Recent Progress in Flexible and Wearable All Organic Photoplethysmography Sensors for SpO2 Monitoring

Flexible and wearable biosensors are the next-generation healthcare devices that can efficiently monitor human health conditions in day-to-day life. Moreover, the rapid growth and technological advancements in wearable optoelectronics have promoted the development of flexible organic photoplethysmography (PPG) biosensor systems that can be implanted directly onto the human body without any additional interface for efficient bio-signal monitoring. As an example, the pulse oximeter utilizes PPG signals to monitor the oxygen saturation (SpO2 ) in the blood volume using two distinct wavelengths with organic light emitting diode (OLED) as light source and an organic photodiode (OPD) as light sensor. Utilizing the flexible and soft properties of organic semiconductors, pulse oximeter can be both flexible and conformal when fabricated on thin polymeric substrates. It can also provide highly efficient human-machine interface systems that can allow for long-time biological integration and flawless measurement of signal data. In this work, a clear and systematic overview of the latest progress and updates in flexible and wearable all-organic pulse oximetry sensors for SpO2 monitoring, including design and geometry, processing techniques and materials, encapsulation and various factors affecting the device performance, and limitations are provided. Finally, some of the research challenges and future opportunities in the field are mentioned.

Cell viability and cytotoxicity of inkjet-printed flexible organic electrodes on parylene C

This study reports on the fabrication of biocompatible organic devices by means of inkjet printing with a novel combination of materials. The devices were fabricated on Parylene C (PaC), a biocompatible and flexible polymer substrate. The contact tracks were inkjet-printed using a silver nanoparticle ink, while the active sites were inkjet-printed using a poly (3,4ethylenedioxythiophene)/polystyrene sulfonate (PEDOT:PSS) solution. To insulate the final device, a polyimide ink was used to print a thick film, leaving small open windows upon the active sites. Electrical characterization of the final device revealed conductivities in the order of 10³ and 10² S.cm^-1 for Ag and PEDOT based inks, respectively. Cell adhesion assays performed with PC-12 cells after 96 h of culture, and B16F10 cells after 24 h of culture, demonstrated that the cells adhered on top of the inks and cell differentiation occurred, which indicates Polyimide and PEDOT:PSS inks are non-toxic to these cells. The results indicate that PaC, along with its surface-treated variants, is a potentially useful material for fabricating cell-based microdevices.

Flexible Inkjet-Printed Multielectrode Arrays for Neuromuscular Cartography

Flexible Poly(3,4-ethylenedioxythiophene)-poly(styrenesulfonate) (

PEDOT

PSS) conductive-polymer multielectrode arrays (MEAs) are fabricated without etching or aggressive lift-off processes, only by additive solution processes. Inkjet printing technology has several advantages, such as a customized design and a rapid realization time, adaptability to different patients and to different applications. In particular, inkjet printing technology, as additive and "contactless" technology, can be easily inserted into various technological fabrication steps on different substrates at low cost. In vivo electrochemical impedance spectroscopy measurements show the time stability of such MEAs. An equivalent circuit model is established for such flexible cutaneous MEAs. It is shown that the charge transfer resistance remains the same, even two months after fabrication. Surface electromyography and electrocardiography measurements show that the

PEDOT

PSS MEAs record electrophysiological activity signals that are comparable to those obtained with unitary Ag/AgCl commercial electrodes. Additionally, such MEAs offer parallel and simultaneous recordings on multiple locations at high surface density. It also proves its suitability to reconstruct an innervation zone map and opens new perspectives for a better control of amputee's myoelectric prostheses. The employment of additive technologies such as inkjet printing suggests that the integration of multifunctional sensors can improve the performances of ultraflexible brain-computer interfaces.

Direct measurement of ion mobility in a conducting polymer

Using planar junctions between the conducting polymer PEDOT:PSS and various electrolytes, it is possible to inject common ions and directly observe their transit through the film. The 1D geometry of the experiment allows a straightforward estimate of the ion drift mobilities.