A soft and ultrasensitive force sensing diaphragm for probing cardiac organoids instantaneously and wirelessly.

Time-lapse mechanical properties of stem cell derived cardiac organoids are important biological cues for understanding contraction dynamics of human heart tissues, cardiovascular functions and diseases. However, it remains difficult to directly, instantaneously and accurately characterize such mechanical properties in real-time and in situ because cardiac organoids are topologically complex, three-dimensional soft tissues suspended in biological media, which creates a mismatch in mechanics and topology with state-of-the-art force sensors that are typically rigid, planar and bulky. Here, we present a soft resistive force-sensing diaphragm based on ultrasensitive resistive nanocracked platinum film, which can be integrated into an all-soft culture well via an oxygen plasma-enabled bonding process. We show that a reliable organoid-diaphragm contact can be established by an 'Atomic Force Microscope-like' engaging process. This allows for instantaneous detection of the organoids' minute contractile forces and beating patterns during electrical stimulation, resuscitation, drug dosing, tissue culture, and disease modelling.

Omnidirectional Hydrogen Generation Based on a Flexible Black Gold Nanotube Array.

Solar-driven hydrogen generation is emerging as an economical and sustainable means of producing renewable energy. However, current photocatalysts for hydrogen generation are mostly powder-based or rigid-substrate-supported, which suffer from limitations, such as difficulties in catalyst regeneration or poor omnidirectional light-harvesting. Here, we report a two-dimensional (2D) flexible photocatalyst based on elastomer-supported black gold nanotube (GNT) arrays with conformal CdS coating and Pt decoration. The highly porous GNT arrays display a strong light-trapping effect, leading to near-complete absorption over almost the entire range of the solar spectrum. In addition, they offer high surface-to-volume ratios promoting efficient photocatalytic reactions. These structural features result in high H2 generation efficiencies. Importantly, our elastomer-supported photocatalyst displays comparable photocatalytic activity even when being mechanically deformed, including bending, stretching, and twisting. We further designed a three-dimensional (3D) tree-like flexible photocatalytic system to mimic Nature's photosynthesis, which demonstrated omnidirectional H2 generation. We believe our strategy represents a promising route in designing next-generation solar-to-fuel systems that rival natural plants.

Mosquito-inspired design of resistive antennae for ultrasensitive acoustic detection.

Mosquito antennae are unique one-dimensional (1D) soft auditory systems, enabling highly sensitive and specific detection of the surrounding acoustic signals for routine movement and communications. Here we report on a mosquito-inspired design of a free-standing 1D acoustic sensor, comprising repeating soft joints (cracked Pt film) and rigid segments (non-cracked Pt film). The soft cracked Pt joints serve as highly sensitive resistive sensors to vibrational strains while the rigid segments are insensitive to acoustic pressures. By adjusting the joint positions and densities, we can fine-tune the sensor's acoustic sensing performance. We further designed unevenly spaced soft joints to mimic male and female mosquito antennae, and found that the artificial female antennae can achieve a wide sensing range (∼80 to ∼2000 Hz), ultrahigh sensitivity (19.17 Pa-1), low detection limit (58.4 dB), and fast response (1.14 ms). Finally, we demonstrate the proof-of-concept of an artificial mosquito that can respond to specific frequencies related to real-world events in real time.

Preferences and User Experiences of Wearable Devices in Epilepsy: A Systematic Review and Mixed-Methods Synthesis.

BACKGROUND AND OBJECTIVES: To examine the preferences and user experiences of people with epilepsy and caregivers regarding automated wearable seizure detection devices. METHODS: We performed a mixed-methods systematic review. We searched electronic databases for original peer-reviewed publications between January 1, 2000, and May 26, 2021. Key search terms included "epilepsy," "seizure," "wearable," and "non-invasive." We performed a descriptive and qualitative thematic analysis of the studies included according to the technology acceptance model. Full texts of the discussion sections were further analyzed to identify word frequency and word mapping. RESULTS: Twenty-two observational studies were identified. Collectively, they comprised responses from 3,299 participants including patients with epilepsy, caregivers, and healthcare workers. Sixteen studies examined user preferences, 5 examined user experiences, and 1 examined both experiences and preferences. Important preferences for wearables included improving care, cost, accuracy, and design. Patients desired real-time detection with a latency of ≤15 minutes from seizure occurrence, along with high sensitivity (≥90%) and low false alarm rates. Device-related costs were a major factor for device acceptance, where device costs of <$300 USD and a monthly subscription fee of <$20 USD were preferred. Despite being a major driver of wearable-based technologies, sudden unexpected death in epilepsy was rarely discussed. Among studies evaluating user experiences, there was a greater acceptance toward wristwatches. Thematic coding analysis showed that attitudes toward device use and perceived usefulness were reported consistently. Word mapping identified "specificity," "cost," and "battery" as key single terms and "battery life," "insurance coverage," "prediction/detection quality," and the effect of devices on "daily life" as key bigrams. DISCUSSION: User acceptance of wearable technology for seizure detection was strongly influenced by accuracy, design, comfort, and cost. Our findings emphasize the need for standardized and validated tools to comprehensively examine preferences and user experiences of wearable devices in this population using the themes identified in this study. Greater efforts to incorporate perspectives and user experiences in developing wearables for seizure detection, particularly in community-based settings, are needed. TRIAL REGISTRATION INFORMATION: PROSPERO Registration CRD42020193565.

A gold nanowire-integrated soft wearable system for dynamic continuous non-invasive cardiac monitoring.

Blood pressure (BP) is a cardiovascular parameter which exhibits significant variability. Whilst continuous BP monitoring would be of significant clinical utility. This is particularly challenging outside the hospital environment. New wearable cuff-based and cuffless BP monitoring technologies provide some capacity, however they have a number of limitations including bulkiness, rigidity and discomfort, poor accuracy and motion artefact. Here, we report on a lightweight, user-friendly, non-invasive wearable cardiac sensing system based on deformation-insensitive conductive gold nanowire foam (G-foam) and pressure-sensitive resistive gold nanowire electronic skin (G-skin). The G-foam could serve as a new soft dry bioelectrode for electrocardiogram (ECG) monitoring; a new soft button-based G-skin design could avoid manual holding for continuous pulse recording. They could be integrated seamlessly with everyday bandage for facile wireless recording of ECG and artery pulses under real-word dynamic environments including walking, running, deep squatting, and jogging. Further machine learning algorithm was developed for estimation of systolic and diastolic BP, showing comparable accuracy to commercial cuff-based sphygmomanometer. The measured dynamic BP changes correlated well with the volunteer's daily activities, indicating the potential applications of our soft wearable systems for real-time diagnostics of cardiovascular functions in complex dynamic real-world setting.

Cell Sheet-Like Soft Nanoreactor Arrays.

Tissues, which consist of groups of closely packed cell arrays, are essentially sheet-like biosynthesis plants. In tissues, individual cells are discrete microreactors working under highly viscous and confined environments. Herein, soft polystyrene-encased nanoframe (PEN) reactor arrays, as analogous nanoscale "sheet-like chemosynthesis plants", for the controlled synthesis of novel nanocrystals, are reported. Although the soft polystyrene (PS) is only 3 nm thick, it is elastic, robust, and permeable to aqueous solutes, while significantly slowing down their diffusion. PEN-associated palladium (Pd) crystallization follows a diffusion-controlled zero-order kinetics rather than a reaction-controlled first-order kinetics in bulk solution. Each individual PEN reactor has a volume in the zeptoliter range, which offers a unique confined environment, enabling a directional inward crystallization, in contrast to the conventional outward nucleation/growth that occurs in an unconfined bulk solution. This strategy makes it possible to generate a set of mono-, bi-, and trimetallic, and even semiconductor nanocrystals with tunable interior structures, which are difficult to achieve with normal systems based on bulk solutions.

Seagrass-inspired design of soft photocatalytic sheets based on hydrogel-integrated free-standing 2D nanoassemblies of multifunctional nanohexagons.

Natural leaves are virtually two-dimensional (2D) flexible photocatalytic system. In particular, seagrass can efficiently harvest low-intensity sunlight to drive photochemical reactions continuously in an aqueous solution. To mimic this process, we present a novel 2D hydrogel-integrated photocatalytic sheet based on free-standing nanoassemblies of multifunctional nanohexagons (mNHs). The mNHs building blocks is made of plasmonic gold nanohexagons (NHs) decorated with Pd nanoparticles in the corners and CdS nanoparticles throughout their exposed surfaces. The mNHs can self-assemble into free-standing 2D nanoassemblies and be integrated with thin hydrogel films, which can catalyze chemical reactions under visible light illumination. Hydrogels are translucent, porous, and soft, allowing for continuous photochemical conversion in an aqueous environment. Using methylene blue (MB) as a model system, we demonstrate a soft seagrass-like photodegradation design, which offers high efficiency, continuous operation without the need of catalyst regeneration, and omnidirectional light-harvesting capability under low-intensity sunlight irradiation, defying their rigid substrate-supported random aggregates and solution-based discrete counterparts.

Mechanically-gated electrochemical ionic channels with chemically modified vertically aligned gold nanowires.

Mechanically-gated ion channels play an important role in the human body, whereas it is challenging to design artificial mechanically-controlled ionic transport devices as the intrinsically rigidity of traditional electrodes. Here, we report on a mechanically-gated electrochemical channel by virtue of vertically aligned gold nanowires (v-AuNWs) as 3D stretchable electrodes. By surface modification with a self-assembled 1-Dodecanethiol monolayer, the v-AuNWs become hydrophobic and inaccessible to hydrated redox species (e.g., Fe ( CN ) 6 3 - / 4 - and Ru ( bpy ) 3 2 + ). Under mechanical strains, the closely-packed v-AuNWs unzip/crack to generate ionic channels to enable redox reactions, giving rise to increases in Faradaic currents. The redox current increases with the strain level until it reaches a certain threshold value, and then decreases as the strain-induced conductivity decreases. The good reversible "on-off" behaviors for multiple cycles were also demonstrated. The results presented demonstrate a new strategy to control redox reactions simply by tensile strain, indicating the potential applications in future soft smart mechanotransduction devices.

Self-assembled Janus plasmene nanosheets as flexible 2D photocatalysts.

A leaf is a free-standing photocatalytic system that can effectively harvest solar energy and convert CO2 and H2O into carbohydrates in a continuous manner without the need for regeneration or tedious product extraction steps. Despite encouraging advances achieved in designing artificial photocatalysts, most of them function in bulk solution or on rigid surfaces. Here, we report on a 2D flexible photocatalytic system based on close packed Janus plasmene nanosheets. One side of the Janus nanosheets is hydrophilic with catalytically active palladium, while the opposite side is hydrophobic with plasmonic nanocrystals. Such a unique design ensures a stable nanostructure on a flexible polymer substrate, preventing dissolution/degradation of plasmonic photocatalysts during chemical conversion in aqueous solutions. Using catalytic reduction of 4-nitrophenol as a model reaction, we demonstrated efficient plasmon-enhanced photochemical conversion on our flexible Janus plasmene. The photocatalytic efficiency could be tuned by adjusting the palladium thickness or types of constituent building blocks or their orientations, indicating the potential for tailor-made catalyst design for desired reactions. Furthermore, the flexible Janus plasmene nanosheets were designed into a small 3D printed artificial tree, which could continuously convert 30 mL of chemicals in 45 minutes.

Orientation-Dependent Soft Plasmonics of Gold Nanobipyramid Plasmene Nanosheets.

In parallel to the burgeoning field of soft electronics, soft plasmonics focuses on the design and fabrication of plasmonic structures supported on elastomers and to understand how their properties respond to mechanical deformations. Here, we report on a partial ligand-stripping strategy to fabricate elastomer-supported gold nanobipyramid (NBP) plasmene nanosheets. Unlike spherelike building blocks, NBP-building blocks display complex orientation-dependent plasmonic responses to external strains. By collecting polarized plasmonic resonance spectra in conjunction with electrostatic eigenmode modeling, we reveal simultaneous changes in interparticle spacing and spatial orientations of NBP building blocks under mechanical strains. Such changes are directly related to initial NBP packing orders. Further analysis of strain sensitivities for various NBP plasmenes indicated that plasmonic spectra of ∼45° oriented samples are mostly susceptible to strain at acute polarized angles. The results presented may enable novel applications in future soft optoelectronic devices in sensing, encryption, and data storage.

Plasmene nanosheets as optical skin strain sensors.

Skin-like optoelectronic sensors can have a wide range of technical applications ranging from wearable/implantable biodiagnostics, human-machine interfaces, and soft robotics to artificial intelligence. The previous focus has been on electrical signal transduction, whether resistive, capacitive, or piezoelectric. Here, we report on "optical skin" strain sensors based on elastomer-supported, highly ordered, and closely packed plasmonic nanocrystal arrays (plasmene). Using gold nanocubes (AuNCs) as a model system, we find that the types of polymeric ligands, interparticle spacing, and AuNC sizes play vital roles in strain-induced plasmonic responses. In particular, brush-forming polystyrene (PS) is a "good" ligand for forming elastic plasmenes which display strain-induced blue shift of high-energy plasmonic peaks with high reversibility upon strain release. Further experimental and simulation studies reveal the transition from isotropic uniform plasmon coupling at a non-strained state to anisotropic plasmon coupling at strained states, due to the AuNC alignment perpendicular to the straining direction. The two-term plasmonic ruler model may predict the primary high-energy peak location. Using the relative shift of the averaged high-energy peak to the coupling peak before straining, a plasmene nanosheet may be used as a strain sensor with the sensitivity depending on its internal structures, such as the constituent AuNC size or inter-particle spacing.

Electronic Skin Wearable Sensors for Detecting Lumbar-Pelvic Movements.

BACKGROUND: A nanomaterial-based electronic-skin (E-Skin) wearable sensor has been successfully used for detecting and measuring body movements such as finger movement and foot pressure. The ultrathin and highly sensitive characteristics of E-Skin sensor make it a suitable alternative for continuously out-of-hospital lumbar-pelvic movement (LPM) monitoring. Monitoring these movements can help medical experts better understand individuals' low back pain experience. However, there is a lack of prior studies in this research area. Therefore, this paper explores the potential of E-Skin sensors to detect and measure the anatomical angles of lumbar-pelvic movements by building a linear relationship model to compare its performance to clinically validated inertial measurement unit (IMU)-based sensing system (ViMove). METHODS: The paper first presents a review and classification of existing wireless sensing technologies for monitoring of body movements, and then it describes a series of experiments performed with E-Skin sensors for detecting five standard LPMs including flexion, extension, pelvic tilt, lateral flexion, and rotation, and measure their anatomical angles. The outputs of both E-Skin and ViMove sensors were recorded during each experiment and further analysed to build the comparative models to evaluate the performance of detecting and measuring LPMs. RESULTS: E-Skin sensor outputs showed a persistently repeating pattern for each movement. Due to the ability to sense minor skin deformation by E-skin sensor, its reaction time in detecting lumbar-pelvic movement is quicker than ViMove by ~1 s. CONCLUSIONS: E-Skin sensors offer new capabilities for detecting and measuring lumbar-pelvic movements. They have lower cost compared to commercially available IMU-based systems and their non-invasive highly stretchable characteristic makes them more comfortable for long-term use. These features make them a suitable sensing technology for developing continuous, out-of-hospital real-time monitoring and management systems for individuals with low back pain.

Vertically Aligned Gold Nanowires as Stretchable and Wearable Epidermal Ion-Selective Electrode for Noninvasive Multiplexed Sweat Analysis.

The noninvasive continuous analysis of human sweat is of great significance for improved healthcare diagnostics and treatment in the future, for which a wearable potentiometry-based ion-selective electrode (ISE) has attracted increasing attention, particularly involving ion detection. Note that traditional solid-state ISE electrodes are rigid ion-to-electron transducers that are not conformal to soft human skin and cannot function under stretched states. Here, we demonstrated that vertically aligned mushroom-like gold nanowires (v-AuNW) could serve as stretchable and wearable ion-to-electron transducers for multiplexed, in situ potentiometric analysis of pH, Na+, and K+ in sweat. By modifying v-AuNW electrodes with polyaniline, Na ionophore X, and a valinomycin-based selective membrane, we could specifically detect pH, Na+, and K+, respectively, with high selectivity, reproducibility, and stability. Importantly, the electrochemical performance could be maintained even under 30% strain and during stretch-release cycles without the need of extrinsic structural design. Furthermore, our stretchable v-AuNW ISEs could be seamlessly integrated with a flexible printed circuit board, enabling wireless on-body detection of pH, Na+, and K+ with fast response and negligible cross-talk, indicating considerable promise for noninvasive wearable sweat analysis.

Multiscale Soft-Hard Interface Design for Flexible Hybrid Electronics.

Emerging next-generation soft electronics will require versatile properties functioning under mechanical compliance, which will involve the use of different types of materials. As a result, control over material interfaces (particularly soft/hard interfaces) has become crucial and is now attracting intensive worldwide research efforts. A series of material and structural interface designs has been devised to improve interfacial adhesion, preventing failure of electromechanical properties under mechanical deformation. Herein, different soft/hard interface design strategies at multiple length scales in the context of flexible hybrid electronics are reviewed. The crucial role of soft ligands and/or polymers in controlling the morphologies of active nanomaterials and stabilizing them is discussed, with a focus on understanding the soft/hard interface at the atomic/molecular scale. Larger nanoscopic and microscopic levels are also discussed, to scrutinize viable intrinsic and extrinsic interfacial designs with the purpose of promoting adhesion, stretchability, and durability. Furthermore, the macroscopic device/human interface as it relates to real-world applications is analyzed. Finally, a perspective on the current challenges and future opportunities in the development of truly seamlessly integrated soft wearable electronic systems is presented.

Disruptive, Soft, Wearable Sensors.

The wearable industry is on the rise, with a myriad of technical applications ranging from real-time health monitoring, the Internet of Things, and robotics, to name but a few. However, there is a saying "wearable is not wearable" because the current market-available wearable sensors are largely bulky and rigid, leading to uncomfortable wearing experience, motion artefacts, and poor data accuracy. This has aroused a world-wide intensive research quest for novel materials, with the aim of fabricating next-generation ultra-lightweight and soft wearable devices. Such disruptive second-skin-like biosensing technologies may enable a paradigm shift from current wearable 1.0 to future wearable 2.0 products. Here, the state-of-the-art progress made in the key phases for future wearable technology, namely, wear → sense → communicate → analyze → interpret → decide, is summarized. Without a doubt, materials innovation is the key, which is the main focus of the discussion. In addition, emphasis is also given to wearable energy, multicomponent integration, and wireless communication.

Local Crack-Programmed Gold Nanowire Electronic Skin Tattoos for In-Plane Multisensor Integration.

Sensitive, specific, yet multifunctional tattoo-like electronics are ideal wearable systems for "any time, any where" health monitoring because they can virtually become parts of the human skin, offering a burdenless "unfeelable" wearing experience. A skin-like, multifunctional electronic tattoo made entirely from gold using a standing enokitake-mushroom-like vertically aligned nanowire membrane in conjunction with a programmable local cracking technology is reported. Unlike previous multifunctional systems, only a single material type is needed for the integrated gold circuits involved in interconnects and multiplexed specific sensors, thereby avoiding the use of complex multimaterials interfaces. This is possiblebecause the programmable local cracking technology allows for the arbitrary fine-tuning of the properties of elastic gold conductors from strain-insensitive to highly strain-sensitive simply by adjusting localized crack size, shape, and orientations-a capability impossible to achieve with previous bulk cracking technology. Furthermore, in-plane integration of strain/pressure sensors, anisotropic orientation-specific sensors, strain-insensitive stretchable interconnects, temperature sensors, glucose sensors, and lactate sensors without the need of soldering or gluing are demonstrated. This strategy opens a new general route for the design of next-generation wearable electronic tattoos.

Hierarchically Structured Vertical Gold Nanowire Array-Based Wearable Pressure Sensors for Wireless Health Monitoring.

We have recently demonstrated that vertically aligned gold nanowires (v-AuNWs) are outstanding material candidates for wearable biomedical sensors toward real-time and noninvasive health monitoring because of their excellent tunable electrical conductivity, biocompatibility, chemical inertness, and wide electrochemical window. Here, we show that v-AuNWs could also be used to design a high-performance wearable pressure sensor when combined with rational structural engineering such as pyramid microarray-based hierarchical structures. The as-fabricated pressure sensor featured a low operation voltage of 0.1 V, high sensitivity in a low-pressure regime, a fast response time of <10 ms, and high durability with stable signals for the 10 000 cycling test. In conjunction with printed electrode arrays, we could generate a multiaxial map for spatial pressure detection. Furthermore, our flexible pressure sensor could be seamlessly connected with a Bluetooth low-energy module to detect high-quality artery pulses in a wireless manner. Our solution-based gold coating strategy offers the benefit of conformal coating of nanowires onto three-dimensional microstructured elastomeric substrates under ambient conditions, indicating promising applications in next-generation wearable biodiagnostics.

A General Approach to Free-Standing Nanoassemblies via Acoustic Levitation Self-Assembly.

Droplets suspended by acoustic levitation provide genuine substrate-free environments for understanding unconventional fluid dynamics, evaporation kinetics, and chemical reactions by circumventing solid surface and boundary effects. Using a fully levitated air-water interface by acoustic levitation in conjunction with drying-mediated nanoparticle self-assembly, here, we demonstrate a general approach to fabricating free-standing nanoassemblies, which can totally avoid solid surface effects during the entire process. This strategy has no limitation for the sizes or shapes of constituent metallic nanoparticle building blocks and can also be applied to fabricate free-standing bilayered and trilayered nanoassemblies or even three-dimensional hollow nanoassemblies. We believe that our strategy may be further extended to quantum dots, magnetic particles, colloids, etc. Hence, it may lead to a myriad of homogeneous or heterogeneous free-standing nanoassemblies with programmable functionalities.

Cat-Tail-Like Mesostructured Silica Fibers Decorated with Gold Nanowires: Synthesis, Characterization, and Application as Stretchable Sensors.

Gold-nanowires (AuNWs)-coated mesostructured silica fibers that have the appearance of a cat's tail have been successfully designed and synthesized. The silica fibers had a Brunauer-Emmett-Teller (BET) surface area of 347 m2 g-1 and Barret-Joyner-Halenda (BJH) pore size of 3.8 nm. Negatively charged gold seeds could be anchored onto the surface of mesoporous silica fibers through electrostatic attraction. Further treatment with growth solution (including HAuCl4 , 4-mercaptobenzoic acid, and ascorbic acid) enabled successful growth of vertically aligned AuNWs with controllable lengths on the silica fiber surfaces. These coaxial mesostructured silica microfibers conjugated with AuNWs exhibit excellent stability and real-time response with high durability (≥2500 cycles) as a sensitive flexible microelectronic material. The fabricated device is able to detect the human pulse (measured at the wrist), as well as small-amplitude finger motion.

Cat-Tail-Like Mesostructured Silica Fibers Decorated with Gold Nanowires: Synthesis, Characterization, and Application as Stretchable Sensors.

Invited for this month's cover are the collaborating groups of Prof. Xiaojun Han from Harbin Institute of Technology, China and Prof. Wenlong Cheng from Monash University, Australia. The cover picture shows how a stretchable sensor made from a 3D structure comprising mesostructured silica fibers decorated with gold nanowires exhibits reliable resistance signals for real-time response to radial artery blood pulses. This work reinforces the idea of smart material hybridization and may offer flexible materials for real-time, in situ health monitoring applications. Read the full text of the article at 10.1002/cplu.201900043.