From Piezoelectric Nanogenerator to Non-Invasive Medical Sensor: A Review

Powering the future: Exploring self-charging cardiac implantable electronic devices and the Qi revolution

The incidence and prevalence of cardiovascular diseases (CVD) have risen over the last few decades worldwide, resulting in a cost burden to healthcare systems and increasingly complex procedures. Among many strategies for treating heart diseases, treating arrhythmias using cardiac implantable electronic devices (CIEDs) has been shown to improve quality of life and reduce the incidence of sudden cardiac death. The battery-powered CIEDs have the inherent challenge of regular battery replacements depending upon energy usage for their programmed tasks. Nanogenerator-based  energy harvesters have been extensively studied, developed, and optimized continuously in recent years to overcome this challenge owing to their merits of self-powering abilities and good biocompatibility. Although these nanogenerators and others currently used in energy harvesters, such as biofuel cells (BFCs) exhibit an infinite spectrum of uses for this novel technology, their demerits should not be dismissed. Despite the emergence of Qi wireless power transfer (WPT) has revolutionized the technological world, its application in CIEDs has yet to be studied well. This review outlines the working principles and applications of currently employed energy harvesters to provide a preliminary exploration of CIEDs based on Qi WPT, which may be a promising technology for the next generation of functionalized CIEDs.

From Body Monitoring to Biomolecular Sensing: Current Progress and Future Perspectives of Triboelectric Nanogenerators in Point-of-Care Diagnostics

In the constantly evolving field of medical diagnostics, triboelectric nanogenerators (TENGs) stand out as a groundbreaking innovation for simultaneously harnessing mechanical energy from micromovements and sensing stimuli from both the human body and the ambient environment. This advancement diminishes the dependence of biosensors on external power sources and paves the way for the application of TENGs in self-powered medical devices, especially in the realm of point-of-care diagnostics. In this review, we delve into the functionality of TENGs in point-of-care diagnostics. First, from the basic principle of how TENGs effectively transform subtle physical movements into electrical energy, thereby promoting the development of self-powered biosensors and medical devices that are particularly advantageous for real-time biological monitoring. Then, the adaptable design of TENGs that facilitate customization to meet individual patient needs is introduced, with a focus on their biocompatibility and safety in medical applications. Our in-depth analysis also covers TENG-based biosensor designs moving toward exceptional sensitivity and specificity in biomarker detection, for accurate and efficient diagnoses. Challenges and future prospects such as the integration of TENGs into wearable and implantable devices are also discussed. We aim for this review to illuminate the burgeoning field of TENG-based intelligent devices for continuous, real-time health monitoring; and to inspire further innovation in this captivating area of research that is in line with patient-centered healthcare.

Effect of Zn-Fe2O3 nanomaterials on the phase separated morphologies of polyvinylidene fluoride piezoelectric nanogenerators

Self-powered devices based on piezoelectric nanogenerators (PENGs) are becoming crucial in the upcoming smart societies as they can integrate multifunctional applications, especially sensing, energy storage, etc. In this work, we explore the piezoelectric voltage generation happening in polyvinylidene fluoride (PVDF) nanocomposites developed by phase separation. The simple method adopted for the nanocomposite synthesis rules out the high voltage required for the normal electrospun PENGs and adds to their cost-effectiveness. Zinc-doped iron oxide (Zn-Fe2O3) nanomaterials influence the piezoelectric properties by enhancing the crystallinity and structural properties of the polymer. The phase separation process causes structural rearrangements within the PVDF by inducing the directional alignment of -CH2- and -CF2-chains and is the major reason for electroactive phase enhancement. Layers of Zn-Fe2O3 were uniformly distributed in the phase-separated PVDF without being negatively influenced by the solvent-non-solvent interactions during phase separation. At 3 wt%, the Zn-Fe2O3 induced an open circuit voltage of 0.41 volts, about 12 times greater than that of the neat PVDF film. Nanoparticles affected the thermal degradation and crystallinity of the polymer composites most effectively, and the dielectric properties of the PVDF/Zn-Fe2O3 composite microfilms were also pronounced. The proposed simple and cost-effective approach to flexible microfilm fabrication suggests significant applications in wearable electronics.

Piezoelectric and Triboelectric Nanogenerators for Enhanced Wound Healing

Wound healing is a highly orchestrated biological process characterized by sequential phases involving inflammation, proliferation, and tissue remodeling, and the role of endogenous electrical signals in regulating these phases has been highlighted. Recently, external electrostimulation has been shown to enhance these processes by promoting cell migration, extracellular matrix formation, and growth factor release while suppressing pro-inflammatory signals and reducing the risk of infection. Among the innovative approaches, piezoelectric and triboelectric nanogenerators have emerged as the next generation of flexible and wireless electronics designed for energy harvesting and efficiently converting mechanical energy into electrical power. In this review, we discuss recent advances in the emerging field of nanogenerators for harnessing electrical stimulation to accelerate wound healing. We elucidate the fundamental mechanisms of wound healing and relevant bioelectric physiology, as well as the principles underlying each nanogenerator technology, and review their preclinical applications. In addition, we address the prominent challenges and outline the future prospects for this emerging era of electrical wound-healing devices.

MXene-Based Nanocomposites for Piezoelectric and Triboelectric Energy Harvesting Applications

Due to its superior advantages in terms of electronegativity, metallic conductivity, mechanical flexibility, customizable surface chemistry, etc., 2D MXenes for nanogenerators have demonstrated significant progress. In order to push scientific design strategies for the practical application of nanogenerators from the viewpoints of the basic aspect and recent advancements, this systematic review covers the most recent developments of MXenes for nanogenerators in its first section. In the second section, the importance of renewable energy and an introduction to nanogenerators, major classifications, and their working principles are discussed. At the end of this section, various materials used for energy harvesting and frequent combos of MXene with other active materials are described in detail together with the essential framework of nanogenerators. In the third, fourth, and fifth sections, the materials used for nanogenerators, MXene synthesis along with its properties, and MXene nanocomposites with polymeric materials are discussed in detail with the recent progress and challenges for their use in nanogenerator applications. In the sixth section, a thorough discussion of the design strategies and internal improvement mechanisms of MXenes and the composite materials for nanogenerators with 3D printing technologies are presented. Finally, we summarize the key points discussed throughout this review and discuss some thoughts on potential approaches for nanocomposite materials based on MXenes that could be used in nanogenerators for better performance.

Intraoperative Beat-to-Beat Pulse Transit Time (PTT) Monitoring via Non-Invasive Piezoelectric/Piezocapacitive Peripheral Sensors Can Predict Changes in Invasively Acquired Blood Pressure in High-Risk Surgical Patients

BACKGROUND

Non-invasive tracking of beat-to-beat pulse transit time (PTT) via piezoelectric/piezocapacitive sensors (PES/PCS) may expand perioperative hemodynamic monitoring. This study evaluated the ability for PTT via PES/PCS to correlate with systolic, diastolic, and mean invasive blood pressure (SBP_IBP, DBP_IBP, and MAP_IBP, respectively) and to detect SBP_IBP fluctuations.

METHODS

PES/PCS and IBP measurements were performed in 20 patients undergoing abdominal, urological, and cardiac surgery. A Pearson's correlation analysis (r) between 1/PTT and IBP was performed. The predictive ability of 1/PTT with changes in SBP_IBP was determined by area under the curve (reported as AUC, sensitivity, specificity).

RESULTS

Significant correlations between 1/PTT and SBP_IBP were found for PES (r = 0.64) and PCS (r = 0.55) (p < 0.01), as well as MAP_IBP/DBP_IBP for PES (r = 0.6/0.55) and PCS (r = 0.5/0.45) (p < 0.05). A 7% decrease in 1/PTT_PES predicted a 30% SBP_IBP decrease (0.82, 0.76, 0.76), while a 5.6% increase predicted a 30% SBP_IBP increase (0.75, 0.7, 0.68). A 6.6% decrease in 1/PTT_PCS detected a 30% SBP_IBP decrease (0.81, 0.72, 0.8), while a 4.8% 1/PTT_PCS increase detected a 30% SBP_IBP increase (0.73, 0.64, 0.68).

CONCLUSIONS

Non-invasive beat-to-beat PTT via PES/PCS demonstrated significant correlations with IBP and detected significant changes in SBP_IBP. Thus, PES/PCS as a novel sensor technology may augment intraoperative hemodynamic monitoring during major surgery.