Low-impedance tissue-device interface using homogeneously conductive hydrogels chemically bonded to stretchable bioelectronics

Supramolecular Conductive Hydrogels With Homogeneous Ionic and Electronic Transport

Mechanically resilient hydrogels with ion-electron mixed transport properties effectively bridge biology with electronics. An ideal bioelectronic interface can be realized through introducing electronically conductive polymers into supramolecular hydrogels. However, inhomogeneous morphologies of conducting polymers, such as poly(3,4-ethylenedioxythiophene):poly(styrene sulfonate) (PEDOT:PSS), have limited mechanical properties and ion-electron interactions. Here, supramolecular conductive hydrogels that possess homogeneous ionic and electronic transport are achieved. The materials demonstrate high toughness (620 kJ m-3), stretchability (>1000%), softness (10.5 kPa), and conductivity (5.8 S cm-1), which surpasses commonly used inhomogeneous PEDOT:PSS-based hydrogels. The homogeneous network leads to higher charge injection capacitance and lower skin impedance compared to commercial electrodes or commonly used inhomogeneous PEDOT:PSS conducting networks. This significant advance arises from the homogeneous incorporation of the hydrophilic self-doped conducting polymer S-PEDOT, which has polymerized within a supramolecular polymer network template mediated by high-binding affinity host-guest crosslinks. Furthermore, the compatibility of S-PEDOT with hydrophilic secondary networks enables the realization of fully dryable and reswellable electronic devices, facilitating reusability and improving their ease of handling. It is anticipated that achieving such material architectures will offer a promising new direction in future synthesis and implementation of conductive hydrogels in the field of bioelectronics.

Catheter-Integrated Fractal Microelectronics for Low-Voltage Ablation and Minimally Invasive Sensing

Pulse field ablation (PFA) has become a popular technique for treating tens of millions of patients with atrial fibrillation, as it avoids many complications associated with traditional radiofrequency ablation. However, currently, limited studies have used millimeter-scale rigid electrodes modified from radiofrequency ablation to apply electrical pulses of thousands of volts without integrated sensing capabilities. Herein, we combine fractal microelectronics with biomedical catheters for low-voltage PFA, detection of electrode-tissue contact, and interventional electrocardiogram recording. The fractal configuration increases the ratio of the microelectrode insulating edge to area, which facilitates the transfer of current from the microelectrode to the tissue, increasing the ablation depth by 38.6% at 300 V (a 10-fold reduction compared to current technology). In vivo ablation experiments on living beagles successfully block electrical conduction, as demonstrated by voltage mapping and electrical pacing. More impressively, this study provides the first evidence that microelectrodes can selectively ablate cardiomyocytes without damaging nerves and blood vessels, greatly improving the safety of PFA. These results are essential for the clinical translation of PFA in the field of cardiac electrophysiology.

Noninvasive assessment of a bioconductive patch for treating atrial fibrillation with magnetic resonance imaging

Electrical and structural remodeling disrupt atrial electrical conduction, leading to atrial fibrillation (AF). Epicardially delivered conductive biomaterial patches can effectively transmit electrical signals and potentially diminish AF. However, given the progressive nature of AF development, continuous and noninvasive monitoring is essential for assessing the therapeutic efficacy of these patches over time. In this study, superparamagnetic iron oxide nanoparticles (SPIO NPs) are synthesized and used to label a bio-conductive patch made of poly-3-amino-4-methoxybenzoic acid (PAMB) conjugated to gelatin (PAMBG-NP). Incorporating SPIO NPs does not alter the mechanical, electrical, or biocompatible properties of PAMBG. PAMBG-NP restores conduction velocity, suppresses rotor generation, and prevents re-entry currents, thereby relieving AF burden in an in vitro pacing model. In vivo, a bell-shaped PAMBG-NP patch is applied to the right and left atria of KCNE1 knockout mice. Compared to its Gelatin-NP counterpart, PAMBG-NP significantly reduces AF duration and enhances post-AF recovery over a 60-day period. Furthermore, magnetic resonance imaging indicates that PAMBG-NP degrades more slowly than Gelatin-NP, along with having a reduced incidence of AF in PAMBG-NP-treated animals. Therefore, incorporating SPIO NPs into PAMBG enables real-time, in vivo monitoring, potentially facilitating the noninvasive evaluation of its therapeutic efficacy.

Advances in Electrically Conductive Hydrogels: Performance and Applications

Electrically conductive hydrogels are highly hydrated 3D networks consisting of a hydrophilic polymer skeleton and electrically conductive materials. Conductive hydrogels have excellent mechanical and electrical properties and have further extensive application prospects in biomedical treatment and other fields. Whereas numerous electrically conductive hydrogels have been fabricated, a set of general principles, that can rationally guide the synthesis of conductive hydrogels using different substances and fabrication methods for various application scenarios, remain a central demand of electrically conductive hydrogels. This paper systematically summarizes the processing, performances, and applications of conductive hydrogels, and discusses the challenges and opportunities in this field. In view of the shortcomings of conductive hydrogels in high electrical conductivity, matchable mechanical properties, as well as integrated devices and machines, it is proposed to synergistically design and process conductive hydrogels with applications in complex surroundings. It is believed that this will present a fresh perspective for the research and development of conductive hydrogels, and further expand the application of conductive hydrogels.

An ICU-grade breathable cardiac electronic skin for health, diagnostics, and intraoperative and postoperative monitoring

Cardiovascular digital health technologies potentially outperform traditional clinical equipment through their noninvasive, on-body, and portable monitoring with mass cardiac data beyond the confines of inpatient settings. However, existing cardiovascular wearables have difficulty with providing medical-grade accuracy with a chronically comfortable and stable patient/consumer device interface for reliable clinical decision-making. Here, we develop an intensive care unit (ICU)-grade breathable cardiac electronic skin system (BreaCARES) for real-time, wireless, continuous, and comfortable cardiac care. BreaCARES enables a novel digital cardiac care platform for health care, outpatient diagnostics, stable intraoperative monitoring during heart surgery, and continuous and comfortable inpatient postoperative cardiac care, exhibiting ICU-grade accuracy while having superior anti-interference stability, portability, and long-term on-skin biocompatibility to the clinically and commercially available cardiac monitors in cardiovascular ICUs.

Long-term adhesion durability revealed through a rheological paradigm

The question of how long an object can adhere to a surface has intrigued scientists for centuries. Traditional studies focus on rapid crack-propagation detachment and account only for short-term adhesion governed by interfacial-viscoelastic dissipation, failing to explain long-term phenomena like sudden detachment after prolonged adherence and to predict corresponding adhesion lifetimes. Here, we investigate the long-term adhesion through a rheological paradigm using both theory and experiment. By considering both the bulk rheology and interfacial viscoelasticity mechanisms, we show that long-term adhesion durability is governed by the competition between them. This understanding leads to accurate lifetime predictions, which we validate through experiments. In addition, our study reveals a previously undocumented, counterintuitive phenomenon unique to long-term adhesion: the expansion of the contact area under tensile forces, in contrast to short-term adhesion in which the contact area always shrinks during detachment. This research fills a critical gap in adhesion physics.

Intrinsically Adhesive and Conductive Hydrogel Bridging the Bioelectronic-Tissue Interface for Biopotentials Recording

Achieving high-quality biopotential signal recordings requires soft and stable interfaces between soft tissues and bioelectronic devices. Traditional bioelectronics, typically rigid and dependent on medical tape or sutures, lead to mechanical mismatches and inflammatory responses. Existing conducting polymer-based bioelectronics offer tissue-like softness but lack intrinsic adhesion, limiting their effectiveness in creating stable, conductive interfaces. Here, we present an intrinsically adhesive and conductive hydrogel with a tissue-like modulus and strong adhesion to various substrates. Adhesive catechol groups are incorporated into the conductive poly(3,4-ethylenedioxythiophene) (PEDOT) hydrogel matrix, which reduces the PEDOT size and improves dispersity to form a percolating network with excellent electrical conductivity and strain insensitivity. This hydrogel effectively bridges the bioelectronics-tissue interface, ensuring pristine signal recordings with minimal interference from bodily movements. This capability is demonstrated through comprehensive in vivo experiments, including electromyography and electrocardiography recordings on both static and dynamic human skin and electrocorticography on moving rats. This hydrogel represents a significant advancement for bioelectronic interfaces, facilitating more accurate and less intrusive medical diagnostics.

Developing tough, fatigue-resistant and conductive hydrogels via in situ growth of metal dendrites

Developing hydrogels with high conductivity and toughness via a facile strategy is important yet challenging. Herein, we proposed a new strategy to develop conductive hydrogels by growing metal dendrites. Water-soluble Sn2+ ions were soaked into the gel and then converted to Sn dendrites via an electrochemical reaction; the excessive Sn2+ ions were finally removed by water dialysis, accompanied by dramatic shrinkage of the gel. Based on in situ transformation from metal ions to dendrites, the method integrated the advantages of ionic conductive fillers, such as LiCl (uniform dispersion), and electrical fillers, such as metal particles (high conductivity). Additionally, the morphology of metal dendrites combined advantages of 1D nanowires (large aspect ratio of the branches) and 2D nanosheets (large specific surface area of the skeleton). The strategy was found to be effective across diverse gel systems (non-ionic, anionic, cationic and zwitterionic). The dense, highly conductive and branched Sn dendrites not only formed a conductive pathway but also interacted with the polymer network to transfer stress and dissipate energy. The resultant gel exhibited a high conductivity of 12.5 S m-1, fracture energy of 1334.0 J m-2, and fatigue threshold of 720 J m-2. Additionally, the gel exhibited excellent sensitivity when used as a wearable strain sensor and bioelectrode. We believe this strategy offers new insights into the development of conductive hydrogels.

Functional-hydrogel-based electronic-skin patch for accelerated healing and monitoring of skin wounds

Conductive hydrogels feature reasonable electrical performance as well as tissue-like mechanical softness, thus positioning them as promising material candidates for soft bio-integrated electronics. Despite recent advances in materials and their processing technologies, however, facile patterning and monolithic integration of functional hydrogels (e.g., conductive, low-impedance, adhesive, and insulative hydrogels) for all-hydrogel-based soft bioelectronics still poses significant challenges. Here, we report material design, fabrication, and integration strategies for an electronic-skin (e-skin) patch based on functional hydrogels. The e-skin patch was fabricated by using photolithography-compatible functional hydrogels, such as poly(2-hydroxyethyl acrylate) (PHEA) hydrogel (substrate), Ag flake hydrogel (interconnection; conductivity: ∼571.43 S/cm), poly(3,4-ethylenedioxythiophene:polystyrene) (PEDOT:PSS) hydrogel (working electrode; impedance: ∼69.84 Ω @ 1 Hz), polydopamine (PDA) hydrogel (tissue adhesive; shear strength: ∼725.1 kPa), and poly(vinyl alcohol) (PVA) hydrogel (encapsulation). The properties of these functional hydrogels closely resemble those of human tissues in terms of water content and Young's modulus, enabling stable tissue-device interfacing in dynamically changing physiological environments. We demonstrated the efficacy of the e-skin patch through its application to accelerated healing and monitoring of skin wounds in mouse models - efficient fibroblast migration, proliferation, and differentiation promoted by electric field (EF) stimulation and iontophoretic drug delivery, and monitoring of the accelerated healing process through impedance mapping. The all-hydrogel-based e-skin patch is expected to create new opportunities for various clinically-relevant tissue interfacing applications.

Advances in wearable electronics for monitoring human organs: Bridging external and internal health assessments

Devices used for diagnosing disease are often large, expensive, and require operation by trained professionals, which can result in delayed diagnosis and missed opportunities for timely treatment. However, wearable devices are being recognized as a new approach to overcoming these difficulties, as they are small, affordable, and easy to use. Recent advancements in wearable technology have made monitoring information possible from the surface of organs like the skin and eyes, enabling accurate diagnosis of the user's internal status. In this review, we categorize the body's organs into external (e.g., eyes, oral cavity, neck, and skin) and internal (e.g., heart, brain, lung, stomach, and bladder) organ systems and introduce recent developments in the materials and designs of wearable electronics, including electrochemical and electrophysiological sensors applied to each organ system. Further, we explore recent innovations in wearable electronics for monitoring of deep internal organs, such as the heart, brain, and nervous system, using ultrasound, electrical impedance tomography, and temporal interference stimulation. The review also addresses the current challenges in wearable technology and explores future directions to enhance the effectiveness and applicability of these devices in medical diagnostics. This paper establishes a framework for correlating the design and functionality of wearable electronics with the physiological characteristics and requirements of various organ systems.

Functional Hydrogels for Implantable Bioelectronic Devices

In recent years, with the rapid development of flexible electronics, implantable electronic devices have received increasing attention, and they provide new solutions for medical diagnosis and treatment. To ensure the long-term and stable operation of electronic devices in the internal environment, materials with conductivity, flexibility, biocompatibility, and other properties are in high demand. Hydrogels are polymers with three-dimensional network structures that not only have physical and chemical properties similar to those of biological tissues but can be also modulated by introducing functional groups to regulate the conductivity, adhesion, self-healing, and other functions. Therefore, hydrogel-based implantable bioelectronic devices are considered to be a candidate development direction in the future of the biomedical field. Here, this paper reviews the research progress in the molecular design and performance modulation of functionalized hydrogels based on four key properties of hydrogels: conductivity, self-healing, adhesion, and toughness. The latest progress in the use of functionalized hydrogels in implantable bioelectronic device applications is summarized below. Finally, discussions are given on the challenges and opportunities of hydrogels for implantable bioelectronic devices.

A linearly programmable strategy for polymer elastomer mechanics

The mechanical properties of polymer elastomer materials, such as strength and ductility, play important roles in a wide range of applications, including the carrying of major equipment and the construction of infrastructure. However, owing to the widespread disordered physicochemical bonding and unpredictable internal phase separation phenomenon, traditional materials show a complex nonlinear correlation between the material structure and its performance, which makes it difficult to accurately adapt to the performance requirements of various specific application scenarios. In view of the above challenges, this paper innovatively proposes a strategy to achieve linear programmability in the mechanical properties of polymer elastomer materials. Instead of increasing the entropy value of the material, which may be brought about by the traditional physical composite method, this strategy adopts a unique path of introducing special dynamic chain segments (AlPUs). This innovative design leads to a highly ordered microscopic hydrogen bonding arrangement within the elastomer, which effectively reduces the free volume within the material, thus bringing the mechanical response of the material closer to the ideal state. Furthermore, by fine-tuning the content of material components, we are able to achieve linear control of key mechanical indexes, such as tensile strength and elongation at break, which is a significant advantage in terms of precision, range of adjustment, and versatility. The successful implementation of this work opens up a new way toward logical, fine and intelligent design and preparation of polymer materials, providing a solid materials science foundation and unlimited possibilities to promote technological innovation and development in the field of future major equipment and infrastructure.

Metalgel Fiber with Excellent Electrical and Mechanical Properties

With the rapid advancement of soft electronics, particularly the rise of fiber electronics and smart textiles, there is an urgent need to develop high-performance fiber materials with both excellent electrical and mechanical properties. However, existing fiber materials including metal fibers, carbon-based fibers, intrinsically conductive polymer fibers, and composite fibers struggle to simultaneously meet the requirements. Here, we introduce a metalgel fiber with a unique structure. In metalgel fibers, liquid metal forms a continuum, extending throughout the entire volume of nanostructured fucoidan polymer networks, which are immobilized by electrostatic interactions. The distinctive structure imparts the fiber with metallic conductivity (2.8 × 106 S·m-1), softness (Young's modulus of 1.8 MPa), and stable electromechanical coupling properties (resistance change <5% after 20,000 times pressing, stretching, bending, and twisting cycles). The metalgel fibers were woven into multifunctional smart textiles, highlighting their potential for practical applications.

Emerging Combination of Hydrogel and Electrochemical Biosensors

Electrochemical sensors are among the most promising technologies for biomarker research, with outstanding sensitivity, selectivity, and rapid response capabilities that make them important in medical diagnostics and prognosis. Recently, hydrogels have gained attention in the domain of electrochemical biosensors because of their superior biocompatibility, excellent adhesion, and ability to form conformal contact with diverse surfaces. These features provide distinct advantages, particularly in the advancement of wearable biosensors. This review examines the contemporary utilization of hydrogels in electrochemical sensing, explores strategies for optimization and prospective development trajectories, and highlights their distinctive advantages. The objective is to provide an exhaustive overview of the foundational principles of electrochemical sensing systems, analyze the compatibility of hydrogel properties with electrochemical methodologies, and propose potential healthcare applications to further illustrate their applicability. Despite significant advances in the development of hydrogel-based electrochemical biosensors, challenges persist, such as improving material fatigue resistance, interfacial adhesion, and maintaining balanced water content across various environments. Overall, hydrogels have immense potential in flexible biosensors and provide exciting opportunities. However, resolving the current obstacles will necessitate additional research and development efforts.

Bacteriorhodopsin-Based pH Sensor for Cell Culture Condition Regulation

In cell culture research and biotechnology, precise pH monitoring is crucial for maintaining cellular health and ensuring reliable experimental outcomes. Traditional pH measurement methods, such as glass electrodes and chemical indicators, are often limited by issues such as fragility, calibration requirements, and potential cytotoxicity. This study presents a novel pH sensor based on bacteriorhodopsin (bR), a light-sensitive protein that undergoes conformational changes in response to pH fluctuations, generating a measurable photoelectric signal. The integrated bR-based electrochemical electrode in a flexible pH biosensor is demonstrated, with measurements spanning the physiological pH range of 6.0-8.5. The sensor shows a high correlation (R2 = 0.977) between photo-generated current signals and pH, indicating robust performance for real-time, non-invasive pH monitoring. The biocompatibility and non-invasive nature of this sensor make it particularly suitable for continuous monitoring in cell culture environments. The sensor's practical application is validated by its integration into cell well plates for tracking the pH changes during cell growth, providing valuable insights into metabolic processes and growth conditions. In the future, efforts will focus on enhancing sensor sensitivity, stability, and integration with multi-parameter monitoring systems for more comprehensive cell culture analysis.

In-Ear Electronics with Mechanical Adaptability for Physiological Sensing

Significant developments have been made in the field of wearable healthcare by utilizing soft materials for the construction of electronic sensors. However, the lack of adaptability to complex topologies, such as ear canal, results in inadequate sensing performance. Here, we report an in-ear physiological sensor with mechanical adaptability, which softens upon contact with the ear canal's skin, thus reducing the sensor-skin mechanical mismatch and interface impedance. An efficient strategy of mechanical adjustment and switching is exploited to increase the softness of the device, leading to a significant decrease in Young's modulus from 30.5 MPa of thermoplastic polyurethane (TPU) to 0.86 MPa of TPU/Ecoflex foam (TEF).The mechanical adaptability at body temperature endows the in-ear device improved device-canal contact area and interface stability. As a result, the TEF-based in-ear device demonstrates reliable sensing, low motion artifact, and high comfort in electroencephalography (EEG) and core body temperature sensing. High quality EEG signals of alpha, beta, delta, and gamma are measured during different activities. Moreover, the TEF-based in-ear device exhibits high reusability for over 4 months, which makes it suitable for long-term healthcare monitoring.

Hydrogels in wearable neural interfaces

The integration of wearable neural interfaces (WNIs) with the human nervous system has marked a significant progression, enabling progress in medical treatments and technology integration. Hydrogels, distinguished by their high-water content, low interfacial impedance, conductivity, adhesion, and mechanical compliance, effectively address the rigidity and biocompatibility issues common in traditional materials. This review highlights their important parameters-biocompatibility, interfacial impedance, conductivity, and adhesiveness-that are integral to their function in WNIs. The applications of hydrogels in wearable neural recording and neurostimulation are discussed in detail. Finally, the opportunities and challenges faced by hydrogels for WNIs are summarized and prospected. This review aims to offer a thorough examination of hydrogel technology's present landscape and to encourage continued exploration and innovation. As developments progress, hydrogels are poised to revolutionize wearable neural interfaces, offering significant enhancements in healthcare and technological applications.

Graphical Abstract

Breathable and Stretchable Epidermal Electronics for Health Management: Recent Advances and Challenges

Advanced epidermal electronic devices, capable of real-time monitoring of physical, physiological, and biochemical signals and administering appropriate therapeutics, are revolutionizing personalized healthcare technology. However, conventional portable electronic devices are predominantly constructed from impermeable and rigid materials, which thus leads to the mechanical and biochemical disparities between the devices and human tissues, resulting in skin irritation, tissue damage, compromised signal-to-noise ratio (SNR), and limited operational lifespans. To address these limitations, a new generation of wearable on-skin electronics built on stretchable and porous substrates has emerged. These substrates offer significant advantages including breathability, conformability, biocompatibility, and mechanical robustness, thus providing solutions for the aforementioned challenges. However, given their diverse nature and varying application scenarios, the careful selection and engineering of suitable substrates is paramount when developing high-performance on-skin electronics tailored to specific applications. This comprehensive review begins with an overview of various stretchable porous substrates, specifically focusing on their fundamental design principles, fabrication processes, and practical applications. Subsequently, a concise comparison of various methods is offered to fabricate epidermal electronics by applying these porous substrates. Following these, the latest advancements and applications of these electronics are highlighted. Finally, the current challenges are summarized and potential future directions in this dynamic field are explored.

Stabilizing Metal Coating on Flexible Devices by Ultrathin Protein Nanofilms

The significant modulus difference between a metal coating and a polymer substrate leads to interface mismatches, seriously affecting the stability of flexible devices. Therefore, enhancing the adhesion stability of a metal layer on an inert polymer substrate to prevent delamination becomes a key challenge. Herein, an ultrathin protein nanofilm (UPN), synthesized by disulfide-bond-reducing protein aggregation, is proposed as a strong adhesive layer to enhance adhesion between polymer substrate and metal coating. Unlike traditional biopolymer adhesives with micrometer-scale thicknesses, the UPN layer is minimized to nanometer/single-molecular scale. Such UPN thereby effectively enhances the interfacial adhesive strength and reduces the cohesion contribution in the entire adhesion system by directly connecting two interfaces with a nearly single-molecular thickness. Using UPN as the adhesive layer, a multifunctional metal coating could be reliably adhered on flexible polymer substrates by ion sputtering, delivering unprecedented adhesion stability even under repetitive mechanical deformation. Applications of this design include reversible transparency control, tension-responsive encryption, reusable optical sensing, and wearable capacitive touch sensors. This work highlights UPN's potential to create strong bonding strength between flexible polymers and metal coatings, offering a biocompatible solution with high surface activity and low cohesion, facilitating the development of hybrid devices with stable metal nano-coating.

Nanomaterials for Flexible Neuromorphics

The quest to imbue machines with intelligence akin to that of humans, through the development of adaptable neuromorphic devices and the creation of artificial neural systems, has long stood as a pivotal goal in both scientific inquiry and industrial advancement. Recent advancements in flexible neuromorphic electronics primarily rely on nanomaterials and polymers owing to their inherent uniformity, superior mechanical and electrical capabilities, and versatile functionalities. However, this field is still in its nascent stage, necessitating continuous efforts in materials innovation and device/system design. Therefore, it is imperative to conduct an extensive and comprehensive analysis to summarize current progress. This review highlights the advancements and applications of flexible neuromorphics, involving inorganic nanomaterials (zero-/one-/two-dimensional, and heterostructure), carbon-based nanomaterials such as carbon nanotubes (CNTs) and graphene, and polymers. Additionally, a comprehensive comparison and summary of the structural compositions, design strategies, key performance, and significant applications of these devices are provided. Furthermore, the challenges and future directions pertaining to materials/devices/systems associated with flexible neuromorphics are also addressed. The aim of this review is to shed light on the rapidly growing field of flexible neuromorphics, attract experts from diverse disciplines (e.g., electronics, materials science, neurobiology), and foster further innovation for its accelerated development.

A Simple Preparation of Crosslinked, Highly Alkaline Diallyldimethylammonium Hydroxide Hydrogel Particles via Inverse Static Anion Exchange

Highly alkaline hydrogels are gaining increasing attention in building materials research. Specifically, cationic alkaline hydrogels based on diallyldimethylammonium hydroxide (DADMAOH) as the monomer have been effectively used to seal water-bearing cracks or serve as coupling media for electrochemical chloride extraction. However, the residual halogen content and challenges in scaling up monomer production have hindered broader application. Attempts to use a commercially available cation-selective membrane for ion exchange achieved up to 90% chloride-to-hydroxide switch, but the approach proved ineffective due to significant monomer decomposition during the process. By contrast, neutral gels and gel particles can be readily prepared from diallyldimethylammonium chloride (DADMAC) in large quantities and with a wide range of compositions. It is demonstrated here that these neutral gel particles undergo inverse static anion exchange when suspended in NaOH solution, generating DADMAOH particles with residual halide contents of <0.3%, without the need for ion-selective or dialysis membranes. This corresponds to an up to 100-fold reduction in residual chloride content compared to particles produced directly from alkaline monomer solutions, thereby significantly enhancing the efficiency of hydroxide ion release. The swelling behaviour of the particles is primarily influenced by the initial monomer concentration, while conductivity remains largely unaffected, indicating that charge transport occurs mainly along the particle surface. Despite the pronounced increase in swelling with decreasing particle radii, the specific conductivity of 2.8 Ω-1 m-1 is still sufficient for their use as coupling media in concrete applications. In summary, the alkaline particles prepared via inverse static anion exchange meet all necessary requirements for building materials applications, offering a broader range of tuneable properties and greater ease of production compared to gels or particles derived from DADMAOH.

Surface-Grafted Biocompatible Polymer Conductors for Stable and Compliant Electrodes for Brain Interfaces

Durable and conductive interfaces that enable chronic and high-resolution recording of neural activity are essential for understanding and treating neurodegenerative disorders. These chronic implants require long-term stability and small contact areas. Consequently, they are often coated with a blend of conductive polymers and are crosslinked to enhance durability despite the potentially deleterious effect of crosslinking on the mechanical and electrical properties. Here the grafting of the poly(3,4 ethylenedioxythiophene) scaffold, poly(styrenesulfonate)-b-poly(poly(ethylene glycol) methyl ether methacrylate block copolymer brush to gold, in a controlled and tunable manner, by surface-initiated atom-transfer radical polymerization (SI-ATRP) is described. This "block-brush" provides high volumetric capacitance (120 F cm─3), strong adhesion to the metal (4 h ultrasonication), improved surface hydrophilicity, and stability against 10 000 charge-discharge voltage sweeps on a multiarray neural electrode. In addition, the block-brush film showed 33% improved stability against current pulsing. This approach can open numerous avenues for exploring specialized polymer brushes for bioelectronics research and application.

MRI and CT compatible asymmetric bilayer hydrogel electrodes for EEG-based brain activity monitoring

The exploration of multi-dimensional brain activity with high temporal and spatial resolution is of great significance in the diagnosis of neurological disease and the study of brain science. Although the integration of electroencephalogram (EEG) with magnetic resonance imaging (MRI) and computed tomography (CT) provides a potential solution to achieve a brain-functional image with high spatiotemporal resolution, the critical issues of interface stability and magnetic compatibility remain challenging. Therefore, in this research, we proposed a conductive hydrogel EEG electrode with an asymmetrical bilayer structure, which shows the potential to overcome the challenges. Benefiting from the bilayer structure with different moduli, the hydrogel electrode exhibits high biological and mechanical compatibility with the heterogeneous brain-electrode interface. As a result, the impedance can be reduced compared with conventional metal electrodes. In addition, the hydrogel-based ionic conductive electrodes, which are free from metal conductors, are compatible with MRI and CT. Therefore, they can obtain high spatiotemporal resolution multi-dimensional brain information in clinical settings. The research outcome provides a new approach for establishing a platform for early diagnosis of brain diseases and the study of brain science.

Biomedical Application of Enzymatically Crosslinked Injectable Hydrogels

Hydrogels have garnered significant interest in the biomedical field owing to their tissue-like properties and capability to incorporate various fillers. Among these, injectable hydrogels have been highlighted for their unique advantages, especially their minimally invasive administration mode for implantable use. These injectable hydrogels can be utilized in their pristine forms or as composites by integrating them with therapeutic filler materials. Given their primary application in implantable platforms, enzymatically crosslinked injectable hydrogels have been actively explored due to their excellent biocompatibility and easily controllable mechanical properties for the desired use. This review introduces the crosslinking mechanisms of such hydrogels, focusing on those mediated by horseradish peroxidase (HRP), transglutaminase (TG), and tyrosinase. Furthermore, several parameters and their relationships with the intrinsic properties of hydrogels are investigated. Subsequently, the representative biomedical applications of enzymatically crosslinked-injectable hydrogels are presented, including those for wound healing, preventing post-operative adhesion (POA), and hemostasis. Furthermore, hydrogel composites containing filler materials, such as therapeutic cells, proteins, and drugs, are analyzed. In conclusion, we examine the scientific challenges and directions for future developments in the field of enzymatically crosslinked-injectable hydrogels, focusing on material selection, intrinsic properties, and filler integration.

3D printed multi-coupled bioinspired skin-electronic interfaces with enhanced adhesion for monitoring and treatment

Skin-electronic interfaces have broad applications in fields such as diagnostics, therapy, health monitoring, and smart wearables. However, they face various challenges in practical use. For instance, in wet environments, the cohesion of the material may be compromised, and under dynamic conditions, maintaining conformal adhesion becomes difficult, leading to reduced sensitivity and fidelity of electrical signal transmission. The key scientific issue lies in forming a stable and tight mechanical-electronic coupling at the tissue-electronic interface. Here, inspired by octopus sucker structures and snail mucus, we propose a strategy for hydrogel skin-electronic interfaces based on multi-coupled bioinspired adhesion and introduce an ultrasound (US)-mediated interfacial toughness enhancement mechanism. Ultimately, using digital light processing micro-nano additive manufacturing technology (DLP 3D), we have developed a multifunctional, diagnostic-therapeutic integrated patch (PAMS). This patch exhibits moderate water swelling properties, a maximum deformation of up to 460%, high sensitivity (GF = 4.73), and tough and controllable bioadhesion (shear strength increased by 109.29%). Apart from outstanding mechanical and electronic properties, the patch also demonstrates good biocompatibility, anti-bacterial properties, photothermal properties, and resistance to freezing at -20 °C. Experimental results show that this skin-electronic interface can sensitively monitor temperature, motion, and electrocardiogram signals. Utilizing a rat frostbite model, we have demonstrated that this skin-electronic interface can effectively accelerate the wound healing process as a wound patch. This research offers a promising strategy for improving the performance of bioelectronic devices, sensor-based educational reforms and personalized diagnostics and therapeutics in the future. STATEMENT OF SIGNIFICANCE: Establishing stable and tight mechanical-electronic coupling at the tissue-electronic interface is essential for the diverse applications of bioelectronic devices. This study aims to develop a multifunctional, diagnostic-therapeutic integrated hydrogel skin-electronic interface patch with enhanced interfacial toughness. The patch is based on a multi-coupled bioinspired adhesive-enhanced mechanism, allowing for personalized 3D printing customization. It can be used as a high-performance diagnostic-therapeutic sensor and effectively promote frostbite wound healing. We anticipate that this research will provide new insights for constructing the next generation of multifunctional integrated high-performance bioelectronic interfaces.

A selective frequency damping and Janus adhesive hydrogel as bioelectronic interfaces for clinical trials

Maintaining stillness is essential for accurate bioelectrical signal acquisition, but dynamic noise from breathing remains unavoidable. Isotropic adhesives are often used as bioelectronic interfaces to ensure signal fidelity, but they can leave irreversible residues, compromising device accuracy. We propose a hydrogel with selective frequency damping and asymmetric adhesion as a bioelectronic interface. This hydrogel mitigates dynamic noise from breathing, with a damping effect in the breathing frequency range 60 times greater than at other frequencies. It also exhibits an asymmetric adhesion difference of up to 537 times, preventing residues. By homogenizing ion distribution, extending Debye length, and densifying the electric field, the hydrogel ensures stable signal transmission over 10,000 cycles. Additionally, it can non-invasively diagnose otitis media with higher sensitivity than invasive probes and has been effective in clinical polysomnography monitoring, aiding in the diagnosis of obstructive sleep apnea.

Introductory Review of Soft Implantable Bioelectronics Using Conductive and Functional Hydrogels and Hydrogel Nanocomposites

Interfaces between implantable bioelectrodes and tissues provide critical insights into the biological and pathological conditions of targeted organs, aiding diagnosis and treatment. While conventional bioelectronics, made from rigid materials like metals and silicon, have been essential for recording signals and delivering electric stimulation, they face limitations due to the mechanical mismatch between rigid devices and soft tissues. Recently, focus has shifted toward soft conductive materials, such as conductive hydrogels and hydrogel nanocomposites, known for their tissue-like softness, biocompatibility, and potential for functionalization. This review introduces these materials and provides an overview of recent advances in soft hydrogel nanocomposites for implantable electronics. It covers material strategies for conductive hydrogels, including both intrinsically conductive hydrogels and hydrogel nanocomposites, and explores key functionalization techniques like biodegradation, bioadhesiveness, injectability, and self-healing. Practical applications of these materials in implantable electronics are also highlighted, showcasing their effectiveness in real-world scenarios. Finally, we discuss emerging technologies and future needs for chronically implantable bioelectronics, offering insights into the evolving landscape of this field.

Hydrotalcite-Enhanced Tough and Strong Hydrogel Endowed by Coordination and Electrostatic Interactions for Both Strain and Pressure Sensors

Polymer hydrogels have a wide range of applications in the field of flexible wearable devices from the perspective of easy commercialization and environmental compatibility. However, traditional hydrogels often fail to achieve adequate mechanical strength and performance such as toughness, resilience, and ionic conductivity. Herein, a significant enhancement of tensile strength in 2 orders of magnitude (from 36 kPa to 1.5 MPa) is obtained by the introduction of hydrotalcite into polymer network via multiple, multilevel, and strong interactions of strengthened interface interactions, and the enhancement effect is superior to most of known records. Meanwhile, the enhanced conductivity may be rationally attributed to effective channels of hydrotalcite for ion transport. As a result, high toughness (9.5 MJ/m3), stretchability (1520%), excellent resilience (100% rebound of 400% strain), high conductivity (2.6 mS/cm), and low-temperature resistance are successfully achieved. The work shows an efficient approach to design desired ultratough and multifunctional hydrogels.

Highly Conductive and Stretchable Hydrogel Nanocomposite Using Whiskered Gold Nanosheets for Soft Bioelectronics

The low electrical conductivity of conductive hydrogels limits their applications as soft conductors in bioelectronics. This low conductivity originates from the high water content of hydrogels, which impedes facile carrier transport between conductive fillers. This study presents a highly conductive and stretchable hydrogel nanocomposite comprising whiskered gold nanosheets. A dry network of whiskered gold nanosheets is fabricated and then incorporated into the wet hydrogel matrices. The whiskered gold nanosheets preserve their tight interconnection in hydrogels despite the high water content, providing a high-quality percolation network even under stretched states. Regardless of the type of hydrogel matrix, the gold-hydrogel nanocomposites exhibit a conductivity of ≈520 S cm-1 and a stretchability of ≈300% without requiring a dehydration process. The conductivity reaches a maximum of ≈3304 S cm-1 when the density of the dry gold network is controlled. A gold-adhesive hydrogel nanocomposite, which can achieve conformal adhesion to moving organ surfaces, is fabricated for bioelectronics demonstrations. The adhesive hydrogel electrode outperforms elastomer-based electrodes in in vivo epicardial electrogram recording, epicardial pacing, and sciatic nerve stimulation.

Materials, Structure, and Interface of Stretchable Interconnects for Wearable Bioelectronics

Since wearable technologies for telemedicine have emerged to tackle global health concerns, the demand for well-attested wearable healthcare devices with high user comfort also arises. Skin-wearables for health monitoring require mechanical flexibility and stretchability for not only high compatibility with the skin's dynamic nature but also a robust collection of fine health signals from within. Stretchable electrical interconnects, which determine the device's overall integrity, are one of the fundamental units being understated in wearable bioelectronics. In this review, a broad class of materials and engineering methodologies recently researched and developed are presented, and their respective attributes, limitations, and opportunities in designing stretchable interconnects for wearable bioelectronics are offered. Specifically, the electrical and mechanical characteristics of various materials (metals, polymers, carbons, and their composites) are highlighted, along with their compatibility with diverse geometric configurations. Detailed insights into fabrication techniques that are compatible with soft substrates are also provided. Importantly, successful examples of establishing reliable interfacial connections between soft and rigid elements using novel interconnects are reviewed. Lastly, some perspectives and prospects of remaining research challenges and potential pathways for practical utilization of interconnects in wearables are laid out.

Highly stretchable dynamic hydrogels for soft multilayer electronics

Recent progress in the development of synthetic polymer networks has enabled the next generation of hydrogel-based machines and devices. The ability to mimic the mechanical and electrical properties of human tissue gives great potential toward the fields of bioelectronics and soft robotics. However, fabricating hydrogel devices that display high ionic conductivity while maintaining high stretchability and softness remains unmet. Here, we synthesize supramolecular poly(ionic) networks, which display high stretchability (>1500%), compressibility (>90%), and rapid self-recovery (<30 s), while achieving ionic conductivities of up to 0.1 S cm -1. Dynamic cross-links give rise to inter-layer adhesion and a stable interface is formed on account of ultrahigh binding affinities (>1013 M-2). Superior adherence between layers enabled the fabrication of an intrinsically stretchable hydrogel power source, paving the way for the next generation of multi-layer tissue mimetic devices.

Stretchable Functional Nanocomposites for Soft Implantable Bioelectronics

Material advances in soft bioelectronics, particularly those based on stretchable nanocomposites─functional nanomaterials embedded in viscoelastic polymers with irreversible or reversible bonds─have driven significant progress in translational medical device research. The unique mechanical properties inherent in the stretchable nanocomposites enable stiffness matching between tissue and device, as well as its spontaneous mechanical adaptation to in vivo environments, minimizing undesired mechanical stress and inflammation responses. Furthermore, these properties allow percolative networks of conducting fillers in the nanocomposites to be sustained even under repetitive tensile/compressive stresses, leading to stable tissue-device interfacing. Here, we present an in-depth review of materials strategies, fabrication/integration techniques, device designs, applications, and translational opportunities of nanocomposite-based soft bioelectronics, which feature intrinsic stretchability, self-healability, tissue adhesion, and/or syringe injectability. Among many, applications to brain, heart, and peripheral nerves are predominantly discussed, and translational studies in certain domains such as neuromuscular and cardiovascular engineering are particularly highlighted.

Anti-Freezing and Ultrasensitive Zwitterionic Betaine Hydrogel-Based Strain Sensor for Motion Monitoring and Human-Machine Interaction

Ultrasensitive and reliable conductive hydrogels are significant in the construction of human-machine twinning systems. However, in extremely cold environments, freezing severely limits the application of hydrogel-based sensors. Herein, building on biomimetics, a zwitterionic hydrogel was elaborated for human-machine interaction employing multichemical bonding synergies and experimental signal analyses. The covalent bonds, hydrogen bonds, and electrostatic interactions construct a dense double network structure favorable for stress dispersion and hydrogen bond regeneration. In particular, zwitterions and ionic conductors maintained excellent strain response (99 ms) and electrical sensitivity (gauge factor = 14.52) in the dense hydrogel structure while immobilizing water molecules to enhance the weather resistance (-68 °C). Inspired by the high sensitivity, zwitterionic hydrogel-based strain sensors and remote-control gloves were designed by analyzing the experimental signals, demonstrating promising potential applications within specialized flexible materials and human-machine symbiotic systems.