3D Printable Self-Adhesive and Self-Healing Ionotronic Hydrogels for Wearable Healthcare Devices

Wide-humidity, anti-freezing and stretchable multifunctional conductive carboxymethyl cellulose-based hydrogels for flexible wearable strain sensors and arrays

Hydrogels play an important role in the design and fabrication of wearable sensors with outstanding flexibility, high sensitivity and versatility. Since hydrogels lose and absorb water during changes in humidity and temperature, it is critical and challenging to obtain hydrogels that function properly under different environmental conditions. Herein, a dual network hydrogel based on tannic acid (TA) reinforced polyacrylamide (PAM) and sodium carboxymethylcellulose (CMC) was constructed, while the introduction of the green solvents Solketal and LiCl endowed the hydrogel with greater possibilities for further modification to improve the water content and consistency of the mechanical properties over 30-90 % RH. This composite hydrogel (PTSL) has long-term stability, excellent mechanical strength, and freezing resistance. As strain sensors, they are linear over the entire strain range (R2 = 0.994) and have a high sensitivity (GF = 2.52 over 0-680 % strain range). Furthermore, the hydrogel's exceptional electrical conductivity and freezing resistance are a result of the synergistic effect of Solketal and LiCl, which intensifies the contact between the water molecules and the colloidal phase. This research could address the suitability of hydrogels over a wide range of humidity and temperature, suggesting great applications for smart flexible wearable electronics in harsh environmental conditions.

Multifunctional Magnetic Muscles for Soft Robotics

Despite recent advancements, artificial muscles have not yet been able to strike the right balance between exceptional mechanical properties and dexterous actuation abilities that are found in biological systems. Here, we present an artificial magnetic muscle that exhibits multiple remarkable mechanical properties and demonstrates comprehensive actuating performance, surpassing those of biological muscles. This artificial muscle utilizes a composite configuration, integrating a phase-change polymer and ferromagnetic particles, enabling active control over mechanical properties and complex actuating motions through remote laser heating and magnetic field manipulation. Consequently, the magnetic composite muscle can dynamically adjust its stiffness as needed, achieving a switching ratio exceeding 2.7 × 10³. This remarkable adaptability facilitates substantial load-bearing capacity, with specific load capacities of up to 1000 and 3690 for tensile and compressive stresses, respectively. Moreover, it demonstrates reversible extension, contraction, bending, and twisting, with stretchability exceeding 800%. We leverage these distinctive attributes to showcase the versatility of this composite muscle as a soft continuum robotic manipulator. It adeptly executes various programmable responses and performs complex tasks while minimizing mechanical vibrations. Furthermore, we demonstrate that this composite muscle excels across multiple mechanical and actuation aspects compared to existing actuators.

Ultra-stretchable, adhesive, fatigue resistance, and anti-freezing conductive hydrogel based on gelatin/guar gum and liquid metal for dual-sensory flexible sensor and all-in-one supercapacitors

Benefiting from the tissue-like mechanical properties, conductive hydrogels have emerged as a promising candidate for manufacturing wearable electronics. However, the high water content within hydrogels will inevitably freeze at subzero temperature, causing a degradation or loss of functionality, which severely prevent their practical application in wearable electronics. Herein, an anti-freezing hydrogel integrating high conductivity, superior stretchability, and robust adhesion was fabricated by dissolving choline chloride and gallium in gelatin/guar gum network using borax as the cross-linker. Based on the synergistic effect of dynamic borate ester bonds and hydrogen bonds, the hydrogel exhibited rapid self-healing property and excellent fatigue resistance. Profiting from these fascinating characteristics, the hydrogel was assembled as strain sensor to precisely detect various human activities with high strain sensitivity and fast response time. Meanwhile, the hydrogel was demonstrated high sensitivity and rapid response to temperature, which can be used as thermal sensor to monitor temperature. Moreover, the conductive hydrogel was encapsulated into supercapacitors with high areal capacitance and favorable cycle stability. Importantly, the flexible sensor and supercapacitors still maintain stable sensing performance and good electrochemical performance even at subzero temperature. Therefore, our work broaden hydrogels application in intelligent wearable devices and energy storage in extreme environments.

Ferrocene-Based Antioxidant Self-Healing Hydrogel via the Biginelli Reaction for Wound Healing

The development of antioxidant wound dressings to remove excessive free radicals around wounds is essential for wound healing. In this study, we developed an efficient strategy to prepare antioxidant self-healing hydrogels as wound dressings by combining multicomponent reactions (MCRs) and postpolymerization modification. A polymer containing ferrocene and phenylboronic acid groups was developed via the Biginelli reaction, followed by efficient modification. This polymer is antioxidant due to its ferrocene moieties and can rapidly cross-link poly(vinyl alcohol) to realize an antioxidant self-healing hydrogel through dynamic borate ester linkages. This hydrogel has low cytotoxicity and is biocompatible. In in vivo experiments, this hydrogel is superior to existing clinical dressings in promoting wound healing. This study demonstrates the value of the Biginelli reaction in exploring biomaterials, potentially offering insights into the design of other multifunctional polymers and related materials using different MCRs.

Ultrafast Self-Healing, Superstretchable, and Ultra-Strong Polymer Cluster-Based Adhesive Based on Aromatic Acid Cross-Linkers for Excellent Hydrogel Strain Sensors

Synthetic hydrogel strain sensors rarely exhibit a comprehensive combination of mechanical properties such as ultra-stretchability, ultrafast self-healing, and high sensitivity. Herein, seven small molecule enhanced mechanical behaviors of polymer-cluster based hydrogels are demonstrated. The oxidized polyethyleneimine/polymeric acrylic acid (ohPEI/PAA) hydrogels with aromatic formic acids as supramolecular cross-linkers are prepared by simultaneous formation of ohPEI polymer clusters and PAA upon the addition of ammonium persulfate. The optimized hydrogel adhesive exhibits comprehensive excellent properties, such as high extensibility (up to 12 298%), real-time mechanical self-healing capability (<1 s, 93% efficiency), high uniformity, underwater adhesivity, and water-sealing ability. The proper binding strength of hydrogel and skin (47 kPa) allows the hydrogel to be utilized as highly sensitive (gauge factor:16.08), highly conductive (2.58 mS cm-1), and underwater strain sensors. Specially, the adhesive strength of the adhesive to wood after dehydration is extremely high, reaching up to 29.59 MPa. Additionally, when glycerol is introduced, the obtained gel maintains the physical properties even at harsh-temperature conditions (-40 to 80 °C). It presents that multiple and hierarchical non-covalent interactions including multiple hydrogen bonding interactions, π-π stacking, electrostatic interactions, and dipole-dipole interactions of polymer clusters, allow for the energy dissipation and contribute to the excellent performance of the hydrogel.

Recent Advances in Wearable Healthcare Devices: From Material to Application

In recent years, the proliferation of wearable healthcare devices has marked a revolutionary shift in the personal health monitoring and management paradigm. These devices, ranging from fitness trackers to advanced biosensors, have not only made healthcare more accessible, but have also transformed the way individuals engage with their health data. By continuously monitoring health signs, from physical-based to biochemical-based such as heart rate and blood glucose levels, wearable technology offers insights into human health, enabling a proactive rather than a reactive approach to healthcare. This shift towards personalized health monitoring empowers individuals with the knowledge and tools to make informed decisions about their lifestyle and medical care, potentially leading to the earlier detection of health issues and more tailored treatment plans. This review presents the fabrication methods of flexible wearable healthcare devices and their applications in medical care. The potential challenges and future prospectives are also discussed.

3D Printing Self-Healing and Self-Adhesive Elastomers for Wearable Electronics in Amphibious Environments

To meet the demands of challenging usage scenarios, there is an increasing need for flexible electronic skins that can operate properly not only in terrestrial environments but also extend to complex aquatic conditions. In this study, we develop an elastomer by incorporating dynamic urea bonds and hydrogen bonds into the polydimethylsiloxane backbone, which exhibits excellent autonomous self-healing and reversible adhesive performance in both dry and wet environments. A multifunctional flexible sensor with excellent sensing stability, amphibious self-healing capacity, and amphibious self-adhesive performance is fabricated through solvent-free 3D printing. The sensor has a high sensing sensitivity (GF = 45.1) and a low strain response threshold (0.25%) and can be used to detect small human movements and physiological activities, such as muscle movement, joint movement, respiration, and heartbeat. The wireless wearable sensing system assembled by coupling this device with a bluetooth transmission system is suitable for monitoring strenuous human movement in amphibious environments, such as playing basketball, cycling, running (terrestrial environments), and swimming (aquatic environments). The design strategy provides insights into enhancing the self-healing and self-adhesive properties of soft materials and promises a prospective avenue for fabricating flexible electronic skin that can work properly in amphibious environments.

Mussel-inspired resilient hydrogels with strong skin adhesion and high-sensitivity for wearable device

Stretchable and self-adhesive conductive hydrogels hold significant importance across a wide spectrum of applications, including human-machine interfaces, wearable devices, and soft robotics. However, integrating multiple properties, such as high stretchability, strong interfacial adhesion, self-healing capability, and sensitivity, into a single material poses significant technical challenges. Herein, we present a multifunctional conductive hydrogel based on poly(acrylic acid) (PAA), dopamine-functionalized pectin (PT-DA), polydopamine-coated reduction graphene oxide (rGO-PDA), and Fe3+ as an ionic cross-linker. This hydrogel exhibits a combination of high stretchability (2000%), rapid self-healing (~ 94% recovery in 5 s), and robust self-adhesion to various substrates. Notably, the hydrogel demonstrates a remarkable skin adhesion strength of 85 kPa, surpassing previous skin adhesive hydrogels. Furthermore, incorporating rGO within the hydrogel network creates electric pathways, ensuring excellent conductivity (0.56 S m-1). Consequently, these conductive hydrogels exhibit strain-sensing properties with a significant increase in gauge factor (GF) of 14.6, covering an extensive detection range of ~ 1000%, fast response (198 ms) and exceptional cycle stability. These multifunctional hydrogels can be seamlessly integrated into motion detection sensors capable of distinguishing between various strong or subtle movements of the human body.

3D Printing of Self-Healing Materials

This review article presents a comprehensive overview of the latest advances in the field of 3D printable structures with self-healing properties. Three-dimensional printing (3DP) is a versatile technology that enables the rapid manufacturing of complex geometric structures with precision and functionality not previously attainable. However, the application of 3DP technology is still limited by the availability of materials with customizable properties specifically designed for additive manufacturing. The addition of self-healing properties within 3D printed objects is of high interest as it can improve the performance and lifespan of structural components, and even enable the mimicking of living tissues for biomedical applications, such as organs printing. The review will discuss and analyze the most relevant results reported in recent years in the development of self-healing polymeric materials that can be processed via 3D printing. After introducing the chemical and physical self-healing mechanism that can be exploited, the literature review here reported will focus in particular on printability and repairing performances. At last, actual perspective and possible development field will be critically discussed.

Sodium carboxymethyl cellulose and MXene reinforced multifunctional conductive hydrogels for multimodal sensors and flexible supercapacitors

With the growing demand for eco-friendly materials in wearable smart electronic devices, renewable, biocompatible, and low-cost hydrogels based on natural polymers have attracted much attention. Cellulose, as one of the renewable and degradable natural polymers, shows great potential in wearable smart electronic devices. Multifunctional conductive cellulose-based hydrogels are designed for flexible electronic devices by adding sodium carboxymethyl cellulose and MXene into polyacrylic acid networks. The multifunctional hydrogels possess excellent mechanical property (stress: 310 kPa; strain: 1127 %), toughness (206.67 KJ m-3), conductivity (1.09 ± 0.12 S m-1) and adhesion (82.19 ± 3.65 kPa). The multifunctional conductive hydrogels serve as strain sensors (Gauge Factor (GF) = 5.79, 0-700 % strain; GF = 14.0, 700-900 % strain; GF = 40.36, 900-1000 % strain; response time: 300 ms; recovery time: 200 ms) and temperature sensors (Temperature coefficient of resistance (TCR) = 2.5755 °C-1 at 35 °C- 60 °C). The sensor detects human activities with clear and steady signals. A distributed array of flexible sensors is created to measure the magnitude and distribution of pressure and a hydrogel-based flexible touch keyboard is also fabricated to recognize writing trajectories, pressures and speeds. Furthermore, a flexible hydrogel-based supercapacitor powers the LED and exhibits good cyclic stability over 15,000 charge-discharge cycles.

ROS/pH dual responsive PRP-loaded multifunctional chitosan hydrogels with controlled release of growth factors for skin wound healing

Platelet-rich plasma (PRP) contains a variety of growth factors (GFs) and has been used in the treatment of a variety of diseases, including skin lesions. In particular, PRP with low immunogenicity will be more widely used. However, the explosive release of GFs limits its further application. In order to achieve controlled release of GFs, a multifunctional and reactive oxygen species (ROS)/pH dual responsive hydrogel was developed to load PRP derived from human cord blood for the treatment of skin wound healing. Based on the hydrogen bond and Schiff base interaction, carboxymethyl chitosan (CMCS), oxidized dextran (Odex) and oligomeric procyanidins (OPC) were crosslinked to form CMCS/Odex/OPC/PRP hydrogel with good injectability, self-healing, adhesion, ROS scavenging, antibacterial activity, controlled and sustained release of GFs. In vitro cell experiments suggested that this hydrogel possessed excellent biocompatibility and could promote the proliferation and migration of L929. In vivo healing of full-layer skin wounds further indicated that the prepared hydrogel could regulate inflammation and promote epithelialization, collagen deposition, and angiogenesis. In summary, this present study demonstrates that CMCS/Odex/OPC/PRP hydrogel may serve as a promising multifunctional dressing for skin wound healing.

Synergistic strengthening of PVA ionic conductive hydrogels using aramid nanofibers and tannic acid for mechanically robust, antifreezing, water-retaining and antibacterial flexible sensors

Ion-conductive hydrogels with multi-functionality have gained significant attraction as flexible sensors in various fields such as wearable health monitoring and human motion detection, owing to their high ion conductivity, excellent flexibility and stretchability, and easy availability. In this work, multifunctional ion-conductive hydrogel with excellent mechanical properties, antifreezing properties, water retention and antibacterial performance was fabricated by the freeze-thaw crosslinking between polyvinyl alcohol (PVA) and aramid nanofibers (ANF), and the subsequent solution immersion crosslinking in a mixture of tannic acid (TA) and CaCl2 solution (DMSO/H2O as co-solvent). The rational engineering of a multi-spatial distributed hydrogen bond and Ca2+ coordination bond networks within the hydrogel led to a significant improvement in mechanical properties. Furthermore, through the introduction of TA and binary solvents (DMSO/H2O), the hydrogel had witnessed a substantial enhancement in its antimicrobial properties and water retention capacity. The resultant PAT5/CaCl2-5% (DMSO/H2O) hydrogel exhibited outstanding elongation at break (754.73%), tensile strength (6.25 MPa), electrical conductivity (3.09 S/m), which can be employed in flexible sensors to monitor real-time functional motion for human under diverse conditions. As such, this innovation opens up a novel pathway for envisioning flexible sensor devices, particularly in the realm of human activity monitoring.

Multifunctional Conductive Double-Network Hydrogel Sensors for Multiscale Motion Detection and Temperature Monitoring

As typical soft materials, hydrogels have demonstrated great potential for the fabrication of flexible sensors due to their highly compatible elastic modulus with human skin, prominent flexibility, and biocompatible three-dimensional network structure. However, the practical application of wearable hydrogel sensors is significantly constrained because of weak adhesion, limited stretchability, and poor self-healing properties of traditional hydrogels. Herein, a multifunctional sodium hyaluronate (SH)/borax (B)/gelatin (G) double-cross-linked conductive hydrogel (SBG) was designed and constructed through a simple one-pot blending strategy with SH and gelatin as the gel matrix and borax as the dynamic cross-linker. The obtained SBG hydrogels exhibited a moderate tensile strength of 25.3 kPa at a large elongation of 760%, high interfacial toughness (106.5 kJ m-3), strong adhesion (28 kPa to paper), and satisfactory conductivity (224.5 mS/m). In particular, the dynamic cross-linking between SH, gelatin, and borax via borate ester bonds and hydrogen bonds between SH and gelatin chain endowed the SBG hydrogels with good fatigue resistance (>300 cycles), rapid self-healing performance (HE (healing efficiency) ∼97.03%), and excellent repeatable adhesion. The flexible wearable sensor assembled with SBG hydrogels demonstrated desirable strain sensing performance with a competitive gauge factor and exceptional stability, which enabled it to detect and distinguish various multiscale human motions and physiological signals. Furthermore, the flexible sensor is capable of precisely perceiving temperature variation with a high thermal sensitivity (1.685% °C-1). As a result, the wearable sensor displayed dual sensory performance for temperature and strain deformation. It is envisioned that the integration of strain sensors and thermal sensors provide a novel and convenient strategy for the next generation of multisensory wearable electronics and lay a solid foundation for their application in electronic skin and soft actuators.

Multifunctional, Self-Adhesive MXene-Based Hydrogel Flexible Strain Sensors for Hand-Written Digit Recognition with Assistance of Deep Learning

The conductive hydrogel as a flexible sensor not only has certain mechanical flexibility but also can be used in the field of human health detection and human-computer interaction. Herein, by introduction of tannic acid (TA) with MXene into the polyacrylamide (PAM)/carboxymethyl chitosan (CMC) double-network hydrogel, a hydrogel with high stretchability, self-adhesion, and high sensitivity was prepared. CMC and PAM form a semi-interpenetrating double-network of high toughness and durability through electrostatic interactions and multiple hydrogen bonding networks. The abundant hydrophilic functional groups on TA and MXene form multiple hydrogen bonds simultaneously with the polymer network, ensuring high stretchability and sensitivity of the hydrogel. The hydrogel can display an accurate response to a variety of stimulus signals and can monitor both human joint movements and small physiological signal changes. It can also be combined with deep learning algorithms to classify handwritten digits with an accuracy rate of 98%. This work can promote the application of hydrogel sensors with durability and high sensitivity. The combination of algorithms and flexible sensors provides important ideas for the further development of flexible devices.

Recent advances in 3D printable conductive hydrogel inks for neural engineering

Recently, the 3D printing of conductive hydrogels has undergone remarkable advances in the fabrication of complex and functional structures. In the field of neural engineering, an increasing number of reports have been published on tissue engineering and bioelectronic approaches over the last few years. The convergence of 3D printing methods and electrically conducting hydrogels may create new clinical and therapeutic possibilities for precision regenerative medicine and implants. In this review, we summarize (i) advancements in preparation strategies for conductive materials, (ii) various printing techniques enabling the fabrication of electroconductive hydrogels, (iii) the required physicochemical properties of the printed constructs, (iv) their applications in bioelectronics and tissue regeneration for neural engineering, and (v) unconventional approaches and outlooks for the 3D printing of conductive hydrogels. This review provides technical insights into 3D printable conductive hydrogels and encompasses recent developments, specifically over the last few years of research in the neural engineering field.