Transparent, stretchable and degradable protein electronic skin for biomechanical energy scavenging and wireless sensing

Conductive/Insulating Bioinks with Multitechnology Compatibility and Adjustable Performance

Conducting/insulating inks have received significant attention for the fabrication of a wide range of additive manufacturing technology. However, current inks often demonstrate poor biocompatibility and face trade-offs between conductivity and mechanical stiffness under physiological conditions. Here, conductive/insulating bioinks based on two-dimensional materials are proposed. The conductive bioink, graphene (GR)-poly(lactic-co-glycolic acid) (PLGA), is prepared by introducing conductive GR into a degradable polymer matrix, PLGA, while the insulating bioink, boron nitride (BN)-PLGA, is synthesized by adding insulating BN. By optimizing the material ratios, this work achieves precise control of the electromechanical properties of the bioinks, thereby enabling the flexible construction of conductive networks according to specific requirements. Furthermore, these bioinks are compatible with a variety of manufacturing technologies such as 3D printing, electrospinning, spin coating, and injection molding, expanding their application range in the biomedical field. Overall, the results suggest that these conducting/insulating bioinks offer improved mechanical, electronic, and biological properties for various emerging biomedical applications.

Flexible silk-fibroin-based microelectrode arrays for high-resolution neural recording

High-precision neural recording plays a pivotal role in unraveling the intricate mechanisms that underlie information transmission of the nervous system, raising increasing interest in the development of implantable microelectrode arrays (MEAs). The challenge lies in providing a truly soft, highly conductive and low-impedance neural interface for precise recording of the electrophysiological signals of individual neurons or neural networks. Herein, by implementing a novel topological regulation strategy of silk fibroin (SF) crosslinking, we prepared a flexible, hydrophilic, and biocompatible MEA substrate, facilitating a biocompatible neural interface that minimizes mechanical mismatch with biological tissues. Additionally, we established a strategy involving screen-printing combined with post-coating to prepare MEAs with high conductivity, low impedance and high capacitance, by coating PEDOT:PSS on titanium carbide (Ti3C2) microarrays. The Ti3C2 nanosheets, as the conductive track of the MEAs, avoided the charge drifting associated with metals and facilitated the processing of the MEAs. Further coating PEDOT:PSS on the electrode points reduced the impedance 100-fold, from 105 to 103 Ω. Experimental validation confirmed the superior electrophysiological signal recording capabilities of the SF-based MEA (SMEA) in peripheral and cerebral nerves with a much higher signal-to-noise ratio (SNR) of 20. In particular, we achieved high-precision recording of the action potential (AP) induced by flash visual stimulation, demonstrating high performance in weak signal recording. In summary, the development of SMEA provides a robust foundation for future investigations into the mechanisms and principles of neural circuit information transmission in complex nervous systems.

Kirigami triboelectric spider fibroin microneedle patches for comprehensive joint management

Joint injuries are among the leading causes of disability. Present concentrations were focused on oral drugs and surgical treatment, which brings severe and unnecessary difficulties for patients. Smart patches with high flexibility and intelligent drug control-release capacity are greatly desirable for efficient joint management. Herein, we present a novel kirigami spider fibroin-based microneedle triboelectric nanogenerator (KSM-TENG) patch with distinctive features for comprehensive joint management. The microneedle patch consists of two parts: the superfine tips and the flexible backing base, which endow it with great mechanical strength to penetrate the skin and enough flexibility to fit different bends. Besides, the spider fibroin-based MNs served as a positive triboelectric material to generate electrical stimulation, thereby forcing drug release from needles within 720 min. Especially, kirigami structures could also transform the flat patch into three dimensions, which could impart the patch with flexible properties to accommodate the complicated processes produced by joint motion. Benefiting from these traits, the KSM-TENG patch presents excellent performance in inhibiting the inflammatory response and promoting wound healing in mice models. The results indicated that the mice possessed only 2% wound area and the paw thickness was reduced from 10.5 mm to 6.2 mm after treatment with the KSM-TENG patch, which further demonstrates the therapeutic effect of joints in vivo. Thus, it is believed that the proposed novel KSM-TENG patch is valuable in the field of comprehensive treatments and personalized clinical applications.

Enhancing cellular behavior in repaired tissue via silk fibroin-integrated triboelectric nanogenerators

Triboelectric nanogenerators (TENGs) have emerged as a promising approach for generating electricity and providing electrical stimuli in medical electronic devices. Despite their potential benefits, the clinical implementation of TENGs faces challenges such as skin compliance and a lack of comprehensive assessment regarding their biosafety and efficacy. Therefore, further research is imperative to overcome these limitations and unlock the full potential of TENGs in various biomedical applications. In this study, we present a flexible silk fibroin-based triboelectric nanogenerator (SFB-TENG) that features an on-skin substrate and is characterized by excellent skin compliance and air/water permeability. The range of electrical output generated by the SFB-TENG was shown to facilitate the migration and proliferation of Hy926, NIH-3T3 and RSC96 cells. However, apoptosis of fibroblast NIH-3T3 cells was observed when the output voltage increased to more than 20 V at a frequency of 2 Hz. In addition, the moderate electrical stimulation provided by the SFB-TENG promoted the cell proliferation cycle in Hy926 cells. This research highlights the efficacy of a TENG system featuring a flexible and skin-friendly design, as well as its safe operating conditions for use in biomedical applications. These findings position TENGs as highly promising candidates for practical applications in the field of tissue regeneration.

An All-Protein Multisensory Highly Bionic Skin

To achieve a highly realistic robot, closely mimicking human skin in terms of materials and functionality is essential. This paper presents an all-protein silk fibroin bionic skin (SFBS) that emulates both fast-adapting (FA) and slow-adapting (SA) receptors. The mechanically different silk film and hydrogel, which exhibited skin-like properties, such as stretchability (>140%), elasticity, low modulus (<10 kPa), biocompatibility, and degradability, were prepared through mesoscopic reconstruction engineering to mimic the epidermis and dermis. Our SFBS, incorporating SA and FA sensors, demonstrated a highly sensitive (1.083 kPa-1) static pressure sensing performance (in vitro and in vivo), showed the ability to sense high-frequency vibrations (50-400 Hz), could discriminate materials and sliding, and could even identify the fine morphological differences between objects. As proof of concept, an SFBS-integrated rehabilitation glove was synthesized, which could help stroke patients regain sensory feedback. In conclusion, this work provides a practical approach for developing skin equivalents, prostheses, and smart robots.

Nature-Skin-Derived e-Skin as Versatile "Wound Therapy-Health Monitoring" Bioelectronic Skin-Scaffolds: Skin to Bio-e-Skin

Electronic skins (e-skins) have the potential to turn into breakthroughs in biomedical applications. Herein, a novel acellular dermal matrix (ADM)-based bioelectronic skin (e-ADM) is used to fabricate versatile "wound therapy-health monitoring" tissue-nanoengineered skin scaffolds via a facile "one-pot" bio-compositing strategy to incorporate the conductive carbon nanotubes and self-assembled micro-copper oxide microspheres with a cicada-wing-like rough surface and nanocone microstructure. The e-ADM exhibits robust tensile strength (22 MPa), flexibility, biodegradability, electroactivity, and antibacterial properties. Interestingly, e-ADM exhibits the pH-responsive ability for intelligent command between sterilization and wound repair . Additionally, e-ADM enables accurate real-time monitoring of human activities, providing a novel flexible e-skin sensor to record injury and motions. In vitro and in vivo experiments show that with electrical stimulation, e-ADM could prominently facilitate cell growth and proliferation and further promote full-thickness skin wound healing, providing a comprehensive therapeutic strategy for smart sensing and tissue repair, guiding the development of high-performance "wound therapy-health monitoring" bioelectronic skin-scaffolds.

Digital mapping of surface turbulence status and aerodynamic stall on wings of a flying aircraft

Real-time monitoring of flow turbulence is very difficult but extremely important in fluid dynamics, which plays an important role in flight safety and control. Turbulence can cause airflow to detach at the end of the wings, potentially resulting in the aerodynamic stall of aircraft and causing flight accidents. Here, we developed a lightweight and conformable system on the wing surface of aircraft for stall sensing. Quantitative data about airflow turbulence and the degree of boundary layer separation are provided in situ using conjunct signals provided by both triboelectric and piezoelectric effects. Thus, the system can visualize and directly measure the airflow detaching process on the airfoil, and senses the degree of airflow separation during and after a stall for large aircraft and unmanned aerial vehicles.

Natural Silkworm Cocoon-Based Hierarchically Architected Composite Triboelectric Nanogenerators for Biomechanical Energy Harvesting

Silk-based triboelectric nanogenerators (TENGs) have been demonstrated as an ideal platform for self-powered systems. The source of silk, Bombyx mori, entails a valuable ingredient, sericin (SS), viewed as a binder in composites. Interestingly, SS is rich in the amorphous region, possibly resulting in triboelectrification enhancement between the amorphous region and the crystallization region when subject to external pressure. However, most researchers remove the SS component when designing silk-TENGs to eliminate immunological responses as implantation in vivo through complicated degumming, rehydration, and dialysis procedures. Herein, integral SS retention was utilized to fabricate silk-TENGs without affecting the output performance. We designed, for the first time, an ultra-robust and natural silkworm cocoon layer (SCL)/polydimethylsiloxane (PDMS)-TENG as an energy harvester to scavenge waste energy from human motions. The working mechanisms and influence of operational parameters are explored and studied. Working in the contact-separation mode, the electrical outputs of the SCL/PDMS-TENG in terms of open-circuit voltage, short-circuit current, and power density reaches 126 V, 3 μA, and 216 mW/m2, respectively. The integrated self-charging TENG is demonstrated to power small electronic electronics and monitor human motions. This work widens a new dielectric material selection with SS retention to boost the output performance of TENGs for practical applications.

Biodegradable Polymers in Triboelectric Nanogenerators

Triboelectric nanogenerators (TENGs) have attracted much attention because they not only efficiently harvest energy from the surrounding environment and living organisms but also serve as multifunctional sensors toward the detection of various chemical and physical stimuli. In particular, biodegradable TENG (BD-TENG) represents an emerging type of self-powered device that can be degraded, either in physiological environments as an implantable power source without the necessity of second surgery for device retrieval, or in the ambient environment to minimize associated environmental pollution. Such TENGs or TNEG-based self-powered devices can find important applications in many scenarios, such as tissue regeneration, drug release, pacemakers, etc. In this review, the recent progress of TENGs developed on the basis of biodegradable polymers is comprehensively summarized. Material strategies and fabrication schemes of biodegradable and self-powered devices are thoroughly introduced according to the classification of plant-degradable polymer, animal-degradable polymer, and synthetic degradable polymer. Finally, current problems, challenges, and potential opportunities for the future development of BD-TENGs are discussed. We hope this work may provide new insights for modulating the design of BD-TNEGs that can be beneficial for both environmental protection and healthcare.

Stretchable Filler/Solid Rubber Piezoresistive Thread Sensor for Gesture Recognition

Recently, the stretchable piezoresistive composites have become a focus in the fields of the biomechanical sensing and human posture recognition because they can be directly and conformally attached to bodies and clothes. Here, we present a stretchable piezoresistive thread sensor (SPTS) based on Ag plated glass microspheres (Ag@GMs)/solid rubber (SR) composite, which was prepared using new shear dispersion and extrusion vulcanization technology. The SPTS has the high gauge factors (7.8~11.1) over a large stretching range (0-50%) and approximate linear curves about the relative change of resistance versus the applied strain. Meanwhile, the SPTS demonstrates that the hysteresis is as low as 2.6% and has great stability during 1000 stretching/releasing cycles at 50% strain. Considering the excellent mechanical strain-driven characteristic, the SPTS was carried out to monitor posture recognitions and facial movements. Moreover, the novel SPTS can be successfully integrated with software and hardware information modules to realize an intelligent gesture recognition system, which can promptly and accurately reflect the produced electrical signals about digital gestures, and successfully be translated into text and voice. This work demonstrates great progress in stretchable piezoresistive sensors and provides a new strategy for achieving a real-time and effective-communication intelligent gesture recognition system.

Recent Advances in Self-Powered Piezoelectric and Triboelectric Sensors: From Material and Structure Design to Frontier Applications of Artificial Intelligence

The development of artificial intelligence and the Internet of things has motivated extensive research on self-powered flexible sensors. The conventional sensor must be powered by a battery device, while innovative self-powered sensors can provide power for the sensing device. Self-powered flexible sensors can have higher mobility, wider distribution, and even wireless operation, while solving the problem of the limited life of the battery so that it can be continuously operated and widely utilized. In recent years, the studies on piezoelectric nanogenerators (PENGs) and triboelectric nanogenerators (TENGs) have mainly concentrated on self-powered flexible sensors. Self-powered flexible sensors based on PENGs and TENGs have been reported as sensing devices in many application fields, such as human health monitoring, environmental monitoring, wearable devices, electronic skin, human–machine interfaces, robots, and intelligent transportation and cities. This review summarizes the development process of the sensor in terms of material design and structural optimization, as well as introduces its frontier applications in related fields. We also look forward to the development prospects and future of self-powered flexible sensors.

High-Adhesive Flexible Electrodes and Their Manufacture: A Review

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

A portable triboelectric spirometer for wireless pulmonary function monitoring

Coronavirus disease 2019 (COVID-19) as a severe acute respiratory syndrome infection has spread rapidly across the world since its emergence in 2019 and drastically altered our way of life. Patients who have recovered from COVID-19 may still face persisting respiratory damage from the virus, necessitating long-term supervision after discharge to closely assess pulmonary function during rehabilitation. Therefore, developing portable spirometers for pulmonary function tests is of great significance for convenient home-based monitoring during recovery. Here, we propose a wireless, portable pulmonary function monitor for rehabilitation care after COVID-19. It is composed of a breath-to-electrical (BTE) sensor, a signal processing circuit, and a Bluetooth communication unit. The BTE sensor, with a compact size and light weight of 2.5 cm3 and 1.8 g respectively, is capable of converting respiratory biomechanical motions into considerable electrical signals. The output signal stability is greater than 93% under 35%-81% humidity, which allows for ideal expiration airflow sensing. Through a wireless communication circuit system, the signals can be received by a mobile terminal and processed into important physiological parameters, such as forced expiratory volume in 1 s (FEV1) and forced vital capacity (FVC). The FEV1/FVC ratio is then calculated to further evaluate pulmonary function of testers. Through these measurement methods, the acquired pulmonary function parameters are shown to exhibit high accuracy (>97%) in comparison to a commercial spirometer. The practical design of the self-powered flow spirometer presents a low-cost and convenient method for pulmonary function monitoring during rehabilitation from COVID-19.

Recent advances in nanogenerators-based flexible electronics for electromechanical biomonitoring

Electromechanical biomonitoring is essential in human health evaluation, diseases prevention and life quality improvement. Nanogenerators (NGs) have demonstrated exceptional performances and versatility in self-powered flexible electronics including piezoelectric and electrostatic sensors. Combined with artificial intelligent (AI), five generation (5G) and internet-of-thing (IoT) technologies, the NGs-based flexible electronics are paving a new way for creating intelligent electromechanical biomonitoring systems which are also capable of analyzing, transmitting, and deciding. In this review, we cover the recent remarkable developments in monitoring electromechanical physiological signals using NGs-based flexible electronics. We begin by covering the fundamentals of NGs from the perspective of mechanisms, materials, device structures, and manufacturing methods. We then give an overview of NGs-based flexible electronics in various wearable and implantable sensing applications. Finally, the present limitations and future developing trends of this field are discussed and prospected.

A Tubular Flexible Triboelectric Nanogenerator with a Superhydrophobic Surface for Human Motion Detecting

The triboelectric nanogenerator (TENG) is a newly arisen technology for mechanical energy harvesting from the environment, such as raindrops, wind, tides, and so on. It has attracted widespread attention in flexible electronics to serve as self-powered sensors and energy-harvesting devices because of its flexibility, durability, adaptability, and multi-functionalities. In this work, we fabricated a tubular flexible triboelectric nanogenerator (TF-TENG) with energy harvesting and human motion monitoring capabilities by employing polydimethylsiloxane (PDMS) as construction material, and fluorinated ethylene propylene (FEP) films coated with Cu as the triboelectric layer and electrode, serving in a free-standing mode. The tube structure has excellent stretchability that can be stretched up to 400%. Modifying the FEP films to obtain a superhydrophobic surface, the output performance of TF-TENG was increased by at least 100% compared to an untreated one. Finally, as the output of TF-TENG is sensitive to swing angle and frequency, demonstration of real-time monitoring of human motion state was realized when a TF-TENG was worn on the wrist.

Highly Stretchable, Adhesive, and Self-Healing Silk Fibroin-Dopted Hydrogels for Wearable Sensors

In recent years, the preparations of flexible electronic devices have attracted great attention. Here, a simple one-pot method of thermal polymerization is introduced to fabricate silk fibroin-dopted hydrogels (SFHs), which are both chemically and physically cross-linked by acrylamide (AM), acrylic acid (AA), and silk fibroin (SF). The addition of SF can effectively enhance the mechanical property of the SFH_12% by 59% compared with SFH_0% . Taking the advantage of its wide working range of stress (about 0.455-568.9 kPa), the SFH can work as a resistance-type pressure sensor to monitor different human motions. What is more, the excellent adhesion, about 75.17 N m^-1 of SFH_46% enables it to fit tightly to other objects during the testing, which significantly reduces the loss of small signals due to poor fit. In addition, the SFH demonstrates excellent self-healing property without requiring external excitation and a sensitive temperature response in the range of -10 to 60 °C. The SFH is expected to be applied in the field of electronic skin, soft robots, and other flexible electronic products as well as speech recognition.

UV-Protective, Self-Cleaning, and Antibacterial Nanofiber-Based Triboelectric Nanogenerators for Self-Powered Human Motion Monitoring

Equipping wearable electronics with special functions will endow them with more additional values and more comprehensive practical performance. Here, we report an ultraviolet (UV)-protective, self-cleaning, antibacterial, and self-powered all-nanofiber-based triboelectric nanogenerator (TENG) for mechanical energy harvesting and self-powered sensing, which is fabricated with Ag nanowires (NWs)/TPU nanofibers and the TiO₂@PAN networks through a facile electrospinning method. Due to the added TiO₂ nanoparticles (NPs), the TENG presents excellent UV-protective performance, including the ultraviolet protection factor (UPF) of ∼204, the transmittance of UVA (T_UVA) of ∼0.0574%, and the transmittance of UVB (T_UVB) ∼0.107%. Furthermore, under solar lighting for 25 min, most surface contamination can be degraded, and the decreased power output would be recovered. Owing to the coupled effects of TiO₂ NPs and Ag NWs, the TENG shows excellent antibacterial activity against Staphylococcus aureus. Due to the micro-to-nano hierarchical porous structure, the all-nanofiber-based TENG can serve as self-powered pedometers for detecting and tracking human motion behaviors. As a multifunctional self-powered device, the TENG prompts various applications in the fields of micro/nanopower sources, human movement monitoring, and human-machine interfaces, potentially providing an alternative energy solution and a multifunctional interactive platform for the next-generation wearable electronics.

Next-Generation Continuous Metabolite Sensing toward Emerging Sensor Needs

This article discusses the emergent biosensor technology focused on continuous biosensing of metabolites by non-invasive sampling of body fluids emphasized on physiological monitoring in mobility-constrained populations, resource-challenged settings, and harsh environments. The boom of innovative ideas and endless opportunities in healthcare technologies has transformed traditional medicine into a sustainable link between medical practitioners and patients to provide solutions for faster disease diagnosis. The future of healthcare is focused on empowering users to manage their own health. The confluence of big data and predictive analysis and the internet of things (IoT) technology have shown the potential of converting the abundant health profile data amassed from medical diagnosis of patients into useable information, whilst allowing caregivers to provide suitable treatment plans. The implementation of the IoT technology has opened up advanced approaches in real-time, continuous, remote monitoring of patients. Wearable, point-of-care biosensors are the future roadmap to providing direct, real-time information of health status to the user and medical professionals in this digitized era.

Wearable Nanogenerators: Working Principle and Self-Powered Biosensors Applications

Wearable self-powered sensors represent a theme of interest in the literature due to the progress in the Internet of Things and implantable devices. The integration of different materials to harvest energy from body movement or the environment to power up sensors or act as an active component of the detection of analytes is a frontier to be explored. This review describes the most relevant studies of the integration of nanogenerators in wearables based on the interaction of piezoelectric and triboelectric devices into more efficient and low-cost harvesting systems to power up batteries or to use the generated power to identify multiple analytes in self-powered sensors and biosensors.

Freestanding and Flexible β-MnO2@Carbon Sheet for Application as a Highly Sensitive Dimethyl Methylphosphonate Sensor

Research on wearable sensor systems is mostly conducted on freestanding polymer substrates such as poly(dimethylsiloxane) and poly(ethylene terephthalate). However, the use of these polymers as substrates requires the introduction of transducer materials on their surface, which causes many problems related to the contact with the transducer components. In this study, we propose a freestanding flexible sensor electrode based on a β-MnO₂-decorated carbon nanofiber sheet (β-MnO₂@CNF) to detect dimethyl methylphosphonate (DMMP) as a nerve agent simulant. To introduce MnO₂ on the surface of the substrate, polypyrrole coated on poly(acrylonitrile) (PPy@PAN) was reacted with a MnO₂ precursor. Then, phase transfer of PPy@PAN and MnO₂ to carbon and β-MnO₂, respectively, was induced by heat treatment. The β-MnO₂@CNF sheet electrode showed excellent sensitivity toward the target analyte DMMP (down to 0.1 ppb), as well as high selectivity, reversibility, and stability.