Recent progress in human body energy harvesting for smart bioelectronic system

NeuroDots: From Single-Target to Brain-Network Modulation: Why and What Is Needed?

OBJECTIVES

Current techniques in brain stimulation are still largely based on a phrenologic approach that a single brain target can treat a brain disorder. Nevertheless, meta-analyses of brain implants indicate an overall success rate of 50% improvement in 50% of patients, irrespective of the brain-related disorder. Thus, there is still a large margin for improvement. The goal of this manuscript is to 1) develop a general theoretical framework of brain functioning that is amenable to surgical neuromodulation, and 2) describe the engineering requirements of the next generation of implantable brain stimulators that follow from this theoretic model.

MATERIALS AND METHODS

A neuroscience and engineering literature review was performed to develop a universal theoretical model of brain functioning and dysfunctioning amenable to surgical neuromodulation.

RESULTS

Even though a single target can modulate an entire network, research in network science reveals that many brain disorders are the consequence of maladaptive interactions among multiple networks rather than a single network. Consequently, targeting the main connector hubs of those multiple interacting networks involved in a brain disorder is theoretically more beneficial. We, thus, envision next-generation network implants that will rely on distributed, multisite neuromodulation targeting correlated and anticorrelated interacting brain networks, juxtaposing alternative implant configurations, and finally providing solid recommendations for the realization of such implants. In doing so, this study pinpoints the potential shortcomings of other similar efforts in the field, which somehow fall short of the requirements.

CONCLUSION

The concept of network stimulation holds great promise as a universal approach for treating neurologic and psychiatric disorders.

E-Tattoos: Toward Functional but Imperceptible Interfacing with Human Skin

The human body continuously emits physiological and psychological information from head to toe. Wearable electronics capable of noninvasively and accurately digitizing this information without compromising user comfort or mobility have the potential to revolutionize telemedicine, mobile health, and both human-machine or human-metaverse interactions. However, state-of-the-art wearable electronics face limitations regarding wearability and functionality due to the mechanical incompatibility between conventional rigid, planar electronics and soft, curvy human skin surfaces. E-Tattoos, a unique type of wearable electronics, are defined by their ultrathin and skin-soft characteristics, which enable noninvasive and comfortable lamination on human skin surfaces without causing obstruction or even mechanical perception. This review article offers an exhaustive exploration of e-tattoos, accounting for their materials, structures, manufacturing processes, properties, functionalities, applications, and remaining challenges. We begin by summarizing the properties of human skin and their effects on signal transmission across the e-tattoo-skin interface. Following this is a discussion of the materials, structural designs, manufacturing, and skin attachment processes of e-tattoos. We classify e-tattoo functionalities into electrical, mechanical, optical, thermal, and chemical sensing, as well as wound healing and other treatments. After discussing energy harvesting and storage capabilities, we outline strategies for the system integration of wireless e-tattoos. In the end, we offer personal perspectives on the remaining challenges and future opportunities in the field.

A self-powered and self-sensing knee negative energy harvester

Wearable devices realize health monitoring, information transmission, etc. In this study, the human-friendliness, adaptability, reliability, and economy (HARE) principle for designing human energy harvesters is first proposed and then a biomechanical energy harvester (BMEH) is proposed to recover the knee negative energy to generate electricity. The proposed BMEH is mounted on the waist of the human body and connected to the ankles by ropes for driving. Double-rotor mechanism and half-wave rectification mechanism design effectively improves energy conversion efficiency with higher power output density for more stable power output. The experimental results demonstrate that the double-rotor mechanism increases the output power of the BMEH by 70% compared to the single magnet-rotor mechanism. And the output power density of BMEH reaches 0.07 W/kg at a speed of 7 km/h. Furthermore, the BMEH demonstrates the excitation mode detection accuracy of 99.8% based on the Gate Recurrent Unit deep learning model with optimal parameters.

A Review of Recent Advances in Human-Motion Energy Harvesting Nanogenerators, Self-Powering Smart Sensors and Self-Charging Electronics

In recent years, portable and wearable personal electronic devices have rapidly developed with increasing mass production and rising energy consumption, creating an energy crisis. Using batteries and supercapacitors with limited lifespans and environmental hazards drives the need to find new, environmentally friendly, and renewable sources. One idea is to harness the energy of human motion and convert it into electrical energy using energy harvesting devices-piezoelectric nanogenerators (PENGs), triboelectric nanogenerators (TENGs) and hybrids. They are characterized by a wide variety of features, such as lightness, flexibility, low cost, richness of materials, and many more. These devices offer the opportunity to use new technologies such as IoT, AI or HMI and create smart self-powered sensors, actuators, and self-powered implantable/wearable devices. This review focuses on recent examples of PENGs, TENGs and hybrid devices for wearable and implantable self-powered systems. The basic mechanisms of operation, micro/nano-scale material selection and manufacturing processes of selected examples are discussed. Current challenges and the outlook for the future of the nanogenerators are also discussed.

Advances in Smart Photovoltaic Textiles

Energy harvesting textiles have emerged as a promising solution to sustainably power wearable electronics. Textile-based solar cells (SCs) interconnected with on-body electronics have emerged to meet such needs. These technologies are lightweight, flexible, and easy to transport while leveraging the abundant natural sunlight in an eco-friendly way. In this Review, we comprehensively explore the working mechanisms, diverse types, and advanced fabrication strategies of photovoltaic textiles. Furthermore, we provide a detailed analysis of the recent progress made in various types of photovoltaic textiles, emphasizing their electrochemical performance. The focal point of this review centers on smart photovoltaic textiles for wearable electronic applications. Finally, we offer insights and perspectives on potential solutions to overcome the existing limitations of textile-based photovoltaics to promote their industrial commercialization.

Minimally invasive power sources for implantable electronics

As implantable medical electronics (IMEs) developed for healthcare monitoring and biomedical therapy are extensively explored and deployed clinically, the demand for non-invasive implantable biomedical electronics is rapidly surging. Current rigid and bulky implantable microelectronic power sources are prone to immune rejection and incision, or cannot provide enough energy for long-term use, which greatly limits the development of miniaturized implantable medical devices. Herein, a comprehensive review of the historical development of IMEs and the applicable miniaturized power sources along with their advantages and limitations is given. Despite recent advances in microfabrication techniques, biocompatible materials have facilitated the development of IMEs system toward non-invasive, ultra-flexible, bioresorbable, wireless and multifunctional, progress in the development of minimally invasive power sources in implantable systems has remained limited. Here three promising minimally invasive power sources summarized, including energy storage devices (biodegradable primary batteries, rechargeable batteries and supercapacitors), human body energy harvesters (nanogenerators and biofuel cells) and wireless power transfer (far-field radiofrequency radiation, near-field wireless power transfer, ultrasonic and photovoltaic power transfer). The energy storage and energy harvesting mechanism, configurational design, material selection, output power and in vivo applications are also discussed. It is expected to give a comprehensive understanding of the minimally invasive power sources driven IMEs system for painless health monitoring and biomedical therapy with long-term stable functions.

A 3D-Printed Piezoelectric Microdevice for Human Energy Harvesting for Wearable Biosensors

The human body is a source of multiple types of energy, such as mechanical, thermal and biochemical, which can be scavenged through appropriate technological means. Mechanical vibrations originating from contraction and expansion of the radial artery represent a reliable source of displacement to be picked up and exploited by a harvester. The continuous monitoring of physiological biomarkers is an essential part of the timely and accurate diagnosis of a disease with subsequent medical treatment, and wearable biosensors are increasingly utilized for biomedical data acquisition of important biomarkers. However, they rely on batteries and their replacement introduces a discontinuity in measured signals, which could be critical for the patients and also causes discomfort. In the present work, the research into a novel 3D-printed wearable energy harvesting platform for scavenging energy from arterial pulsations via a piezoelectric material is described. An elastic thermoplastic polyurethane (TPU) film, which forms an air chamber between the skin and the piezoelectric disc electrode, was introduced to provide better adsorption to the skin, prevent damage to the piezoelectric disc and electrically isolate components in the platform from the human body. Computational fluid dynamics in the framework of COMSOL Multiphysics 6.1 software was employed to perform a series of coupled time-varying simulations of the interaction among a number of associated physical phenomena. The mathematical model of the harvester was investigated computationally, and quantification of the output energy and power parameters was used for comparisons. A prototype wearable platform enclosure was designed and manufactured using fused filament fabrication (FFF). The influence of the piezoelectric disc material and its diameter on the electrical output were studied and various geometrical parameters of the enclosure and the TPU film were optimized based on theoretical and empirical data. Physiological data, such as interdependency between the harvester skin fit and voltage output, were obtained.

Advances in Wireless, Batteryless, Implantable Electronics for Real-Time, Continuous Physiological Monitoring

This review summarizes recent progress in developing wireless, batteryless, fully implantable biomedical devices for real-time continuous physiological signal monitoring, focusing on advancing human health care. Design considerations, such as biological constraints, energy sourcing, and wireless communication, are discussed in achieving the desired performance of the devices and enhanced interface with human tissues. In addition, we review the recent achievements in materials used for developing implantable systems, emphasizing their importance in achieving multi-functionalities, biocompatibility, and hemocompatibility. The wireless, batteryless devices offer minimally invasive device insertion to the body, enabling portable health monitoring and advanced disease diagnosis. Lastly, we summarize the most recent practical applications of advanced implantable devices for human health care, highlighting their potential for immediate commercialization and clinical uses.

Implantable Triboelectric Nanogenerators for Self-Powered Cardiovascular Healthcare

Triboelectric nanogenerators (TENGs) have gained significant traction in recent years in the bioengineering community. With the potential for expansive applications for biomedical use, many individuals and research groups have furthered their studies on the topic, in order to gain an understanding of how TENGs can contribute to healthcare. More specifically, there have been a number of recent studies focusing on implantable triboelectric nanogenerators (I-TENGs) toward self-powered cardiac systems healthcare. In this review, the progression of implantable TENGs for self-powered cardiovascular healthcare, including self-powered cardiac monitoring devices, self-powered therapeutic devices, and power sources for cardiac pacemakers, will be systematically reviewed. Long-term expectations of these implantable TENG devices through their biocompatibility and other utilization strategies will also be discussed.

Organic Electronics in Biosensing: A Promising Frontier for Medical and Environmental Applications

The promising field of organic electronics has ushered in a new era of biosensing technology, thus offering a promising frontier for applications in both medical diagnostics and environmental monitoring. This review paper provides a comprehensive overview of organic electronics' remarkable progress and potential in biosensing applications. It explores the multifaceted aspects of organic materials and devices, thereby highlighting their unique advantages, such as flexibility, biocompatibility, and low-cost fabrication. The paper delves into the diverse range of biosensors enabled by organic electronics, including electrochemical, optical, piezoelectric, and thermal sensors, thus showcasing their versatility in detecting biomolecules, pathogens, and environmental pollutants. Furthermore, integrating organic biosensors into wearable devices and the Internet of Things (IoT) ecosystem is discussed, wherein they offer real-time, remote, and personalized monitoring solutions. The review also addresses the current challenges and future prospects of organic biosensing, thus emphasizing the potential for breakthroughs in personalized medicine, environmental sustainability, and the advancement of human health and well-being.

Skin Thermal Management for Subcutaneous Photoelectric Conversion Reaching 500 mW

Despite possessing higher tissue transmittance and maximum permissible exposure power density for skin relative to other electromagnetic waves, second near-infrared light (1000-1350 nm) is scarcely applicable to subcutaneous photoelectric conversion, owing to the companion photothermal effect. Here, skin thermal management is conceived to utmostly utilize the photothermal effect of a photovoltaic cell, which not only improves the photoelectric conversion efficiency but also eliminates skin hyperthermia. In vivo, the output power can be higher than 500 mW with a photoelectric conversion efficiency of 9.4%. This output power is promising to recharge all the clinically applied implantable devices via wireless power transmission, that is, clinical pacemakers (6-200 µW), drug pumps (0.5-2 mW), cochlear (5-40 mW), and wireless endo-photo cameras (≈100 mW).

Self-healable polymer complex with a giant ionic thermoelectric effect

In this study, we develop a stretchable/self-healable polymer, PEDOT:PAAMPSA:PA, with remarkably high ionic thermoelectric (iTE) properties: an ionic figure-of-merit of 12.3 at 70% relative humidity (RH). The iTE properties of PEDOT:PAAMPSA:PA are optimized by controlling the ion carrier concentration, ion diffusion coefficient, and Eastman entropy, and high stretchability and self-healing ability are achieved based on the dynamic interactions between the components. Moreover, the iTE properties are retained under repeated mechanical stress (30 cycles of self-healing and 50 cycles of stretching). An ionic thermoelectric capacitor (ITEC) device using PEDOT:PAAMPSA:PA achieves a maximum power output and energy density of 4.59 μW‧m-2 and 1.95 mJ‧m-2, respectively, at a load resistance of 10 KΩ, and a 9-pair ITEC module produces a voltage output of 0.37 V‧K-1 with a maximum power output of 0.21 μW‧m-2 and energy density of 0.35 mJ‧m-2 at 80% RH, demonstrating the potential for a self-powering source.

Biological and Bioinspired Thermal Energy Regulation and Utilization

The regulation and utilization of thermal energy is increasingly important in modern society due to the growing demand for heating and cooling in applications ranging from buildings, to cooling high power electronics, and from personal thermal management to the pursuit of renewable thermal energy technologies. Over billions of years of natural selection, biological organisms have evolved unique mechanisms and delicate structures for efficient and intelligent regulation and utilization of thermal energy. These structures also provide inspiration for developing advanced thermal engineering materials and systems with extraordinary performance. In this review, we summarize research progress in biological and bioinspired thermal energy materials and technologies, including thermal regulation through insulation, radiative cooling, evaporative cooling and camouflage, and conversion and utilization of thermal energy from solar thermal radiation and biological bodies for vapor/electricity generation, temperature/infrared sensing, and communication. Emphasis is placed on introducing bioinspired principles, identifying key bioinspired structures, revealing structure-property-function relationships, and discussing promising and implementable bioinspired strategies. We also present perspectives on current challenges and outlook for future research directions. We anticipate that this review will stimulate further in-depth research in biological and bioinspired thermal energy materials and technologies, and help accelerate the growth of this emerging field.

Context-aware electromagnetic design for continuously wearable biosymbiotic devices

Imperceptible wireless wearable devices are critical to advance digital medicine with the goal to capture clinical-grade biosignals continuously. Design of these systems is complex because of unique interdependent electromagnetic, mechanic and system level considerations that directly influence performance. Typically, approaches consider body location, related mechanical loads, and desired sensing capabilities, however, design for real world application context is not formulated. Wireless power casting eliminates user interaction and the need to recharge batteries, however, implementation is challenging because the use case influences performance. To facilitate a data-driven approach to design, we demonstrate a method for personalized, context-aware antenna, rectifier and wireless electronics design that considers human behavioral patterns and physiology to optimize electromagnetic and mechanical features for best performance across an average day of the target user group. Implementation of these methods result in devices that enable continuous recording of high-fidelity biosignals over weeks without the need for human interaction.

Bioelectronic devices for light-based diagnostics and therapies

Light has broad applications in medicine as a tool for diagnosis and therapy. Recent advances in optical technology and bioelectronics have opened opportunities for wearable, ingestible, and implantable devices that use light to continuously monitor health and precisely treat diseases. In this review, we discuss recent progress in the development and application of light-based bioelectronic devices. We summarize the key features of the technologies underlying these devices, including light sources, light detectors, energy storage and harvesting, and wireless power and communications. We investigate the current state of bioelectronic devices for the continuous measurement of health and on-demand delivery of therapy. Finally, we highlight major challenges and opportunities associated with light-based bioelectronic devices and discuss their promise for enabling digital forms of health care.

Wireless Self-Powered Optogenetic System for Long-Term Cardiac Neuromodulation to Improve Post-MI Cardiac Remodeling and Malignant Arrhythmia

Autonomic imbalance is an important characteristic of patients after myocardial infarction (MI) and adversely contributes to post-MI cardiac remodeling and ventricular arrhythmias (VAs). A previous study proved that optogenetic modulation could precisely inhibit cardiac sympathetic hyperactivity and prevent acute ischemia-induced VAs. Here, a wireless self-powered optogenetic modulation system is introduced, which achieves long-term precise cardiac neuromodulation in ambulatory canines. The wireless self-powered optical system based on a triboelectric nanogenerator is powered by energy harvested from body motion and realized the effective optical illumination that is required for optogenetic neuromodulation (ON). It is further demonstrated that long-term ON significantly mitigates MI-induced sympathetic remodeling and hyperactivity, and improves a variety of clinically relevant outcomes such as improves ventricular dysfunction, reduces infarct size, increases electrophysiological stability, and reduces susceptibility to VAs. These novel insights suggest that wireless ON holds translational potential for the clinical treatment of arrhythmia and other cardiovascular diseases related to sympathetic hyperactivity. Moreover, this innovative self-powered optical system may provide an opportunity to develop implantable/wearable and self-controllable devices for long-term optogenetic therapy.

Self-Powered Biosensors for Monitoring Human Physiological Changes

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

Thin, soft, 3D printing enabled crosstalk minimized triboelectric nanogenerator arrays for tactile sensing

With the requirements of self-powering sensors in flexible electronics, wearable triboelectric nanogenerators (TENGs) have attracted great attention due to their advantages of excellent electrical outputs and low-cost processing routes. The crosstalk effect between adjacent sensing units in TENGs significantly limits the pixel density of sensor arrays. Here, we present a skin-integrated, flexible TENG sensor array with 100 sensing units in an overall size of 7.5 cm × 7.5 cm that can be processed in a simple, low-cost, and scalable way enabled by 3D printing. All the sensing units show good sensitivity of 0.11 V/kPa with a wide range of pressure detection from 10 to 65 kPa, which allows to accurately distinguish various tactile formats from gentle touching (as low as 2 kPa) to hard pressuring. The 3D printing patterned substrate allows to cast triboelectric layers of polydimethylsiloxane in an independent sensing manner for each unit, which greatly suppresses the cross talk arising from adjacent sensing units, where the maximum crosstalk output is only 10.8%. The excellent uniformity and reproducibility of the sensor array offer precise pressure mapping for complicated pattern loadings, which demonstrates its potential in tactile sensing and human-machine interfaces.

Portable Heating and Temperature-Monitoring System with a Textile Heater Embroidered on the Facemask

Personal heating systems are getting increasing interest because of the need to reduce the negative impact of cold weather on the health of people and animals. Heating the air before inhalation is of great importance as it can reduce the probability of various diseases. In this paper, we present a textile-based heater composed of commercial conductive threads, embroidered on an ordinary protective facemask. We also present the design and implementation details of the temperature monitoring and controlling circuit. Air temperature inside the facemask was monitored by a thermocouple placed in close proximity to the nose (nostrils). Preliminary testing revealed that the difference among temperatures in repeated heating cycles is in the range of ±1.5 °C. The response time for temperature increase from 29.9 to 40.5 °C was about 4 min, while the recovery time from 40.5 to 31.3 °C was about 4.3 min. Safety for human use and wireless data transmission to an application installed on a mobile phone are also demonstrated.

Recent progress and perspectives of continuous in vivo testing device

Devices for continuous in-vivo testing (CIVT) can detect target substances in real time, thus providing a valuable window into a patient's condition, their response to therapeutics, metabolic activities, and neurotransmitter transmission in the brain. Therefore, CIVT devices have received increased attention because they are expected to greatly assist disease diagnosis and treatment and research on human pathogenesis. However, CIVT has been achieved for only a few markers, and it remains challenging to detect many key markers. Therefore, it is important to summarize the key technologies and methodologies of CIVT, and to examine the direction of future development of CIVT. We review recent progress in the development of CIVT devices, with consideration of the structure of these devices, principles governing continuous detection, and nanomaterials used for electrode modification. This detailed and comprehensive review of CIVT devices serves three purposes: (1) to summarize the advantages and disadvantages of existing devices, (2) to provide a reference for development of CIVT equipment to detect additional important markers, and (3) to discuss future prospects with emphasis on problems that must be overcome for further development of CIVT equipment. This review aims to promote progress in research on CIVT devices and contribute to future innovation in personalized medical treatments.

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A detailed and comprehensive review of continuous in vivo testing device.

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The nanomaterials, delicate structures and detection principles of the works are discussed.

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The achievements and shortcomings of the existing devices are summarized.

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The problems that should be solved in the further development of the devices and the future prospects are put forward.

Subcutaneous power supply by NIR-II light

Implantable medical devices are wished to be recharged via contactless power transfer technologies without interventional operations. Superior to subcutaneous power supply by visible light or electromagnetic wave, second near-infrared (NIR-II) light is predicted to possess 60 times subcutaneous power transmission but hard to be utilized. Here we report a photo-thermal-electric converter via the combination of photothermal conversion and thermoelectric conversion. It is able to generate an output power as high as 195 mW under the coverage of excised tissues, presenting advantages of non-invasion, high output power, negligible biological damage, and deep tissue penetration. As an in vivo demonstration, the output power of a packaged converter in the abdominal cavity of a rabbit reaches 20 mW under NIR-II light irradiation through the rabbit skin with a thickness of 8.5 mm. This value is high enough to recharge an implanted high-power-consumption wireless camera and transfer video signal out of body in real-time.

A Flexible Triboelectric Nanogenerator Based on Multilayer MXene/Cellulose Nanofibril Composite Film for Patterned Electroluminescence Display

The flexible self-powered display system integrating a flexible triboelectric nanogenerator (TENG) and flexible alternating current electroluminescence (ACEL) has attracted increasing attention for its promising potential in human-machine interaction applications. In this work, a performance-enhanced MXene/cellulose nanofibril (CNF)/MXene-based TENG (MCM-TENG) is reported for powering a flexible patterned ACEL device in order to realize self-powered display. The MCM multilayer composite film was self-assembled through the layer-by-layer method. The MCM film concurrently acted as a triboelectric layer and electrode layer due to its high conductivity and strength. Moreover, the effect of CNF concentration and number of layers on the output performance of TENG was investigated. It was found that the MCM-TENG realized the optimum output performance. Finally, a flexible self-powered display device was realized by integrating the flexible TENG and ACEL. The MCM-TENG with an output voltage of ≈90 V at a frequency of 2 Hz was found to be efficient enough to power the ACEL device. Therefore, the as-fabricated flexible TENG demonstrates a promising potential in terms of self-powered displays and human-machine interaction.

Multiscale Engineering of Nanofiber-Aerogel Composite Nanogenerator with Tunable Triboelectric Performance Based on Multifunctional Polysuccinimide

Multiscale polymer engineering, involving chemical modification to control their triboelectric polarities as well as physicomechanical modification to maximize charge transfer and structural durability, is paramount to developing a high-performance triboelectric nanogenerator (TENG). This report introduces a highly efficient and comprehensive strategy to engineer high-performance TENG based on multifunctional polysuccinimide (PSI). With the ability of PSI to undergo facile nucleophilic addition with amines, sodium sulfate and quaternary ammonium chlorides having opposite charged groups are conjugated to PSI in varying densities. The resulting Sulfo-PSI and TMAC-PSI, respectively, processed into nanofibrous films, demonstrate highly enhanced and variable triboelectric properties based on the charge type and density. To further enhance the mechanical toughness and biocompatibility necessary for wearable applications, these PSI nanofibers are processed into alginate aerogel (AG). The sustained triboelectric performance of this nanofiber-AG TENG as a wearable energy harvester and biosensor is examined and validated in detail.

Emerging Development of Auto-Charging Sensors for Respiration Monitoring

In recent years, the development of biomedical monitoring systems, including respiration monitoring systems, has been accelerated. Wearable and implantable medical devices are becoming increasingly important in the diagnosis and management of disease and illness. Respiration can be monitored using a variety of biosensors and systems. Auto-charged sensors have a number of advantages, including low cost, ease of preparation, design flexibility, and a wide range of applications. It is possible to use the auto-charged sensors to directly convert mechanical energy from the airflow into electricity. The ability to monitor and diagnose one's own health is a major goal of auto-charged sensors and systems. Respiratory disease model output signals have not been thoroughly investigated and clearly understood. As a result, figuring out their exact interrelationship is a difficult and important research question. This review summarized recent developments in auto-charged respiratory sensors and systems in terms of their device principle, output property, detecting index, and so on. Researchers with an interest in auto-charged sensors can use the information presented here to better understand the difficulties and opportunities that lie ahead.

Enhanced Piezocatalytic Activity in Bi1/2Na1/2TiO3 for Water Splitting by Oxygen Vacancy Engineering

Piezoelectric materials have demonstrated applicability in clean energy production and environmental wastewater remediation through their ability to initiate a number of catalytic reactions. In this study, we used a conventional sol-gel method to synthesize lead-free rhombohedral R3c bismuth sodium titanate (BNT) particles of various sizes. When used as a piezocatalyst to generate H₂ through water splitting, the BNT samples provided high production rates (up to 506.70 μmol g^-1 h^-1). These piezocatalysts also degraded the organic pollutant methylene blue (MB, 20 mg L^-1) with high efficiency (up to k = 0.039 min^-1), suggesting their potential to treat polluted water. Finally, we found that the piezopotential caused band tilting in the semiconductor and aided charge transfer such that recombination was suppressed and the rate of H₂ production increased. The mechanism of piezoelectric catalysis involved oxygen vacancies, the size of the catalyst, and the internal electric field playing important roles to enhance electron-hole separation, which further enhanced the catalysis reactions.

Wide-temperature rechargeable Li metal batteries enabled by an in-situ fabricated composite gel electrolyte with a hierarchical structure

Lithium metal batteries (LMBs) are well recognized as promising next-generation high energy density batteries, but the uncontrollable Li dendrites growth and the volatilization/gas production of electrolytes, which become extremely worse at low and high temperatures, restrict their practical utilizations. In this work, a hierarchically structured polymerized gel electrolyte (HGE), which was composed of an inorganic (LixGa86In14 alloy and LiCl salt)/organic (polymerized tetrahydrofuran (THF)) hybrid layer and the bulk polymerized THF electrolyte, was proposed to achieve a steady performance of LMBs over a wide temperature range of -20-55 °C. The HGE fabrication can be completed within assembled cells with a simultaneously occurring replacement-polymerization-alloying reaction, which helps decrease the interfacial resistance and enhance the stability and ion diffusion under both low and high temperatures. The use of THF with low polarity also ensures high ion conductivity under low temperatures. With such HGE, the Li symmetric cells showed low overpotential under 10 mA/cm2 with a capacity of 10 mAh/cm2 over a 1200 h cycling, and the full cell coupled with Li4Ti5O12 demonstrated high capacity retention over 5000 cycles at room temperature. Besides, the symmetric cells showed low overpotentials of 12 mV at 55 °C and 80 mV at -20 °C at 2 mA/cm2 after a 1000 h cycling, and the full cell revealed the high capacity retention of 93.5% at 55 °C and 88.8% at -20 °C after 1500 cycles under a high current density of 1000 mA/g. This work shows a hierarchically structured polymerized electrolyte design for advanced Li batteries workable under broad temperatures.

Hydraulic Detrusor for Artificial Bladder Active Voiding

The gold standard treatment for bladder cancer is radical cystectomy that implies bladder removal coupled to urinary diversions. Despite the serious complications and the impossibility of controlled active voiding, bladder substitution with artificial systems is a challenge and cannot represent a real option, yet. In this article, we present hydraulic artificial detrusor prototypes to control and drive the voiding of an artificial bladder (AB). These prototypes rely on two actuator designs (origami and bellows) based either on negative or positive operating pressure, to be combined with an AB structure. Based on the bladder geometry and size, we optimized the actuators in terms of contraction/expansion performances, minimizing the liquid volume required for actuation and exploring different actuator arrangements to maximize the voiding efficiency. To operate the actuators, an ad hoc electrohydraulic circuit was developed for transferring liquid between the actuators and a reservoir, both of them intended to be implanted. The AB, actuators, and reservoir were fabricated with biocompatible flexible thermoplastic materials by a heat-sealing process. We assessed the voiding efficiency with benchtop experiments by varying the actuator type and arrangement at different simulated patient positions (horizontal, 45° tilted, and vertical) to identify the optimal configuration and actuation strategy. The most efficient solution relies on two bellows actuators anchored to the AB. This artificial detrusor design resulted in a voiding efficiency of about 99%, 99%, and 89%, in the vertical, 45° tilted, and horizontal positions, respectively. The relative voiding time was reduced by about 17, 24, and 55 s compared with the unactuated bladder.

A biosensing system using a multiparameter nonlinear dynamic analysis of cardiomyocyte beating for drug-induced arrhythmia recognition

Cardiovascular disease is the number one cause of death in humans. Therefore, cardiotoxicity is one of the most important adverse effects assessed by arrhythmia recognition in drug development. Recently, cell-based techniques developed for arrhythmia recognition primarily employ linear methods such as time-domain analysis that detect and compare individual waveforms and thus fall short in some applications that require automated and efficient arrhythmia recognition from large datasets. We carried out the first report to develop a biosensing system that integrated impedance measurement and multiparameter nonlinear dynamic algorithm (MNDA) analysis for drug-induced arrhythmia recognition and classification. The biosensing system cultured cardiomyocytes as physiologically relevant models, used interdigitated electrodes to detect the mechanical beating of the cardiomyocytes, and employed MNDA analysis to recognize drug-induced arrhythmia from the cardiomyocyte beating recording. The best performing MNDA parameter, approximate entropy, enabled the system to recognize the appearance of sertindole- and norepinephrine-induced arrhythmia in the recording. The MNDA reconstruction in phase space enabled the system to classify the different arrhythmias and quantify the severity of arrhythmia. This new biosensing system utilizing MNDA provides a promising and alternative method for drug-induced arrhythmia recognition and classification in cardiological and pharmaceutical applications.

A Self-Supporting, Conductor-Exposing, Stretchable, Ultrathin, and Recyclable Kirigami-Structured Liquid Metal Paper for Multifunctional E-Skin

Electronic skin (E-skin) is a crucial seamless human-machine interface (HMI), holding promise in healthcare monitoring and personal electronics. Liquid metal (LM) has been recognized as an ideal electrode material to fabricate E-skins. However, conventional sealed LM electrodes cannot expose the LM layer for direct contact with the skin resulting in the low performance of electrophysiological monitoring. Furthermore, traditional printed LM electrodes are difficult to transfer or recycle, and fractures easily occur under stretching of the substrate. Here, we report a kind of LM electrode that we call a kirigami-structured LM paper (KLP), which is self-supporting, conductor-exposing, stretchable, ultrathin, and recyclable for multifunctional E-skin. The KLP is fabricated by the kirigami paper cutting art with three types of structures including uniaxial, biaxial, and square spiral. The KLP can act as an E-skin to acquire high-quality electrophysiological signals, such as electroencephalogram (EEG), electrocardiogram (ECG), and electromyogram (EMG). Upon integration with a triboelectric nanogenerator (TENG), the KLP can also operate as a self-powered E-skin. On the basis of the self-powered E-skin, we further developed a smart dialing communication system, which is applied on human skin to call a cellphone. Compared with conventional sealed or printed LM electrodes, the KLP can simultaneously achieve self-supporting, conductor-exposing, stretchable, ultrathin, and recyclable features. Such KLP offers potential for E-skins in healthcare monitoring and intelligent control, as well as smart robots, virtual reality, on-skin personal electronics, etc.

Developments in Deep Brain Stimulators for Successful Aging Towards Smart Devices—An Overview

This work provides an overview of the present state-of-the-art in the development of deep brain Deep Brain Stimulation (DBS) and how such devices alleviate motor and cognitive disorders for a successful aging. This work reviews chronic diseases that are addressable via DBS, reporting also the treatment efficacies. The underlying mechanism for DBS is also reported. A discussion on hardware developments focusing on DBS control paradigms is included specifically the open- and closed-loop “smart” control implementations. Furthermore, developments towards a “smart” DBS, while considering the design challenges, current state of the art, and constraints, are also presented. This work also showcased different methods, using ambient energy scavenging, that offer alternative solutions to prolong the battery life of the DBS device. These are geared towards a low maintenance, semi-autonomous, and less disruptive device to be used by the elderly patient suffering from motor and cognitive disorders.

Advanced Implantable Biomedical Devices Enabled by Triboelectric Nanogenerators

Implantable biomedical devices (IMDs) play essential roles in healthcare. Subject to the limited battery life, IMDs cannot achieve long-term in situ monitoring, diagnosis, and treatment. The proposal and rapid development of triboelectric nanogenerators free IMDs from the shackles of batteries and spawn a self-powered healthcare system. This review aims to overview the development of IMDs based on triboelectric nanogenerators, divided into self-powered biosensors, in vivo energy harvesting devices, and direct electrical stimulation therapy devices. Meanwhile, future challenges and opportunities are discussed according to the development requirements of current-level self-powered IMDs to enhance output performance, develop advanced triboelectric nanogenerators with multifunctional materials, and self-driven close-looped diagnosis and treatment systems.

An AI-Assisted and Self-Powered Smart Robotic Gripper Based on Eco-EGaIn Nanocomposite for Pick-and-Place Operation

High compliance and muscle-alike soft robotic grippers have shown promising performance in addressing the challenges in traditional rigid grippers. Nevertheless, a lack of control feedback (gasping speed and contact force) in a grasping operation can result in undetectable slipping and false positioning. In this study, a pneumatically driven and self-powered soft robotic gripper that can recognize the grabbed object is reported. We integrated pressure (P-TENG) and bend (B-TENG) triboelectric sensors into a soft robotic gripper to transduce the features of gripped objects in a pick-and-place operation. Both the P-TENG and B-TENG sensors are fabricated using a porous structure made of soft Ecoflex and Euthethic Gallium-Indium nanocomposite (Eco-EGaIn). The output voltage of this porous setup has been improved by 63%, as compared to the non-porous structure. The developed soft gripper successfully recognizes three different objects, cylinder, cuboid, and pyramid prism, with a good accuracy of 91.67% and has shown its potential to be beneficial in the assembly lines, sorting, VR/AR application, and education training.

Ambient Humidity-Induced Phase Separation for Fiber Morphology Engineering toward Piezoelectric Self-Powered Sensing

Electrospun polymeric piezoelectric fibers have a considerable potential for shape-adaptive mechanical energy harvesting and self-powered sensing in biomedical, wearable, and industrial applications. However, their unsatisfactory piezoelectric performance remains an issue to be overcome. While strategies for increasing the crystallinity of electroactive β phases have thus far been the major focus in realizing enhanced piezoelectric performance, tailoring the fiber morphology can also be a promising alternative. Herein, a design strategy that combines the nonsolvent-induced phase separation of a polymer/solvent/water ternary system and electrospinning for fabricating piezoelectric poly(vinylidene fluoride-trifluoroethylene) (P(VDF-TrFE) fibers with surface porosity under ambient humidity is presented. Notably, electrospun P(VDF-TrFE) fibers with higher surface porosity outperform their smooth-surfaced counterparts with a higher β phase content in terms of output voltage and power generation. Theoretical and numerical studies also underpin the contribution of the structural porosity to the harvesting performance, which is attributable to local stress concentration and reduced dielectric constant due to the air in the pores. This porous fiber design can broaden the application prospects of shape-adaptive energy harvesting and self-powered sensing based on piezoelectric polymer fibers with enhanced voltage and power performance, as successfully demonstrated in this work by developing a communication system based on self-powered motion sensing.

Micro Energy Storage Systems in Energy Harvesting Applications: Analytical Evaluation towards Future Research Improvement

During the last decade, countless advancements have been made in the field of micro-energy storage systems (MESS) and ambient energy harvesting (EH) shows great potential for research and future improvement. A detailed historical overview with analysis, in the research area of MESS as a form of ambient EH, is presented in this study. The top-cited articles in the field of MESS ambient EH were selected from the Scopus database, and based on articles published from 2010 to 2021, and the number of citations. The search for these top-cited articles was conducted in the third week of December 2021. Mostly the manuscripts were technical and contained an experimental setup with algorithm development (65%), whereas 27.23% of the articles were survey-based. One important observation was that the top 20 selected articles, which are the most-cited articles in the different journals, come from numerous countries of origin. This study revealed that the MESS integrated renewable energy sources (RESs) are an enhancement field of research for EH applications. On the basis of this survey, we hope to identify and solve research problems in the field of MESS and RESs integration, and provide suggestions for future developments for EH applications.

Fabrication of β-Phase-Enriched PVDF Sheets for Self-Powered Piezoelectric Sensing

The fabrication of self-powered pressure sensors based on piezoelectric materials requires flexible piezoelectric generators produced with a continuous, large-scale, and environmentally friendly approach. In this study, continuous poly(vinylidene fluoride) (PVDF) sheets with a higher β-phase content were facilely fabricated by the melt-extrusion-calendering technique and a PVDF-based piezoelectric generator (PEG) was further assembled. Such a PEG exhibits a remarkable piezoelectric output performance. Moreover, it possesses prominent stability even after working for a long time, exhibiting potential applications for real-time monitoring of various human movements (i.e., hopping, running, and walking) and gait. This work not only provides the possibility of continuous and environmentally friendly fabrication of PVDF sheets with remarkable piezoelectric properties but also paves a new promising pathway for powering portable microelectronic applications without any external power supply.

A healing promoting wound dressing with tailor-made antibacterial potency employing piezocatalytic processes in multi-functional nanocomposites

Developing a novel antibiotics-free antibacterial strategy is essential for minimizing bacterial resistance. Materials that not only kill bacteria but also promote tissue healing are especially challenging to achieve. Inspired by chemical conversion processes in living organisms, we develop a piezoelectrically active antibacterial device that converts ambient O₂ and H₂O to ROS by piezocatalytic processes. The device is achieved by mounting nanoscopic polypyrrole/carbon nanotube catalyst multilayers onto piezoelectric-dielectric films. Under stimuli by a hand-held massage device, the sterilizing rates for S. aureus and E. coli reach 84.11% and 94.85% after 10 minutes of operation, respectively. The antibacterial substrate at the same time preserves and releases drugs and presents negligible cytotoxicity. Animal experiments demonstrate that daily treatment for 10 minutes using the device effectively accelerates the healing of infected wounds on the backs of mice, promoting hair follicle generation and collagen deposition. We believe that this report provides a novel design approach for antibacterial strategies in medical treatment.

Requirements for Energy-Harvesting-Driven Edge Devices Using Task-Offloading Approaches

Energy limitations remain a key concern in the development of Internet of Medical Things (IoMT) devices since most of them have limited energy sources, mainly from batteries. Therefore, providing a sustainable and autonomous power supply is essential as it allows continuous energy sensing, flexible positioning, less human intervention, and easy maintenance. In the last few years, extensive investigations have been conducted to develop energy-autonomous systems for the IoMT by implementing energy-harvesting (EH) technologies as a feasible and economically practical alternative to batteries. To this end, various EH-solutions have been developed for wearables to enhance power extraction efficiency, such as integrating resonant energy extraction circuits such as SSHI, S-SSHI, and P-SSHI connected to common energy-storage units to maintain a stable output for charge loads. These circuits enable an increase in the harvested power by 174% compared to the SEH circuit. Although IoMT devices are becoming increasingly powerful and more affordable, some tasks, such as machine-learning algorithms, still require intensive computational resources, leading to higher energy consumption. Offloading computing-intensive tasks from resource-limited user devices to resource-rich fog or cloud layers can effectively address these issues and manage energy consumption. Reinforcement learning, in particular, employs the Q-algorithm, which is an efficient technique for hardware implementation, as well as offloading tasks from wearables to edge devices. For example, the lowest reported power consumption using FPGA technology is 37 mW. Furthermore, the communication cost from wearables to fog devices should not offset the energy savings gained from task migration. This paper provides a comprehensive review of joint energy-harvesting technologies and computation-offloading strategies for the IoMT. Moreover, power supply strategies for wearables, energy-storage techniques, and hardware implementation of the task migration were provided.

Recent progress of self-powered respiration monitoring systems

Wearable and implantable medical devices are playing more and more key roles in disease diagnosis and health management. Various biosensors and systems have been used for respiration monitoring. Among them, self-powered sensors have some special characteristics such as low-cost, easy preparation, highly designable, and diversified. The respiratory airflow can drive the self-powered sensors directly to convert mechanical energy of the airflow into electricity. One of the major goals of the self-powered sensors and systems is realizing health monitoring and diagnosis. The relationship between the output signals and the models of respiratory diseases has not been studied deeply and clearly. Therefore, how to find an accurate relationship between them is a challenging and significant research topic. This review summarized the recent progress of the self-powered respiratory sensors and systems from aspects of device principle, output property, detecting index and so on. The challenges and perspectives have also been discussed for reference to the researchers who are interested in the field of self-powered sensors.

A new strategy for the fabrication of a flexible and highly sensitive capacitive pressure sensor

The development of flexible capacitive pressure sensors has wide application prospects in the fields of electronic skin and intelligent wearable electronic devices, but it is still a great challenge to fabricate capacitive sensors with high sensitivity. Few reports have considered the use of interdigital electrode structures to improve the sensitivity of capacitive pressure sensors. In this work, a new strategy for the fabrication of a high-performance capacitive flexible pressure sensor based on MXene/polyvinylpyrrolidone (PVP) by an interdigital electrode is reported. By increasing the number of interdigital electrodes and selecting the appropriate dielectric layer, the sensitivity of the capacitive sensor can be improved. The capacitive sensor based on MXene/PVP here has a high sensitivity (~1.25 kPa^-1), low detection limit (~0.6 Pa), wide sensing range (up to 294 kPa), fast response and recovery times (~30/15 ms) and mechanical stability of 10000 cycles. The presented sensor here can be used for various pressure detection applications, such as finger pressing, wrist pulse measuring, breathing, swallowing and speech recognition. This work provides a new method of using interdigital electrodes to fabricate a highly sensitive capacitive sensor with very promising application prospects in flexible sensors and wearable electronics.

Exhaled Breath Analysis for Diabetes Diagnosis and Monitoring: Relevance, Challenges and Possibilities

With the global population prevalence of diabetes surpassing 463 million cases in 2019 and diabetes leading to millions of deaths each year, there is a critical need for feasible, rapid, and non-invasive methodologies for continuous blood glucose monitoring in contrast to the current procedures that are either invasive, complicated, or expensive. Breath analysis is a viable methodology for non-invasive diabetes management owing to its potential for multiple disease diagnoses, the nominal requirement of sample processing, and immense sample accessibility; however, the development of functional commercial sensors is challenging due to the low concentration of volatile organic compounds (VOCs) present in exhaled breath and the confounding factors influencing the exhaled breath profile. Given the complexity of the topic and the skyrocketing spread of diabetes, a multifarious review of exhaled breath analysis for diabetes monitoring is essential to track the technological progress in the field and comprehend the obstacles in developing a breath analysis-based diabetes management system. In this review, we consolidate the relevance of exhaled breath analysis through a critical assessment of current technologies and recent advancements in sensing methods to address the shortcomings associated with blood glucose monitoring. We provide a detailed assessment of the intricacies involved in the development of non-invasive diabetes monitoring devices. In addition, we spotlight the need to consider breath biomarker clusters as opposed to standalone biomarkers for the clinical applicability of exhaled breath monitoring. We present potential VOC clusters suitable for diabetes management and highlight the recent buildout of breath sensing methodologies, focusing on novel sensing materials and transduction mechanisms. Finally, we portray a multifaceted comparison of exhaled breath analysis for diabetes monitoring and highlight remaining challenges on the path to realizing breath analysis as a non-invasive healthcare approach.

Recent Progress in the Energy Harvesting Technology-From Self-Powered Sensors to Self-Sustained IoT, and New Applications

With the fast development of energy harvesting technology, micro-nano or scale-up energy harvesters have been proposed to allow sensors or internet of things (IoT) applications with self-powered or self-sustained capabilities. Facilitation within smart homes, manipulators in industries and monitoring systems in natural settings are all moving toward intellectually adaptable and energy-saving advances by converting distributed energies across diverse situations. The updated developments of major applications powered by improved energy harvesters are highlighted in this review. To begin, we study the evolution of energy harvesting technologies from fundamentals to various materials. Secondly, self-powered sensors and self-sustained IoT applications are discussed regarding current strategies for energy harvesting and sensing. Third, subdivided classifications investigate typical and new applications for smart homes, gas sensing, human monitoring, robotics, transportation, blue energy, aircraft, and aerospace. Lastly, the prospects of smart cities in the 5G era are discussed and summarized, along with research and application directions that have emerged.

Highly efficient patterning technique for silver nanowire electrodes by electrospray deposition and its application to self-powered triboelectric tactile sensor

A patterned transparent electrode is a crucial component of state-of-the-art wearable devices and optoelectronic devices. However, most of the patterning methods using silver nanowires (AgNWs), which is one of the outstanding candidate materials for the transparent electrode, wasted a large amount of unused AgNWs during the patterning process. Here, we report a highly efficient patterning of AgNWs using electrospray deposition with grounded electrolyte solution (EDGE). During electrospray deposition, a patterned electrolyte solution collector attracted AgNWs by strong electrostatic attraction and selectively deposited them only on the patterned collector, minimizing AgNW deposited elsewhere. The enhanced patterning efficiency was verified through a comparison between the EDGE and conventional process by numerical simulation and experimental validation. As a result, despite the same electrospray deposition conditions for both cases except for the existence of the electrolyte solution collector, the coverage ratio of AgNWs fabricated by the EDGE process was at least six times higher than that of AgNWs produced by the conventional process. Furthermore, the EDGE process provided high design flexibility in terms of not only the material of the substrate, including a polymer and a ceramic but also the shape of the substrate, including a 2D flat and 3D curved surface. As an application of the EDGE process, a self-powered touch sensor exploiting the triboelectric effect was demonstrated. Thus, the EDGE process would be utilized in further application in wearable or implantable devices in the field of biomedicine, intelligent robots, and human-machine interface.

LiTaO3-Based Flexible Piezoelectric Nanogenerators for Mechanical Energy Harvesting

Mechanical energy is one of the freely available green energy sources that could be harvested to meet the small-scale energy demand. Piezoelectric nanogenerators can be used to harvest the biomechanical energy that is available in everyday human life and power various portable electronics. Herein, a ferroelectric material, i.e., lithium tantalate (LiTaO₃), was synthesized and used to fabricate a flexible piezoelectric nanogenerator (FPNG). Generally, ferroelectric materials display a strong electrostatic dipole moment and high piezoelectric coefficient, thus resulting in enhanced electrical performance. First, LiTaO₃ nanoparticles were synthesized and loaded into poly(vinylidene difluoride) (PVDF) to form a piezoelectric film and then, the piezoelectric composite film was sandwiched between two aluminum electrodes to fabricate an FPNG. The effect of the electrical performance of FPNG as a function of the concentration of LiTaO₃ loaded into PVDF was systematically investigated and optimized. The 2.5 wt % FPNG exhibited open-circuit voltage, short-circuit current, and power density values of ∼18 V, ∼1.2 μA, and ∼25 mW/m², respectively. Furthermore, the FPNG revealed good electrical stability and mechanical durability. Finally, the FPNG was employed as a weight sensor to harvest various biomechanical energies and operate low-power- electronics.