A Fully Biodegradable Battery for Self-Powered Transient Implants

Biodegradable Materials and Green Processing for Green Electronics

There is little question that the "electronic revolution" of the 20th century has impacted almost every aspect of human life. However, the emergence of solid-state electronics as a ubiquitous feature of an advanced modern society is posing new challenges such as the management of electronic waste (e-waste) that will remain through the 21st century. In addition to developing strategies to manage such e-waste, further challenges can be identified concerning the conservation and recycling of scarce elements, reducing the use of toxic materials and solvents in electronics processing, and lowering energy usage during fabrication methods. In response to these issues, the construction of electronic devices from renewable or biodegradable materials that decompose to harmless by-products is becoming a topic of great interest. Such "green" electronic devices need to be fabricated on industrial scale through low-energy and low-cost methods that involve low/non-toxic functional materials or solvents. This review highlights recent advances in the development of biodegradable materials and processing strategies for electronics with an emphasis on areas where green electronic devices show the greatest promise, including solar cells, organic field-effect transistors, light-emitting diodes, and other electronic devices.

Sustainable Battery Materials from Biomass

Sustainable sources of energy have been identified as a possible way out of today's oil dependency and are being rapidly developed. In contrast, storage of energy to a large extent still relies on heavy metals in batteries. Especially when built from biomass-derived organics, organic batteries are promising alternatives and pave the way towards truly sustainable energy storage. First described in 2008, research on biomass-derived electrodes has been taken up by a multitude of researchers worldwide. Nowadays, in principle, electrodes in batteries could be composed of all kinds of carbonized and noncarbonized biomass: On one hand, all kinds of (waste) biomass may be carbonized and used in anodes of lithium- or sodium-ion batteries, cathodes in metal-sulfur or metal-oxygen batteries, or as conductive additives. On the other hand, a plethora of biomolecules, such as quinones, flavins, or carboxylates, contain redox-active groups that can be used as redox-active components in electrodes with very little chemical modification. Biomass-based binders can replace toxic halogenated commercial binders to enable a truly sustainable future of energy storage devices. Besides the electrodes, electrolytes and separators may also be synthesized from biomass. In this Review, recent research progress in this rapidly emerging field is summarized with a focus on potentially fully biowaste-derived batteries.

Materials Strategies and Device Architectures of Emerging Power Supply Devices for Implantable Bioelectronics

Implantable bioelectronics represent an emerging technology that can be integrated into the human body for diagnostic and therapeutic functions. Power supply devices are an essential component of bioelectronics to ensure their robust performance. However, conventional power sources are usually bulky, rigid, and potentially contain hazardous constituent materials. The fact that biological organisms are soft, curvilinear, and have limited accommodation space poses new challenges for power supply systems to minimize the interface mismatch and still offer sufficient power to meet clinical-grade applications. Here, recent advances in state-of-the-art nonconventional power options for implantable electronics, specifically, miniaturized, flexible, or biodegradable power systems are reviewed. Material strategies and architectural design of a broad array of power devices are discussed, including energy storage systems (batteries and supercapacitors), power devices which harvest sources from the human body (biofuel cells, devices utilizing biopotentials, piezoelectric harvesters, triboelectric devices, and thermoelectric devices), and energy transfer devices which utilize sources in the surrounding environment (ultrasonic energy harvesters, inductive coupling/radiofrequency energy harvesters, and photovoltaic devices). Finally, future challenges and perspectives are given.

Biodegradable and bioabsorbable sensors based on two-dimensional materials

Two-dimensional (2D) materials, including graphene and transition metal dichalcogenides (TMDCs), have attracted considerable attention for the last decade due to their unique electrical, optical and mechanical properties. Recently, as their unique characteristics of biocompatibility and biodegradation are known, research on applying them in diagnostic and therapeutic applications has received considerable attention. This review provides a broad overview of recent reports on the biocompatibility and biodegradability of 2D materials and highlights recent progress in biodegradable and bioabsorbable sensors for diagnostic and therapeutic applications.

Bioresorbable Materials on the Rise: From Electronic Components and Physical Sensors to In Vivo Monitoring Systems

Over the last decade, scientists have dreamed about the development of a bioresorbable technology that exploits a new class of electrical, optical, and sensing components able to operate in physiological conditions for a prescribed time and then disappear, being made of materials that fully dissolve in vivo with biologically benign byproducts upon external stimulation. The final goal is to engineer these components into transient implantable systems that directly interact with organs, tissues, and biofluids in real-time, retrieve clinical parameters, and provide therapeutic actions tailored to the disease and patient clinical evolution, and then biodegrade without the need for device-retrieving surgery that may cause tissue lesion or infection. Here, the major results achieved in bioresorbable technology are critically reviewed, with a bottom-up approach that starts from a rational analysis of dissolution chemistry and kinetics, and biocompatibility of bioresorbable materials, then moves to in vivo performance and stability of electrical and optical bioresorbable components, and eventually focuses on the integration of such components into bioresorbable systems for clinically relevant applications. Finally, the technology readiness levels (TRLs) achieved for the different bioresorbable devices and systems are assessed, hence the open challenges are analyzed and future directions for advancing the technology are envisaged.

Photoelectric Cardiac Pacing by Flexible and Degradable Amorphous Si Radial Junction Stimulators

Implanted pacemakers are usually bulky and rigid electronics that are constraint by limited battery lifetimes, and need to be installed and repaired via surgeries that risk secondary infection and injury. In this work, a flexible self-powered photoelectric cardiac stimulator is demonstrated based on hydrogenated amorphous Si (a-Si:H) radial p-i-n junctions (RJs), constructed upon standing Si nanowires grown directly on aluminum thin foils. The flexible RJ stimulators, with an open-circuit voltage of 0.67 V and short-circuit current density of 12.7 mA cm^-2 under standard AM1.5G illumination, can be conformally attached to the uneven tissue surface to pace heart-beating under modulated 650 nm laser illumination. In vivo pacing evaluations on porcine hearts show that the heart rate can be effectively controlled by the external photoelectric stimulations, to increase from the normal rate of 101-128 beating min^-1 . Importantly, the a-Si:H RJ units are highly biofriendly and biodegradable, with tunable lifetimes in phosphate-buffered saline environment controlled by surface coating and passivation, catering to the needs of short term or lasting cardiac pacing applications. This implantable a-Si:H RJ photoelectric stimulation strategy has the potential to establish eventually a self-powered, biocompatible, and conformable cardiac pacing technology for clinical therapy.

The Future of Cardiovascular Stents: Bioresorbable and Integrated Biosensor Technology

Cardiovascular disease is the greatest cause of death worldwide. Atherosclerosis is the underlying pathology responsible for two thirds of these deaths. It is the age-dependent process of "furring of the arteries." In many scenarios the disease is caused by poor diet, high blood pressure, and genetic risk factors, and is exacerbated by obesity, diabetes, and sedentary lifestyle. Current pharmacological anti-atherosclerotic modalities still fail to control the disease and improvements in clinical interventions are urgently required. Blocked atherosclerotic arteries are routinely treated in hospitals with an expandable metal stent. However, stented vessels are often silently re-blocked by developing "in-stent restenosis," a wound response, in which the vessel's lumen renarrows by excess proliferation of vascular smooth muscle cells, termed hyperplasia. Herein, the current stent technology and the future of biosensing devices to overcome in-stent restenosis are reviewed. Second, with advances in nanofabrication, new sensing methods and how researchers are investigating ways to integrate biosensors within stents are highlighted. The future of implantable medical devices in the context of the emerging "Internet of Things" and how this will significantly influence future biosensor technology for future generations are also discussed.

A Wholly Degradable, Rechargeable Zn-Ti3C2 MXene Capacitor with Superior Anti-Self-Discharge Function

Degradable energy storage systems (ESSs) have been proposed to tackle increasing e-wastes such as heavy metals and toxic organic electrolytes. However, currently reported degradable ESSs are scarce because it is very difficult to make all of the electrochemical components degradable as they must be stable for energy storage. Here, we designed an all-component degradable and rechargeable Zn-MXene capacitor with outstanding anti-self-discharge function using zinc nanosheets and Ti₃C₂ MXene as electrodes. The whole capacitor can retain ca. 82.5% of the capacitance after 1000 cycles and be totally degraded within 7.25 days, comprehensively surpassing the current degradable supercapacitors (120 days, 400 cycles) and batteries (19 days, 0-20 cycles). In addition, while supercapacitors are notorious for intensive self-discharge, the Zn-MXene capacitor demonstrated the lowest self-discharge rate of 6.4 mV h^-1, better than all the previous supercapacitors with specifically designed anti-self-discharge components including electrodes (>300 mV h^-1), electrolytes (12-50 mV h^-1), and separators (20-400 mV h^-1). This is illustrated by the as-proposed "static electricity-immune mechanism" which refers to breaking the electrostatic adsorption. This Zn-MXene capacitor represents a great advance in degradable rechargeable ESSs and provides a strategy to fundamentally overcome the self-discharge problem encountered by supercapacitors.

Bioresorbable Electronic Implants: History, Materials, Fabrication, Devices, and Clinical Applications

Medical implants, either passive implants for structural support or implantable devices with active electronics, have been widely used for the diagnosis and treatment of various diseases and clinical issues. These implants offer various functions, including mechanical support of biological structures in orthopedic and dental applications, continuous electrophysiological monitoring and feedback of electrical stimulation in neuronal and cardiac applications, and controlled drug delivery while maintaining arterial structure in drug-eluting stents. Although these implants exhibit long-term biocompatibility, surgery for their retrieval is often required, which imposes physical, biological, and economical burdens on the patients. Therefore, as an alternative to such secondary surgeries, bioresorbable implants that disappear after a certain period of time inside the body, including bioresorbable active electronics, have been highlighted recently. This review first discusses the historical background of medical implants and briefly define related terminology. Representative examples of non-degradable medical implants for passive structural support and/or for diagnosis and therapy with active electronics are also provided. Then, recent progress in bioresorbable active implants composed of biosignal sensors, actuators for therapeutics, wireless power supply components, and their integrated systems are reviewed. Finally, clinical applications of these bioresorbable electronic implants are exemplified with brief conclusion and future outlook.

Materials and Devices for Biodegradable and Soft Biomedical Electronics

Biodegradable and soft biomedical electronics that eliminate secondary surgery and ensure intimate contact with soft biological tissues of the human body are of growing interest, due to their emerging applications in high-quality healthcare monitoring and effective disease treatments. Recent systematic studies have significantly expanded the biodegradable electronic materials database, and various novel transient systems have been proposed. Biodegradable materials with soft properties and integration schemes of flexible or/and stretchable platforms will further advance electronic systems that match the properties of biological systems, providing an important step along the path towards clinical trials. This review focuses on recent progress and achievements in biodegradable and soft electronics for biomedical applications. The available biodegradable materials in their soft formats, the associated novel fabrication schemes, the device layouts, and the functionality of a variety of fully bioresorbable and soft devices, are reviewed. Finally, the key challenges and possible future directions of biodegradable and soft electronics are provided.