An Autonomous Implantable Device for the Prevention of Death from Opioid Overdose.

Opioid overdose accounts for nearly 75,000 deaths per year in the United States, representing a leading cause of mortality amongst the prime working age population (25-54 years). At overdose levels, opioid-induced respiratory depression becomes fatal without timely administration of the rescue drug naloxone. Currently, overdose survival relies entirely on bystander intervention, requiring a nearby person to discover and identify the overdosed individual, and have immediate access to naloxone to administer. Government efforts have focused on providing naloxone in abundance but do not address the equally critical component for overdose rescue: a willing and informed bystander. To address this unmet need, we developed the Naloximeter: a class of life-saving implantable devices that autonomously detect and treat overdose, with the ability to simultaneously contact first-responders. We present three Naloximeter platforms, for both fundamental research and clinical translation, all equipped with optical sensors, drug delivery mechanisms, and a supporting ecosystem of technology to counteract opioid-induced respiratory depression. In small and large animal studies, the Naloximeter rescues from otherwise fatal opioid overdose within minutes. This work introduces life-changing, clinically translatable technologies that broadly benefit a susceptible population recovering from opioid use disorder.

Sustainable Biofilm Inhibition Using Chitosan-Mesoporous Nanoparticle-Based Hybrid Slippery Composites.

In recent decades, extensive research has been directed toward mitigating microbial contamination and preventing biofilm formation. However, many conventional antibiofilm methods rely on hazardous and toxic substances, neglecting potential risks to human health and the environment. Moreover, these approaches often rely on single-strategy mechanisms, utilizing either bactericidal or fouling-resistant agents, which have shown limited efficacy in long-term biofilm suppression. In this study, we propose an efficient and sustainable biofilm-resistant slippery hybrid slippery composite. This composite integrates nontoxic and environmentally friendly materials including chitosan, silicone oil-infused polydimethylsiloxane, and mesoporous silica nanoparticles in a synergistic manner. Leveraging the bacteria-killing properties of chitosan and the antifouling capabilities of the silicone oil layer, the hybrid composite exhibits robust antibiofilm performance against both Gram-positive and Gram-negative bacteria. Furthermore, the inclusion of mesoporous silica nanoparticles enhances the oil absorption capacity and self-replenishing properties, ensuring exceptional biofilm inhibition even under harsh conditions such as exposure to high shear flow and prolonged incubation (7 days). This approach offers promising prospects for developing effective biofilm-resistant materials with a reduced environmental impact and improved long-term performance.

A Sensorized Soft Robotic Hand with Adhesive Fingertips for Multimode Grasping and Manipulation.

Soft robotic grippers excel at achieving conformal and reliable contact with objects without the need for complex control algorithms. However, they still lack in grasp and manipulation abilities compared with human hands. In this study, we present a sensorized multi-fingered soft gripper with bioinspired adhesive fingertips that can provide both fingertip-based adhesion grasping and finger-based form closure grasping modes. The gripper incorporates mushroom-like microstructures on its adhesive fingertips, enabling robust adhesion through uniform load shearing. A single fingertip exhibits a maximum load capacity of 4.18 N against a flat substrate. The soft fingers have multiple joints, and each joint can be independently actuated through pneumatic control. This enables diverse bending motions and stable grasping of various objects, with a maximum load capacity of 28.29 N for three fingers. In addition, the soft gripper is equipped with a kirigami-patterned stretchable sensor for motion monitoring and control. We demonstrate the effectiveness of our design by successfully grasping and manipulating a diverse range of objects with varying shapes, sizes, and curvatures. Moreover, we present the practical application of our sensorized soft gripper for remotely controlled cooking.

3D Printable Self-Adhesive and Self-Healing Ionotronic Hydrogels for Wearable Healthcare Devices.

Ionotronic hydrogels have attracted significant attention in emerging fields such as wearable devices, flexible electronics, and energy devices. To date, the design of multifunctional ionotronic hydrogels with strong interfacial adhesion, rapid self-healing, three-dimensional (3D) printing processability, and high conductivity are key requirements for future wearable devices. Herein, we report the rational design and facile synthesis of 3D printable, self-adhesive, self-healing, and conductive ionotronic hydrogels based on the synergistic dual reversible interactions of poly(vinyl alcohol), borax, pectin, and tannic acid. Multifunctional ionotronic hydrogels exhibit strong adhesion to various substrates with different roughness and chemical components, including porcine skin, glass, nitrile gloves, and plastics (normal adhesion strength of 55 kPa on the skin). In addition, the ionotronic hydrogels exhibit intrinsic ionic conductivity imparting strain-sensing properties with a gauge factor of 2.5 up to a wide detection range of approximately 2000%, as well as improved self-healing behavior. Based on these multifunctional properties, we further demonstrate the use of ionotronic hydrogels in the 3D printing process for implementing complex patterns as wearable strain sensors for human motion detection. This study is expected to provide a new avenue for the design of multifunctional ionotronic hydrogels, enabling their potential applications in wearable healthcare devices.

Self-Assembled Artificial Nanocilia Actuators.

Self-assembly of nanoparticles (NPs) is a powerful route to constructing higher-order structures. However, the programmed self-assembly of NPs into non-close-packed, 3D, shape-morphing nanocilia arrays remains elusive, whereas dynamically actuated nanometer cilia are universal in living systems. Here, a programmable self-assembly strategy is presented that can direct magnetic NPs into a highly ordered responsive artificial nanocilia actuator with exquisite nanometer 3D structural arrangements. The self-assembled artificial NP cilia can maintain their structural integrity through the interplay of interparticle interactions. Interestingly, the nanocilia can exhibit a field-responsive actuation motion through "rolling and sliding" between assembled NPs rather than bending the entire ciliary beam. It is demonstrated that oleic acid coated over the NPs acts as a lubricating bearing and enables the rolling/sliding-based actuation of the cilia.

Biofouling-resistant tubular fluidic devices with magneto-responsive dynamic walls.

Biofouling of tubular fluidic devices limits the stability, accuracy, and long-term uses of lab-on-a-chip systems. Healthcare-associated infection by biofilm formations on body-indwelling and extracorporeal tubular medical devices is also a major cause of mortality and morbidity in patients. Although diverse antifouling techniques have been developed to prevent bacterial contamination of fluidic devices based on antimicrobial materials or nanoscale architectures, they still have limitations in biocompatibility, long-term activity, and durability. In this study, a new conceptual tubular fluidic device model that can effectively suppress bacterial contamination based on dynamic surface motions without using bactericidal materials or nanostructures is proposed. The fluidic device is composed of a magneto-responsive multilayered composite. The composite tube can generate dynamic surface deformation with controlled geometries along its inner wall in response to a remote magnetic field. The magnetic field-derived surface wave induces the generation of vortices near the inner wall surface of the tube, enabling sweeping of bacterial cells from the surface. As a result, the dynamic composite tube could effectively prevent biofilm formation for an extended time of 14 days without surface modification with chemical substances or nanostructures.

A Pressure-Insensitive Self-Attachable Flexible Strain Sensor with Bioinspired Adhesive and Active CNT Layers.

Flexible tactile sensors are required to maintain conformal contact with target objects and to differentiate different tactile stimuli such as strain and pressure to achieve high sensing performance. However, many existing tactile sensors do not have the ability to distinguish strain from pressure. Moreover, because they lack intrinsic adhesion capability, they require additional adhesive tapes for surface attachment. Herein, we present a self-attachable, pressure-insensitive strain sensor that can firmly adhere to target objects and selectively perceive tensile strain with high sensitivity. The proposed strain sensor is mainly composed of a bioinspired micropillar adhesive layer and a selectively coated active carbon nanotube (CNT) layer. We show that the bioinspired adhesive layer enables strong self-attachment of the sensor to diverse planar and nonplanar surfaces with a maximum adhesion strength of 257 kPa, while the thin film configuration of the patterned CNT layer enables high strain sensitivity (gauge factor (GF) of 2.26) and pressure insensitivity.

Multifunctional Smart Ball Sensor for Wireless Structural Health Monitoring in a Fire Situation.

A variety of sensor systems have been developed to monitor the structural health status of buildings and infrastructures. However, most sensor systems for structural health monitoring (SHM) are difficult to use in extreme conditions, such as a fire situation, because of their vulnerability to high temperature and physical shocks, as well as time-consuming installation process. Here, we present a smart ball sensor (SBS) that can be immediately installed on surfaces of structures, stably measure vital SHM data in real time and wirelessly transmit the data in a high-temperature fire situation. The smart ball sensor mainly consists of sensor and data transmission module, heat insulator and adhesive module. With the integrated device configuration, the SBS can be strongly attached to the target surface with maximum adhesion force of 233.7-N and stably detect acceleration and temperature of the structure without damaging the key modules of the systems even at high temperatures of up to 500 °C while ensuring wireless transmission of the data. Field tests for a model pre-engineered building (PEB) structure demonstrate the validity of the smart ball sensor as an instantly deployable, high-temperature SHM system. This SBS can be used for SHM of a wider variety of structures and buildings beyond PEB structures.

A Tough Polysaccharide-Based Hydrogel with an On-Demand Dissolution Feature for Chronic Wound Care through Light-Induced Ultrafast Degradation.

Repeatedly changing dressings during wound healing can cause unbearable physical pain for patients with chronic skin injury. In this study, we designed a tough hydrogel-based dressing that can be degraded in an on-demand fashion for advanced chronic wound care. The resultant hydrogel dressing could be rapidly dissolved within 100 s after wetting with lithium phenyl(2,4,6-trimethylbenzonyl)phosphinate solution under low-power (1 W) ultraviolet (UV) irradiation (365 nm) owing to the breakage of disulfide bonds. This UV-triggered on-demand dissolution of tough hydrogels allows for a facile dressing replacement without causing tissue damage or pain, which is of great potential for clinical utilization.

Hydrogel Nanospike Patch as a Flexible Anti-Pathogenic Scaffold for Regulating Stem Cell Behavior.

Vertically aligned nanomaterials, such as nanowires and nanoneedles, hold strong potential as efficient platforms onto which living cells or tissues can be interfaced for use in advanced biomedical applications. However, their rigid mechanical properties and complex fabrication processes hinder their integration onto flexible, tissue-adaptable, and large-area patch-type scaffolds, limiting their practical applications. In this study, we present a highly flexible patch that possesses a spiky hydrogel nanostructure array as a transplantable platform for enhancing the growth and differentiation of stem cells and efficiently suppressing biofilm formation. In vitro studies show that the hydrogel nanospike patch imposes a strong physical stimulus to the membranes of stem cells and enhances their osteogenic, chondrogenic, and adipogenic differentiation and the secretion of crucial soluble factors without altering cell viability. At the same time, the array exhibits effective bactericidal properties against Gram-positive and Gram-negative bacteria. In vivo studies further demonstrate that the flexible hydrogel patch with its spiky vertical nanostructures significantly promotes the regeneration of damaged cranial bone tissues while suppressing pathogenic bacterial infections in mouse models.

Lipid-Hydrogel-Nanostructure Hybrids as Robust Biofilm-Resistant Polymeric Materials.

Despite extensive efforts toward developing antibiofilm materials, efficient prevention of biofilm formation remains challenging. Approaches based on a single strategy using either bactericidal material, antifouling coatings, or nanopatterning have shown limited performance in the prevention of biofilm formation. This study presents a hybrid strategy based on a lipid-hydrogel-nanotopography hybrid for the development of a highly efficient and durable biofilm-resistant material. The hybrid material consists of nanostructured antifouling, biocompatible polyethylene glycol-based polymer grafted with an antifouling zwitterionic polymer of 2-methacryloyloxyethyl phosphorylcholine. Based on the unique composite nanostructures, the lipid-hydrogel-nanostructure hybrid exhibits superior dual functionalities of antifouling and bactericidal activities against Gram-negative and Gram-positive bacteria, compared with those of surfaces with simple nanostructures or antifouling coatings. Additionally, it preserves the robust antibiofilm activity even when the material is damaged under external mechanical stimuli thanks to the polymeric composite nanostructure.

Hybrid Architectures of Heterogeneous Carbon Nanotube Composite Microstructures Enable Multiaxial Strain Perception with High Sensitivity and Ultrabroad Sensing Range.

Low-dimensional nanomaterials are widely adopted as active sensing elements for electronic skins. When the nanomaterials are integrated with microscale architectures, the performance of the electronic skin is significantly altered. Here, it is shown that a high-performance flexible and stretchable electronic skin can be produced by incorporating a piezoresistive carbon nanotube composite into a hierarchical topography of micropillar-wrinkle hybrid architectures that mimic wrinkles and folds in human skin. Owing to the unique hierarchical topography of the hybrid architectures, the hybrid electronic skin exhibits versatile and superior sensing performance, which includes multiaxial force detection (normal, bending, and tensile stresses), remarkable sensitivity (20.9 kPa-1 , 17.7 mm-1 , and gauge factor of 707 each for normal, bending, and tensile stresses), ultrabroad sensing range (normal stress = 0-270 kPa, bending radius of curvature = 1-6.5 mm, and tensile strain = 0-50%), sensing tunability, fast response time (24 ms), and high durability (>10 000 cycles). Measurements of spatial distributions of diverse mechanical stimuli are also demonstrated with the multipixel electronic skin. The stress-strain behavior of the hybrid structure is investigated by finite element analysis to elucidate the underlying principle of the superior sensing performance of the electronic skin.

Tunable Multimodal Drop Bouncing Dynamics and Anti-Icing Performance of a Magnetically Responsive Hair Array.

Anti-icing materials that can efficiently limit ice formation have a strong potential to replace existing anti-icing techniques, such as Joule heating, chemical release, or mechanical removal, which are usually inefficient, expensive, and environmentally harmful. In this study, an anti-icing material based on a magnetically responsive hierarchical hair array that can actively modulate drop bouncing dynamics is presented. The magnetically responsive hair array exhibits an immediate and reversible structural bending motion in response to an external magnetic field. The array also exhibits superhydrophobicity, regardless of its tilt angle, due to the tapered geometry of the hairs and the multiscale surface roughness of the array. Due to its dynamic structure and water-repellent characteristics, the array can induce distinct multiple modes of drop bouncing behavior by adjusting its structural bending state in a reversible fashion. Three different types of bouncing behavior, namely, quasi-pancake bouncing, directional bouncing, and macrotexture-induced droplet fragmentation, can be obtained with the vertical, tilted, and fully bent hair arrays, respectively. We demonstrate that the dynamically controllable drop bouncing behavior of the magnetically responsive hierarchical array enables the efficient and robust prevention of ice formation and accumulation.

Multifunctional Smart Skin Adhesive Patches for Advanced Health Care.

A skin adhesive patch is the most fundamental and widely used medical device for diverse health-care purposes. Conventional skin adhesive patches have been mainly utilized for routine medical purposes such as wound management, fixation of medical devices, and simple drug release. In contrast to traditional skin adhesive patches, recently developed patches incorporate multiple key functions of bulky medical devices into a thin, flexible patch based on emerging nanomaterials and flexible electronic technologies. Consequently, the meaning of the term "skin adhesive patch" becomes broader and smarter compared to the traditional term. This review summarizes recent efforts undertaken in the development of multifunctional advanced skin adhesive patches, and briefly describes future directions and challenges toward the next generation of smart skin adhesive patches for ubiquitous personalized health care.

Bioinspired reversible hydrogel adhesives for wet and underwater surfaces.

Stable and reversible adhesion to wet surfaces is challenging owing to water molecules at the contact interface. In this study, we develop a hydrogel-based wet adhesive, which can exhibit strong and reversible adhesion to wet and underwater surfaces as well as to dry surfaces. The remarkable wet adhesion of the hydrogel adhesive is realized based on a synergetic integration of bioinspired microarchitectures and water-friendly and water-absorbing properties of the polymeric hydrogel. Under dry conditions, the microstructured hydrogel adhesive exhibits strong van der Waals interaction-based adhesion, while under underwater conditions, it can maximize capillary adhesion. Consequently, the hydrogel adhesive exhibits remarkable adhesion strengths for dry, moist, and submerged substrates. Maximum normal and shear adhesion strengths of 423 and 384, 492 and 340, and 253 and 21 kPa are achieved with the hydrogel adhesive for dry, moist, and submerged substrates, respectively. Our results demonstrate that strong wet and underwater adhesion can be achieved only with the hydrogel-based adhesive with simple microscale architecture.

Partially Cured Photopolymer with Gradient Bingham Plastic Behaviors as a Versatile Deformable Material.

We present rheological and mechanical behaviors of a partially cured photopolymer. When an ultraviolet (UV)-curable resin is exposed to UV light in atmospheric conditions, a partially cured layer is formed on the top of the resin owing to inhibitory effects of oxygen. Interestingly, such a partially cured resin behaves like a Bingham plastic with a yield stress, being a rigid solid at low shear stress and a viscous liquid at high stress. Unlike typical Bingham plastic materials, however, deformation rate saturation is observed with an increase in applied stress, which is attributed to the gradient in the degree of photopolymerization of the resin (termed "gradient Bingham plastic"). This gradient Bingham plastic can be utilized for the robust fabrication of diverse 3D, multiscale structures.

Flexible and Shape-Reconfigurable Hydrogel Interlocking Adhesives for High Adhesion in Wet Environments Based on Anisotropic Swelling of Hydrogel Microstructures.

This study presents wet-responsive, shape-reconfigurable, and flexible hydrogel adhesives that exhibit strong adhesion under wet environments based on reversible interlocking between reconfigurable microhook arrays. The experimental investigation on the swelling behavior and structural characterization of the hydrogel microstructures reveal that the microhook arrays undergo anisotropic swelling and shape transformation upon contact with water. The adhesion between the interlocked microhook arrays is greatly enhanced under wet conditions because of the hydration-triggered shape reconfiguration of the hydrogel microstructures. Furthermore, wet adhesion monotonically increases with water-exposure time. A maximum adhesion force of 79.9 N cm-2 in the shear direction is obtained with the hydrogel microhook array after 20 h of swelling, which is 732.3% greater than that under dry conditions (i.e., 9.6 N cm-2). A simple theoretical model is developed to describe the measured adhesion forces. The results are in good agreement with the experimental data.