Biomimetic Patch with Wicking-Breathable and Multi-mechanism Adhesion for Bioelectrical Signal Monitoring

Highly Stable Polymeric Electrooculography Electrodes for Contactless Human-Machine Interactions

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

Bionic Wet Adhesive Surface with Micronano Hierarchical Structure for Robust Biosignal Monitoring

In current medical diagnostics, skin patches often experience reduced adhesion forces or even complete failure due to perspiration, thereby compromising the quality and stability of biosignal monitoring. Inspired by the hexagonal prism structure of tree frogs and the hexagonal frame structure of honeybees, we designed a honeybee-treefrog bionic hierarchical patterned surface (HTP) fabricated with polydimethylsiloxane (PDMS), integrating the advantages of both organisms to significantly enhance wet adhesion performance. The adhesion performance of the HTP under various wetting conditions was systematically evaluated by constructing different types and sizes of adhesive surfaces. The results indicate that the HTP can effectively drain excess liquid from the contact interface and maintain high adhesion force. The HTP demonstrated remarkable improvements in both normal and shear adhesion force, with shear adhesion increased by approximately 8-fold and normal adhesion by 4-fold, compared to that of nonpatterned surfaces. Through theoretical modeling and experimental validation, the HTP reduces the height of the liquid bridge at the adhesion interface via the liquid film self-absorption effect, thereby enhancing both normal and shear adhesion. Additionally, the shear adhesion is further improved by the air embolism effect, which is formed by stagnant air pockets under low fluid volume conditions. Beyond superior wet adhesion performance, the HTP also exhibited excellent liquid drainage capability and reusability. Applied to skin patches, the HTP showcased its potential for electrocardiogram (ECG) monitoring, demonstrating strong biocompatibility and biosignal detection capabilities, offering new solutions for wearable medical devices.

Bioinspired Flexible Epidermal Electronics with Superior Gas Permeability and Unidirectional Water Transport Capability

Epidermal electronics are extensively used in human-machine interfaces and wearable sensors. However, managing sweat and gas permeability at the skin-device interface to ensure comfort and prevent skin damage during prolonged use remains a key challenge. Inspired by the fog collection mechanism of cactus spines and trichomes, this work develops a biomimetic, flexible epidermal electronic device with high gas permeability and unidirectional water transport capability. The device exhibits excellent flexibility (Young's modulus: 0.02 MPa), breathability (electrode: 3551.63 g day-1 m-2, substrate: 3795.38 g day-1 m-2), unidirectional water transport (1.09 s), and antigravity water transport (2.50 s). Notably, during continuous sweating (5 h) and extended wear (7 days), it demonstrates outstanding electromyography (EMG) signal acquisition, with a signal-to-noise ratio (SNR) approximately 58 times higher than that of commercial electrodes. This offers promising potential for advancing high-performance, wearable human-machine interface electronics.

Multi-Mechanism Collaborative Bionic Fixation Technique Between a Wide Range of Solid Interfaces

For rough surfaces, stable, fast, and repeatable fixation has wide applicability in transportation, fire protection, and other fields. Different rough surfaces present technical challenges for achieving convenient and reliable fixation. Based on the highly adhesive attachment structures of typical organisms, a multi-mechanism (negative pressure adsorption, mechanical locking, and chemical bonding) cooperative bionic fixation device is proposed. The device is equipped with a suction disc with gradient guide channels, a microneedles friction-enhancing unit, and fast-curable UV glue. These components work together to complete the fixation. The detachment work (max. 5.7 and 5.5 J) and pull-off force (max. 377 and 175 N) are evaluated on sandpaper of different roughness under vertical and horizontal pulling respectively. By analyzing the detachment process and experimental curves, the cooperative principle of the multi-mechanism is identified. In addition, the microneedles with soft backing at the bionic fixation device bottom improve its adaptability to rough surfaces. The gradient guide channels of the suction disc create Laplace pressure to speed up the UV glue flow and shorten fixation time. Furthermore, its applicability is demonstrated by combining it with monitoring equipment and an adult to attach to rough surfaces.

Design Strategy, On-Demand Control, and Biomedical Engineering Applications of Wet Adhesion

The adhesion of tissues to external devices is fundamental to numerous critical applications in biomedical engineering, including tissue and organ repair, bioelectronic interfaces, adhesive robotics, wearable electronics, biomedical sensing and actuation, as well as medical monitoring, treatment, and healthcare. A key challenge in this context is that tissues are typically situated in aqueous and dynamic environments, which poses a bottleneck to further advancements in these fields. Wet adhesion technology (WAT) presents an effective solution to this issue. In this review, we summarize the three major design strategies and control methods of wet adhesion, comprehensively and systematically introducing the latest applications and advancements of WAT in the field of biomedical engineering. First, single adhesion mechanism under the frameworks of the three design strategies is systematically introduced. Second, control methods for adhesion are comprehensively summarized, including spatiotemporal control, detachment control, and reversible adhesion control. Third, a systematic summary and discussion of the latest applications of WAT in biomedical engineering research and education were presented, with a particular focus on innovative applications such as tissue-electronic interface devices, ingestible devices, end-effector components, in vivo medical microrobots, and medical instruments and equipment. Finally, opportunities and challenges encountered in the design and development of wet adhesives with advanced adhesive performance and application prospects are discussed.

Stretchable and Self-Adhesive Conductors for Smart Epidermal Electronics

Epidermal electronics utilize deformable devices that are seamlessly integrated into the body for various cutting-edge applications. Stretchable conductors are essential for creating electrodes in these devices, allowing them to interface with the skin for sensing and stimulation. Despite considerable progress in improved deformability, these conductors may not easily adhere to the skin for long-term use. There is a growing interest in imparting self-adhesive properties to epidermal devices to ensure secure integration with the body. This article focuses on the emerging field of stretchable and self-adhesive conductors. It explores the design strategy required to enable stretchability and conformability in these materials and discusses their pivotal applications in smart epidermal electronics. Additionally, this article also addresses the current challenges and future directions in this dynamic area of research.

Low-Contact Impedance Textile Electrode for Real-Time Detection of ECG Signals

The quality of the electrocardiography (ECG) signals depends on the effectiveness of the electrode-skin connection. However, current electrocardiogram electrodes (ECGE) often face challenges such as high contact impedance and unstable conductive networks, which hinder accurate measurement during movement and long-term wearability. Herein, in this work, a bionic 3D pile textile as an ECGE with high electrical conductivity and flexibility is prepared by a facile, continuous, and high-efficiency electrostatic self-assembly process. Integrating pile textiles with conductive materials creates a full textile electrode for bioelectrical signal detection that can retain both the inherent characteristics of textiles and high conductivity. Moreover, the dense piles on the textile surface make full contact with the skin, mitigating motion artifacts caused by the sliding between the textile and the skin. The continuous conductive network formed by the interconnected piles allows the pile textile ECGE (PT-ECGE) to function effectively under both static and dynamic conditions. Leveraging the unique pile structure, the PT-ECGE achieves superior flexibility, improved conductivity, low contact impedance, and high adaptivity, washability, and durability. The textile electrode, as a promising candidate for wearable devices, offers enormous application possibilities for the unconscious and comfortable detection of physiological signals.

Semi-liquid metal-based highly permeable and adhesive electronic skin inspired by spider web

Soft and stretchable electronics have garnered significant attention in various fields, such as wearable electronics, electronic skins, and soft robotics. However, current wearable electronics made from materials like conductive elastomers, hydrogels, and liquid metals face limitations, including low permeability, poor adhesion, inadequate conductivity, and limited stretchability. These issues hinder their effectiveness in long-term healthcare monitoring and exercise monitoring. To address these challenges, we introduce a novel design of web-droplet-like electronics featuring a semi-liquid metal coating for wearable applications. This innovative design offers high permeability, excellent stretchability, strong adhesion, and good conductivity for the electronic skin. The unique structure, inspired by the architecture of a spider web, significantly enhances air permeability compared to commercial breathable patches. Furthermore, the distribution of polyborosiloxane mimics the adhesive properties of spider web mucus, while the use of semi-liquid metals in this design results in remarkable conductivity (9 × 106 S/m) and tensile performance (up to 850% strain). This advanced electronic skin technology enables long-term monitoring of various physiological parameters and supports machine learning recognition functions with unparalleled advantages. This web-droplet structure design strategy holds great promise for commercial applications in medical health monitoring and disease diagnosis.

Three-Dimensional Electrodes of Liquid Metals for Long-Term, Wireless Cardiac Analysis and Modulation

Cardiovascular disease is a major public health issue, and smart diagnostic approaches play an important role in the analysis of electrocardiograms. Here, we present three-dimensional, soft electrodes of liquid metals that can be conformably attached to the surfaces of the heart and skin for long-term cardiac analysis. The fine micropillar structures of biocompatible liquid metals enable precise targeting to small tissue areas, allowing for spatiotemporal mapping and modulation of cardiac electrical activity with high resolution. The low mechanical modulus of these liquid-metal electrodes not only helps avoid inflammatory responses triggered by modulus mismatch between the tissue and electrodes, but also minimizes pain when embedded in biological tissues such as the skin and heart. Furthermore, in vivo experiments with animal models and human trials demonstrate long-term and accurate monitoring of electrocardiograms over a period of 30 days.

Biomimetic Wearable Sensors: Emerging Combination of Intelligence and Electronics

Owing to the advancement of interdisciplinary concepts, for example, wearable electronics, bioelectronics, and intelligent sensing, during the microelectronics industrial revolution, nowadays, extensively mature wearable sensing devices have become new favorites in the noninvasive human healthcare industry. The combination of wearable sensing devices with bionics is driving frontier developments in various fields, such as personalized medical monitoring and flexible electronics, due to the superior biocompatibilities and diverse sensing mechanisms. It is noticed that the integration of desired functions into wearable device materials can be realized by grafting biomimetic intelligence. Therefore, herein, the mechanism by which biomimetic materials satisfy and further enhance system functionality is reviewed. Next, wearable artificial sensory systems that integrate biomimetic sensing into portable sensing devices are introduced, which have received significant attention from the industry owing to their novel sensing approaches and portabilities. To address the limitations encountered by important signal and data units in biomimetic wearable sensing systems, two paths forward are identified and current challenges and opportunities are presented in this field. In summary, this review provides a further comprehensive understanding of the development of biomimetic wearable sensing devices from both breadth and depth perspectives, offering valuable guidance for future research and application expansion of these devices.

Design and synthesis of bioinspired nanomaterials for biomedical application

Natural materials and bioprocesses provide abundant inspirations for the design and synthesis of high-performance nanomaterials. In the past several decades, bioinspired nanomaterials have shown great potential in the application of biomedical fields, such as tissue engineering, drug delivery, and cancer therapy, and so on. In this review, three types of bioinspired strategies for biomedical nanomaterials, that is, inspired by the natural structures, biomolecules, and bioprocesses, are mainly introduced. We summarize and discuss the design concepts and synthesis approaches of various bioinspired nanomaterials along with their specific roles in biomedical applications. Additionally, we discuss the challenges for the development of bioinspired biomedical nanomaterials, such as mechanical failure in wet environment, limitation in scale-up fabrication, and lack of deep understanding of biological properties. It is expected that the development and clinical translation of bioinspired biomedical nanomaterials will be further promoted under the cooperation of interdisciplinary subjects in future. This article is categorized under: Implantable Materials and Surgical Technologies > Nanomaterials and Implants Therapeutic Approaches and Drug Discovery > Emerging Technologies.

Bioinspired nanoplatforms for human-machine interfaces: Recent progress in materials and device applications

The panoramic characteristics of human-machine interfaces (HMIs) have prompted the needs to update the biotechnology community with the recent trends, developments, and future research direction toward next-generation bioelectronics. Bioinspired materials are promising for integrating various bioelectronic devices to realize HMIs. With the advancement of scientific biotechnology, state-of-the-art bioelectronic applications have been extensively investigated to improve the quality of life by developing and integrating bioinspired nanoplatforms in HMIs. This review highlights recent trends and developments in the field of biotechnology based on bioinspired nanoplatforms by demonstrating recently explored materials and cutting-edge device applications. Section 1 introduces the recent trends and developments of bioinspired nanomaterials for HMIs. Section 2 reviews various flexible, wearable, biocompatible, and biodegradable nanoplatforms for bioinspired applications. Section 3 furnishes recently explored substrates as carriers for advanced nanomaterials in developing HMIs. Section 4 addresses recently invented biomimetic neuroelectronic, nanointerfaces, biointerfaces, and nano/microfluidic wearable bioelectronic devices for various HMI applications, such as healthcare, biopotential monitoring, and body fluid monitoring. Section 5 outlines designing and engineering of bioinspired sensors for HMIs. Finally, the challenges and opportunities for next-generation bioinspired nanoplatforms in extending the potential on HMIs are discussed for a near-future scenario. We believe this review can stimulate the integration of bioinspired nanoplatforms into the HMIs in addition to wearable electronic skin and health-monitoring devices while addressing prevailing and future healthcare and material-related problems in biotechnologies.

Harmonizing Thickness and Permeability in Bone Tissue Engineering: A Novel Silk Fibroin Membrane Inspired by Spider Silk Dynamics

Guided bone regeneration gathers significant interest in the realm of bone tissue engineering; however, the interplay between membrane thickness and permeability continues to pose a challenge that can be addressed by the water-collecting mechanism of spider silk, where water droplets efficiently move from smooth filaments to rough conical nodules. Inspired by the natural design of spider silk, an innovative silk fibroin membrane is developed featuring directional fluid transportation via harmoniously integrating a smooth, dense layer with a rough, loose layer; conical microchannels are engineered in the smooth and compact layer. Consequently, double-layered membranes with cone-shaped microporous passageways (CSMP-DSF membrane) are designed for in situ bone repair. Through extensive in vitro testing, it is noted that the CSMP-DSF membrane guides liquid flow from the compact layer's surface to the loose layer, enabling rapid diffusion. Remarkably, the CSMP-DSF membrane demonstrates superior mechanical properties and resistance to bacterial adhesion. When applied in vivo, the CSMP-DSF membrane achieves results on par with the commercial Bio-Gide collagen membranes. This innovative integration of a cross-thickness wetting gradient structure offers a novel solution, harmonizing the often-conflicting requirements of material transport, mechanical strength, and barrier effectiveness, while also addressing issues related to tissue engineering scaffold perfusion.

Superhydrophobic Flexible Strain Sensors Constructed Using Nanomaterials: Their Fabrications and Sustainable Applications

Superhydrophobic flexible strain sensors, which combine superhydrophobic coatings with highly sensitive flexible sensors, significantly enhance sensor performance and expand applications in human motion monitoring. Superhydrophobic coatings provide water repellency, surface self-cleaning, anti-corrosion, and anti-fouling properties for the sensors. Additionally, they enhance equipment durability. At present, many studies on superhydrophobic flexible sensors are still in the early research stage; the wear resistance and stability of sensors are far from reaching the level of industrial application. This paper discusses fundamental theories such as the wetting mechanism, tunneling effect, and percolation theory of superhydrophobic flexible sensors. Additionally, it reviews commonly used construction materials and principles of these sensors. This paper discusses the common preparation methods for superhydrophobic flexible sensors and summarizes the advantages and disadvantages of each method to identify the most suitable approach. Additionally, this paper summarizes the wide-ranging applications of the superhydrophobic flexible sensor in medical health, human motion monitoring, anti-electromagnetic interference, and de-icing/anti-icing, offering insights into these fields.

A sweat-pH-enabled strongly adhesive hydrogel for self-powered e-skin applications

On-skin hydrogel electrodes are poorly conformable in sweaty scenarios due to low electrode-skin adhesion resulting from the sweat film formed on the skin surface, which seriously hinders practical applications. In this study, we fabricated a tough adhesive cellulose-nanofibril/poly(acrylic acid) (CNF/PAA) hydrogel with tight hydrogen-bond (H-bond) networks based on a common monomer and a biomass resource. Furthermore, inherent H-bonded network structures can be disrupted through judicious engineering using excess hydronium ions produced through sweating, which facilitate the transition to protonation and modulate the release of active groups (i.e., hydroxyl and carboxyl groups) accompanied by a pH drop. The lower pH enhances adhesive performance, especially on skin, with a 9.7-fold higher interfacial toughness (453.47 vs. 46.74 J m^-2), an 8.6-fold higher shear strength (600.14 vs. 69.71 kPa), and a 10.4-fold higher tensile strength (556.44 vs. 53.67 kPa) observed at pH 4.5 compared to the corresponding values at pH 7.5. Our prepared hydrogel electrode remains conformable on sweaty skin when assembled as a self-powered electronic skin (e-skin) and enables electrophysiological signals to be reliably collected with high signal-to-noise ratios when exercising. The strategy presented here promotes the design of high-performance adhesive hydrogels that may serve to record continuous electrophysiological signals under real-life conditions (beyond sweating) for various intelligent monitoring systems.