Water-Tolerant MXene Epidermal Sensors with High Sensitivity and Reliability for Healthcare Monitoring

Wearable Biodevices Based on Two-Dimensional Materials: From Flexible Sensors to Smart Integrated Systems

The proliferation of wearable biodevices has boosted the development of soft, innovative, and multifunctional materials for human health monitoring. The integration of wearable sensors with intelligent systems is an overwhelming tendency, providing powerful tools for remote health monitoring and personal health management. Among many candidates, two-dimensional (2D) materials stand out due to several exotic mechanical, electrical, optical, and chemical properties that can be efficiently integrated into atomic-thin films. While previous reviews on 2D materials for biodevices primarily focus on conventional configurations and materials like graphene, the rapid development of new 2D materials with exotic properties has opened up novel applications, particularly in smart interaction and integrated functionalities. This review aims to consolidate recent progress, highlight the unique advantages of 2D materials, and guide future research by discussing existing challenges and opportunities in applying 2D materials for smart wearable biodevices. We begin with an in-depth analysis of the advantages, sensing mechanisms, and potential applications of 2D materials in wearable biodevice fabrication. Following this, we systematically discuss state-of-the-art biodevices based on 2D materials for monitoring various physiological signals within the human body. Special attention is given to showcasing the integration of multi-functionality in 2D smart devices, mainly including self-power supply, integrated diagnosis/treatment, and human-machine interaction. Finally, the review concludes with a concise summary of existing challenges and prospective solutions concerning the utilization of 2D materials for advanced biodevices.

Electronic skin based on natural biodegradable polymers for human motion monitoring

The wearability of the flexible electronic skin (e-skin) allows it to attach to the skin for human motion monitoring, which is essential for studying human motion and especially for assessing how well patients are recovering from rehabilitation therapy. However, the use of non-degradable synthetic materials in e-skin may raise skin safety concerns. Natural biodegradable polymers with advantages such as biodegradability, biocompatibility, sustainability, natural abundance, and low cost have the potential to be alternative materials for constructing flexible e-skin and applying them to human motion monitoring. This review summarizes the applications of natural biodegradable polymers in e-skin for human motion monitoring over the past three years, focusing on the discussion of cellulose, chitosan, silk fibroin, gelatin, and sodium alginate. Finally, we summarize the opportunities and challenges of e-skin based on natural biodegradable polymers. It is hoped that this review will provide insights for the future development of flexible e-skin in the field of human motion monitoring.

A Novel Hollow Graphene/Polydimethylsiloxane Composite for Pressure Sensors with High Sensitivity and Superhydrophobicity

Flexible pressure sensors have attracted great interest as they play an important role in various fields such as health monitoring and human-machine interactions. The design of the pressure sensors still faces challenges in achieving a high sensitivity for a wide sensing range, and the interference of water restricts the applications of the sensors. Herein, we developed a graphene-polydimethylsiloxane film combining a hierarchical surface with nanowrinkles on it and a hollow structure. The microstructure design of the composite can be facilely controlled to improve the sensing and hydrophobic performance by tailoring the microsphere building units. Attributed to the irregular surface and hollow structure of the sensing layer, the optimized sensor exhibits a superior sensitivity of 1085 kPa-1 in a 50 kPa linear range. For practical applications, the nanowrinkles on the surface of the microspheres and the polymer coating endow the composite with waterproof properties. Inspired by the dual receptors of the skin, two designed microstructured films can simply integrate into one with double-sided microstructures. The sensing performance and the water-repellence property allow the sensor to detect physiological signals under both ambient and underwater conditions. Furthermore, underwater stimuli detection and communication are demonstrated. This method of fabricating a flexible sensor shows great potential in wearable and robotic fields.

Design of Double Conductive Layer and Grid-Assistant Face-to-Face Structure for Wide Linear Range, High Sensitivity Flexible Pressure Sensors

Recently, flexible pressure sensors have drawn great attention because of their potential application in human-machine interfaces, healthcare monitoring, electronic skin, etc. Although many sensors with good performance have been reported, researchers mostly focused on surface morphology regulation, and the effect of the resistance characteristics on the performance of the sensor was still rarely systematically investigated. In this paper, a strategy for modulating electron transport is proposed to adjust the linear range and sensitivity of the sensor. In the modulating process, we constructed a double conductive layer (DCL) and grid-assistant face-to-face structure and obtained the sensor with a wide linear range of 0-700 kPa and a high sensitivity of 57.5 kPa-1, which is one of the best results for piezoresistive sensors. In contrast, the sensor with a single conductive layer (SCL) and simple face-to-face structure exhibited a moderate linear range (7 kPa) and sensitivity (2.8 kPa-1). Benefiting from the great performance, the modulated sensor allows for clear pulse wave detection and good recognition of gait signals, which indicates the great application potential in human daily life.

Dual-Stage Surficial Microstructure to Enhance the Sensitivity of MXene Pressure Sensors for Human Physiological Signal Acquisition

Accompanying the rapid growth of wearable electronics, flexible pressure sensors have received great interest due to their promising application in health monitoring, human-machine interfaces, and intelligent robotics. The high sensitivity over a wide responsive range, integrated with excellent repeatability, is a crucial requirement for the fabrication of reliable pressure sensors for various wearable scenes. In this work, we developed a highly sensitive and long-life flexible pressure sensor by constructing surficial microarrayed architecture polydimethylsiloxane (PDMS) film as a substrate and Ti3C2TX MXene/bacterial cellulose (BC) hybrid as an active sensing layer. The specific surficial morphology of PDMS couples with nanointercalated structure of Ti3C2Tx MXene/BC can effectively improve the sensitivity through controlling the stress distribution and layer spacing under different levels of pressure loading. In addition, abundant spontaneous hydrogen bonds between BC and Ti3C2Tx MXene nanosheets endow the MXene coating with highly adhesive strength on the PDMS surface; hence, the cyclic stability of the pressure sensor is greatly boosted. As a result, the obtained MXene/BC/PDMS (MBP) pressure sensor delivers high sensitivity (528.87 kPa-1), fast response/recovery time (45 ms/29 ms), low detection limit (0.6 Pa), and outstanding repeatability of up to 8000 cycles. Those excellent sensing properties of the MBP sensor allow it to serve as a reliable wearable device to monitor full-range human physiological motions, and it is expected to be applied in next-generation portable electronics, such as E-skins, smart healthcare, and the Internet of Things technology.

Polycation-Intercalated MXene Membrane with Enhanced Permselective and Anti-Microbial Properties

Two-dimensional (2D) nanomaterial-based membranes feature attractive properties for molecular separation and transport, which exhibit huge potential in various chemical processes. However, the low permeability and bio-fouling of the MXene membrane in water treatment become huge obstacles to its practical application. Herein, a highly permselective and anti-bacterial 2D nanofiltration membrane is fabricated by intercalating a polycation of polydiallyldimethylammonium chloride (PDDA) into the Ti3C2Tx MXene laminar architecture through a facile and patternable electrostatic assembly strategy. As a result, the as-fabricated Ti3C2Tx/PDDA composite membrane exhibits higher water permeance up to 73.4 L m-2 h-1 with a rejection above 94.6% for MgCl2. The resultant membrane simultaneously possesses good resistance to swelling and long-term stability in water environments, even after 8 h. Additionally, the Ti3C2Tx/PDDA membrane also demonstrates a high flux recovery ratio of nearly 96.1% to bovine serum albumin proteins after being cleaned. More importantly, the current membrane shows excellent anti-adhesive and anti-microbial activity against Gram-negative Escherichia coli (E. coli) and Gram-positive Staphylococcus aureus (S. aureus), with inhibition rates of 90% and 95% against E. coli and S. aureus, respectively. This holds great potential for the application of the polyelectrolyte-intercalated MXene membrane in serving as a promising platform to separate molecules and/or ions in an aquatic environment.

Ultrastretchable, Multihealable, and Highly Sensitive Strain Sensor Based on a Double Cross-Linked MXene Hydrogel

The ability of a flexible strain sensor to directly adapt the complicated human biological motion or combined gestures and remotely control the artificial intelligence robotics could benefit the wearable electronics such as intelligent robotics and patient healthcare. However, it is a challenge for the flexible strain sensor to simultaneously achieve high sensing performances and stretchability and long sustainability under various deformation stress or damage. Herein, a dual-cross-linked poly(acrylic acid-stearyl methacrylate)/MXene [P(AA-SMA)M] hydrogel with enhanced mechanical stretchability and self-healability is fabricated by importing reversible coordination and hydrophobic interaction into polymer networks. As a result, the hydrogel film not only exhibits high tensile strength (525 kPa) and stretchability (∼2600%) but also achieves repetitive healable property with 843% elongation even after the 20th broken/self-healing cycle. More importantly, the resultant strain sensor delivers a low detection limit, wide sensing range, fast response time, and repeatability of 1000 cycles even after repeated self-healing. So, the sensor can monitor subtle human motions and recognize different handwriting and gestures, which reveals potential applications toward health-care devices, flexible electronics, and human-machine interfacing.

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

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

3D Porous Structure in MXene/PANI Foam for a High-Performance Flexible Pressure Sensor

The fields of electronic skin, man-machine interaction, and health monitoring require flexible pressure sensors with great sensitivity. However, most microstructure designs utilized to fabricate high-performance pressure sensors require complex preparation processes. Here, MXene/polyaniline (PANI) foam with 3D porous structure is achieved by using a steam-induced foaming method. Based on the structure, a flexible piezoresistive sensor is fabricated. It exhibits high sensitivity (690.91 kPa^-1 ), rapid response, and recovery times (106/95 ms) and outstanding fatigue resistance properties (10 000 cycles). The MXene/PANI foam-based pressure sensor can swiftly detect minor pressure and be further used for human activity and health monitoring.

Review of Flexible Wearable Sensor Devices for Biomedical Application

With the development of cross-fertilisation in various disciplines, flexible wearable sensing technologies have emerged, bringing together many disciplines, such as biomedicine, materials science, control science, and communication technology. Over the past few years, the development of multiple types of flexible wearable devices that are widely used for the detection of human physiological signals has proven that flexible wearable devices have strong biocompatibility and a great potential for further development. These include electronic skin patches, soft robots, bio-batteries, and personalised medical devices. In this review, we present an updated overview of emerging flexible wearable sensor devices for biomedical applications and a comprehensive summary of the research progress and potential of flexible sensors. First, we describe the selection and fabrication of flexible materials and their excellent electrochemical properties. We evaluate the mechanisms by which these sensor devices work, and then we categorise and compare the unique advantages of a variety of sensor devices from the perspective of in vitro and in vivo sensing, as well as some exciting applications in the human body. Finally, we summarise the opportunities and challenges in the field of flexible wearable devices.

MXene Film Prepared by Vacuum-Assisted Filtration: Properties and Applications

MXene (Ti3C2Tx) film prepared by vacuum-assisted filtration (V-MXene film) is the most common 2D MXene macroscopic assembly with ultra-high electrical conductivity, tunable interlayer space, diverse surface chemical properties, favorable mechanical properties and so on, showing great commercial value in the fields of energy storage, electromagnetic interference shielding and actuators and so on. This paper focuses on the preparation, properties and applications of V-MXene film, objectively reviews and evaluates the important research progress of V-MXene film in recent years and analyzes the main problems at present. In addition, the development direction and trend of V-MXene film in the future are prospected from the aspects of preparation, property control and application fields, which provide guidance and inspiration for the further development of functional MXene-based films and make contributions to the progress of MXene technology.