Wearable Circuits Sintered at Room Temperature Directly on the Skin Surface for Health Monitoring

Velocity-Adaptive Electrohydrodynamic Printing for Microscale Conformal Circuits on Freeform Curved Surfaces

High-resolution printing of conformal circuits on curved surfaces is critical to achieving structure-function integration in electromechanically coupled components like antennas. However, existing printing techniques such as inkjet or extrusion-based printing fail to conformally deposit microscale conductive circuits on freeform curved surfaces with curvature variations. Herein, we propose an innovative electrohydrodynamic (EHD) printing strategy that can adaptively adjust the nozzle-to-substrate distance and printing velocity according to surface curvature, enabling the direct printing of conductive circuits on diverse curved surfaces with microscale resolution and high uniformity. A path-planning algorithm is developed based on the target surface morphology captured from the scanned 3D point cloud data. The printing velocity at each point along the printing trajectory can be adaptively calculated according to the Gaussian curvature and mapping angle. This strategy makes the deposition rate well match the stage's moving speed, facilitating the uniform EHD printing of conductive patterns with a line width of 39.31 ± 4.06 μm on different surfaces with curvatures ranging from 10 to 2000 m-1. As a proof of concept, a uniform snowflake pattern with good conductivity is EHD printing on a naturally insulated conch with the smallest line width of 35.74 ± 4.24 μm. A metasurface with microscale conductive feature arrays is specially printed on a radome-shaped polymeric surface, exhibiting dual-band cloaking and reduced scattering characteristics compared to conventional metal substrates. We envision that the proposed velocity-adaptive EHD printing technique would mature into a promising and versatile tool to fabricate microscale conductive circuits on diverse curved surfaces for potential applications in conformal antennas and functional sensing or electromagnetic surfaces.

Electrochemiluminescent tactile visual synapse enabling in situ health monitoring

Tactile visual synapses combine the functionality of tactile artificial synapses with the ability to visualize their activity in real time and provide a direct and intuitive visualization of the activity, offering an efficient route for in situ health monitoring. Herein we present a tactile visual synapse that enables in situ monitoring of finger rehabilitation and electrocardiogram analysis. Repetitive finger flexion and various arrhythmias are monitored and visually guided using the developed tactile visual synapse combined with an electrical and optical output feedback algorithm. The tactile visual synapse has the structure of an electrochemical transistor comprising an elastomeric top gate as a tactile receptor and an electrochemiluminescent ion gel as a light-emitting layer stacked on a polymeric semiconductor layer, forming an electrical synaptic channel between source and drain electrodes. The low-power (~34 μW) visualization of the tactile synaptic activity associated with the repetitive motions of fingers and heartbeats enables the development of a convenient and efficient personalized healthcare system.

Ultraconformal Skin-Interfaced Sensing Platform for Motion Artifact-Free Monitoring

Capable of directly capturing various physiological signals from human skin, skin-interfaced bioelectronics has emerged as a promising option for human health monitoring. However, the accuracy and reliability of the measured signals can be greatly affected by body movements or skin deformations (e.g., stretching, wrinkling, and compression). This study presents an ultraconformal, motion artifact-free, and multifunctional skin bioelectronic sensing platform fabricated by a simple and user-friendly laser patterning approach for sensing high-quality human physiological data. The highly conductive membrane based on the room-temperature coalesced Ag/Cu@Cu core-shell nanoparticles in a mixed solution of polymers can partially dissolve and locally deform in the presence of water to form conformal contact with the skin. The resulting sensors to capture improved electrophysiological signals upon various skin deformations and other biophysical signals provide an effective means to monitor health conditions and create human-machine interfaces. The highly conductive and stretchable membrane can also be used as interconnects to connect commercial off-the-shelf chips to allow extended functionalities, and the proof-of-concept demonstration is highlighted in an integrated pulse oximeter. The easy-to-remove feature of the resulting device with water further allows the device to be applied on delicate skin, such as the infant and elderly.

Wafer-Recyclable, Eco-Friendly, and Multiscale Dry Transfer Printing by Transferable Photoresist for Flexible Epidermal Electronics

Flexible electronics have been of great interest in the past few decades for their wide-ranging applications in health monitoring, human-machine interaction, artificial intelligence, and biomedical engineering. Currently, transfer printing is a popular technology for flexible electronics manufacturing. However, typical sacrificial intermediate layer-based transfer printing through chemical reactions results in a series of challenges, such as time consumption and interface incompatibility. In this paper, we have developed a time-saving, wafer-recyclable, eco-friendly, and multiscale transfer printing method by using a stable transferable photoresist. Demonstration of photoresist with various, high-resolution, and multiscale patterns from the donor substrate of silicon wafer to different flexible polymer substrates without any damage is conducted using the as-developed dry transfer printing process. Notably, by utilizing the photoresist patterns as conformal masks and combining them with physical vapor deposition and dry lift-off processes, we have achieved in situ fabrication of metal patterns on flexible substrates. Furthermore, a mechanical experiment has been conducted to demonstrate the mechanism of photoresist transfer printing and dry lift-off processes. Finally, we demonstrated the application of in situ fabricated electrode devices for collecting electromyography and electrocardiogram signals. Compared to commercially available hydrogel electrodes, our electrodes exhibited higher sensitivity, greater stability, and the ability to achieve long-term health monitoring.

Materials-Driven Soft Wearable Bioelectronics for Connected Healthcare

In the era of Internet-of-things, many things can stay connected; however, biological systems, including those necessary for human health, remain unable to stay connected to the global Internet due to the lack of soft conformal biosensors. The fundamental challenge lies in the fact that electronics and biology are distinct and incompatible, as they are based on different materials via different functioning principles. In particular, the human body is soft and curvilinear, yet electronics are typically rigid and planar. Recent advances in materials and materials design have generated tremendous opportunities to design soft wearable bioelectronics, which may bridge the gap, enabling the ultimate dream of connected healthcare for anyone, anytime, and anywhere. We begin with a review of the historical development of healthcare, indicating the significant trend of connected healthcare. This is followed by the focal point of discussion about new materials and materials design, particularly low-dimensional nanomaterials. We summarize material types and their attributes for designing soft bioelectronic sensors; we also cover their synthesis and fabrication methods, including top-down, bottom-up, and their combined approaches. Next, we discuss the wearable energy challenges and progress made to date. In addition to front-end wearable devices, we also describe back-end machine learning algorithms, artificial intelligence, telecommunication, and software. Afterward, we describe the integration of soft wearable bioelectronic systems which have been applied in various testbeds in real-world settings, including laboratories that are preclinical and clinical environments. Finally, we narrate the remaining challenges and opportunities in conjunction with our perspectives.

Survey on Energy Harvesting for Biomedical Devices: Applications, Challenges and Future Prospects for African Countries

Self-powered biomedical devices, which are the new vision of Internet Of Things (IOT) healthcare, are facing many technical and application challenges. Many research works have reported biomedical devices and self-powered applications for healthcare, along with various strategies to improve the monitoring time of self-powered devices or to eliminate the dependence on electrochemical batteries. However, none of these works have especially assessed the development and application of healthcare devices in an African context. This article provides a comprehensive review of self-powered devices in the biomedical research field, introduces their applications for healthcare, evaluates their status in Africa by providing a thorough review of existing biomedical device initiatives and available financial and scientific cooperation institutions in Africa for the biomedical research field, and highlights general challenges for implementing self-powered biomedical devices and particular challenges related to developing countries. The future perspectives of the aforementioned research field are provided, as well as an architecture for improving this research field in developing countries.

Application and Development of EEG Acquisition and Feedback Technology: A Review

This review focuses on electroencephalogram (EEG) acquisition and feedback technology and its core elements, including the composition and principles of the acquisition devices, a wide range of applications, and commonly used EEG signal classification algorithms. First, we describe the construction of EEG acquisition and feedback devices encompassing EEG electrodes, signal processing, and control and feedback systems, which collaborate to measure faint EEG signals from the scalp, convert them into interpretable data, and accomplish practical applications using control feedback systems. Subsequently, we examine the diverse applications of EEG acquisition and feedback across various domains. In the medical field, EEG signals are employed for epilepsy diagnosis, brain injury monitoring, and sleep disorder research. EEG acquisition has revealed associations between brain functionality, cognition, and emotions, providing essential insights for psychologists and neuroscientists. Brain-computer interface technology utilizes EEG signals for human-computer interaction, driving innovation in the medical, engineering, and rehabilitation domains. Finally, we introduce commonly used EEG signal classification algorithms. These classification tasks can identify different cognitive states, emotional states, brain disorders, and brain-computer interface control and promote further development and application of EEG technology. In conclusion, EEG acquisition technology can deepen the understanding of EEG signals while simultaneously promoting developments across multiple domains, such as medicine, science, and engineering.

Wearable bioelectronics fabricated in situ on skins

In recent years, wearable bioelectronics has rapidly expanded for diagnosing, monitoring, and treating various pathological conditions from the skin surface. Although the devices are typically prefabricated as soft patches for general usage, there is a growing need for devices that are customized in situ to provide accurate data and precise treatment. In this perspective, the state-of-the-art in situ fabricated wearable bioelectronics are summarized, focusing primarily on Drawn-on-Skin (DoS) bioelectronics and other in situ fabrication methods. The advantages and limitations of these technologies are evaluated and potential future directions are suggested for the widespread adoption of these technologies in everyday life.

On-Demand Transient Paper Substrate for Selective Disposability of Thin-Film Electronic Devices

This study demonstrates a novel approach to creating a thin-film electronic device that offers selective or complete disposability only in on-demand conditions while maintaining stable operation reliability during everyday use. The approach involves a transient paper substrate, combined with phase change encapsulation and highly bendable planarization materials, achieved through a simple solution process. The substrate used in this study offers a smooth surface morphology that enables the creation of stable multilayers for thin-film electronic devices. It also exhibits superior waterproof properties, which allows the proof-of-concept organic light-emitting device to function even when submerged in water. Additionally, the substrate provides controlled surface roughness under repeated bending, demonstrating reliable folding stability for 1000 cycles at 10 mm of curvature. Furthermore, a specific component of the electronic device can be selectively made to malfunction through predetermined voltage input, and the entire device can be fully disposed of via Joule-heating-induced combustion.

Graded Mxene-Doped Liquid Metal as Adhesion Interface Aiming for Conductivity Enhancement of Hybrid Rigid-Soft Interconnection

Hybrid rigid-soft electronic system combines the biocompatibility of stretchable electronics and the computing capacity of silicon-based chips, which has a chance to realize a comprehensive stretchable electronic system with perception, control, and algorithm in near future. However, a reliable rigid-soft interconnection interface is urgently required to ensure both the conductivity and stretchability under a large strain. To settle this demand, this paper proposes a graded Mxene-doped liquid metal (LM) method to achieve a stable solid-liquid composite interconnect (SLCI) between the rigid chip and stretchable interconnect lines. To overcome the surface tension of LM, a high-conductive Mxene is doped for the balance between adhesion and liquidity of LM. And the high-concentration doping could prevent the contact failure with chip pins, while the low-concentration doping tends to maintain the stretchability. Based on this dosage-graded interface structure, the solid light-emitting diode (LED) and other devices integrated into the stretchable hybrid electronic system could achieve an excellent conductivity insensitive to the exerted tensile strain. In addition, the hybrid electronic system is demonstrated for skin-mounted and tire-mounted temperature-test applications under the tensile strain up to 100%. This Mxene-doped LM method aims to obtain a robust interface between rigid components and flexible interconnects by attenuating the inherent Young's modulus mismatch between rigid and flexible systems and makes it a promising candidate for effective interconnection between solid electronics and soft electronics.

Amphiphilic silicones for the facile dispersion of carbon nanotubes and formation of soft skin electrodes

Flexible, dry skin electrodes represent a potentially superior alternative to standard Ag/AgCl metal electrodes for wearable devices used in long-term monitoring. Herein, such electrodes were formed using a facile method for dispersing carbon nanotubes (CNTs) in a silicone matrix using custom amphiphilic dispersive additives (DSPAs). Using only brief mixing and without the use of solvents or surface modification of CNTs, twelve poly(ethylene oxide)-silanes (PEO-SAs) of varying crosslinkability, architecture, siloxane tether length, and molar ratio of siloxane:PEO were combined with an addition cure silicone and CNTs. Nearly all PEO-SA modified silicone-CNT composites demonstrated improved conductivity compared to the unmodified composite. Best conductivities correlated to composites prepared with PEO-SAs that formed micelles of particular sizes (d ~ 200 - 300 nm) and coincided to PEO-SAs with a siloxane:PEO molar ratio of ~ 0.75 - 3.00. Superior dispersion of CNT by such PEO-SAs was exemplified by scanning electron microscopy (SEM). Advantageously, modified composites retained their moduli, rather than becoming more rigid. Resultant electrodes fabricated with modified composites showed skin-electrode impedance comparable to that of Ag/AgCl electrodes. Combined, these results demonstrate the potential of silicone-CNT composites prepared with PEO-SA DSPAs as flexible, dry electrodes as a superior alternative to traditional electrodes.

Extreme climatic events and human biology and health: A primer and opportunities for future research

Extreme climatic events are increasing in frequency, leading to hotter temperatures, flooding, droughts, severe storms, and rising oceans. This special issue brings together a collection of seven articles that describe the impacts of extreme climatic events on a diverse set of human biology and health outcomes. The first two articles cover extreme temperatures extending from extreme heat to cold and changes in winter weather and the respective implications for adverse health events, human environmental limits, well-being, and human adaptability. Next, two articles cover the effects of exposures to extreme storms through an examination of hurricanes and cyclones on stress and birth outcomes. The following two articles describe the effects of extreme flooding events on livelihoods, nutrition, water and food insecurity, diarrheal and respiratory health, and stress. The last article examines the effects of drought on diet and food insecurity. Following a brief review of each extreme climatic event and articles covered in this special issue, I discuss future research opportunities-highlighting domains of climate change and specific research questions that are ripe for biological anthropologists to investigate. I close with a description of interdisciplinary methods to assess climate exposures and human biology outcomes to aid the investigation of the defining question of our time - how climate change will affect human biology and health. Ultimately, climate change is a water, food, and health problem. Human biologists offer a unique perspective for a combination of theoretical, methodological, and applied reasons and thus are in a prime position to contribute to this critical research agenda.

Functional Asymmetry-Enabled Self-Adhesive Film via Phase Separation of Binary Polymer Mixtures for Soft Bio-Integrated Electronics

Biocompatible adhesive films are important for many applications (e.g., wearable devices, implantable devices, and attachable sensors). In particular, achieving self-adhesion on one side of a film with biocompatible materials is a compelling goal in adhesion science. Herein, we report a simple and easy manufacturing process using water-soluble hyaluronic acid (HA) that allows adhesiveness on only one side using binary polymer mixtures based on a phase-separation strategy with an elastomer. HA influx allows for the entangled polymer chains of the elastomer to spontaneously deform, permitting tunable mechanical elasticity, conformability, and adhesion. The proposed adhesive film enables the transfer of nanopatterning and the attachment of various surfaces without the use of additional chemicals. In addition, the film can be used for measuring epidermal biopotential and for skin fixation of drug devices. Therefore, the developed facile asymmetric adhesion can block the interferences of other materials on the unnecessary adhesion side, providing considerable potential for the development of functional, multifunctional, and smart bioadhesives.

Green and Integrated Wearable Electrochemical Sensor for Chloride Detection in Sweat

Wearable sensors for sweat biomarkers can provide facile analyte capability and monitoring for several diseases. In this work, a green wearable sensor for sweat absorption and chloride sensing is presented. In order to produce a sustainable device, polylactic acid (PLA) was used for both the substrate and the sweat absorption pad fabrication. The sensor material for chloride detection consisted of silver-based reference, working, and counter electrodes obtained from upcycled compact discs. The PLA substrates were prepared by thermal bonding of PLA sheets obtained via a flat die extruder, prototyped in single functional layers via CO₂ laser cutting, and bonded via hot-press. The effect of cold plasma treatment on the transparency and bonding strength of PLA sheets was investigated. The PLA membrane, to act as a sweat absorption pad, was directly deposited onto the membrane holder layer by means of an electrolyte-assisted electrospinning technique. The membrane adhesion capacity was investigated by indentation tests in both dry and wet modes. The integrated device made of PLA and silver-based electrodes was used to quantify chloride ions. The calibration tests revealed that the proposed sensor platform could quantify chloride ions in a sensitive and reproducible way. The chloride ions were also quantified in a real sweat sample collected from a healthy volunteer. Therefore, we demonstrated the feasibility of a green and integrated sweat sensor that can be applied directly on human skin to quantify chloride ions.

Two-Dimensional Nanosheet-Enhanced Waterborne Polyurethane Eutectogels with Ultrastrength and Superelasticity for Sensitive Strain Sensors

Sensing materials that are ultrastrong but still superelastic and highly sensitive are crucial for meeting the requirements of future flexible sensors. However, these requirements are challenging to satisfy simultaneously due to the internal constraints among these properties. Here, an ultrastrong and superelastic eutectogel is designed and prepared using a waterborne polyurethane (WPU) network enhanced by two-dimensional (2D) nanosheets in a deep eutectic solvent. The 2D nanosheet-induced noncovalent cross-linking endows the prepared eutectogel with superelasticity and flexibility, and its elongation at break reaches 2071%, higher than those of most polymers (<1000%). Meanwhile, this eutectogel also exhibits a high tensile strength (21.6 MPa), which is strong enough to support 20 000 times its own weight. Such a composite design provides a feasible route for preparing eutectogels with outstanding comprehensive functions without trade-offs among these features. In addition, the eutectogel-assembled sensor possesses a high ionic conductivity of 0.225 S/m and a high strain sensitivity of 1.18 kPa^-1. Furthermore, it can be integrated into the sensing arrays for multidimensional signal monitoring without diminishing its pristine strength and flexibility. Surprisingly, the eutectogel can be quickly disintegrated in ethanol due to the WPU's pseudoplastic behavior, providing a competitive way to dispose of waste electronic devices.

Drawn-on-Skin Sensors from Fully Biocompatible Inks toward High-Quality Electrophysiology

The need to develop wearable devices for personal health monitoring, diagnostics, and therapy has inspired the production of innovative on-demand, customizable technologies. Several of these technologies enable printing of raw electronic materials directly onto biological organs and tissues. However, few of them have been thoroughly investigated for biocompatibility of the raw materials on the cellular, tissue, and organ levels or with different cell types. In addition, highly accurate multiday in vivo monitoring using such on-demand, in situ fabricated devices has yet to be done. Presented herein is the first fully biocompatible, on-skin fabricated electronics for multiple cell types and tissues that can capture electrophysiological signals with high fidelity. While also demonstrating improved mechanical and electrical properties, the drawn-on-skin ink retains its properties under various writing conditions, which minimizes the variation in electrical performance. Furthermore, the drawn-on-skin ink shows excellent biocompatibility with cardiomyocytes, neurons, mice skin tissue, and human skin. The high signal-to-noise ratios of the electrophysiological signals recorded with the DoS sensor over multiple days demonstrate its potential for personalized, long-term, and accurate electrophysiological health monitoring.

Critical Salt Loading in Flexible Poly(vinyl alcohol) Sensors Fabricated by an Inkjet Printing and Plasma Reduction Method

We report a low-temperature inkjet printing and plasma treatment method using silver nitrate ink that allows the fabrication of conductive silver traces on poly(vinyl alcohol) (PVA) film with good fidelity and without degrading the polymer substrate. In doing so, we also identify a critical salt loading in the film that is necessary to prevent the polymer from reacting with the silver nitrate-based ink, which improves the resolution of the silver trace while simultaneously lowering its sheet resistance. Silver lines printed on PVA film using this method have sheet resistances of around 0.2 Ω/□ under wet/dry and stretched/unstretched conditions, while PVA films without prior treatment double in sheet resistance upon wetting or stretching the substrate. This low resistance of printed lines on salt-treated films can be preserved under multiple bending cycles of 0-90° and stretching cycles of 0-6% strain if the polymer is prestretched prior to inkjet printing.

Plant-inspired conductive adhesive organohydrogel with extreme environmental tolerance as a wearable dressing for multifunctional sensors

Conductive hydrogels have attracted significant attention as a promising material in electrical and biomedical fields. However, the simultaneous realization of good conductivity, toughness, high tissue adhesiveness, excellent biocompatibility, and extreme environmental tolerance remains a challenge. Inspired by the antifreezing/antiheating behavior of natural plants, a calcium chloride/TEMPO-oxidized cellulose nanofiber-dopamine/ polyacrylamide (CaCl₂/TOCNF-DOPA/PAM) glycerol/water organohydrogel with antifreezing and antiheating properties, good transparency, conductivity, stability, excellent biocompatibility, mechanical properties, and tissue adhesiveness was fabricated. The organohydrogel has about 700% stretchability, with about 90% transparency. The organohydrogel exhibits good conductivity of 4.9 × 10^-4 S/cm and high tissue adhesiveness of 50 kPa, which can monitor various human activities. The organohydrogel displays excellent extreme environmental tolerance to maintain the conductivity and mechanical properties under an extremely wide temperature range (-24 to 50 °C) for a long period due to its water-locking effect between glycerol and water molecules. The biocompatible organohydrogel is able to protect the skin from frostbite or burns in harsh environments. The plant-inspired stable and durable organohydrogel is used as a wearable dressing for multifunctional sensors.

Indoor Temperature and Relative Humidity Dataset of Controlled and Uncontrolled Environments

The large volume of data generated with the increasing development of Internet of Things applications has encouraged the development of a large number of works related to data management, wireless communication technologies, the deployment of sensor networks with limited resources, and energy consumption. Different types of new or well-known algorithms have been used for the processing and analysis of data acquired through sensor networks, algorithms for compression, filtering, calibration, analysis, or variables being common. In some cases, databases available on the network, public government databases, data generated from sensor networks deployed by the authors themselves, or values generated by simulation are used. In the case that the work approach is more related to the algorithm than to the characteristics of the sensor networks, these data source options may have some limitations such as the availability of databases, the time required for data acquisition, the need for the deployment of a real sensors network, and the reliability or characteristics of acquired data. The dataset in this article contains 4,164,267 values of timestamp, indoor temperature, and relative humidity acquired in the months of October and November 2019, with twelve temperature and humidity sensors Xiaomi Mijia at the laboratory of Control Systems and Robotics, and the De La Salle Museum of Natural Sciences, both of the Instituto Tecnológico Metropolitano, Medellín—Colombia. The devices were calibrated in a Metrology Laboratory accredited by the National Accreditation Body of Colombia (Organismo Nacional de Acreditación de Colombia—ONAC). The dataset is available in Mendeley Data repository.

Smoking Cessation System for Preemptive Smoking Detection

Smoking cessation is a significant challenge for many people addicted to cigarettes and tobacco. Mobile health-related research into smoking cessation is primarily focused on mobile phone data collection either using self-reporting or sensor monitoring techniques. In the past 5 years with the increased popularity of smartwatch devices, research has been conducted to predict smoking movements associated with smoking behaviors based on accelerometer data analyzed from the internal sensors in a user's smartwatch. Previous smoking detection methods focused on classifying current user smoking behavior. For many users who are trying to quit smoking, this form of detection may be insufficient as the user has already relapsed. In this paper, we present a smoking cessation system utilizing a smartwatch and finger sensor that is capable of detecting pre-smoking activities to discourage users from future smoking behavior. Pre-smoking activities include grabbing a pack of cigarettes or lighting a cigarette and these activities are often immediately succeeded by smoking. Therefore, through accurate detection of pre-smoking activities, we can alert the user before they have relapsed. Our smoking cessation system combines data from a smartwatch for gross accelerometer and gyroscope information and a wearable finger sensor for detailed finger bend-angle information. We compare the results of a smartwatch-only system with a combined smartwatch and finger sensor system to illustrate the accuracy of each system. The combined smartwatch and finger sensor system performed at an 80.6% accuracy for the classification of pre-smoking activities compared to 47.0% accuracy of the smartwatch-only system.

Wearable Triboelectric Sensors Enabled Gait Analysis and Waist Motion Capture for IoT-Based Smart Healthcare Applications

Gait and waist motions always contain massive personnel information and it is feasible to extract these data via wearable electronics for identification and healthcare based on the Internet of Things (IoT). There also remains a demand to develop a cost-effective human-machine interface to enhance the immersion during the long-term rehabilitation. Meanwhile, triboelectric nanogenerator (TENG) revealing its merits in both wearable electronics and IoT tends to be a possible solution. Herein, the authors present wearable TENG-based devices for gait analysis and waist motion capture to enhance the intelligence and performance of the lower-limb and waist rehabilitation. Four triboelectric sensors are equidistantly sewed onto a fabric belt to recognize the waist motion, enabling the real-time robotic manipulation and virtual game for immersion-enhanced waist training. The insole equipped with two TENG sensors is designed for walking status detection and a 98.4% identification accuracy for five different humans aiming at rehabilitation plan selection is achieved by leveraging machine learning technology to further analyze the signals. Through a lower-limb rehabilitation robot, the authors demonstrate that the sensory system performs well in user recognition, motion monitoring, as well as robot and gaming-aided training, showing its potential in IoT-based smart healthcare applications.

Multifunctional Graphene Sensor Ensemble as a Smart Biomonitoring Fashion Accessory

Biomonitoring wearable sensors based on two-dimensional nanomaterials have recently elicited keen research interest and potential for a new range of flexible nanoelectronic devices. Practical nanomaterial-based devices suited for real-world service, which exhibit first-rate performance while being an attractive accessory, are still distant. We report a multifunctional flexible wearable sensor fabricated using an ultrathin percolative layer of graphene nanosheets on laser-patterned gold circular interdigitated electrodes for monitoring vital human physiological parameters. This graphene on laser-patterned electrode (GLE) sensor displays an excellent strain resolution of 245 με (0.024%) and a record high gauge factor of 6.3 × 10⁷, with exceptional stability and repeatability in its operating range. The sensor was tested for human physiological monitoring like measurement of heart rate, breathing rate, body temperature, and hydration level, which are vital health parameters, especially considering the current pandemic scenario. The sensor also served in applications such as a pedometer, limb movement tracker, and control switch for human interaction. The innovative laser-etch process used to pattern gold thin-film electrodes, with the multifunctional incognizable graphene layer, provides a technique for integrating multiple sensors in a wearable band. The reported work marks a giant leap from the conventional banal devices to a highly marketable multifunctional sensor array as a biomonitoring fashion accessory.

High-Efficiency Large-Area Printed Multilayer Liquid Metal Wires for Stretchable Biomedical Sensors with Recyclability

Stretchable conductors are essential for soft robots, wearable on-skin electronic technologies, and bioelectronics. The utilization of sophisticated stretchable conductors requires a new, simple, rapid, and large-scale printing process whose features include high stretchability, high precision, multilayers, and recyclability simultaneously for commercial wearable electronics. To address this need, an LM (liquid metal) wire was developed using a simple, rapid, and large-scale soft stamper-based printing process and employed to realize LM wire-based conductors and capacitors, which simultaneously offer high stretchability (>380%), high precision past 50 μm, and electromechanical response stability after stretching for up to an hour. Based on the excellent electromechanical responses, the LM wire-based capacitors, as strain sensors, attached to finger joints resulted in precise gesture detection. Meanwhile, a simple transparent wearable e-skin consisting of a 6 × 6 LM wire-based capacitor array without rigid parts successfully monitored a multi-point touch. At last, a portable noninvasive stretchable multilayer LM wire-based pulse sensor with recyclability is fabricated to monitor the patient's heartbeats. The experimental results reveal that the stretchable biomedical sensors have the potential to help patients to improve their life in healthcare, including replacement prosthetic devices, daily and sports activity tracking, continuous health monitoring, and others.

High-Performance Temperature Sensor by Employing Screen Printing Technology

In the present study, a high-performance n-type temperature sensor was developed by a new and facile synthesis approach, which could apply to ambient temperature applications. As impacted by the low sintering temperature of flexible polyimide substrates, a screen printing technology-based method to prepare thermoelectric materials and a low-temperature heat treatment process applying to polymer substrates were proposed and achieved. By regulating the preparation parameters of the high-performance n-type indium oxide material, the optimal proportioning method and the post-treatment process method were developed. The sensors based on thermoelectric effects exhibited a sensitivity of 162.5 μV/°C, as well as a wide range of temperature measurement from ambient temperature to 223.6 °C. Furthermore, it is expected to conduct temperature monitoring in different scenarios through a sensor prepared in masks and mechanical hands, laying a foundation for the large-scale manufacturing and widespread application of flexible electronic skin and devices.

Standalone real-time health monitoring patch based on a stretchable organic optoelectronic system

Skin-like health care patches (SHPs) are next-generation health care gadgets that will enable seamless monitoring of biological signals in daily life. Skin-conformable sensors and a stretchable display are critical for the development of standalone SHPs that provide real-time information while alleviating privacy concerns related to wireless data transmission. However, the production of stretchable wearable displays with sufficient pixels to display this information remains challenging. Here, we report a standalone organic SHP that provides real-time heart rate information. The 15-μm-thick SHP comprises a stretchable organic light-emitting diode display and stretchable organic photoplethysmography (PPG) heart rate sensor on all-elastomer substrate and operates stably under 30% strain using a combination of stress relief layers and deformable micro-cracked interconnects that reduce the mechanical stress on the active optoelectronic components. This approach provides a rational strategy for high-resolution stretchable displays, enabling the production of ideal platforms for next-generation wearable health care electronics.

Textile Triboelectric Nanogenerators for Wearable Pulse Wave Monitoring

Arterial pulse waves are regarded as vital diagnostic tools in the assessment of cardiovascular disease (CVD). Because of their high sensitivity, rapid response time, wearability, and low cost, textile triboelectric nanogenerators (TENGs) are emerging as a compelling biotechnology for wearable pulse wave monitoring. We discuss sensing mechanisms for pulse-to-electricity conversion, analytical models for calculating cardiovascular parameters, and application scenarios for textile TENGs. We provide a prospective on the challenges that limit the wider application of this technology and suggest some future research directions. In the future, textile TENGs are expected to make an impact in the fields of wearable pulse wave monitoring and CVD diagnosis.

Micro/nanodevices for assessment and treatment in stomatology and ophthalmology

Micro/nanodevices have been widely applied for the real-time monitoring of intracellular activities and the delivery of exogenous substances in the past few years. This review focuses on miniaturized micro/nanodevices for assessment and treatment in stomatology and ophthalmology. We first summarize the recent progress in this field by examining the available materials and fabrication techniques, device design principles, mechanisms, and biosafety aspects of micro/nanodevices. Following a discussion of biochemical sensing technology from the cellular level to the tissue level for disease assessment, we then summarize the use of microneedles and other micro/nanodevices in the treatment of oral and ocular diseases and conditions, including oral cancer, eye wrinkles, keratitis, and infections. Along with the identified key challenges, this review concludes with future directions as a small fraction of vast opportunities, calling for joint efforts between clinicians and engineers with diverse backgrounds to help facilitate the rapid development of this burgeoning field in stomatology and ophthalmology.

Design of Flexible Pressure Sensor Based on Conical Microstructure PDMS-Bilayer Graphene

As a new material, graphene shows excellent properties in mechanics, electricity, optics, and so on, which makes it widely concerned by people. At present, it is difficult for graphene pressure sensor to meet both high sensitivity and large pressure detection range at the same time. Therefore, it is highly desirable to produce flexible pressure sensors with sufficient sensitivity in a wide working range and with simple process. Herein, a relatively high flexible pressure sensor based on piezoresistivity is presented by combining the conical microstructure polydimethylsiloxane (PDMS) with bilayer graphene together. The piezoresistive material (bilayer graphene) attached to the flexible substrate can convert the local deformation caused by the vertical force into the change of resistance. Results show that the pressure sensor based on conical microstructure PDMS-bilayer graphene can operate at a pressure range of 20 kPa while maintaining a sensitivity of 0.122 ± 0.002 kPa⁻¹ (0–5 kPa) and 0.077 ± 0.002 kPa⁻¹ (5–20 kPa), respectively. The response time of the sensor is about 70 ms. In addition to the high sensitivity of the pressure sensor, it also has excellent reproducibility at different pressure and temperature. The pressure sensor based on conical microstructure PDMS-bilayer graphene can sense the motion of joint well when the index finger is bent, which makes it possible to be applied in electronic skin, flexible electronic devices, and other fields.

Stretchable gas sensors for detecting biomarkers from humans and exposed environments

The recent advent of stretchable gas sensors demonstrates their capabilities to detect not only gaseous biomarkers from the human body but also toxic gas species from the exposed environment. To ensure accurate gas detection without device breakdown from the mechanical deformations, the stretchable gas sensors often rely on the direct integration of gas-sensitive nanomaterials on the stretchable substrate or fibrous network, as well as being configured into stretchable structures. The nanomaterials in the forms of nanoparticles, nanowires, or thin-films with nanometer thickness are explored for a variety of sensing materials. The commonly used stretchable structures in the stretchable gas sensors include wrinkled structures from a pre-strain strategy, island-bridge layouts or serpentine interconnects, strain isolation approaches, and their combinations. This review aims to summarize the recent advancement in novel nanomaterials, sensor design innovations, and new fabrication approaches of stretchable gas sensors.