An Integrated Wearable Sweat Sensing Patch for Passive Continuous Analysis of Stress Biomarkers at Rest

Real-time monitoring of mental stress biomarkers in sweat provides the possibility to evaluate mental status in a precise manner. In general, wearable sweat sensors suffer from inconvenient sweat collection, low levels of diagnostic biomarkers in sweat, sophisticated signal processing, and challenges with data visualization. To overcome these challenges, herein an integrated wearable sweat-sensing patch for continuous analysis of stress biomarkers (cortisol, Mg²⁺, and pH) at rest is demonstrated. The sweat sensing patch comprised a microfluidic chip, a highly sensitive sensing platform, an on-site signal processing circuitry (SPCs), and a smartphone installed with a home-developed display software. The sweat collection at rest is realized using a microfluidic chip without perspiration assistance. A ternary composite electrode is designed to obtain good conductivity, high surface area, and massive reactive sites, thereby yielding excellent electrochemical performances and high sensitivity to trace stress biomarkers. The on-site SPC has the function of signal transduction, conditioning, processing, and wireless transmission. The detection results can be displayed on a smartphone through the software. This work represents a significant scientific and technological advancement toward indexing mental stress status and can be used as an innovative tool for psychological diagnosis.     

Highly Stretchable,Global, and Distributed Local Strain Sensing Line Using GaInSn Electrodes for Wearable Electronics

For identifying human or finger movement, it is necessary to sense subtle movements at multiple points, including the local strain and global deformation simultaneously; however, this has not yet been realized. Therefore, a highly stretchable, global, and distributed local strain sensing electrode made of GaInSn and polydimethylsiloxane is developed for wearable devices. To investigate the electrical properties of multiple sections of the GaInSn electrode when stretching, tensile, cyclic, and three‐point‐bending tests are performed. The results demonstrate that the electrode can withstand a strain up to 50% and has little hysteresis without any delay. Moreover, the distributed local strain and global strain can be simultaneously measured using just a single electrode line. Finally, a prototype of a data glove as an application of the strain sensing line is manufactured, and it is demonstrated that the folding state of fingers could be identified. The proposed technology may allow the creation of a lightweight master hand manipulator or 3D data entry device.     

Flexible Piezoresistive Sensor Patch Enabling Ultralow Power Cuffless Blood Pressure Measurement

Noninvasive and real‐time cuffless blood pressure (BP) measurement realizes the idea of unobtrusive and continuous BP monitoring which is essential for diagnosis and prevention of cardiovascular diseases associated with hypertension. In this paper, a wearable sensor patch system that integrates flexible piezoresistive sensor (FPS) and epidermal electrocardiogram (ECG) sensors for cuffless BP measurement is presented. By developing parametric models on the FPS sensing mechanism and optimizing operational conditions, a highly stable epidermal pulse monitoring method is established and beat‐to‐beat BP measurement from the ECG and epidermal pulse signals is demonstrated. In particular, this study highlights the compromise between sensor sensitivity and signal stability. As compared with the current optical‐based cuffless BP measurement devices, the sensing patch requires much lower power consumption (3 nW) and is capable of detecting subtle physiological signal variations, e.g., pre and postexercises, thus providing a promising solution for low‐power, real‐time, and home‐based BP monitoring.     

Human Pulse Diagnosis for Medical Assessments Using a Wearable Piezoelectret Sensing System

Real‐time and continuous monitoring of physiological signals is essential for mobile health, which is becoming a popular tool for efficient and convenient medical services. Here, an active pulse sensing system that can detect the weak vibration patterns of the human radial artery is constructed with a sandwich‐structure piezoelectret that has high equivalent piezoelectricity. The high precision and stability of the system result in possible medical assessment applications, including the capability to identify common heart problems (such as arrhythmia); the feasibility to conduct pulse palpation measurements similar to well‐trained doctors in Traditional Chinese Medicine; and the possibility to measure and read blood pressure.     

Atomic Layer Deposition of Conductive Coatings on Cotton,Paper, and Synthetic Fibers: Conductivity Analysis and Functional Chemical Sensing Using “All‐Fiber” Capacitors

Conductive coatings on complex fibrous systems are attracting interest for new electronic and other functional systems. Obtaining a quantitative conductivity value for complex surface coatings is often difficult. This work describes a procedure to quantify the effective electrical conductivity of conductive coatings on non‐conductive fibrous networks. By applying a normal force orthogonal to the current and field direction, fiber/fiber contact is improved and consistent conductance values can be measured. Nylon fibers coated with an electroless silver plating shows effective conductivity up to 1950 S cm^?1, and quartz fibers coated with tungsten by atomic layer deposition (ALD) show values up to ～1150 S cm^?1. Cotton fibers and paper coated with a range of ZnO film thicknesses by ALD show effective conductivity of up to 24 S cm^?1 under applied normal force, and conductivity scaled as expected with film coating thickness. Furthermore, we use the conductive coatings to produce an “all‐fiber” metal–insulator–metal capacitor that functions as a liquid chemical sensor. The ability to reliably analyze the effective conductivity of coatings on complex fiber systems will be important to design and improve performance of similar devices and other electronic textiles structures.     

Wearable sweat biosensors on textiles for health monitoring

With the rapid technological innovation in materials engineering and device integration, a wide variety of textile-based wearable biosensors have emerged as promising platforms for personalized healthcare, exercise monitoring, and pre-diagnostics. This paper reviews the recent progress in sweat biosensors and sensing systems integrated into textiles for wearable body status monitoring. The mechanisms of biosensors that are commonly adopted for biomarkers analysis are first introduced. The classification, fabrication methods, and applications of textile conductors in different configurations and dimensions are then summarized. Afterward, innovative strategies to achieve efficient sweat collection with textile-based sensing patches are presented, followed by an in-depth discussion on nanoengineering and system integration approaches for the enhancement of sensing performance. Finally, the challenges of textile-based sweat sensing devices associated with the device reusability, washability, stability, and fabrication reproducibility are discussed from the perspective of their practical applications in wearable healthcare.     

Flexible and Highly Sensitive Strain Sensors Fabricated by Pencil Drawn for Wearable Monitor

Functional electrical devices have promising potentials in structural health monitoring system, human‐friendly wearable interactive system, smart robotics, and even future multifunctional intelligent room. Here, a low‐cost fabrication strategy to efficiently construct highly sensitive graphite‐based strain sensors by pencil‐trace drawn on flexible printing papers is reported. The strain sensors can be operated at only two batteries voltage of 3 V, and can be applied to variously monitoring microstructural changes and human motions with fast response/relaxation times of 110 ms, a high gauge factor (GF) of 536.6, and high stability >10 000 bending–unbending cycles. Through investigation of service behaviors of the sensors, it is found that the microcracks occur on the surface of the pencil‐trace and have a major influence on the functions of the strain sensors. These performances of the strain sensor attain and even surpass the properties of recent strain sensing devices with subtle design of materials and device architectures. The pen‐on‐paper (PoP) approach may further develop portable, environmentally friendly, and economical lab‐on‐paper applications and offer a valuable method to fabricate other multifunctional devices.     

All-Organic Smart Textile Sensor for Deep-Learning-Assisted Multimodal Sensing (Adv. Funct. Mater. 30/2023)

Smart textile for sensor is identified as a superior platform with greatly improved convenience and comfort for wearable bioelectronics. However, most reported textile-based sensors cannot fully demonstrate the inherent advantages of textiles, such as comfortability, breathability, biocompatibility, and environmental friendliness, mainly due to the intrinsic limitation of non-textile or inorganic components. Here, an all-textile, all-organic, washable, and breathable sensor with discriminable pressure, proximity, and temperature sensing function is first reported. Multiple sensing functions and outstanding washability are demonstrated. The all-textile sensor can also be seamlessly integrated into diverse types of fabrics to realize wide-range sensing of human activities and noncontact stimuli without sacrificing biocompatibility and comfortability. Additionally, by combining with the deep-learning technique, an all-textile sensing system is established to recognize object shape, contactless trajectory, and even environmental temperature. These results open a new avenue for designing low-cost, washable, comfortable, and biocompatible green textile electronics, providing a meaningful guideline in intelligent textiles.     

Body Heat Powered Wirelessly Wearable System for Real-time Physiological and Biochemical Monitoring

Through harvesting energy from the environment or human body, self-power wearable electronics have an opportunity to break through the limitations of battery supply and achieving long-term continuous operation. Here, a wireless wearable monitoring system driven entirely by body heat is implemented. Based on the principle of maximizing heat utilization, while optimizing internal resistance and heat dissipation, the stretchable TEG improves the power density of previous similar devices from only a few microwatts per square centimeter to tens and makes it possible to continuously drive wireless wearable electronic systems. Furthermore, ceaseless self-power energy gives wearable electronics unparalleled continuous working ability, which can realize the tracking and monitoring of biochemical and physiological indicators at different time scale. A practical system demonstrates the ability to real-time monitor heart rate, sweat ingredient and body motion at a high sampling rate. This study marks an important advance of self-powered wearable electronics for wirelessly real-time healthy monitoring.     

Graphene-Based Heterostructure Composite Sensing Materials for Detection of Nitrogen-Containing Harmful Gases

Graphene-based heterostructure composite is a new type of advanced sensing material that includes composites of graphene with noble metals/metal oxides/metal sulfides/polymers and organic ligands. Exerting the synergistic effect of graphene and noble metals/metal oxides/metal sulfides/polymers and organic ligands is a new way to design advanced gas sensors for nitrogen-containing gas species including NH₃ and NO₂ to solve the problems such as poor stability, high working temperature, poor recovery, and poor selectivity. Different fabrication methods of graphene-based heterostructure composite are extensively studied, enabling massive progress in developing chemiresistive-type sensors for detecting the nitrogen-containing gas species. With the components of noble metals/metal oxides/metal sulfides/polymers and organic ligands which are composited with graphene, each material has its attractive and unique electrical properties. Consequently, the corresponding composite formed with graphene has different sensing characteristics. Furthermore, working ambient gas and response type can affect gas-sensitive characteristic parameters of graphene-based heterostructure composite sensing materials. Moreover, it requires particular attention in studying gas sensing mechanism of graphene-based heterostructure composite sensing materials for nitrogen-containing gas species. This review focuses on related scientific issues such as material synthesis methods, sensing performance, and gas sensing mechanism to discuss the technical challenges and several perspectives.     

Advanced Flexible Materials from Nanocellulose

With the increase of environmental pollution and depletion of fossil fuel resources, the utilization of renewable biomass resources for developing functional materials or fine chemicals is of great value and has attracted considerable attention. Nanocellulose, as a well-known renewable nanomaterial, is regarded as a promising nano building block for advanced functional materials owing to its unique structure and properties, as well as natural abundance. Typically, its high mechanical strength, structural flexibility, reinforcing capabilities, and tunable self-assembly behavior makes it highly attractive to fabricate flexible materials for various applications. Herein, the recent progress in the design, properties, and applications of advanced flexible materials from nanocellulose is comprehensively summarized. The preparation and properties of nanocellulose are first briefly introduced and discuss its merits in fabricating flexible materials. Then, various advanced flexible materials from nanocellulose are introduced, and the critical role of nanocellulose in constructing flexible materials is highlighted based on its intrinsic properties. After that, their applications in energy storage, electronics, sensor, biomedical, thermally insulating, photonic devices, etc., are presented. At last, the outlook of the current challenges and future perspectives for developing nanocellulose-derived flexible materials are discussed.     

Strain-Tolerant,High-Detectivity,and Intrinsically Stretchable All-Polymer Photodiodes

A skin-like photodiode (PD) that is stretchable and skin-conformable is crucial to opening the next-generation wearable electronics for optical biometric monitoring, biomedical imaging, and others. To achieve reliable PD characteristics under large deformation, stretchable PDs with high detectivity and high mechanical stretchability must be developed. Herein, intrinsically stretchable polymer-based PDs (is-PPDs) comprising all-polymeric constituent layers are demonstrated. In particular, elastomeric photoactive layers consisting of an elastomer with p-/n-type semiconducting polymers and conducting polymer-based stretchable transparent electrodes with modulated work functions improve both the mechanical stability and the detectivity (D*) of is-PPDs. Accordingly, is-PPDs show excellent D* over 10¹³ Jones with a suppressed dark current density of 0.1 nA cm⁻² before and after 100% stretching. The proposed is-PPDs record high-quality and stable photoplethysmography signals at the wrist with outward extension.     

Biodegradable and Highly Deformable Temperature Sensors for the Internet of Things

Recent advances in biomaterials, thin film processing, and nanofabrication offer the opportunity to design electronics with novel and unique capabilities, including high mechanical stability and biodegradation, which are relevant in medical implants, environmental sensors, and wearable and disposable devices. Combining reliable electrical performance with high mechanical deformation and chemical degradation remains still challenging. This work reports temperature sensors whose material composition enables full biodegradation while the layout and ultrathin format ensure a response time of 10 ms and stable operation demonstrated by a resistance variation of less than 0.7% when the devices are crumpled, folded, and stretched up to 10%. Magnesium microstructures are encapsulated by a compostable‐certified flexible polymer which exhibits small swelling rate and a Young's modulus of about 500 MPa which approximates that of muscles and cartilage. The extension of the design from a single sensor to an array and its integration onto a fluidic device, made of the same polymer, provides routes for a smart biodegradable system for flow mapping. Proper packaging of the sensors tunes the dissolution dynamics to a few days in water while the connection to a Bluetooth module demonstrates wireless operation with 200 mK resolution prospecting application in food tracking and in medical postsurgery monitoring.     

All‐in‐One Iontronic Sensing Paper

Paper has been utilized as an ideal platform for chemical, biological, and mechanical sensing for its fibrous structures and properties in addition to its low cost. However, current studies on pressure‐sensitive papers have not fully utilized the unique advantages of papers, such as printability, cuttability, and foldability. Moreover, the existing resistive, capacitive, and triboelectric sensing modalities have long‐standing challenges in sensitivity, noise‐proofing, response time, linearity, etc. Here, a novel flexible iontronic sensing mechanism, referred to as iontronic sensing paper (ISP), is introduced to the classic paper substrates by incorporating both ionic and conductive patterns into an all‐in‐one flexible sensing platform. The ISP can then be structured into 2D or 3D tactile‐sensitive origamis only by the paper‐specific manipulations of printing, cutting, folding, and gluing. Notably, the ISP device possesses a device sensitivity of 10 nF kPa^?1 cm^?2, which is thousands of times higher than that of the commercial counterpart, a resolution of 6.25 Pa, a single‐millisecond response time, and a high linearity (R ² > 0.996). Benefiting from the unique properties of the fibrous paper structures and its remarkable performances, the ISP devices hold enormous potential for the emerging human–machine interfaces, including smart packaging, health wearables, and pressure‐sensitive paper matrix.     

Wearable Sensors-Enabled Human–Machine Interaction Systems: From Design to Application

In comparison to traditional bulky and rigid electronic devices, the human–machine interaction (HMI) system with flexible and wearable components is an inevitable future trend. To achieve effective, intuitive, and seamless manipulation of high-performance wearable HMI systems, it is important to develop effective strategies for designing material microstructures on flexible sensors and electric devices with excellent mechanical flexibility and stretchability. The real-time acquisition of human physiology and surrounding signals through accurate and flexible sensors is the basis of wearable HMIs. Herein, the construction of a wearable HMI system that utilizes sensors, communication modes, and actuators is reviewed. The mechanisms and strategies for designing various flexible sensors based on different mechanisms are analyzed and discussed. The functional mechanism, material selection, and novel design strategies of each part are summarized in detail. The different communication modes in interactive systems and the manufacturing technology of soft machines are also introduced. Additionally, the most advanced applications of wearable HMI systems in intelligent identification and security, interactive controls for robots, augmented reality, and virtual reality have been highlighted. The review concludes with an overview of the remaining key challenges and several ideas regarding the further improvement of wearable HMI systems.     

Wearable Self-Powered Electrochemical Devices for Continuous Health Management

The wearable revolution is already present in society through numerous gadgets. However, the contest remains in fully deployable wearable (bio)chemical sensing. Its use is constrained by the energy consumption which is provided by miniaturized batteries, limiting the autonomy of the device. Hence, the combination of materials and engineering efforts to develop sustainable energy management is paramount in the next generation of wearable self-powered electrochemical devices (WeSPEDs). In this direction, this review highlights for the first time the incorporation of innovative energy harvesting technologies with top-notch wearable self-powered sensors and low-powered electrochemical sensors toward battery-free and self-sustainable devices for health and wellbeing management. First, current elements such as wearable designs, electrochemical sensors, energy harvesters and storage, and user interfaces that conform WeSPEDs are depicted. Importantly, the bottlenecks in the development of WeSPEDs from an analytical perspective, product side, and power needs are carefully addressed. Subsequently, energy harvesting opportunities to power wearable electrochemical sensors are discussed. Finally, key findings that will enable the next generation of wearable devices are proposed. Overall, this review aims to bring new strategies for an energy-balanced deployment of WeSPEDs for successful monitoring of (bio)chemical parameters of the body toward personalized, predictive, and importantly, preventive healthcare.