Wireless,Flexible, Ionic,Perspiration-Rate Sensor System with Long-Time and High Sweat Volume Functions Toward Early-Stage,Real-Time Detection of Dehydration

Flexible sensors that can be attached to the body to collect vital data wirelessly enable real-time, early-stage diagnosis for human health management. Wearable sweat sensors have received considerable attention for real-time physiological monitoring. Unlike conventional methods that require blood-drawing in a clinic, sweat analyses may enable noninvasive tracking of health conditions for early-stage diagnosis. Even though a variety of studies to monitor metabolites and other substances have been conducted, automatic, continuous, long-term, simultaneous monitoring of perspiration rate and electrolytes, which are important parameters in dehydration, has yet to be achieved because of challenges related to sensor design. Here a wireless, wearable, integrated, microfluidic sensor system that can continuously measure these parameters in real-time for prolonged periods are presented. The proposed sensors are systematically characterized, and machine learning is used to predict device tilt angle to calibrate sensor output signals. Using the sensor design to form a water droplet in a fluidic channel, high-volume perspiration rate is continuously monitored for more than 7000 s (total sweat volume >170 µL). By testing 10 subjects, physiological responses to ingestion of a sports drink are confirmed by measuring perspiration rhythm changes extracted from real-time, continuous sweat impedance and rate.     

A Self-Powered,Rechargeable, and Wearable Hydrogel Patch for Wireless Gas Detection with Extraordinary Performance

Flexible gas sensors play an indispensable role in diverse applications spanning from environmental monitoring to portable medical electronics. Full wearable gas monitoring system requires the collaborative support of high-performance sensors and miniaturized circuit module, whereas the realization of low power consumption and sustainable measurement is challenging. Here, a self-powered and reusable all-in-one NO₂ sensor is proposed by structurally and functionally coupling the sensor to the battery, with ultrahigh sensitivity (1.92%/ppb), linearity (R² = 0.999), ultralow theoretical detection limit (0.1 ppb), and humidity immunity. This can be attributed to the regulation of the gas reaction route at the molecular level. The addition of amphiphilic zinc trifluoromethanesulfonate (Zn(OTf)₂) enables the H₂O-poor inner Helmholtz layer to be constructed at the electrode–gel interface, thereby facilitating the direct charge transfer process of NO₂ here. The device is then combined with a well-designed miniaturized low-power circuit module with signal conditioning, processing and wireless transmission functions, which can be used as wearable electronics to realize early and remote warning of gas leakage. This study demonstrates a promising way to design a self-powered, sustainable, and flexible gas sensor with high performance and its corresponding wireless sensing system, providing new insight into the all-in-one system of gas detection.     

The Era of Digital Health: A Review of Portable and Wearable Affinity Biosensors

Digital health facilitated by wearable/portable electronics and big data analytics holds great potential in empowering patients with real‐time diagnostics tools and information. The detection of a majority of biomarkers at trace levels in body fluids using mobile health (mHealth) devices requires bioaffinity sensors that rely on “bioreceptors” for specific recognition. Portable point‐of‐care testing (POCT) bioaffinity sensors have demonstrated their broad utility for diverse applications ranging from health monitoring to disease diagnosis and management. In addition, flexible and stretchable electronics‐enabled wearable platforms have emerged in the past decade as an interesting approach in the ambulatory collection of real‐time data. Herein, the technological advancements of mHealth bioaffinity sensors evolved from laboratory assays to portable POCT devices, and to wearable electronics, are synthesized. The involved recognition events in the mHealth affinity biosensors enabled by bioreceptors (e.g., antibodies, DNAs, aptamers, and molecularly imprinted polymers) are discussed along with their transduction mechanisms (e.g., electrochemical and optical) and system‐level integration technologies. Finally, an outlook of the field is provided and key technological bottlenecks to overcome identified, in order to achieve a new sensing paradigm in wearable bioaffinity platforms.     

采矿工人生理状况监测系统设计

采矿工人生理状况监测系统是工人矿井下作业时,进行实时、连续、长时间地采集、监测心电、呼吸、体温、血氧饱和度和体动等参数,并实现数据无线传输的系统。针对传统监控设备对工人状态掌控缺乏、矿难频发等重大问题,设计了一款无线、可穿戴、无创、低心理负荷的多参数采矿工人生理状况监测系统,以便准确地了解井下工人生理状况,及时预防危险状况发生,安全顺利地完成采矿工作。     

Wearable,Healable, and Adhesive Epidermal Sensors Assembled from Mussel‐Inspired Conductive Hybrid Hydrogel Framework

Healable, adhesive, wearable, and soft human‐motion sensors for ultrasensitive human–machine interaction and healthcare monitoring are successfully assembled from conductive and human‐friendly hybrid hydrogels with reliable self‐healing capability and robust self‐adhesiveness. The conductive, healable, and self‐adhesive hybrid network hydrogels are prepared from the delicate conformal coating of conductive functionalized single‐wall carbon nanotube (FSWCNT) networks by dynamic supramolecular cross‐linking among FSWCNT, biocompatible polyvinyl alcohol, and polydopamine. They exhibit fast self‐healing ability (within 2 s), high self‐healing efficiency (99%), and robust adhesiveness, and can be assembled as healable, adhesive, and soft human‐motion sensors with tunable conducting channels of pores for ions and framework for electrons for real time and accurate detection of both large‐scale and tiny human activities (including bending and relaxing of fingers, walking, chewing, and pulse). Furthermore, the soft human‐motion sensors can be enabled to wirelessly monitor the human activities by coupling to a wireless transmitter. Additionally, the in vitro cytotoxicity results suggest that the hydrogels show no cytotoxicity and can facilitate cell attachment and proliferation. Thus, the healable, adhesive, wearable, and soft human‐motion sensors have promising potential in various wearable, wireless, and soft electronics for human–machine interfaces, human activity monitoring, personal healthcare diagnosis, and therapy.     

Strain-Isolating Materials and Interfacial Physics for Soft Wearable Bioelectronics and Wireless,Motion Artifact-Controlled Health Monitoring

Recent developments of micro-sensors and flexible electronics allow for the manufacturing of health monitoring devices, including electrocardiogram (ECG) detection systems for inpatient monitoring and ambulatory health diagnosis, by mounting the device on the chest. Although some commercial devices in reported articles show examples of a portable recording of ECG, they lose valuable data due to significant motion artifacts. Here, a new class of strain-isolating materials, hybrid interfacial physics, and soft material packaging for a strain-isolated, wearable soft bioelectronic system (SIS) is reported. The fundamental mechanism of sensor-embedded strain isolation is defined through a combination of analytical and computational studies and validated by dynamic experiments. Comprehensive research of hard-soft material integration and isolation mechanics provides critical design features to minimize motion artifacts that can occur during both mild and excessive daily activities. A wireless, fully integrated SIS that incorporates a breathable, perforated membrane can measure real-time, continuous physiological data, including high-quality ECG, heart rate, respiratory rate, and activities. In vivo demonstration with multiple subjects and simultaneous comparison with commercial devices captures the SIS's outstanding performance, offering real-world, continuous monitoring of the critical physiological signals with no data loss over eight consecutive hours in daily life, even with exaggerated body movements.     

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.     

Multifunctional and Wearable Patches Based on Flexible Piezoelectric Acoustics for Integrated Sensing,Localization, and Underwater Communication

Flexible and wearable sensors are highly desired for health monitoring, agriculture, sport, and indoor positioning systems applications. However, the currently developed wireless wearable sensors, which are communicated through radio signals, can only provide limited positioning accuracy and are often ineffective in underwater conditions. In this paper, a wireless platform based on flexible piezoelectric acoustics is developed with multiple functions of sensing, communication, and positioning. Under a high frequency (≈13 MHz) stimulation, Lamb waves are generated for respiratory monitoring. Whereas under low-frequency stimulation (≈20 kHz), this device is agitated as a vibrating membrane, which can be implemented for communication and positioning applications. Indoor communication is demonstrated within 2.8 m at 200 bps or 4.2 m at 25 bps. In combination with the sensing function, real-time respiratory monitoring and wireless communication are achieved simultaneously. The distance measurement is achieved based on the phase differences of transmitted and received acoustic signals within a range of 100 cm, with a maximum error of 3 cm. This study offers new insights into the communication and positioning applications using flexible acoustic wave devices, which are promising for wireless and wearable sensor networks.     

High Performance Bacterial Cellulose Organogel-Based Thermoelectrochemical Cells by Organic Solvent-Driven Crystallization for Body Heat Harvest and Self-Powered Wearable Strain Sensors

As a low-grade sustainable heat source, the human body provides a great driving force for converting heat into electric energy using thermoelectric materials, which can effectively power wearable electronics. However, the low thermoelectric conversion efficiency is not sufficient to achieve energy autonomy in the operation of wearable devices. Herein, wearable bacterial cellulose (BC) organogel-based thermoelectrochemical cells (TECs) are designed and prepared with K₄Fe(CN)₆/K₃Fe(CN)₆ as a redox couple. The addition of propylene glycol significantly improves the mechanical properties of the TECs and drives K₄Fe(CN)₆ to gradually crystallize, resulting in the concentration gradient of redox ions, which significantly enhanced the heat-to-electricity conversion efficiency (from 1.27 to 2.30 mV K⁻¹), proving that they are promising candidates for powering flexible and wearable devices in various application scenarios. The TECs are further assembled into self-powered strain sensors, which can detect the movement of the human body under various tensions and pressures in real time with high sensitivity. This indicates that the BC organogel-based TECs for self-powered strain sensors have great application potential in the wearable field.     

Technologies for highly miniaturized autonomous sensor networks

Recent results of the autonomous sensor research program HUMAN++ will be summarized in this paper. The research program aims to achieve highly miniaturized and (nearly) autonomous sensor systems that assist our health and comfort. Although the application examples are dedicated to human monitoring/assistance, the necessary technology development for this program is generic and can serve many wireless sensor applications. This multi-disciplinary program combines research on wireless ultra-low-power communications, research on 2D/3D integration and packaging platforms, energy scavenging techniques, as well as low-power and ultra-low-power sensor circuit design. An example sensor system is the wearable wireless EEG system.     

Thermoelectric and Photoelectric Dual Modulated Sensors for Human Internet of Things Application in Accurate Fire Recognition and Warning

The emergence of the Internet of Things (IoT) era has necessitated the development of intelligent wearable electronics for fire warning to mitigate fire hazards prior to ignition. Although significant advancements are achieved in thermoelectric materials and devices, the design of a specific thermoelectric wearable device for precision fire warning still remains challenging. In this study, an intelligent sensing system for human IoT fire warning that utilizes a novel light/heat dual-parameter-responsive single-walled carbon nanotube/poly(3-hexylthiophene-2,5-diyl) (SWCNT/P3HT) composite is developed. This system comprises the composite, a circuit microcontroller, and a message transmission system, which together create an intelligent fire source sensing device. The synergistic effect of light and heat is observed to enhance the output voltage and response time under concurrent stimuli, as compared to heating alone. The intelligent sensing system is found to effectively identify and alarm for fire sources, owing to the high thermoelectric and photoelectric performance of the SWCNT/P3HT composite, precise fire recognition, and the ability to adjust the alarming threshold for detecting fire hazards. This study presents a new approach for designing light/heat dual-parameter-responsive materials and wearable devices, which hold potential applications in smart home living environments, including child protection against fire hazards.     

Metal-Organic Framework Reinforced Highly Stretchable and Durable Conductive Hydrogel-Based Triboelectric Nanogenerator for Biomotion Sensing and Wearable Human-Machine Interfaces

Flexible triboelectric nanogenerators (TENGs) with multifunctional sensing capabilities offer an elegant solution to address the growing energy supply challenges for wearable smart electronics. Herein, a highly stretchable and durable electrode for wearable TENG is developed using ZIF-8 as a reinforcing nanofiller in a hydrogel with LiCl electrolyte. ZIF-8 nanocrystals improve the hydrogel's mechanical properties by forming hydrogen bonds with copolymer chains, resulting in 2.7 times greater stretchability than pure hydrogel. The hydrogel electrode is encapsulated by microstructured silicone layers that act as triboelectric materials and prevent water loss from the hydrogel. Optimized ZIF-8-based hydrogel electrodes enhance the output performance of TENG through the dynamic balance of electric double layers (EDLs) during contact electrification. Thus, the as-fabricated TENG delivers an excellent power density of 3.47 Wm^–2, which is 3.2 times higher than pure hydrogel-based TENG. The developed TENG can scavenge biomechanical energy even at subzero temperatures to power small electronics and serve as excellent self-powered pressure sensors for human-machine interfaces (HMIs). The nanocomposite hydrogel-based TENG can also function as a wearable biomotion sensor, detecting body movements with high sensitivity. This study demonstrates the significant potential of utilizing ZIF-8 reinforced hydrogel as an electrode for wearable TENGs in energy harvesting and sensor technology.     

A “Two-Part” Resonance Circuit based Detachable Sweat Patch for Noninvasive Biochemical and Biophysical Sensing

Wearable electronics play important roles in noninvasive, continuous, and personalized monitoring of multiple biosignals generated by the body. To unleash their full potential for the next-generation human-centered bio-integrated electronics, wireless sensing capability is a desirable feature. However, state-of-the-art wireless sensing technologies exploit rigid and bulky electronic modules for power supply, signal generation, and data transmission. This study reports a battery-free device technology based on a “two-part” resonance circuit model with modularized, physically separated, and detachable functional units for magnetic coupling and biosensing. The resulting platform combines advantages of electronics and microfluidics with low cost, minimized form factors, and improved performance stability. Demonstration of a detachable sweat patch capable of simultaneous recording of cortisol concentration, pH value, and temperature highlights the potential of the “two-part” circuit for advanced, transformative biosensing. The resulting wireless sensors provide a new engineering solution to monitoring biosignals through intimate and seamless integration with skin surfaces.     

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.     

Wireless wearable network and wireless body-centric network for future wearable computer

The wireless wearable network and wireless body-centric network can assistant to the user anywhere at anytime communicating with wireless components seamlessly. In this paper, the wireless wearable network and wireless body-centric network have been discussed, and the frequency band and human body effect has been estimated. The bluetooth and UWB technology can be used to construct the narrow band and the broad band wireless wearable network and wireless body-centric network separately. Further, the narrow band wireless wearable network and wireless body-centric network based on bluetooth technology has been constructed by integrated planar inverted-F antenna and the communication channel character has been studied by measurement. The results can provide the possibility of producing a prototype radio system that can be integrated with the wearable computers by suitable wireless technologies developed and applied to facilitate a reliable and continuous connectivity between the system units.     

A low power wireless node for contact and contactless heart monitoring

Ubiquitous vital signs sensing and processing are promising alternatives to conventional clinical and ambulatory healthcare. Novel sensors, low power solutions for processing and wireless connectivity are creating new opportunities for wearable devices which allow continuous and long term monitoring, while maintaining freedom of movement for the users. This paper presents a low-power embedded platform with novel high sensitivity electric potential dry surface sensors that can be used in either contact or non-contact mode to measure biomedical signals. The proposed low power system is optimized to compute the heart rate and respiratory rate close to the sensors. This approach reduces the amount of data that needs to be transmitted to a host device. It allows also the platform to be autonomous and wearable or even be used in cars for applications such as driver drowsiness detection. Experimental measurements show the acquisition and the processing of data from sensors and the low power consumption achieved with the node in different modes of operation.     

Super-Stretchable,Anti-Freezing,Anti-Drying Organogel Ionic Conductor for Multi-Mode Flexible Electronics

Due to their intrinsic flexibility, tunable conductivity, multiple stimulus-response, and self-healing ability, ionic conductive hydrogels have drawn significant attention in flexible/wearable electronics. However, challenges remain because traditional hydrogels inevitably faced the problems of losing flexibility and conductivity because of the inner water loss when exposed to the ambient environment. Besides, the water inside the hydrogel will freeze at the water icing temperatures, making the device hard and fragile. As a promising alternative, organogels have attracted wide attention because they can, to some extent, overcome the above drawbacks. Herein, a kind of organogel ionic conductor (MOIC) by a self-polymerization reaction is involved, which is super stretchable, anti-drying, and anti-freezing. Meanwhile, it can still maintain high mechanical stability after alternately loading/unloading at the strain of 600% for 600 s (1800 cycles). Using this MOIC, high-performance triboelectric nanogenerator (TENG) is constructed (MOIC-TENG) to harvest small mechanical energy even the MOIC electrode underwent an extremely low temperature. In addition, multifunctional flexible/wearable sensors (strain sensor, piezoresistive sensor, and tactile sensor) are realized to monitor human motions in real time, and recognize different materials by triboelectric effect. This study demonstrates a promising candidate material for flexible/wearable electronics such as electronic skin, flexible sensors, and human-machine interfaces.     

A Robust Wearable Point-of-Care CNT-Based Strain Sensor for Wirelessly Monitoring Throat-Related Illnesses

Point-of-care testing (POC) has the ability to detect chronic and infectious diseases early or at the time of occurrence and provide a state-of-the-art personalized healthcare system. Recently, wearable and flexible sensors have been employed to analyze sweat, glucose, blood, and human skin conditions. However, a flexible sensing system that allows for the real-time monitoring of throat-related illnesses, such as salivary parotid gland swelling caused by flu and mumps, is necessary. Here, for the first time, a wearable, highly flexible, and stretchable piezoresistive sensing patch based on carbon nanotubes (CNTs) is reported, which can record muscle expansion or relaxation in real-time, and thus act as a next-generation POC sensor. The patch offers an excellent gauge factor for in-plane stretching and spatial expansion with low hysteresis. The actual extent of muscle expansion is calculated and the gauge factor for applications entailing volumetric deformations is redefined. Additionally, a bluetooth-low-energy system that tracks muscle activity in real-time and transmits the output signals wirelessly to a smartphone app is utilized. Numerical calculations verify that the low stress and strain lead to excellent mechanical reliability and repeatability. Finally, a dummy muscle is inflated using a pneumatic-based actuator to demonstrate the application of the affixed wearable next-generation POC sensor.     

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.     

Rapid Fabrication of Soft,Multilayered Electronics for Wearable Biomonitoring

Soft integrated electronics are key components for emerging applications in wearable biomonitoring, soft co‐robotics, and physical human–machine interaction. They are composed of soft and elastically deformable circuits and sensors that are combined with packaged microelectronics for signal processing, power regulation, and communication. While promising, widespread use of soft wearable electronics is currently limited by the lack of robust fabrication techniques to rapidly, efficiently, and precisely assemble soft and rigid components into multilayered systems. Here, an efficient digital fabrication approach is presented to create highly customizable wearable electronics through rapid laser machining and adhesion controlled soft materials assembly. Well aligned, multilayered materials are created from 2D and 3D elements that stretch and bend while seamlessly integrating with rigid components such as microchip integrated circuits, discrete electrical components, and interconnects. These techniques are applied using commercially available materials and components and the fabrication of thin, lightweight, customized sensor skins is demonstrated in under an hour. These fully integrated wireless devices conformably bond to the hand and are successfully used for monitoring hand gesture, pulse rate, and blood oxygenation. These materials and methods enable custom wearable electronics while offering versatility in design and functionality for a variety of applications through material selection and construction.