Highly Air/Water-Permeable Hierarchical Mesh Architectures for Stretchable Underwater Electronic Skin Patches

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.

Robustly Repeatable, Permeable, and Multi-Axially Stretchable, Adhesive Bioelectronics With Super-adaptive Conductive Suction Cups for Continuously Deformable Biosurfaces

Skin-integrated wearable bioelectronics offer immense potential for continuous health monitoring, diagnosis, and personalized therapy. However, robustly repeatable and permeable adhesive interfaces with omnidirectional stretchability for adaptability to continuously deforming skin surface remain a critical challenge and often results in issues such as delamination, void, and signal degradation. This study presents a highly adaptable bioelectronic device with a repeatable, robust and biocompatible adhesive interfaces designed for dynamic wet skin surfaces. The device integrates a conductive softened-double-layered octopus-inspired nanocomposites adhesive and kirigami metastructure (cs-OIA_k). The cs-OIA_k achieves skin-like softness, electrical stability (ΔR/R0 < 10, under 10 000 cycles) and omnidirectional stretchability (a maximum of 200%) to accommodate skin deformation. Additionally, the hierarchical structural design of cs-OIA_k enables repeatable robust adhesion (> 10 000 cycles) and vertical alignment to ensure reversible adhesion against dynamically deforming surface (-30% to 100%, depending on skin thickness, site, and age) without skin irritation. Based on these characteristics, the highly adaptable skin-adhesive bioelectronics are demonstrated to achieve reliable electrocardiogram (ECG) and electromyogram (EMG) signal measurements even under shoulder movements with extreme skin deformation. This approach utilizing multi-axially stretchable, repeatable robust adhesives, permeable and biocompatible bioelectronics provides new insights for the development of advanced wearable systems and human-machine interfaces.

Customized surface adhesive and wettability properties of conformal electronic devices

Conformal and body-adaptive electronics have revolutionized the way we interact with technology, ushering in a new era of wearable devices that can seamlessly integrate with our daily lives. However, the inherent mismatch between artificially synthesized materials and biological tissues (caused by irregular skin fold, skin hair, sweat, and skin grease) needs to be addressed, which can be realized using body-adaptive electronics by rational design of their surface adhesive and wettability properties. Over the past few decades, various approaches have been developed to enhance the conformability and adaptability of bioelectronics by (i) increasing flexibility and reducing device thickness, (ii) improving the adhesion and wettability between bioelectronics and biological interfaces, and (iii) refining the integration process with biological systems. Successful development of a conformal and body-adaptive electronic device requires comprehensive consideration of all three aspects. This review starts with the design strategies of conformal electronics with different surface adhesive and wettability properties. A series of conformal and body-adaptive electronics used in the human body under both dry and wet conditions are systematically discussed. Finally, the current challenges and critical perspectives are summarized, focusing on promising directions such as telemedicine, mobile health, point-of-care diagnostics, and human-machine interface applications.

Nanoscale Strategies for Enhancing the Performance of Adhesive Dry Electrodes for the Skin

High-quality electrophysiological monitoring requires electrodes to maintain a compliant and stable skin contact. This necessitates low impedance, good skin compliance, and strong adhesion to ensure continuous and stable contact under dynamic conditions. In this context, adhesive epidermal dry electrodes are advancing rapidly, which is promising for long-term applications in clinical diagnosis, wearable health monitoring, and human-machine interfaces. However, challenges persist, as conventional technologies usually fall short of meeting the high standards required for electrophysiological electrodes. This Perspective discusses four key aspects for high-performance epidermal electrodes from an adhesive perspective: initial adhesion, water resistance, dynamic stability, and removal simplicity. We review recent nanoscale strategies addressing these issues, providing a comprehensive guideline to enhance the application performance of epidermal dry electrodes. Additionally, we explore key nanoscale strategies and their associated functions, future technology roadmaps, and prospects for dry adhesive epidermal electrodes.

A Double-Layer Polyurethane Electrospun Membrane with Directional Sweat Transport Ability for Use as a Soft Strain Sensor

Wearable electronics for long-term monitoring of physiological signals should be capable of removing sweat generated during daily motion, which significantly impacts signal stability, human comfort, and safety of the electronics. In this study, we developed a double-layer polyurethane (PU) membrane with sweat-directional transport ability that can be applied for monitoring strain signals. The PU membrane was composed of a hydrophilic, conductive layer and a relatively hydrophobic layer. The double-layer PU composite membrane exhibited varied pore size and opposite hydrophilicity on its two sides, enabling the spontaneous pumping of sweat from the hydrophobic side to the hydrophilic side, i.e., the directional transport of sweat. The membrane can be used as a strain sensor to monitor motion strain over a broad working range of 0% to 250% with high sensitivity (GF = 4.11). The sensor can also detect simple human movements even under sweating conditions. We believe that the strategy demonstrated here will provide new insights into the design of next-generation strain sensors.

Bioelectronics for electrical stimulation: materials, devices and biomedical applications

Bioelectronics is a hot research topic, yet an important tool, as it facilitates the creation of advanced medical devices that interact with biological systems to effectively diagnose, monitor and treat a broad spectrum of health conditions. Electrical stimulation (ES) is a pivotal technique in bioelectronics, offering a precise, non-pharmacological means to modulate and control biological processes across molecular, cellular, tissue, and organ levels. This method holds the potential to restore or enhance physiological functions compromised by diseases or injuries by integrating sophisticated electrical signals, device interfaces, and designs tailored to specific biological mechanisms. This review explains the mechanisms by which ES influences cellular behaviors, introduces the essential stimulation principles, discusses the performance requirements for optimal ES systems, and highlights the representative applications. From this review, we can realize the potential of ES based bioelectronics in therapy, regenerative medicine and rehabilitation engineering technologies, ranging from tissue engineering to neurological technologies, and the modulation of cardiovascular and cognitive functions. This review underscores the versatility of ES in various biomedical contexts and emphasizes the need to adapt to complex biological and clinical landscapes it addresses.

Bioinspired Touch-Responsive Hydrogels for On-Demand Adhesion on Rough Surfaces

Reversible adhesives are widely needed in our daily lives and industrial applications. However, robust and switchable adhesion on rough surfaces with on-demand attachment and detachment remains highly challenging. Here, we report a snail-mucus-inspired touch-responsive hydrogel (TRH), whose universal and robust adhesion is triggered by simple contact with the attaching surface. TRH is composed of a polymeric hydrogel and saturated sodium acetate (NaAc) and is prepared by one-pot synthesis. At room temperature, TRH remains in an amorphous and soft state, which allows it to conformally adapt to rough surfaces. The contact with the target surface triggers the crystallization of NaAc, which increases the modulus of TRH by an order of magnitude and interlocks with the target surfaces, achieving an adhesion of up to 204.84 ± 53.98 kPa. Upon heating, TRH returns to a soft state, facilitating easy detachment with adhesion of 5.12 ± 1.34 kPa. Meanwhile, the detached TRH is ready for the next adhesion without the need to be maintained at high temperature. TRH finds applications as a smart material for light-triggered adhesion switching, information encryption, and temperature sensors.

Solvent-Free and Cost-Efficient Fabrication of a High-Performance Nanocomposite Sensor for Recording of Electrophysiological Signals

Carbon nanotube (CNT)-based nanocomposites have found applications in making sensors for various types of physiological sensing. However, the sensors' fabrication process is usually complex, multistep, and requires longtime mixing and hazardous solvents that can be harmful to the environment. Here, we report a flexible dry silver (Ag)/CNT/polydimethylsiloxane (PDMS) nanocomposite-based sensor made by a solvent-free, low-temperature, time-effective, and simple approach for electrophysiological recording. By mechanical compression and thermal treatment of Ag/CNT, a connected conductive network of the fillers was formed, after which the PDMS was added as a polymer matrix. The CNTs make a continuous network for electrons transport, endowing the nanocomposite with high electrical conductivity, mechanical strength, and durability. This process is solvent-free and does not require a high temperature or complex mixing procedure. The sensor shows high flexibility and good conductivity. High-quality electroencephalography (EEG) and electrooculography (EOG) were performed using fabricated dry sensors. Our results show that the Ag/CNT/PDMS sensor has comparable skin-sensor interface impedance with commercial Ag/AgCl-coated dry electrodes, better performance for noninvasive electrophysiological signal recording, and a higher signal-to-noise ratio (SNR) even after 8 months of storage. The SNR of electrophysiological signal recording was measured to be 26.83 dB for our developed sensors versus 25.23 dB for commercial Ag/AgCl-coated dry electrodes. Our process of compress-heating the functional fillers provides a universal approach to fabricate various types of nanocomposites with different nanofillers and desired electrical and mechanical properties.

Materials-Driven Soft Wearable Bioelectronics for Connected Healthcare

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

Adhesive Wearable Sensors for Electroencephalography from Hairy Scalp

Electroencephalography has garnered interest for applications in mobile healthcare, human-machine interfaces, and Internet of Things. Conventional electroencephalography relies on wet and dry electrodes. Despite favorable interface impedance of wet electrodes and skin, the application of a large amount of gel at their interface with skin limits the electroencephalography spatial resolution, increases the risk of shorting between electrodes, and makes them unsuited for long-term mobile recording. In contrast, dry electrodes are better suited for long-term recordings but susceptible to motion artifacts. In addition, both wet and dry electrodes are non-adhesive to the hairy scalp and mechanical support, or chemical adhesives are used to hold them in place. Herein, a conical microstructure array (CMSA) based sensor made of carbon nanotube-polydimethylsiloxane composite is reported. The CMSA sensor is fabricated using the innovative, cost-effective, and scalable method of viscosity-controlled dip-pull process. The sensor adheres to the hairy scalp by generating negative pressure in its conical microstructures when it is pressed against scalp. Aided by the application of a trace amount of gel, CMSA sensor establishes good electrical contact with the skin, enabling its applications in mobile electroencephalography over extended periods. Notably, the signal quality of CMSA sensors is comparable to that of medical-grade wet gel electrodes.

Toward a new generation of permeable skin electronics

Skin-mountable electronics are considered to be the future of the next generation of portable electronics, due to their softness and seamless integration with human skin. However, impermeable materials limit device comfort and reliability for long-term, continuous usage. The recent emergence of permeable skin-mountable electronics has attracted tremendous attention in the soft electronics field. Herein, we provide a comprehensive and systematic review of permeable skin-mountable electronics. Typical porous materials and structures are first highlighted, followed by discussion of important device properties. Then, we review the latest representative applications of breathable skin-mountable electronics, such as bioelectrical sensors, temperature sensors, humidity and hydration sensors, strain and pressure sensors, and energy harvesting and storage devices. Finally, a conclusion and future directions for permeable skin electronics are provided.

Advanced Bionic Attachment Equipment Inspired by the Attachment Performance of Aquatic Organisms: A Review

In nature, aquatic organisms have evolved various attachment systems, and their attachment ability has become a specific and mysterious survival skill for them. Therefore, it is significant to study and use their unique attachment surfaces and outstanding attachment characteristics for reference and develop new attachment equipment with excellent performance. Based on this, in this review, the unique non-smooth surface morphologies of their suction cups are classified and the key roles of these special surface morphologies in the attachment process are introduced in detail. The recent research on the attachment capacity of aquatic suction cups and other related attachment studies are described. Emphatically, the research progress of advanced bionic attachment equipment and technology in recent years, including attachment robots, flexible grasping manipulators, suction cup accessories, micro-suction cup patches, etc., is summarized. Finally, the existing problems and challenges in the field of biomimetic attachment are analyzed, and the focus and direction of biomimetic attachment research in the future are pointed out.

Ultrapermeable and Wet-Adhesive Monolayer Porous Film for Stretchable Epidermal Electrode

Noninvasive electrophysiological signal monitoring is significant for health care and scientific research. The simultaneous achievement of wet adhesion, stretchability, breathability, and low contact impedance is highly recommended in the epidermal electrode but still challenging. In this work, a monolayer porous film electrode with a pore size and wall thickness of less than ∼10 μm is fabricated via the breath figure method (BFM) and metal sputtering, and it was subsequently applied using epidermal electrophysiological monitoring. The ultrahigh permeability is comparable to the naked skin because the through holes of the monolayer porous film match well with the pores on human skin. The stretchability of 50% is realized with the combination of Au microcrack and the monolayer porous structure. The wet adhesion of 0.17 N/cm is established on the chemical bonding between the electrode and the epidermis. The contact impedance is comparable with the gold standard Ag/AgCl gel electrode, especially after sweating. Stable and precise electrophysiological signals are measured. Especially, the perspiration resistance of the monolayer porous film outperforms that of the gel electrode. The monolayer porous structure provides a new avenue to improve the breathability of the epidermal electronics.

Flexible Hybrid Electronics Nanofiber Electrodes with Excellent Stretchability and Highly Stable Electrical Conductivity for Smart Clothing

In this paper, a side-by-side, dual-nozzle electrospinning process was used to prepare a flexible hybrid electronics (FHE) material with excellent stretchable properties. A highly stable electrical conductivity was also imparted to the resulting membrane electrodes using silver nanoparticles (AgNPs) and carbon-based nanomaterials of different structures. The AgNP/carbon-based nanomaterials were coated onto bicomponent polymer nanofibers (composed of polyurethane (PU) and polyvinylidene difluoride (PVDF)) on the nanofiber membrane. The FHE nanofiber electrodes were finally integrated into clothing designed to accurately measure human body sensing signals (e.g., electrocardiography (ECG) and electromyography (EMG) signals). To effectively increase the high electrical conductivity, a polymer-type dispersant (polyisobutylene-b-poly(oxyethylene)-b-polyisobutylene, a triblock copolymer) was used to effectively and stably disperse AgNPs with different particle sizes and carbon-based nanomaterials with different geometric dimensions (e.g., zero-dimensional carbon black, one-dimensional carbon nanotubes, and two-dimensional graphene) through non-covalent adsorption. Moreover, the bicomponent PVDF-PU nanofibers were immersed in a mixed dispersant of AgNPs and carbon-based nanomaterials at low concentrations, and thermal post-treatment was conducted to improve the electrical conductivity. The AgNP/graphene oxide (GO) nanofiber electrode exhibited a continuous phase with a stable material microstructure after 5000 repetitions of 50% tension-tension fatigue testing. The waveform pattern obtained from the proposed AgNP/GO nanofiber electrode was compared with those of traditional ECG and EMG electrodes. The nanofiber web electrode treated with organic/inorganic mixed dispersants and verified via tests of its electrical and fatigue properties was found to be suitable for long-term ECG and EMG monitoring, and it has excellent potential in wearable smart sensors.

Stretchable Sponge Electrodes for Long-Term and Motion-Artifact-Tolerant Recording of High-Quality Electrophysiologic Signals

Soft electronic devices and sensors have shown great potential for wearable and ambulatory electrophysiologic signal monitoring applications due to their light weight, ability to conform to human skin, and improved wearing comfort, and they may replace the conventional rigid electrodes and bulky recording devices widely used nowadays in clinical settings. Herein, we report an elastomeric sponge electrode that offers greatly reduced electrode-skin contact impedance, an improved signal-to-noise ratio (SNR), and is ideally suited for long-term and motion-artifact-tolerant recording of high-quality biopotential signals. The sponge electrode utilizes a porous polydimethylsiloxane sponge made from a sacrificial template of sugar cubes, and it is subsequently coated with a poly(3,4-ethylenedioxythiophene) polystyrenesulfonate (PEDOT:PSS) conductive polymer using a simple dip-coating process. The sponge electrode contains numerous micropores that greatly increase the skin-electrode contact area and help lower the contact impedance by a factor of 5.25 or 6.7 compared to planar PEDOT:PSS electrodes or gold-standard Ag/AgCl electrodes, respectively. The lowering of contact impedance resulted in high-quality electrocardiogram (ECG) and electromyogram (EMG) recordings with improved SNR. Furthermore, the porous structure also allows the sponge electrode to hold significantly more conductive gel compared to conventional planar electrodes, thereby allowing them to be used for long recording sessions with minimal signal degradation. The conductive gel absorbed into the micropores also serves as a buffer layer to help mitigate motion artifacts, which is crucial for recording on ambulatory patients. Lastly, to demonstrate its feasibility and potential for clinical usage, we have shown that the sponge electrode can be used to monitor uterine contraction activities from a patient in labor. With its low-cost fabrication, softness, and ability to record high SNR biopotential signals, the sponge electrode is a promising platform for long-term wearable health monitoring applications.

Highly Conformal Polymers for Ambulatory Electrophysiological Sensing

Stable ambulatory electrophysiological sensing is widely utilized for smart e-healthcare monitoring, clinical diagnosis of cardiovascular diseases, treatment of neurological diseases, and intelligent human-machine interaction. As the favorable signal interaction platform of electrophysiological sensing, the conformal property of on-skin electrodes is an extremely crucial factor that can affect the stability of long-term ambulatory electrophysiological sensing. From the perspective of materials, to realize conformal contact between electrodes and skin for stable sensing, highly conformal polymers are strongly demanding and attracting ever-growing attention. In this review, we focused on the recent progress of highly conformal polymers for ambulatory electrophysiological sensing, including their synthetic methods, conformal property, and potential applications. Specifically, three main types of highly conformal polymers for stable long-term electrophysiological signals monitoring were proposed, including nature silk fibroin based conformal polymers, marine mussels bio-inspired conformal polymers, and other conformal polymers such as zwitterionic polymers and polyacrylamide. Furthermore, the future challenges and opportunities of preparing highly conformal polymers for on-skin electrodes were also highlighted. This article is protected by copyright. All rights reserved.

High-Adhesive Flexible Electrodes and Their Manufacture: A Review

All human activity is associated with the generation of electrical signals. These signals are collectively referred to as electrical physiology (EP) signals (e.g., electrocardiogram, electroencephalogram, electromyography, electrooculography, etc.), which can be recorded by electrodes. EP electrodes are not only widely used in the study of primary diseases and clinical practice, but also have potential applications in wearable electronics, human-computer interface, and intelligent robots. Various technologies are required to achieve such goals. Among these technologies, adhesion and stretchable electrode technology is a key component for rapid development of high-performance sensors. In last decade, remarkable efforts have been made in the development of flexible and high-adhesive EP recording systems and preparation technologies. Regarding these advancements, this review outlines the design strategies and related materials for flexible and adhesive EP electrodes, and briefly summarizes their related manufacturing techniques.

Biomimetic Microstructured Hydrogels with Thermal-Triggered Switchable Underwater Adhesion and Stable Antiswelling Property

The design of hydrogels with switchable adhesion and stable antiswelling property in a wet environment has remained a challenge. Here, we report a biomimetic hydrogel that can adhere and detach on-demand on various material surfaces, which is realized by thermal-triggered switchable shape transformation on hexagonal micropillar patterned hydrogels. The hydrogels are cross-linked by two cross-linkers of poly(ethylene glycol) dimethacrylate and 2-ureidoethyl methacrylate, which guarantee the strong mechanical property and stable antiswelling property in a wet environment. The hydrogels can maintain stable water content in solutions with variable pH, temperature, and salt concentration, and the change in volume does not exceed 2%. In addition, due to the dynamical hydrogen bonds and dipole-dipole interaction in the hydrogels, the hydrogels exhibit a thermal-triggered shape-memory effect. The hydrogel can recover shape more than 80% in 15 s. Furthermore, inspired by the surface structure of tree-frog footpads, the hexagonal micropillar patterned hydrogels exhibit improved underwater adhesion strength. The underwater adhesion strength of hexagonal micropillar patterned hydrogels is seven times more than that of flat hydrogels. Based on the shape-memory effect of hydrogels, the adhesion strength can be altered by a thermal stimulus. The adhesion strength of the microstructures recovered from the hydrogel surface decreased to 15.4% of the initial adhesion strength. The switchable underwater adhesion of hydrogels can be applied in the fields of transfer printing, medical adhesives, mobile robots, etc.

Bioinspired Microsphere-Embedded Adhesive Architectures for an Electrothermally Actuating Transport Device of Dry/Wet Pliable Surfaces

For highly conformable and universal transport devices, bioinspired dry adhesion systems with reversible molecular attractions (e.g., van der Waals forces, capillarity, or suction stress) between the engaged surfaces have recently become favorable for various dry/wet processes in flexible devices and medical applications. In addition, many efforts have been made for switchable attachments of such adhesives by employing costly sophisticated systems such as mechanically deformable chucks, UV-radiating components, or fluidic channels. In this work, we propose a simple electrothermally actuating transport device based on an octopus-inspired microsphere-embedded sucker (OMS). The adhesive with microsphere-embedded suckers offers enhanced adhesion on dry/wet surfaces, in accordance with investigation of the geometric and materials parameters of the novel suction architecture for maximizing adhesion interactions. Inspired by muscle actuation of octopus tentacles, we laminate the electrothermally reactive poly(3,4-ethylenedioxy thiophene):poly(styrenesulfonic acid) (PEDOT:PSS) layer on the backside of the OMS adhesive patch. By controlling inputs of electrical energy, our assembled actuator may actively expand and contract reversibly to induce switchable attachments and detachments. Our bioinspired device can be integrated onto a robotic arm to attach and release against dry/wet flexible thin objects.