Making Sensors, Making Sense, Making Stimuli: The State of the Art in Wearables Research from ISWC 2019

The International Symposium on Wearable Computers (ISWC) has been the leading research venue for wearable technology research since 1997. This year, the 23rd ISWC was held in London, UK from Sept 9-13th. Following on the last 8 years of successful collaboration, ISWC was co-located with the 2019 ACM International Joint Conference on Pervasive and Ubiquitous Computing (UbiComp)

A novel approach to the 'pressing problem' of lymphoedema - engineering a foundation for clinical standards and efficacy-based compression therapy

Lymphoedema, particularly as manifested in a secondary form following previous intervention or trauma, is a progressive and debilitating disorder, embodied through the gradual volumetric swelling of a patient’s limb(s), often leading to fibrosis as well as loss of limb function in extreme cases. Compression-based therapy, the most prevalent prophylaxis and post-onset treatment approach for lymphoedema, has shown only limited success. A clear lack of standards, i.e., guidelines insuring consistency of structure and function of lymphoedema compression sleeves, hinders progress toward finding a cure for lymphoedema and prevents testing of sleeve efficacy. The body of work included in this thesis highlights the specific areas of focus necessary to move the field forward and sets a path towards comprehensive profiling of compression sleeves, to understand the underlying mechanisms relevant to efficacious treatment at the interface of the sleeve and skin. Current high-resolution commercial pressure sensors proved ineffective for measurement of spatial and temporal pressure profiles of sleeves in situ; limitations of such compliant sensors, and specific areas of needed improvement, were identified. Promising prototypes of flexible, high-resolution custom sensors were also assessed, with preliminary data and their shortfalls leading to definition of technical specifications for the future. Finally, a Digital Image Correlation (DIC)-based approach was applied to map strains of compression sleeves in high resolution and in situ. The DIC-method platform was tested and validated as a means to provide qualitative and quantitative characterisation of compression sleeves as a function of sleeve size, class, and manufacturer independent of lymphoedema state. Unexpected differences in pressure profiles underscore the need for both standardisation of sleeve design as well as follow on studies testing sleeve function in lymphoedema patients. Looking toward the future, testing of efficacy and head-to-head comparison of standardised and bespoke garments will better enable mechanistic understanding of lymphoedema's aetiology, unraveling how the ‘global’ disease state emerges from ‘local’ events, leading to a basis for lymphoedema prevention in the future

Rational Design of Flexible and Stretchable Electronics based on 3D Printing

Flexible and stretchable electronics have been considered as the key component for the next generation of flexible devices. There are many approaches to prepare the devices, such as dip coating, spin coating, Mayer bar coating, filtration and transfer, and printing, etc. The effectiveness of these methods has been proven, but some drawbacks cannot be ignored, such as lacking pattern control, labor consuming, requiring complex pretreatment, wasting conductive materials, etc. In this investigation, we propose to adopt 3D printing technology to design flexible and stretchable electronics. The objective is to rationally design flexible and stretchable sensors, simplify the preparation process, form the sample with the complex desirable patterns, and promote the performance of the samples. The dissertation comprises of three major parts: water-induced polymer swelling and its application in soft electronics, utilizing 3D printing to transfer conductive layer into elastomer for building soft electronics, and 3D printing of functional devices. In the first part, we developed the soft electronics with wrinkled structure via 3D printing and water-induced polymer swelling, which can avoid some disadvantages in conventional method, e.g., pre-stretching and organic solvent-induced polymer swelling, including mechanical loss, negative effect to human health, and unidirectionally response to external deformation. Water-induced polymer swelling was achieved by introducing soluble particles into silicone matrixes and soaking the polymer composites in aqueous solution. We have investigated the characteristics and mechanisms of water-induced polymer swelling. Then, the conductive materials were deposited on the swollen sample to form the desired wrinkled structures for stretchable sensors. Furthermore, a dopamine layer was adopted to enhance the adhesion of matrix and conductive layer. The improvement was a key enabler to achieve superior electrical properties of 3D printed stretchable sensors for long-term cyclic stretching. We have demonstrated a series of human motion detection by using these stretchable strain sensors. Another part is designing flexible electrodes with desirable complex pattern by transferring a conductive layer into soft substrates during a 3D printing process. Taking advantage of extrusion pressure and polymer adhesion, the thin conductive layers were embedded into the printed polymer patterns, which can achieve conductive flexible electronics with desirable complex patterns. High-quality transfer has been achieved through adjusting conductive layer thickness, nozzle-to-substrate distance, and printing parameters, etc. Moreover, various printing patterns were created, and their properties were exhibited. The stretchable sensors showed an outstanding stress-strain relationship and electrical response to external deformations. The third part is about 3D printing of functional devices. In the collaborated study, the drug particles were introduced into silicone matrix to prepare the drug-eluting devices. When water molecules transported into the silicone matrix, the loaded drug particles decomposed and released nitric oxide (NO) enabling antibacterial properties. It is noted that 3D printing is creatively employed to form the desirable patterns. We also observed a self-wiring effect in the printing process, i.e., the printed device is covered by a drug-free layer due to the diffusion of a low viscosity silicone component during printing, which can be utilized to prevent drug release bursts and to form a gradient drug-loaded device. The printed samples showed a sustainable NO release and good antibacterial property. Furthermore, the water-induced polymer swelling was possible to be used as actuator in humidity environment. There are some highlights deserving emphasis in the dissertation. Firstly, the water-induced polymer swelling is proposed to develop the flexible and stretchable electronics. The findings have a wide potential application. Additionally, a drug-eluting polymer device with a drug-loaded bulk and a drug-free coating is prepared via leveraging self-wiring effect in 3D printing. The structure can regulate the drug release rate. On the other hand, the additive manufacturing platform offers unique opportunities to produce drug-eluting silicone devices in a customized manner. Finally, 3D printing is employed to encapsulate the conductive layers to achieve the flexible electronics with patterned structure and high performances. The facile and effective approach provides a distinctive view in advancing the development of stretchable electronics

Soft and flexible material-based affinity sensors

Recent advances in biosensors and point-of-care (PoC) devices are poised to change and expand the delivery of diagnostics from conventional lateral-flow assays and test strips that dominate the market currently, to newly emerging wearable and implantable devices that can provide continuous monitoring. Soft and flexible materials are playing a key role in propelling these trends towards real-time and remote health monitoring. Affinity biosensors have the capability to provide for diagnosis and monitoring of cancerous, cardiovascular, infectious and genetic diseases by the detection of biomarkers using affinity interactions. This review tracks the evolution of affinity sensors from conventional lateral-flow test strips to wearable/implantable devices enabled by soft and flexible materials. Initially, we highlight conventional affinity sensors exploiting membrane and paper materials which have been so successfully applied in point-of-care tests, such as lateral-flow immunoassay strips and emerging microfluidic paper-based devices. We then turn our attention to the multifarious polymer designs that provide both the base materials for sensor designs, such as PDMS, and more advanced functionalised materials that are capable of both recognition and transduction, such as conducting and molecularly imprinted polymers. The subsequent content discusses wearable soft and flexible material-based affinity sensors, classified as flexible and skin-mountable, textile materials-based and contact lens-based affinity sensors. In the final sections, we explore the possibilities for implantable/injectable soft and flexible material-based affinity sensors, including hydrogels, microencapsulated sensors and optical fibers. This area is truly a work in progress and we trust that this review will help pull together the many technological streams that are contributing to the field

Mechanical, electrical and sensing properties of melt-spun polymer fibers filled with carbon nanoparticles

Multifunctional polymer fibers with strain and liquid sensing capabilities were fabricated and characterized. The Hansen Solubility Parameters (HSPs) were used as a tool for selecting a suitable polymer to employ as matrix for the sensing material before fiber fabrication. The addition of conductive carbon particles to a polymer matrix provides it with sensing capabilities, such as against tensile strain and the presence of liquids as it was evaluated in this work. Multiwall carbon nanotubes (MWCNTs, MW) as well as a mixture of carbon black (CB) and MWCNTs in weight concentration of 1:1 were used as conductive fillers. The route followed to achieve electrically conductive polymer fibers necessary for sensing evaluations was a combined process of melt-mixing and subsequent melt-spinning. Melt-mixing and melt-spinning are processing techniques widely used in the polymer industry that could enable the up-scaling of the fibers developed in this work. Additionally to single component fibers, bi-component (BICO) fibers consisting of a polycarbonate (PC)+CB+MW sheath and a neat PC core were also fabricated, characterized and their performance was compared to the single component fibers. The state of dispersion of the carbon nanoparticles (CNPs) as well as tensile behavior, electrical resistivity, strain and liquid sensing properties of the composite fibers were evaluated. Finally a specific fiber composition with potential to be used as sensing material for mechanical strain and liquid exposition was proposed to be tested under two real situations (strain monitoring of a rigid structure and leakage detection of a chemical substance). Sensing fibers as the developed in this work have many potential applications such as real-time deformation and structural health monitoring and early cracking detection of any kind of structure. On the other hand, fibers able to sense the presence of liquids can perceive the leakage of chemicals that are hazardous to life. Moreover, this technology can also be applied in smart clothing manufacture by combining sensing fibers with flexible woven electronics

Recent Developments of Carboxymethyl Cellulose.

Carboxymethyl cellulose (CMC) is one of the most promising cellulose derivatives. Due to its characteristic surface properties, mechanical strength, tunable hydrophilicity, viscous properties, availability and abundance of raw materials, low-cost synthesis process, and likewise many contrasting aspects, it is now widely used in various advanced application fields, for example, food, paper, textile, and pharmaceutical industries, biomedical engineering, wastewater treatment, energy production, and storage energy production, and storage and so on. Many research articles have been reported on CMC, depending on their sources and application fields. Thus, a comprehensive and well-organized review is in great demand that can provide an up-to-date and in-depth review on CMC. Herein, this review aims to provide compact information of the synthesis to the advanced applications of this material in various fields. Finally, this article covers the insights of future CMC research that could guide researchers working in this prominent field

Vital sign monitoring and cardiac triggering at 1.5 Tesla: A practical solution by an MR-ballistocardiography fiber-optic sensor

This article presents a solution for continuous monitoring of both respiratory rate (RR) and heart rate (HR) inside Magnetic Resonance Imaging (MRI) environments by a novel ballistocardiography (BCG) fiber-optic sensor. We designed and created a sensor based on the Fiber Bragg Grating (FBG) probe encapsulated inside fiberglass (fiberglass is a composite material made up of glass fiber, fabric, and cured synthetic resin). Due to this, the encapsulation sensor is characterized by very small dimensions (30 x 10 x 0.8 mm) and low weight (2 g). We present original results of real MRI measurements (conventionally most used 1.5 T MR scanner) involving ten volunteers (six men and four women) by performing conventional electrocardiography (ECG) to measure the HR and using a Pneumatic Respiratory Transducer (PRT) for RR monitoring. The acquired sensor data were compared against real measurements using the objective Bland-Altman method, and the functionality of the sensor was validated (95.36% of the sensed values were within the +/- 1.96 SD range for the RR determination and 95.13% of the values were within the +/- 1.96 SD range for the HR determination) by this means. The accuracy of this sensor was further characterized by a relative error below 5% (4.64% for RR and 4.87% for HR measurements). The tests carried out in an MRI environment demonstrated that the presence of the FBG sensor in the MRI scanner does not affect the quality of this imaging modality. The results also confirmed the possibility of using the sensor for cardiac triggering at 1.5 T (for synchronization and gating of cardiovascular magnetic resonance) and for cardiac triggering when a Diffusion Weighted Imaging (DWI) is used.Web of Science193art. no. 47

DEVELOPMENT OF FUNCTIONAL NANOCOMPOSITE MATERIALS TOWARDS BIODEGRADABLE SOFT ROBOTICS AND FLEXIBLE ELECTRONICS

World population is continuously growing, as well as the influence we have on the ecosystem\u2019s natural equilibrium. Moreover, such growth is not homogeneous and it results in an overall increase of older people. Humanity\u2019s activity, growth and aging leads to many challenging issues to address: among them, there are the spread of suddenly and/or chronic diseases, malnutrition, resource pressure and environmental pollution. Research in the novel field of biodegradable soft robotics and electronics can help dealing with these issues. In fact, to face the aging of the population, it is necessary an improvement in rehabilitation technologies, physiological and continuous monitoring, as well as personalized care and therapy. Also in the agricultural sector, an accurate and efficient direct measure of the plants health conditions would be of help especially in the less-developed countries. But since living beings, such as humans and plants, are constituted by soft tissues that continuously change their size and shapes, today\u2019s traditional technologies, based on rigid materials, may not be able to provide an efficient interaction necessary to satisfy these needs: the mechanical mismatch is too prohibitive. Instead, soft robotic systems and devices can be designed to combine active functionalities with soft mechanical properties that can allow them to efficiently and safely interact with soft living tissues. Soft implantable biomedical devices, smart rehabilitation devices and compliant sensors for plants are all applications that can be achieved with soft technologies. The development of sophisticated autonomous soft systems needs the integration on a unique soft body or platform of many functionalities (such as mechanical actuation, energy harvesting, storage and delivery, sensing capabilities). A great research interest is recently arising on this topic, but yet not so many groups are focusing their efforts in the use of natural-derived and biodegradable raw materials. In fact, resource pressure and environmental pollution are becoming more and more critical problems. It should be completely avoided the use of in exhaustion, pollutant, toxic and non-degradable resources, such as lithium, petroleum derivatives, halogenated compounds and organic solvents. So-obtained biodegradable soft systems and devices could then be manufactured in high number and deployed in the environment to fulfil their duties without the need to recover them, since they can safely degrade in the environment. The aim of the current Ph.D. project is the use of natural-derived and biodegradable polymers and substances as building blocks for the development of smart composite materials that could operate as functional elements in a soft robotic system or device. Soft mechanical properties and electronic/ionic conductive properties are here combined together within smart nanocomposite materials. The use of supersonic cluster beam deposition (SCBD) technique enabled the fabrication of cluster-assembled Au electrodes that can partially penetrate into the surface of soft materials, providing an efficient solution to the challenge of coupling conductive metallic layers and soft deformable polymeric substrates. In this work, cellulose derivatives and poly(3-hydroxybutyrate) bioplastic are used as building blocks for the development of both underwater and in-air soft electromechanical actuators that are characterized and tested. A cellulosic matrix is blended with natural-derived ionic liquids to design and manufacture completely biodegradable supercapacitors, extremely interesting energy storage devices. Lastly, ultrathin Au electrodes are here deposited on biodegradable cellulose acetate sheets, in order to develop transparent flexible electronics as well as bidirectional resistive-type strain sensors. The results obtained in this work can be regarded as a preliminary study towards the realization of full natural-derived and biodegradable soft robotic and electronic systems and devices