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

Recent Advances of Nanogenerator Technology for Cardiovascular Sensing and Monitoring

Cardiovascular sensing and monitoring is a widely used function in cardiovascular devices. Nowadays, achieving desired flexibility, wearability and implantability becomes a major design goal for the advancement of this family of devices. As an emerging technology, nanogenerator (NG) offers an intriguing promise for replacing the battery, an essential obstacle toward tissue-like soft electronics. This article reviews most recent advancements in NG technology for advanced cardiovascular sensing and monitoring. Based on the application targets, the discuss covers implantable NGs on hearts, implantable NGs for blood vessel grafts and patches, and wearable NGs with various sensing functions. The applications of NGs as a power source and as an electromechanical sensing element are both discussed. At the end, current challenges in this direction and future research perspectives are elaborated. This emerging and impactful application direction reviewed in this article is expected to inspire many new research and commercialization opportunities in the field of NG technology.

Recent progress in flexible pressure sensors based on multiple microstructures: from design to application

Flexible pressure sensors (FPSs) have been widely studied in the fields of wearable medical monitoring and human-machine interaction due to their high flexibility, light weight, sensitivity, and easy integration. To better meet these application requirements, key sensing properties such as sensitivity, linear sensing range, pressure detection limits, response/recovery time, and durability need to be effectively improved. Therefore, researchers have extensively and profoundly researched and innovated on the structure of sensors, and various microstructures have been designed and applied to effectively improve the sensing performance of sensors. Compared with single microstructures, multiple microstructures (MMSs) (including hierarchical, multi-layered and hybrid microstructures) can improve the sensing performance of sensors to a greater extent. This paper reviews the recent research progress in the design and application of FPSs with MMSs and systematically summarizes the types, sensing mechanisms, and preparation methods of MMSs. In addition, we summarize the applications of FPSs with MMSs in the fields of human motion detection, health monitoring, and human-computer interaction. Finally, we provide an outlook on the prospects and challenges for the development of FPSs.

Hybrid nanogenerator based closed-loop self-powered low-level vagus nerve stimulation system for atrial fibrillation treatment

Atrial fibrillation is an "invisible killer" of human health. It often induces high-risk diseases, such as myocardial infarction, stroke, and heart failure. Fortunately, atrial fibrillation can be diagnosed and treated early. Low-level vagus nerve stimulation (LL-VNS) is a promising therapeutic method for atrial fibrillation. However, some fundamental challenges still need to be overcome in terms of flexibility, miniaturization, and long-term service of bioelectric stimulation devices. Here, we designed a closed-loop self-powered LL-VNS system that can monitor the patient's pulse wave status in real time and conduct stimulation impulses automatically during the development of atrial fibrillation. The implant is a hybrid nanogenerator (H-NG), which is flexible, light weight, and simple, even without electronic circuits, components, and batteries. The maximum output of the H-NG was 14.8 V and 17.8 μA (peak to peak). In the in vivo effect verification study, the atrial fibrillation duration significantly decreased by 90% after LL-VNS therapy, and myocardial fibrosis and atrial connexin levels were effectively improved. Notably, the anti-inflammatory effect triggered by mediating the NF-κB and AP-1 pathways in our therapeutic system is observed. Overall, this implantable bioelectronic device is expected to be used for self-powerability, intelligentization, portability for management, and therapy of chronic diseases.

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.

Recent Advances on Conducting Polymers Based Nanogenerators for Energy Harvesting

With the rapid growth of numerous portable electronics, it is critical to develop high-performance, lightweight, and environmentally sustainable energy generation and power supply systems. The flexible nanogenerators, including piezoelectric nanogenerators (PENG) and triboelectric nanogenerators (TENG), are currently viable candidates for combination with personal devices and wireless sensors to achieve sustained energy for long-term working circumstances due to their great mechanical qualities, superior environmental adaptability, and outstanding energy-harvesting performance. Conductive materials for electrode as the critical component in nanogenerators, have been intensively investigated to optimize their performance and avoid high-cost and time-consuming manufacture processing. Recently, because of their low cost, large-scale production, simple synthesis procedures, and controlled electrical conductivity, conducting polymers (CPs) have been utilized in a wide range of scientific domains. CPs have also become increasingly significant in nanogenerators. In this review, we summarize the recent advances on CP-based PENG and TENG for biomechanical energy harvesting. A thorough overview of recent advancements and development of CP-based nanogenerators with various configurations are presented and prospects of scientific and technological challenges from performance to potential applications are discussed.

Heterogeneous Wafer Bonding Technology and Thin-Film Transfer Technology-Enabling Platform for the Next Generation Applications beyond 5G

Wafer bonding technology is one of the most effective methods for high-quality thin-film transfer onto different substrates combined with ion implantation processes, laser irradiation, and the removal of the sacrificial layers. In this review, we systematically summarize and introduce applications of the thin films obtained by wafer bonding technology in the fields of electronics, optical devices, on-chip integrated mid-infrared sensors, and wearable sensors. The fabrication of silicon-on-insulator (SOI) wafers based on the Smart CutTM process, heterogeneous integrations of wide-bandgap semiconductors, infrared materials, and electro-optical crystals via wafer bonding technology for thin-film transfer are orderly presented. Furthermore, device design and fabrication progress based on the platforms mentioned above is highlighted in this work. They demonstrate that the transferred films can satisfy high-performance power electronics, molecular sensors, and high-speed modulators for the next generation applications beyond 5G. Moreover, flexible composite structures prepared by the wafer bonding and de-bonding methods towards wearable electronics are reported. Finally, the outlooks and conclusions about the further development of heterogeneous structures that need to be achieved by the wafer bonding technology are discussed.

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.

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.

A review of low-temperature H2S gas sensors: fabrication and mechanism

Reduced detection temperature of hazardous gases such as H2S can lower power consumption and increase the long-term stability. The decreased operating temperature can be achieved via physical and chemical modification of the sensing layer.

Progress in the Applications of Smart Piezoelectric Materials for Medical Devices

Smart piezoelectric materials are of great interest due to their unique properties. Piezoelectric materials can transform mechanical energy into electricity and vice versa. There are mono and polycrystals (piezoceramics), polymers, and composites in the group of piezoelectric materials. Recent years show progress in the applications of piezoelectric materials in biomedical devices due to their biocompatibility and biodegradability. Medical devices such as actuators and sensors, energy harvesting devices, and active scaffolds for neural tissue engineering are continually explored. Sensors and actuators from piezoelectric materials can convert flow rate, pressure, etc., to generate energy or consume it. This paper consists of using smart materials to design medical devices and provide a greater understanding of the piezoelectric effect in the medical industry presently. A greater understanding of piezoelectricity is necessary regarding the future development and industry challenges.