The development of flexible piezoelectric nanogenerators has experienced rapid progress in the past decade and is serving as the technological foundation of future state-of-the-art personalized healthcare. Due to their highly efficient mechanical-to-electrical energy conversion, easy implementation, and self-powering nature, these devices permit a plethora of innovative healthcare applications in the space of active sensing, electrical stimulation therapy, as well as passive human biomechanical energy harvesting to third party power on-body devices. This article gives a comprehensive review of the piezoelectric nanogenerators for personalized healthcare. After a brief introduction to the fundamental physical science of the piezoelectric effect, material engineering strategies, device structural designs, and human-body centered energy harvesting, sensing, and therapeutics applications are also systematically discussed. In addition, the challenges and opportunities of utilizing piezoelectric nanogenerators for self-powered bioelectronics and personalized healthcare are outlined in detail.

Piezoelectric nanogenerators for personalized healthcare.

The seamless integration of emerging triboelectric nanogenerator (TENG) technology with traditional wearable textile materials has given birth to the next‐generation smart textiles, i.e., textile TENGs, which will play a vital role in the era of Internet of Things and artificial intelligences. However, low output power and inferior sensing ability have largely limited the development of textile TENGs. Among various approaches to improve the output and sensing performance, such as material modification, structural design, and environmental management, a 3D fabric structural scheme is a facile, efficient, controllable, and scalable strategy to increase the effective contact area for contact electrification of textile TENGs without cumbersome material processing and service area restrictions. Herein, the recent advances of the current reported textile TENGs with 3D fabric structures are comprehensively summarized and systematically analyzed in order to clarify their superiorities over 1D fiber and 2D fabric structures in terms of power output and pressure sensing. The forward‐looking integration abilities of the 3D fabrics are also discussed at the end. It is believed that the overview and analysis of textile TENGs with distinctive 3D fabric structures will contribute to the development and realization of high‐power output micro/nanowearable power sources and high‐quality self‐powered wearable sensors.

Advances in High‐Performance Autonomous Energy and Self‐Powered Sensing Textiles with Novel 3D Fabric Structures

Flexible epidermic sensors made from conductive hydrogels are holding bright potential in personalized healthcare, multifunctional electronic skins, and human‐machine interfaces. However, it is still a great challenge to simultaneously realize conductive hydrogel‐based epidermic sensors with reliable self‐healing ability and remarkable sensing performances in high‐performance healthcare (especially electrophysiological signals) sensing for wearable human‐machine interaction, as well as accelerated wound healing for subsequent medical treatment together. Herein, a flexible healable high‐performance epidermic sensor is assembled from the facilely prepared antibacterial MXene hydrogel with efficiently accelerated wound healing for sensitively wearable human‐machine interaction. The as‐prepared hydrogel possesses enhanced mechanical performance, outstanding healable capability, reliable injectability, facile degradability, excellent biocompatibility, and robust antibacterial ability, which is capable of being assembled into a multifunctional epidermic sensor to sensitively monitor human movements for rehabilitation training, to detect tiny electrophysiological signals for the diagnosis of cardiovascular‐ and muscle‐related diseases, and to be employed for wearable human‐machine interaction. In addition, the hydrogel can be utilized to treat wound infection and can effectively accelerate wound healing. Thus, it sheds light on preparing flexible healable epidermic sensors with multifunctional integration of personal health diagnosis and smart medical treatment for wearable human‐machine interaction and next‐generation artificial skins.

Flexible Accelerated‐Wound‐Healing Antibacterial MXene‐Based Epidermic Sensor for Intelligent Wearable Human‐Machine Interaction

Sedentary lifestyles and evolving work environments have created challenges for global health and cause huge burdens on healthcare and fitness systems. Physical immobility and functional losses due to aging are two main reasons for noncommunicable disease mortality. Smart electronic textiles (e-textiles) have attracted considerable attention because of their potential uses in health monitoring, rehabilitation, and training assessment applications. Interactive textiles integrated with electronic devices and algorithms can be used to gather, process, and digitize data on human body motion in real time for purposes such as electrotherapy, improving blood circulation, and promoting wound healing. This review summarizes research advances on e-textiles designed for wearable healthcare and fitness systems. The significance of e-textiles, key applications, and future demand expectations are addressed in this review. Various health conditions and fitness problems and possible solutions involving the use of multifunctional interactive garments are discussed. A brief discussion of essential materials and basic procedures used to fabricate wearable e-textiles are included. Finally, the current challenges, possible solutions, opportunities, and future perspectives in the area of smart textiles are discussed. 

Electronic textiles: New age of wearable technology for healthcare and fitness solutions

The frequent outbreak of global infectious diseases has prompted the development of rapid and effective diagnostic tools for the early screening of potential patients in point-of-care testing scenarios. With advances in mobile computing power and microfluidic technology, the smartphone-based mobile health platform has drawn significant attention from researchers developing point-of-care testing devices that integrate microfluidic optical detection with artificial intelligence analysis. In this article, we summarize recent progress in these mobile health platforms, including the aspects of microfluidic chips, imaging modalities, supporting components, and the development of software algorithms. We document the application of mobile health platforms in terms of the detection objects, including molecules, viruses, cells, and parasites. Finally, we discuss the prospects for future development of mobile health platforms. 

/pdf/smartphone-based-platforms-implementing-microfluidic-2grh62qi.pdf

Smartphone-based platforms implementing microfluidic detection with image-based artificial intelligence

While the printed circuit board (PCB) has been widely considered as the building block of integrated electronics, the world is switching to pursue new ways of merging integrated electronic circuits with textiles to create flexible and wearable devices. Herein, as an alternative for PCB, we described a non-printed integrated-circuit textile (NIT) for biomedical and theranostic application via a weaving method. All the devices are built as fibers or interlaced nodes and woven into a deformable textile integrated circuit. Built on an electrochemical gating principle, the fiber-woven-type transistors exhibit superior bending or stretching robustness, and were woven as a textile logical computing module to distinguish different emergencies. A fiber-type sweat sensor was woven with strain and light sensors fibers for simultaneously monitoring body health and the environment. With a photo-rechargeable energy textile based on a detailed power consumption analysis, the woven circuit textile is completely self-powered and capable of both wireless biomedical monitoring and early warning. The NIT could be used as a 24/7 private AI "nurse" for routine healthcare, diabetes monitoring, or emergencies such as hypoglycemia, metabolic alkalosis, and even COVID-19 patient care, a potential future on-body AI hardware and possibly a forerunner to fabric-like computers.

/pdf/a-non-printed-integrated-circuit-textile-for-wireless-4akdbtvuhp.pdf

A non-printed integrated-circuit textile for wireless theranostics.

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A non-printed integrated-circuit textile for wireless theranostics.