple eye movements, offering a solution for long-term, comfortable, and high-fidelity EOG-based human-machine interfaces, particularly for VR integration and assistive technologies for individuals with disabilities.

Recent Advances in Nanomaterial-Based Self-Healing Electrodes Towards Sensing and Energy Storage Applications

Nanomaterial-based self-healing electrodes have demonstrated significant potential in sensing and energy storage applications due to their ability to withstand electrical breakdowns at high electric fields. However, such electrodes often face mechanical challenges, such as cracking under stress, compromising stability and reliability. This review critically examines nanomaterial-based self-healing mechanisms, focusing on properties and applications in health monitoring, motion sensing, environmental monitoring, and energy storage. By comprehensively reviewing research conducted on dimension-based nanomaterials (OD, 1D, 2D, and 3D) for self-healing electrode applications, this paper aims to provide essential insights into design strategies and performance enhancements afforded by nanoscale dimensions. This review paper highlights the tremendous potential of harnessing dimensional nanomaterials to develop autonomously restoring electrodes for next-generation sensing and energy devices.

Filler-free cellulose nanofiber composite papers with excellent mechanical properties for efficient electromagnetic interference shielding

The vast majority of conductive polymer composites (CPCs) currently available for electromagnetic interference (EMI) shielding rely on inorganic conductive fillers to construct conductive networks. However, the strategy inevitably causes some compromises in the biocompatibility, biodegradability, and mechanical properties of CPCs. In this work, the filler-free and high conductive cellulose nanofiber (CNF) composite papers containing poly(3,4-ethylenedioxythiophene):poly(styrene sulfonate) (PEDOT:PSS) doped by lithium bis(trifloromethanesulfonyl) imide (Li-TFSI) are reported. The resultant Li-TFSI@PEDOT:PSS/CNF (LPPC) composite papers exhibit an exceptional absolute EMI shielding effectiveness of 14,525.5 dB∙cm-1, surpassing the reported values of many CPCs-based EMI shielding materials containing inorganic fillers. Li-TFSI can induce the structural reorganization of PEDOT chains. The conductivity of Li-TFSI@PEDOT:PSS was boosted with the enhancement of the crystalline order and oxidation level of PEDOT chains. Furthermore, the obtained LPPC composite papers demonstrate outstanding mechanical properties with a tensile strength of 44.42 MPa and EMI shielding stability with a retention ratio of up to 97 %, which are desirable for EMI shielding in wearable devices. Therefore, this work provides a feasible strategy to construct filler-free CPCs-based EMI shielding materials, which are expected to provide electromagnetic protection for the next flexible devices.

Organic Self-Healing Single Crystals

Self-healing single crystals, which possess the ability to recover from damage, represent an emerging filed within dynamic single-crystal materials. These materials not only deepen our understanding of the flexible structures inherent in single crystals but also offer a novel pathway for the development of smart materials, including soft robots, microelectronic devices, and optical devices. In this perspective, we provide a comprehensive summary of recent advancements in organic self-healing single crystals, highlighting various self-healing mechanisms, typical molecular structures, and the testing methods utilized to investigate these materials. We hope that our systematic overview of this field will significantly contribute to the advancement of self-healing single crystal materials as a new class of molecular-based functional materials, particularly in the integration of self-healing properties with innovative optoelectronic functionalities.

Biomaterials for reliable wearable health monitoring: Applications in skin and eye integration

Recent advancements in biomaterials have significantly impacted wearable health monitoring, creating opportunities for personalized and non-invasive health assessments. These developments address the growing demand for customized healthcare solutions. Durability is a critical factor for biomaterials in wearable applications, as they must withstand diverse wearing conditions effectively. Therefore, there is a heightened focus on developing biomaterials that maintain robust and stable functionalities, essential for advancing wearable sensing technologies. This review examines the biomaterials used in wearable sensors, specifically those interfaced with human skin and eyes, highlighting essential strategies for achieving long-lasting and stable performance. We specifically discuss three main categories of biomaterials-hydrogels, fibers, and hybrid materials-each offering distinct properties ideal for use in durable wearable health monitoring systems. Moreover, we delve into the latest advancements in biomaterial-based sensors, which hold the potential to facilitate early disease detection, preventative interventions, and tailored healthcare approaches. We also address ongoing challenges and suggest future directions for research on material-based wearable sensors to encourage continuous innovation in this dynamic field.

Electrically conductive and antimicrobial Pluronic-based hydrogels

Electrically conductive hydrogels (ECHs) combine the electrical properties of conductive materials with the unique features of hydrogels. They are attractive for various biomedical applications due to their smart response to electrical fields. Owing to their distinctive properties, such as biocompatibility, thermosensitivity and self-assembling behaviour, Pluronics can be adopted for the generation of hydrogels for biomedical applications. Here, innovative self-assembling ECHs holding antimicrobial properties for biomedical applications are developed, providing a full characterization of their macroscopic and microscopic properties. The rheological, morphological, and structural properties of Pluronic F68 (PF68) in the presence of conductive poly(3,4-ethylenedioxythiophene):poly-(styrenesulfonate) (PEDOT:PSS) are studied to optimize the synthesis of novel biocompatible and electrically conductive hydrogels. The addition of silver (Ag) flakes to the aqueous samples of PF68/PEDOT:PSS is used to further enhance the systems electrical conductivity and antimicrobial potency. Aqueous optimal samples with 45 wt% PF68 and different PEDOT:PSS/silver contents are investigated by means of experimental rheology and small-angle X-ray scattering (SAXS), to unveil the influence of both PEDOT:PSS and silver on the phase diagram, macroscopic flow properties, and morphology of the Pluronic-based systems. The presence of PEDOT:PSS and silver flakes endows Pluronic systems with high conductive properties, while preserving the same self-assembly features of PF68 in water. Moreover, the functionalisation with silver flakes confers antimicrobial properties to the ECHs, as demonstrated by growth inhibition of the multi-drug resistant bacterium Staphylococcus aureus. The use of PF68 in this work provides a novel route for the synthesis of innovative ECHs, whose functionalities such as self-assembling behaviour, biocompatibility, conductivity, and bioactivity may inspire future avenues in the biomedical field.

Self-healing and transparent ionic conductive PVA/pullulan/borax hydrogels with multi-sensing capabilities for wearable sensors

Conductive hydrogels as wearable sensors have been used for numerous applications in human motion detection, personal healthcare monitoring and other diverse scenarios. However, it remains a challenge to integrate self-healing ability, multiple sensing capabilities, and transparency in one single unit. In this work, multifunctional polyvinyl alcohol (PVA)/Pullulan/Borax conductive hydrogels were fabricated by introducing borate ester bonds and hydrogen bonds. The described hydrogels showed fast self-healing properties, which could autonomously completely recover within 15 s. The hydrogels possessed high optical transparency (92.9%) in the visible light range and had multi-sensing capabilities, such as strain, temperature and humidity sensing. The assembled hydrogel sensor displayed a high strain sensitivity of 2.74 within the strain range of 300%, and it could be used to monitor human motions such as finger and wrist bending. In addition, the hydrogel sensor could sense temperature variations with a temperature coefficient of resistance of -0.914 °C-1 over 28-46 °C. Besides, the hydrogel sensor demonstrated the humidity sensing ability and can recognize human inhale and exhale. The overall sensing performance of the PVA/Pullulan/Borax hydrogel was satisfactory and repeatable. This conductive hydrogel shows great potential in wearable electronics and personal healthcare and inspires a new generation of multifunctional hydrogel sensors.

Hydrogels in wearable neural interfaces

The integration of wearable neural interfaces (WNIs) with the human nervous system has marked a significant progression, enabling progress in medical treatments and technology integration. Hydrogels, distinguished by their high-water content, low interfacial impedance, conductivity, adhesion, and mechanical compliance, effectively address the rigidity and biocompatibility issues common in traditional materials. This review highlights their important parameters-biocompatibility, interfacial impedance, conductivity, and adhesiveness-that are integral to their function in WNIs. The applications of hydrogels in wearable neural recording and neurostimulation are discussed in detail. Finally, the opportunities and challenges faced by hydrogels for WNIs are summarized and prospected. This review aims to offer a thorough examination of hydrogel technology's present landscape and to encourage continued exploration and innovation. As developments progress, hydrogels are poised to revolutionize wearable neural interfaces, offering significant enhancements in healthcare and technological applications.

Graphical Abstract

Multi-functional adhesive hydrogel as bio-interface for wireless transient pacemaker

Traditional temporary cardiac pacemakers (TCPs), which employ transcutaneous leads and external wired power systems are battery-dependent and generally non-absorbable with rigidity, thereby necessitating surgical retrieval after therapy and resulting in potentially severe complications. Wireless and bioresorbable transient pacemakers have, hence, emerged recently, though hitting a bottleneck of unfavorable tissue-device bonding interface subject to mismatched mechanical modulus, low adhesive strength, inferior electrical performances, and infection risks. Here, to address such crux, we develop a multifunctional interface hydrogel (MIH) with superior electrical performance to facilitate efficient electrical exchange, comparable mechanical strength to natural heart tissue, robust adhesion property to enable stable device-tissue fixation (tensile strength: ∼30 kPa, shear strength of ∼30 kPa, and peel-off strength: ∼85 kPa), and good bactericidal effect to suppress bacterial growth. Through delicate integration of this versatile MIH with a leadless, battery-free, wireless, and transient pacemaker, the entire system exhibits stable and conformal adhesion to the beating heart while enabling precise and constant electrical stimulation to modulate the cardiac rhythm. It is envisioned that this versatile MIH and the proposed integration framework will have immense potential in overcoming key limitations of traditional TCPs, and may inspire the design of novel bioelectronic-tissue interfaces for next-generation implantable medical devices.

PEDOT-based stretchable optoelectronic materials and devices for bioelectronic interfaces

The rapid development of wearable and implantable electronics has enabled the real-time transmission of electrophysiological signals in situ, thus allowing the precise monitoring and regulation of biological functions. Devices based on organic materials tend to have low moduli and intrinsic stretchability, making them ideal choices for the construction of seamless bioelectronic interfaces. In this case, as an organic ionic-electronic conductor, poly(3,4-ethylenedioxythiophene):poly(styrene sulfonate) (PEDOT:PSS) has low impedance to offer a high signal-to-noise ratio for monitoring bioelectrical signals, which has become one of the most promising conductive polymers. However, the initial conductivity and stretchability of pristine PEDOT:PSS are insufficient to meet the application requirements, and there is a trade-off between their improvement. In addition, PEDOT:PSS has poor stability in aqueous environments due to the hygroscopicity of the PSS chains, which severely limits its long-term applications in water-rich bioelectronic interfaces. Considering the growing demands of multi-function integration, the high-resolution fabrication of electronic devices is urgent. It is a great challenge to maintain both electrical and mechanical performance after miniaturization, particularly at feature sizes below 100 μm. In this review, we focus on the combined improvement in the conductivity and stretchability of PEDOT:PSS, as well as the corresponding mechanisms in detail. Also, we summarize the effective strategies to improve the stability of PEDOT:PSS in aqueous environments, which plays a vital role in long-term applications. Finally, we introduce the reliable micropatterning technologies and PEDOT:PSS-based stretchable optoelectronic devices applied at bio-interfaces.

Application of adhesives in the treatment of cartilage repair

From degeneration causing intervertebral disc issues to trauma‐induced meniscus tears, diverse factors can injure the different types of cartilage. This review highlights adhesives as a promising and rapidly implemented repair strategy. Compared to traditional techniques such as sutures and wires, adhesives offer several advantages. Importantly, they seamlessly connect with the injured tissue, deliver bioactive substances directly to the repair site, and potentially alleviate secondary problems like inflammation or degeneration. This review delves into the cutting‐edge advancements in adhesive technology, specifically focusing on their effectiveness in cartilage injury treatment and their underlying mechanisms. We begin by exploring the material characteristics of adhesives used in cartilage tissue, focusing on essential aspects like adhesion, biocompatibility, and degradability. Subsequently, we investigate the various types of adhesives currently employed in this context. Our discussion then moves to the unique role adhesives play in addressing different cartilage injuries. Finally, we acknowledge the challenges currently faced by this promising technology.

Electroconductive cardiac patch based on bioactive PEDOT:PSS hydrogels

Engineering cardiac implants for treating myocardial infarction (MI) has advanced, but challenges persist in mimicking the structural properties and variability of cardiac tissues using traditional bioconstructs and conventional engineering methods. This study introduces a synthetic patch with a bioactive surface designed to swiftly restore functionality to the damaged myocardium. The patch combines a composite, soft, and conductive hydrogel-based on (3,4-ethylenedioxythiophene):polystyrene-sulfonate (PEDOT:PSS) and polyvinyl alcohol (PVA). This cardiac patch exhibits a reasonably high electrical conductivity (40 S/cm) and a stretchability up to 50% of its original length. Our findings reveal its resilience to 10% cyclic stretching at 1 Hz with no loss of conductivity over time. To mediate a strong cell-scaffold adhesion, we biofunctionalize the hydrogel with a N-cadherin mimic peptide, providing the cardiac patch with a bioactive surface. This modification promote increased adherence and proliferation of cardiac fibroblasts (CFbs) while effectively mitigating the formation of bacterial biofilm, particularly against Staphylococcus aureus, a common pathogen responsible for surgical site infections (SSIs). Our study demonstrates the successful development of a structurally validated cardiac patch possessing the desired mechanical, electrical, and biofunctional attributes for effective cardiac recovery. Consequently, this research holds significant promise in alleviating the burden imposed by myocardial infarctions.

Highly Adhesive and Stretchable Epidermal Electrode for Bimodal Recording Patch

For numerous biological and human-machine applications, it is critical to have a stable electrophysiological interface to obtain reliable signals. To achieve this, epidermal electrodes should possess conductivity, stretchability, and adhesiveness. However, limited types of materials can simultaneously satisfy these requirements to provide satisfying recording performance. Here, we present a dry electromyography (EMG) electrode based on conductive polymers and tea polyphenol (CPT), which offers adhesiveness (0.51 N/cm), stretchability (157%), and low impedance (14 kΩ cm2 at 100 Hz). The adhesiveness of the electrode is attributed to the interaction between catechol groups and hydroxyls in the polymer blend. This adhesive electrode ensures stable EMG recording even in the presence of vibrations and provides signals with a high signal-to-noise ratio (>25 dB) for over 72 h. By integrating the CPT electrode with a liquid metal strain sensor, we have developed a bimodal rehabilitation monitoring patch (BRMP) for sports injuries. The patch utilizes Kinesio Tape as a substrate, which serves to accelerate rehabilitation. It also tackles the challenge of recording with knee braces by fitting snugly between the brace and the skin, due to its thin and stretchable design. CPT electrodes not only enable BRMP to assist clinicians in formulating effective rehabilitation plans and offer patients a more comfortable rehabilitation experience, but also hold promise for future applications in biological and human-machine interface domains.

By Introducing Multiple Hydrogen Bonds Endows MOF Electrodes with an Enhanced Structural Stability

Recently, metal-organic frameworks (MOFs) have attracted great interest in energy storage areas. However, the poor structural stability of MOFs derived from weak coordination bonds limits their applications. Here, quadruple hydrogen bonds (H-bonds) were introduced onto the MOFs to enhance their structural stability. Cross-linked networks could be formed between molecules owing to multiple H-bonds, strengthening the framework stability. Moreover, the dynamic reversibility of H-bonds could endow MOFs with self-healing ability. Furthermore, due to lower binding energy compared to coordination bonds, H-bonds break preferentially when subjected to internal stress, thus protecting the MOFs. Consequently, the as-prepared self-healing hybrid (SHH-Cu-MOF@Ti3C2TX) exhibited high capacitance retention (89.4%) after 5000 cycles at 1 A g-1, while that hybrid without dynamic H-bonds (H-Cu-MOF@Ti3C2TX) presented a 79.9% retention, delivering an enhancement in cycling stability. Moreover, an asymmetric supercapacitor (ASC) was fabricated by employing SHH-Cu-MOF@Ti3C2TX and activated carbon (AC) as the electrodes. The ASC delivered a specific capacitance (47.4 F g-1 at 1 A g-1), an energy density (16.9 Wh kg-1), and a power density (800 W kg-1) as well as good rate ability (retains 81% of its initial capacitance from 0.2 A g-1 to 5 A g-1).

Self-Healing Materials for Bioelectronic Devices

Though the history of self-healing materials stretches far back to the mid-20th century, it is only in recent years where such unique classes of materials have begun to find use in bioelectronics-itself a burgeoning area of research. Inspired by the natural ability of biological tissue to self-repair, self-healing materials play a multifaceted role in the context of soft, wireless bioelectronic systems, in that they can not only serve as a protective outer shell or substrate for the internal electronic circuitry-analogous to the mechanical barrier that skin provides for the human body-but also, and most importantly, act as an active sensing safeguard against mechanical damage to preserve device functionality and enhance overall durability. This perspective presents the historical overview, general design principles, recent developments, and future outlook of self-healing materials for bioelectronic devices, which integrates topics in many research disciplines-from materials science and chemistry to electronics and bioengineering-together.

Self-healing, stretchable and recyclable polyurethane-PEDOT:PSS conductive blends

Future electronics call for materials with mechanical toughness, flexibility, and stretchability. Moreover, self-healing and recyclability are highly desirable to mitigate the escalating environmental threat of electronic waste (e-waste). Herein, we report a stretchable, self-healing, and recyclable material based on a mixture of the conductive polymer poly(3,4-ethylenedioxythiophene) doped with polystyrene sulfonate (PEDOT:PSS) with a custom-designed polyurethane (PU) and polyethylene glycol (PEG). This material showed excellent elongation at brake (∼350%), high toughness (∼24.6 MJ m-3), moderate electrical conductivity (∼10 S cm-1), and outstanding mechanical and electrical healing efficiencies. In addition, it demonstrated exceptional recyclability with no significant loss in the mechanical and electrical properties after being recycled 20 times. Based on these properties, as a proof of principle for sustainable electronic devices, we demonstrated that electrocardiogram (ECG) electrodes and pressure sensors based on this material could be recycled without significant performance loss. The development of multifunctional electronic materials that are self-healing and fully recyclable is a promising step toward sustainable electronics, offering a potential solution to the e-waste challenge.

Self-Healing Hydrogel Bioelectronics

Hydrogels have emerged as powerful building blocks to develop various soft bioelectronics because of their tissue-like mechanical properties, superior bio-compatibility, the ability to conduct both electrons and ions, and multiple stimuli-responsiveness. However, hydrogels are vulnerable to mechanical damage, which limits their usage in developing durable hydrogel-based bioelectronics. Self-healing hydrogels aim to endow bioelectronics with the property of repairing specific functions after mechanical failure, thus improving their durability, reliability, and longevity. This review discusses recent advances in self-healing hydrogels, from the self-healing mechanisms, material chemistry, and strategies for multiple properties improvement of hydrogel materials, to the design, fabrication, and applications of various hydrogel-based bioelectronics, including wearable physical and biochemical sensors, supercapacitors, flexible display devices, triboelectric nanogenerators (TENGs), implantable bioelectronics, etc. Furthermore, the persisting challenges hampering the development of self-healing hydrogel bioelectronics and their prospects are proposed. This review is expected to expedite the research and applications of self-healing hydrogels for various self-healing bioelectronics.

Injectable Conductive Hydrogel with Self-Healing, Motion Monitoring, and Bacteria Theranostics for Bioelectronic Wound Dressing

Wounds at joints are difficult to treat and tend to recover more slowly due to the frequent motions. When using traditional hydrogel dressings, they are easy to crack and undergo bacterial infection, difficult to match and monitor the irregular wounds. Integrating multiple functions within a hydrogel dressing to achieve intelligent wound monitoring and healing remains a significant challenge. In this research, a multifunctional hydrogel is developed based on polysaccharide biopolymer, poly(vinyl alcohol), and hydroxylated graphene through dynamic borate ester bonding and supramolecular interaction. The prepared hydrogel not only exhibits rapid self-healing (within 60 s), injectable, conductive and motion monitoring properties, but also realizes in situ bacterial sensing and killing functions. It shows excellent bacterial sensitivity (within 15 min) and killing ability via the changes of electrical signals and photothermal therapy, avoiding the emergence of drug-resistant bacteria. In vivo experiments prove that the hydrogel can promote wound healing effectively. In addition, it displays great electromechanical performance to achieve real-time monitoring and prevent re-tearing of the wound at human joints. The injectable pH-responsive hydrogel with good biocompatibility demonstrates considerable potential as multifunctional bioelectronic dressing for the detection, treatment, management, and healing of infected joint wounds.

Rapid Self-Healing Hydrogel with Ultralow Electrical Hysteresis for Wearable Sensing

Self-healing hydrogels are in high demand for wearable sensing applications due to their remarkable deformability, high ionic and electrical conductivity, self-adhesiveness to human skin, as well as resilience to both mechanical and electrical damage. However, these hydrogels face challenges such as delayed healing times and unavoidable electrical hysteresis, which limit their practical effectiveness. Here, we introduce a self-healing hydrogel that exhibits exceptionally rapid healing with a recovery time of less than 0.12 s and an ultralow electrical hysteresis of less than 0.64% under cyclic strains of up to 500%. This hydrogel strikes an ideal balance, without notable trade-offs, between properties such as softness, deformability, ionic and electrical conductivity, self-adhesiveness, response and recovery times, durability, overshoot behavior, and resistance to nonaxial deformations such as twisting, bending, and pressing. Owing to this unique combination of features, the hydrogel is highly suitable for long-term, durable use in wearable sensing applications, including monitoring body movements and electrophysiological activities on the skin.

Self-healing electrical bioadhesive interface for electrophysiology recording

Electrical bioadhesive interfaces (EBIs) are standing out in various applications, including medical diagnostics, prosthetic devices, rehabilitation, and human-machine interactions. Nonetheless, crafting a reliable and advanced EBI with comprehensive properties spanning electrochemical, electrical, mechanical, and self-healing capabilities remains a formidable challenge. Herein, we develop a self-healing EBI by thoughtfully integrating conducting polymer nanofibers and a typical bioadhesive within a robust hydrogel matrix. The accomplished EBI demonstrates extraordinary adhesion (lap shear strength of 197 kPa), exceptional electrical conductivity (2.18 S m-1), and outstanding self-healing performance. Taking advantage of these attributes, we integrated the EBI into flexible skin electrodes for surface electromyography (sEMG) signal recording from forearm muscles. The engineered skin electrodes exhibit robust adhesion to the skin even when sweating, rapid self-healing from damage, and seamless real-time signal recording with a higher signal-to-noise ratio (39 dB). Our EBI, along with its skin electrodes, offers a promising platform for tissue-device integration, health monitoring, and an array of bioelectronic applications.

Preparation of Tough and Adhesive PVA/P(AM-AMPS)/Glycerol/Laponite/Na2SO4 Organohydrogels for All-Solid-State Supercapacitors and Self-Powered Wearable Strain Sensors

Hydrogel electrolytes are ideal for flexible wearable electronic devices because of their high ionic conductivity, flexibility, and biocompatibility. However, some problems, such as poor mechanical properties, low conductivity, and lack of adhesivity, are encountered in the process of hydrogel preparation and application, which restrict the further development of hydrogel electrolytes. In this study, PVA was used as the first network, and P(AM-co-AMPS) as the second network to prepare a double-network hydrogel electrolyte. Laponite and Na2SO4 were introduced into the hydrogel during hydrogel formation as the nanofiller and salt with the salting-out effect to enhance its mechanical properties. The hydrogel electrolyte with high toughness (1663 kJ·m-3), adhesivity (77 kPa), and ionic conductivity (1.7 S·m-1) was obtained. In addition, the hydrogel electrolyte also has excellent antifatigue performance. In the 10 consecutive tensile cycles, the tensile strength does not decay. Due to the high adhesivity of the hydrogel electrolyte, a symmetrical all-solid-state supercapacitor was assembled with a tight interface between the hydrogel electrolyte and the AC/CNT composite electrode. The supercapacitor has a high specific capacitance of 186.1 mF·cm-2 at the current density of 1 mA·cm-2. In addition, the capacitor has good flexibility and can withstand bending at various angles. The hydrogel electrolyte also has excellent strain sensing performance, with an ultrafast tensile response time (0.17 s) and high sensitivity factor (GF = 10.01). Finally, the self-powered sensor system composed of a supercapacitor as the power supply device and hydrogel electrolyte as the sensing part was obtained and applied to human motion monitoring, which provides a potential application in the integrated flexible electronic system.

Lignosulfonate sodium assisted PEDOT-based all-gel supercapacitors with enhanced supercapacitance and wide temperature tolerance

Conducting polymer hydrogels are typically employed in all-gel supercapacitors; however, Poly[3,4-ethylene-dioxythiophene] (PEDOT)-based hydrogel supercapacitors still suffer from low capacitance because of the low packing density of PEDOT in the electrodes. Here, we demonstrate lignosulfonate sodium (LS) as an excellent template to synthesize various LS-PEDOT conductive nanofillers for high mass-loading LS-PEDOT/PAAM hydrogel electrodes. Then, the optimum LS-PEDOT/PAAM electrode was assembled with a redox-active LS/PAAM/Fe3+ hydrogel electrolyte to form sandwich-structured all-gel supercapacitors, which could deliver a high specific capacitance of 672.5 mF/cm2 and an energy efficiency of 60 μWh/cm2, which are three times higher than the 220 mF/cm2 and 19.5 μWh/cm2 of the device without Fe3+ at the same condition. Such a device shows excellent temperature tolerance from -30 to 100 °C. Besides, the LS-PEDOT/PAAM electrode has excellent photothermal conversion effects under simulated solar illumination. The sluggish electrochemical performance of the SC under low temperatures could be significantly boosted by ~50 % under simulated solar light. All of these findings demonstrate that the capacitance performance of the PEDOT-based hydrogel device is successfully improved not only at room temperature but also under subzero conditions.

Doping Engineering of Conductive Polymers and Their Application in Physical Sensors for Healthcare Monitoring

Physical sensors have emerged as a promising technology for real-time healthcare monitoring, which tracks various physical signals from the human body. Accurate acquisition of these physical signals from biological tissue requires excellent electrical conductivity and long-term durability of the sensors under complex mechanical deformation. Conductive polymers, combining the advantages of conventional polymers and organic conductors, are considered ideal conductive materials for healthcare physical sensors due to their intrinsic conductive network, tunable mechanical properties, and easy processing. Doping engineering has been proposed as an effective approach to enhance the sensitivity, lower the detection limit, and widen the operational range of sensors based on conductive polymers. This approach enables the introduction of dopants into conductive polymers to adjust and control the microstructure and energy levels of conductive polymers, thereby optimizing their mechanical and conductivity properties. This review article provides a comprehensive overview of doping engineering methods to improve the physical properties of conductive polymers and highlights their applications in the field of healthcare physical sensors, including temperature sensors, strain sensors, stress sensors, and electrophysiological sensing. Additionally, the challenges and opportunities associated with conductive polymer-based physical sensors in healthcare monitoring are discussed.

Functional adhesive hydrogels for biological interfaces

Hydrogel adhesives are extensively employed in biological interfaces such as epidermal flexible electronics, tissue engineering, and implanted device. The development of functional hydrogel adhesives is a critical, yet challenging task since combining two or more attributes that seem incompatible into one adhesive hydrogel without sacrificing the hydrogel's pristine capabilities. In this Review, we highlight current developments in the fabrication of functional adhesive hydrogels, which are suitable for a variety of application scenarios, particularly those that occur underwater or on tissue/organ surface conditions. The design strategies for a multifunctional adhesive hydrogel with desirable properties including underwater adhesion, self-healing, good biocompatibility, electrical conductivity, and anti-swelling are discussed comprehensively. We then discuss the challenges faced by adhesive hydrogels, as well as their potential applications in biological interfaces. Adhesive hydrogels are the star building blocks of bio-interface materials for individualized healthcare and other bioengineering areas.

Mesenchymal stem cells paracrine proteins from three-dimensional dynamic culture system promoted wound healing in third-degree burn models

Recovery of skin function remains a significant clinical challenge for deep burns owing to the severe scar formation and poor appendage regeneration, and stem cell therapy has shown great potential for injured tissue regeneration. Here, a cell-free therapy system for deep burn skin was explored using mesenchymal stem cell paracrine proteins (MSC-PP) and polyethylene glycol (PEG) temperature-sensitive hydrogels. A three-dimensional (3D) dynamic culture system for MSCs' large-scale expansion was established using a porous gelatin microcarrier crosslinked with hyaluronic acid (PGM-HA), and the purified MSC-PP from culture supernatant was characterized by mass spectrometric analysis. The results showed the 3D dynamic culture system regulated MSCs cell cycle, reduced apoptosis, and decreased lactic acid content, and the MSC-PP produced in 3D group can promote cell proliferation, migration, and adhesion. The MSC-PP + PEG system maintained stable release in 28 days of observation in vitro. The in vivo therapeutic efficacy was investigated in the rabbit's third-degree burn model, and saline, PEG, MSC-PP, and MSC-PP + PEG treatments groups were set. The in vivo results showed that the MSC-PP + PEG group significantly improved wound healing, inhibited scar formation, and facilitated skin appendage regeneration. In conclusion, the MSC-PP + PEG sustained-release system provides a potentially effective treatment for deep burn skin healing.

Advances in Electrode Materials for Scalp, Forehead, and Ear EEG: A Mini-Review

Electroencephalogram (EEG) records the electrical activity of neurons in the cerebral cortex and is used extensively to diagnose, treat, and monitor psychiatric and neurological conditions. Reliable contact between the skin and the electrodes is essential for achieving consistency and for obtaining electroencephalographic information. There has been an increasing demand for effective equipment and electrodes to overcome the time-consuming and cumbersome application of traditional systems. Recently, ear-centered EEG has met with growing interest since it can provide good signal quality due to the proximity of the ear to the brain. In addition, it can facilitate mobile and unobtrusive usage due to its smaller size and ease of use, since it can be used without interfering with the patient's daily activities. The purpose of this mini-review is to first introduce the broad range of electrodes used in conventional (scalp) EEG and subsequently discuss the state-of-the-art literature about around- and in-the-ear EEG.

Hydrogel-Based Bioelectronics and Their Applications in Health Monitoring

Flexible bioelectronics exhibit promising potential for health monitoring, owing to their soft and stretchable nature. However, the simultaneous improvement of mechanical properties, biocompatibility, and signal-to-noise ratio of these devices for health monitoring poses a significant challenge. Hydrogels, with their loose three-dimensional network structure that encapsulates massive amounts of water, are a potential solution. Through the incorporation of polymers or conductive fillers into the hydrogel and special preparation methods, hydrogels can achieve a unification of excellent properties such as mechanical properties, self-healing, adhesion, and biocompatibility, making them a hot material for health monitoring bioelectronics. Currently, hydrogel-based bioelectronics can be used to fabricate flexible bioelectronics for motion, bioelectric, and biomolecular acquisition for human health monitoring and further clinical applications. This review focuses on materials, devices, and applications for hydrogel-based bioelectronics. The main material properties and research advances of hydrogels for health monitoring bioelectronics are summarized firstly. Then, we provide a focused discussion on hydrogel-based bioelectronics for health monitoring, which are classified as skin-attachable, implantable, or semi-implantable depending on the depth of penetration and the location of the device. Finally, future challenges and opportunities of hydrogel-based bioelectronics for health monitoring are envisioned.

Self-healable polymer complex with a giant ionic thermoelectric effect

In this study, we develop a stretchable/self-healable polymer, PEDOT:PAAMPSA:PA, with remarkably high ionic thermoelectric (iTE) properties: an ionic figure-of-merit of 12.3 at 70% relative humidity (RH). The iTE properties of PEDOT:PAAMPSA:PA are optimized by controlling the ion carrier concentration, ion diffusion coefficient, and Eastman entropy, and high stretchability and self-healing ability are achieved based on the dynamic interactions between the components. Moreover, the iTE properties are retained under repeated mechanical stress (30 cycles of self-healing and 50 cycles of stretching). An ionic thermoelectric capacitor (ITEC) device using PEDOT:PAAMPSA:PA achieves a maximum power output and energy density of 4.59 μW‧m-2 and 1.95 mJ‧m-2, respectively, at a load resistance of 10 KΩ, and a 9-pair ITEC module produces a voltage output of 0.37 V‧K-1 with a maximum power output of 0.21 μW‧m-2 and energy density of 0.35 mJ‧m-2 at 80% RH, demonstrating the potential for a self-powering source.

Investigation of Electrical and Wearing Properties of Wool Fabric Coated with PEDOT:PSS

The way to improve the properties (resistance to washing, delamination, and rubbing off) of the PEDOT:PSS coating applied on wool fabric without reduction of its electrical conductivity by introducing a commercially available combination of low formaldehyde content melamine resins into the printing paste is presented in this paper. Primarily, to improve the hydrophilicity and dyeability of wool fabric, the samples were modified using low-pressure nitrogen (N₂) gas plasma. Two commercially available PEDOT:PSS dispersions were used to treat wool fabric by the exhaust dyeing and screen printing methods, respectively. Spectrophotometric measurements of the color difference (ΔE*_ab) and visual evaluation of woolen fabric dyed and printed with PEDOT:PSS in different shades of the blue color showed that the sample modified with N₂ plasma obtained a more intense color compared to the unmodified one. SEM was used to examine the surface morphology and a cross-sectional view of wool fabric that had undergone various modifications. SEM image shows that the dye penetrates deeper into the wool fabric after plasma modification using dyeing and coating methods with a PEDOT:PSS polymer. In addition, with a Tubicoat fixing agent, HT coating looks more homogeneous and uniform. The chemical structure spectra of wool fabrics coated with PEDOT:PSS were investigated using FTIR-ATR characterization. The influence of melamine formaldehyde resins on the electrical properties, resistance to washing, and mechanical effects of PEDOT:PSS treated wool fabric was also evaluated. The resistivity measurement of the samples containing melamine-formaldehyde resins as an additive did not show a significant decrease in electrical conductivity, while the electrical conductivity was maintained after the washing and rubbing test as well. The best results of electrical conductivity for investigated wool fabrics before and after washing and mechanical action were determined for samples subjected to the combined processing-surface modification by low-pressure N₂ plasma, dyeing by exhaust with PEDOT:PSS, and coating by the screen-printing method of PEDOT:PSS and a 3 wt.% melamine formaldehyde resins mixture.

Evolution of nanostructured skin patches towards multifunctional wearable platforms for biomedical applications

Recent advances in the field of skin patches have promoted the development of wearable and implantable bioelectronics for long-term, continuous healthcare management and targeted therapy. However, the design of electronic skin (e-skin) patches with stretchable components is still challenging and requires an in-depth understanding of the skin-attachable substrate layer, functional biomaterials and advanced self-powered electronics. In this comprehensive review, we present the evolution of skin patches from functional nanostructured materials to multi-functional and stimuli-responsive patches towards flexible substrates and emerging biomaterials for e-skin patches, including the material selection, structure design and promising applications. Stretchable sensors and self-powered e-skin patches are also discussed, ranging from electrical stimulation for clinical procedures to continuous health monitoring and integrated systems for comprehensive healthcare management. Moreover, an integrated energy harvester with bioelectronics enables the fabrication of self-powered electronic skin patches, which can effectively solve the energy supply and overcome the drawbacks induced by bulky battery-driven devices. However, to realize the full potential offered by these advancements, several challenges must be addressed for next-generation e-skin patches. Finally, future opportunities and positive outlooks are presented on the future directions of bioelectronics. It is believed that innovative material design, structure engineering, and in-depth study of fundamental principles can foster the rapid evolution of electronic skin patches, and eventually enable self-powered close-looped bioelectronic systems to benefit mankind.

Self-Healing and Self-Adhesive Substrate-Free Tattoo Electrode

Electronic tattoos have great potential application in the biomedical field; moreover, the substrate-free electronic tattoo offers better comfortability and conformal contact. However, the substrate-free electronic tattoo is more prone to malfunction, including fall off and fracture. In this paper, a self-healing and self-adhesive substate-free tattoo based on PEDOT: PSS is studied and reported. The dry composite electrode will turn into self-healing material while it transforms into hydrogel, and a cut with a width up to 24 μm could be healed in 1 s. In terms of adhesion performance, the substrate-free electrode can hang a 28.2 g weight by a contact area of 8 mm × 8 mm. Additionally, the substate-free electrode could maintain fully conformal contact with porcine skin in 15 days by its self-adhesiveness. When applied as a substrate-free tattoo, the contact impedance and ECG signal measurement performance before and after self-healing are almost the same. At a frequency of 10 Hz, the contact impedance of the undamaged electrode, healed electrode, and Ag/AgCl gel electrode are 32.2 kΩ, 39.2 kΩ, and 62.9 kΩ, respectively. In addition, the ECG signals measured by the undamaged electrode and healed electrode are comparable to that of Ag/AgCl electrode. The self-healing and self-adhesive substrate-free tattoo electrode reported here has broad application in health monitoring.

Recent Progress in Biomedical Sensors Based on Conducting Polymer Hydrogels

Biosensors are increasingly taking a more active role in health science. The current needs for the constant monitoring of biomedical signals, as well as the growing spending on public health, make it necessary to search for materials with a combination of properties such as biocompatibility, electroactivity, resorption, and high selectivity to certain bioanalytes. Conducting polymer hydrogels seem to be a very promising materials, since they present many of the necessary properties to be used as biosensors. Furthermore, their properties can be shaped and enhanced by designing conductive polymer hydrogel-based composites with more specific functionalities depending on the end application. This work will review the recent state of the art of different biological hydrogels for biosensor applications, discuss the properties of the different components alone and in combination, and reveal their high potential as candidate materials in the fabrication of all-organic diagnostic, wearable, and implantable sensor devices.

SMART Silly Putty: Stretchable, Malleable, Adherable, Reusable, and Tear-Resistible Hydrogels

Cell engineering, soft robotics, and wearable electronics often desire soft materials that are easy to deform, self-heal readily, and can relax stress rapidly. Hydrogels, a type of hydrophilic networks, are such kind of materials that can be made responsive to environmental stimuli. However, conventional hydrogels often suffer from poor stretchability and repairability. Here, hydrogels consisting of boronic ester dynamic covalent bonds in a double network of poly(vinyl alcohol)/boric acid and chitosan are synthesized, which demonstrate extreme stretchability (up to 310 times the original length), instant self-healing (within 5 s), and reusability and inherent adhesion. Their instant stress relaxation stems from a low activation energy of the boronic ester bond exchange (≤20 kJ mol^-1 ) and contributes to the extreme stretchability and self-healing behaviors. Various water-dispersible additives can be readily incorporated in the hydrogels via hand kneading for potential applications such as soft electronics, bio-signal sensing, and soft artificial joints.

Recent advances in conductive hydrogels: classifications, properties, and applications

Hydrogel-based conductive materials for smart wearable devices have attracted increasing attention due to their excellent flexibility, versatility, and outstanding biocompatibility. This review presents the recent advances in multifunctional conductive hydrogels for electronic devices. First, conductive hydrogels with different components are discussed, including pure single network hydrogels based on conductive polymers, single network hydrogels with additional conductive additives (i.e., nanoparticles, nanowires, and nanosheets), double network hydrogels based on conductive polymers, and double network hydrogels with additional conductive additives. Second, conductive hydrogels with a variety of functionalities, including self-healing, super toughness, self-growing, adhesive, anti-swelling, antibacterial, structural color, hydrophobic, anti-freezing, shape memory and external stimulus responsiveness are introduced in detail. Third, the applications of hydrogels in flexible devices are illustrated (i.e., strain sensors, supercapacitors, touch panels, triboelectric nanogenerator, bioelectronic devices, and robot). Next, the current challenges facing hydrogels are summarized. Finally, an imaginative but reasonable outlook is given, which aims to drive further development in the future.

Stable and Dynamic Multiparameter Monitoring on Chests Using Flexible Skin Patches with Self-Adhesive Electrodes and a Synchronous Correlation Peak Extraction Algorithm

Advances in wearable bioelectronics interfacing directly with skin offer important tools for non-invasive measurements of physiological parameters. However, wearable monitoring devices majorly conduct static sensing to avoid signal disturbance and unreliable contact with the skin. Dynamic multiparameter sensing is challenging even with the advanced flexible skin patches. This epidermal electronics system with self-adhesive conductive electrodes to supply stable skin contact and a unique synchronous correlation peak extraction (SCPE) algorithm to minimize motion artifacts in the photoplethysmogram (PPG) signals. The skin patch system can simultaneously and precisely monitor electrocardiogram (ECG), PPG, body temperature, and acceleration on chests undergoing daily activities. The low latency between the ECG and the PPG signals enables the SCPE algorithm that leads to reduced errors in deduced heart rates and improved performance in oxygen level determination than conventional adaptive filtering and wavelet transformation approaches. Dynamic multiparameter recording over 24 h by the system can reflect the circadian patterns of the wearers with low disturbance from motion artifacts. This demonstrated system may be applied for health monitoring in large populations to alleviate pressure on medical systems and assist management of public health crisis.

Investigation of the Conditions for the Synthesis of Poly(3,4-ethylenedioxythiophene) ATRP Macroinitiator

One of the most widely used conductive polymers in the growing conductive polymer industry is poly(3,4-ethylenedioxythiophene) (PEDOT), whose main advantages are good thermal and chemical stability, a conjugated backbone, and ease of functionalization. The main drawback of PEDOT for use as wearable electronics is the lack of stretchable and self-healing properties. This can be overcome by grafting PEDOT with flexible side branches. As pure PEDOT is highly stable and grafting would not be possible, a new bromine-functionalized thiophene derivative, 2-(tiophen-3-yl) ethyl 2-bromo-2-methylpropanoate (ThBr), was synthesized and copolymerized with EDOT for the synthesis of a poly(EDOT-co-ThBr) ATRP macroinitiator. After the synthesis of the macroinitiator, flexible polymers could be introduced as side branches by atom-transfer radical polymerization (ATRP) to modify mechanical properties. Before this last synthesis step, the conditions for the synthesis of the ATRP macroinitiator should be investigated, as only functionalized units can function as grafting sites. In this study, nine new copolymers with different monomer ratios were synthesized to investigate the reactivity of each monomer. The ratios used in the different syntheses were ThBr:EDOT = 1:0.2, 1:0.4, 1:0.6, 1:0.8, 1:1, 0.8:1, 0.6:1, 0.4:1, and 0.2:1. In order to determine the effect of reaction time on the final properties of the polymer, macroinitiator synthesis at a 1:1 ratio was carried out at different time periods: 8 h, 16 h, 24 h, and 48 h. The obtained products were characterized by different techniques, and it was found that polymerizations longer than 24 h yielded practically insoluble macroinitiators, thus limiting its further application. Reactivity ratios of both monomers were found to be similar and close to 1, making the copolymerization reaction symmetrical and the obtained macroinitiators almost random copolymers.

Tissue-Mimetic Supramolecular Polymer Networks for Bioelectronics

Addressing the mechanical mismatch between biological tissue and traditional electronic materials remains a major challenge in bioelectronics. While rigidity of such materials limits biocompatibility, supramolecular polymer networks can harmoniously interface with biological tissues as they are soft, wet, and stretchable. Here, an electrically conductive supramolecular polymer network that simultaneously exhibits both electronic and ionic conductivity while maintaining tissue-mimetic mechanical properties, providing an ideal electronic interface with the human body, is introduced. Rational design of an ultrahigh affinity host-guest ternary complex led to binding affinities (>10¹³  M^-2 ) of over an order of magnitude greater than previous reports. Embedding these complexes as dynamic cross-links, coupled with in situ synthesis of a conducting polymer, resulted in electrically conductive supramolecular polymer networks with tissue-mimetic Young's moduli (<5 kPa), high stretchability (>500%), rapid self-recovery and high water content (>84%). Achieving such properties enabled fabrication of intrinsically-stretchable stand-alone bioelectrodes, capable of accurately monitoring electromyography signals, free from any rigid materials.

A reversible gel-free electrode for continuous noninvasive electrophysiological signal monitoring

PPEM gel-free electrode for continuous noninvasive electrophysiological signal monitoring.

Balanced Coexistence of Reversible and Irreversible Covalent Bonds in a Conductive Triple Polymeric Network Enables Stretchable Hydrogels with High Toughness and Adhesiveness

The application of soft hydrogels to stretchable devices has attracted increasing attention in deformable bioelectronics owing to their unique characteristic, "modulus matching between materials and organs". Despite considerable progress, their low toughness, low conductivity, and absence of tissue adhesiveness remain substantial challenges associated with unstable skin-interfacing, where body movements undesirably disturb electrical signal acquisitions. Herein, we report a material design of a highly tough strain-dissipative and skin-adhesive conducting hydrogel fabricated through a facile one-step sol-gel transition and its application to an interactive human-machine interface. The hydrogel comprises a triple polymeric network where irreversible amide linkage of polyacrylamide with alginate and dynamic covalent bonds entailing conjugated polymer chains of poly(3,4-ethylenedioxythiophene)-co-(3-thienylboronic acid) are simultaneously capable of high stretchability (1300% strain), efficient strain dissipation (36,209 J/m²), low electrical resistance (590 Ω), and even robust skin adhesiveness (35.0 ± 5.6 kPa). Based on such decent characteristics, the hydrogel was utilized as a multifunctional layer for successfully performing either electrophysiological cardiac/muscular on-skin sensors or an interactive stretchable human-machine interface.

An Elastic and Damage-Tolerant Dry Epidermal Patch with Robust Skin Adhesion for Bioelectronic Interfacing

On-skin patches that record biopotential and biomechanical signals are essential for wearable healthcare monitoring, clinical treatment, and human-machine interaction. To acquire wearing comfort and high-quality signals, patches with tissue-like softness, elastic recovery, damage tolerance, and robust bioelectronic interface are highly desired yet challenging to achieve. Here, we report a dry epidermal patch made from a supramolecular polymer (SESA) and an in situ transferred carbon nanotubes' percolation network. The polymer possesses a hybrid structure of copolymerized permanent scaffold permeated by multiple dynamic interactions, which imparts a desired mechanical response transition from elastic recoil to energy dissipation with increased elongation. Such SESA-based patches are soft (Young's modulus ∼0.1 MPa) and elastic within physiologically relevant strain levels (97% elastic recovery at 50% tensile strain), intrinsically mechanical-electrical damage-resilient (∼90% restoration from damage after 5 min), and interference-immune in dynamic signal acquisition (stretch, underwater, sweat). We demonstrate its versatile physiological sensing applications, including electrocardiogram recording under various disturbances, machine-learning-enabled hand-gesture recognition through electromyogram measurement, subtle radial artery pulse, and drastic knee kinematics sensing. This epidermal patch offers a promising noninvasive, long-duration, and ambulant bioelectronic interfacing with anti-interference robustness.

An intrinsically stretchable and bendable electrochromic device

Stretchable electrochromic devices (ECDs) were fabricated from electrospun PEDOT:PSS (poly(3, 4-ethylenedioxythiophene):polystyrene sulfonate) fibers. Stretchable and transparent electrodes with a sheet resistance of 1200 Ω sq^-1were prepared by depositing the conductive fibers on elastomeric substrates that were prepared from polydimethylsiloxane. The conductive substrates replaced the ITO coated glass electrodes that are typically used in ECDs. The functioning device was prepared from a flexible chitosan electrolytic gel and a 4, 7-bis(4-diphenylaminophenyl)-2, 1, 3-benzothiaziazole (TPA-BZT-TPA) electrochrome that were deposited on the streatchable transparent electrodes. The assembled device could be stretched to 150% its original length and bent to a curvature of 0.1. The device could be operated and switched between its yellow (off) and blue (on) states while being stretched and bent with a maximum contrast ΔT ≈ 30% at 805 nm and a coloration efficiency of 168 cm²C^-1. The stretchable device had an electrochromic contrast that was 30% greater than its counterpart that was prepared from conventional ITO-glass electrodes. The critical composition required for making devices truly stretchable was possible by evaluating the performance of five types of devices consisting of different layers.

Design of hydrogel-based wearable EEG electrodes for medical applications

The electroencephalogram (EEG) is considered to be a promising method for studying brain disorders. Because of its non-invasive nature, subjects take a lower risk compared to some other invasive methods, while the systems record the brain signal. With the technological advancement of neural and material engineering, we are in the process of achieving continuous monitoring of neural activity through wearable EEG. In this article, we first give a brief introduction to EEG bands, circuits, wired/wireless EEG systems, and analysis algorithms. Then, we review the most recent advances in the interfaces used for EEG recordings, focusing on hydrogel-based EEG electrodes. Specifically, the advances for important figures of merit for EEG electrodes are reviewed. Finally, we summarize the potential medical application of wearable EEG systems.

Recent Progress on Self-Healable Conducting Polymers

Materials able to regenerate after damage have been the object of investigation since the ancient times. For instance, self-healing concretes, able to resist earthquakes, aging, weather, and seawater have been known since the times of ancient Rome and are still the object of research. During the last decade, there has been an increasing interest in self-healing electronic materials, for applications in electronic skin (E-skin) for health monitoring, wearable and stretchable sensors, actuators, transistors, energy harvesting, and storage devices. Self-healing materials based on conducting polymers are particularly attractive due to their tunable high conductivity, good stability, intrinsic flexibility, excellent processability and biocompatibility. Here recent developments are reviewed in the field of self-healing electronic materials based on conducting polymers, such as poly 3,4-ethylenedioxythiophene (PEDOT), polypyrrole (PPy), and polyaniline (PANI). The different types of healing, the strategies adopted to optimize electrical and mechanical properties, and the various possible healing mechanisms are introduced. Finally, the main challenges and perspectives in the field are discussed.

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.

Self-healable PEDOT-based all-organic films with excellent electrochromic performances

PEDOT-based all-organic films after breaking up can be intrinsically self-healed through thermal stimulation (no more than 130 °C), and maintain excellent electrochromic properties.