Self-Powered Direct Muscle Stimulation Using a Triboelectric Nanogenerator (TENG) Integrated with a Flexible Multiple-Channel Intramuscular Electrode

Recent Advances in Wearable Textile-Based Triboelectric Nanogenerators

We review recent results on textile triboelectric nanogenerators (T-TENGs), which function both as harvesters of mechanical energy and self-powered motion sensors. T-TENGs can be flexible, breathable, and lightweight. With a combination of traditional and novel manufacturing methods, including nanofibers, T-TENGs can deliver promising power output. We review the evolution of T-TENG device structures based on various textile material configurations and fabrication methods, along with demonstrations of self-powered systems. We also provide a detailed analysis of different textile materials and approaches used to enhance output. Additionally, we discuss integration capabilities with supercapacitors and potential applications across various fields such as health monitoring, human activity monitoring, human-machine interaction applications, etc. This review concludes by addressing the challenges and key research questions that remain for developing viable T-TENG technology.

Recent Advances in Implantable Neural Interfaces for Multimodal Electrical Neuromodulation

Electrical neuromodulation plays a pivotal role in enhancing patient outcomes among individuals suffering from neurological disorders. Implantable neural interfaces are vital components of the electrical neuromodulation system to ensure desirable performance; However, conventional devices are limited to a single function and are constructed with bulky and rigid materials, which often leads to mechanical incompatibility with soft tissue and an inability to adapt to the dynamic and complex 3D structures of biological systems. In addition, current implantable neural interfaces utilized in clinical settings primarily rely on wire-based techniques, which are associated with complications such as increased risk of infection, limited positioning options, and movement restrictions. Here, the state-of-art applications of electrical neuromodulation are presented. Material schemes and device structures that can be employed to develop robust and multifunctional neural interfaces, including flexibility, stretchability, biodegradability, self-healing, self-rolling, or morphing are discussed. Furthermore, multimodal wireless neuromodulation techniques, including optoelectronics, mechano-electrics, magnetoelectrics, inductive coupling, and electrochemically based self-powered devices are reviewed. In the end, future perspectives are given.

Metal-organic framework based self-powered devices for human body energy harvesting

The shift from traditional bulky electronics to smart wearable devices represents a crucial trend in technological advancement. In recent years, the focus has intensified on harnessing thermal and mechanical energy from human activities to power small wearable electronics. This vision has attracted considerable attention from researchers, with an emphasis on the development of suitable materials that can efficiently convert human body energy into usable electrical form. Metal-organic frameworks (MOFs), with their unique tunable structures, large surface areas, and high porosity, emerge as a promising material category for human body energy harvesting due to their ability to be precisely engineered at the molecular level, which allows for the optimization of their properties to suit specific energy harvesting needs. This article explores the progressive development of MOF materials, highlighting their potential in the realm of self-power devices for wearable applications. It first introduces the typical energy harvesting routes that are particularly suitable for harvesting human body energy, including thermoelectric, triboelectric, and piezoelectric techniques. Then, it delves into various research advances that have demonstrated the efficacy of MOFs in capturing and converting body-generated energy into electrical energy, emphasizing on the conceptual design, device fabrication, and applications in medical health monitoring, human-computer interaction, and motion monitoring. Furthermore, it discusses potential future directions for research in MOF-based self-powered devices and outlines perspectives that could drive breakthroughs in the efficiency and practicality of these devices.

Acoustically Enhanced Triboelectric Stethoscope for Ultrasensitive Cardiac Sounds Sensing and Disease Diagnosis

Electronic stethoscope used to detect cardiac sounds that contain essential clinical information is a primary tool for diagnosis of various cardiac disorders. However, the linear electromechanical constitutive relation makes conventional piezoelectric sensors rather ineffective to detect low-intensity, low-frequency heart acoustic signal without the assistance of complex filtering and amplification circuits. Herein, it is found that triboelectric sensor features superior advantages over piezoelectric one for microquantity sensing originated from the fast saturated constitutive characteristic. As a result, the triboelectric sensor shows ultrahigh sensitivity (1215 mV Pa-1) than the piezoelectric counterpart (21 mV Pa-1) in the sound pressure range of 50-80 dB under the same testing condition. By designing a trumpet-shaped auscultatory cavity with a power function cross-section to achieve acoustic energy converging and impedance matching, triboelectric stethoscope delivers 36 dB signal-to-noise ratio for human test (2.3 times of that for piezoelectric one). Further combining with machine learning, five cardiac states can be diagnosed at 97% accuracy. In general, the triboelectric sensor is distinctly unique in basic mechanism, provides a novel design concept for sensing micromechanical quantities, and presents significant potential for application in cardiac sounds sensing and disease diagnosis.

Closed-Loop Wearable Device Network of Intrinsically-Controlled, Bilateral Coordinated Functional Electrical Stimulation for Stroke

Innovative functional electrical stimulation has demonstrated effectiveness in enhancing daily walking and rehabilitating stroke patients with foot drop. However, its lack of precision in stimulating timing, individual adaptivity, and bilateral symmetry, resulted in diminished clinical efficacy. Therefore, a closed-loop wearable device network of intrinsically controlled functional electrical stimulation (CI-FES) system is proposed, which utilizes the personal surface myoelectricity, derived from the intrinsic neuro signal, as the switch to activate/deactivate the stimulation on the affected side. Simultaneously, it decodes the myoelectricity signal of the patient's healthy side to adjust the stimulation intensity, forming an intrinsically controlled loop with the inertial measurement units. With CI-FES assistance, patients' walking ability significantly improved, evidenced by the shift in ankle joint angle mean and variance from 105.53° and 28.84 to 102.81° and 17.71, and the oxyhemoglobin concentration tested by the functional near-infrared spectroscopy. In long-term CI-FES-assisted clinical testing, the discriminability in machine learning classification between patients and healthy individuals gradually decreased from 100% to 92.5%, suggesting a remarkable recovery tendency, further substantiated by performance on the functional movement scales. The developed CI-FES system is crucial for contralateral-hemiplegic stroke recovery, paving the way for future closed-loop stimulation systems in stroke rehabilitation is anticipated.

A high-current hydrogel generator with engineered mechanoionic asymmetry

Mechanoelectrical energy conversion is a potential solution for the power supply of miniaturized wearable and implantable systems; yet it remains challenging due to limited current output when exploiting low-frequency motions with soft devices. We report a design of a hydrogel generator with mechanoionic current generation amplified by orders of magnitudes with engineered structural and chemical asymmetry. Under compressive loading, relief structures in the hydrogel intensify net ion fluxes induced by deformation gradient, which synergize with asymmetric ion adsorption characteristics of the electrodes and distinct diffusivity of cations and anions in the hydrogel matrix. This engineered mechanoionic process can yield 4 mA (5.5 A m-2) of peak current under cyclic compression of 80 kPa applied at 0.1 Hz, with the transferred charge reaching up to 916 mC m-2 per cycle. The high current output of this miniaturized hydrogel generator is beneficial for the powering of wearable devices, as exemplified by a controlled drug-releasing system for wound healing. The demonstrated mechanisms for amplifying mechanoionic effect will enable further designs for a variety of self-powered biomedical systems.

Biomaterials and bioelectronics for self-powered neurostimulation

Self-powered neurostimulation via biomaterials and bioelectronics innovation has emerged as a compelling approach to explore, repair, and modulate neural systems. This review examines the application of self-powered bioelectronics for electrical stimulation of both the central and peripheral nervous systems, as well as isolated neurons. Contemporary research has adeptly harnessed biomechanical and biochemical energy from the human body, through various mechanisms such as triboelectricity, piezoelectricity, magnetoelasticity, and biofuel cells, to power these advanced bioelectronics. Notably, these self-powered bioelectronics hold substantial potential for delivering neural stimulations that are customized for the treatment of neurological diseases, facilitation of neural regeneration, and the development of neuroprosthetics. Looking ahead, we expect that the ongoing advancements in biomaterials and bioelectronics will drive the field of self-powered neurostimulation toward the realization of more advanced, closed-loop therapeutic solutions, paving the way for personalized and adaptable neurostimulators in the coming decades.

Recent Progress of Advanced Materials for Triboelectric Nanogenerators

Triboelectric nanogenerators (TENGs) have received intense attention due to their broad application prospects in the new era of internet of things (IoTs) as distributed power sources and self-powered sensors. Advanced materials are vital components for TENGs, which decide their comprehensive performance and application scenarios, opening up the opportunity to develop efficient TENGs and expand their potential applications. In this review, a systematic and comprehensive overview of the advanced materials for TENGs is presented, including materials classifications, fabrication methods, and the properties required for applications. In particular, the triboelectric, friction, and dielectric performance of advanced materials is focused upon and their roles in designing the TENGs are analyzed. The recent progress of advanced materials used in TENGs for mechanical energy harvesting and self-powered sensors is also summarized. Finally, an overview of the emerging challenges, strategies, and opportunities for research and development of advanced materials for TENGs is provided.

Soft Bioelectronics for Therapeutics

Soft bioelectronics play an increasingly crucial role in high-precision therapeutics due to their softness, biocompatibility, clinical accuracy, long-term stability, and patient-friendliness. In this review, we provide a comprehensive overview of the latest representative therapeutic applications of advanced soft bioelectronics, ranging from wearable therapeutics for skin wounds, diabetes, ophthalmic diseases, muscle disorders, and other diseases to implantable therapeutics against complex diseases, such as cardiac arrhythmias, cancer, neurological diseases, and others. We also highlight key challenges and opportunities for future clinical translation and commercialization of soft therapeutic bioelectronics toward personalized medicine.

Recent advances of cellular stimulation with triboelectric nanogenerators

Triboelectric nanogenerators (TENGs) are new energy collection devices that have the characteristics of high efficiency, low cost, miniaturization capability, and convenient manufacture. TENGs mainly utilize the triboelectric effect to obtain mechanical energy from organisms or the environment, and this mechanical energy is then converted into and output as electrical energy. Bioelectricity is a phenomenon that widely exists in various cellular processes, including cell proliferation, senescence, apoptosis, as well as adjacent cells' communication and coordination. Therefore, based on these features, TENGs can be applied in organisms to collect energy and output electrical stimulation to act on cells, changing their activities and thereby playing a role in regulating cellular function and interfering with cellular fate, which can further develop into new methods of health care and disease intervention. In this review, we first introduce the working principle of TENGs and their working modes, and then summarize the current research status of cellular function regulation and fate determination stimulated by TENGs, and also analyze their application prospects for changing various processes of cell activity. Finally, we discuss the opportunities and challenges of TENGs in the fields of life science and biomedical engineering, and propose a variety of possibilities for their potential development direction.

Recent Advances in Self-Powered Wearable Sensors Based on Piezoelectric and Triboelectric Nanogenerators

Early clinical diagnosis and treatment of disease rely heavily on measuring the many various types of medical information that are scattered throughout the body. Continuous and accurate monitoring of the human body is required in order to identify abnormal medical signals and to locate the factors that contribute to their occurrence in a timely manner. In order to fulfill this requirement, a variety of battery-free and self-powered methods of information collecting have been developed. For the purpose of a health monitoring system, this paper presents smart wearable sensors that are based on triboelectric nanogenerators (TENG) and piezoelectric nanogenerators (PENG), as well as hybrid nanogenerators that combine piezoelectric and triboelectric nanogenerators (PTNG). Following the presentation of the PENG and TENG principles, a summary and discussion of the most current developments in self-powered medical information sensors with a variety of purposes, structural designs, and electric performances follows. Wearable sensors that generate their own electricity are crucial not only for the proper development of children and patients with unique conditions, but for the purpose of maintaining checks on the wellbeing of the elderly and those who have recently recovered from illness, and for administering any necessary medical care. This work sought to do two things at once: provide perspectives for health monitoring, and open up new avenues for the analysis of long-distance biological movement status.

Adaptive Triboelectric Nanogenerators for Long-Term Self-Treatment: A Review

Triboelectric nanogenerators (TENGs) were initially invented as an innovative energy-harvesting technology for scavenging mechanical energy from our bodies or the ambient environment. Through adaptive customization design, TENGs have also become a promising player in the self-powered wearable medical market for improving physical fitness and sustaining a healthy lifestyle. In addition to simultaneously harvesting our body's mechanical energy and actively detecting our physiological parameters and metabolic status, TENGs can also provide personalized medical treatment solutions in a self-powered modality. This review aims to cover the recent advances in TENG-based electronics in clinical applications, beginning from the basic working principles of TENGs and their general operation modes, continuing to the harvesting of bioenergy from the human body, and arriving at their adaptive design toward applications in chronic disease diagnosis and long-term clinical treatment. Considering the highly personalized usage scenarios, special attention is paid to customized modules that are based on TENGs and support complex medical treatments, where sustainability, biodegradability, compliance, and bio-friendliness may be critical for the operation of clinical systems. While this review provides a comprehensive understanding of TENG-based clinical devices that aims to reach a high level of technological readiness, the challenges and shortcomings of TENG-based clinical devices are also highlighted, with the expectation of providing a useful reference for the further development of such customized healthcare systems and the transfer of their technical capabilities into real-life patient care.

Multifunctional Fiber-Enabled Intelligent Health Agents

The application of wearable devices is promoting the development toward digitization and intelligence in the field of health. However, the current smart devices centered on human health have disadvantages such as weak perception, high interference degree, and unfriendly interaction. Here, an intelligent health agent based on multifunctional fibers, with the characteristics of autonomy, activeness, intelligence, and perceptibility enabling health services, is proposed. According to the requirements for healthcare in the medical field and daily life, four major aspects driven by intelligent agents, including health monitoring, therapy, protection, and minimally invasive surgery, are summarized from the perspectives of materials science, medicine, and computer science. The function of intelligent health agents is realized through multifunctional fibers as sensing units and artificial intelligence technology as a cognitive engine. The structure, characteristics, and performance of fibers and analysis systems and algorithms are reviewed, while discussing future challenges and opportunities in healthcare and medicine. Finally, based on the above four aspects, future scenarios related to health protection of a person's life are presented. Intelligent health agents will have the potential to accelerate the realization of precision medicine and active health.

Kinetic energy harvesting based sensing and IoT systems: A review

The rapid advance of the Internet of Things (IoT) has attracted growing interest in academia and industry toward pervasive sensing and everlasting IoT. As the IoT nodes exponentially increase, replacing and recharging their batteries proves an incredible waste of labor and resources. Kinetic energy harvesting (KEH), converting the wasted ambient kinetic energy into usable electrical energy, is an emerging research field where various working mechanisms and designs have been developed for improved performance. Leveraging the KEH technologies, many motion-powered sensors, where changes in the external environment are directly converted into corresponding self-generated electrical signals, are developed and prove promising for multiple self-sensing applications. Furthermore, some recent studies focus on utilizing the generated energy to power a whole IoT sensing system. These systems comprehensively consider the mechanical, electrical, and cyber parts, which lead a further step to truly self-sustaining and maintenance-free IoT systems. Here, this review starts with a brief introduction of KEH from the ambient environment and human motion. Furthermore, the cutting-edge KEH-based sensors are reviewed in detail. Subsequently, divided into two aspects, KEH-based battery-free sensing systems toward IoT are highlighted. Moreover, there are remarks in every chapter for summarizing. The concept of self-powered sensing is clarified, and advanced studies of KEH-based sensing in different fields are introduced. It is expected that this review can provide valuable references for future pervasive sensing and ubiquitous IoT.

Structural Flexibility in Triboelectric Nanogenerators: A Review on the Adaptive Design for Self-Powered Systems

There is an increasing need for structural flexibility in self-powered wearable electronics and other Internet of Things (IoT), where adaptable triboelectric nanogenerators (TENGs) play a key role in realizing the true potential of IoT by endowing the latter with self-sustainability. Thus, in this review, the topic was restricted to the adaptive design of TENGs with structural flexibility that aims to promote the sustainable operation of various smart electronics. This review begins with an emphatical discussion of the concept of flexible electronics and TENGs, and continues with the introduction of TENG-based self-powered intelligent systems while placing the emphasis on self-powered flexible intelligent devices. Self-powered healthcare sensors, e-skins, and other intelligent wearable electronics with enhanced intelligence and efficiency in practical applications due to the integration with TENGs are illustrated, along with an emphasis on the design strategy of structural flexibility of TENGs and the associated integration schemes. This review aims to cover recent achievements in the field of self-powered systems, and provides information on how flexibility or adaptability in TENGs can be adopted, their types, and why they are required in promoting advanced IoT applications with sustainability and intelligence algorithms.

Recent Progress of Triboelectric Nanogenerators for Biomedical Sensors: From Design to Application

Triboelectric nanogenerators (TENG) have gained prominence in recent years, and their structural design is crucial for improvement of energy harvesting performance and sensing. Wearable biosensors can receive information about human health without the need for external charging, with energy instead provided by collection and storage modules that can be integrated into the biosensors. However, the failure to design suitable components for sensing remains a significant challenge associated with biomedical sensors. Therefore, design of TENG structures based on the human body is a considerable challenge, as biomedical sensors, such as implantable and wearable self-powered sensors, have recently advanced. Following a brief introduction of the fundamentals of triboelectric nanogenerators, we describe implantable and wearable self-powered sensors powered by triboelectric nanogenerators. Moreover, we examine the constraints limiting the practical uses of self-powered devices.

The Efficient Regeneration of Corneal Nerves via Tunable Transmembrane Signaling Channels Using a Transparent Graphene-Based Corneal Stimulation Electrode

The efficient regeneration of corneal nerves is of limited success in the field of ophthalmology. This work reports the use of a non-invasive electrical stimulation technique that uses a transparent graphene-based corneal stimulation electrode and that can achieve efficient regeneration of corneal nerves. The corneal stimulation electrode is prepared using electroactive nitrogen-containing conducting polymers such as polyaniline functionalized graphene (PAG). This composite can carry a high capacitive current. It can be used to tune transmembrane signaling pathways including calcium channels and the MAPK signaling pathway. Tuning can lead to the efficient regeneration of corneal damaged nerves after the surgery of laser in-situ keratomileusis (LASIK). The composite and its application reported have the potential to provide a new way to treat nerve-related injuries.

Advanced Implantable Biomedical Devices Enabled by Triboelectric Nanogenerators

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

Artificial Intelligence-Enabled Caregiving Walking Stick Powered by Ultra-Low-Frequency Human Motion

The increasing population of the elderly and motion-impaired people brings a huge challenge to our social system. However, the walking stick as their essential tool has rarely been investigated into its potential capabilities beyond basic physical support, such as activity monitoring, tracing, and accident alert. Here, we report a walking stick powered by ultra-low-frequency human motion and equipped with deep-learning-enabled advanced sensing features to provide a healthcare-monitoring platform for motion-impaired users. A linear-to-rotary structure is designed to achieve highly efficient energy harvesting from the linear motion of a walking stick with ultralow frequency. Besides, two kinds of self-powered triboelectric sensors are proposed and integrated to extract the motion features of the walking stick. Augmented sensing functionalities with high accuracies have been enabled by deep-learning-based data analysis, including identity recognition, disability evaluation, and motion status distinguishing. Furthermore, a self-sustainable Internet of Things (IoT) system with global positioning system tracing and environmental temperature and humidity amenity sensing functions is obtained. Combined with the aforementioned functionalities, this walking stick is demonstrated in various usage scenarios as a caregiver for real-time well-being status and activity monitoring. The caregiving walking stick shows the potential of being an intelligent aid for motion-impaired users to help them live life with adequate autonomy and safety.

A Review on Electrospun Nanofibers Based Advanced Applications: From Health Care to Energy Devices

Electrospun nanofibers have been exploited in multidisciplinary fields with numerous applications for decades. Owing to their interconnected ultrafine fibrous structure, high surface-to-volume ratio, tortuosity, permeability, and miniaturization ability along with the benefits of their lightweight, porous nanofibrous structure, they have been extensively utilized in various research fields for decades. Electrospun nanofiber technologies have paved unprecedented advancements with new innovations and discoveries in several fields of application including energy devices and biomedical and environmental appliances. This review article focused on providing a comprehensive overview related to the recent advancements in health care and energy devices while emphasizing on the importance and uniqueness of utilizing nanofibers. A brief description regarding the effect of electrospinning techniques, setup modifications, and parameters optimization on the nanofiber morphology was also provided. The article is concluded with a short discussion on current research challenges and future perspectives.

AI enabled sign language recognition and VR space bidirectional communication using triboelectric smart glove

Sign language recognition, especially the sentence recognition, is of great significance for lowering the communication barrier between the hearing/speech impaired and the non-signers. The general glove solutions, which are employed to detect motions of our dexterous hands, only achieve recognizing discrete single gestures (i.e., numbers, letters, or words) instead of sentences, far from satisfying the meet of the signers' daily communication. Here, we propose an artificial intelligence enabled sign language recognition and communication system comprising sensing gloves, deep learning block, and virtual reality interface. Non-segmentation and segmentation assisted deep learning model achieves the recognition of 50 words and 20 sentences. Significantly, the segmentation approach splits entire sentence signals into word units. Then the deep learning model recognizes all word elements and reversely reconstructs and recognizes sentences. Furthermore, new/never-seen sentences created by new-order word elements recombination can be recognized with an average correct rate of 86.67%. Finally, the sign language recognition results are projected into virtual space and translated into text and audio, allowing the remote and bidirectional communication between signers and non-signers.

Ultrasound-Powered Implants: A Critical Review of Piezoelectric Material Selection and Applications

Ultrasound-powered implants (UPIs) represent cutting edge power sources for implantable medical devices (IMDs), as their powering strategy allows for extended functional lifetime, decreased size, increased implant depth, and improved biocompatibility. IMDs are limited by their reliance on batteries. While batteries proved a stable power supply, batteries feature relatively large sizes, limited life spans, and toxic material compositions. Accordingly, energy harvesting and wireless power transfer (WPT) strategies are attracting increasing attention by researchers as alternative reliable power sources. Piezoelectric energy scavenging has shown promise for low power applications. However, energy scavenging devices need be located near sources of movement, and the power stream may suffer from occasional interruptions. WPT overcomes such challenges by more stable, on-demand power to IMDs. Among the various forms of WPT, ultrasound powering offers distinct advantages such as low tissue-mediated attenuation, a higher approved safe dose (720 mW cm^-2 ), and improved efficiency at smaller device sizes. This study presents and discusses the state-of-the-art in UPIs by reviewing piezoelectric materials and harvesting devices including lead-based inorganic, lead-free inorganic, and organic polymers. A comparative discussion is also presented of the functional material properties, architecture, and performance metrics, together with an overview of the applications where UPIs are being deployed.

Recent Advances in Printing Technologies of Nanomaterials for Implantable Wireless Systems in Health Monitoring and Diagnosis

The development of wireless implantable sensors and integrated systems, enabled by advances in flexible and stretchable electronics technologies, is emerging to advance human health monitoring, diagnosis, and treatment. Progress in material and fabrication strategies allows for implantable electronics for unobtrusive monitoring via seamlessly interfacing with tissues and wirelessly communicating. Combining new nanomaterials and customizable printing processes offers unique possibilities for high-performance implantable electronics. Here, this report summarizes the recent progress and advances in nanomaterials and printing technologies to develop wireless implantable sensors and electronics. Advances in materials and printing processes are reviewed with a focus on challenges in implantable applications. Demonstrations of wireless implantable electronics and advantages based on these technologies are discussed. Lastly, existing challenges and future directions of nanomaterials and printing are described.

M13 Virus Triboelectricity and Energy Harvesting

Triboelectrification is a phenomenon that generates electric potential upon contact. Here, we report a viral particle capable of generating triboelectric potential. M13 bacteriophage is exploited to fabricate precisely defined chemical and physical structures. By genetically engineering the charged structures, we observe that more negatively charged phages can generate higher triboelectric potentials and can diffuse the electric charges faster than less negatively charged phages can. The computational results show that the glutamate-engineered phages lower the LUMO energy level so that they can easily accept electrons from other materials upon contact. A phage-based triboelectric nanogenerator is fabricated and it could produce ∼76 V and ∼5.1 μA, enough to power 30 light-emitting diodes upon a mechanical force application. Our biotechnological approach will be useful to understand the electrical behavior of biomaterials, harvest mechanical energy, and provide a novel modality to detect desired viruses in the future.

Self-rechargeable cardiac pacemaker system with triboelectric nanogenerators

Self-powered implantable devices have the potential to extend device operation time inside the body and reduce the necessity for high-risk repeated surgery. Without the technological innovation of in vivo energy harvesters driven by biomechanical energy, energy harvesters are insufficient and inconvenient to power titanium-packaged implantable medical devices. Here, we report on a commercial coin battery-sized high-performance inertia-driven triboelectric nanogenerator (I-TENG) based on body motion and gravity. We demonstrate that the enclosed five-stacked I-TENG converts mechanical energy into electricity at 4.9 μW/cm³ (root-mean-square output). In a preclinical test, we show that the device successfully harvests energy using real-time output voltage data monitored via Bluetooth and demonstrate the ability to charge a lithium-ion battery. Furthermore, we successfully integrate a cardiac pacemaker with the I-TENG, and confirm the ventricle pacing and sensing operation mode of the self-rechargeable cardiac pacemaker system. This proof-of-concept device may lead to the development of new self-rechargeable implantable medical devices.

Self-powered implantable devices have the potential to extend device operation, though current energy harvesters are both insufficient and inconvenient. Here the authors report on a commercial coin battery-sized high-performance inertia-driven triboelectric nanogenerator based on body motion and gravity that can be used to charge a lithium-ion battery and integrated into a cardiac pacemaker.

Triboelectric Nanogenerators for Therapeutic Electrical Stimulation

Current solutions developed for the purpose of in and on body (IOB) electrical stimulation (ES) lack autonomous qualities necessary for comfortable, practical, and self-dependent use. Consequently, recent focus has been placed on developing self-powered IOB therapeutic devices capable of generating therapeutic ES for human use. With the recent invention of the triboelectric nanogenerator (TENG), harnessing passive human biomechanical energy to develop self-powered systems has allowed for the introduction of novel therapeutic ES solutions. TENGs are especially effective at providing ES for IOB therapeutic systems given their bioconformability, low cost, simple manufacturability, and self-powering capabilities. Due to the key role of naturally induced electrical signals in many physiological functions, TENG-induced ES holds promise to provide a novel paradigm in therapeutic interventions. The aim here is to detail research on IOB TENG devices applied for ES-based therapy in the fields of regenerative medicine, neurology, rehabilitation, and pharmaceutical engineering. Furthermore, considering TENG-produced ES can be measured for sensing applications, this technology is paving the way to provide a fully autonomous personalized healthcare system, capable of IOB energy generation, sensing, and therapeutic intervention. Considering these grounds, it seems highly relevant to review TENG-ES research and applications, as they could constitute the foundation and future of personalized healthcare.

Progress in micro/nano sensors and nanoenergy for future AIoT-based smart home applications

Self-sustainable sensing systems composed of micro/nano sensors and nano-energy harvesters contribute significantly to developing the internet of things (IoT) systems. As one of the most promising IoT applications, smart home relies on implementing wireless sensor networks with miniaturized and multi-functional sensors, and distributed, reliable, and sustainable power sources, namely energy harvesters with a variety of conversion mechanisms. To extend the capabilities of IoT in the smart home, a technology fusion of IoT and artificial intelligence (AI), called the artificial intelligence of things (AIoT), enables the detection, analysis, and decision-making functions with the aids of machine learning assisted algorithms to form a smart home based intelligent system. In this review, we introduce the conventional rigid microelectromechanical system (MEMS) based micro/nano sensors and energy harvesters, followed by presenting the advances in the wearable counterparts for better human interactions. We then discuss the viable integration approaches for micro/nano sensors and energy harvesters to form self-sustainable IoT systems. Whereafter, we emphasize the recent development of AIoT based systems and the corresponding applications enabled by the machine learning algorithms. Smart home based healthcare technology enabled by the integrated multi-functional sensing platform and bioelectronic medicine is also presented as an important future direction, as well as wearable photonics sensing system as a complement to the wearable electronics sensing system.

Wearable and Implantable Electroceuticals for Therapeutic Electrostimulations

Wearable and implantable electroceuticals (WIEs) for therapeutic electrostimulation (ES) have become indispensable medical devices in modern healthcare. In addition to functionality, device miniaturization, conformability, biocompatibility, and/or biodegradability are the main engineering targets for the development and clinical translation of WIEs. Recent innovations are mainly focused on wearable/implantable power sources, advanced conformable electrodes, and efficient ES on targeted organs and tissues. Herein, nanogenerators as a hotspot wearable/implantable energy-harvesting technique suitable for powering WIEs are reviewed. Then, electrodes for comfortable attachment and efficient delivery of electrical signals to targeted tissue/organ are introduced and compared. A few promising application directions of ES are discussed, including heart stimulation, nerve modulation, skin regeneration, muscle activation, and assistance to other therapeutic modalities.

Triboelectric nanogenerators for human-health care

Since the world's first triboelectric nanogenerator (TENG) was proposed in 2012, numerous TENG-based devices and equipment have sprung up in various fields. In particular, TENG has great potential in the field of human-health care due to its small size, self-powered and low cost. With the continuous deepening of TENG research, its structure, function and technical concept are becoming more and more abundant. In order to summarize the progress and development status of TENG in health care, based on the different types of applications subdirection, this paper reviews the TENG-based research work of this field in recent eight years. The characteristics of various types of TENG-based applications and their corresponding technologies are introduced and analyzed, under the comparison of their structure and performance. This review is dedicated to provide reference and inspiration for the future development and innovation of TENG for health care.

Sustainably Powered, Multifunctional Flexible Feedback Implant by the Bifacial Design and Si Photovoltaics

Advanced design and integration of functioning devices with secured power is of interest for many applications that require complicated, sophisticated, or multifunctional processes in confined environments such as in human bodies. Here, strategies for design and realization are introduced for multifunctional feedback implants with the bifacial design and silicon (Si) photovoltaics in flexible forms. The approaches provide efficient design spaces for flexible Si photovoltaics facing up for sustainable powering and multiple electronic components for feedback functions facing down for sensing, processing, and stimulating in human bodies. The computational and experimental results including in vivo assessments ensure feasibility of the approaches by demonstrating feedback multifunctions, power-harvesting in milliwatts, and mechanical compatibility for operations in live tissues. This work should useful for wide range of applications that require sustainable power and advanced multifunctions.

Flourishing energy harvesters for future body sensor network: from single to multiple energy sources

Body sensor network (bodyNET) offers possibilities for future disease diagnosis, preventive health care, rehabilitation, and treatment. However, the eventual realization demands reliable and sustainable power sources. The flourishing energy harvesters (EHs) have provided prominent techniques for practically addressing the concurrent energy issue. Targeting for a specific energy source, wearable EHs with a sole conversion mechanism are well investigated. Hybrid EHs integrating different effects for a single source or multi-sources are attaining growing attention, for they provide another degree of freedom concerning a higher-level energy utility. Merging EHs with other functional electronics, diversified functional self-sustainable systems are developed, paving the way for the accomplishment of bodyNET. This review introduces the evolution of wearable EHs from a single effect to hybridized mechanisms for multiple energy sources and wearable to implantable self-sustainable systems. Last, we provide our perspectives on the future development of hybrid EHs to be more competitive with conventional batteries.

Triboelectric Nanogenerators and Hybridized Systems for Enabling Next-Generation IoT Applications

In the past few years, triboelectric nanogenerator-based (TENG-based) hybrid generators and systems have experienced a widespread and flourishing development, ranging among almost every aspect of our lives, e.g., from industry to consumer, outdoor to indoor, and wearable to implantable applications. Although TENG technology has been extensively investigated for mechanical energy harvesting, most developed TENGs still have limitations of small output current, unstable power generation, and low energy utilization rate of multisource energies. To harvest the ubiquitous/coexisted energy forms including mechanical, thermal, and solar energy simultaneously, a promising direction is to integrate TENG with other transducing mechanisms, e.g., electromagnetic generator, piezoelectric nanogenerator, pyroelectric nanogenerator, thermoelectric generator, and solar cell, forming the hybrid generator for synergetic single-source and multisource energy harvesting. The resultant TENG-based hybrid generators utilizing integrated transducing mechanisms are able to compensate for the shortcomings of each mechanism and overcome the above limitations, toward achieving a maximum, reliable, and stable output generation. Hence, in this review, we systematically introduce the key technologies of the TENG-based hybrid generators and hybridized systems, in the aspects of operation principles, structure designs, optimization strategies, power management, and system integration. The recent progress of TENG-based hybrid generators and hybridized systems for the outdoor, indoor, wearable, and implantable applications is also provided. Lastly, we discuss our perspectives on the future development trend of hybrid generators and hybridized systems in environmental monitoring, human activity sensation, human-machine interaction, smart home, healthcare, wearables, implants, robotics, Internet of things (IoT), and many other fields.

Self-powered wearable electronics

Wearable electronics are an essential direction for the future development of smart wearables. Among them, the battery life of wearable electronics is a key technology that limits their development. The proposal of self-powered wearable electronics (SWE) provides a promising solution to the problem of long-term stable working of wearable electronics. This review has made a comprehensive summary and analysis of recent advances on SWE from the perspectives of energy, materials, and ergonomics methods. At the same time, some representative research work was introduced in detail. SWE can be divided into energy type SWE and sensor type SWE according to their working types. Both types of SWE are broadly applied in human-machine interaction, motion information monitoring, diagnostics, and therapy systems. Finally, this article summarizes the existing bottlenecks of SWE, and predicts the future development direction of SWE.

A Review and Perspective for the Development of Triboelectric Nanogenerator (TENG)-Based Self-Powered Neuroprosthetics

Neuroprosthetics have become a powerful toolkit for clinical interventions of various diseases that affect the central nervous or peripheral nervous systems, such as deep brain stimulation (DBS), functional electrical stimulation (FES), and vagus nerve stimulation (VNS), by electrically stimulating different neuronal structures. To prolong the lifetime of implanted devices, researchers have developed power sources with different approaches. Among them, the triboelectric nanogenerator (TENG) is the only one to achieve direct nerve stimulations, showing great potential in the realization of a self-powered neuroprosthetic system in the future. In this review, the current development and progress of the TENG-based stimulation of various kinds of nervous systems are systematically summarized. Then, based on the requirements of the neuroprosthetic system in a real application and the development of current techniques, a perspective of a more sophisticated neuroprosthetic system is proposed, which includes components of a thin-film TENG device with a biocompatible package, an amplification circuit to enhance the output, and a self-powered high-frequency switch to generate high-frequency current pulses for nerve stimulations. Then, we review and evaluate the recent development and progress of each part.

Respiration-driven triboelectric nanogenerators for biomedical applications

As a fundamental and ubiquitous body motion, respiration offers a large amount of biomechanical energy with an average power up to the Watt level through movements of multiple muscles. The energy from respiration featured with excellent stability, accessibility and continuality inspires the design and engineering of biomechanical energy harvesting devices, such as triboelectric nanogenerators (TENGs), to realize human-powered electronics. This review article is thus dedicated to the emerging respiration-driven TENG technology, covering fundamentals, applications, and perspectives. Specifically, the human breathing mechanics are first introduced serving as the base for the developments of TENG devices with different configurations. Biomedical applications including electrical energy generation, healthcare monitoring, air filtration, gas sensing, electrostimulation, and powering implantable medical devices are then analyzed focusing on the design-application relationships. At last, current developments are summarized and critical challenges for driving these intriguing developments toward practical applications are discussed together with promising solutions.

Wearable Triboelectric/Aluminum Nitride Nano-Energy-Nano-System with Self-Sustainable Photonic Modulation and Continuous Force Sensing

Wearable photonics offer a promising platform to complement the thriving complex wearable electronics system by providing high-speed data transmission channels and robust optical sensing paths. Regarding the realization of photonic computation and tunable (de)multiplexing functions based on system-level integration of abundant photonic modulators, it is challenging to reduce the overwhelming power consumption in traditional current-based silicon photonic modulators. This issue is addressed by integrating voltage-based aluminum nitride (AlN) modulator and textile triboelectric nanogenerator (T-TENG) on a wearable platform to form a nano-energy-nano-system (NENS). The T-TENG transduces the mechanical stimulations into electrical signals based on the coupling of triboelectrification and electrostatic induction. The self-generated high-voltage from the T-TENG is applied to the AlN modulator and boosts its modulation efficiency regardless of AlN's moderate Pockels effect. Complementarily, the AlN modulator's capacitive nature enables the open-circuit operation mode of T-TENG, providing the integrated NENS with continuous force sensing capability which is notably uninfluenced by operation speeds. Furthermore, a physical model is proposed to describe the coupled AlN modulator/T-TENG system. With the enhanced photonic modulation and the open-circuit operation mode enabled by synergies between the AlN modulator and the T-TENG, optical Morse code transmission and continuous human motion monitoring are demonstrated for practical wearable applications.

Laminated Laser-Induced Graphene Composites

Laser-induced graphene (LIG) is a porous graphene foam generated by lasing carbon-based precursors. Compositing LIG expands the spectrum of applications for which the material may be used. Techniques for scale-up of LIG composites will be essential as the technology approaches commercialization. Roll-to-roll processing is of special interest, as precisely controlled patterning can be performed in conjunction with continuous formation of composites. Here, we demonstrate a simple lamination compositing method that is compatible with roll-to-roll processing and yields functional, patterned, and multilayered LIG composites with various thermoplastic films. Multiple lamination steps are used to encapsulate LIG within composites. We also demonstrate several applications for LIG that have been enabled by the lamination compositing technique. These include robust flexible electrodes generated through laminating copper foil strips into the LIG composite, LIG-based triboelectric nanogenerators to harvest waste mechanical energy, antimicrobial LIG composite bandages with varying hydrophobicity, and LIG puncture detectors.

Machine Learning Glove Using Self-Powered Conductive Superhydrophobic Triboelectric Textile for Gesture Recognition in VR/AR Applications

The rapid progress of Internet of things (IoT) technology raises an imperative demand on human machine interfaces (HMIs) which provide a critical linkage between human and machines. Using a glove as an intuitive and low-cost HMI can expediently track the motions of human fingers, resulting in a straightforward communication media of human-machine interactions. When combining several triboelectric textile sensors and proper machine learning technique, it has great potential to realize complex gesture recognition with the minimalist-designed glove for the comprehensive control in both real and virtual space. However, humidity or sweat may negatively affect the triboelectric output as well as the textile itself. Hence, in this work, a facile carbon nanotubes/thermoplastic elastomer (CNTs/TPE) coating approach is investigated in detail to achieve superhydrophobicity of the triboelectric textile for performance improvement. With great energy harvesting and human motion sensing capabilities, the glove using the superhydrophobic textile realizes a low-cost and self-powered interface for gesture recognition. By leveraging machine learning technology, various gesture recognition tasks are done in real time by using gestures to achieve highly accurate virtual reality/augmented reality (VR/AR) controls including gun shooting, baseball pitching, and flower arrangement, with minimized effect from sweat during operation.

Nanogenerator-Based Self-Powered Sensors for Wearable and Implantable Electronics

Wearable and implantable electronics (WIEs) are more and more important and attractive to the public, and they have had positive influences on all aspects of our lives. As a bridge between wearable electronics and their surrounding environment and users, sensors are core components of WIEs and determine the implementation of their many functions. Although the existing sensor technology has evolved to a very advanced level with the rapid progress of advanced materials and nanotechnology, most of them still need external power supply, like batteries, which could cause problems that are difficult to track, recycle, and miniaturize, as well as possible environmental pollution and health hazards. In the past decades, based upon piezoelectric, pyroelectric, and triboelectric effect, various kinds of nanogenerators (NGs) were proposed which are capable of responding to a variety of mechanical movements, such as breeze, body drive, muscle stretch, sound/ultrasound, noise, mechanical vibration, and blood flow, and they had been widely used as self-powered sensors and micro-nanoenergy and blue energy harvesters. This review focuses on the applications of self-powered generators as implantable and wearable sensors in health monitoring, biosensor, human-computer interaction, and other fields. The existing problems and future prospects are also discussed.

Self-Sustainable Wearable Textile Nano-Energy Nano-System (NENS) for Next-Generation Healthcare Applications

Wearable electronics presage a future in which healthcare monitoring and rehabilitation are enabled beyond the limitation of hospitals, and self-powered sensors and energy generators are key prerequisites for a self-sustainable wearable system. A triboelectric nanogenerator (TENG) based on textiles can be an optimal option for scavenging low-frequency and irregular waste energy from body motions as a power source for self-sustainable systems. However, the low output of most textile-based TENGs (T-TENGs) has hindered its way toward practical applications. In this work, a facile and universal strategy to enhance the triboelectric output is proposed by integration of a narrow-gap TENG textile with a high-voltage diode and a textile-based switch. The closed-loop current of the diode-enhanced textile-based TENG (D-T-TENG) can be increased by 25 times. The soft, flexible, and thin characteristics of the D-T-TENG enable a moderate output even as it is randomly scrunched. Furthermore, the enhanced current can directly stimulate rat muscle and nerve. In addition, the capability of the D-T-TENG as a practical power source for wearable sensors is demonstrated by powering Bluetooth sensors embedded to clothes for humidity and temperature sensing. Looking forward, the D-T-TENG renders an effective approach toward a self-sustainable wearable textile nano-energy nano-system for next-generation healthcare applications.