Bioelectronic Sensor Nodes for the Internet of Bodies.

Energy-efficient sensing with physically secure communication for biosensors on, around, and within the human body is a major area of research for the development of low-cost health care devices, enabling continuous monitoring and/or secure perpetual operation. When used as a network of nodes, these devices form the Internet of Bodies, which poses challenges including stringent resource constraints, simultaneous sensing and communication, and security vulnerabilities. Another major challenge is to find an efficient on-body energy-harvesting method to support the sensing, communication, and security submodules. Due to limitations in the amount of energy harvested, we require a reduction in energy consumed per unit information, making the use of in-sensor analytics and processing imperative. In this article, we review the challenges and opportunities of low-power sensing, processing, and communication with possible powering modalities for future biosensor nodes. Specifically, we analyze, compare, and contrast (a) different sensing mechanisms such as voltage/current domain versus time domain, (b) low-power, secure communication modalities including wireless techniques and human body communication, and (c) different powering techniques for wearable devices and implants.

Monitoring the Air Quality in an HVAC System via an Energy Harvesting Device.

The energy consumption of a heating, ventilation, and air conditioning (HVAC) system represents a large amount of the total for a commercial or civic building. In order to optimize the system performance and to increase the comfort of people living or working in a building, it is necessary to monitor the relevant parameters of the circulating air flux. To this end, an array of sensors (i.e., temperature, humidity, and CO2 percentage sensors) is usually deployed along the aeraulic ducts and/or in various rooms. Generally, these sensors are powered by wires or batteries, but both methods have some drawbacks. In this paper, a possible solution to these drawbacks is proposed. It presents a wireless sensor node powered by an Energy Harvesting (EH) device acted on by the air flux itself. The collected data are transmitted to a central unit via a LoRa radio channel. The EH device can be placed in air ducts or close to air outlets.

A Circuit-Level Solution for Secure Temperature Sensor.

Temperature sensors play an important role in modern monitoring and control applications. When more and more sensors are integrated into internet-connected systems, the integrity and security of sensors become a concern and cannot be ignored anymore. As sensors are typically low-end devices, there is no built-in defense mechanism in sensors. It is common that system-level defense provides protection against security threats on sensors. Unfortunately, high-level countermeasures do not differentiate the root of cause and treat all anomalies with system-level recovery processes, resulting in high-cost overhead on delay and power consumption. In this work, we propose a secure architecture for temperature sensors with a transducer and a signal conditioning unit. The proposed architecture estimates the sensor data with statistical analysis and generates a residual signal for anomaly detection at the signal conditioning unit. Moreover, complementary current-temperature characteristics are exploited to generate a constant current reference for attack detection at the transducer level. Anomaly detection at the signal conditioning unit and attack detection at the transducer unit make the temperature sensor attack resilient to intentional and unintentional attacks. Simulation results show that our sensor is capable of detecting an under-powering attack and analog Trojan from a significant signal vibration in the constant current reference. Furthermore, the anomaly detection unit detects anomalies at the signal conditioning level from the generated residual signal. The proposed detection system is resilient against any intentional and unintentional attacks, with a detection rate of 97.73%.

Wirelessly Powered 3D Printed Hierarchical Biohybrid Robots with Multiscale Mechanical Properties.

The integration of flexible and stretchable electronics into biohybrid soft robotics can spur the development of new approaches to fabricate biohybrid soft machines, thus enabling a wide variety of innovative applications. Inspired by flexible and stretchable wireless-based bioelectronic devices, we have developed untethered biohybrid soft robots that can execute swimming motions, which are remotely controllable by the wireless transmission of electrical power into a cell simulator. To this end, wirelessly-powered, stretchable, and lightweight cell stimulators were designed to be integrated into muscle bodies without impeding the robots' underwater swimming abilities. The cell stimulators function by generating controlled monophasic pulses of up to ∼9 V in biological environments. By differentiating induced pluripotent stem cell-derived cardiomyocytes (iPSC-CMs) directly on the cell stimulators using an accordion-inspired, three-dimensional (3D) printing construct, we have replicated the native myofiber architecture with comparable robustness and enhanced contractibility. Wirelessly modulated electrical frequencies enabled us to control the speed and direction of the biohybrid soft robots. A maximum locomotion speed of ∼580 µm/s was achieved in robots possessing a large body size by adjusting the pacing frequency. This innovative approach will provide a platform for building untethered and biohybrid systems for various biomedical applications.

An RF-Ultrasound Relay for Adaptive Wireless Powering Across Tissue Interfaces.

Single modality wireless power transfer has limited depth for mm-sized implants across air / tissue or skull / tissue interfaces because they either suffer from high loss in tissue (RF, Optical) or high reflection at the medium interface (Ultrasound (US)). This paper proposes an RF-US relay chip at the media interface avoiding the reflection at the boundary, and enabling efficient wireless powering to mm-sized deep implants across multiple media. The relay chip rectifies the incoming RF power through an 85.5% efficient RF inductive link (across air) using a multi-output regulating rectifier (MORR) with 81% power conversion efficiency (PCE) at 186 mW load, and transmits ultrasound using adiabatic power amplifiers (PAs) to the implant in order to minimize cascaded power loss. To adapt the US focus to implant movement or placement, beamforming was implemented using 6 channels of US PAs with 2-bit phase control (0, 90, 180, and 270°) and 3 different amplitudes (6-29, 4.5, and 1.8 V) from the MORR. The adiabatic PA contributes a 30-40% increase in efficiency over class-D and beamforming increases the efficiency by 251% at 2.5 cm over fixed focusing. The proof-of-concept powering system for a retinal implant, from an external PA on a pair of glasses to a hydrophone with 1.2 cm (air) + 2.9 cm (agar eyeball phantom in mineral oil) separation distance, had a power delivered to the load (PDL) of 946 µW. The 2.3 × 2 mm2 relay chip was fabricated in a 180 nm high-voltage (HV) BCD process.

A Wirelessly Powered 4-Channel Neurostimulator for Reconstructing Walking Trajectory.

A wirelessly powered four-channel neurostimulator was developed for applying selective Functional Electrical Stimulation (FES) to four peripheral nerves to control the ankle and knee joints of a rat. The power of the neurostimulator was wirelessly supplied from a transmitter device, and the four nerves were connected to the receiver device, which controlled the ankle and knee joints in the rat. The receiver device had functions to detect the frequency of the transmitter signal from the transmitter coil. The stimulation site of the nerves was selected according to the frequency of the transmitter signal. The rat toe position was controlled by changing the angles of the ankle and knee joints. The joint angles were controlled by the stimulation current applied to each nerve independently. The stimulation currents were adjusted by the Proportional Integral Differential (PID) and feed-forward control method through a visual feedback control system, and the walking trajectory of a rat's hind leg was reconstructed. This study contributes to controlling the multiple joints of a leg and reconstructing functional motions such as walking using the robotic control technology.

In vivo wireless photonic photodynamic therapy.

An emerging class of targeted therapy relies on light as a spatially and temporally precise stimulus. Photodynamic therapy (PDT) is a clinical example in which optical illumination selectively activates light-sensitive drugs, termed photosensitizers, destroying malignant cells without the side effects associated with systemic treatments such as chemotherapy. Effective clinical application of PDT and other light-based therapies, however, is hindered by challenges in light delivery across biological tissue, which is optically opaque. To target deep regions, current clinical PDT uses optical fibers, but their incompatibility with chronic implantation allows only a single dose of light to be delivered per surgery. Here we report a wireless photonic approach to PDT using a miniaturized (30 mg, 15 mm3) implantable device and wireless powering system for light delivery. We demonstrate the therapeutic efficacy of this approach by activating photosensitizers (chlorin e6) through thick (>3 cm) tissues inaccessible by direct illumination, and by delivering multiple controlled doses of light to suppress tumor growth in vivo in animal cancer models. This versatility in light delivery overcomes key clinical limitations in PDT, and may afford further opportunities for light-based therapies.

Fabric based printed-distributed battery for wearable e-textiles: a review.

Wearable power supply devices and systems are important necessities for the emerging textile electronic applications. Current energy supply devices usually need more space than the device they power, and are often based on rigid and bulky materials, making them difficult to wear. Fabric-based batteries without any rigid electrical components are therefore ideal candidates to solve the problem of powering these devices. Printing technologies have greater potential in manufacturing lightweight and low-cost batteries with high areal capacity and generating high voltages which are crucial for electronic textile (e-textile) applications. In this review, we present various printing techniques, and battery chemistries applied for smart fabrics, and give a comparison between them in terms of their potential to power the next generation of electronic textiles. Series combinations of many of these printed and distributed battery cells, using electrically conducting threads, have demonstrated their ability to power different electronic devices with a specific voltage and current requirements. Therefore, the present review summarizes the chemistries and material components of several flexible and textile-based batteries, and provides an outlook for the future development of fabric-based printed batteries for wearable and electronic textile applications with enhanced level of DC voltage and current for long periods of time.

Smart Metering for Challenging Scenarios: A Low-Cost, Self-Powered and Non-Intrusive IoT Device.

In this work, a novel current metering device was presented. This device was intended to bring current metering capabilities to a wide variety of scenarios: Developing countries, rural areas, or any situation with technological constraints. The device was designed to provide a straightforward installation with no intrusion in the electrical panels. This was achieved by applying energy harvesting techniques and wireless communication technology for data transmission. The device was able to exploit the magnetic field inducted around a wire carrying electricity as energy harvesting, thus acquiring the power it needed to work. Since very low power was harvested, an efficient treatment for the incoming power and a minimal power consumption system were essential. Although exploiting the magnetic fields inducted around a wire has been used for years, the combination of this technology for both energy harvesting and current metering in an end-user device was off-center. To work in a wide variety of scenarios, it used Sigfox for communications as this brought wide coverage and out-of-the-box functioning. The theoretical design of the device was validated by verification assessments for the joint performance of the individual parts compounding the device, including metering capabilities and wireless communication test-bench. Finally, the metering device was tested under three distinct real-world scenarios that demonstrated the viability of the system. Results show that, depending on the metering period and the average current value in the mains line, the device could work forever acquiring and sending electricity consumption data. Perpetual working was achieved with an average current of 3.1 A to meter every 15 min, and an average current of 5 A for a 5-min metering period.

Carbon-Based Electrode Materials for Microsupercapacitors in Self-Powering Sensor Networks: Present and Future Development.

There is an urgent need to fulfill future energy demands for micro and nanoelectronics. This work outlines a number of important design features for carbon-based microsupercapacitors, which enhance both their performance and integration potential and are critical for complimentary metal oxide semiconductor (CMOS) compatibility. Based on these design features, we present CMOS-compatible, graphene-based microsupercapacitors that can be integrated at the back end of the line of the integrated circuit fabrication. Electrode materials and their interfaces play a crucial role for the device characteristics. As such, different carbon-based materials are discussed and the importance of careful design of current collector/electrode interfaces is emphasized. Electrode adhesion is an important factor to improve device performance and uniformity. Additionally, doping of the electrodes can greatly improve the energy density of the devices. As microsupercapacitors are engineered for targeted applications, device scaling is critically important, and we present the first steps toward general scaling trends. Last, we outline a potential future integration scheme for a complete microsystem on a chip, containing sensors, logic, power generation, power management, and power storage. Such a system would be self-powering.

UV Photodetectors Based on BiOCl Nanosheet Arrays: The Effects of Morphologies and Electrode Configurations.

A facile chemical bath method is adopted to grow bismuth oxychloride (BiOCl) nanosheet arrays on a piece of Cu foil (denoted as BiOCl-Cu) and isolated BiOCl nanosheets are collected by ultrasonication. A self-supporting BiOCl film is obtained by the removal of Cu foil. Photodetectors (PDs) based on these BiOCl materials are assembled and the effects of morphologies and electrode configurations on the photoelectric performance of these PDs are examined. The BiOCl nanosheet PD achieves high responsivities in the spectral range from 250 to 350 nm, while it presents quite a small photocurrent and slow response speed. The BiOCl film PD yields low photocurrents and near-unity on-off ratios, demonstrating poor photoelectric performance. The photocurrent of the BiOCl-Cu PD with both electrodes on the BiOCl film is much higher than those of these above-mentioned PDs, and the response times are fast. Meanwhile, the BiOCl-Cu PD with separate electrodes on the BiOCl film and Cu foil achieves even higher photocurrents and presents a self-powering characteristic, depicting the improved photodetecting performances induced by the specific morphology and distinct electrode configuration. These results would promote the applications of BiOCl nanostructures in the photoelectric devices.

Effect of barnacle fouling on ship resistance and powering.

Predictions of added resistance and the effective power of ships were made for varying barnacle fouling conditions. A series of towing tests was carried out using flat plates covered with artificial barnacles. The tests were designed to allow the examination of the effects of barnacle height and percentage coverage on the resistance and effective power of ships. The drag coefficients and roughness function values were evaluated for the flat plates. The roughness effects of the fouling conditions on the ships' frictional resistances were predicted. Added resistance diagrams were then plotted using these predictions, and powering penalties for these ships were calculated using the diagrams generated. The results indicate that the effect of barnacle size is significant, since a 10% coverage of barnacles each 5 mm in height caused a similar level of added power requirements to a 50% coverage of barnacles each 1.25 mm in height.

A Wireless Implantable Micropump for Chronic Drug Infusion Against Cancer.

We present an implantable micropump with a miniature form factor and completely wireless operation that enables chronic drug administration intended for evaluation and development of cancer therapies in freely moving small research animals such as rodents. The low power electrolysis actuator avoids the need for heavy implantable batteries. The infusion system features a class E inductive powering system that provides on-demand activation of the pump as well as remote adjustment of the delivery regimen without animal handling. Micropump performance was demonstrated using a model anti-cancer application in which daily doses of 30 µL were supplied for several weeks with less than 6% variation in flow rate within a single pump and less than 8% variation across different pumps. Pumping under different back pressure, viscosity, and temperature conditions were investigated; parameters were chosen so as to mimic in vivo conditions. In benchtop tests under simulated in vivo conditions, micropumps provided consistent and reliable performance over a period of 30 days with less than 4% flow rate variation. The demonstrated prototype has potential to provide a practical solution for remote chronic administration of drugs to ambulatory small animals for research as well as drug discovery and development applications.

Frequency Splitting Analysis and Compensation Method for Inductive Wireless Powering of Implantable Biosensors.

Inductive powering for implanted medical devices, such as implantable biosensors, is a safe and effective technique that allows power to be delivered to implants wirelessly, avoiding the use of transcutaneous wires or implanted batteries. Wireless powering is very sensitive to a number of link parameters, including coil distance, alignment, shape, and load conditions. The optimum drive frequency of an inductive link varies depending on the coil spacing and load. This paper presents an optimum frequency tracking (OFT) method, in which an inductive power link is driven at a frequency that is maintained at an optimum value to ensure that the link is working at resonance, and the output voltage is maximised. The method is shown to provide significant improvements in maintained secondary voltage and system efficiency for a range of loads when the link is overcoupled. The OFT method does not require the use of variable capacitors or inductors. When tested at frequencies around a nominal frequency of 5 MHz, the OFT method provides up to a twofold efficiency improvement compared to a fixed frequency drive. The system can be readily interfaced with passive implants or implantable biosensors, and lends itself to interfacing with designs such as distributed implanted sensor networks, where each implant is operating at a different frequency.

Impact of diatomaceous biofilms on the frictional drag of fouling-release coatings.

Skin-friction results are presented for fouling-release (FR) hull coatings in the unexposed, clean condition and after dynamic exposure to diatomaceous biofilms for 3 and 6 months. The experiments were conducted in a fully developed turbulent channel flow facility spanning a wide Reynolds number range. The results show that the clean FR coatings tested were hydraulically smooth over much of the Reynolds number range. Biofilms, however, resulted in an increase in skin-friction of up to 70%. The roughness functions for the biofilm-covered surfaces did not display universal behavior, but instead varied with the percentage coverage by the biofilm. The effect of the biofilm was observed to scale with its mean thickness and the square root of the percentage coverage. A new effective roughness length scale (keff) for biofilms based on these parameters is proposed. Boundary layer similarity-law scaling is used to predict the impact of these biofilms on the required shaft power for a mid-sized naval surface combatant at cruising speed. The increase in power is estimated to be between 1.5% and 10.1% depending on the biofilm thickness and percentage coverage.

Contribution of autosomal rare and de novo variants to sex differences in autism.

Autism is four times more prevalent in males than females. To study whether this reflects a difference in genetic predisposition attributed to autosomal rare variants, we evaluated the sex differences in effect size of damaging protein-truncating and missense variants on autism predisposition in 47,061 autistic individuals, then compared effect sizes between individuals with and without cognitive impairment or motor delay. Although these variants mediated differential likelihood of autism with versus without motor or cognitive impairment, their effect sizes on the liability scale did not differ significantly by sex exome-wide or in genes sex-differentially expressed in the cortex. Although de novo mutations were enriched in genes with male-biased expression in the fetal cortex, the liability they conferred did not differ significantly from other genes with similar loss-of-function intolerance and sex-averaged cortical expression. In summary, autosomal rare coding variants confer similar liability for autism in females and males.

Synchronous Switching Strategy to Enhance the Real-Time Powering and Charging Performance of Triboelectric Nanogenerator.

Triboelectric nanogenerators (TENGs) are of great significance as sustainable power sources that harvest energy from the human body and environment. Nevertheless, due to TENG's impedance-dependent output voltage characteristics, in traditional strategy (TS), real-timely powering a sensor with TENG has a poor sensing on/off ratio (or response), and directly charging a capacitor with TENG shows a low charging efficiency. This degraded real-time powering and charging performance of TENG compared to a commercial constant voltage source has been a huge challenge of the TENG field for a long time. Here, we propose a synchronous switching strategy (SSS) for TENG to real-timely power sensors or charge capacitors without degrading its performance. Compared with TS, this new strategy enables sensors to have 5-7 times sensing on/off ratio enhancement when using TENG as a power source, reaching the powering ability of a commercial constant voltage source, it makes the powering performance of TENG stable under different driving frequency, improving the powering robustness of TENG. In addition, compared with TS, SSS can also enhance the charging efficiency of TENG in every charging cycle by up to 2.4 times when charging capacitors. This work contributes to real-timely powering or charging the distributed, mobile and wireless electronics using TENG. This article is protected by copyright. All rights reserved.

Flexible Triboelectric Nanogenerator for Promoting the Proliferation and Migration of Human Fibroblast Cells.

Chronic wound healing is often a prolonged process with the migration and proliferation of fibroblast cells playing crucial roles. Electrical stimulation (ES) has emerged as a promising physical therapy modality to promote these key events. In this study, we address this issue by employing a triboelectric nanogenerator (TENG) as an electrical stimulator for both drug release and the stimulation of fibroblast cells. The flexible TENG with a sandwich structure was fabricated using a PCL nanofibrous layer, Kapton, and silicon rubber. The TENG could be folded to any degree and twisted, and it could return to its original shape when the force was removed. Cultured cells received ES twice and three times daily for 8 days, with a 30 min interval between sessions. By applying current in a safe range and appropriate time (twice daily), fibroblasts demonstrate an accelerated proliferation and migration rate. These observations were confirmed through cell staining. Additionally, in vitro tests demonstrated the TENG's ability to simultaneously provide ES and release vitamin C from the patch. After 2 h, the amount of released drug increased 2 times in comparison to the control group. These findings provide support for the development of a TENG for the treatment of wounds, which underlines the promise of this new technique for developing portable electric stimulation devices.

Advanced and Readily-Available Wireless-Powered Blue-Light-Implant for Non-Invasive Peri-Implant Disinfection.

Non-invasive light-based antibacterial therapy has a good prospect in non-surgical treatment of peri-implant infections. However, its applications are severely limited by poor penetration of light into human tissues, leading to unsatisfying outcomes. Moreover, as an essential prerequisite for traditional light therapy, lasers can no longer meet the patients' needs for convenient treatment at any time. To break through the spatial and temporal limitations of traditional light therapy, a wireless-powered blue-light zirconia implant for readily available treatment of peri-implant infection is proposed. In space, complete irradiation to complex peri-implant structure is realized by the built-in wireless-powered light source, thus improving the efficacy. In time, wireless-powering allows timely and controllable anti-infection treatment. Blue micro-light emitting diodes are used as therapeutic light sources, which effectively kill peri-implant infection-related bacteria without exogenous photosensitive agents. Porphyromonas gingivalis biofilm on implant surface can be completely killed after 20 min irradiation in vitro. The bactericidal rate of peri-implant methicillin-resistant Staphylococcus aureus infection reaches 99.96 ± 0.03% under 30 min per day blue light exposure in vivo. Within the scope of this study, the treatment of peri-implant infection with blue-light implant has preliminary feasibility, giving a new approach to non-invasive treatment of deep oral infections, including peri-implant infections.

Enhanced proliferation and migration of fibroblast cells by skin-attachable and self-cleaning triboelectric nanogenerator.

Skin wounds are common in accidental injuries, surgical operations, and chronic diseases. The migration and proliferation of fibroblast cells are fundamental to wound healing, which can be promoted by electrical stimulation as a physical therapy modality. Therefore, the development of portable electrical stimulation devices that can be used by patients on-site is an essential need. In the present study, a self-cleaning triboelectric nanogenerator (TENG) has been fabricated for enhancing cell proliferation and migration. The polycaprolactone­titanium dioxide (PCL/TiO2) and polydimethylsiloxane (PDMS) layers were fabricated via a facile method and used as the electropositive and electronegative pair, respectively. The effect of stimulation time on proliferation and migration of fibroblast cells was investigated. The results demonstrated that when the cells were stimulated once-a-day for 40 min, the cell viability was increased, while a long daily stimulation time has an inhibitory effect. Under electrical stimulation, the cells move toward the middle of the scratch, making the scratch almost invisible. During repeated movements, the prepared TENG connected to a rat skin generated an open-circuit voltage and a short-circuit current around 4 V and 0.2 µA, respectively. The proposed self-powered device can pave the way for a promising therapeutic strategy for patients with chronic wounds.