An Inkjet-Printed PEDOT:PSS-Based Stretchable Conductor for Wearable Health Monitoring Device Applications

Efficacy of Various Dry Electrode-Based ECG Sensors: A Review

Long-term electrocardiogram (ECG) monitoring is crucial for detecting and diagnosing cardiovascular diseases (CVDs). Monitoring cardiac health and activities using efficient, noninvasive, and cost-effective techniques such as ECG can be vital for the early detection of different CVDs. Wet electrode-based traditional ECG techniques come with unavoidable limitations of the altered quality of ECG signals caused by gel volatilization and unwanted noise followed by dermatitis. The limitation related to the wet electrodes for long-term ECG monitoring in static and dynamic postures reminds us of the urgency of a suitable substitute. Dry electrodes promise long-term ECG monitoring with the potential for significant noise reduction. This review discusses traditional and alternative techniques to record ECG in terms of meeting the efficient detection of CVDs by conducting a detailed analysis of different types of dry electrodes along with materials (substrate, support, matrix, and conductive part) used for fabrication, followed by the number of human subjects they have been used for validation. The degradation of these electrodes has also been discussed briefly. This review finds a need for more validation on a sufficient number of subjects and the issue of cost and noise hindering the commercialization of these dry electrodes.

Ultrathin Transistors and Circuits for Conformable Electronics

Adapting electronics to perfectly conform to nonplanar and rough surfaces, such as human skin, is a challenging task, which could open up new applications in fields of high economic and scientific interest, ranging from health to robotics, human-machine interface, and Internet of Things. The key to success lies in defining a technology that can lead to ultrathin devices, exploiting ultimately thin materials, with high mechanical flexibility and excellent electrical properties. Here, we report a hybrid approach for the development of high-performance, ultrathin and conformable electronic devices, based on the integration of semiconducting transition metal dichalcogenides, i.e., MoS2, with organic gate dielectric material, i.e., polyvinyl formal (PVF) combined with inkjet printed PEDOT:PSS electrodes. Through this novel approach, transistors and simple digital and analogue circuits are fabricated by a sequential stacking of ultrathin (nanometer) layers on a few micrometers thick polyimide substrate, which guarantees the high flexibility mandatory for the targeted applications.

Weavable, Reconfigurable Triboelectric Ferrofluid Fiber for Early Warning

As communication technologies have become omnipresent, the prevalence of electromagnetic field (EMF) exposures poses possible health risks, particularly to vulnerable groups such as pregnant women. In response, we introduce a triboelectric ferrofluid fiber (TFF) that moves in response to EMF, thereby generating charge in a way that is self-powered. The TFF is flexible, stretchable (470%), and can be woven into fabrics. The TFF utilizes a soft-contact (ferrofluid-silicon rubber fiber) triboelectric core layer to enhance its sensitivity to EMF, enabling it to detect even minor electromagnetic fluctuations, such as those from cell phone typing. By integrating hydrogel electrodes that offer conductivity and minimal electromagnetic interference shielding, the TFF's sensitivity to magnetic fields is further amplified. Moreover, its open-circuit voltage output is increased by 50% compared to the conventional electrodes. Building on this technology, we designed a smart fabric for environmental early warning and potential real-time pulse monitoring, specifically tailored for the safety and healthcare needs of vulnerable groups. Finally, we developed a sensing and communication apparel (SCA) by integrating TFF into the apparel and exploring its capabilities in a wireless transmission of warning signals and long-distance NFC functionality.

Flexible Pressure, Humidity, and Temperature Sensors for Human Health Monitoring

The rapid advancements in artificial intelligence, micro-nano manufacturing, and flexible electronics technology have unleashed unprecedented innovation and opportunities for applying flexible sensors in healthcare, wearable devices, and human-computer interaction. The human body's tactile perception involves physical parameters such as pressure, temperature, and humidity, all of which play an essential role in maintaining human health. Inspired by the sensory function of human skin, many bionic sensors have been developed to simulate human skin's perception to various stimuli and are widely applied in health monitoring. Given the urgent requirements for sensing performance and integration of flexible sensors in the field of wearable devices and health monitoring, here is a timely overview of recent advances in pressure, humidity, temperature, and multi-functional sensors for human health monitoring. It covers the fundamental components of flexible sensors and categorizes them based on different response mechanisms, including resistive, capacitive, voltage, and other types. Specifically, the application of these flexible tactile sensors in the area of human health monitoring is highlighted. Based on this, an extended overview of recent advances in dual/triple-mode flexible sensors integrating pressure, humidity, and temperature tactile sensing is presented. Finally, the challenges and opportunities of flexible sensors are discussed.

Fast and Efficient Fabrication of Functional Electronic Devices through Grayscale Digital Light Processing 3D Printing

Fabricating polymeric composites with desirable characteristics for electronic applications is a complex and costly process. Digital light processing (DLP) 3D printing emerges as a promising technique for manufacturing intricate structures. In this study, polymeric samples are fabricated with a conductivity difference exceeding three orders of magnitude in various portions of a part by employing grayscale DLP (g-DLP) single-vat single-cure 3D printing deliberate resin design. This is realized through the manipulation of light intensity during the curing process. Specifically, the rational resin design with added lithium ions results in the polymer cured under the maximum UV-light intensity exhibiting higher electrical resistance. Conversely, sections that are only partially cured retains uncured monomers, serving as a medium that facilitates ion mobility, consequently leading to higher conductivity. The versatility of g-DLP allows precise control of light intensity in different regions during the printing process. This characteristic opens up possibilities for applications, notably the low-cost, facile, and rapid production of complex electrical circuits and sensors. The utilization of this technique makes it feasible to fabricate materials with tailored conductivity and functionality, providing an innovative pathway to advance the accelerated and facile creation of sophisticated electronic devices.

PEDOT-based stretchable optoelectronic materials and devices for bioelectronic interfaces

The rapid development of wearable and implantable electronics has enabled the real-time transmission of electrophysiological signals in situ, thus allowing the precise monitoring and regulation of biological functions. Devices based on organic materials tend to have low moduli and intrinsic stretchability, making them ideal choices for the construction of seamless bioelectronic interfaces. In this case, as an organic ionic-electronic conductor, poly(3,4-ethylenedioxythiophene):poly(styrene sulfonate) (PEDOT:PSS) has low impedance to offer a high signal-to-noise ratio for monitoring bioelectrical signals, which has become one of the most promising conductive polymers. However, the initial conductivity and stretchability of pristine PEDOT:PSS are insufficient to meet the application requirements, and there is a trade-off between their improvement. In addition, PEDOT:PSS has poor stability in aqueous environments due to the hygroscopicity of the PSS chains, which severely limits its long-term applications in water-rich bioelectronic interfaces. Considering the growing demands of multi-function integration, the high-resolution fabrication of electronic devices is urgent. It is a great challenge to maintain both electrical and mechanical performance after miniaturization, particularly at feature sizes below 100 μm. In this review, we focus on the combined improvement in the conductivity and stretchability of PEDOT:PSS, as well as the corresponding mechanisms in detail. Also, we summarize the effective strategies to improve the stability of PEDOT:PSS in aqueous environments, which plays a vital role in long-term applications. Finally, we introduce the reliable micropatterning technologies and PEDOT:PSS-based stretchable optoelectronic devices applied at bio-interfaces.

Multifunctional nanomaterials for smart wearable diabetic healthcare devices

Wearable diabetic healthcare devices have attracted great attention for real-time continuous glucose monitoring (CGM) using biofluids such as tears, sweat, saliva, and interstitial fluid via noninvasive ways. In response to the escalating global demand for CGM, these devices enable proactive management and intervention of diabetic patients with incorporated drug delivery systems (DDSs). In this context, multifunctional nanomaterials can trigger the development of innovative sensing and management platforms to facilitate real-time selective glucose monitoring with remarkable sensitivity, on-demand drug delivery, and wireless power and data transmission. The seamless integration into wearable devices ensures patient's compliance. This comprehensive review evaluates the multifaceted roles of these materials in wearable diabetic healthcare devices, comparing their glucose sensing capabilities with conventionally available glucometers and CGM devices, and finally outlines the merits, limitations, and prospects of these devices. This review would serve as a valuable resource, elucidating the intricate functions of nanomaterials for the successful development of advanced wearable devices in diabetes management.

Array-wide uniform PEDOT:PSS electroplating from potentiostatic deposition

Electroplating of poly(3,4-ethylenedioxythiophene) polystyrene sulfonate (PEDOT:PSS) is important in many neuroelectronic applications but is challenging to achieve uniformity on large-scale microelectrode arrays (MEA) using conventional galvanostatic methods. In this study, we address this challenge through a potentiostatic method and demonstrate highly uniform electroplating of PEDOT:PSS on MEA with more than one hundred electrodes, all at cellular sizes. The validation of this approach involves comparisons with galvanostatic deposition methods, showcasing unparalleled deposition yield and uniformity. Systematic electrochemical characterizations reveal similarities in structure and stability from potentiostatic deposited coatings. The advances developed here establish the potentiostatic method and detailed process to achieve a uniform coating of PEDOT:PSS on large-scale MEA, with broad utility in neuroelectronics.

Highly Sensitive Biosensors Based on All-PEDOT:PSS Organic Electrochemical Transistors with Laser-Induced Micropatterning

Recent advances in numerous biological applications have increased the accuracy of monitoring the level of biologically significant analytes in the human body to manage personal nutrition and physiological conditions. However, despite promising reports about costly wearable devices with high sensing performance, there has been a growing demand for inexpensive sensors that can quickly detect biological molecules. Herein, we present highly sensitive biosensors based on organic electrochemical transistors (OECTs), which are types of organic semiconductor-based sensors that operate consistently at low operating voltages in aqueous solutions. Instead of the gold or platinum electrode used in current electrochemical devices, poly(3,4-ethylenedioxythiophene):poly(4-styrenesulfonate) (PEDOT:PSS) was used as both the channel and gate electrodes in the OECT. Additionally, to overcome the patterning resolution limitations of conventional solution processing, we confirmed that the irradiation of a high-power IR laser (λ = 1064 nm) onto the coated PEDOT:PSS film was able to produce spatially resolvable micropatterns in a digital-printing manner. The proposed patterning technique exhibits high suitability for the fabrication of all-PEDOT:PSS OECT devices. The device geometry was optimized by fine-tuning the gate area and the channel-to-gate distance. Consequently, the sensor for detecting ascorbic acid (vitamin C) concentrations in an electrolyte exhibited the best sensitivity of 125 μA dec-1 with a limit of detection of 1.3 μM, which is nearly 2 orders of magnitude higher than previous findings. Subsequently, an all-plastic flexible epidermal biosensor was established by transferring the patterned all-PEDOT:PSS OECT from a glass substrate to a PET substrate, taking full advantage of the flexibility of PEDOT:PSS. The prepared all-plastic sensor device is highly cost-effective and suitable for single-use applications because of its acceptable sensing performance and reliable signal for detecting vitamin C. Additionally, the epidermal sensor successfully obtained the temporal profile of vitamin C in the sweat of a human volunteer after the consumption of vitamin C drinks. We believe that the highly sensitive all-PEDOT:PSS OECT device fabricated using the accurate patterning process exhibits versatile potential as a low-cost and single-use biosensor for emerging bioelectronic applications.

A Low-Power Impedance-to-Frequency Converter for Frequency-Multiplexed Wearable Sensors

We propose a low-power impedance-to-frequency (I-to-F) converter for wearable transducers that change both its resistance and capacitance in response to mechanical deformation or changes in ambient pressure. At the core of the proposed I-to-F converter is a fixed-point circuit comprising of a voltage-controlled relaxation oscillator and a proportional-to-temperature (PTAT) current reference that locks the oscillation frequency according to the impedance of the transducer. Using both analytical and measurement results we show that the operation of the proposed I-to-F converter is well matched to a specific class of sponge mechanical transducer where the system can achieve higher sensitivity when compared to a simple resistance measurement techniques. Furthermore, the oscillation frequency of the converter can be programmed to ensure that multiple transducer and I-to-F converters can communicate simultaneously over a shared channel (physical wire or virtual wireless channel) using frequency-division multiplexing. Measured results from proof-of-concept prototypes show an impedance sensitivity of 19.66 Hz/ Ω at 1.1 kΩ load impedance magnitude and a current consumption of 128 μ A. As a demonstration we show the application of the I-to-F converter for human gesture recognition and for radial pulse sensing.

Transfer-Printing of Insoluble Conducting Polymer for Soft 3D Conformal All-Organic Transistors

The development of high-precision insoluble conducting polymer patterns for soft electronics is extremely challenging, mainly because of the incompatibility of the synthesis process with the underlying layers. In this study, a novel transfer-printing method is designed that enables the fabrication of photolithographic insoluble conducting polypyrrole (PPy) electrode patterns on soft substrates with high precision, demonstrating compatibility with various soft organic functional layers. Excellent mechanical stability, good biocompatibility, ultra-smooth surface, and outstanding conformability are observed. The photolithographic PPy electrode patterns, combined with an elastic organic semiconductor and dielectric, produce conformal all-organic transistors with mobility of 1.8 cm2 V-1 s-1. This study paves the way to use insoluble conducting polymers to develop complex, high-density flexible patterns and offers a promising organic electrode for the new-generation soft all-organic electronics.

A General Synthesis Method for Patterning PEDOT toward Wearable Electronics and Bioelectronics

The conductive polymer poly-3,4-ethylenedioxythiophene (PEDOT), recognized for its superior electrical conductivity and biocompatibility, has become an attractive material for developing wearable technologies and bioelectronics. Nevertheless, the complexities associated with PEDOT's patterning synthesis on diverse substrates persist despite recent technological progress. In this study, we introduce a novel deep eutectic solvent (DES)-induced vapor phase polymerization technique, facilitating nonrestrictive patterning polymerization of PEDOT across diverse substrates. By controlling the quantity of DES adsorbed per unit area on the substrates, PEDOT can be effectively patternized on cellulose, wood, plastic, glass, and even hydrogels. The resultant patterned PEDOT exhibits numerous benefits, such as an impressive electronic conductivity of 282 S·m-1, a high specific surface area of 5.29 m2·g-1, and an extensive electrochemical stability range from -1.4 to 2.4 V in a phosphate-buffered saline. To underscore the practicality and diverse applications of this DES-induced approach, we present multiple examples emphasizing its integration into self-supporting flexible electrodes, neuroelectrode interfaces, and precision circuit repair methodologies.

Stretchable Device for Simultaneous Measurements of Contractility and Electrophysiology of Neuromuscular Tissue in the Gastrointestinal Tract

Devices interfacing with biological tissues can provide valuable insights into function, disease, and metabolism through electrical and mechanical signals. However, certain neuromuscular tissues, like those in the gastrointestinal tract, undergo significant strains of up to 40%. Conventional inextensible devices cannot capture the dynamic responses in these tissues. This study introduces electrodes made from poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate) (PEDOT:PSS) and polydimethylsiloxane (PDMS) that enable simultaneous monitoring of electrical and mechanical responses of gut tissue. The soft PDMS layers conform to tissue surfaces during gastrointestinal movement. Dopants, including Capstone FS-30 and polyethylene glycol, are explored to enhance the conductivity, electrical sensitivity to strain, and stability of the PEDOT:PSS. The devices are fabricated using shadow masks and solution-processing techniques, providing a faster and simpler process than traditional clean-room-based lithography. Tested on ex vivo mouse colon and human stomach, the device recorded voltage changes of up to 300 µV during contraction and distension consistent with muscle activity, while simultaneously recording resistance changes of up to 150% due to mechanical strain. These devices detect and respond to chemical stimulants and blockers, and can induce contractions through electrical stimulation. They hold great potential for studying and treating complex disorders like irritable bowel syndrome and gastroparesis.

Printable and flexible integrated sensing systems for wireless healthcare

The rapid development of wearable sensing devices and artificial intelligence has enabled portable and wireless tracking of human health, fulfilling the promise of digitalized healthcare applications. To achieve versatile design and integration of multi-functional modules including sensors and data transmission units onto various flexible platforms, printable technologies emerged as some of the most promising strategies. This review first introduces the commonly utilized printing technologies, followed by discussion of the printable ink formulations and flexible substrates to ensure reliable device fabrication and system integration. The advances of printable sensors for body status monitoring are then discussed. Moreover, the integration of wireless data transmission via printable approaches is also presented. Finally, the challenges in achieving printable sensing devices and wireless integrated systems with competitive performances are considered, so as to realize their practical applications for personalized healthcare.

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.

Printable devices for neurotechnology

Printable electronics for neurotechnology is a rapidly emerging field that leverages various printing techniques to fabricate electronic devices, offering advantages in rapid prototyping, scalability, and cost-effectiveness. These devices have promising applications in neurobiology, enabling the recording of neuronal signals and controlled drug delivery. This review provides an overview of printing techniques, materials used in neural device fabrication, and their applications. The printing techniques discussed include inkjet, screen printing, flexographic printing, 3D printing, and more. Each method has its unique advantages and challenges, ranging from precise printing and high resolution to material compatibility and scalability. Selecting the right materials for printable devices is crucial, considering factors like biocompatibility, flexibility, electrical properties, and durability. Conductive materials such as metallic nanoparticles and conducting polymers are commonly used in neurotechnology. Dielectric materials, like polyimide and polycaprolactone, play a vital role in device fabrication. Applications of printable devices in neurotechnology encompass various neuroprobes, electrocorticography arrays, and microelectrode arrays. These devices offer flexibility, biocompatibility, and scalability, making them cost-effective and suitable for preclinical research. However, several challenges need to be addressed, including biocompatibility, precision, electrical performance, long-term stability, and regulatory hurdles. This review highlights the potential of printable electronics in advancing our understanding of the brain and treating neurological disorders while emphasizing the importance of overcoming these challenges.

All-organic transparent plant e-skin for noninvasive phenotyping

Real-time in situ monitoring of plant physiology is essential for establishing a phenotyping platform for precision agriculture. A key enabler for this monitoring is a device that can be noninvasively attached to plants and transduce their physiological status into digital data. Here, we report an all-organic transparent plant e-skin by micropatterning poly(3,4-ethylenedioxythiophene) polystyrene sulfonate (PEDOT:PSS) on polydimethylsiloxane (PDMS) substrate. This plant e-skin is optically and mechanically invisible to plants with no observable adverse effects to plant health. We demonstrate the capabilities of our plant e-skins as strain and temperature sensors, with the application to Brassica rapa leaves for collecting corresponding parameters under normal and abiotic stress conditions. Strains imposed on the leaf surface during growth as well as diurnal fluctuation of surface temperature were captured. We further present a digital-twin interface to visualize real-time plant surface environment, providing an intuitive and vivid platform for plant phenotyping.

A Guide to Printed Stretchable Conductors

Printing of stretchable conductors enables the fabrication and rapid prototyping of stretchable electronic devices. For such applications, there are often specific process and material requirements such as print resolution, maximum strain, and electrical/ionic conductivity. This review highlights common printing methods and compatible inks that produce stretchable conductors. The review compares the capabilities, benefits, and limitations of each approach to help guide the selection of a suitable process and ink for an intended application. We also discuss methods to design and fabricate ink composites with the desired material properties (e.g., electrical conductance, viscosity, printability). This guide should help inform ongoing and future efforts to create soft, stretchable electronic devices for wearables, soft robots, e-skins, and sensors.

Applications of flexible electronics related to cardiocerebral vascular system

Ensuring accessible and high-quality healthcare worldwide requires field-deployable and affordable clinical diagnostic tools with high performance. In recent years, flexible electronics with wearable and implantable capabilities have garnered significant attention from researchers, which functioned as vital clinical diagnostic-assisted tools by real-time signal transmission from interested targets in vivo. As the most crucial and complex system of human body, cardiocerebral vascular system together with heart-brain network attracts researchers inputting profuse and indefatigable efforts on proper flexible electronics design and materials selection, trying to overcome the impassable gulf between vivid organisms and rigid inorganic units. This article reviews recent breakthroughs in flexible electronics specifically applied to cardiocerebral vascular system and heart-brain network. Relevant sensor types and working principles, electronics materials selection and treatment methods are expounded. Applications of flexible electronics related to these interested organs and systems are specially highlighted. Through precedent great working studies, we conclude their merits and point out some limitations in this emerging field, thus will help to pave the way for revolutionary flexible electronics and diagnosis assisted tools development.

Large area inkjet-printed OLED fabrication with solution-processed TADF ink

This work demonstrates successful large area inkjet printing of a thermally activated delayed fluorescence (TADF) material as the emitting layer of organic light-emitting diodes (OLEDs). TADF materials enable efficient light emission without relying on heavy metals such as platinum or iridium. However, low-cost manufacturing of large-scale TADF OLEDs has been restricted due to their incompatibility with solution processing techniques. In this study, we develop ink formulation for a TADF material and show successful ink jet printing of intricate patterns over a large area (6400 mm2) without the use of any lithography. The stable ink is successfully achieved using a non-chlorinated binary solvent mixture for a solution processable TADF material, 3-(9,9-dimethylacridin-10(9H)-yl)-9H-xanthen-9-one dispersed in 4,4'-bis-(N-carbazolyl)-1,1'-biphenyl host. Using this ink, large area ink jet printed OLEDs with performance comparable to the control spin coated OLEDs are successfully achieved. In this work, we also show the impact of ink viscosity, density, and surface tension on the droplet formation and film quality as well as its potential for large-area roll-to-roll printing on a flexible substrate. The results represent a major step towards the use of TADF materials for large-area OLEDs without employing any lithography.

Recent advances in smart wearable sensors as electronic skin

Flexible and multifunctional electronic devices and soft robots inspired by human organs, such as skin, have many applications. However, the emergence of electronic skins (e-skins) or textiles in biomedical engineering has made a great revolution in a myriad of people's lives who suffer from different types of diseases and problems in which their skin and muscles lose their appropriate functions. In this review, recent advances in the sensory function of the e-skins are described. Furthermore, we have categorized them from the sensory function perspective and highlighted their advantages and limitations. The categories are tactile sensors (including capacitive, piezoresistive, piezoelectric, triboelectric, and optical), temperature, and multi-sensors. In addition, we summarized the most recent advancements in sensors and their particular features. The role of material selection and structure in sensory function and other features of the e-skins are also discussed. Finally, current challenges and future prospects of these systems towards advanced biomedical applications are elaborated.

Ionic Liquid-Induced Inversion of the Humidity-Dependent Conductivity of Thin PEDOT:PSS Films

The humidity influence on the electronic and ionic resistance properties of thin post-treated poly(3,4-ethylene dioxythiophene):poly(styrenesulfonate) (PEDOT:PSS) films is investigated. In particular, the resistance of these PEDOT:PSS films post-treated with three different concentrations (0, 0.05, and 0.35 M) of ethyl-3-methylimidazolium dicyanamide (EMIM DCA) is measured while being exposed to a defined humidity protocol. A resistance increase upon elevated humidity is observed for the 0 M reference sample, while the EMIM DCA post-treated samples demonstrate a reverse behavior. Simultaneously performed in situ grazing-incidence small-angle X-ray scattering (GISAXS) measurements evidence changes in the film morphology upon varying the humidity, namely, an increase in the PEDOT domain distances. This leads to a detriment in the interdomain hole transport, which causes a rise in the resistance, as observed for the 0 M reference sample. Finally, electrochemical impedance spectroscopy (EIS) measurements at different humidities reveal additional contributions of ionic charge carriers in the EMIM DCA post-treated PEDOT:PSS films. Therefrom, a model is proposed, which describes the hole and cation transport in different post-treated PEDOT:PSS films dependent on the ambient humidity.

A Portable and a Scalable Multi-Channel Wireless Recording System for Wearable Electromyometrial Imaging

Electromyometrial imaging (EMMI) technology has emerged as one of the promising technology that can be used for non-invasive pregnancy risk stratification and for preventing complications due to pre-term birth. Current EMMI systems are bulky and require a tethered connection to desktop instrumentation, as a result, the system cannot be used in non-clinical and ambulatory settings. In this article, we propose an approach for designing a scalable, portable wireless EMMI recording system that can be used for in-home and remote monitoring. The wearable system uses a non-equilibrium differential electrode multiplexing approach to enhance signal acquisition bandwidth and to reduce the artifacts due to electrode drifts, amplifier 1/f noise, and bio-potential amplifier saturation. A combination of active shielding, a passive filter network, and a high-end instrumentation amplifier ensures sufficient input dynamic range ([Formula: see text]) such that the system can simultaneously acquire different bio-potential signals like maternal electrocardiogram (ECG) in addition to the EMMI electromyogram (EMG) signals. We show that the switching artifacts and the channel cross-talk introduced due to non-equilibrium sampling can be reduced using a compensation technique. This enables the system to be potentially scaled to a large number of channels without significantly increasing the system power dissipation. We demonstrate the feasibility of the proposed approach in a clinical setting using an 8-channel battery-powered prototype which dissipates less than 8 μW per channel for a signal bandwidth of 1 KHz.

Highly Conductive Polysiloxane Elastomers with Excellent Transparency, Resilience, and Stretchability

Flexible transparent conductive materials show great potential in wearable electronics, flexible sensors, and so on. But the most used flexible conductive materials like hydrogels and ionogels suffer from evaporation and solvent leakage. For the application in these fields, integrated performances of preeminent resilience, transparency, stability, and conductivity that do not change with deformation are prerequisites. It is still challenging to handle the trade-off among these performances. Herein, a facile approach is established to balance these properties into one elastomer. Through the thiol-ene click reaction, mercaptopropyl-modified polydimethylsiloxane (mPDMS) is cross-linked and grafted by PEG-based macromonomers to prepare conductive elastomers. By anchoring with mPDMS through carbon-sulfur bonds, PEG can be evenly dispersed, resulting in ultratransparency (97%) and stable conductivity of as high as 1.68 × 10-2 S m-1, comparable to pure PEG/lithium salt conductivity. It also has a wide electrochemical stability window with a high voltage of 4.8 V. Moreover, the multibond network strategy is employed through grafting ligand 1-vinylimidazole to mPDMS to construct dynamic cross-links between Zn(II) and 1-vinylimidazol, bestowing excellent properties to the elastomers. Overall, elastomers with a well-balanced performance of high resilience, good conductivity, and ultratransparency are obtained, providing promising applications for soft electronics, lithium battery electrolytes, and flexible devices.

A Review of Epidermal Flexible Pressure Sensing Arrays

In recent years, flexible pressure sensing arrays applied in medical monitoring, human-machine interaction, and the Internet of Things have received a lot of attention for their excellent performance. Epidermal sensing arrays can enable the sensing of physiological information, pressure, and other information such as haptics, providing new avenues for the development of wearable devices. This paper reviews the recent research progress on epidermal flexible pressure sensing arrays. Firstly, the fantastic performance materials currently used to prepare flexible pressure sensing arrays are outlined in terms of substrate layer, electrode layer, and sensitive layer. In addition, the general fabrication processes of the materials are summarized, including three-dimensional (3D) printing, screen printing, and laser engraving. Subsequently, the electrode layer structures and sensitive layer microstructures used to further improve the performance design of sensing arrays are discussed based on the limitations of the materials. Furthermore, we present recent advances in the application of fantastic-performance epidermal flexible pressure sensing arrays and their integration with back-end circuits. Finally, the potential challenges and development prospects of flexible pressure sensing arrays are discussed in a comprehensive manner.

Self-Healing and Self-Adhesive Substrate-Free Tattoo Electrode

Electronic tattoos have great potential application in the biomedical field; moreover, the substrate-free electronic tattoo offers better comfortability and conformal contact. However, the substrate-free electronic tattoo is more prone to malfunction, including fall off and fracture. In this paper, a self-healing and self-adhesive substate-free tattoo based on PEDOT: PSS is studied and reported. The dry composite electrode will turn into self-healing material while it transforms into hydrogel, and a cut with a width up to 24 μm could be healed in 1 s. In terms of adhesion performance, the substrate-free electrode can hang a 28.2 g weight by a contact area of 8 mm × 8 mm. Additionally, the substate-free electrode could maintain fully conformal contact with porcine skin in 15 days by its self-adhesiveness. When applied as a substrate-free tattoo, the contact impedance and ECG signal measurement performance before and after self-healing are almost the same. At a frequency of 10 Hz, the contact impedance of the undamaged electrode, healed electrode, and Ag/AgCl gel electrode are 32.2 kΩ, 39.2 kΩ, and 62.9 kΩ, respectively. In addition, the ECG signals measured by the undamaged electrode and healed electrode are comparable to that of Ag/AgCl electrode. The self-healing and self-adhesive substrate-free tattoo electrode reported here has broad application in health monitoring.

Micro/Nano-Fabrication of Flexible Poly(3,4-Ethylenedioxythiophene)-Based Conductive Films for High-Performance Microdevices

With the increasing demands for novel flexible organic electronic devices, conductive polymers are now becoming the rising star for reaching such targets, which has witnessed significant breakthroughs in the fields of thermoelectric devices, solar cells, sensors, and hydrogels during the past decade due to their outstanding conductivity, solution-processing ability, as well as tailorability. However, the commercialization of those devices still lags markedly behind the corresponding research advances, arising from the not high enough performance and limited manufacturing techniques. The conductivity and micro/nano-structure of conductive polymer films are two critical factors for achieving high-performance microdevices. In this review, the state-of-the-art technologies for developing organic devices by using conductive polymers are comprehensively summarized, which will begin with a description of the commonly used synthesis methods and mechanisms for conductive polymers. Next, the current techniques for the fabrication of conductive polymer films will be proffered and discussed. Subsequently, approaches for tailoring the nanostructures and microstructures of conductive polymer films are summarized and discussed. Then, the applications of micro/nano-fabricated conductive films-based devices in various fields are given and the role of the micro/nano-structures on the device performances is highlighted. Finally, the perspectives on future directions in this exciting field are presented.

Noninvasive electromyometrial imaging of human uterine maturation during term labor

Electromyometrial imaging (EMMI) was recently developed to image the three-dimensional (3D) uterine electrical activation during contractions noninvasively and accurately in sheep. Herein we describe the development and application of a human EMMI system to image and evaluate 3D uterine electrical activation patterns at high spatial and temporal resolution during human term labor. We demonstrate the successful integration of the human EMMI system during subjects' clinical visits to generate noninvasively the uterine surface electrical potential maps, electrograms, and activation sequence through an inverse solution using up to 192 electrodes distributed around the abdomen surface. Quantitative indices, including the uterine activation curve, are developed and defined to characterize uterine surface contraction patterns. We thus show that the human EMMI system can provide detailed 3D images and quantification of uterine contractions as well as novel insights into the role of human uterine maturation during labor progression.

Highly Aligned Cellulose/Polypyrrole Composite Nanofibers via Electrospinning and In Situ Polymerization for Anisotropic Flexible Strain Sensor

Flexible strain sensors have recently attracted great attention due to their promising applications in human motion detection, healthcare monitoring, human-machine interfaces, and so forth. However, traditional uniaxial strain sensors can only detect strain in a single direction. Herein, an anisotropic flexible strain sensor is fabricated based on conductive and highly aligned cellulose composite nanofibers, via facile electrospinning cellulose acetate, deacetylation, and in situ polymerization of pyrrole, to detect complex multidimensional strains. Benefiting from the unique well-ordered structure of conductive composite nanofibers, the obtained strain sensor shows extraordinary anisotropic sensing performance with a sensitivity of 0.73 and 0.01 for the tensile applied perpendicular and parallel to the nanofiber alignment, respectively. The sensor also exhibits outstanding durability (2000 cycles) due to the strong hydrogen bonding between cellulose nanofibers and polypyrrole. Moreover, the flexible strain sensors exhibit promising potentials for application in motion detection, as demonstrated by the detection of various joint movements in the human body.

Stretchable conductors for stretchable field-effect transistors and functional circuits

Stretchable electronics have received intense attention due to their broad application prospects in many areas, and can withstand large deformations and form close contact with curved surfaces. Stretchable conductors are vital components of stretchable electronic devices used in wearables, soft robots, and human-machine interactions. Recent advances in stretchable conductors have motivated basic scientific and technological research efforts. Here, we outline and analyse the development of stretchable conductors in transistors and circuits, and examine advances in materials, device engineering, and preparation technologies. We divide the existing approaches to constructing stretchable transistors with stretchable conductors into the following two types: geometric engineering and intrinsic stretchability engineering. Finally, we consider the challenges and outlook in this field for delivering stretchable electronics.

Protic Ionic Liquids for Intrinsically Stretchable Conductive Polymers

Inspired by the classic hard-soft acid-base theory and intrigued by a theoretical prediction of spontaneous ion exchange between poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate) (PEDOT:PSS) and hard-cation-soft-anion ionic liquid (IL), we treat PEDOT:PSS with a new IL composed of a protic (i.e., extremely hard) cation (3-methylimidazolium, p-MIM⁺) and an extremely soft anion (tetracyanoborate, TCB^-). In fact, this protic IL (p-MIM:TCB) accomplishes the same levels of ion-exchange-mediated PEDOT-PSS separation, PEDOT-rich nanofibril formation, and electrical conductivity enhancement (∼2500 S/cm) as its aprotic counterpart (EMIM:TCB with 1-ethyl-3-methylimidazolium), the best IL used for this purpose so far. Furthermore, p-MIM:TCB significantly outperforms EMIM:TCB in terms of improving the stretchability (i.e., the highest tensile strain) of the PEDOT:PSS thin film. This enhancement is a result of the aromatic and protic cation p-MIM⁺, which acts as a molecular adhesive holding the exchanged ion pairs (PEDOT⁺:TCB^----p-MIM⁺:PSS^-) via ionic intercalation (at the surface of TCB^--decorated PEDOT⁺ clusters) and hydrogen bonding (to PSS^-), in which washing p-MIM⁺ out of the film degrades the stretchability while keeping the morphology. Our results offer molecular-level insight into the morphological, electrical, and mechanical properties of PEDOT:PSS and a molecular-interaction-based enhancement strategy that can be used for intrinsically stretchable conductive polymers.

Reliability of printed stretchable electronics based on nano/micro materials for practical applications

Recent decades have witnessed the booming development of stretchable electronics based on nano/micro composite inks. Printing is a scalable, low-cost, and high-efficiency fabrication tool to realize stretchable electronics through additive processes. However, compared with conventional flexible electronics, stretchable electronics need to experience more severe mechanical deformation which may cause destructive damage. Most of the reported works in this field mainly focus on how to achieve a high stretchability of nano/micro composite conductors or single working modules/devices, with limited attention given to the reliability for practical applications. In this minireview, we summarized the failure modes when printing stretchable electronics using nano/micro composite ink, including dysfunction of the stretchable interconnects, the stress-concentrated rigid-soft interfaces for hybrid electronics, the vulnerable vias upon stretching, thermal accumulation, and environmental instability of stretchable materials. Strategies for tackling these challenges to realize reliable performances are proposed and discussed. Our review provides an overview on the importance of reliable, printable, and stretchable electronics, which are the key enablers in propelling stretchable electronics from fancy demos to practical applications.

Phenylboronic acid conjugated poly(3,4-ethylenedioxythiophene) (PEDOT) coated Ag dendrite for electrochemical non-enzymatic glucose sensing

The fern leaf-like surface topography of poly(EDOT-PBA)/Ag/Cu/GCE increases the specific surface area of the sensor, thereby enhancing the glucose sensing performance.

A review of medical wearables: materials, power sources, sensors, and manufacturing aspects of human wearable technologies

Wearable technology is a promising and revolutionary technology that is changing some aspects of our standard of living to a great extent, including health monitoring, sport and fitness, performance tracking, education, and entertainment. This article presents a comprehensive literature review of over 160 articles related to state-of-the-art human wearable technologies. We provide a thorough understanding of the materials, power sources, sensors, and manufacturing processes, and the relationships between these to capture opportunities for enhancement and challenges to overcome in wearables. As a result of our review, we have determined the need for the development of a comprehensive, robust manufacturing system alongside specific standards and regulations that take into account wearables' unique characteristics. Seeing the whole picture will provide a frame reference and road map for researchers and industries through the design, manufacturing, and commercialisation of effective, portable, self-powered, multi-sensing ultimate future wearable devices and create opportunities for new innovations and applications.

A reversible gel-free electrode for continuous noninvasive electrophysiological signal monitoring

PPEM gel-free electrode for continuous noninvasive electrophysiological signal monitoring.

Highly stretchable, self-healing, and degradable ionic conductive cellulose hydrogel for human motion monitoring

Self-healing biomass-based conductive hydrogels are applied as flexible strain sensors for wearable devices and human movement monitoring. Cellulose is the most abundant biomass-based materials and exhibits excellent toughness, dispersion and degradability. In this paper, nanocellulose crystals (NCCs) prepared from sisal, used as reinforcing fillers were coated with tannic acid (TA) to prepare inexpensive bio-nanocomposite hydrogels that also included polyvinyl alcohol, okra polysaccharide (OP), and borax. These hydrogels exhibit excellent self-healing and mechanical properties with the maximum elongation, toughness, and self-healing efficiency (9 min) of 1426.2 %, 264.4 kJ/m³, and 62.1 %, respectively. A fabricated hydrogel strain sensor was successfully used to detect and monitor various human movements such as wrist bending, elbow bending, and slight changes in facial expression. In addition, this sensor possessed excellent durability and good working stability after repeated circulation. The nanocomposite hydrogel synthesized in this work utilized natural polysaccharide to manufacture flexible functional materials with good application prospects in the field of flexible sensors.

Sialic acid biosensing by post-printing modification of PEDOT:PSS with pyridylboronic acid

A poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate) (PEDOT:PSS)-based conducting polymer, which has biorecognition capabilities, has promising biosensing applications. Previously, we developed a facile method for post-printing chemical modification of PEDOT:PSS thin films from commercial sources. Molecular recognition elements were directly introduced into the PSS side chain by a two-step chemical reaction: introduction of an ethylenediamine linker via an acid chloride reaction of the sulfonate moiety, and subsequent receptor attachment to the linker via amine coupling. In this study, the same method was used to introduce 6-carboxypyridine-3-boronic acid (carboxy-PyBA) into the linker for specifically detecting N-acetylneuraminic acid (sialic acid, SA), as a cancer biomarker. The surface-modified PEDOT:PSS films were characterized by X-ray photoelectron spectroscopy, attenuated total reflection Fourier-transform infrared spectroscopy, and static water contact angle and conductivity measurements. The specific interaction between PyBA and SA was detected by label-free reagent-free potentiometry. The SA-specific negative potential responses of modified PEDOT:PSS electrodes, which was ascribed to an SA carboxyl anion, were observed in a physiologically relevant SA range (1.6-2.9 mM) at pH 5, in a concentration-dependent manner even in the presence of 10% fetal bovine serum. The sensitivity was -2.9 mV/mM in 1-5 mM SA with a limit of detection of 0.7 mM. The sensing performances were almost equivalent to those of existing graphene-based electrical SA sensors. These results show that our chemical derivatization method for printing PEDOT:PSS thin films will have applications in SA clinical diagnostics.

Enhancing Part-to-Part Repeatability of Force-Sensing Resistors Using a Lean Six Sigma Approach

Polymer nanocomposites have found wide acceptance in research applications as pressure sensors under the designation of force-sensing resistors (FSRs). However, given the random dispersion of conductive nanoparticles in the polymer matrix, the sensitivity of FSRs notably differs from one specimen to another; this condition has precluded the use of FSRs in industrial applications that require large part-to-part repeatability. Six Sigma methodology provides a standard framework to reduce the process variability regarding a critical variable. The Six Sigma core is the DMAIC cycle (Define, Measure, Analyze, Improve, and Control). In this study, we have deployed the DMAIC cycle to reduce the process variability of sensor sensitivity, where sensitivity was defined by the rate of change in the output voltage in response to the applied force. It was found that sensor sensitivity could be trimmed by changing their input (driving) voltage. The whole process comprised: characterization of FSR sensitivity, followed by physical modeling that let us identify the underlying physics of FSR variability, and ultimately, a mechanism to reduce it; this process let us enhance the sensors' part-to-part repeatability from an industrial standpoint. Two mechanisms were explored to reduce the variability in FSR sensitivity. (i) It was found that the output voltage at null force can be used to discard noncompliant sensors that exhibit either too high or too low sensitivity; this observation is a novel contribution from this research. (ii) An alternative method was also proposed and validated that let us trim the sensitivity of FSRs by means of changing the input voltage. This study was carried out from 64 specimens of Interlink FSR402 sensors.

Interdigitated Organic Sensor in Multimodal Facemask's Barrier Integrity and Wearer's Respiration Monitoring

Facemasks are used as a personal protective equipment in medical services. They became compulsory during the recent COVID-19 pandemic at large. Their barrier effectiveness during various daily activities over time has been the subject of much debate. We propose the fabrication of an organic sensor to monitor the integrity of surgical masks to ensure individuals' health and safety during their use. Inkjet printing of an interdigitated conducting polymer-based sensor on the inner layer of the mask proved to be an efficient and direct fabrication process to rapidly reach the end user. The sensor's integration happens without hampering the mask functionality and preserving its original air permeability. Its resistive response to humidity accumulation allows it to monitor the mask's wetting in use, providing a quantified way to track its barrier integrity and assist in its management. Additionally, it detects the user's respiration rate as a capacitive response to the exhaled humidity, essential in identifying breathing difficulties or a sign of an infection. Respiration evaluations during daily activities show outstanding performance in relation to unspecific motion artifacts and breathing resolution. This e-mask yields an integrated solution for home-based individual monitoring and an advanced protective equipment for healthcare professionals.

Highly Skin-Compliant Polymeric Electrodes with Synergistically Boosted Conductivity toward Wearable Health Monitoring

Despite rapid advances in stretchable electrodes, successful examples of polymeric dry electrodes are limited. Especially in wearable health monitoring, it is urgent to develop biocompatible electrodes that possess intrinsic skin-compliance while maintaining a high conductivity. Herein, a strategy is demonstrated to synergistically regulate the interpenetration behavior and molecular crystallinity in the blend via embedding a novel double network, i.e. physically cross-linked poly(vinyl alcohol) (PVA) and covalently cross-linked polyethylene glycol diacrylate (PEGDA), into the PEDOT:PSS matrix. The favorable interaction energy between PVA and PEGDA enables well-distributed microstructure with finer phase separation in the film, affording a low Young's modulus of 16 MPa with a high conductivity of 442 S/cm. Consequently, the optimal polymeric electrode can acquire high-quality electromyogram (EMG) and electrocardiogram (ECG) signals. Our results provide a feasible approach for producing skin-compliant polymeric electrodes toward next-generation health monitors.

Advances in Soft and Dry Electrodes for Wearable Health Monitoring Devices

Electrophysiology signals are crucial health status indicators as they are related to all human activities. Current demands for mobile healthcare have driven considerable interest in developing skin-mounted electrodes for health monitoring. Silver-Silver chloride-based (Ag-/AgCl) wet electrodes, commonly used in conventional clinical practice, provide excellent signal quality, but cannot monitor long-term signals due to gel evaporation and skin irritation. Therefore, the focus has shifted to developing dry electrodes that can operate without gels and extra adhesives. Compared to conventional wet electrodes, dry ones offer various advantages in terms of ease of use, long-term stability, and biocompatibility. This review outlines a systematic summary of the latest research on high-performance soft and dry electrodes. In addition, we summarize recent developments in soft materials, biocompatible materials, manufacturing methods, strategies to promote physical adhesion, methods for higher breathability, and their applications in wearable biomedical devices. Finally, we discuss the developmental challenges and advantages of various dry electrodes, while suggesting research directions for future studies.

Self-Healable and Stretchable Ionic-Liquid-Based Thermoelectric Composites with High Ionic Seebeck Coefficient

The advancement of wearable electronics, particularly self-powered wearable electronic devices, necessitates the development of efficient energy conversion technologies with flexible mechanical properties. Recently, ionic thermoelectric (TE) materials have attracted great attention because of their enormous thermopower, which can operate capacitors or supercapacitors by harvesting low-grade heat. This study presents self-healable, stretchable, and flexible ionic TE composites comprising an ionic liquid (IL), 1-ethyl-3-methylimidazolium trifluoromethanesulfonate (EMIM:OTf); a polymer matrix, poly(vinylidene fluoride-co-hexafluoropropylene) (PVDF-HFP); and a fluoro-surfactant (FS). The self-healability of the IL-based composites originates from dynamic ion-dipole interactions between the IL, the PVDF-HFP, and the FS. The composites demonstrate excellent ionic TE properties with an ionic Seebeck coefficient (S_i ) of ≈38.3 mV K^-1 and an ionic figure of merit of ZT_i  = 2.34 at 90% relative humidity, which are higher than the values reported for other IL-based TE materials. The IL-based ionic TE composites developed in this study can maintain excellent ionic TE properties under harsh conditions, including severe strain (75%) and multiple cutting-healing cycles.

Flexible Sensors Based on Conductive Polymers

Conductive polymers have attracted wide attention since their discovery due to their unique properties such as good electrical conductivity, thermal and chemical stability, and low cost. With different possibilities of preparation and deposition on surfaces, they present unique and tunable structures. Because of the ease of incorporating different elements to form composite materials, conductive polymers have been widely used in a plethora of applications. Their inherent mechanical tolerance limit makes them ideal for flexible devices, such as electrodes for batteries, artificial muscles, organic electronics, and sensors. As the demand for the next generation of (wearable) personal and flexible sensing devices is increasing, this review aims to discuss and summarize the recent manufacturing advances made on flexible electrochemical sensors.

High-Speed Fabrication of All-Inkjet-Printed Organometallic Halide Perovskite Light-Emitting Diodes on Elastic Substrates

Halide perovskites have great potential for use in high-performance light-emitting diodes (LEDs) and displays. Here, a perovskite LEDs (PeLEDs) fabricated directly on an elastomer substrate, in which every single layer in the device from bottom anode to top cathode is patterned solely using a highly scalable inkjet printing process, is reported. Compared to PeLEDs made using conventional microfabrication processes, the printing process significantly shortens the fabrication time by at least tenfold (from over 5 h to less than 25 min). The all-printed PeLEDs have a novel 4-layer structure (bottom electrode, perovskite emissive layer, buffer layer, top electrode) without separate electron or hole transporting layers. For flexible PeLEDs printed directly in ambient conditions, a turn-on voltage, maximum luminance intensity, and maximum current efficiency of 3.46 V, 10227 cd m^-2 , and 2.01 cd A^-1 , respectively, is achieved. The devices also exhibit excellent robustness and stability even when bent to a curvature radius of 2.5 mm. The reported device structure and fabrication processes can enable high-performance flexible PeLEDs to be manufactured over a larger area at extremely low cost and fast speed, which can facilitate the adoption of the promising PeLED technology in the emerging foldable displays, smart wearables, and many other applications.

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.

Graded Microstructured Flexible Pressure Sensors with High Sensitivity and an Ultrabroad Pressure Range for Epidermal Pulse Monitoring

Precisely detecting epidermal pulse waves with pressure sensors is crucial for pulse-based personalized health-monitoring technologies. However, developing a pressure sensor that simultaneously demonstrates high sensitivity and an ultrabroad pressure range and a convenient fabrication process for large-scale production is a considerable challenge. Herein, by utilizing a commercial conductive fabric (CF) and a silica gel film, we develop a high-performance pressure sensor (HPPS) for the monitoring of human physiological signals. Based on convenient turnover formwork technology, the silica gel film was fabricated by replicating the microstructure of the sandpaper surface. This microstructure and the plain weave structure on the CF surface together provide a sharp increase in the contact-separation area and structural compressibility, which are beneficial for the enhancement of output performance. Made of these two materials, the graded microstructured HPPS holds high sensitivity (4.5 mV/Pa), an ultrabroad pressure range (0-30 kPa), a wide working frequency bandwidth (up to 35 Hz), decent stability (>50,000 cycles), and a simple fabrication process that is suitable for large-scale production. Given these noticeable features, the developed HPPS not only succeeds in precisely detecting subtle pulse waves on various positions of different people but can also objectively capture changes in cardiovascular parameters caused by exercise training at different intensities in real time. These findings exhibit the enormous potential application of HPPS in tracking an individual's health status and comprehensively evaluating exercise intensity.