Smart E-Textiles: Overview of Components and Outlook

Design of Wearable Textile Electrodes for the Monitorization of Patients with Heart Failure

Heart failure is a severe medical condition with an important worldwide incidence that occurs when the heart is unable to efficiently pump the patient's blood throughout the body. The monitoring of edema in the lower limbs is one of the most efficient ways to control the evolution of the condition. Impedance spectroscopy has been proposed as an efficient technique to monitor body volume in patients with heart failure. It is necessary to research new wearable devices for remote patient monitoring, which can be easily worn by patients in a continuous way. In this work, we design and implement new wearable textile electrodes for the monitoring of edema evolution in patients with heart failure. Impedance spectroscopy measurements were carried out in 5 healthy controls and 2 patients with heart failure using our wearable electrodes for 3 days. The results show the appropriateness of impedance spectroscopy and our wearable electrodes to monitor body volume evolution. Impedance spectroscopy is shown to be an efficient marker of the presence of edema in heart failure patients. Initial patient positive feedback was obtained for the use of the wearable device.

A Comprehensive Review on Advancements in Wearable Technologies: Revolutionizing Cardiovascular Medicine

Wearable technologies have emerged as powerful tools in healthcare, offering continuous monitoring and personalized insights outside traditional clinical settings. These devices have garnered significant attention in cardiovascular medicine for their potential to transform patient care and improve outcomes. This comprehensive review provides an overview of wearable technologies' evolution, advancements, and applications in cardiovascular medicine. We examine the miniaturization of sensors, integration of artificial intelligence (AI), and proliferation of remote patient monitoring solutions. Key findings include the role of wearables in the early detection of cardiovascular conditions, personalized health tracking, and remote patient management. Challenges such as data privacy concerns and regulatory hurdles are also addressed. The adoption of wearable technologies holds promise for shifting healthcare from reactive to proactive, enabling precision diagnostics, treatment optimization, and preventive strategies. Collaboration among healthcare stakeholders is essential to harnessing the full potential of wearables in cardiovascular medicine and ushering in a new era of personalized, proactive healthcare.

Experimental Analyses and Predictive Modelling of Ultrasonic Welding Parameters for Enhancing Smart Textile Fabrication

This study aims to illustrate the design, fabrication, and optimisation of an ultrasonic welding (UW) machine to join copper wires with non-woven PVC textiles as smart textiles. The study explicitly evaluates UW parameters' impact on heat generation, joint strength, and electrical properties, with a comprehensive understanding of the process dynamics and developing a predictive model applicable to smart textiles. The methodological approach involved designing and manufacturing an ultrasonic piezoelectric transducer using ABAQUS finite element analyses (FEA) software and constructing a UW machine for the current purpose. The full factorial design (FFD) approach was employed in experiments to systematically assess the influence of welding time, welding pressure, and copper wire diameter on the produced joints. Experimental data were meticulously collected, and a backpropagation neural network (BPNN) model was constructed based on the analysis of these results. The results of the experimental investigation provided valuable insights into the UW process, elucidating the intricate relationship between welding parameters and heat generation, joint strength, and post-welding electrical properties of the copper wires. This dataset served as the basis for developing a neural network model, showcasing a high level of accuracy in predicting welding outcomes compared to the FFD model. The neural network model provides a valuable tool for controlling and optimising the UW process in the realm of smart textile production.

Reversible thermochromic fibers with excellent elasticity and hydrophobicity for wearable temperature sensors

Color-changing fibers, which can intuitively convey information to the human eye, can be used to facilely add functionality to various types of clothing. However, they are often expensive and complex, and can suffer from low durability. Therefore, in this study, we developed highly elastic and hydrophobic thermochromic fibers as wearable temperature sensors using a simple method that does not require an electric current. A thermochromic pigment was embedded inside and outside hydrophobic silica aerogel particles, following which the thermochromic aerogel was fixed to highly elastic spandex fibers using polydimethylsiloxane as a flexible binder. In particular, multi-strand spandex fibers were used instead of single strands, resulting in the thermochromic aerogels penetrating the inside of the strands upon their expansion by solvent swelling. During drying, the thermochromic aerogel adhered more tightly to the fibers by compressing the strands. The thermochromic fiber was purple at room temperature (25 °C), but exhibited a two-stage color change to blue and then white as the temperature increased to 37 °C. In addition, even after 100 cycles of tension-contraction at 200%, the thermochromic aerogel did not detach and was strongly attached to the fiber. Additionally, it was confirmed that color change due to temperature was stable even after exposure to 1 wt% NaCl (artificial sweat) and 0.1 wt% detergent solutions. The developed thermochromic fiber therefore exhibited excellent elasticity and hydrophobicity, and is expected to be widely utilized as an economical wearable temperature sensor as it does not require electrical devices.

Flexible Iron-On Sensor Embedded in Smart Sock for Gait Event Detection

Portable and wearable electronics for biomechanical data collection have become a growing part of everyday life. As smart technology improves and integrates into our lives, some devices remain ineffective, expensive, or difficult to access. We propose a washable iron-on textile pressure sensor for biometric data acquisition. Biometric data, such as human gait, are a powerful tool for the monitoring and diagnosis of ambulance and physical activity. To demonstrate this, our washable iron-on device is embedded into a sock and compared to gold standard force plate data. Biomechanical testing showed that our embedded sensor displayed a high aptitude for gait event detection, successfully identifying over 96% of heel strike and toe-off gait events. Our device demonstrates excellent attributes for further investigations into low-cost, washable, and highly versatile iron-on textiles for specialized biometric analysis.

Advancement of Nonwoven Fabrics in Personal Protective Equipment

While nonwoven fabrics have existed for several decades, their usage in personal protective equipment (PPE) has been met with a rapid surge of demands, in part due to the recent COVID-19 pandemic. This review aims to critically examine the current state of nonwoven PPE fabrics by exploring (i) the material constituents and processing steps to produce fibers and bond them, and (ii) how each fabric layer is integrated into a textile, and how the assembled textiles are used as PPE. Firstly, filament fibers are manufactured via dry, wet, and polymer-laid fiber spinning methods. Then the fibers are bonded via chemical, thermal, and mechanical means. Emergent nonwoven processes such as electrospinning and centrifugal spinning to produce unique ultrafine nanofibers are discussed. Nonwoven PPE applications are categorized as filters, medical usage, and protective garments. The role of each nonwoven layer, its role, and textile integration are discussed. Finally, the challenges stemming from the single-use nature of nonwoven PPEs are discussed, especially in the context of growing concerns over sustainability. Then, emerging solutions to address sustainability issues with material and processing innovations are explored.

Development of Smart Clothing to Prevent Pressure Injuries in Bedridden Persons and/or with Severely Impaired Mobility: 4NoPressure Research Protocol

Pressure injuries (PIs) are a major public health problem and can be used as quality-of-care indicators. An incipient development in the field of medical devices takes the form of Smart Health Textiles, which can possess innovative properties such as thermoregulation, sensing, and antibacterial control. This protocol aims to describe the process for the development of a new type of smart clothing for individuals with reduced mobility and/or who are bedridden in order to prevent PIs. This paper's main purpose is to present the eight phases of the project, each consisting of tasks in specific phases: (i) product and process requirements and specifications; (ii and iii) study of the fibrous structure technology, textiles, and design; (iv and v) investigation of the sensor technology with respect to pressure, temperature, humidity, and bioactive properties; (vi and vii) production layout and adaptations in the manufacturing process; (viii) clinical trial. This project will introduce a new structural system and design for smart clothing to prevent PIs. New materials and architectures will be studied that provide better pressure relief, thermo-physiological control of the cutaneous microclimate, and personalisation of care.

Electronic textiles: New age of wearable technology for healthcare and fitness solutions

Sedentary lifestyles and evolving work environments have created challenges for global health and cause huge burdens on healthcare and fitness systems. Physical immobility and functional losses due to aging are two main reasons for noncommunicable disease mortality. Smart electronic textiles (e-textiles) have attracted considerable attention because of their potential uses in health monitoring, rehabilitation, and training assessment applications. Interactive textiles integrated with electronic devices and algorithms can be used to gather, process, and digitize data on human body motion in real time for purposes such as electrotherapy, improving blood circulation, and promoting wound healing. This review summarizes research advances on e-textiles designed for wearable healthcare and fitness systems. The significance of e-textiles, key applications, and future demand expectations are addressed in this review. Various health conditions and fitness problems and possible solutions involving the use of multifunctional interactive garments are discussed. A brief discussion of essential materials and basic procedures used to fabricate wearable e-textiles are included. Finally, the current challenges, possible solutions, opportunities, and future perspectives in the area of smart textiles are discussed.

Soft Fiber Electronics Based on Semiconducting Polymer

Fibers, originating from nature and mastered by human, have woven their way throughout the entire history of human civilization. Recent developments in semiconducting polymer materials have further endowed fibers and textiles with various electronic functions, which are attractive in applications such as information interfacing, personalized medicine, and clean energy. Owing to their ability to be easily integrated into daily life, soft fiber electronics based on semiconducting polymers have gained popularity recently for wearable and implantable applications. Herein, we present a review of the previous and current progress in semiconducting polymer-based fiber electronics, particularly focusing on smart-wearable and implantable areas. First, we provide a brief overview of semiconducting polymers from the viewpoint of materials based on the basic concepts and functionality requirements of different devices. Then we analyze the existing applications and associated devices such as information interfaces, healthcare and medicine, and energy conversion and storage. The working principle and performance of semiconducting polymer-based fiber devices are summarized. Furthermore, we focus on the fabrication techniques of fiber devices. Based on the continuous fabrication of one-dimensional fiber and yarn, we introduce two- and three-dimensional fabric fabricating methods. Finally, we review challenges and relevant perspectives and potential solutions to address the related problems.