Bioinspired 3D Printable, Self-Healable, and Stretchable Hydrogels with Multiple Conductivities for Skin-like Wearable Strain Sensors

Highly sensitive and environmentally stable conductive eutectogels for flexible wearable sensors based on sodium alginate/poly(vinyl alcohol)/MXene

In recent years, flexible sensors have attracted much attention due to their wide range of applications. Eutectogel solved the problems of water loss and phase separation of conventional hydrogels. In this work, a purely natural polymer, sodium alginate (SA), was used to construct the network structure of the gel with MXene, PVA and deep eutectic solvent (DES) were used to initiate the physical cross-linking, and an antimicrobial eutectogel was synthesised by one-pot method, which possessed excellent mechanical properties (fracture strain of about 1350 % and fracture toughness of about 2.50 MJ/m3) and a high gauge factor (GF = 7.66). In addition, the resulting gels had good environmental stability (-20 °C-60 °C, maintained a highly repeatable response signal) and enabled wireless sensing. The sensor was capable of sensitively monitoring human joint movements and micro-expressions, which offered a wide range of application prospects for the development of wearable electronic products suitable for human movement.

Reusable Liquid Metal-Based Hierarchical Hydrogels with Multifunctional Sensing Capability for Electrophysiology Electrode Substitution

Electrophysiological electrode patches are often used to collect surface electrophysiological signals to monitor and evaluate human health. However, commercial Ag/AgCl gels are very susceptible to electrode-skin interface interference during rehabilitation exercises and cannot achieve a stable collection of electrophysiological signals. In order to solve this challenge, this paper designed a liquid metal-based hierarchical hydrogel, which has a series of great performances, including adhesion to various substrates, efficient self-healing ability, excellent stretchability, and conductivity. Due to the hydrogel's unique rheological and adhesive properties, a conformal electrode/skin interface was generated, thus enabling stable electrophysiological signal acquisition during exercise. In addition, the strain sensor assembled based on the conductive hydrogel can sensitively monitor human limb movements in real time and can even be used for remote intelligent gesture recognition. Therefore, this work provides scientific guidance for developing a next generation of intelligent hydrogels with personal health surveillance, rehabilitation training monitoring, and wearable human-machine interaction.

Natural polysaccharides-based smart sensors for health monitoring, diagnosis and rehabilitation: A review

With the rapid growth of multi-level health needs, precise and real-time health sensing systems have become increasingly pivotal in personal health management and disease prevention. Natural polysaccharides demonstrate immense potential in healthcare sensors by leveraging their superior biocompatibility, biodegradability, environmental sustainability, as well as diverse structural designs and surface functionalities. This review begins by introducing a variety of natural polysaccharides, including cellulose, alginates, chitosan, hyaluronic acid, and starch, and analyzing their structural and functional distinctions, which offer extensive possibilities for sensor design and construction. Further, we summarize several principal sensing mechanisms, such as piezoresistivity, piezoelectricity, capacitance, triboelectricity, and hygroelectricity, which provide a theoretical and technological foundation for developing high-performance healthcare sensing devices. Additionally, the review discusses the most recent applications of natural polysaccharide-based sensors in diverse healthcare contexts, including human body motion tracking, respiratory and heartbeat monitoring, electrophysiological signal recording, body temperature variation detection, and biomarker analysis. Finally, prospective development directions are proposed, such as the integration of artificial intelligence for real-time data analysis, the design of multifunctional devices that combine sensing with therapeutic functionalities, and advancements in remote monitoring and smart wearable technologies. This review aims to provide valuable insights into the development of next-generation healthcare sensors and propose novel research directions for personalized medicine and remote health management.

3D printed edible electronics: Components, fabrication approaches and applications

A recently minted field of 3D-printed edible electronics (EEs) represents a cutting-edge convergence of edible electronic devices and 3D printing technology. This review presents a comprehensive view of this emerging discipline, which has gathered significant scientific attention for its potential to create a safe, environmentally friendly, economical, and naturally degraded inside the human body. EEs have the potential to be used as medical and health devices to monitor physiological conditions and possibly treat diseases. These edible devices include different components, such as sensors, actuators, and other electronic elements, all made from edible ingredients such as sugars, proteins, polysaccharides, polymers, and others. Among the different fabrication approaches, 3D printing can provide reliable solutions to specific requirements. The concept of EEs has the potential to transform healthcare, providing more convenient, less invasive alternatives and personalized, customizable products for patients that beat traditional manufacturing methods. While the potential is enormous, there are critical challenges, notably ensuring the long-term stability, and regulatory and safety of these devices within the human body. Accordingly, a detailed understanding of the underlying concepts, fabrication approaches, design considerations, and action in the body/application range has been presented. As an evolving field, there is ample scope for research and multiple challenges must be addressed; these are elaborated towards the concluding sections of this article.

3D-printable liquid metal-based hydrogel for use as a multifunctional epidermal sensor

Conductive hydrogels have wide application prospects in flexible electronics, biosensors, and soft robotics because of their high flexibility, adjustable mechanical properties, and excellent electrochemical properties. However, it is difficult for a pure conductive polymer or rigid conductive filler hydrogel to meet the application requirements regarding electricity, mechanics, biocompatibility, and stability. To solve this problem, a special combination of polyacrylic acid (PAA) and liquid metal (LM) was adopted. Here, PAA was used as the interlayer phase, through which, on the one hand, the LM nanoparticles were coated through rich surface carboxyl groups and, on the other hand, the hydrogel framework was formed by chelating with calcium ions (Ca2+). The Ca-PAA-LM conductive hydrogel prepared in this way combined the multifunctional properties of plasticity, stretchability, printability, self-healing, and multiple sensing capabilities. Therefore, the epidermal sensor based on this hydrogel showed stable monitoring of human health conditions, including all-around body movements and electrophysiological signals, such as electrocardiography and electromyography. The conductive hydrogel developed in this study provides an ideal material choice for personalized health monitoring devices and also provides a path for the development of a new generation of multifunctional flexible sensors.

Advances in conducting nanocomposite hydrogels for wearable biomonitoring

Recent advancements in wearable biosensors and bioelectronics have led to innovative designs for personalized health management devices, with biocompatible conducting nanocomposite hydrogels emerging as a promising building block for soft electronics engineering. In this review, we provide a comprehensive framework for advancing biosensors using these engineered nanocomposite hydrogels, highlighting their unique properties such as high electrical conductivity, flexibility, self-healing, biocompatibility, biodegradability, and tunable architecture, broadening their biomedical applications. We summarize key properties of nanocomposite hydrogels for thermal, biomechanical, electrophysiological, and biochemical sensing applications on the human body, recent progress in nanocomposite hydrogel design and synthesis, and the latest technologies in developing flexible and wearable devices. This review covers various sensor types, including strain, physiological, and electrochemical sensors, and explores their potential applications in personalized healthcare, from daily activity monitoring to versatile electronic skin applications. Furthermore, we highlight the blueprints of design, working procedures, performance, detection limits, and sensitivity of these soft devices. Finally, we address challenges, prospects, and future outlook for advanced nanocomposite hydrogels in wearable sensors, aiming to provide a comprehensive overview of their current state and future potential in healthcare applications.

Recent Developments and Applications of Tactile Sensors with Biomimetic Microstructures

Humans possess an innate ability to perceive a wide range of objects through touch, which allows them to interact effectively with their surroundings. Similarly, tactile perception in artificial sensory systems enables the acquisition of object properties, human physiological signals, and environmental information. Biomimetic tactile sensors, as an emerging sensing technology, draw inspiration from biological systems and exhibit high sensitivity, rapid response, multimodal perception, and stability. By mimicking biological mechanisms and microstructures, these sensors achieve precise detection of mechanical signals, thereby paving the way for advancements in tactile sensing applications. This review provides an overview of key sensing mechanisms, microstructure designs, and advanced fabrication techniques of biomimetic tactile sensors. The system architecture design of biomimetic tactile sensing systems is also explored. Furthermore, the review highlights significant applications of these sensors in recent years, including texture recognition, human health detection, and human-machine interaction. Finally, the key challenges and future development prospects related to biomimetic tactile sensors are discussed.

Electrically conductive "SMART" hydrogels for on-demand drug delivery

In the current transformative era of biomedicine, hydrogels have established their presence in biomaterials due to their superior biocompatibility, tuneability and resemblance with native tissue. However, hydrogels typically exhibit poor conductivity due to their hydrophilic polymer structure. Electrical conductivity provides an important enhancement to the properties of hydrogel-based systems in various biomedical applications such as drug delivery and tissue engineering. Consequently, researchers are developing combinatorial strategies to develop electrically responsive "SMART" systems to improve the therapeutic efficacy of biomolecules. Electrically conductive hydrogels have been explored for various drug delivery applications, enabling higher loading of therapeutic cargo with on-demand delivery. This review emphasizes the properties, mechanisms, fabrication techniques and recent advancements of electrically responsive "SMART" systems aiding on-site drug delivery applications. Additionally, it covers prospects for the successful translation of these systems into clinical research.

Inclusion of Reduced Graphene Oxide to Silk Fibroin Hydrogels Improve the Conductive, Swelling and Wound Healing Capacity

Developing dressing for wound dressings represents a significant challenge for the scientific community. In this study, a conductive hydrogel was synthesized to promote the wound‐healing process. This hydrogel is composed of silk fibroin (SF), reduced graphene oxide (rGO), and glycerol (G). The impact of modifying the SF:rGO ratio, and the G content (%), on the physicochemical and biological properties. The hydrogels were characterized using FT‐IR, SEM, XRD, TGA, swelling, mechanical resistance, and conductivity. The cytotoxicity of the materials and their wound‐healing capacity in human fibroblasts were also determined. Chemical analysis revealed that the gelation of SF occurs due to the formation of β sheet structures, which was confirmed by the shift from amide I to amide II. An Increase in the SF:rGO ratio favored swelling behavior, although increasing G reduced this effect. The swelling of the hydrogel followed a Fick diffusion mechanism. Furthermore, the increase in the SF:rGO ratio and the percentage G improved the conductivity of the materials. The hydrogels were found to be non‐cytotoxic to human fibroblasts, and those containing rGO exhibited superior wound healing capacity compared to the positive control cell culture medium. Therefore, SF:rGO hydrogels could be considered promising candidates for wound dressing.

Dually-crosslinked ionic conductive hydrogels reinforced through biopolymer gellan gum for flexible sensors to monitor human activities

Human-machine interactions, monitoring of health equipment, and gentle robots all depend considerably on flexible strain sensors. However, making strain sensors have better mechanical behavior and an extensive sensing range remains an urgent difficulty. In this study, poly acrylamide-co-butyl acrylate with gellan gum (poly(AAm-co-BA)@GG) hydrophobic association networks and intermolecular hydrogen bonding interactions are used to fabricate dual cross-linked hydrogels for wearable resistive-type strain sensors. This could be an acceptable way to minimize the limitations in hydrogels previously identified. The robust fracture strength (870 kPa) and exceptional stretchability (1297 %) of the hydrogel arise from the collaborative action of intermolecular hydrogen bonding and hydrophobic associations. It also demonstrates exceptional resilience to repeated cycles of uninterrupted stretching and relaxation, retaining its structural integrity. The response and restoration times are 110 and 120 ms respectively. Furthermore, a wide sensing range (0-900 %), notable sensitivity across various strain levels, and an impressive gauge factor (GF) of 31.51 with high durability were observed by the dual cross-linked (DC) hydrogel-based strain sensors. The measured conductivity of the hydrogel was 0.32 S/m which is due to the incorporation of NaCl. Therefore, the hydrogels can be tailored to function as wearable strain sensors that can detect subtle human gestures like speech patterns, distinguish between distinct words, and recognize vibrations of the larynx during drinking, as well as large joint motions like wrist, finger, and elbow. Furthermore, these hydrogels are capable of reliably distinguishing and reproducing various printed text. These findings imply that any electronic device that demands strain-sensing functionality might make use of these developed materials.

Biosustainable Multiscale Transparent Nanocomposite Films for Sensitive Pressure and Humidity Sensors

Light weight, thinness, transparency, flexibility, and insulation are the key indicators for flexible electronic device substrates. The common flexible substrates are usually polymer materials, but their recycling is an overwhelming challenge. Meanwhile, paper substrates are limited in practical applications because of their poor mechanical and thermal stability. However, natural biomaterials have excellent mechanical properties and versatility thanks to their organic-inorganic multiscale structures, which inspired us to design an organic-inorganic nanocomposite film. For this purpose, a bio-inspired multiscale film was developed using cellulose nanofibers with abundant hydrophilic functional groups to assist in dispersing hydroxyapatite nanowires. The thickness of the biosustainable film is only 40 μm, and it incorporates distinctive mechanical properties (strength: 52.8 MPa; toughness: 0.88 MJ m-3) and excellent optical properties (transmittance: 80.0%; haze: 71.2%). Consequently, this film is optimal as a substrate employed for flexible sensors, which can transmit capacitance and resistance signals through wireless Bluetooth, showing an ultrasensitive response to pressure and humidity (for example, responding to finger pressing with 5000% signal change and exhaled water vapor with 4000% signal change). Therefore, the comprehensive performance of the biomimetic multiscale organic-inorganic composite film confers a prominent prospect in flexible electronics devices, food packaging, and plastic substitution.

Conductive Polymer-Based Hydrogels for Wearable Electrochemical Biosensors

Hydrogels are gaining popularity for use in wearable electronics owing to their inherent biomimetic characteristics, flexible physicochemical properties, and excellent biocompatibility. Among various hydrogels, conductive polymer-based hydrogels (CP HGs) have emerged as excellent candidates for future wearable sensor designs. These hydrogels can attain desired properties through various tuning strategies extending from molecular design to microstructural configuration. However, significant challenges remain, such as the limited strain-sensing range, significant hysteresis of sensing signals, dehydration-induced functional failure, and surface/interfacial malfunction during manufacturing/processing. This review summarizes the recent developments in polymer-hydrogel-based wearable electrochemical biosensors over the past five years. Initially serving as carriers for biomolecules, polymer-hydrogel-based sensors have advanced to encompass a wider range of applications, including the development of non-enzymatic sensors facilitated by the integration of nanomaterials such as metals, metal oxides, and carbon-based materials. Beyond the numerous existing reports that primarily focus on biomolecule detection, we extend the scope to include the fabrication of nanocomposite conductive polymer hydrogels and explore their varied conductivity mechanisms in electrochemical sensing applications. This comprehensive evaluation is instrumental in determining the readiness of these polymer hydrogels for point-of-care translation and state-of-the-art applications in wearable electrochemical sensing technology.

Multi-role conductive hydrogels for flexible transducers regulated by MOFs for monitoring human activities and electronic skin functions

Metal organic frameworks (MOFs) have garnered significant attention in the development of stretchable and wearable conductive hydrogels for flexible transducers. However, MOFs used in hydrogel networks have been hampered by low mechanical performance and poor dispersibility in aqueous solutions, which affect the performance of hydrogels, including low toughness, limited self-recovery, short working ranges, low conductivity, and prolonged response-recovery times. To address these shortcomings, a novel approach was adopted in which micelle co-polymerization was used for the ex situ synthesis of Zn-MOF-based hydrogels with exceptional stretchability, robust toughness, anti-fatigue properties, and commendable conductivity. This breakthrough involved the ex situ integration of Zn-MOFs into hydrophobically cross-linked polymer chains. Here the micelles of EHDDAB had two functions, first they uniformly dispersed the Zn-MOFs and secondly they dynamically cross-linked the polymer chains, profoundly influencing the mechanical characteristics of the hydrogels. The non-covalent synergistic interactions introduced by Zn-MOFs endowed the hydrogels with the capacity for high stretchability, high stress, rapid self-recovery, anti-fatigue properties, and conductivity, all achieved without external stimuli. Furthermore, hydrogels based on Zn-MOFs can serve as durable and highly sensitive flexible transducers, adept at detecting diverse mechanical deformations with swift response-recovery times and high gauge factor values. Consequently, these hydrogels can be tailored to function as wearable strain sensors capable of sensing significant human joint movements, such as wrist bending, and motions involving the wrist, fingers, and elbows. Similarly, they excel at monitoring subtle human motions, such as speech pronunciation, distinguishing between different words, as well as detecting swallowing and larynx vibrations during various activities. Beyond these applications, the hydrogels exhibit proficiency in distinguishing and reproducing various written words with reliability. The Zn-MOF-based hydrogels hold promising potential for development in electronic skin, medical monitoring, soft robotics, and flexible touch panels.

Recent advances in smart wearable sensors for continuous human health monitoring

In recent years, the biochemical and biological research areas have shown great interest in a smart wearable sensor because of its increasing prevalence and high potential to monitor human health in a non-invasive manner by continuous screening of biomarkers dispersed throughout the biological analytes, as well as real-time diagnostic tools and time-sensitive information compared to conventional hospital-centered system. These smart wearable sensors offer an innovative option for evaluating and investigating human health by incorporating a portion of recent advances in technology and engineering that can enhance real-time point-of-care-testing capabilities. Smart wearable sensors have emerged progressively with a mixture of multiplexed biosensing, microfluidic sampling, and data acquisition systems incorporated with flexible substrate and bodily attachments for enhanced wearability, portability, and reliability. There is a good chance that smart wearable sensors will be relevant to the early detection and diagnosis of disease management and control. Therefore, pioneering smart wearable sensors into reality seems extremely promising despite possible challenges in this cutting-edge technology for a better future in the healthcare domain. This review presents critical viewpoints on recent developments in wearable sensors in the upcoming smart digital health monitoring in real-time scenarios. In addition, there have been proactive discussions in recent years on materials selection, design optimization, efficient fabrication tools, and data processing units, as well as their continuous monitoring and tracking strategy with system-level integration such as internet-of-things, cyber-physical systems, and machine learning algorithms.

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.

High Tensile, Antibacterial, and Conductive Hydrogel Sensor with Multiple Cross-Linked Networks Based on PVA/Sodium Alginate/Zinc Oxide

Hydrogel sensors have attracted a lot of attention due to their great significance for biosensors and human detection, especially their antibacterial properties when in direct contact with the human body. However, it is challenging to improve mechanical and antibacterial performance simultaneously. In this study, by using ultrasonic dispersion technology to attach zinc oxide to cellulose and adding sodium alginate, a multiple cross-linking network is generated, which effectively solves this problem. The proposed poly(vinyl alcohol)/sodium alginate/zinc oxide/hydrogel sensor exhibits not only excellent biocompatibility but also high tensile properties (strain above 2000%). Besides, the sensor also has an antibacterial function (against Escherichia coli and Staphylococcus aureus). The hydrogel acts as a strain sensor and biosensor; it can also be used as a human health detection sensor; its high tensile properties can detect large tensile deformation and small changes in force, such as finger bending, knee bending, and other joint movements, and can also be used as a sound detection sensor to detect speech and breathing. This study provides a simple method to prepare hydrogel sensors that can be useful for human health detection and biosensor development.

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.

Three-Dimensional Printing of Hydrogels for Flexible Sensors: A Review

The remarkable flexibility and heightened sensitivity of flexible sensors have drawn significant attention, setting them apart from traditional sensor technology. Within this domain, hydrogels-3D crosslinked networks of hydrophilic polymers-emerge as a leading material for the new generation of flexible sensors, thanks to their unique material properties. These include structural versatility, which imparts traits like adhesiveness and self-healing capabilities. Traditional templating-based methods fall short of tailor-made applications in crafting flexible sensors. In contrast, 3D printing technology stands out with its superior fabrication precision, cost-effectiveness, and satisfactory production efficiency, making it a more suitable approach than templating-based strategies. This review spotlights the latest hydrogel-based flexible sensors developed through 3D printing. It begins by categorizing hydrogels and outlining various 3D-printing techniques. It then focuses on a range of flexible sensors-including those for strain, pressure, pH, temperature, and biosensors-detailing their fabrication methods and applications. Furthermore, it explores the sensing mechanisms and concludes with an analysis of existing challenges and prospects for future research breakthroughs in this field.

Advanced Nanomaterials in Medical 3D Printing

3D printing is now recognized as a significant tool for medical research and clinical practice, leading to the emergence of medical 3D printing technology. It is essential to improve the properties of 3D-printed products to meet the demand for medical use. The core of generating qualified 3D printing products is to develop advanced materials and processes. Taking advantage of nanomaterials with tunable and distinct physical, chemical, and biological properties, integrating nanotechnology into 3D printing creates new opportunities for advancing medical 3D printing field. Recently, some attempts are made to improve medical 3D printing through nanotechnology, providing new insights into developing advanced medical 3D printing technology. With high-resolution 3D printing technology, nano-structures can be directly fabricated for medical applications. Incorporating nanomaterials into the 3D printing material system can improve the properties of the 3D-printed medical products. At the same time, nanomaterials can be used to expand novel medical 3D printing technologies. This review introduced the strategies and progresses of improving medical 3D printing through nanotechnology and discussed challenges in clinical translation.

Progress of Research on Conductive Hydrogels in Flexible Wearable Sensors

Conductive hydrogels, characterized by their excellent conductivity and flexibility, have attracted widespread attention and research in the field of flexible wearable sensors. This paper reviews the application progress, related challenges, and future prospects of conductive hydrogels in flexible wearable sensors. Initially, the basic properties and classifications of conductive hydrogels are introduced. Subsequently, this paper discusses in detail the specific applications of conductive hydrogels in different sensor applications, such as motion detection, medical diagnostics, electronic skin, and human-computer interactions. Finally, the application prospects and challenges are summarized. Overall, the exceptional performance and multifunctionality of conductive hydrogels make them one of the most important materials for future wearable technologies. However, further research and innovation are needed to overcome the challenges faced and to realize the wider application of conductive hydrogels in flexible sensors.

A Guide to Printed Stretchable Conductors

Printing of stretchable conductors enables the fabrication and rapid prototyping of stretchable electronic devices. For such applications, there are often specific process and material requirements such as print resolution, maximum strain, and electrical/ionic conductivity. This review highlights common printing methods and compatible inks that produce stretchable conductors. The review compares the capabilities, benefits, and limitations of each approach to help guide the selection of a suitable process and ink for an intended application. We also discuss methods to design and fabricate ink composites with the desired material properties (e.g., electrical conductance, viscosity, printability). This guide should help inform ongoing and future efforts to create soft, stretchable electronic devices for wearables, soft robots, e-skins, and sensors.

Design, preparation, and characterization of lubricating polymer brushes for biomedical applications

The lubrication modification of biomedical devices significantly enhances the functionality of implanted interventional medical devices, thereby providing additional benefits for patients. Polymer brush coating provides a convenient and efficient method for surface modification while ensuring the preservation of the substrate's original properties. The current research has focused on a "trial and error" method to finding polymer brushes with superior lubricity qualities, which is time-consuming and expensive, as obtaining effective and long-lasting lubricity properties for polymer brushes is difficult. This review summarizes recent research advances in the biomedical field in the design, material selection, preparation, and characterization of lubricating and antifouling polymer brushes, which follow the polymer brush development process. This review begins by examining various approaches to polymer brush design, including molecular dynamics simulation and machine learning, from the fundamentals of polymer brush lubrication. Recent advancements in polymer brush design are then synthesized and potential avenues for future research are explored. Emphasis is placed on the burgeoning field of zwitterionic polymer brushes, and highlighting the broad prospects of supramolecular polymer brushes based on host-guest interactions in the field of self-repairing polymer brush applications. The review culminates by providing a summary of methodologies for characterizing the structural and functional attributes of polymer brushes. It is believed that a development approach for polymer brushes based on "design-material selection-preparation-characterization" can be created, easing the challenge of creating polymer brushes with high-performance lubricating qualities and enabling the on-demand creation of coatings. STATEMENT OF SIGNIFICANCE: Biomedical devices have severe lubrication modification needs, and surface lubrication modification by polymer brush coating is currently the most promising means. However, the design and preparation of polymer brushes often involves "iterative testing" to find polymer brushes with excellent lubrication properties, which is both time-consuming and expensive. This review proposes a polymer brush development process based on the "design-material selection-preparation-characterization" strategy and summarizes recent research advances and trends in the design, material selection, preparation, and characterization of polymer brushes. This review will help polymer brush researchers by alleviating the challenges of creating polymer brushes with high-performance lubricity and promises to enable the on-demand construction of polymer brush lubrication coatings.

3D printable, stretchable, anti-freezing and rapid self-healing organogel-based sensors for human motion detection

Self-healing hydrogels have promising applications in sensors and wearable devices. However, self-healing hydrogels prepared with water as the dispersion medium inevitably freeze at sub-zero temperature, resulting in a loss of the self-healing and sensing ability. The black phosphorene / ethylene glycol / polyvinyl alcohol / sodium tetraborate / sodium alginate (BP/EG-SPB) organogels were prepared by 3D printing technology and solvent displacement method. The organogel exhibits high stretchability (1900 % strain), excellent self-healing property (25 s) and outstanding anti-freezing property (lower than -120 °C freezing point). Furthermore, the organogel can rapidly self-healed (150 s) at a low temperature (-80 °C) without any external stimulation. Additionally, this organogel-based flexible sensor possesses excellent sensitivity (gauge factor: 28.66 at 1900 % strain) and fast response capability, allowing for effective detection of human motion. This work provides a novel method for preparing multifunctional organogel-based sensors for use in harsh climates.

3D printed microstructured ultra-sensitive pressure sensors based on microgel-reinforced double network hydrogels for biomechanical applications

Hydrogel-based wearable flexible pressure sensors have great promise in human health and motion monitoring. However, it remains a great challenge to significantly improve the toughness, sensitivity and stability of hydrogel sensors. Here, we demonstrate the fabrication of hierarchically structured hydrogel sensors by 3D printing microgel-reinforced double network (MRDN) hydrogels to achieve both very high sensitivity and mechanical toughness. Polyelectrolyte microgels are used as building blocks, which are interpenetrated with a second network, to construct super tough hydrogels. The obtained hydrogels show a tensile strength of 1.61 MPa, and a fracture toughness of 5.08 MJ m-3 with high water content. The MRDN hydrogel precursors exhibit reversible gel-sol transitions, and serve as ideal inks for 3D printing microstructured sensor arrays with high fidelity and precision. The microstructured hydrogel sensors show an ultra-high sensitivity of 0.925 kPa-1, more than 50 times that of plain hydrogel sensors. The hydrogel sensors are assembled as an array onto a shoe-pad to monitor foot biomechanics during gaiting. Moreover, a sensor array with a well-arranged spatial distribution of sensor pixels with different microstructures and sensitivities is fabricated to track the trajectory of a crawling tortoise. Such hydrogel sensors have promising application in flexible wearable electronic devices.

Recent advances in 3D printable conductive hydrogel inks for neural engineering

Recently, the 3D printing of conductive hydrogels has undergone remarkable advances in the fabrication of complex and functional structures. In the field of neural engineering, an increasing number of reports have been published on tissue engineering and bioelectronic approaches over the last few years. The convergence of 3D printing methods and electrically conducting hydrogels may create new clinical and therapeutic possibilities for precision regenerative medicine and implants. In this review, we summarize (i) advancements in preparation strategies for conductive materials, (ii) various printing techniques enabling the fabrication of electroconductive hydrogels, (iii) the required physicochemical properties of the printed constructs, (iv) their applications in bioelectronics and tissue regeneration for neural engineering, and (v) unconventional approaches and outlooks for the 3D printing of conductive hydrogels. This review provides technical insights into 3D printable conductive hydrogels and encompasses recent developments, specifically over the last few years of research in the neural engineering field.

An effective DLP 3D printing strategy of high strength and toughness cellulose hydrogel towards strain sensing

Photocurable 3D printing technology has outperformed extrusion-based 3D printing technology in material adaptability, resolution, and printing rate, yet is still limited by the insecure preparation and selection of photoinitiators and thus less reported. In this work, we developed a printable hydrogel that can effectively facilitate various solid or hollow structures and even lattice structures. The chemical and physical dual-crosslinking strategy combined with cellulose nanofibers (CNF) significantly improved the strength and toughness of photocurable 3D printed hydrogels. In this study, the tensile breaking strength, Young's modulus, and toughness of poly(acrylamide-co-acrylic acid)_D/cellulose nanofiber (PAM-co-PAA)_D/CNF hydrogels were 375 %, 203 % and 544 % higher than those of the traditional single chemical crosslinked (PAM-co-PAA)_S hydrogels, respectively. Notably, its outstanding compressive elasticity enabled it to recover under 90 % strain compression (about 4.12 MPa). Resultantly, the proposed hydrogel can be utilized as a flexible strain sensor to monitor the motions of human movements, such as the bending of fingers, wrists, and arms, and even the vibration of a speaking throat. The output of electrical signals can still be collected through strain even under the condition of energy shortage. In addition, photocurable 3D printing technology can provide customized services for hydrogel-based e-skin, such as hydrogel-based bracelets, fingerstall, and finger joint sleeves.

Polysaccharides, proteins, and synthetic polymers based multimodal hydrogels for various biomedical applications: A review

Nature-derived or biologically encouraged hydrogels have attracted considerable interest in numerous biomedical applications owing to their multidimensional utility and effectiveness. The internal architecture of a hydrogel network, the chemistry of the raw materials involved, interaction across the interface of counter ions, and the ability to mimic the extracellular matrix (ECM) govern the clinical efficacy of the designed hydrogels. This review focuses on the mechanistic viewpoint of different biologically driven/inspired biomacromolecules that encourages the architectural development of hydrogel networks. In addition, the advantage of hydrogels by mimicking the ECM and the significance of the raw material selection as an indicator of bioinertness is deeply elaborated in the review. Furthermore, the article reviews and describes the application of polysaccharides, proteins, and synthetic polymer-based multimodal hydrogels inspired by or derived from nature in different biomedical areas. The review discusses the challenges and opportunities in biomaterials along with future prospects in terms of their applications in biodevices or functional components for human health issues. This review provides information on the strategy and inspiration from nature that can be used to develop a link between multimodal hydrogels as the main frame and its utility in biomedical applications as the primary target.

Self-Healable, Adhesive, Anti-Drying, Freezing-Tolerant, and Transparent Conductive Organohydrogel as Flexible Strain Sensor, Triboelectric Nanogenerator, and Skin Barrier

Conductive hydrogels have attracted tremendous interest in the construction of flexible strain sensors and triboelectric nanogenerators (TENGs) owing to their good stretchability and adjustable properties. Nevertheless, how to simultaneously achieve high transparency, self-healing, adhesion, antibacterial, anti-freezing, anti-drying, and biocompatibility properties through a simple method remains a challenge. Herein, a transparent, freezing-tolerant, and multifunctional organohydrogel (PAOAM-PDO) as electrode for strain sensors and TENGs was constructed through a free radical polymerization in the 1,3-propanediol (PDO)/water binary solvent system, in which oxide sodium alginate, aminated gelatin, acrylic acid, and AlCl3 were used as raw materials. The obtained PAOAM-PDO exhibited good transparency (>90%), self-healing, adhesiveness, antibacterial property, good conductivity (1.13 S/m), and long-term environmental stability. The introduction of PDO endowed PAOAM-PDO with freezing resistance with a low freezing point of -60 °C, and PAOAM-PDO could serve as a protective skin barrier to prevent frostbite at low temperature. PAOAM-PDO could be assembled as strain sensors to monitor heterogeneous human movements with high strain sensitivity (gauge factor of 7.05, strain = 233%). Meanwhile, PAOAM-PDO could be further fabricated as a TENG with a "sandwich" structure in single electrode mode. Moreover, the resulting TENG achieved electrical outputs with simple hand tapping and served as a self-powered device to light light-emitting diodes. This work displays a feasible strategy to build environment-tolerant and multifunctional organohydrogels, which possess potential applications in the wearable electronics and self-powered devices.

Guar gum reinforced conductive hydrogel for strain sensing and electronic devices

Hydrophobically associated conductive hydrogels got great attention due to their excellent properties like stretchability, energy dissipation mechanism, and strain sensor. But hydrophobically associated hydrogels have poor mechanical properties and time response to external stimuli. To enhance the mechanical properties and response to stimuli, Acrylamide- co-Butyl acrylate/Gum based conductive hydrogels were prepared. SDS works as a cross-linker and micelle-forming agent while NaCl makes hydrogel as conductive. The results show that our % strain sensing reached up to 400 %, and fracture stress and fracture strain reached to 0.5 MPa and 401 % respectively. Besides this, it's having an excellent response to continuous stretching and unstretching multiple cycles without any fracture up to 180 s and an excellent time response of 190 s. The conductivity of the hydrogel was 0.20 Sm-1. The hydrophobic hydrogels showed a clear and quick response to human motions like finger, wresting, writing, speaking, etc. Interestingly, our prepared hydrogels can detect the mood of the human face. Similarly, the hydrogels were found efficient in bridging the surface of electronic devices with human skin. This indicates that our prepared hydrogels can monitor human body motion and will replace the existing materials used in strain sensors in the near future.

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-Assembled CNF/rGO/Tannin Composite: Study of the Physicochemical and Wound Healing Properties

In this study, a conductive composite material, based on graphene oxide (GO), nanocellulose (CNF), and tannins (TA) from pine bark, reduced using polydopamine (PDA), was developed for wound dressing. The amount of CNF and TA was varied in the composite material, and a complete characterization including SEM, FTIR, XRD, XPS, and TGA was performed. Additionally, the conductivity, mechanical properties, cytotoxicity, and in vitro wound healing of the materials were evaluated. A successful physical interaction between CNF, TA, and GO was achieved. Increasing CNF amount in the composite reduced the thermal properties, surface charge, and conductivity, but its strength, cytotoxicity, and wound healing performance were improved. The TA incorporation slightly reduced the cell viability and migration, which may be associated with the doses used and the extract's chemical composition. However, the in-vitro-obtained results demonstrated that these composite materials can be suitable for wound healing.

Bioinspired Additive Manufacturing of Hierarchical Materials: From Biostructures to Functions

Throughout billions of years, biological systems have evolved sophisticated, multiscale hierarchical structures to adapt to changing environments. Biomaterials are synthesized under mild conditions through a bottom-up self-assembly process, utilizing substances from the surrounding environment, and meanwhile are regulated by genes and proteins. Additive manufacturing, which mimics this natural process, provides a promising approach to developing new materials with advantageous properties similar to natural biological materials. This review presents an overview of natural biomaterials, emphasizing their chemical and structural compositions at various scales, from the nanoscale to the macroscale, and the key mechanisms underlying their properties. Additionally, this review describes the designs, preparations, and applications of bioinspired multifunctional materials produced through additive manufacturing at different scales, including nano, micro, micro-macro, and macro levels. The review highlights the potential of bioinspired additive manufacturing to develop new functional materials and insights into future directions and prospects in this field. By summarizing the characteristics of natural biomaterials and their synthetic counterparts, this review inspires the development of new materials that can be utilized in various applications.

A Flexible Piezocapacitive Pressure Sensor with Microsphere-Array Electrodes

Flexible pressure sensors that emulate the sensation and characteristics of natural skins are of great importance in wearable medical devices, intelligent robots, and human-machine interfaces. The microstructure of the pressure-sensitive layer plays a significant role in the sensor's overall performance. However, microstructures usually require complex and costly processes such as photolithography or chemical etching for fabrication. This paper proposes a novel approach that combines self-assembled technology to prepare a high-performance flexible capacitive pressure sensor with a microsphere-array gold electrode and a nanofiber nonwoven dielectric material. When subjected to pressure, the microsphere structures of the gold electrode deform via compressing the medium layer, leading to a significant increase in the relative area between the electrodes and a corresponding change in the thickness of the medium layer, as simulated in COMSOL simulations and experiments, which presents high sensitivity (1.807 kPa^-1). The developed sensor demonstrates excellent performance in detecting signals such as slight object deformations and human finger bending.

Bioinspired skin towards next-generation rehabilitation medicine

The rapid progress of interdisciplinary researches from materials science, biotechnologies, biomedical engineering, and medicine, have resulted in the emerging of bioinspired skins for various fantasticating applications. Bioinspired skin is highly promising in the application of rehabilitation medicine owing to their advantages, including personalization, excellent biocompatibility, multi-functionality, easy maintainability and wearability, and mass production. Therefore, this review presents the recent progress of bioinspired skin towards next-generation rehabilitation medicine. The classification is first briefly introduced. Then, various applications of bioinspired skins in the field of rehabilitation medicine at home and abroad are discussed in detail. Last, we provide the challenges we are facing now, and propose the next research directions.

Recent Advances in Bioinspired Hydrogels: Materials, Devices, and Biosignal Computing

The remarkable ability of biological systems to sense and adapt to complex environmental conditions has inspired new materials and novel designs for next-generation wearable devices. Hydrogels are being intensively investigated for their versatile functions in wearable devices due to their superior softness, biocompatibility, and rapid stimulus response. This review focuses on recent strategies for developing bioinspired hydrogel wearable devices that can accommodate mechanical strain and integrate seamlessly with biological systems. We will provide an overview of different types of bioinspired hydrogels tailored for wearable devices. Next, we will discuss the recent progress of bioinspired hydrogel wearable devices such as electronic skin and smart contact lenses. Also, we will comprehensively summarize biosignal readout methods for hydrogel wearable devices as well as advances in powering and wireless data transmission technologies. Finally, current challenges facing these wearable devices are discussed, and future directions are proposed.

Highly Stretchable and Stimulus-Free Self-Healing Hydrogels with Multiple Signal Detection Performance for Self-Powered Wearable Temperature Sensors

A flexible wearable temperature sensor is a novel electronic sensor that can monitor real-time changes in human body temperature in a variety of application scenarios and is regarded as the "crown jewel" of information collection technology. Although flexible strain sensors based on hydrogels have excellent self-healing effects and mechanical durability, their widespread application is still limited by external power sources. Herein, a novel self-energizing hydrogel was developed by embellishing cellulose nanocrystals (CNC) with poly(3,4-ethylenedioxythiophene):poly(styrene sulfonate) (PEDOT:PSS). The resultant thermoelectrically conductive CNC was then employed as a booster for poly(vinyl alcohol) (PVA)/borax hydrogels. The obtained hydrogels exhibit remarkable self-healing performance (92.57%) and exceptional stretchability (989.60%). Additionally, the hydrogel was capable of accurately and reliably identifying human motion. Most importantly, it exhibits excellent thermoelectric performance, capable of generating stable and reproducible voltages. It shows a large Seebeck coefficient of 1.31 mV k^-1 at ambient temperatures. When subjected to a temperature difference of 25 K, the output voltage reaches 31.72 mV. CNC-PEDOT:PSS/PVA conductive hydrogel is multifunctional with self-healing, self-powering, and temperature sensing, which has the potential to be used for the preparation of intelligent wearable temperature-sensing devices.

Visible light laser direct-writing of high-resolution, biocompatible, super-multifunctional and tough hydrogels without photoinitiators in 30 s

Currently, the lack of bioinks and long printing time limits the further development of biofabrication. Here we report a novel biocompatible, multi-functional and tough 3D printable hydrogel via visible light photocrosslinking of polyvinyl alcohol bearing styrylpyridinium group (PVA-SbQ). The high-resolution PVA-SbQ hydrogels with different designed shapes can be generated via laser direct-writing in 30 s without extra toxic crosslinkers or photoinitiators, and demonstrates excellent biocompatibility. The rapid laser direct-writing technology also results in a super-strong, tough hydrogel with excellent adhesive, swelling, self-healing, and photo-tunable properties due to the photodimerization of styrylpyridinium (SbQ) groups and the left-over massive amount of free hydroxyl groups in the hydrogel. For example, the maximum tensile strength, elongation, compressive strength adhesive strength of printed PVA-SbQ hydrogels can reach 1.0 MPa, 810 %, 33 MPa, 31 kPa, and 25,000 % respectively. And these properties can be adjusted by controlling the parameters for laser direct-writing. In addition, the introduced nitrogen cations by SbQ groups further endow hydrogels with the potential to develop novel functionality, which is demonstrated by integrating negatively charged nanocelluloses in the PVA-SbQ system to develop underwater adhesives, anti-freezing (-24.9 °C), and anti-bacterial hydrogels. This discovery opens multiple doors for developing PVA-SbQ based multi-functional hydrogel for various applications including biofabrication and tissue engineering.

Collagen-Based Organohydrogel Strain Sensor with Self-Healing and Adhesive Properties for Detecting Human Motion

Conductive hydrogels are ideal for flexible sensors, but it is still a challenge to produce such hydrogels with combined toughness, self-adhesion, self-healing, anti-freezing, moisturizing, and biocompatibility properties. Herein, inspired by natural skin, a highly stretchable, strain-sensitive, and multi-environmental stable collagen-based conductive organohydrogel was constructed by using collagen (Col), acrylic acid, dialdehyde carboxymethyl cellulose, 1,3-propylene glycol, and AlCl₃. The resulting organohydrogel exhibited excellent tensile (strain >800%), repeatable adhesion (>10 times), self-healing [self-healing efficiency (SHE) ≈ 100%], anti-freezing (-60 °C), moisturizing (>20 d), and biocompatible properties. This organohydrogel also possessed good electrical conductivity (σ = 3.4 S/m) and strain-sensitive properties [GF (gauge factor) = 13.65 with the maximal strain of 400%]. Notably, the organohydrogel had a considerable low-temperature self-healing performance (SHE = 88% at -24 °C) and rapid underwater self-healing property (SHE = 92%, self-healing time <20 min). This type of strain sensor could not only accurately and continuously monitor the large-scale motions of the human body but also provide an accurate response to the human tiny motions. This work not only proposes a development strategy for a multifunctional conductive organohydrogel with multiple environmental stability but also provides potential research value for the construction of biomimetic electronic skin.

Tough hydrogel with high water content and ordered fibrous structures as an artificial human ligament

Natural biological tissues such as ligaments, due to their anisotropic across scale structure, have high water content, while still maintaining high strength and flexibility. Hydrogels are ideal artificial materials like human ligaments. However, conventional gel materials fail to exhibit high strength or fatigue resistance at high water content in human tissues. To address this challenge, we propose a simple integrated strategy to prepare an anisotropic hierarchical hydrogel architecture for artificial ligaments by combining freeze-casting assisted compression annealing and salting-out treatments. The hybrid polyvinyl alcohol hydrogels are of water content up to 79.5 wt%. Enhanced by the added carbon nanotubes, the hydrogels exhibit high strength of 4.5 MPa and a fatigue threshold of 1467 J m^-2, as well as excellent stress sensitivity. The outstanding durability of the artificial ligament provides an all-around solution for biomedical applications.

A Wide-Range-Response Piezoresistive-Capacitive Dual-Sensing Breathable Sensor with Spherical-Shell Network of MWCNTs for Motion Detection and Language Assistance

It is still a challenge for flexible electronic materials to realize integrated strain sensors with a large linear working range, high sensitivity, good response durability, good skin affinity and good air permeability. In this paper, we present a simple and scalable porous piezoresistive/capacitive dual-mode sensor with a porous structure in polydimethylsiloxane (PDMS) and with multi-walled carbon nanotubes (MWCNTs) embedded on its internal surface to form a three-dimensional spherical-shell-structured conductive network. Thanks to the unique spherical-shell conductive network of MWCNTs and the uniform elastic deformation of the cross-linked PDMS porous structure under compression, our sensor offers a dual piezoresistive/capacitive strain-sensing capability, a wide pressure response range (1-520 kPa), a very large linear response region (95%), excellent response stability and durability (98% of initial performance after 1000 compression cycles). Multi-walled carbon nanotubes were coated on the surface of refined sugar particles by continuous agitation. Ultrasonic PDMS solidified with crystals was attached to the multi-walled carbon nanotubes. After the crystals were dissolved, the multi-walled carbon nanotubes were attached to the porous surface of the PDMS, forming a three-dimensional spherical-shell-structure network. The porosity of the porous PDMS was 53.9%. The large linear induction range was mainly related to the good conductive network of the MWCNTs in the porous structure of the crosslinked PDMS and the elasticity of the material, which ensured the uniform deformation of the porous structure under compression. The porous conductive polymer flexible sensor prepared by us can be assembled into a wearable sensor with good human motion detection ability. For example, human movement can be detected by responding to stress in the joints of the fingers, elbows, knees, plantar, etc., during movement. Finally, our sensors can also be used for simple gesture and sign language recognition, as well as speech recognition by monitoring facial muscle activity. This can play a role in improving communication and the transfer of information between people, especially in facilitating the lives of people with disabilities.

Rapid Preparation of Antifreezing Conductive Hydrogels for Flexible Strain Sensors and Supercapacitors

Conductive hydrogels have shown great promise in flexible electronics, but their practical applications may be impeded by the time-consuming and energy-consuming polymerization process. We proposed a sodium lignosulfonate-Fe (SLS-Fe) strategy to address this challenge and took advantage of carboxymethyl cellulose (CMC) and poly(acrylic acid) to prepare the CMC/PAA/Fe3+/LiCl interpenetrating conductive hydrogels with good self-healing properties, antifreezing properties, and a 6-fold increase in conductivity in this study. The hydrogel-based flexible strain sensors demonstrated a broad detection range (400%), high sensitivity (GF = 6.19 at 200-400%), and human motion detection capability. The hydrogel-based supercapacitor exhibited a single-electrode specific capacitance of 122.36 F g-1 which successfully powered LEDs. Furthermore, the supercapacitor showed a single-electrode specific capacitance of 83.16 F g-1 at -23 °C (68% of the one exhibited at 25 °C). Therefore, the multifunctional performance of the CMC/PAA/Fe3+/LiCl hydrogel is anticipated to play an exemplary role in a new generation of flexible electronics.

Cellulose nanocrystals boosted hydrophobic association in dual network polymer hydrogels as advanced flexible strain sensor for human motion detection

Conductive hydrogels attract the attention of researchers worldwide, especially in the field of flexible sensors like strain and pressure. These flexible materials have potential applications in the field of electronic skin, soft robotics, energy storage, and human motion detection. However, its practical application is limited due to low stretchability, high hysteresis energy, low conductivity, long-range strain sensitivity, and high response time. It's still a challenging job to endow all these properties in a single hydrogel network. In the present work, cellulose nano crystals (CNCs) reinforced hydrophobically associated gels were developed using APS as a source of radical polymerization, acrylamide and lauryl methacrylate were used as a monomer. CNCs reinforced the hydrophobically associated hydrogels through hydrogen bonding to retain the hydrogel's network structure. Hydrogels consist of dual crosslinking, which demonstrate exceptional mechanical performance (fracture stress and strain, toughness, and Young's modulus). The low hysteresis energy (10.9 kJm^-3) and high conductivity (22.97 mS/cm) make the hydrogels a strong candidate for strain sensors with high sensitivity (GF = 19.25 at 700% strain) and a fast response time of 200 ms. Cyclic performance was also investigated up to 300 continuous cycles. After 300 cycles, the hydrogels were still stable and no considerable change was observed. These hydrogels are capable of sensing different human motions like wrist, finger bending, and neck (up-down and straight and right/left motion of neck). The hydrogels also demonstrate changes in current in response to swallowing, different speaking words, and writing different alphabets. These results suggest that our prepared materials can sense different small and large human motions, and also could be used in any electronic device where strain sensing is required.

Stretchable Semi-Interpenetrating Carboxymethyl Guar Gum-Based Composite Hydrogel for Moisture-Proof Wearable Strain Sensor

Wearable strain sensors of conductive hydrogels have very broad application prospects in electronic skins and human-machine interfaces. However, conductive hydrogels suffer from unstable signal transmission due to environmental humidity and inherent shortcomings of their materials. Herein, we introduce a novel moisture-proof conductive hydrogel with high toughness (2.89 MJ m-3), mechanical strength (1.00 MPa), and high moisture-proof sensing performance by using dopamine-functionalized gold nanoparticles as conductive fillers into carboxymethyl guar gum and acrylamide. Moreover, the hydrogel can realize real-time monitoring of major and subtle human movements with good sensitivity and repeatability. In addition, the hydrogel-assembled strain sensor exhibits stable sensing signals after being left for 1 h, and the relative resistance change rate under different strains (25-300%) shows no obvious noise signal up to 99% relative humidity. Notably, the wearable strain sensing is suitable for wearable sensor devices with high relative humidity.

A review of medical wearables: materials, power sources, sensors, and manufacturing aspects of human wearable technologies

Wearable technology is a promising and revolutionary technology that is changing some aspects of our standard of living to a great extent, including health monitoring, sport and fitness, performance tracking, education, and entertainment. This article presents a comprehensive literature review of over 160 articles related to state-of-the-art human wearable technologies. We provide a thorough understanding of the materials, power sources, sensors, and manufacturing processes, and the relationships between these to capture opportunities for enhancement and challenges to overcome in wearables. As a result of our review, we have determined the need for the development of a comprehensive, robust manufacturing system alongside specific standards and regulations that take into account wearables' unique characteristics. Seeing the whole picture will provide a frame reference and road map for researchers and industries through the design, manufacturing, and commercialisation of effective, portable, self-powered, multi-sensing ultimate future wearable devices and create opportunities for new innovations and applications.

Recent Advances and Progress of Conducting Polymer-Based Hydrogels in Strain Sensor Applications

Conducting polymer-based hydrogels (CPHs) are novel materials that take advantage of both conducting polymers and three-dimensional hydrogels, which endow them with great electrical properties and excellent mechanical features. Therefore, CPHs are considered as one of the most promising platforms for employing wearable and stretchable strain sensors in practical applications. Herein, we provide a critical review of distinct features and preparation technologies and the advancements in CPH-based strain sensors for human motion and health monitoring applications. The fundamentals, working mechanisms, and requirements for the design of CPH-based strain sensors with high performance are also summarized and discussed. Moreover, the recent progress and development strategies for the implementation of CPH-based strain sensors are pointed out and described. It has been surmised that electronic skin (e-skin) sensors are the upward tendency in the development of CPHs for wearable strain sensors and human health monitoring. This review will be important scientific evidence to formulate new approaches for the development of CPH-based strain sensors in the present and in the future.

Acetylated Distarch Phosphate-Mediated Tough and Conductive Hydrogel for Antibacterial Wearable Sensors

Conductive, stretchable, and flexible hydrogel wearable sensors have attracted extensive attention in the fields of artificial intelligence and electronic equipment. However, it is an enormous challenge to fabricate conductive hydrogel sensors with biocompatibility, antibacterial properties, and toughness. Here, a highly conductive hydrogel with excellent toughness, good biocompatibility, and strong antibacterial properties was prepared by incorporating acetylated distarch phosphate (ADSP) into poly(vinyl alcohol) (PVA)/polyhexamethylene biguanide hydrochloride (PHMG). The addition of ADSP not only ionized sodium ions to make the hydrogel conductive but also provided abundant hydroxyl groups to form hydrogen bonds with PVA to improve the toughness of the hydrogel. Furthermore, PHMG endowed the hydrogel with antibacterial properties toward E. coli (Escherichia coli, Gram-negative bacteria) and S. aureus (Staphylococcus aureus, Gram-positive bacteria). Meanwhile, the hydrogel was implanted in mice for 14 days, and the surrounding tissue remained in good condition. More importantly, the hydrogel could detect ECG signals and electrical signals under different actions. This study affords a novel approach for exploiting wearable sensors with antibacterial properties and biocompatibility.