An ultralow power wearable vital sign sensor using an electromagnetically reactive near field.

Despite coronavirus disease 2019, cardiovascular disease, the leading cause of global death, requires timely detection and treatment for a high survival rate, underscoring the 24 h monitoring of vital signs. Therefore, telehealth using wearable devices with vital sign sensors is not only a fundamental response against the pandemic but a solution to provide prompt healthcare for the patients in remote sites. Former technologies which measured a couple of vital signs had features that disturbed practical applications to wearable devices, such as heavy power consumption. Here, we suggest an ultralow power (100 µW) sensor that collects all cardiopulmonary vital signs, including blood pressure, heart rate, and the respiration signal. The small and lightweight (2 g) sensor designed to be easily embedded in the flexible wristband generates an electromagnetically reactive near field to monitor the contraction and relaxation of the radial artery. The proposed ultralow power sensor measuring noninvasively continuous and accurate cardiopulmonary vital signs at once will be one of the most promising sensors for wearable devices to bring telehealth to our lives.

An On-/Off-Time Sensing-Based Load-Adaptive Mode Control of Triple Mode Buck Converter for Implantable Medical Devices.

Wireless power transfer (WPT) technology applied to implantable medical devices (IMDs) significantly reduces the need for battery replacement surgery health conditions. This paper presents an on-/off-time sensing-based load-adaptive mode control of triple mode buck converter for implantable medical devices; the converter can adjust the control mode for low power consumption and achieve high power conversion efficiency (PCE) under a small active area. The three modes in the proposed system are the pulse width modulation (PWM), pulse frequency modulation (PFM), and ultra-low power (ULP) modes. The on-time sensor can be used to adjust the system from PWM to PFM modes, and the off-time sensor can be used to adjust the system from PFM to ULP modes. It is fabricated using TSMC 0.18 µm CMOS technology. The input voltage lies in the range 2.2-5.0 V, the output voltage is 1.8 V, and the load current lies in the range 0.05-200 mA (x4000). The experimental results demonstrate the seamless mode transition under the step up/down load transient response. The peak PCE is approximately 94.3% at the 80 mA and the minimum PCE is approximately 65.4% within the load current range.

Minimally Invasive Implant Type Electromagnetic Biosensor for Continuous Glucose Monitoring System: In Vivo Evaluation.

OBJECTIVE: Continuous glucose monitoring system (CGMS) is growing popular and preferred by diabetes over conventional methods of self-blood glucose monitoring (SBGM) systems. However, currently available commercial CGMS in the market is useful for few days to few months. This paper presents a durable, highly sensitive and minimally invasive implant type electromagnetic sensor for continuous glucose monitoring that is capable of tracking minute changes in blood glucose level (BGL). METHODS: The proposed sensor utilizes strong oscillating nearfield to detect minute changes in dielectric permittivity of interstitial fluid (ISF) and blood due to changes in BGL. A biocompatible packaging material is used to cover the sensor. It helps in minimizing foreign body reactions (FBR) and improves stability of the sensor. RESULTS: The performance of the proposed sensor was evaluated on live rodent models (C57BL/6J mouse and Sprague Dawley rat) through intravenous glucose and insulin tolerance tests. Biocompatible polyolefin was used as the sensor packaging material, and the effect of packaging thickness on the sensitivity of sensor was examined in in-vivo test. Proposed sensor could track real-time BGL change measured with a commercial blood glucose meter. High linear correlation (R2 > 0.9) with measured BGL was observed during in vivo experiments. CONCLUSION: The experimental results demonstrate that the proposed sensor is suitable for long term CGMS applications with a high accuracy. SIGNIFICANCE: Present work offers a new perspective towards development of long term CGM system using electromagnetic based implant sensor. The in vivo evaluation of the sensor shows excellent tracking of BGL changes.

A 13.56 MHz Wireless Power Transfer System With Fully Integrated PLL-Based Frequency-Regulated Reconfigurable Duty Control for Implantable Medical Devices.

In this paper, a 13.56 MHz wireless power transfer system with transmitter (TX) and receiver (RX) chips is presented. Both TX and RX chips were designed with fully integrated reconfigurable single power stage to realize adaptive power delivery and output voltage regulation. The reconfigurable operation of TX and RX is synchronized and the reconfiguration frequency which could vary with coupling or loading condition is locked by the proposed phase-locked-loop-based on-time duty controller to mitigate the electromagnetic interference. In addition, calibrations for circuit delay and power switch size were implemented in the RX chip to enhance system efficiency further. The system complexity is reduced considerably by removing the successive power stages and off-chip controllers used in previous studies. The TX and RX chips were fabricated in TSMC 0.18 µm CMOS process. The measurement results demonstrated seamless output voltage regulation under an output power range from 4.2 mW to 162 mW and a peak end-to-end efficiency of 70.1%.

Subcutaneously implantable electromagnetic biosensor system for continuous glucose monitoring.

Continuous glucose monitoring systems (CGMS) are becoming increasingly popular in diabetes management compared to conventional methods of self-blood glucose monitoring systems. They help understanding physiological responses towards nutrition intake, physical activities in everyday life and glucose control. CGMS available in market are of two types based on their working principle. Needle type systems with few weeks lifespan (e.g., enzyme-based Freestyle Libre) and implant type system (e.g., fluorescence-based Senseonics) with few months of lifespan are commercially available. An alternate to both working methods, herein, we propose electromagnetic-based sensor that can be subcutaneously implanted and capable of tracking minute changes in dielectric permittivity owing to changes in blood glucose level (BGL). Proof-of-concept of proposed electromagnetic-based implant sensor has been validated in intravenous glucose tolerance test (IVGTT) conducted on swine and beagle in a controlled environment. Sensor interface modules, mobile applications, and glucose mapping algorithms are also developed for continuous measurement in a freely moving beagle during oral glucose tolerance test (OGTT). The results of the short-term (1 h, IVGTT) and long-term (52 h, OGTT) test are summarized in this work. A close trend is observed between sensor frequency and BGL during GTT experiments on both animal species.

A 6.78 MHz, 95.0% Peak Efficiency Monolithic Two-Dimensional Calibrated Active Rectifier for Wirelessly Powered Implantable Biomedical Devices.

In this paper, a fully integrated active rectifier with triple feedback loops is proposed to enhance power conversion efficiency (PCE) over a wide loading range by calibrating both the gate transition timing and power switch size. The on- and off-transitions of the power switches are calibrated using a hybrid delay-based gate control circuit (HDGCC) with hybrid feedback loops. Conventional active rectifiers that only focused on calibrating the gate transition timing of a NMOS power switch with a fixed power switch size exhibit a low PCE when the loading condition deviates from the predetermined range. Thus, an automatic size selector based on a third feedback loop is proposed, which changes the power switch size based on the loading condition and ensures a stable operation of the hybrid loops by maintaining the voltage drop across the NMOS switches. An active rectifier was fabricated using the standard 0.18 µm CMOS process. The effectiveness and robustness of the two-dimensional calibration were verified through measurements under an AC input voltage ranging from 2.5 to 5.0 V and an output power ranging from 1.25 to 125 mW. The peak voltage conversion ratio and peak PCE were 97.6% and 95.0%, respectively, at RL = 500 Ω.

Experimental Realization of Zenneck Type Wave-based Non-Radiative, Non-Coupled Wireless Power Transmission.

A decade ago, non-radiative wireless power transmission re-emerged as a promising alternative to deliver electrical power to devices where a physical wiring proved impracticable. However, conventional "coupling-based" approaches face performance issues when multiple devices are involved, as they are restricted by factors like coupling and external environments. Zenneck waves are excited at interfaces, like surface plasmons and have the potential to deliver electrical power to devices placed on a conducting surface. Here, we demonstrate, efficient and long range delivery of electrical power by exciting non-radiative waves over metal surfaces to multiple loads. Our modeling and simulation using Maxwell's equation with proper boundary conditions shows Zenneck type behavior for the excited waves and are in excellent agreement with experimental results. In conclusion, we physically realize a radically different class of power transfer system, based on a wave, whose existence has been fiercely debated for over a century.

Transparent and flexible fingerprint sensor array with multiplexed detection of tactile pressure and skin temperature.

We developed a transparent and flexible, capacitive fingerprint sensor array with multiplexed, simultaneous detection of tactile pressure and finger skin temperature for mobile smart devices. In our approach, networks of hybrid nanostructures using ultra-long metal nanofibers and finer nanowires were formed as transparent, flexible electrodes of a multifunctional sensor array. These sensors exhibited excellent optoelectronic properties and outstanding reliability against mechanical bending. This fingerprint sensor array has a high resolution with good transparency. This sensor offers a capacitance variation ~17 times better than the variation for the same sensor pattern using conventional ITO electrodes. This sensor with the hybrid electrode also operates at high frequencies with negligible degradation in its performance against various noise signals from mobile devices. Furthermore, this fingerprint sensor array can be integrated with all transparent forms of tactile pressure sensors and skin temperature sensors, to enable the detection of a finger pressing on the display.

Soft, smart contact lenses with integrations of wireless circuits, glucose sensors, and displays.

Recent advances in wearable electronics combined with wireless communications are essential to the realization of medical applications through health monitoring technologies. For example, a smart contact lens, which is capable of monitoring the physiological information of the eye and tear fluid, could provide real-time, noninvasive medical diagnostics. However, previous reports concerning the smart contact lens have indicated that opaque and brittle components have been used to enable the operation of the electronic device, and this could block the user's vision and potentially damage the eye. In addition, the use of expensive and bulky equipment to measure signals from the contact lens sensors could interfere with the user's external activities. Thus, we report an unconventional approach for the fabrication of a soft, smart contact lens in which glucose sensors, wireless power transfer circuits, and display pixels to visualize sensing signals in real time are fully integrated using transparent and stretchable nanostructures. The integration of this display into the smart lens eliminates the need for additional, bulky measurement equipment. This soft, smart contact lens can be transparent, providing a clear view by matching the refractive indices of its locally patterned areas. The resulting soft, smart contact lens provides real-time, wireless operation, and there are in vivo tests to monitor the glucose concentration in tears (suitable for determining the fasting glucose level in the tears of diabetic patients) and, simultaneously, to provide sensing results through the contact lens display.

Stretchable Dual-Capacitor Multi-Sensor for Touch-Curvature-Pressure-Strain Sensing.

We introduce a new type of multi-functional capacitive sensor that can sense several different external stimuli. It is fabricated only with polydimethylsiloxane (PDMS) films and silver nanowire electrodes by using selective oxygen plasma treatment method without photolithography and etching processes. Differently from the conventional single-capacitor multi-functional sensors, our new multi-functional sensor is composed of two vertically-stacked capacitors (dual-capacitor). The unique dual-capacitor structure can detect the type and strength of external stimuli including curvature, pressure, strain, and touch with clear distinction, and it can also detect the surface-normal directionality of curvature, pressure, and touch. Meanwhile, the conventional single-capacitor sensor has ambiguity in distinguishing curvature and pressure and it can detect only the strength of external stimulus. The type, directionality, and strength of external stimulus can be determined based on the relative capacitance changes of the two stacked capacitors. Additionally, the logical flow reflected on a tree structure with its branches reaching the direction and strength of the corresponding external stimulus unambiguously is devised. This logical flow can be readily implemented in the sensor driving circuit if the dual-capacitor sensor is commercialized actually in the future.

Wearable smart sensor systems integrated on soft contact lenses for wireless ocular diagnostics.

Wearable contact lenses which can monitor physiological parameters have attracted substantial interests due to the capability of direct detection of biomarkers contained in body fluids. However, previously reported contact lens sensors can only monitor a single analyte at a time. Furthermore, such ocular contact lenses generally obstruct the field of vision of the subject. Here, we developed a multifunctional contact lens sensor that alleviates some of these limitations since it was developed on an actual ocular contact lens. It was also designed to monitor glucose within tears, as well as intraocular pressure using the resistance and capacitance of the electronic device. Furthermore, in-vivo and in-vitro tests using a live rabbit and bovine eyeball demonstrated its reliable operation. Our developed contact lens sensor can measure the glucose level in tear fluid and intraocular pressure simultaneously but yet independently based on different electrical responses.

Wearable, wireless gas sensors using highly stretchable and transparent structures of nanowires and graphene.

Herein, we report the fabrication of a highly stretchable, transparent gas sensor based on silver nanowire-graphene hybrid nanostructures. Due to its superb mechanical and optical characteristics, the fabricated sensor demonstrates outstanding and stable performances even under extreme mechanical deformation (stable until 20% of strain). The integration of a Bluetooth system or an inductive antenna enables the wireless operation of the sensor. In addition, the mechanical robustness of the materials allows the device to be transferred onto various nonplanar substrates, including a watch, a bicycle light, and the leaves of live plants, thereby achieving next-generation sensing electronics for the 'Internet of Things' area.

Highly transparent and stretchable field-effect transistor sensors using graphene-nanowire hybrid nanostructures.

Transparent and stretchable electronics with remarkable bendability, conformability, and lightness are the key attributes for sensing or wearable devices. Transparent and stretchable field-effect transistor sensors using graphene-metal nanowire hybrid nanostructures have high mobility (≈3000 cm(2) V(-1) s(-1) ) with low contact resistance, and they are transferrable onto a variety of substrates. The integration of these sensors for RLC circuits enables wireless monitoring.

Tissue-informative mechanism for wearable non-invasive continuous blood pressure monitoring.

Accurate continuous direct measurement of the blood pressure is currently available thru direct invasive methods via intravascular needles, and is mostly limited to use during surgical procedures or in the intensive care unit (ICU). Non-invasive methods that are mostly based on auscultation or cuff oscillometric principles do provide relatively accurate measurement of blood pressure. However, they mostly involve physical inconveniences such as pressure or stress on the human body. Here, we introduce a new non-invasive mechanism of tissue-informative measurement, where an experimental phenomenon called subcutaneous tissue pressure equilibrium is revealed and related for application in detection of absolute blood pressure. A prototype was experimentally verified to provide an absolute blood pressure measurement by wearing a watch-type measurement module that does not cause any discomfort. This work is supposed to contribute remarkably to the advancement of continuous non-invasive mobile devices for 24-7 daily-life ambulatory blood-pressure monitoring.

In-situ synthesis of carbon nanotube-graphite electronic devices and their integrations onto surfaces of live plants and insects.

Here we report an unconventional approach for the single-step synthesis of monolithically integrated electronic devices based on multidimensional carbon structures. Integrated arrays of field-effect transistors and sensors composed of carbon nanotube channels and graphitic electrodes and interconnects were formed directly from the synthesis. These fully integrated, all-carbon devices are highly flexible and can be transferred onto both planar and nonplanar substrates, including papers, clothes, and fingernails. Furthermore, the sensor network can be interfaced with inherent life forms in nature for monitoring environmental conditions. Examples of significant applications are the integration of the devices to live plants or insects for real-time, wireless sensing of toxic gases.