Recent advances in implantable sensors and electronics using printable materials for advanced healthcare.

This review article focuses on the recent printing technological progress in healthcare, underscoring the significant potential of implantable devices across diverse applications. Printing technologies have widespread use in developing health monitoring devices, diagnostic systems, and surgical devices. Recent years have witnessed remarkable progress in fabricating low-profile implantable devices, driven by advancements in printing technologies and nanomaterials. The importance of implantable biosensors and bioelectronics is highlighted, specifically exploring printing tools using bio-printable inks for practical applications, including a detailed examination of fabrication processes and essential parameters. This review also justifies the need for mechanical and electrical compatibility between bioelectronics and biological tissues. In addition to technological aspects, this article delves into the importance of appropriate packaging methods to enhance implantable devices' performance, compatibility, and longevity, which are made possible by integrating cutting-edge printing technology. Collectively, we aim to shed light on the holistic landscape of implantable biosensors and bioelectronics, showcasing their evolving role in advancing healthcare through innovative printing technologies.

Flexible Sensory Systems: Structural Approaches.

Biology is characterized by smooth, elastic, and nonplanar surfaces; as a consequence, soft electronics that enable interfacing with nonplanar surfaces allow applications that could not be achieved with the rigid and integrated circuits that exist today. Here, we review the latest examples of technologies and methods that can replace elasticity through a structural approach; these approaches can modify mechanical properties, thereby improving performance, while maintaining the existing material integrity. Furthermore, an overview of the recent progress in wave/wrinkle, stretchable interconnect, origami/kirigami, crack, nano/micro, and textile structures is provided. Finally, potential applications and expected developments in soft electronics are discussed.

Three-Axis Tension-Measuring Vitreoretinal Forceps Using Strain Sensor for Corneal Surgery.

Precise motion control is important in robotic surgery, especially corneal surgery. This paper develops a new tension-measurement system for forceps used in corneal surgery, wherein contact force is applied only to a specific location for precise control, with precise movements detected by attaching a nano-crack sensor to the corresponding part. The nano-crack sensor used here customizes the working range and sensor sensitivity to match the strain rate of the tip of the forceps. Therefore, the tension in the suture can be sufficiently measured even at suture failure. The printed circuit board attached to the bottom of the system is designed to simultaneously collect data from several sensors, visualizing the direction and magnitude of the tension in order to inform the surgeon of how much tension is being applied. This system was verified by performing pig-corneal suturing.

Comprehensive Electrokinetic-Assisted Separation of Oil Emulsion with Ultrahigh Flux.

Many industries have a significant but largely unmet need for efficient and high-flux emulsion separation, particularly for nanoemulsions. Conventional separation membranes rely on size-based separation mainly utilizing a sieving mechanism plus a wetting phenomenon, resulting in a dramatic trade-off between separation efficiency and separation flux. Herein we address this challenge by adapting electrokinetics to membrane-based separation, using a charge-based mechanism capable of separating even nanoemulsions with a demonstrated separation efficiency of >99% and ultrahigh flux up to 40 000 L/H·m2. Our device arrests nano-oil droplets, allowing them to coalesce into larger droplets which are then able to be filtered by coarser membranes. This hybrid technology makes electrokinetic-assisted filtration scalable and commercially viable and allows for a better understanding of the multiphysics underlying dynamic separation.

Preparation of multilayer periodic nanopatterned WO3-based photoanode by reverse nanoimprinting for water splitting.

Photoelectrochemical (PEC) water splitting has been studied extensively as an environmentally friendly technology for hydrogen production using solar energy. WO3is considered a promising semiconducting material for photoanodes due to its high electron mobility, good hole diffusion length, and chemical stability. Periodic nanostructures of WO3have been investigated for enhancing the PEC performance of WO3-based photoanodes. In this study, facile fabrication of periodic nanostructures of WO3was achieved using reverse nanoimprint lithography, and the multilayer stacking of nanopatterned WO3film was also confirmed. The multilayer nanopatterned WO3films were used as photoanodes for PEC water splitting. The performance of the fabricated photoanode in PEC was 2 times higher than that of planar WO3film due to its higher light absorbance and lower charge transfer resistance.

Direct Visualization of Microscale Dynamics of Water Droplets on under-Oil-Hydrophilic Membranes by Using Synchrotron White-Beam X-ray Microimaging Techniques.

Despite considerable academical and practical interests on separation of water-in-oil emulsion via special wettable membranes, fundamental understanding on microscale dynamics of water droplets on under-oil-hydrophilic membranes (UOHMs) at early stages during separation is still very preliminary due to temporal and spatial resolution of existing visualization techniques. To this end, we here succeed in a direct microscopic visualization of separation processes of water droplets on the UOHMs by employing a high-speed, two-dimensional synchrotron white-beam X-ray microimaging technique. During the separation of water-in-oil emulsion, microscale dynamic behaviors of water droplets on hydrophilic membrane surfaces immersed in the different oil media (i.e., hexane, kerosene, and light and heavy mineral oils) and oil films between water droplets and membrane surfaces are visualized and analyzed.

Human-mimetic soft robot joint for shock absorption through joint dislocation.

This paper presents a human-mimetic manipulator capable of shock absorption by using dislocation at the soft joint. A one degree-of-freedom (DOF) soft robot joint was developed based on the human elbow-joint structure, especially mimicking the humeroulnar joint in the elbow. Each component of the soft joint is combined by an elastic ligament, which is made up of elastic rubber and is attached to the pivot joint pin positioned at a predetermined place according to a specially designed pin guide. As an external impact is applied to the joint, the elastic ligament is elongated as the pivot joint pin is moved from the predetermined place. This state is defined as a dislocation, which is similar to the dislocation of a human joint when impacted. Dislocation in the proposed soft robot joint occurred when the external impact was larger than the predetermined threshold force. This threshold force can be predicted by the modulus of the elastic ligament and the shape of the pin guide, and the theoretical model was developed in this study. To evaluate the function of dislocation, dynamic and quasi-static impact tests were performed at the 1-DOF soft robot joint. Moreover, the human-mimetic manipulator is proposed based on the 2-DOF soft robot joint. This manipulator can realize four motions of a human arm using the pneumatic artificial muscles: flexion, extension, pronation and supination. Each artificial muscle and bone structure were similar to the human arm structure, and thus the configuration of each bone structure of the manipulator for each motion is similar to the configurations of a human skeletal structure. This manipulator was also capable of dislocation to absorb the external impact. The developed human-mimetic manipulator with a soft joint is expected to be applied to a naturally safe humanoid robot that works with humans in the same space.

Nano-Cracked Strain Sensor with High Sensitivity and Linearity by Controlling the Crack Arrangement.

Studies on wearable sensors that monitor various movements by attaching them to a body have received considerable attention. Crack-based strain sensors are more sensitive than other sensors. Owing to their high sensitivity, these sensors have been investigated for measuring minute deformations occurring on the skin, such as pulse. However, existing studies have limited sensitivity at low strain range and nonlinearity that renders any calibration process complex and difficult. In this study, we propose a pre-strain and sensor-extending process to improve the sensitivity and linearity of the sensor. By using these pre-strain and sensor-extending processes, we were able to control the morphology and alignment of cracks and regulate the sensitivity and linearity of the sensor. Even if the sensor was fabricated in the same manner, the sensor that involved the pre-strain and extending processes had a sensitivity 100 times greater than normal sensors. Thus, our crack-based strain sensor had high sensitivity (gauge factor > 5000, gauge factor (GF = (△R/R0)/ε), linearity, and low hysteresis at low strain (<1% strain). Given its high sensing performance, the sensor can be used to measure micro-deformation, such as pulse wave and voice.

One-Step Laser Encapsulation of Nano-Cracking Strain Sensors.

Development of flexible strain sensors that can be attached directly onto the skin, such as skin-mountable or wearable electronic devices, has recently attracted attention. However, such flexible sensors are generally exposed to various harsh environments, such as sweat, humidity, or dust, which cause noise and shorten the sensor lifetimes. This study reports the development of a nano-crack-based flexible sensor with mechanically, thermally, and chemically stable electrical characteristics in external environments using a novel one-step laser encapsulation (OLE) method optimized for thin films. The OLE process allows simultaneous patterning, cutting, and encapsulating of a device using laser cutting and thermoplastic polymers. The processes are simplified for economical and rapid production (one sensor in 8 s). Unlike other encapsulation methods, OLE does not degrade the performance of the sensor because the sensing layers remain unaffected. Sensors protected with OLE exhibit mechanical, thermal, and chemical stability under water-, heat-, dust-, and detergent-exposed conditions. Finally, a waterproof, flexible strain sensor is developed to detect motions around the eye, where oil and sweat are generated. OLE-based sensors can be used in several applications that are exposed to a large amount of foreign matter, such as humid or sweaty environments.

Development of a Waterproof Crack-Based Stretchable Strain Sensor Based on PDMS Shielding.

This paper details the design of a poly(dimethylsiloxane) (PDMS)-shielded waterproof crack-based stretchable strain sensor, in which the electrical characteristics and sensing performance are not influenced by changes in humidity. This results in a higher number of potential applications for the sensor. A previously developed omni-purpose stretchable strain (OPSS) sensor was used as the basis for this work, which utilizes a metal cracking structure and provides a wide sensing range and high sensitivity. Changes in the conductivity of the OPSS sensor, based on humidity conditions, were investigated along with the potential possibility of using the design as a humidity sensor. However, to prevent conductivity variation, which can decrease the reliability and sensing ability of the OPSS sensor, PDMS was utilized as a shielding layer over the OPSS sensor. The PDMS-shielded OPSS sensor showed approximately the same electrical characteristics as previous designs, including in a high humidity environment, while maintaining its strain sensing capabilities. The developed sensor shows promise for use under high humidity conditions and in underwater applications. Therefore, considering its unique features and reliable sensing performance, the developed PDMS-shielded waterproof OPSS sensor has potential utility in a wide range of applications, such as motion monitoring, medical robotics and wearable healthcare devices.

An underwater superoleophobic nanofibrous cellulosic membrane for oil/water separation with high separation flux and high chemical stability.

Oil spills and an increasing demand for the treatment of industrial oily wastewater are driving the need for continuous large-scale oil/water separation processes. Herein, we report a nanofibrous cellulosic membrane (NFC membrane) for the continuous high-flux separation of large amounts of oil/water mixtures. The NFC membrane was fabricated using wet electrospinning, a facile yet effective method for stacking nanofibrous membranes with uniform porous structures on a substrate. Owing to its cellulosic nature, the membrane showed excellent underwater superoleophobicity along with robust chemical stability and was able to separate oil/water mixtures at efficiencies exceeding 99%. Repetitive oil/water separations could be performed using a single membrane, during which the oil content in the filtrate remained extremely low (<29 ppm). The nanofibrous membrane exhibited a fine porous structure that was interconnected throughout the membrane, resulting in a high oil intrusion pressure (>30 kPa) that allowed not only gravity-driven but also pressure-driven separation of oil/water mixtures. The separation flux reached 120 000 L m-2 h-1 during pressure-driven separations, which is a very promising feature for actual applications such as the large-scale treatment of industrial oily wastewater.

Omni-Purpose Stretchable Strain Sensor Based on a Highly Dense Nanocracking Structure for Whole-Body Motion Monitoring.

Here, we report an omni-purpose stretchable strain sensor (OPSS sensor) based on a nanocracking structure for monitoring whole-body motions including both joint-level and skin-level motions. By controlling and optimizing the nanocracking structure, inspired by the spider sensory system, the OPSS sensor is endowed with both high sensitivity (gauge factor ≈ 30) and a wide working range (strain up to 150%) under great linearity (R2 = 0.9814) and fast response time (<30 ms). Furthermore, the fabrication process of the OPSS sensor has advantages of being extremely simple, patternable, integrated circuit-compatible, and reliable in terms of reproducibility. Using the OPSS sensor, we detected various human body motions including both moving of joints and subtle deforming of skin such as pulsation. As specific medical applications of the sensor, we also successfully developed a glove-type hand motion detector and a real-time Morse code communication system for patients with general paralysis. Therefore, considering the outstanding sensing performances, great advantages of the fabrication process, and successful results from a variety of practical applications, we believe that the OPSS sensor is a highly suitable strain sensor for whole-body motion monitoring and has potential for a wide range of applications, such as medical robotics and wearable healthcare devices.

Development of an Integrated Evaluation System for a Stretchable Strain Sensor.

Recently, much research has been focused on stretchable or flexible electronic sensors for the measurement of strain or deformation on movable and variably shaped objects. In this research, to evaluate the performance of stretchable strain sensors, we have designed an integrated evaluation system capable of simultaneously measuring the change in stress and conductance of a strain sensor. Using the designed system, we have successfully evaluated the deformation characteristics, sensing range and sensing sensitivity of a stretchable strain sensor. We believe that the developed integrated evaluation system could be a useful tool for performance evaluation of stretchable strain sensors.

Three-dimensionally designed anti-reflective silicon surfaces for perfect absorption of light.

An ideal black material absorbs light perfectly over all wavelengths and is totally nonreflective. Material and structural design are crucial to the management of reflectivity. Here, we report a three-dimensionally designed (3D) silicon structure consisting of silicon pillars. To our knowledge, this 3D hierarchical surface has the lowest specular reflectance among silicon-based materials reported to date.

Tunable ionic transport for a triangular nanochannel in a polymeric nanofluidic system.

Recently, tremendous engineering applications utilizing new physics of nanoscale electrokinetics have been reported and their basic fundamentals are actively researched. In this work, we first report a simple and economic but reliable nanochannel fabrication technique, leading to a heterogeneously charged triangular nanochannel. The nanochannel utilized the elasticity of PDMS when it bonded with a micrometer-scale structure on a substrate. Second, we successfully demonstrated novel ionic transportations by tweaking the micrometer structures: (1) the transition of nonlinear ionic conductance depending on the nanochannel properties and (2) the ionic field-effect transistor. Nanochannel conductance has two distinguishable nonlinear regimes called the "surface-charge-governed" and the "geometry-governed" regime and its only individual overlooks were frequently reported. However, the transition between two regimes by adjusting nanochannel properties has not been reported due to the difficulty of functional nanochannel fabrication. In addition, a gate voltage was comfortably applied to the triangular nanochannel so that the field-effect ion transportation was reliably achieved. Therefore, presenting triangular nanochannels have critical advantages over its heterogeneous and tunable surface properties and thus, could be an effective means as an active fundamental to control and manipulate the ion-electromigration through a nanofluidic system.

Fabrication of conducting polymer micro/nanostructures coated with Au nanoparticles for electrochemical sensors.

Polypyrrole (PPy) micro/nanostructures coated with Au nanoparticles were prepared by electropolymerization and electro-deposition. Two types of PPy structures, micro-embossed and nanowire forest, were synthesized on patterned gold electrodes using different aqueous solutions, and Au nanoparticles were coated onto the PPy micro/nanostructure surface. The size of the Au nanoparticles ranged from 10 to 100 nm, and the maximum density of the nanoparticles was 73 particles/microm2. The small size and high density of the Au nanoparticles were achieved by optimizing the deposition time and chloroauric acid (HAuCl4) concentration. Cyclic voltammograms of ferrocyanide oxidation showed that the PPy micro/nanostructures coated with Au nanoparticles exhibit good electrochemical activity. These high-performance electrodes can be used in electrochemical sensors because the Au nanoparticles enhance electron transfer and provide a binding site for biomarker molecules, such as DNA, protein, and aptamers.

Replicable and shape-controllable fabrication of electrospun fibrous scaffolds for tissue engineering.

Controlling the architecture of electrospun fibers is one of the key issues in tissue engineering. This report describes a rapid and reproducible patterning method for the fabrication of an electrospun fibrous scaffold. The electrospun fibers were deposited on a patterned electrode. The patterned scaffold was fabricated using a thin insulating film between layers of this electrode. For a tissue engineering application, poly(lactic-co-glycolic acid) (PLGA), a biocompatible and biodegradable material, was electrospun. Fibroblast cells were cultured on the fibrous PLGA scaffold and the viability, morphology, and distribution of the cells were studied.

Superhydrophobic nanostructured silicon surfaces with controllable broadband reflectance.

Nanostructured superhydrophobic silicon surfaces with tunable reflectance are fabricated via a simple maskless deep reactive-ion etching process. By controlling the scale of the high-aspect-ratio nanostructures on a wafer-scale surface, surface reflectance is maximized or minimized over the UV-vis-IR range while maintaining superhydrophobic properties.

Replicable multilayered nanofibrous patterns on a flexible film.

This report describes a simple method for the direct patterning of nanofibers on a flexible, insulating film. The method allows the replication of nanofibrous patterns from a single patterned electrode and the fabrication of multilayered patterns from various electrode shapes. The architecture of the fibrous patterns can be controlled by tailoring the ambient humidity, thickness of the insulating film, polarity of the electrode, and size of the patterned electrode. Using this novel technique, it is possible to fabricate various complex patterns of nanofibers as well as inexpensive patterned structures.