Ultrastretchable Organogel/Silicone Fiber-Helical Sensors for Self-Powered Implantable Ligament Strain Monitoring

Gel-Based Triboelectric Nanogenerators for Flexible Sensing: Principles, Properties, and Applications

The rapid development of the Internet of Things and artificial intelligence technologies has increased the need for wearable, portable, and self-powered flexible sensing devices. Triboelectric nanogenerators (TENGs) based on gel materials (with excellent conductivity, mechanical tunability, environmental adaptability, and biocompatibility) are considered an advanced approach for developing a new generation of flexible sensors. This review comprehensively summarizes the recent advances in gel-based TENGs for flexible sensors, covering their principles, properties, and applications. Based on the development requirements for flexible sensors, the working mechanism of gel-based TENGs and the characteristic advantages of gels are introduced. Design strategies for the performance optimization of hydrogel-, organogel-, and aerogel-based TENGs are systematically summarized. In addition, the applications of gel-based TENGs in human motion sensing, tactile sensing, health monitoring, environmental monitoring, human-machine interaction, and other related fields are summarized. Finally, the challenges of gel-based TENGs for flexible sensing are discussed, and feasible strategies are proposed to guide future research.

Evolution of Musculoskeletal Electronics

The musculoskeletal system, constituting the largest human physiological system, plays a critical role in providing structural support to the body, facilitating intricate movements, and safeguarding internal organs. By virtue of advancements in revolutionized materials and devices, particularly in the realms of motion capture, health monitoring, and postoperative rehabilitation, "musculoskeletal electronics" has actually emerged as an infancy area, but has not yet been explicitly proposed. In this review, the concept of musculoskeletal electronics is elucidated, and the evolution history, representative progress, and key strategies of the involved materials and state-of-the-art devices are summarized. Therefore, the fundamentals of musculoskeletal electronics and key functionality categories are introduced. Subsequently, recent advances in musculoskeletal electronics are presented from the perspectives of "in vitro" to "in vivo" signal detection, interactive modulation, and therapeutic interventions for healing and recovery. Additionally, nine strategy avenues for the development of advanced musculoskeletal electronic materials and devices are proposed. Finally, concise summaries and perspectives are proposed to highlight the directions that deserve focused attention in this booming field.

Porous Conductive Textiles for Wearable Electronics

Over the years, researchers have made significant strides in the development of novel flexible/stretchable and conductive materials, enabling the creation of cutting-edge electronic devices for wearable applications. Among these, porous conductive textiles (PCTs) have emerged as an ideal material platform for wearable electronics, owing to their light weight, flexibility, permeability, and wearing comfort. This Review aims to present a comprehensive overview of the progress and state of the art of utilizing PCTs for the design and fabrication of a wide variety of wearable electronic devices and their integrated wearable systems. To begin with, we elucidate how PCTs revolutionize the form factors of wearable electronics. We then discuss the preparation strategies of PCTs, in terms of the raw materials, fabrication processes, and key properties. Afterward, we provide detailed illustrations of how PCTs are used as basic building blocks to design and fabricate a wide variety of intrinsically flexible or stretchable devices, including sensors, actuators, therapeutic devices, energy-harvesting and storage devices, and displays. We further describe the techniques and strategies for wearable electronic systems either by hybridizing conventional off-the-shelf rigid electronic components with PCTs or by integrating multiple fibrous devices made of PCTs. Subsequently, we highlight some important wearable application scenarios in healthcare, sports and training, converging technologies, and professional specialists. At the end of the Review, we discuss the challenges and perspectives on future research directions and give overall conclusions. As the demand for more personalized and interconnected devices continues to grow, PCT-based wearables hold immense potential to redefine the landscape of wearable technology and reshape the way we live, work, and play.

Self-Healable, Self-Adhesive and Degradable MXene-Based Multifunctional Hydrogel for Flexible Epidermal Sensors

Conductive hydrogels have garnered significant interest in the realm of wearable flexible sensors due to their close resemblance to human tissue, wearability, and precise signal acquisition capabilities. However, the concurrent attainment of an epidermal hydrogel sensor incorporating reliable self-healing capabilities, biodegradability, robust adhesiveness, and the ability to precisely capture subtle electrophysiological signals poses a daunting and intricate challenge. Herein, an innovative MXene-based composite hydrogel (PBM hydrogel) with exceptional self-healing, self-adhesive, and versatile functionality is engineered through the integration of conductive MXene nanosheets into a well-structured poly(vinyl alcohol) (PVA) and bacterial cellulose (BC) hydrogel three-dimensional (3D) network, utilizing multiple dynamic cross-linking synergistic repeated freeze-thaw strategy. The hydrogel harnesses the presence of dynamically reversible borax ester bonds and multiple hydrogen bonds between its constituents, endowing it with rapid self-healing efficiency (97.8%) and formidable self-adhesive capability. The assembled PBM hydrogel epidermal sensor possesses a rapid response time (10 ms) and exhibits versatility in detecting diverse external stimuli and human movements such as vocalization, handwriting, joint motion, Morse code signals, and even monitoring infusion status. Additionally, the PBM hydrogel sensor offers the added advantage of swift degradation in phosphate-buffered saline solution (within a span of 56 days) and H2O2 solution (in just 53 min), maintaining an eco-friendly profile devoid of any environmental pollution. This work lays the groundwork for possible uses in electronic skins, interactions between humans and machines, and the monitoring of individualized healthcare.

Broad-Range-Response Battery-Type All-in-one Self-Powered Stretchable Pressure-Sensitive Electronic Skin

Highly sensitive self-powered stretchable electronic skins with the capability of detecting broad-range dynamic and static pressures are urgently needed with the increasing demands for miniaturized wearable electronics, robots, artificial intelligence, etc. However, it remains a great challenge to achieve this kind of electronic skins. Here, unprecedented battery-type all-in-one self-powered stretchable electronic skins with a novel structure composed of pressure-sensitive elastic vanadium pentoxide (V2 O5 ) nanowire-based porous cathode, elastic porous polyurethane /carbon nanotube/polypyrrole anode, and polyacrylamide ionic gel electrolyte are reported. A new battery-type self-powered pressure sensing mechanism involving the output current variation caused by the resistance variation of the electrodes and electrolytes under external pressure is revealed. The battery-type self-powered electronic skins combining high sensitivity, broad response range (1.8 Pa-1.5 MPa), high fatigue resistance, and excellent stability against stretching (50% tensile strain) are achieved for the first time. This work provides a new and versatile battery-type sensing strategy for the design of next-generation all-in-one self-powered miniaturized sensors and electronic skins.

Conventional and pulsed hybrid triboelectric nanogenerator with tunable output time and wider impedance matching range

Sliding grating-structured triboelectric nanogenerators (SG-TENGs) can multiply transferred charge, reduce open-circuit voltage, and increase short-circuit current, which have wide application prospects in self-powered systems. However, conventional SG-TENGs have an ultrahigh internal equivalent impedance, which reduces the output voltage and energy under low load resistances (<10 MΩ). The Pulsed SG-TENGs can reduce the equivalent impedance to near zero by introducing a synchronously triggered mechanical switch (STMS), but its limited output time causes the incomplete charge transfer under high load resistances (>1 GΩ). In this paper, a conventional and pulsed hybrid SG-TENG (CPH-SG-TENG) is developed through rational designing STMS with tunable width and output time. The matching relationship among grid electrode width, contactor width of STMS, sliding speed, and load resistance has been studied, which provides a feasible solution for simultaneous realization of high output energy under small load resistances and high output voltage under high load resistances. The impedance matching range is extended from zero to at least 10 GΩ. The output performance of CPH-SG-TENG under low and high load resistances are demonstrated by passive power management circuit and arc discharge, respectively. The general strategy using tunable STMS combines the advantages of conventional and pulsed TENGs, which has broad application prospects in the fields of TENGs and self-powered systems.

High-Performance Artificial Ligament Made from Helical Polyester Fibers Wrapped with Aligned Carbon Nanotube Sheets

Repairing high-load connective tissues, such as ligaments, by surgically implanting artificial grafts after injury is challenging because they lack biointegration with host bones for stable interfaces. Herein, a high-performance helical composite fiber (HCF) ligament by wrapping aligned carbon nanotube (CNT) sheets around polyester fibers is proposed. Anterior cruciate ligament (ACL) reconstruction surgery shows that HCF grafts could induce effective bone regeneration, thus allowing the narrowing of bone tunnel defects. Such repair of the bone tunnel is in strong contrast to the tunnel enlargement of more than 50% for commercial artificial ligaments made from bare polyester fibers. Rats reconstructed with this HCF ligament show normal jumping, walking, and running without limping. This work allows bone regeneration in vivo through a one-step surgery without seeding cells or transforming growth factors, thereby opening an avenue for high-performance artificial tissues.

Recent Insights about the Role of Gels in Organic Photonics and Electronics

This review article provides an in-depth exploration of the role of gels in the fields of organic electronics and photonics, focusing on their unique properties and applications. Despite their remarkable potential, gel-based innovations remain relatively uncharted in these domains. This brief review aims to bridge the knowledge gap by shedding light on the diverse roles that gels can fulfil in the enhancement of organic electronic and photonic devices. From flexible electronics to light-emitting materials, we delve into specific examples of gel applications, highlighting their versatility and promising outcomes. This work serves as an indispensable resource for researchers interested in harnessing the transformative power of gels within these cutting-edge fields. The objective of this review is to raise awareness about the overlooked research potential of gels in optoelectronic materials, which have somewhat diminished in recent years.

Rapid Radiation Synthesis of a Flexible, Self-Healing, and Adhesive Ionogel with Environmental Tolerance for Multifunctional Strain Sensors

Ionogels are increasingly used in flexible strain sensors, but it is still challenging to incorporate multifunctional properties such as flexibility, self-healing, adhesion, temperature resistance, and electrical conductivity. Herein, a facile and rapid one-step photoinitiated polymerization strategy is employed to prepare multifunctional ionogels by filling a hydrophobic and conductive ionic liquid into a flexible, hydrophobic fluoropolymer matrix. Thanks to the presence of abundant noncovalent interactions (hydrogen-bonding and ion-dipole interactions), the ionogels exhibit high transparency, excellent mechanical properties, self-healing ability, and adhesion. Moreover, rich C-F bonds in the fluoropolymer matrix can eliminate the interference of water molecules, resulting in excellent environmental tolerance such as high and low temperature resistance, waterproofness, and anticorrosion. Furthermore, the ionogel-based wearable strain sensor can sensitively detect and differentiate human movements and subtle muscle movements and serve as a Morse code signal transmitter for information transmission. The presented work provides an effective method to develop versatile flexible conductive ionogels for wearable devices and ionotronics.

Carbon Nanotube Network Topology-Enhanced Iontronic Capacitive Pressure Sensor with High Linearity and Ultrahigh Sensitivity

Flexible capacitive pressure sensors with high sensitivity over a wide pressure range are highly anticipated in the fields of tactile perception and physiological signal monitoring. However, despite the introduction of microstructures on the electrolyte layer, the deformability is still limited due to the size limitation of the microstructures, making it difficult to significantly improve the sensitivity of iontronic capacitive pressure sensors (ICPSs). Here, we propose an innovative strategy of combining carbon nanotubes (CNTs) topological networks and ionic hydrogel micropyramid array microstructures that can significantly enhance the sensitivity of flexible ICPSs for ultrasensitive pressure detection. Compared with other previously reported ICPSs, the sensor developed in this work exhibits an unprecedented sensitivity (Smin > 1050 kPa-1) and a high linear response (R2 > 0.99) in a wide pressure range (0.03-28 kPa) enabled by CNT percolation networks inside the microstructred electrolyte layer. This ultrasensitive and flexible ICPS also can effectively detect pressure from a variety of sources, including sound waves, lightweight objects, and tiny physiological signals, such as pulse rate and heartbeat. This work provides a general strategy to achieve an ICPS with both broader pressure-response range and higher sensitivity, which provides a stable and efficient way for a low-cost, scalable sensor for sensitive tactile sensing in human-computer interaction applications.

Paintable Silicone-Based Corrugated Soft Elastomeric Capacitor for Area Strain Sensing

Recent advances in soft polymer materials have enabled the design of soft machines and devices at multiple scales. Their intrinsic compliance and robust mechanical properties and the potential for a rapid scaling of the production process make them ideal candidates for flexible and stretchable electronics and sensors. Large-area electronics (LAE) made from soft polymer materials that are capable of sustaining large deformations and covering large surfaces and are applicable to complex and irregular surfaces and transducing deformations into readable signals have been explored for structural health monitoring (SHM) applications. The authors have previously proposed and developed an LAE consisting of a corrugated soft elastomeric capacitor (cSEC). The corrugation is used to engineer the directional strain sensitivity by using a thermoplastic styrene-ethylene-butadiene-styrene (SEBS). A key limitation of the SEBS-cSEC technology is the need of an epoxy for reliable bonding of the sensor onto the monitored surface, mainly attributable to the sensor's fabrication process that comprises a solvent that limits its direct deployment through a painting process. Here, with the objective to produce a paintable cSEC, we study an improved solvent-free fabrication method by using a commercial room-temperature-vulcanizing silicone as the host matrix. The matrix is filled with titania particles to form the dielectric layer, yielding a permittivity of 4.05. Carbon black powder is brushed onto the dielectric and encapsulated with the same silicone to form the conductive stretchable electrodes. The sensor is deployed by directly painting a layer of the silicone onto the monitored surface and then depositing the parallel plate capacitor. The electromechanical behavior of the painted silicone-cSEC was characterized and exhibited good linearity, with an R2 value of 0.9901, a gauge factor of 1.58, and a resolution of 70 με. This resolution compared well with that of the epoxied SEBS-cSEC reported in previous work (25 με). Its performance was compared against that of its more mature version, the SEBS-cSEC, in a network configuration on a cantilever plate subjected to a step-deformation and to free vibrations. Results showed that the performance of the painted silicone-sCEC compared well with that of the SEBS-cSEC, but that the use of a silicone paint instead of an epoxy could be responsible for larger noise and the under-estimation of the dominating frequency by 6.7%, likely attributable to slippage.

Nanocomposite conductive hydrogels with Robust elasticity and multifunctional responsiveness for flexible sensing and wound monitoring

Flexible biosensors made from conductive hydrogels have shown tremendous potential in health management and human-machine interfaces. Nevertheless, it remains challenging to fabricate conductive hydrogels with robust resilience and long-term stability. Herein, we report a nanocomposite conductive hydrogel prepared through one-pot radical polymerization of 3-acrylamidophenylboronic acid (APBA) and acrylamide (AM) in the presence of LAPONITE® XLG nanosheet (XLG) stabilized carbon nanotubes (CNTs). Owing to the existence of various non-covalent interactions within the network (B-N coordination, hydrogen bond, and polymer chain entanglement), the hydrogels feature splendid mechanical properties with a tensile strength of 252-323 kPa, fracture strain of 880-1200%, Young's modulus of 48-50 kPa and fracture energy of 911-1078 J m^-2, and exhibit robust elasticity and fatigue resistance during 1000 consecutive tensile and compressive cycles. The hydrogels show remarkable sensing performances (gauge factor up to 9.43) and a broad sensing range of strain (1-300%) and pressure (1-80 kPa), enabling reliable and accurate monitoring of large and tiny motions in daily human life. Moreover, the conductive hydrogels could not only accelerate skin incision healing but also act as smart wearable sensors to monitor the skin wound healing process by detection of local temperature changes.

Self-Powered Biosensors for Monitoring Human Physiological Changes

Human physiological signals have an important role in the guidance of human health or exercise training and can usually be divided into physical signals (electrical signals, blood pressure, temperature, etc.) and chemical signals (saliva, blood, tears, sweat). With the development and upgrading of biosensors, many sensors for monitoring human signals have appeared. These sensors are characterized by softness and stretching and are self-powered. This article summarizes the progress in self-powered biosensors in the past five years. Most of these biosensors are used as nanogenerators and biofuel batteries to obtain energy. A nanogenerator is a kind of generator that collects energy at the nanoscale. Due to its characteristics, it is very suitable for bioenergy harvesting and sensing of the human body. With the development of biological sensing devices, the combination of nanogenerators and classical sensors so that they can more accurately monitor the physiological state of the human body and provide energy for biosensor devices has played a great role in long-range medical care and sports health. A biofuel cell has a small volume and good biocompatibility. It is a device in which electrochemical reactions convert chemical energy into electrical energy and is mostly used for monitoring chemical signals. This review analyzes different classifications of human signals and different forms of biosensors (implanted and wearable) and summarizes the sources of self-powered biosensor devices. Self-powered biosensor devices based on nanogenerators and biofuel cells are also summarized and presented. Finally, some representative applications of self-powered biosensors based on nanogenerators are introduced.

Self-Healing, Thermadapt Triple-Shape Memory Ionomer Vitrimer for Shape Memory Triboelectric Nanogenerator

Benefiting from the associative exchange reaction, vitrimers could be deformed to various shapes while maintaining the integrity of the network, thus being regarded as promising candidates for shape memory polymers. However, it is still a challenge to design the highly desired smart electronic devices with triple and multishape memory performances through a facile method. Here, a novel dual-cross-linked poly(acrylonitrile-co-butyl acrylate-co-hydroxyethyl methacrylate-co-zinc methacrylate) (Zn-PABHM) copolymer was developed via a facile and one-pot free radical polymerization strategy. Ionic cross-linking, the transcarbamoylation reaction, and glass transition were used to fix the permanent shape and two temporary shapes of the obtained ionomer vitrimer, respectively. The thermomechanical and stress relaxation performances of Zn-PABHM vitrimer can be customized by tuning the proportion of the chemical cross-linking and physical cross-linking knots. Furthermore, the Zn-PABHM was employed to construct a shape memory triboelectric nanogenerator, which demonstrates distinctive performance and tunable electrical outputs (37.4-96.0 V) due to variable contact areas enabled by triple shape memory effects. Consequently, the triple-shape memory ionomer vitrimer obtained via a facile and one-pot synthetic strategy has great potential in smart multifunctional electronic devices.

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.