A self-powered and supercapacitive microneedle continuous glucose monitoring system with a wide range of glucose detection capabilities.

Continuous detection of sudden changes in blood glucose is essential for individuals with diabetes who have difficulty in maintaining optimal control of their blood glucose levels. Hypoglycemic shock or a hyperglycemic crisis are likely to occurs in patients with diabetes and poses a significant threat to their lives. Currently, commercial continuous glucose monitoring (CGM) has limits in the glucose concentration detection range, which is 40-500 mg/dL, making it difficult to prevent the risk of hyperglycemic shock. In addition, current CGMs are invasive, cause pain and irritation during usage, and expensive. In this research, we overcome these limitations by introducing a novel mechanism to detect glucose concentration using supercapacitors. The developed CGM, which is self-powered and minimally invasive due to the use of microneedles, can detect a wider range of glucose concentrations than commercial sensors. In addition, efficacy and stability were proven through in vitro and in vivo experiments. Thus, this self-powered, microneedle and supercapacitive-type CGM can potentially prevent both hypoglycemic and complications of hyperglycemia without pain and with less power consumption than current commercial sensors.

A fabric-based wearable sensor for continuous monitoring of decubitus ulcer of subjects lying on a bed.

For multifunctional wearable sensing systems, problems related to wireless and continuous communication and soft, noninvasive, and disposable functionality issues should be solved for precise physiological signal detection. To measure the critical transitions of pressure, temperature, and skin impedance when continuous pressure is applied on skin and tissue, we developed a sensor for decubitus ulcers using conventional analog circuitry for wireless and continuous communication in a disposable, breathable fabric-based multifunctional sensing system capable of conformal contact. By integrating the designed wireless communication module into a multifunctional sensor, we obtained sensing data that were sent sequentially and continuously to a customized mobile phone app. With a small-sized and lightweight module, our sensing system operated over 24 h with a coin-cell battery consuming minimum energy for intermittent sensing and transmission. We conducted a pilot test on healthy subjects to evaluate the adequate wireless operation of the multifunctional sensing system when applied to the body. By solving the aforementioned practical problems, including those related to wireless and continuous communication and soft, noninvasive, and disposable functionality issues, our fabric-based multifunctional decubitus ulcer sensor successfully measured applied pressure, skin temperature, and electrical skin impedance.

Interfacial Delamination at Multilayer Thin Films in Semiconductor Devices.

With the evolution of semiconducting industries, thermomechanical failure induced in a multilayered structure with a high aspect ratio during manufacturing and operation has become one of the critical reliability issues. In this work, the effect of thermomechanical stress on the failure of multilayered thin films on Si substrates was studied using analytical calculations and various thermomechanical tests. The residual stress induced during material processing was calculated based on plate bending theory. The calculations enabled the prediction of the weakest region of failure in the thin films. To verify our prediction, additional thermomechanical stress was applied to induce cracking and interfacial delamination by various tests. We assumed that, when accumulated thermomechanical-residual and externally applied mechanical stress becomes larger than a critical value the thin-film cracking or interfacial delamination will occur. The test results agreed well with the prediction based on the analytical calculation in that the film with maximum tensile residual stress is the most vulnerable to failure. These results will provide useful analytical and experimental prediction tools for the failure of multilayered thin films in the device design stage.

A fabric-based multifunctional sensor for the early detection of skin decubitus ulcers.

Monitoring biosignals at the skin interface is necessary to suppress the potential for decubitus ulcers in immobile patients confined to bed. We develop conformally contacted, disposable, and breathable fabric-based electronic devices to detect skin impedance, applied pressure, and temperature, simultaneously. Based on the experimental evaluation of the multifunctional sensors, a combination of robust AgNW electrodes, soft ionogel capacitive pressure sensor, and resistive temperature sensor on fabric provides alarmed the initiation of early-stage decubitus ulcers without signal distortion under the external stimulus. For clinical verification, an animal model is established with a pair of magnets to mimic a human decubitus ulcers model in murine in vivo. The evidence of pressure-induced ischemic injury is confirmed with the naked eye and histological and molecular biomarker analyses. Our multifunctional integrated sensor detects the critical time for early-stage decubitus ulcer, establishing a robust correlation with the biophysical parameters of skin ischemia and integrity, including temperature and impedance.

A Self-Charging Supercapacitor for a Patch-Type Glucose Sensor.

Wearable electronic medical devices measuring continuous biological signals for early disease diagnosis should be small and lightweight for consecutive usability. As a result, there has been an increasing need for new energy supply systems that provide continuous power without any interruption to the operation of the medical devices associated with the use of conventional batteries. In this work, we developed a patch-type self-charging supercapacitor that can measure biological signals with a continuous energy supply without batteries. The glucose oxidase coated on the surface of the microneedle-type glucose sensor encounters glucose in the interstitial fluids of the human body. Electrons created by glucose oxidation operate the self-powered system in which charging begins with the generation of potential differences in supercapacitor electrodes. In an 11 mM glucose solution, the self-powered solid-state supercapacitors (SPSCs) showed a power density of 0.62 mW/cm2, which resulted in self-charging of the supercapacitor. The power density produced by each SPSC with a drop of 11 mM glucose solution was higher than that produced by glucose-based biofuel cells. Consequently, the all-in-one self-powered glucose sensor, with the aid of an Arduino Uno board and appropriate programming, effectively distinguished normal, prediabetic, and diabetic levels from 0.5 mL of solutions absorbed in a laboratory skin model.

Solution-processed graphene oxide electrode for supercapacitors fabricated using low temperature thermal reduction.

We present a low temperature and solution-based fabrication process for reduced graphene oxide (rGO) electrodes for electric double layer capacitors (EDLCs). Through the heat treatment at 180 °C between the spin coatings of graphene oxide (GO) solution, an electrode with loosely stacked GO sheets could be obtained, and the GO base coating was partially reduced. The thickness of the electrodes could be freely controlled as these electrodes were prepared without an additive as a spacer. The GO coating layers were then fully reduced to rGO at a relatively low temperature of 300 °C under ambient atmospheric conditions, not in any chemically reducing environment. Raman spectroscopy and X-ray photoelectron spectroscopy (XPS) results showed that the changes in oxygen functional groups of GO occurred through the heat treatments at 180 and 300 °C, which clearly confirmed the reduction from GO to rGO in the proposed fabrication process at the low thermal reduction temperatures. The structural changes before and after the thermal reduction of GO to rGO analyzed using Molecular Dynamic (MD) simulation showed the same trends as those characterized using Raman spectroscopy and XPS. An EDLC composed of the low temperature reduced rGO-based electrodes and poly(vinyl alcohol)/phosphoric acid (PVA/H3PO4) electrolyte gel was shown to have high specific capacitance of about 240 F g-1 together with excellent energy and power densities of about 33.3 W h kg-1 and 833.3 W kg-1, respectively. Furthermore, a series of multiple rGO-based EDLCs was shown to have fast charging and slow discharging properties that allowed them to light up a white light emitting diode (LED) for 30 min.

Wearable, Luminescent Oxygen Sensor for Transcutaneous Oxygen Monitoring.

We present a new concept for a wearable oxygen (O2) sensor for transcutaneous O2 pressure (tcpO2) monitoring by combining the technologies of luminescent gas sensing and wearable devices. O2 monitoring has been exhaustively studied given its central role in diagnosing various diseases. The ability to quantify the physiological distribution and real-time dynamics of O2 from the subcellular to the macroscopic level is required to fully understand mechanisms associated with both normal physiological and pathological conditions. Despite its profound biological and clinical importance, few effective methods exist for noninvasively quantifying O2 in a physiological setting. The wearable sensor developed here consists of three components: a luminescent sensing film attached onto skin by a carbon tape, an organic light-emitting diode (OLED) as a light source, and an organic photodiode (OPD) as a light detector. All the components are solution-processable and integrated on a plane in a bandage-like configuration. To verify the performance, tcpO2 variations by pressure-induced occlusion were measured in the lower arm and a thumb by the wearable sensor, and the results were comparable to those measured by a commercial instrument. In addition to its flexibility, other features of this sensor render it a potential low-cost solution for the simultaneous monitoring of tcpO2 in any part of a body.

Highly Conformable, Transparent Electrodes for Epidermal Electronics.

We present a highly conformable, stretchable, and transparent electrode for application in epidermal electronics based on polydimethylsiloxane (PDMS) and Ag nanowire (AgNW) networks. With the addition of a small amount of a commercially available nonionic surfactant, Triton X, PDMS became highly adhesive and mechanically compliant, key factors for the development of conformable and stretchable substrates. The polar functional groups present in Triton X interacted with the Pt catalyst present in the PDMS curing agent, thereby hindering the cross-linking reaction of PDMS and modulating the mechanical properties of the polymer. Due to the strong interactions that occur between the polar functional groups of Triton X and AgNWs, AgNWs were effectively embedded in the adhesive PDMS (a-PDMS) matrix, and the highly enhanced conformability, mechanical stretchability, and transparency of the a-PDMS matrix were maintained in the resulting AgNW-embedded a-PDMS matrix. Finally, wearable strain and electrocardiogram (ECG) sensors were fabricated from the AgNW-embedded a-PDMS. The a-PDMS-based strain and ECG sensors exhibited significantly improved sensing performances compared with those of the bare PDMS-based sensors because of the better stretchability and conformability to the skin of the former sensors.