Piezoelectric Polyacrylonitrile Nanofiber Film-Based Dual-Function Self-Powered Flexible Sensor

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

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

Advancements in optical fiber-based wearable sensors for smart health monitoring

Healthcare system is undergoing a significant transformation from a traditional hospital-centered to an individual-centered one, as a result of escalating chronic diseases, ageing populations, and ever-increasing healthcare costs,. Wearable sensors have become widely used in health monitoring systems since the COVID-19 pandemic. They enable continuous measurement of important health indicators like body temperature, wrist pulse, respiration rate, and non-invasive bio fluids like saliva and perspiration. Over the last few decades, the development has mostly concentrated on electrochemical and electrical wearable sensors. However, due to the drawbacks of such sensors, such as electronic waste, electromagnetic interference, non-electrical security, and poor performance, researchers are exhibiting a strong interest in optical principle-based systems. Fiber-based optical wearables are among the most promising healthcare systems because of advancements in high-sensitivity, durable, multiplexed sensing, and simple integration with flexible materials to improve wearability and simplicity. We present an overview of recent developments in optical fiber-based wearable sensors, focusing on two mechanisms: wavelength interrogation and intensity modulation for the detection of body temperature, pulse rate, respiration rate, body movements, and biomedical noninvasive fluids, with a thorough examination of their benefits and drawbacks. This review also focuses on improving working performance and application techniques for healthcare systems, including the integration of nanomaterials and the usage of the Internet of Things (IoT) with signal processing. Finally, the review concludes with a discussion of the future possibilities and problems for optical fiber-based wearables.

Ultrahigh sensitive and rapid-response self-powered flexible pressure sensor based on sandwiched piezoelectric composites

Flexible sensors and actuators are the basis for realizing the Internet of Everything. This study identifies specific interfacial polarization and filler dispersion challenges in flexible sensors. A novel sandwich-structured flexible sensor with polydimethylsiloxane (PDMS)-filled Nb2CTx as the interlayer and poly(vinylidene fluoride-trifluoroethylene) [P(VDF-TrFE)]-filled barium titanate (BTO) as the upper and lower layers was designed and fabricated. The thickness of the interlayer was optimized to be 6.2 μm, resulting in an ultrahigh sensitivity of 16.05 V/N and ultrashort response time of 626 μs. The interlayer achieved an oriented arrangement of the dipoles in the upper and lower piezoelectric films through interfacial polarization, enhancing the piezoelectric output and sensitivity. The proposed mechanism was confirmed by the dielectric properties, local piezoelectric response, cross-sectional potential simulation, and interfacial electrical calculations. Additionally, the sensor effectively distinguishes various body movements, facial micro-expressions, and throat vibrations during vocalization, and can be applied to ultrahigh-sensitive self-powered flexible piezoelectric pressure sensors.

Emerging Trends of Nanofibrous Piezoelectric and Triboelectric Applications: Mechanisms, Electroactive Materials, and Designed Architectures

Over the past few decades, significant progress in piezo-/triboelectric nanogenerators (PTEGs) has led to the development of cutting-edge wearable technologies. Nanofibers with good designability, controllable morphologies, large specific areas, and unique physicochemical properties provide a promising platform for PTEGs for various advanced applications. However, the further development of nanofiber-based PTEGs is limited by technical difficulties, ranging from materials design to device integration. Herein, the current developments in PTEGs based on electrospun nanofibers are systematically reviewed. This review begins with the mechanisms of PTEGs and the advantages of nanofibers and nanodevices, including high breathability, waterproofness, scalability, and thermal-moisture comfort. In terms of materials and structural design, novel electroactive nanofibers and structure assemblies based on 1D micro/nanostructures, 2D bionic structures, and 3D multilayered structures are discussed. Subsequently, nanofibrous PTEGs in applications such as energy harvesters, personalized medicine, personal protective equipment, and human-machine interactions are summarized. Nanofiber-based PTEGs still face many challenges such as energy efficiency, material durability, device stability, and device integration. Finally, the research gap between research and practical applications of PTEGs is discussed, and emerging trends are proposed, providing some ideas for the development of intelligent wearables.

Stretchable Unsymmetrical Piezoelectric BiO2-x Deposited-Hydrogel as Multimodal Triboelectric Nanogenerators for Biomechanical Motion Harvesting

Enhancing the output performance of triboelectric nanogenerators (TENGs) is essential for increasing their application in smart devices. Oxygen-vacancy-rich BiO2-x nanosheets (BiO2-x NSs) are advanced-engineered nanomaterials with excellent piezoelectric properties. Herein, a stretchable unsymmetrical BiO2-x NSs deposited-hydrogel made of polyacrylamide (PAM) as a multimodal TENG is rationally fabricated, and the performance of TENG can be tailored by controlling the BiO2-x NSs deposition amount and spatial distribution. The alteration of resistance caused by the Poisson effect of PAM/BiO2-x composite hydrogel (H-BiO2-x) can be used as a piezoresistive sensor, and the piezoelectricity of BiO2-x NSs can effectively enhance the density of transfer charge, thus improving the output performance of the H-BiO2-x-based TENG. In addition, the chemical cross-linking between the BiO2-x NSs and the PAM polymer chain allows the hydrogel electrode to have a higher tensile capacity (867%). Used for biomechanical motion signal detection, the sensors made of H-BiO2-x have high sensitivity (gauge factor = 6.93) and can discriminate a range of forces (0.1-5.0 N) at low frequencies (0.5-2.0 Hz). Finally, the prepared TENG can collect biological energy and convert it into electricity. Consequently, the improved TENG shows a good application prospect as multimodal biomechanical sensors by combining piezoresistive, piezoelectric, and triboelectric effects.

Photomechaelectric Nanogenerators with Different Photoisomers and Dipole Units for Harvesting UV Light Energy

To date, transforming environmental energy into electricity through a non-mechanical way is challenging. Herein, a series of photomechaelectric (PME) polyurethanes containing azobenzene-based photoisomer units and ionic liquid-based dipole units are synthesized, and corresponding PME nanogenerators (PME-NGs) to harvest electricity are fabricated. The dependence of the output performance of PME-NGs on the structure of the polyurethane is evaluated. The results show that the UV light energy can directly transduce into alternating-current (AC) electricity by PME-NGs via a non-mechanical way. The optimal open-circuit voltage and short-circuit current of PME-NGs under UV illumination reach 17.4 V and 696 µA, respectively. After rectification, the AC electricity can be further transformed into direct-current (DC) electricity and stored in a capacitor to serve as a power system to actuate typical microelectronics. The output performance of PME-NGs is closely related to the hard segment content of the PME polyurethane and the radius of counter anions in the dipole units. Kelvin probe force microscopy is used to confirm the existence of the PME effect and the detailed mechanism about the generation of AC electricity in PME-NGs is proposed, referring to the back and forth drift of induced electrons on the two electrodes in contact with the PME polyurethanes.

Recent Advances in Tactile Sensory Systems: Mechanisms, Fabrication, and Applications

Flexible electronics is a cutting-edge field that has paved the way for artificial tactile systems that mimic biological functions of sensing mechanical stimuli. These systems have an immense potential to enhance human-machine interactions (HMIs). However, tactile sensing still faces formidable challenges in delivering precise and nuanced feedback, such as achieving a high sensitivity to emulate human touch, coping with environmental variability, and devising algorithms that can effectively interpret tactile data for meaningful interactions in diverse contexts. In this review, we summarize the recent advances of tactile sensory systems, such as piezoresistive, capacitive, piezoelectric, and triboelectric tactile sensors. We also review the state-of-the-art fabrication techniques for artificial tactile sensors. Next, we focus on the potential applications of HMIs, such as intelligent robotics, wearable devices, prosthetics, and medical healthcare. Finally, we conclude with the challenges and future development trends of tactile sensors.

Effects of Ionic Liquids on Piezoelectric Properties of Electrospun Poly(L-lactic acid) Nanofiber Membranes

The development of environmentally friendly, degradable piezoelectric materials is of great significance for the environment. Poly(L-lactic acid) (PLLA) is a promising piezoelectric material as a degradable material. Here, we have introduced a series of ionic liquids (ILs) into PLLA spinning solution, and the PLLA/IL composite nanofiber membranes are prepared by electrospinning method. When the conductivity of the spinning solution is below 400 μS·cm-1, the addition of ILs, especially [EMIm][PF6], can significantly improve the morphology and piezoelectric properties of the PLLA/IL composite nanofiber membrane with the output voltage of 2.3 V under the pressure of 5 N, which is 4 times that of the PLLA nanofiber membrane. The improvement of the piezoelectric properties of PLLA/IL nanofiber membrane may be due to the high dipole moment generated by the C=O dipole after the interaction between the O atom in C=O on the PLLA molecular chain and the [EMIm]+ cation in the IL. This work has elucidated the effects of ILs on the properties of spinning solution and the piezoelectric properties of PLLA, which can provide a theoretical basis for the selection of the preparation system of piezoelectric polymer and inspire the development of environmentally friendly flexible piezoelectric materials.

Wearable fabric-based ZnO nanogenerator for biomechanical and biothermal monitoring

Wearable devices that can mechanically conform to human skin are a necessity for reliable monitoring and decoding of biomechanical activities through skin. Most inorganic piezoelectrics, however, lack deformability and damage tolerance, impeding stable motion monitoring. Here, we present an air-permeable fabric-based ZnO nanogenerator with mechanical adaptivity to diverse deformations for wearable piezoelectric sensors, collecting biomechanical health data. We fabricate ZnO nanorods incorporated throughout the entire nylon fabric, with a strategically positioned neutral mechanical plane, for bending-sensitive electronics (2.59 μA mm). Its hierarchically interlocked geometry also permits sensitive tactile sensing (0.15 nA kPa-1). Various physiological information about activities, including pulse beating, breathing, saliva swallowing, and coughing, is attained using skin-mounted sensors. Further, the pyroelectric sensing capability of a mask-attached device is demonstrated by identifying specific respiratory patterns. Our wearable healthcare sensors hold great promise for real-time monitoring of health-related vital signs, informing individuals' health status without disrupting their daily lives.

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.

Recent progress and applications of cellulose and its derivatives-based humidity sensors: A review

Cellulose and its derivatives, which are low-cost, degradable, reproducible and highly hydrophilic, can serve as both substrate and humidity sensitive materials, making them more and more popular as ideal biomimetic materials for humidity sensors. Benefiting from these characteristics, cellulose-based humidity sensors cannot only exhibit high sensitivity, excellent mechanical performance, wide humidity response range, etc., but also can be applied to fields such as human health, medical care and agricultural product safety monitoring. Herein, cellulose-based humidity sensors are first classified according to the different conductive active materials, such as carbon nanotubes, graphene, electrolytes, metal compounds, and polymer materials, based on which the latest research progress is introduced, and the roles of different types of conductive materials in cellulose-based humidity sensors are analyzed and summarized. Besides, the similarities and differences in their working mechanisms are expounded. Finally, the application scenarios of cellulose-based humidity sensors in human movement respiration and skin surface humidity monitoring are discussed, which can make readers quickly familiarize the current preparation method, working mechanism and subsequent development trend of cellulose-based humidity sensors more effectively.

Self-Healable, Adhesive, Anti-Drying, Freezing-Tolerant, and Transparent Conductive Organohydrogel as Flexible Strain Sensor, Triboelectric Nanogenerator, and Skin Barrier

Conductive hydrogels have attracted tremendous interest in the construction of flexible strain sensors and triboelectric nanogenerators (TENGs) owing to their good stretchability and adjustable properties. Nevertheless, how to simultaneously achieve high transparency, self-healing, adhesion, antibacterial, anti-freezing, anti-drying, and biocompatibility properties through a simple method remains a challenge. Herein, a transparent, freezing-tolerant, and multifunctional organohydrogel (PAOAM-PDO) as electrode for strain sensors and TENGs was constructed through a free radical polymerization in the 1,3-propanediol (PDO)/water binary solvent system, in which oxide sodium alginate, aminated gelatin, acrylic acid, and AlCl3 were used as raw materials. The obtained PAOAM-PDO exhibited good transparency (>90%), self-healing, adhesiveness, antibacterial property, good conductivity (1.13 S/m), and long-term environmental stability. The introduction of PDO endowed PAOAM-PDO with freezing resistance with a low freezing point of -60 °C, and PAOAM-PDO could serve as a protective skin barrier to prevent frostbite at low temperature. PAOAM-PDO could be assembled as strain sensors to monitor heterogeneous human movements with high strain sensitivity (gauge factor of 7.05, strain = 233%). Meanwhile, PAOAM-PDO could be further fabricated as a TENG with a "sandwich" structure in single electrode mode. Moreover, the resulting TENG achieved electrical outputs with simple hand tapping and served as a self-powered device to light light-emitting diodes. This work displays a feasible strategy to build environment-tolerant and multifunctional organohydrogels, which possess potential applications in the wearable electronics and self-powered devices.

Advances in Biodegradable Electronic Skin: Material Progress and Recent Applications in Sensing, Robotics, and Human-Machine Interfaces

The rapid growth of the electronics industry and proliferation of electronic materials and telecommunications technologies has led to the release of a massive amount of untreated electronic waste (e-waste) into the environment. Consequently, catastrophic environmental damage at the microbiome level and serious human health diseases threaten the natural fate of the planet. Currently, the demand for wearable electronics for applications in personalized medicine, electronic skins (e-skins), and health monitoring is substantial and growing. Therefore, "green" characteristics such as biodegradability, self-healing, and biocompatibility ensure the future application of wearable electronics and e-skins in biomedical engineering and bioanalytical sciences. Leveraging the biodegradability, sustainability, and biocompatibility of natural materials will dramatically influence the fabrication of environmentally friendly e-skins and wearable electronics. Here, the molecular and structural characteristics of biological skins and artificial e-skins are discussed. The focus then turns to the biodegradable materials, including natural and synthetic-polymer-based materials, and their recent applications in the development of biodegradable e-skin in wearable sensors, robotics, and human-machine interfaces (HMIs). Finally, the main challenges and outlook regarding the preparation and application of biodegradable e-skins are critically discussed in a near-future scenario, which is expected to lead to the next generation of biodegradable e-skins.

Recent Advances in Multifunctional Wearable Sensors and Systems: Design, Fabrication, and Applications

Multifunctional wearable sensors and systems are of growing interest over the past decades because of real-time health monitoring and disease diagnosis capability. Owing to the tremendous efforts of scientists, wearable sensors and systems with attractive advantages such as flexibility, comfort, and long-term stability have been developed, which are widely used in temperature monitoring, pulse wave detection, gait pattern analysis, etc. Due to the complexity of human physiological signals, it is necessary to measure multiple physiological information simultaneously to evaluate human health comprehensively. This review summarizes the recent advances in multifunctional wearable sensors, including single sensors with various functions, planar integrated sensors, three-dimensional assembled sensors, and stacked integrated sensors. The design strategy, manufacturing method, and potential application of each type of sensor are discussed. Finally, we offer an outlook on future developments and provide perspectives on the remaining challenges and opportunities of wearable multifunctional sensing technology.

Flexible Piezoelectric and Pyroelectric Nanogenerators Based on PAN/TMAB Nanocomposite Fiber Mats for Self-Power Multifunctional Sensors

Self-powered wearable electronics to convert mechanical and thermal energy into electrical energy are important for biomedical monitoring, which highly require good flexibility, comfortability, signal sensitivity, and accuracy. In this work, composite nanofiber mats of polyacrylonitrile (PAN) and trimethylamine borane (TMAB) were prepared by electrospinning, which exhibited excellent piezoelectric and pyroelectric abilities in harvesting mechanical and thermal energy. The PAN/TMAB-4 nanofiber mats not only generated a high voltage of up to 2.56 V and a high power of 0.19 μW upon shape deformation but also exhibited linear voltage response to thermal gradient. The hybrid piezoelectric and pyroelectric output signals were successfully integrated together and have been applied to precisely monitor human vital signs, including elbow bending angles, foot posture, and breathing status, in real time by attaching the flexible sensors to proper human body parts. Overall, good flexibility, bifunctional sensing ability, and self-power make PAN-/TMAB-type sensors very attractive in fabricating high-performance electronics for detecting motion, monitoring health, and making portable microelectronics.

Synthesis of a nitrogen doped reduced graphene oxide based ceramic polymer composite nanofiber film for wearable device applications

In this study, piezoelectric composite nanofiber films were fabricated by introducing nitrogen-doped-reduced-graphene-oxide as a conductive material to a P(VDF-TrFE) polymer and a BiScO₃–PbTiO₃ ceramic composite employing an electrospinning process. Nitrogen was doped/substituted into rGO to remove or compensate defects formed during the reduction process. Electro-spinning process was employed to extract piezoelectric composite nanofiber films under self-poling condition. Interdigital electrodes was employed to make planner type energy harvesters to collect electro-mechanical energy applied to the flexible energy harvester. From the piezoelectric composite with interdigital electrode, the effective dielectric permittivity extracted from the conformal mapping method. By introducing BS–PT ceramics and N-rGO conductors to the P(VDF-TrFE) piezoelectric composite nanofiber films, the effective dielectric permittivity was improved from 8.2 to 15.5. This improved effective dielectric constant probably come from the increased electric flux density due to the increased conductivity. Fabricated interdigital electrode using this thin composite nanofiber film was designed and tested for wearable device applications. An external mechanical force of 350 N was applied to the composite nanofiber-based energy harvester with interdigital electrodes at a rate of 0.6 Hz, the peak voltage and current were 13 V and 1.25 μA, respectively. By optimizing the device fabrication, the open-circuit voltage, stored voltage, and generated output power obtained were 12.4 V, 3.78 V, and 6.3 μW, respectively.

Comparison between Piezoelectric and Piezoresistive Wearable Gait Monitoring Techniques

Insole plantar stress detection (PSD) techniques play an important role in gait monitoring. Among the various insole PSD methods, piezoelectric- and piezoresistive-based architectures are broadly used in medical scenes. Each year, a growing number of new research outcomes are reported. Hence, a deep understanding of these two kinds of insole PSD sensors and state-of-the-art work would strongly benefit the researchers in this highly interdisciplinary field. In this context, this review article is composed of the following aspects. First, the mechanisms of the two techniques and corresponding comparisons are explained and discussed. Second, advanced materials which could enhance the performance of current piezoelectric and piezoresistive insole prototypes are introduced. Third, suggestions for designing insole PSD prototypes/products for different diseases are offered. Last, the current challenge and potential future trends are provided.

The Progress of Research into Flexible Sensors in the Field of Smart Wearables

In modern society, technology associated with smart sensors made from flexible materials is rapidly evolving. As a core component in the field of wearable smart devices (or 'smart wearables'), flexible sensors have the advantages of excellent flexibility, ductility, free folding properties, and more. When choosing materials for the development of sensors, reduced weight, elasticity, and wearer's convenience are considered as advantages, and are suitable for electronic skin, monitoring of health-related issues, biomedicine, human-computer interactions, and other fields of biotechnology. The idea behind wearable sensory devices is to enable their easy integration into everyday life. This review discusses the concepts of sensory mechanism, detected object, and contact form of flexible sensors, and expounds the preparation materials and their applicability. This is with the purpose of providing a reference for the further development of flexible sensors suitable for wearable devices.

Optimization of Nanofiber Wearable Heart Rate Sensor Module for Human Motion Detection

In order to further improve the detection performance of the wearable heart rate sensor for human physiological and biochemical signals and body kinematics performance, the wearable heart rate sensor module was optimized by using nanofibers. Nanoparticle-doped graphene films were prepared by adding nanoparticles to a graphene oxide solution. The prepared film was placed in toluene, and the nanoparticles were removed to complete the preparation of a graphene film with a porous microstructure. The graphene film and the conductive film together formed a wearable heart rate sensor module. The strain response test of the porous graphene film wearable heart rate sensor module verifies the validity of the research in this paper. The resistance change of the wearable heart rate sensor module based on the PGF-2 film is 8 to 16 times higher than that of the RGO film, and the sensitivity is better, proving that the sensor module designed by this method shows significant application potential in human motion detection.

Recent Advances in Touch Sensors for Flexible Wearable Devices

Many modern user interfaces are based on touch, and such sensors are widely used in displays, Internet of Things (IoT) projects, and robotics. From lamps to touchscreens of smartphones, these user interfaces can be found in an array of applications. However, traditional touch sensors are bulky, complicated, inflexible, and difficult-to-wear devices made of stiff materials. The touch screen is gaining further importance with the trend of current IoT technology flexibly and comfortably used on the skin or clothing to affect different aspects of human life. This review presents an updated overview of the recent advances in this area. Exciting advances in various aspects of touch sensing are discussed, with particular focus on materials, manufacturing, enhancements, and applications of flexible wearable sensors. This review further elaborates on the theoretical principles of various types of touch sensors, including resistive, piezoelectric, and capacitive sensors. The traditional and novel hybrid materials and manufacturing technologies of flexible sensors are considered. This review highlights the multidisciplinary applications of flexible touch sensors, such as e-textiles, e-skins, e-control, and e-healthcare. Finally, the obstacles and prospects for future research that are critical to the broader development and adoption of the technology are surveyed.

Intelligent Nanomaterials for Wearable and Stretchable Strain Sensor Applications: The Science behind Diverse Mechanisms, Fabrication Methods, and Real-Time Healthcare

It has become a scientific obligation to unveil the underlying mechanisms and the fabrication methods behind wearable/stretchable strain sensors based on intelligent nanomaterials in order to explore their possible potential in the field of biomedical and healthcare applications. This report is based on an extensive literature survey of fabrication of stretchable strain sensors (SSS) based on nanomaterials in the fields of healthcare, sports, and entertainment. Although the evolution of wearable strain sensors (WSS) is rapidly progressing, it is still at a prototype phase and various challenges need to be addressed in the future in special regard to their fabrication protocols. The biocalamity of COVID-19 has brought a drastic change in humans' lifestyles and has negatively affected nations in all capacities. Social distancing has become a mandatory rule to practice in common places where humans interact with each other as a basic need. As social distancing cannot be ruled out as a measure to stop the spread of COVID-19 virus, wearable sensors could play a significant role in technologically impacting people's consciousness. This review article meticulously describes the role of wearable and strain sensors in achieving such objectives.

Piezoelectric nanogenerators for personalized healthcare

The development of flexible piezoelectric nanogenerators has experienced rapid progress in the past decade and is serving as the technological foundation of future state-of-the-art personalized healthcare. Due to their highly efficient mechanical-to-electrical energy conversion, easy implementation, and self-powering nature, these devices permit a plethora of innovative healthcare applications in the space of active sensing, electrical stimulation therapy, as well as passive human biomechanical energy harvesting to third party power on-body devices. This article gives a comprehensive review of the piezoelectric nanogenerators for personalized healthcare. After a brief introduction to the fundamental physical science of the piezoelectric effect, material engineering strategies, device structural designs, and human-body centered energy harvesting, sensing, and therapeutics applications are also systematically discussed. In addition, the challenges and opportunities of utilizing piezoelectric nanogenerators for self-powered bioelectronics and personalized healthcare are outlined in detail.

Wearable Multi-Functional Sensing Technology for Healthcare Smart Detection

In recent years, considerable research efforts have been devoted to the development of wearable multi-functional sensing technology to fulfill the requirements of healthcare smart detection, and much progress has been achieved. Due to the appealing characteristics of flexibility, stretchability and long-term stability, the sensors have been used in a wide range of applications, such as respiration monitoring, pulse wave detection, gait pattern analysis, etc. Wearable sensors based on single mechanisms are usually capable of sensing only one physiological or motion signal. In order to measure, record and analyze comprehensive physical conditions, it is indispensable to explore the wearable sensors based on hybrid mechanisms and realize the integration of multiple smart functions. Herein, we have summarized various working mechanisms (resistive, capacitive, triboelectric, piezoelectric, thermo-electric, pyroelectric) and hybrid mechanisms that are incorporated into wearable sensors. More importantly, to make wearable sensors work persistently, it is meaningful to combine flexible power units and wearable sensors and form a self-powered system. This article also emphasizes the utility of self-powered wearable sensors from the perspective of mechanisms, and gives applications. Furthermore, we discuss the emerging materials and structures that are applied to achieve high sensitivity. In the end, we present perspectives on the outlooks of wearable multi-functional sensing technology.

Stretchable Unsymmetrical Piezoelectric BaTiO3 Composite Hydrogel for Triboelectric Nanogenerators and Multimodal Sensors

Improving output performance of triboelectric nanogenerators (TENGs) is crucial for expanding their applications in smart devices, especially for flexible and wearable bioelectronics. In this study, we design and fabricate a flexible, stretchable, and highly transparent TENG based on an unsymmetrical PAM/BTO composite film, made of polyacrylamide (PAM) hydrogel and BaTiO₃ nanocubes (BTO NCs, BTO), and the TENG performance can be tailored by adjusting the amount and distribution location of BTO. The stretchable hydrogel electrode could bear over 8 times stretching. By changing the content and distribution location of BTO in the unsymmetrical hydrogel film, the output of the fabricated TENGs could be improved, acting as pressure sensors with high sensitivity to distinguish a spectrum of forces (0.25-6 N) at the low frequency. The mechanism of the enhanced output performance of the PAM/BTO composite hydrogel-based TENG is discussed in detail. By integrating piezoresistive, piezoelectric, and triboelectric effects, the optimized TENG and piezoresistive sensors are used as multimodal biomechanical sensors for detecting the motions of human bodies, pressure, and curvature with high sensitivity.

Recent Development of Flexible Tactile Sensors and Their Applications

With the rapid development of society in recent decades, the wearable sensor has attracted attention for motion-based health care and artificial applications. However, there are still many limitations to applying them in real life, particularly the inconvenience that comes from their large size and non-flexible systems. To solve these problems, flexible small-sized sensors that use body motion as a stimulus are studied to directly collect more accurate and diverse signals. In particular, tactile sensors are applied directly on the skin and provide input signals of motion change for the flexible reading device. This review provides information about different types of tactile sensors and their working mechanisms that are piezoresistive, piezocapacitive, piezoelectric, and triboelectric. Moreover, this review presents not only the applications of the tactile sensor in motion sensing and health care monitoring, but also their contributions in the field of artificial intelligence in recent years. Other applications, such as human behavior studies, are also suggested.

Recent Development of Multifunctional Sensors Based on Low-Dimensional Materials

With the demand for accurately recognizing human actions and environmental situations, multifunctional sensors are essential elements for smart applications in various emerging technologies, such as smart robots, human-machine interface, and wearable electronics. Low-dimensional materials provide fertile soil for multifunction-integrated devices. This review focuses on the multifunctional sensors for mechanical stimulus and environmental information, such as strain, pressure, light, temperature, and gas, which are fabricated from low-dimensional materials. The material characteristics, device architecture, transmission mechanisms, and sensing functions are comprehensively and systematically introduced. Besides multiple sensing functions, the integrated potential ability of supplying energy and expressing and storing information are also demonstrated. Some new process technologies and emerging research areas are highlighted. It is presented that optimization of device structures, appropriate material selection for synergy effect, and application of piezotronics and piezo-phototronics are effective approaches for constructing and improving the performance of multifunctional sensors. Finally, the current challenges and direction of future development are proposed.

An Ultra-Sensitive Multi-Functional Optical Micro/Nanofiber Based on Stretchable Encapsulation

Stretchable optical fiber sensors (SOFSs), which are promising and ultra-sensitive next-generation sensors, have achieved prominent success in applications including health monitoring, robotics, and biological-electronic interfaces. Here, we report an ultra-sensitive multi-functional optical micro/nanofiber embedded with a flexible polydimethylsiloxane (PDMS) membrane, which is compatible with wearable optical sensors. Based on the effect of a strong evanescent field, the as-fabricated SOFS is highly sensitive to strain, achieving high sensitivity with a peak gauge factor of 450. In addition, considering the large negative thermo-optic coefficient of PDMS, temperature measurements in the range of 30 to 60 °C were realized, resulting in a 0.02 dBm/°C response. In addition, wide-range detection of humidity was demonstrated by a peak sensitivity of 0.5 dB/% RH, with less than 10% variation at each humidity stage. The robust sensing performance, together with the flexibility, enables the real-time monitoring of pulse, body temperature, and respiration. This as-fabricated SOFS provides significant potential for the practical application of wearable healthcare sensors.

MOF-Embedded Bifunctional Composite Nanofiber Membranes with a Tunable Hierarchical Structure for High-Efficiency PM0.3 Purification and Oil/Water Separation

Herein, a unique hierarchically structured composite nanofiber membrane, consisting of a zeolitic imidazolate framework-8-embedded polyethersulfone (PES@ZIF8) fiber layer and a polysulfonamide/polyethersulfone (PSA/PES) fiber layer, was successfully developed to cope with the complex environments during the actual filtration/separation process and overcome the conflict between high filtration efficiency and low air pressure resistance. Due to the advantages of the synergistic effect of multicomponents and the bi-layer hierarchical structure, the integrated PES@ZIF8-PSA/PES filter possesses an extremely high air filtration efficiency (up to 99.986%) under a very low pressure drop (only 15 Pa), superior PM_0.3 purification capacity (close to 99.95%), long-term recycling ability for purifying real smoke PM_2.5 from >800 to <10 μg/m³, extremely high temperature resistance (exceed 200 °C), flame retardancy, good chemical stability, satisfactory transmittance, and robust self-cleaning ability. Apart from these, it achieves effective separation of oil-water mixtures and oil-water emulsions as a result of selective wettability including hydrophobicity and superoleophilicity. In particular, the PES@ZIF8-PSA/PES nanofiber membranes maintain outstanding air filtration and oil/water separation properties under the high temperature or strong acid/alkali conditions. This special comprehensive performance gives the PES@ZIF8-PSA/PES-based filtration/separation membranes a wider application prospect ranging from environmental governance to individual protection and industrial security.

Review: Sensors for Biosignal/Health Monitoring in Electronic Skin

Skin is the largest sensory organ and receives information from external stimuli. Human body signals have been monitored using wearable devices, which are gradually being replaced by electronic skin (E-skin). We assessed the basic technologies from two points of view: sensing mechanism and material. Firstly, E-skins were fabricated using a tactile sensor. Secondly, E-skin sensors were composed of an active component performing actual functions and a flexible component that served as a substrate. Based on the above fabrication processes, the technologies that need more development were introduced. All of these techniques, which achieve high performance in different ways, are covered briefly in this paper. We expect that patients' quality of life can be improved by the application of E-skin devices, which represent an applied advanced technology for real-time bio- and health signal monitoring. The advanced E-skins are convenient and suitable to be applied in the fields of medicine, military and environmental monitoring.

Flexible ferroelectric wearable devices for medical applications

Wearable electronics are becoming increasingly important for medical applications as they have revolutionized the way physiological parameters are monitored. Ferroelectric materials show spontaneous polarization below the Curie temperature, which changes with electric field, temperature, and mechanical deformation. Therefore, they have been widely used in sensor and actuator applications. In addition, these materials can be used for conversion of human-body energy into electricity for powering wearable electronics. In this paper, we review the recent advances in flexible ferroelectric materials for wearable human energy harvesting and sensing. To meet the performance requirements for medical applications, the most suitable materials and manufacturing techniques are reviewed. The approaches used to enhance performance and achieve long-term sustainability and multi-functionality by integrating other active sensing mechanisms (e.g. triboelectric and piezoresistive effects) are discussed. Data processing and transmission as well as the contribution of wearable piezoelectric devices in early disease detection and monitoring vital signs are reviewed.

Hybridized Nanogenerators for Multifunctional Self-Powered Sensing: Principles, Prototypes, and Perspectives

Sensors are a key component of the Internet of Things (IoTs) to collect information of environments or objects. Considering the tremendous number and complex working conditions of sensors, multifunction and self-powered feathers are two basic requirements. Nanogenerators are a kind of devices based on the triboelectric, piezoelectric, or pyroelectric effects to harvest ambient energy and then converting to electricity. The hybridized nanogenerators that combined multiple effects in one device have great potential in multifunctional self-powered sensors because of the unique superiority such as generating electrical signals directly, responding to diverse stimuli, etc. This review aims at introducing the latest advancements of hybridized nanogenerators for multifunctional self-powered sensing. Firstly, the principles and sensor prototypes based on TENG are summarized. To avoid signal interference and energy insufficiently, the multifunctional self-powered sensors based on hybridized nanogenerators are reviewed. At last, the challenges and future development of multifunctional self-powered sensors have prospected.

Recent Progress in Pressure Sensors for Wearable Electronics: From Design to Applications

In recent years, innovative research has been widely conducted on flexible devices for wearable electronics applications. Many examples of wearable electronics, such as smartwatches and glasses, are already available to consumers. However, strictly speaking, the sensors used in these devices are not flexible. Many studies are underway to address a wider range of wearable electronics and the development of related fields is progressing very rapidly. In particular, there is intense interest in the research field of flexible pressure sensors because they can collect and use information regarding a wide variety of sources. Through the combination of novel materials and fabrication methods, human-machine interfaces, biomedical sensors, and motion detection techniques, it is now possible to produce sensors with a superior level of performance to meet the demands of wearable electronics. In addition, more compact and human-friendly sensors have been invented in recent years, as biodegradable and self-powered sensor systems have been studied. In this review, a comprehensive description of flexible pressure sensors will be covered, and design strategies that meet the needs for applications in wearable electronics will be presented. Moreover, we will cover several fabrication methods to implement these technologies and the corresponding real-world applications.

A multifunctional skin-like wearable optical sensor based on an optical micro-/nanofibre

Multifunctional skin-like sensors play an important role in next-generation healthcare, robotics, and bioelectronics. Here, we report a skin-like wearable optical sensor (SLWOS) enabled by a stretchable, flexible, and attachable patch embedded with an optical micro-/nanofibre (MNF), which is highly compatible with human skin, a curved surface, or cloth. Based on the transition from radiation modes into guided modes around the bending area of the MNF, the SLWOS embedded with a wavy MNF is highly sensitive to weak strain, achieving a gauge factor as large as 675 (strain <1%). The flexible SLWOS is also capable of monitoring the bending angle in a broad dynamic range with tunable sensitivity. In addition, temperature measurements in the range of -20 to 130 °C are realized by taking advantage of PDMS's large negative thermo-optic coefficient. The superior sensing performance together with mechanical flexibility enables the real-time monitoring of respiration, arm motion, and body temperature. This SLWOS will have great potential in wearable optical devices ranging from ultrasensitive sensors to photonic healthcare devices.

Highly Accurate Wearable Piezoresistive Sensors without Tension Disturbance Based on Weaved Conductive Yarn

Wearable piezoresistive sensors have attracted wide attention for application in human activities monitoring, smart robots, medical detection, etc. However, most of the sensing signals collected from the piezoresistive sensor are triggered by coupling forces, such as the combination of tension and pressure. Thus, the piezoresistive sensor would be incapable of accurately monitoring and evaluating specific human motion due to the mutual interference from tension and pressure, as the tension is difficult to be decoupled or eliminated from the coupling forces. Herein a prestretchable conductive yarn (PCY) sensor with pressure sensitivity but tension insensitivity was introduced to remove the disturbance from tension. The PCY-based piezoresistive sensor is tension insensitive (gauge factor of 0.11) but pressure sensitive (sensitivity of 187.33 MPa^-1). The fabric-based pressure sensor assembled with cross-arranged PCY weft and warp revealed magnified pressure sensitivity compared with the single PCY yarn sensor, as well as tension insensitivity to strain and tensile angle. Moreover, it possessed benign cyclicity during 5000 cycles of pressing/releasing. Therefore, the fabric piezoresistive sensor based on weaved conductive yarns is suitable for highly accurate and large area pressure detection, such as monitoring massage intensity of acupuncture points.

BaTiO3 assisted PAN fiber preparation of high performance flexible nanogenerator

Recently, polyacrylonitrile (PAN) fiber films have shown greater advantages over polyvinylidene fluoride (PVDF) in the field of energy harvesting. Adding other substances with high piezoelectric coefficient is worth exploring to further improve the output voltage of PAN. Here, we successfully dispersed high dielectric constant barium titanate in PAN nanofiber films with different dosages using an electrospinning technology. The X-ray diffraction and Fourier transform infrared spectroscopy results indicated that BaTiO₃ nanoparticles aid in transforming PAN from a 3¹-helical conformation to a planar zigzag conformation, thus improving the output voltage of PAN nanofibers significantly and also promoting its mechanical properties. In addition, the human body function monitoring experiment showed a good response current to the rhythm of elbow bending, knee bending, running, and breathing. Besides, when a simple rectifier circuit was applied, the capacitor could be charged to 2 V in less than 2 min and light a commercial LED through repeated tapping.

High performance piezocomposites for flexible device application

Flexible piezocomposites have emerged as promising materials for highly durable wearable devices. Here, we propose a new design strategy, namely particle alignment engineering, to develop high performance flexible piezocomposites by dielectrophoresis (DEP). An ultrahigh piezoelectric voltage coefficient (g33) of 600 × 10-3 V m N-1 is achieved by a composite of (Ba0.85Ca0.15)(Ti0.90Zr0.10)O3 (BCZT) particles aligned in a polydimethylsiloxane (PDMS) matrix. To the best of our knowledge, this g33 value is by far the highest ever achieved in piezocomposites. The significantly improved poling electric voltage applied to the BCZT particles and hugely enhanced stress-transfer capability of the aligned composite synergistically contribute to the record-high piezoelectric response in flexible piezocomposites. The fabricated flexible piezoelectric touch sensor and wearable keyboard possess an excellent sensitivity and cycling stability, which demonstrate a promising strategy for exploring high performance piezocomposites for flexible device application.

Local Electric-Field-Driven Fast Li Diffusion Kinetics at the Piezoelectric LiTaO3 Modified Li-Rich Cathode-Electrolyte Interphase

As one of the most promising cathodes for next-generation lithium ion batteries (LIBs), Li-rich materials have been extensively investigated for their high energy densities. However, the practical application of Li-rich cathodes is extremely retarded by the sluggish electrode-electrolyte interface kinetics and structure instability. In this context, piezoelectric LiTaO3 is employed to functionalize the surface of Li1.2Ni0.17Mn0.56Co0.07O2 (LNMCO), aiming to boost the interfacial Li+ transport process in LIBs. The results demonstrate that the 2 wt% LiTaO3-LNMCO electrode exhibits a stable capacity of 209.2 mAh g-1 at 0.1 C after 200 cycles and 172.4 mAh g-1 at 3 C. Further investigation reveals that such superior electrochemical performances of the LiTaO3 modified electrode results from the additional driving force from the piezoelectric LiTaO3 layer in promoting Li+ diffusion at the interface, as well as the stabilized bulk structure of LNMCO. The supplemented LiTaO3 layer on the LNMCO surface herein, sheds new light on the development of better Li-rich cathodes toward high energy density applications.

Recent progress in tactile sensors and their applications in intelligent systems

With the rapid development of intelligent technology, tactile sensors as sensing devices constitute the core foundation of intelligent systems. Biological organs that can sense various stimuli play vital roles in the interaction between human beings and the external environment. Inspired by this fact, research on skin-like tactile sensors with multifunctionality and high performance has attracted extensive attention. An overview of the development of high-performance tactile sensors applied in intelligent systems is systematically presented. First, the development of tactile sensors endowed with stretchability, self-healing, biodegradability, high resolution and self-powered capability is discussed. Then, for intelligent systems, tactile sensors with excellent application prospects in many fields, such as wearable devices, medical treatment, artificial limbs and robotics, are presented. Finally, the future prospects of tactile sensors for intelligent systems are discussed.

Elucidating the origin of magnetic ordering in ferroelectric BaTiO3- d thin film via electronic structure modification

With the motive of unraveling the origin of native vacancy induced magnetization in ferroelectric perovskite oxide systems, here we explore the consequences of electronic structure modification in magnetic ordering of oxygen deficient epitaxial BaTiO[Formula: see text] thin films. Our adapted methodology employs state-of-the-art experimental approaches viz. photo-emission, photo-absorption spectroscopies, magnetometric measurements duly combined with first principles based theoretical methods within the frame work of density functional theory (DFT and DFT+U) calculations. Oxygen vacancy (O[Formula: see text]) is observed leading partial population of Ti 3d (t _2g ), which induces defect state in electronic structure near the Fermi level and reduces the band gap. The oxygen deficient BaTiO_2.75 film reveals Mott-Hubbard insulator characteristic, in contrast to the band gap insulating nature of the stoichiometric BaTiO₃. The observed magnetic ordering is attributed to the asymmetric distribution of spin polarized charge density in the vicinity of O[Formula: see text] site, which originates unequal magnetic moment values at first and second nearest neighboring Ti sites, respectively. Hereby, we present an exclusive method for maneuvering the band gap and on-site electron correlation energy with consequences on magnetic properties of BaTiO[Formula: see text] system, which can open a gateway for designing novel single phase multiferroic system.

A recyclable nanosheet of Mo/N-doped TiO2 nanorods decorated on carbon nanofibers for organic pollutants degradation under simulated sunlight irradiation

A novel nanosheet of Mo/N-codoped TiO₂ nanorods immobilized on carbon nanofibers (MNTC nanosheet) was self-synthesized through two facile steps. The Mo/N-doped TiO₂ nanorods dispersed through in situ growth on the network constructed by long and vertical carbon nanofibers (CNFs). The fabricated MNTC nanosheet displayed superb photocatalytic activity of methylene blue (MB), and the degradation ratio by the MNTC nanosheet was nearly twice than that of pure nanoparticles. The photocatalytic activities during the degradation process in the presence of environmental media such as inorganic salts and natural organic matter (NOM) were also determined. Intermediates were analyzed by ion chromatography and electrospray ionization-mass spectrometry to unravel the potential degradation pathways, and the excellent mineralization ratio for MB over MNTC nanosheet was 79.8%. The trapping active species experiments verified that h⁺ was the main active species in the degradation process. Notably, the recycling experiment proved that the MNTC nanosheet was more stable, and it was successfully applied in purifying practical wastewater. Lastly, the fabricated MNTC nanosheet also displayed remarkable degradation performance towards sulfamethoxazole and bisphenol A.