Highly Sensitive Flexible Iontronic Pressure Sensor for Fingertip Pulse Monitoring

Advancements and Applications of Micro and Nanostructured Capacitive Sensors: A Review

Capacitors are essential components in modern electrical systems, functioning primarily to store electrical charges and regulate current flow. Capacitive sensors, developed in the 20th century, have become crucial in various applications, including touchscreens and smart devices, due to their ability to detect both metallic and non-metallic objects with high sensitivity and low energy consumption. The advancement of microelectromechanical systems (MEMS) and nanotechnology has significantly enhanced the capabilities of capacitive sensors, leading to unprecedented sensitivity, dynamic range, and cost-effectiveness. These sensors are integral to modern devices, enabling precise measurements of proximity, pressure, strain, and other parameters. This review provides a comprehensive overview of the development, fabrication, and integration of micro and nanostructured capacitive sensors. In terms of an electric field, the working and detection principles are discussed with analytical equations and our numerical results. The focus extends to novel fabrication methods using advanced materials to enhance sensitivities for various parameters, such as proximity, force, pressure, strain, temperature, humidity, and liquid sensing. Their applications are demonstrated in wearable devices, human-machine interfaces, biomedical sensing, health monitoring, robotics control, industrial monitoring, and molecular detection. By consolidating existing research, this review offers insights into the advancements and future directions of capacitive sensor technology.

An instantaneous self-powered wireless sensing system based on a triboelectric nanogenerator and the human body

Self-powered sensors are pivotal in sectors like space exploration, industrial monitoring, and particularly health surveillance, owing to their independence from external power sources. However, their energy utilization efficiency is hindered by complex energy conversion processes, leading to brief operational durations and significant data loss. Triboelectric nanogenerators (TENGs), capable of converting mechanical energy from friction into electricity, present a solution by enabling single-cycle sensing and transmission, thus promoting instantaneous wireless sensing. Addressing the size and transmission limitations in wearable technologies, we introduced an instantaneous self-powered wireless sensing system based on a TENG and a human body (HB-WTENG). This novel system utilizes the human body as a transmission antenna, converting TENG output into attenuated sinusoidal signals with encoded sensing information for real-time wireless communication. Demonstrated to support self-powered pressure sensing and signal transmission up to 8 m, the HB-WTENG offers a compact and deployable solution for continuous monitoring, marking a significant advancement in wearable sensor technology.

Wearable and implantable biosensors: mechanisms and applications in closed-loop therapeutic systems

This review article examines the current state of wearable and implantable biosensors, offering an overview of their biosensing mechanisms and applications. We also delve into integrating these biosensors with therapeutic systems, discussing their operational principles and incorporation into closed-loop devices. Biosensing strategies are broadly categorized into chemical sensing for biomarker detection, physical sensing for monitoring physiological conditions such as pressure and temperature, and electrophysiological sensing for capturing bioelectrical activities. The discussion extends to recent developments in drug delivery and electrical stimulation devices to highlight their significant role in closed-loop therapy. By integrating with therapeutic devices, biosensors enable the modulation of treatment regimens based on real-time physiological data. This capability enhances the patient-specificity of medical interventions, an essential aspect of personalized healthcare. Recent innovations in integrating biosensors and therapeutic devices have led to the introduction of closed-loop wearable and implantable systems capable of achieving previously unattainable therapeutic outcomes. These technologies represent a significant leap towards dynamic, adaptive therapies that respond in real-time to patients' physiological states, offering a level of accuracy and effectiveness that is particularly beneficial for managing chronic conditions. This review also addresses the challenges associated with biosensor technologies. We also explore the prospects of these technologies to address their potential to transform disease management with more targeted and personalized treatment solutions.

Harsh Environment-Tolerant, High Performance Soft Pressure Sensors Enabled by Fiber-Segment Structure and Plasma Treatment

As the demand for specialized and diversified pressure sensors continues to increase, excellent performance and multi-applicability have become necessary for pressure sensors. Currently, flexible pressure sensors are primarily utilized in fields such as health monitoring and human-computer interaction. However, numerous complex extreme environments in reality, including deep sea, corrosive conditions, extreme cold, and high temperatures, urgently require the services of flexible devices. Here, a piezoresistive flexible pressure sensor based on expanded polytetrafluoroethylene/functionalized carbon nanotubes (EPTFE/FCNT) is proposed. Benefiting from the unique fiber-segment architecture, chemical stability, and strong chemical binding force between EPTFE and FCNT, the fabricated sensor exhibits remarkable sensing capabilities and can be employed in multifarious extreme environments. It demonstrates a sensitivity of 862.28 kPa-1, a response time of 6-7 ms, and a detection limit below 1 Pa. Furthermore, it possesses a pressure resolution of 0.0018% under 111 kPa and can withstand over 10,000 loading and unloading cycles under 1 MPa. Additionally, the EPTFE/FCNT sensor retains its outstanding pressure response and work efficiency in extreme conditions such as an ultra-low temperature of -80 °C, high temperature (200 °C), acidic and alkaline corrosion, and underwater. These notable attributes enormously broaden the sensors' real-world application range.

Highly sensitive and wide-range iontronic pressure sensors with a wheat awn-like hierarchical structure

Flexible pressure sensors with high sensitivity and wide sensing range are highly desired in e-skins and wearable electronics. However, there is always a trade-off between high sensitivity and broad sensing range for most flexible pressure sensors. Herein, an artificial wheat awn-like hierarchical structure is designed onto the dielectric layer of the iontronic pressure sensor, realizing both high sensitivity and broad working range. The sensor is constructed by sandwiching a wheat awn-like polyvinyl alcohol/H3PO4 dielectric layer between two transparent electrodes of silver nanowires/thermoplastic polyurethane/ionic liquid. The obtained sensor exhibits a high precision of 1 Pa, a high sensitivity of 47.65 kPa-1 (1-200 Pa), a wide measurement range from 1 Pa to 238 kPa, short response/recovery time of 13 ms/12 ms, outstanding stability over 6000 cycles, as well as good transparency. Considering these excellent properties, the sensor shows promising potential in health monitoring, human-computer interaction, wearable electronics, etc.

Highly Sensitive and Flexible Capacitive Pressure Sensors Combined with Porous Structure and Hole Array Using Sacrificial Templates and Laser Ablation

Flexible, wearable pressure sensors offer numerous benefits, including superior sensing capabilities, a lightweight and compact design, and exceptional conformal properties, making them highly sought after in various applications including medical monitoring, human-computer interactions, and electronic skins. Because of their excellent characteristics, such as simple fabrication, low power consumption, and short response time, capacitive pressure sensors have received widespread attention. As a flexible polymer material, polydimethylsiloxane (PDMS) is widely used in the preparation of dielectric layers for capacitive pressure sensors. The Young's modulus of the flexible polymer can be effectively decreased through the synergistic application of sacrificial template and laser ablation techniques, thereby improving the functionality of capacitive pressure sensors. In this study, a novel sensor was introduced. Its dielectric layer was developed through a series of processes, including the use of a sacrificial template method using NaCl microparticles and subsequent CO2 laser ablation. This porous PDMS dielectric layer, featuring an array of holes, was then sandwiched between two flexible electrodes to create a capacitive pressure sensor. The sensor demonstrates a sensitivity of 0.694 kPa-1 within the pressure range of 0-1 kPa and can effectively detect pressures ranging from 3 Pa to 200 kPa. The sensor demonstrates stability for up to 500 cycles, with a rapid response time of 96 ms and a recovery time of 118 ms, coupled with a low hysteresis of 6.8%. Furthermore, our testing indicates that the sensor possesses limitless potential for use in detecting human physiological activities and delivering signals.

Recent Advances in Materials, Devices and Algorithms Toward Wearable Continuous Blood Pressure Monitoring

Continuous blood pressure (BP) tracking provides valuable insights into the health condition and functionality of the heart, arteries, and overall circulatory system of humans. The rapid development in flexible and wearable electronics has significantly accelerated the advancement of wearable BP monitoring technologies. However, several persistent challenges, including limited sensing capabilities and stability of flexible sensors, poor interfacial stability between sensors and skin, and low accuracy in BP estimation, have hindered the progress in wearable BP monitoring. To address these challenges, comprehensive innovations in materials design, device development, system optimization, and modeling have been pursued to improve the overall performance of wearable BP monitoring systems. In this review, we highlight the latest advancements in flexible and wearable systems toward continuous noninvasive BP tracking with a primary focus on materials development, device design, system integration, and theoretical algorithms. Existing challenges, potential solutions, and further research directions are also discussed to provide theoretical and technical guidance for the development of future wearable systems in continuous ambulatory BP measurement with enhanced sensing capability, robustness, and long-term accuracy.

Marangoni-driven deterministic formation of softer, hollow microstructures for sensitivity-enhanced tactile system

Microengineering the dielectric layers with three-dimensional microstructures has proven effective in enhancing the sensitivity of flexible pressure sensors. However, the widely employed geometrical designs of solid microstructures exhibit limited sensitivity over a wide range of pressures due to their inherent but undesired structural compressibility. Here, a Marangoni-driven deterministic formation approach is proposed for fabricating hollow microstructures, allowing for greater deformation while retarding structural stiffening during compression. Fluid convective deposition enables solute particles to reassemble in template microstructures, controlling the interior cavity with a void ratio exceeding 90%. The hollow micro-pyramid sensor exhibits a 10-fold sensitivity improvement across wider pressure ranges over the pressure sensor utilizing solid micro-pyramids, and an ultra-low detect limit of 0.21 Pa. With the advantages of facilitation, scalability, and large-area compatibility, such an approach for hollow microstructures can be expanded to other sensor types for superior performance and has considerable potential in robotic tactile and epidermal devices.

Industrially Scalable Textile Sensing Interfaces for Extended Artificial Tactile and Human Motion Monitoring without Compromising Comfort

Smart wearables with the capability for continuous monitoring, perceiving, and understanding human tactile and motion signals, while ensuring comfort, are highly sought after for intelligent healthcare and smart life systems. However, concurrently achieving high-performance tactile sensing, long-lasting wearing comfort, and industrialized fabrication by a low-cost strategy remains a great challenge. This is primarily due to critical research gaps in novel textile structure design for seamless integration with sensing elements. Here, an all-in-one biaxial insertion knit architecture is reported to topologically integrate sensing units within double-knit loops for the fabrication of a large-scale tactile sensing textile by using low-cost industrial manufacturing routes. High sensitivity, stability, and low hysteresis of arrayed sensing units are achieved through engineering of fractal structures of hierarchically patterned piezoresistive yarns via blistering and twisting processing. The as-prepared tactile sensing textiles show desirable sensing performance and robust mechanical property, while ensuring excellent conformability, tailorability, breathability (288 mm s-1), and moisture permeability (3591 g m-2 per day) for minimizing the effect on wearing comfort. The multifunctional applications of tactile sensing textiles are demonstrated in continuously monitoring human motions, tactile interactions with the environment, and recognizing biometric gait. Moreover, we also demonstrate that machine learning-assisted sensing textiles can accurately predict body postures, which holds great promise in advancing the development of personalized healthcare robotics, prosthetics, and intelligent interaction devices.

Enhanced sensitivity and linear-response in iontronic pressure sensors for non-contact, high-frequency vibration recognition

Monitoring non-contact high-frequency vibrations requires improving the sensitivity and linear response of iontronic pressure sensors (IPSs). In this study, we incorporate composite electrodes comprising silver nanowires (Ag NWs) and MXene into IPSs to enhance electronic conduction and pseudocapacitance. Moreover, we utilize a novel surface-pillar microstructure, along with an internally randomized multi-bubble structure within the dielectric layer, to significantly expand the linear response range of the sensor. The resulting IPS device demonstrates exceptional linear sensitivity, measuring approximately 153.83 kPa-1, across a broad pressure range of up to 260 kPa. Additionally, it exhibits long-term stability, rapid response and recovery characteristics, and remains functional underwater. Notably, these devices exhibit remarkable capabilities in monitoring ultrasonic vibrations and accurately identifying sound wave vibrations. The integration of composite electrodes, microstructure designs, and their compatibility with underwater applications positions these IPSs as highly promising tools for precise measurements and advancements in flexible electronics technology.

Highly Sensitive Pressure Sensor Based on Elastic Conductive Microspheres

Elastic pressure sensors play a crucial role in the digital economy, such as in health care systems and human-machine interfacing. However, the low sensitivity of these sensors restricts their further development and wider application prospects. This issue can be resolved by introducing microstructures in flexible pressure-sensitive materials as a common method to improve their sensitivity. However, complex processes limit such strategies. Herein, a cost-effective and simple process was developed for manufacturing surface microstructures of flexible pressure-sensitive films. The strategy involved the combination of MXene-single-walled carbon nanotubes (SWCNT) with mass-produced Polydimethylsiloxane (PDMS) microspheres to form advanced microstructures. Next, the conductive silica gel films with pitted microstructures were obtained through a 3D-printed mold as flexible electrodes, and assembled into flexible resistive pressure sensors. The sensor exhibited a sensitivity reaching 2.6 kPa-1 with a short response time of 56 ms and a detection limit of 5.1 Pa. The sensor also displayed good cyclic stability and time stability, offering promising features for human health monitoring applications.

A review of nanomaterials for biosensing applications

A biosensor is a device that reacts with the analyte to be analyzed, detects its concentration, and generates readable information, which plays an important role in medical diagnosis, detection of physiological indicators, and disease prevention. Nanomaterials have received increasing attention in the fabrication and improvement of biosensors due to their unique physicochemical and optical properties. In this paper, the properties of nanomaterials such as the size effect, optical and electrical properties, and their advantages in the field of biosensing are briefly summarized, and the application of nanomaterials can effectively improve the sensitivity and reduce the detection limit of biosensors. The advantages of commonly used nanomaterials such as gold nanoparticles (AuNPs), carbon nanotubes (CNTs), quantum dots (QDs), graphene, and magnetic nanobeads for biosensor applications are also reviewed. Besides, the two main types of biosensors using nanomaterials involved in their construction and their working principles are described, and the toxicity and biocompatibility of nanomaterials and the future direction of nanomaterial biosensors are discussed.

Welded Carbon Nanotube-Graphene Hybrids with Tunable Strain Sensing Behavior for Wide-Range Bio-Signal Monitoring

Carbon nanotubes (CNTs) and graphene have commonly been applied as the sensitive layer of strain sensors. However, the buckling deformation of CNTs and the crack generation of graphene usually leads to an unsatisfactory strain sensing performance. In this work, we developed a universal strategy to prepare welded CNT-graphene hybrids with tunable compositions and a tunable bonding strength between components by the in situ reduction of CNT-graphene oxide (GO) hybrid by thermal annealing. The stiffness of the hybrid film could be tailored by both initial CNT/GO dosage and annealing temperature, through which its electromechanical behaviors could also be defined. The strain sensor based on the CNT-graphene hybrid could be applied to collect epidermal bio-signals by both capturing the faint skin deformation from wrist pulse and recording the large deformations from joint bending, which has great potential in health monitoring, motion sensing and human-machine interfacing.

Outstanding Synergy of Sensitivity and Linear Range Enabled by Multigradient Architectures

Flexible pressure sensors are devices that mimic the sensory capabilities of natural human skin and enable robots to perceive external stimuli. One of the main challenges is maintaining high sensitivity over a broad linear pressure range due to poor structural compressibility. Here, we report a flexible pressure sensor with an ultrahigh sensitivity of 153.3 kPa-1 and linear response over an unprecedentedly broad pressure range from 0.0005 to 1300 kPa based on interdigital-shaped, multigradient architectures, featuring modulus, conductivity, and microstructure gradients. Such multigradient architectures and interdigital-shaped configurations enable effective stress transfer and conductivity regulation, evading the pressure sensitivity-linear range trade-off dilemma. Together with high pressure resolution, high frequency response, and good reproducibility over the ultrabroad linear range, proof-of-concept applications such as acoustic wave detection, high-resolution pressure measurement, and healthcare monitoring in diverse scenarios are demonstrated.

Microstructured Gel Polymer Electrolyte and an Interdigital Electrode-Based Iontronic Barometric Pressure Sensor with High Resolution over a Broad Range

We present a novel iontronic barometric pressure sensor based on a gel polymer electrolyte and interdigital electrodes with a much simpler structure than that of existing devices. By introducing high-density microstructures on the gel polymer electrolyte and one side electrode arrangement configuration, the developed sensor offers high performances with an ultrahigh resolution of 10 Pa, an ultrawide barometric pressure-response range from -92 to 7 kPa, a fast response time of ∼15 ms, and excellent long-term stability. The single pressure sensor is able to detect positive and negative barometric pressures without needing any additional means and can operate as a barometric altimeter with a resolution of about one-floor height. The performances of the sensors significantly surpass those of existing barometric pressure sensors. This work provides a new strategy for making high-performance barometric pressure sensors that are highly sought for commercial applications such as altitude detection, negative pressure ambulance, and consumer electronics.

Microstructured Polyelectrolyte Elastomer-Based Ionotronic Sensors with High Sensitivities and Excellent Stability for Artificial Skins

High-performance flexible pressure sensors are highly demanded for artificial tactile sensing. Using ionic conductors as the dielectric layer has enabled ionotronic pressure sensors with high sensitivities owing to giant capacitance of the electric double layer (EDL) formed at the ionic conductor/electronic conductor interface. However, conventional ionotronic sensors suffer from leakage, which greatly hinders long-term stability and practical applications. Herein, a leakage-free polyelectrolyte elastomer as the dielectric layer for ionotronic sensors is synthesized. The mechanical and electrical properties of the polyelectrolyte elastomer are optimized, a micropyramid array is constructed, and it is used as the dielectric layer for an ionotronic pressure sensor with marked performances. The obtained sensor exhibits a sensitivity of 69.6 kPa-1 , a high upper detecting limit on the order of 1 MPa, a fast response/recovery speed of ≈6 ms, and excellent stability under both static and dynamic loads. Notably, the sensor retains a high sensitivity of 4.96 kPa-1 at 500 kPa, and its broad sensing range within high-pressure realm enables a brand-new coding strategy. The applications of the sensor as a wearable keyboard and a quasicontinuous controller for a robotic arm are demonstrated. Durable and highly sensitive ionotronic sensors potentialize high-performance artificial skins for soft robots, human-machine interfaces, and beyond.

Purposive Design of Stretchable Composite Electrodes for Strain-Negative, Strain-Neutral, and Strain-Positive Ionic Sensors

Soft ionic sensors have emerged as a promising device form to accommodate various future electronic applications. One of the hurdles in ionic sensors is that the sensing signals by mechanical deformation and other stimuli are mixed up. Although the performance of the ionic sensors is highly dependent on the structure of electrodes, systematic investigation of purposive electrode design has been rarely explored. This study proposes a simple strategy for designing stretchable composite electrodes which make the ionic sensor strain-negative, strain-neutral, and strain-positive. This study reveals that such strain-responses can be obtained by adjusting the surface coverage of the electrically-effective conductive fillers. On the basis of the concept, deposition of a Au film on an elastomer composite and crack formation of the Au film are presented for the practical fabrication of a highly reproducible strain-neutral ionic sensor. A completely strain-independent temperature sensor is demonstrated by using the Au crack-based ionic sensor. In addition, this study demonstrates a two-terminal shear sensor capable of recognizing shear directions by combining the strain-positive and strain-negative electrodes.

Paper-Based Supercapacitive Pressure Sensor for Wrist Arterial Pulse Waveform Monitoring

Recent developments in wearable pressure sensors have led to the need for high sensitivity and a broad sensing range to accurately detect various physiological states. However, high sensitivity does not always translate to a wide sensing range, and manufacturing sensors with such high sensitivity is a complex and expensive process. In this study, we present a capacitive pressure sensor based on tissue paper that is simple to produce and cost-effective yet still exhibits high linear sensitivity of 2.9 kPa-1 in the 0-16 kPa range. The linear sensitivity of 1.5 kPa-1 was achieved from 16 to 90 kPa. The sensor also demonstrated a fast response time of 0.2 s, excellent pressure resolution at both low and high pressures, and a sufficient signal-to-noise ratio, making it ideal for detecting wrist arterial pulse waveforms. We were also able to demonstrate the sensor's practicality in real-world applications by cycling it 5000 times and showing its capability to capture pulse waveforms from different arterial locations. These low-cost sensors possess all the intrinsic features necessary for efficient measurement of pulse waveforms, which may facilitate the diagnosis of cardiovascular diseases.

Arteriosclerosis Assessment Based on Single-Point Fingertip Pulse Monitoring Using a Wearable Iontronic Sensor

Arteriosclerosis, which appears as a hardened and narrowed artery with plaque buildup, is the primary cause of various cardiovascular diseases such as stroke. Arteriosclerosis is often evaluated by clinically measuring the pulse wave velocity (PWV) using a two-point approach that requires bulky medical equipment and a skilled operator. Although wearable photoplethysmographic sensors for PWV monitoring are developed in recent years, likewise, this technique is often based on two-point measurement, and the signal can easily be interfered with by natural light. Herein, a single-point strategy is reported based on stable fingertip pulse monitoring using a flexible iontronic pressure sensor for heart-fingertip PWV (hfPWV) measurement. The iontronic sensor exhibits a high pressure-resolution on the order of 0.1 Pa over a wide linearity range, allowing the capture of characteristic peaks of fingertip pulse waves. The forward and reflected waves of the pulse are extracted and the time difference between the two waves is computed for hfPWV measurement using Hiroshi's method. Furthermore, a hfPWV-based model is established for arteriosclerosis evaluation with an accuracy comparable to that of existing clinical criteria, and the validity of the model is verified clinically. The work provides a reliable technique that can be used in wearable arteriosclerosis assessment systems.

Monitoring and analysis of cardiovascular pulse waveforms using flexible capacitive and piezoresistive pressure sensors and machine learning perspective

The growing interest in flexible electronics for physiological monitoring, particularly using flexible pressure sensors for cardiovascular pulse waveforms monitoring, has potential applications in cuffless blood pressure measurement and early diagnosis of cardiovascular disease. High sensitivity, fast response time, good pressure resolution and a high signal-to-noise ratio are essential for effective pulse waveform detection. This review focuses on flexible capacitive and piezoresistive pressure sensors, which have seen significant enhancements due to their simple operation, superior performance, wide range of materials, and easy fabrication. The comparison of sensing methods for acquiring pulse waveforms from the wrist artery, device integration configurations, high-quality pulse waveforms collection, and performance analysis of capacitive and piezoresistive sensors are discussed. The review also covers the use of machine learning for analyzing pulse waveforms for cardiovascular disease diagnosis and cuff-less blood pressure monitoring. Lastly, it provides perspectives on current challenges and further advancements in the field.

Reliable and Scalable Piezoresistive Sensors with an MXene/MoS2 Hierarchical Nanostructure for Health Signals Monitoring

The increased popularity of wearable electronic devices has led to a greater need for advanced sensors. However, fabricating pressure sensors that are flexible, highly sensitive, robust, and compatible with large-scale fabrication technology is challenging. This work investigates a piezoresistive sensor constructed from an MXene/MoS2 hierarchical nanostructure, which is obtained through an easy and inexpensive fabrication process. The sensor exhibits a high sensitivity of 0.42 kPa-1 (0-1.5 kPa), rapid response (∼36 ms), and remarkable mechanical durability (∼10,000 cycles at 13 kPa). The sensor has been demonstrated to be successful in detecting human motion, speech recognition, and physiological signals, particularly in analyzing human pulse. These data can be used to alert and identify irregularities in human health. Additionally, the sensing units are able to construct sensor arrays of various sizes and configurations, enabling pressure distribution imaging in a variety of application scenarios. This research proposes a cost-effective and scalable approach to fabricating piezoresistive sensors and sensor arrays, which can be utilized for monitoring human health and for use in human-machine interfaces.

Flexible electronics for cardiovascular healthcare monitoring

Cardiovascular diseases (CVDs) are one of the most urgent threats to humans worldwide, which are responsible for almost one-third of global mortality. Over the last decade, research on flexible electronics for monitoring and treatment of CVDs has attracted tremendous attention. In contrast to conventional medical instruments in hospitals that are usually bulky, hard to move, monofunctional, and time-consuming, flexible electronics are capable of continuous, noninvasive, real-time, and portable monitoring. Notable progress has been made in this emerging field, and thus a number of significant achievements and concomitant research prospects deserve attention for practical implementation. Here, we comprehensively review the latest progress of flexible electronics for CVDs, focusing on new functions provided by flexible electronics. First, the characteristics of CVDs and flexible electronics and the foundation of their combination are briefly reviewed. Then, four representative applications of flexible electronics for CVDs are elaborated: blood pressure (BP) monitoring, electrocardiogram (ECG) monitoring, echocardiogram monitoring, and direct epicardium monitoring. Their operational principles, progress, merits and demerits, and future efforts are discussed. Finally, the remaining challenges and opportunities for flexible electronics for cardiovascular healthcare are outlined.

Bioinspired Luminescent HOF-Based Foam as Ultrafast and Ultrasensitive Pressure and Acoustic Bimodal Sensor for Human-Machine Interactive Object and Information Recognition

Bionic sensors have extensively served smart robots, medical equipment, and flexible wearable devices. The luminescent pressure-acoustic bimodal sensor can be treated as a remarkable, multifunctional, integrated bionic device. Here, a blue-emitting hydrogen-bonded organic framework (HOF-TTA) as luminogen combines with melamine foam (MF), generating the flexible and elastic HOF-TTA@MF (1 and 2) as a pressure-auditory bimodal sensor. In the luminescent pressure sensing process, 1 has excellent maximum sensitivity (132.02 kPa-1 ), low minimum detection limit (0.0 1333 Pa), fast response time (20 ms), high precision and great recyclability. 2 as a luminescent auditory sensor exhibits the highest response to the 520 Hz sound at 255-1453 Hz. In the process of sensing sound at 520 Hz, 2 possesses high sensitivity (1 648 441.3 cps Pa-1  cm-2 ), low detection limit (0.36 dB) and ultrafast response time (10 ms) within 11.47-91.77 dB. The sensing mechanisms toward pressure and auditory are analyzed in detail by finite element simulation. Furthermore, 1 and 2, as a human-machine interactive bimodal sensor, can recognize nine different objects and word information of "Health", "Phone", and "TongJi" with high accuracy and strong robustness. This work provides a facile fabricated method of luminescent HOF-based pressure-auditory bimodal sensors and endows them with new recognition functions and dimensions.

Flexible and Stretchable Pressure Sensors: From Basic Principles to State-of-the-Art Applications

Flexible and stretchable electronics have emerged as highly promising technologies for the next generation of electronic devices. These advancements offer numerous advantages, such as flexibility, biocompatibility, bio-integrated circuits, and light weight, enabling new possibilities in diverse applications, including e-textiles, smart lenses, healthcare technologies, smart manufacturing, consumer electronics, and smart wearable devices. In recent years, significant attention has been devoted to flexible and stretchable pressure sensors due to their potential integration with medical and healthcare devices for monitoring human activity and biological signals, such as heartbeat, respiratory rate, blood pressure, blood oxygen saturation, and muscle activity. This review comprehensively covers all aspects of recent developments in flexible and stretchable pressure sensors. It encompasses fundamental principles, force/pressure-sensitive materials, fabrication techniques for low-cost and high-performance pressure sensors, investigations of sensing mechanisms (piezoresistivity, capacitance, piezoelectricity), and state-of-the-art applications.

Electric Double Layer Based Epidermal Electronics for Healthcare and Human-Machine Interface

Epidermal electronics, an emerging interdisciplinary field, is advancing the development of flexible devices that can seamlessly integrate with the skin. These devices, especially Electric Double Layer (EDL)-based sensors, overcome the limitations of conventional electronic devices, offering high sensitivity, rapid response, and excellent stability. Especially, Electric Double Layer (EDL)-based epidermal sensors show great potential in the application of wearable electronics to detect biological signals due to their high sensitivity, fast response, and excellent stability. The advantages can be attributed to the biocompatibility of the materials, the flexibility of the devices, and the large capacitance due to the EDL effect. Furthermore, we discuss the potential of EDL epidermal electronics as wearable sensors for health monitoring and wound healing. These devices can analyze various biofluids, offering real-time feedback on parameters like pH, temperature, glucose, lactate, and oxygen levels, which aids in accurate diagnosis and effective treatment. Beyond healthcare, we explore the role of EDL epidermal electronics in human-machine interaction, particularly their application in prosthetics and pressure-sensing robots. By mimicking the flexibility and sensitivity of human skin, these devices enhance the functionality and user experience of these systems. This review summarizes the latest advancements in EDL-based epidermal electronic devices, offering a perspective for future research in this rapidly evolving field.

Toward Real-Time Blood Pressure Monitoring via High-Fidelity Iontronic Tonometric Sensors with High Sensitivity and Large Dynamic Ranges

Continuous, noninvasive blood pressure (CNIBP) monitoring provides valuable hemodynamic information that renders detection of the early onset of cardiovascular diseases. Wearable mechano-electric pressure sensors that mount on the skin are promising candidates for monitoring continuous blood pressure (BP) pulse waveforms due to their excellent conformability, simple sensing mechanisms, and convenient signal acquisition. However, it is challenging to acquire high-fidelity BP pulse waveforms since it requires highly sensitive sensors (sensitivity larger than 4 × 10-5 kPa-1 ) that respond linearly with pressure change over a large dynamic range, covering the typical BP range (5-25 kPa). Herein, this work introduces a high-fidelity, iontronic-based tonometric sensor (ITS) with high sensitivity (4.82 kPa-1 ), good linearity (R2 > 0.995), and a large dynamic range (up to 180% output change) over a broad working range (0 to 38 kPa). Additionally, the ITS demonstrates a low limit of detection at 40 Pa, a fast load response time (35 ms) and release time (35 ms), as well as a stable response over 5000 load per release cycles, paving ways for potential applications in human-interface interaction, electronic skins, and robotic haptics. This work further explores the application of the ITS in monitoring real-time, beat-to-beat BP by measuring the brachial and radial pulse waveforms. This work provides a rational design of a wearable pressure sensor with high sensitivity, good linearity, and a large dynamic range for real-time CNIBP monitoring.

Iontronic pressure sensor with high sensitivity over ultra-broad linear range enabled by laser-induced gradient micro-pyramids

Despite the extensive developments of flexible capacitive pressure sensors, it is still elusive to simultaneously achieve excellent linearity over a broad pressure range, high sensitivity, and ultrahigh pressure resolution under large pressure preloads. Here, we present a programmable fabrication method for microstructures to integrate an ultrathin ionic layer. The resulting optimized sensor exhibits a sensitivity of 33.7 kPa^-1 over a linear range of 1700 kPa, a detection limit of 0.36 Pa, and a pressure resolution of 0.00725% under the pressure of 2000 kPa. Taken together with rapid response/recovery and excellent repeatability, the sensor is applied to subtle pulse detection, interactive robotic hand, and ultrahigh-resolution smart weight scale/chair. The proposed fabrication approaches and design toolkit from this work can also be leveraged to easily tune the pressure sensor performance for varying target applications and open up opportunities to create other iontronic sensors.

Emerging sensing and modeling technologies for wearable and cuffless blood pressure monitoring

Cardiovascular diseases (CVDs) are a leading cause of death worldwide. For early diagnosis, intervention and management of CVDs, it is highly desirable to frequently monitor blood pressure (BP), a vital sign closely related to CVDs, during people's daily life, including sleep time. Towards this end, wearable and cuffless BP extraction methods have been extensively researched in recent years as part of the mobile healthcare initiative. This review focuses on the enabling technologies for wearable and cuffless BP monitoring platforms, covering both the emerging flexible sensor designs and BP extraction algorithms. Based on the signal type, the sensing devices are classified into electrical, optical, and mechanical sensors, and the state-of-the-art material choices, fabrication methods, and performances of each type of sensor are briefly reviewed. In the model part of the review, contemporary algorithmic BP estimation methods for beat-to-beat BP measurements and continuous BP waveform extraction are introduced. Mainstream approaches, such as pulse transit time-based analytical models and machine learning methods, are compared in terms of their input modalities, features, implementation algorithms, and performances. The review sheds light on the interdisciplinary research opportunities to combine the latest innovations in the sensor and signal processing research fields to achieve a new generation of cuffless BP measurement devices with improved wearability, reliability, and accuracy.

Evolution of nanostructured skin patches towards multifunctional wearable platforms for biomedical applications

Recent advances in the field of skin patches have promoted the development of wearable and implantable bioelectronics for long-term, continuous healthcare management and targeted therapy. However, the design of electronic skin (e-skin) patches with stretchable components is still challenging and requires an in-depth understanding of the skin-attachable substrate layer, functional biomaterials and advanced self-powered electronics. In this comprehensive review, we present the evolution of skin patches from functional nanostructured materials to multi-functional and stimuli-responsive patches towards flexible substrates and emerging biomaterials for e-skin patches, including the material selection, structure design and promising applications. Stretchable sensors and self-powered e-skin patches are also discussed, ranging from electrical stimulation for clinical procedures to continuous health monitoring and integrated systems for comprehensive healthcare management. Moreover, an integrated energy harvester with bioelectronics enables the fabrication of self-powered electronic skin patches, which can effectively solve the energy supply and overcome the drawbacks induced by bulky battery-driven devices. However, to realize the full potential offered by these advancements, several challenges must be addressed for next-generation e-skin patches. Finally, future opportunities and positive outlooks are presented on the future directions of bioelectronics. It is believed that innovative material design, structure engineering, and in-depth study of fundamental principles can foster the rapid evolution of electronic skin patches, and eventually enable self-powered close-looped bioelectronic systems to benefit mankind.

Flexible Sensors Array Based on Frosted Microstructured Ecoflex Film and TPU Nanofibers for Epidermal Pulse Wave Monitoring

Recent advances in flexible pressure sensors have fueled increasing attention as promising technologies with which to realize human epidermal pulse wave monitoring for the early diagnosis and prevention of cardiovascular diseases. However, strict requirements of a single sensor on the arterial position make it difficult to meet the practical application scenarios. Herein, based on three single-electrode sensors with small area, a 3 × 1 flexible pressure sensor array was developed to enable measurement of epidermal pulse waves at different local positions of radial artery. The designed single sensor holds an area of 6 × 6 mm², which mainly consists of frosted microstructured Ecoflex film and thermoplastic polyurethane (TPU) nanofibers. The Ecoflex film was formed by spinning Ecoflex solution onto a sandpaper surface. Micropatterned TPU nanofibers were prepared on a fluorinated ethylene propylene (FEP) film surface using the electrospinning method. The combination of frosted microstructure and nanofibers provides an increase in the contact separation of the tribopair, which is of great benefit for improving sensor performance. Due to this structure design, the single small-area sensor was characterized by pressure sensitivity of 0.14 V/kPa, a response time of 22 ms, a wide frequency band ranging from 1 to 23 Hz, and stability up to 7000 cycles. Given this output performance, the fabricated sensor can detect subtle physiological signals (e.g., respiration, ballistocardiogram, and heartbeat) and body movement. More importantly, the sensor can be utilized in capturing human epidermal pulse waves with rich details, and the consistency of each cycle in the same measurement is as high as 0.9987. The 3 × 1 flexible sensor array is employed to acquire pulse waves at different local positions of the radial artery. In addition, the time domain parameters including pulse wave transmission time (PTT) and pulse wave velocity (PWV) can be obtained successfully, which holds promising potential in pulse-based cardiovascular system status monitoring.

Ultrasensitive Ionic Liquid Polymer Composites with a Convex and Wrinkled Microstructure and Their Application as Wearable Pressure Sensors

The development of pressure sensors with high sensitivity and effectiveness that exhibit linearity over a wide pressure range is crucial for wearable devices. In this study, we fabricated a novel ionic liquid (IL)/polymer composite with a convex and randomly wrinkled microstructure in a cost-effective and facile manner using an opaque glass and stretched polydimethylsiloxane template. The fabricated IL/polymer composite was used as the dielectric layer in a capacitive pressure sensor. The sensor exhibited a high linear sensitivity of 56.91 kPa^-1 owing to the high interfacial capacitance formed by the electrical double layer of the IL/polymer composite over a relatively wide range (0-80 kPa). We also demonstrated the sensor performance for various applications such as a glove-attached sensor, sensor array, respiration monitoring mask, human pulse, blood pressure measurement, human motion detection, and a wide range of pressure sensing. It would be expected that the proposed pressure sensor has sufficient potential for use in wearable devices.

Ultrasensitive and Ultraprecise Pressure Sensors for Soft Systems

Highly sensitive soft pressure sensors have attracted tremendous attention in recent years due to their great promise in robotics, healthcare, smart wearables, etc. Although high sensitivities can be realized by existing sensing mechanisms, they usually cause large random errors owing to inhomogeneous sensing layers, thus considerably reducing the sensing precision for practical applications. Herein, a pure-polymer and field emission bilayer structure (PFEBS)-based transduction mechanism is presented to successfully design an ultrasensitive and ultraprecise soft pressure sensor for the first time. This unique structure enables numerous tunneling electrons generated by field emission to be transmitted through the homogeneous sensing layer, which undergoes uniform deformation under subtle pressures, simultaneously achieving a sensing precision with variation <1.62% and a sensitivity of 372.2 kPa^-1 . This study offers a new design strategy to develop next-generation high-performance flexible pressure sensors for soft systems.

3D Porous Structure in MXene/PANI Foam for a High-Performance Flexible Pressure Sensor

The fields of electronic skin, man-machine interaction, and health monitoring require flexible pressure sensors with great sensitivity. However, most microstructure designs utilized to fabricate high-performance pressure sensors require complex preparation processes. Here, MXene/polyaniline (PANI) foam with 3D porous structure is achieved by using a steam-induced foaming method. Based on the structure, a flexible piezoresistive sensor is fabricated. It exhibits high sensitivity (690.91 kPa^-1 ), rapid response, and recovery times (106/95 ms) and outstanding fatigue resistance properties (10 000 cycles). The MXene/PANI foam-based pressure sensor can swiftly detect minor pressure and be further used for human activity and health monitoring.

Biomechanical Sensing Systems for Cardiac Activity Monitoring

Cardiovascular disease is consistently ranked high among the causes of death on a global scale. Monitoring of cardiovascular signs throughout the course of a long period of time and in real time is necessary in order to discover anomalies and begin early intervention at the appropriate time. To this purpose, a significant amount of interest among researchers has been directed toward the creation of flexible sensors that may be worn or implanted and are capable of constant, immediate observation of a variety of main physiological indicators. The real-time readings of the heart and arteries' pressure fluctuations can be reflected directly by mechanical sensors, which are one of the many types of sensors. Potential benefits of mechanical sensors include excellent accuracy and considerable versatility. Capacitive, piezoresistive, piezoelectric, and triboelectric principles are the foundations of the four types of mechanical sensors that are discussed in this article as recent developments for the purpose of monitoring the cardiovascular system. The biomechanical systems that are present in the cardiovascular system are then detailed, along with their monitoring, and this includes blood and endocardial pressure, pulse wave, and heart rhythm. In conclusion, we examine the usefulness of the use of continuous health monitoring for the treatment of vascular disease and highlight the difficulties associated with its translation into clinical practice.

Wide-Bandwidth Nanocomposite-Sensor Integrated Smart Mask for Tracking Multiphase Respiratory Activities

Wearing masks has been a recommended protective measure due to the risks of coronavirus disease 2019 (COVID-19) even in its coming endemic phase. Therefore, deploying a "smart mask" to monitor human physiological signals is highly beneficial for personal and public health. This work presents a smart mask integrating an ultrathin nanocomposite sponge structure-based soundwave sensor (≈400 µm), which allows the high sensitivity in a wide-bandwidth dynamic pressure range, i.e., capable of detecting various respiratory sounds of breathing, speaking, and coughing. Thirty-one subjects test the smart mask in recording their respiratory activities. Machine/deep learning methods, i.e., support vector machine and convolutional neural networks, are used to recognize these activities, which show average macro-recalls of ≈95% in both individual and generalized models. With rich high-frequency (≈4000 Hz) information recorded, the two-/tri-phase coughs can be mapped while speaking words can be identified, demonstrating that the smart mask can be applicable as a daily wearable Internet of Things (IoT) device for respiratory disease identification, voice interaction tool, etc. in the future. This work bridges the technological gap between ultra-lightweight but high-frequency response sensor material fabrication, signal transduction and processing, and machining/deep learning to demonstrate a wearable device for potential applications in continual health monitoring in daily life.

Two-Dimensional Nanosheet-Enhanced Waterborne Polyurethane Eutectogels with Ultrastrength and Superelasticity for Sensitive Strain Sensors

Sensing materials that are ultrastrong but still superelastic and highly sensitive are crucial for meeting the requirements of future flexible sensors. However, these requirements are challenging to satisfy simultaneously due to the internal constraints among these properties. Here, an ultrastrong and superelastic eutectogel is designed and prepared using a waterborne polyurethane (WPU) network enhanced by two-dimensional (2D) nanosheets in a deep eutectic solvent. The 2D nanosheet-induced noncovalent cross-linking endows the prepared eutectogel with superelasticity and flexibility, and its elongation at break reaches 2071%, higher than those of most polymers (<1000%). Meanwhile, this eutectogel also exhibits a high tensile strength (21.6 MPa), which is strong enough to support 20 000 times its own weight. Such a composite design provides a feasible route for preparing eutectogels with outstanding comprehensive functions without trade-offs among these features. In addition, the eutectogel-assembled sensor possesses a high ionic conductivity of 0.225 S/m and a high strain sensitivity of 1.18 kPa^-1. Furthermore, it can be integrated into the sensing arrays for multidimensional signal monitoring without diminishing its pristine strength and flexibility. Surprisingly, the eutectogel can be quickly disintegrated in ethanol due to the WPU's pseudoplastic behavior, providing a competitive way to dispose of waste electronic devices.

Kirigami-Inspired Pressure Sensors for Wearable Dynamic Cardiovascular Monitoring

Continuously and accurately monitoring pulse-wave signals is critical to prevent and diagnose cardiovascular diseases. However, existing wearable pulse sensors are vulnerable to motion artifacts due to the lack of proper adhesion and conformal interface with human skin during body movement. Here, a highly sensitive and conformal pressure sensor inspired by the kirigami structure is developed to measure the human pulse wave on different body artery sites under various prestressing pressure conditions and even with body movement. COMSOL multiphysical field coupling simulation and experimental testing are used to verify the unique advantages of the kirigami structure. The device shows a superior sensitivity (35.2 mV Pa^-1 ) and remarkable stability (>84 000 cycles). Toward practical applications, a wireless cardiovascular monitoring system is developed for wirelessly transmitting the pulse signals to a mobile phone in real-time, which successfully distinguished the pulse waveforms from different participants. The pulse waveforms measured by the kirigami inspired pressure sensor are as accurate as those provided by the commercial medical device. Given the compelling features, the sensor provides an ascendant way for wearable electronics to overcome motion artifacts when monitoring pulse signals, thus representing a solid advancement toward personalized healthcare in the era of the Internet of Things.

A resilient and lightweight cellulose/graphene oxide/polymer-derived multifunctional carbon aerogel generated from Pickering emulsion toward a wearable pressure sensor

In the new era of competitive smart electronics, the development of compressible multifunctional carbon aerogels is highly needed, but still faces enormous challenges. Here we demonstrate a robust strategy to fabricate multifunctional carbon aerogel via freeze-drying of cellulose nanofibers (CNF) and graphene oxide (GO) co-stabilized Pickering emulsion gel followed by high-temperature annealing. The resulting carbon aerogel exhibits tunable mechanical, hydrophilic and hydrophobic properties due to varying the elemental composition and the pyrolysis of introduced polymers. The carbon aerogel is resilient against high compression strain up to 99 % and has ultralow density (1.82 mg/cm³). The CNF/GO/acrylonitrile butadiene styrene-derived carbon aerogel (CRA)-based sensor has shown desirable sensitivity (17.65 kPa^-1), ultralow detection limit of pressure (60 Pa), and fast responsive time (130 ms), which is capable of detecting human activity, identifying spatial pressure distribution, and communicating with smartphones via Wi-Fi. Moreover, the carbon aerogel reveals effective thermal insulation and photothermal conversion performance. These results suggest the great potentials for developing lightweight and compressible carbon aerogels with multiple functions to meet various applications.

Highly Sensitive Piezoresistive Pressure Sensor Based on Super-Elastic 3D Buckling Carbon Nanofibers for Human Physiological Signals’ Monitoring

The three-dimensional (3D) carbon nanostructures/foams are commonly used as active materials for the high-performance flexible piezoresistive sensors due to their superior properties. However, the intrinsic brittleness and poor sensing properties of monolithic carbon material still limits its application. Rational design of the microstructure is an attractive approach to achieve piezoresistive material with superior mechanical and sensing properties, simultaneously. Herein, we introduce novel three-dimensional buckling carbon nanofibers (3D BCNFs) that feature a unique serpentine-buckling microstructure. The obtained 3D BCNFs exhibit superior mechanical properties, including super-elasticity (recovery speed up to 950 mm s⁻¹), excellent flexibility (multiple folds), high compressibility (compressed by 90%), and high fatigue resistance (10,000 bending cycles). The pressure sensor fabricated by the 3D BCNFs shows a high sensitivity of 714.4 kPa⁻¹, a fast response time of 23 ms, and a broad measuring range of 120 kPa. The pressure sensor is further applied to monitor the physiological signals of humans, and is capable of detecting the characteristic pulse waves from the radial artery, fingertip artery, and human-breath, respectively.

All-Nanofibrous Ionic Capacitive Pressure Sensor for Wearable Applications

Currently, with the development of electronic skins (e-skins), wearable pressure sensors with low energy consumption and excellent wearability for long-term physiological signal monitoring are urgently desired but remain a challenge. Capacitive-type devices are desirable candidates for wearable applications, but traditional capacitive pressure sensors are limited by low capacitance and sensitivity. In this study, an all-nanofibrous ionic pressure sensor (IPS) is developed, and the formation of an electrical double layer at the electrode/electrolyte contact interface significantly enhances the capacitance and sensing properties. The IPS is fabricated by sandwiching a nanofibrous ionic gel sensing layer between two thermoplastic polyurethane nanofibrous membranes with graphene electrodes. The IPS has a high sensitivity of 217.5 kPa^-1 in the pressure range of 0-5 kPa, which is much higher than that of conventional capacitive pressure sensors. Combined with the rapid response and recovery speed (30 and 60 ms), the IPS is suitable for real-time monitoring of multiple physiological signals. Moreover, the nanofiber network endows the IPS with excellent air permeability and heat dissipation, which guarantees comfort during long-term wearing. This work provides a viable strategy to improve the wearability of wearable sensors, which can promote healthcare and human-machine interaction applications.

High-Sensitivity Flexible Piezoresistive Pressure Sensor Using PDMS/MWNTS Nanocomposite Membrane Reinforced with Isopropanol for Pulse Detection

Flexible pressure sensors with high sensitivity and good linearity are in high demand to meet the long-term and accurate detection requirements for pulse detection. In this study, we propose a composite membrane pressure sensor using polydimethylsiloxane (PDMS) and multiwalled carbon nanotubes (MWNTS) reinforced with isopropanol prepared by solution blending and a self-made 3D-printed mold. The device doped with isopropanol had a higher sensitivity and linearity owning to the construction of additional conductive paths. The optimal conditions for realizing a high-performance pressure sensor are a multiwalled carbon nanotube mass ratio of 7% and a composite membrane thickness of 490 μm. The membrane achieves a high linear sensitivity of −57.07 kΩ∙kPa⁻¹ and a linear fitting correlation coefficient of 98.78% in the 0.13~5.2 kPa pressure range corresponding to pulse detection. Clearly, this device has great potential for application in pulse detection.

Fully implantable wireless batteryless vascular electronics with printed soft sensors for multiplex sensing of hemodynamics

The continuous monitoring of hemodynamics attainable with wireless implantable devices would improve the treatment of vascular diseases. However, demanding requirements of size, wireless operation, and compatibility with endovascular procedures have limited the development of vascular electronics. Here, we report an implantable, wireless vascular electronic system, consisting of a multimaterial inductive stent and printed soft sensors capable of real-time monitoring of arterial pressure, pulse rate, and flow without batteries or circuits. Developments in stent design achieve an enhanced wireless platform while matching conventional stent mechanics. The fully printed pressure sensors demonstrate fast response times, high durability, and sensing at small bending radii. The device is monitored via inductive coupling at communication distances notably larger than prior vascular sensors. The wireless electronic system is validated in artery models, while minimally invasive catheter implantation is demonstrated in an in vivo rabbit study. Overall, the vascular system offers an adaptable framework for comprehensive monitoring of hemodynamics.

Wearable Pressure Sensors for Pulse Wave Monitoring

Cardiovascular diseases remain the leading cause of death worldwide. The rapid development of flexible sensing technologies and wearable pressure sensors have attracted keen research interest and have been widely used for long-term and real-time cardiovascular status monitoring. Owing to compelling characteristics, including light weight, wearing comfort, and high sensitivity to pulse pressures, physiological pulse waveforms can be precisely and continuously monitored by flexible pressure sensors for wearable health monitoring. Herein, an overview of wearable pressure sensors for human pulse wave monitoring is presented, with a focus on the transduction mechanism, microengineering structures, and related applications in pulse wave monitoring and cardiovascular condition assessment. The conceptualizations and methods for the acquisition of physiological and pathological information related to the cardiovascular system are outlined. The biomechanics of arterial pulse waves and the working mechanism of various wearable pressure sensors, including triboelectric, piezoelectric, magnetoelastic, piezoresistive, capacitive, and optical sensors, are also subject to systematic debate. Exemple applications of pulse wave measurement based on microengineering structured devices are then summarized. Finally, a discussion of the opportunities and challenges that wearable pressure sensors face, as well as their potential as a wearable intelligent system for personalized healthcare is given in conclusion.

Flexible Wearable Pressure Sensor Based on Collagen Fiber Material

Flexible wearable pressure sensors play a pivotal role in healthcare monitoring, disease prevention, and humanmachine interactions. However, their narrow sensing ranges, low detection sensitivities, slow responses, and complex preparation processes restrict their application in smart wearable devices. Herein, a capacitive pressure sensor with high sensitivity and flexibility that uses an ionic collagen fiber material as the dielectric layer is proposed. The sensor exhibits a high sensitivity (5.24 kPa−1), fast response time (40 ms), long-term stability, and excellent repeatability over 3000 cycles. Because the sensor is resizable, flexible, and has a simple preparation process, it can be flexibly attached to clothes and the human body for wearable monitoring. Furthermore, the practicality of the sensor is proven by attaching it to different measurement positions on the human body to monitor the activity signal.

Textile-Based Flexible Capacitive Pressure Sensors: A Review

Flexible capacitive pressure sensors have been widely used in electronic skin, human movement and health monitoring, and human-machine interactions. Recently, electronic textiles afford a valuable alternative to traditional capacitive pressure sensors due to their merits of flexibility, light weight, air permeability, low cost, and feasibility to fit various surfaces. The textile-based functional layers can serve as electrodes, dielectrics, and substrates, and various devices with semi-textile or all-textile structures have been well developed. This paper provides a comprehensive review of recent developments in textile-based flexible capacitive pressure sensors. The latest research progresses on textile devices with sandwich structures, yarn structures, and in-plane structures are introduced, and the influences of different device structures on performance are discussed. The applications of textile-based sensors in human wearable devices, robotic sensing, and human-machine interaction are then summarized. Finally, evolutionary trends, future directions, and challenges are highlighted.

Flexible pressure sensors via engineering microstructures for wearable human-machine interaction and health monitoring applications

Flexible pressure sensors capable of transducing pressure stimuli into electrical signals have drawn extensive attention owing to their potential applications for human-machine interaction and healthcare monitoring. To meet these application demands, engineering microstructures in the pressure sensors are an efficient way to improve key sensing performances, such as sensitivity, linear sensing range, response time, hysteresis, and durability. In this review, we provide an overview of the recent advances in the fabrication and application of high-performance flexible pressure sensors via engineering microstructures. The implementation mechanisms and fabrication strategies of microstructures including micropatterned, porous, fiber-network, and multiple microstructures are systematically summarized. The applications of flexible pressure sensors with microstructures in the fields of wearable human-machine interaction, and ex vivo and in vivo healthcare monitoring are comprehensively discussed. Finally, the outlook and challenges in the future improvement of flexible pressure sensors toward practical applications are presented.

Track-Etch Membranes as Tools for Template Synthesis of Highly Sensitive Pressure Sensors

Flexible pressure sensors with high sensitivity are highly desired in wearable electronics and human-machine interaction. Introducing the surface microstructures to the capacitive-type sensors can improve sensitivity and reduce response time. However, conventional techniques for the fabrication of highly sensitive and large-area pressure sensors still remain challenging. Here, a template synthesis approach is reported for fabrication of a large-area and low-cost ionic micropillar array templated from track-etch membranes. The pressure sensors based on the ionic micropillars gel dielectric layers exhibit a low limit of detection (∼0.5 Pa) and high sensitivity (14.83 kPa^-1) in the low-pressure regime (0-5 kPa) and linear sensitivity (1.96 kPa^-1) over a wide pressure range of 24-230 kPa. The versatility of the sensors is demonstrated in various human physiological signal detection scenarios and spatial pressure distribution. Furthermore, a real-time pressure mapping insole was fabricated on the basis of a large-area micropillared ionic gel dielectric layer combined with the screen-printing technique. The scalable and low-cost fabrication of pressure sensors with micropillars templated from a track-etch membrane provides new insights into the future development of health monitoring and human-machine interaction.

Smart Materials Enabled with Artificial Intelligence for Healthcare Wearables

Contemporary medicine suffers from many shortcomings in terms of successful disease diagnosis and treatment, both of which rely on detection capacity and timing. The lack of effective, reliable, and affordable detection and real‐time monitoring limits the affordability of timely diagnosis and treatment. A new frontier that overcomes these challenges relies on smart health monitoring systems that combine wearable sensors and an analytical modulus. This review presents the latest advances in smart materials for the development of multifunctional wearable sensors while providing a bird's eye‐view of their characteristics, functions, and applications. The review also presents the state‐of‐the‐art on wearables fitted with artificial intelligence (AI) and support systems for clinical decision in early detection and accurate diagnosis of disorders. The ongoing challenges and future prospects for providing personal healthcare with AI‐assisted support systems relating to clinical decisions are presented and discussed.