Ultrathin electronic tattoos (e-tattoo) for on-skin sensing

Wearable devices, specifically noninvasive attached on skin, provide a very versatile mean of acquiring physiological information about the human body, such as humidity, pH, heartbeat (electrocardiograms) and temperature, as well as are capable of transdermal stimulation and therapeutics. A key challenge in wearable devices, consist in a mismatch between the soft, curvilinear and dynamic skin, and the rigid and fragile silicon wafer-based electronics. Nor- mally, the interfaces between skin and devices are insecure and can severally limit the func- tionality of the wearable devices, as well as increase the amount of motion artifacts and signal to noise ratio. Temporary electronic tattoos (e-tattoos) are an attractive platform for fabricating skin worn and body compliant wearable devices. These e-tattoos allow wearable sensors to mimic the structure of the skin, and conform very well when attached, due to its elasticity properties, while maintaining good sensing performances. In this project, we explore the versatility and advantages of using different polymeric membranes, such as polyimides and parylene for the fabrication of temporary e-tattoos with sensing devices. Additionally, as a proof of concept, we fabricated a wearable and skin confor- mal e-tattoo for temperature sensing. The produced polyimide with aluminum sensors pre- sented resistances of 49.5 Ω and 114.4 Ω and TCR values of 0.0017 ºC-1 for both sensors. The polyimide with gold sensors achieved resistance values of 61.4 Ω and 142.3 Ω with TCR values of 0.0015 ºC-1 and 0.0017 ºC-1. The parylene with gold sensor presented a resistance of 26.4 Ω and TCR of 0.0015 ºC-1.Dispositivos vestíveis, especificamente não-invasivos em contacto com a pele, apresen- tam um método bastante versátil para adquirir informação fisiológica sobre o corpo humano, tal como, humidade, pH, ritmo cardíaco e temperatura, e são também capazes de estimulação e terapia através da pele. Um dos maiores desafios destes dispositivos está na diferença entre a pele, suave e curvilínea, e a eletrónica baseada em bolachas, rígida e frágil. Normalmente, as interfaces entre pele e dispositivo são inseguras e podem limitar seriamente a funcionalidade do dispositivo, bem como podem aumentar os artefactos de movimento e o ratio sinal-ruído. Tatuagens eletrónicas temporárias são uma plataforma atrativa para o fabrico de dis- positivos vestíveis conformáveis à pele. Estas "e-tattoos" permitem ao sensor imitar a estrutura da pele, e conformam-se muito bem quando coladas à pele, devido às suas propriedades elás- ticas, mantendo boas performances sensoriais. Neste projeto, exploramos a versatilidade e vantagens do uso de diferentes membranas poliméricas, nomeadamente poliamida e parileno, para o fabrico de e-tattoos. Adicionalmente, com o uso destas membranas, provámos que é possível fabricar uma tatuagem vestível e con- formal, especificamente para sensor de temperatura. Os sensores de poliamida com aluminio apresentam resistências de 49,5 Ω e 114,4 Ω e valores de TCR de 0,0017 ºC-1 para ambos. OS sensores de poliamida com ouro apresentam resistências de 61,4 e 142,3 Ω com valores de TCR de 0,0015 ºC-1 e 0,0017 ºC-1. O sensor de parileno com ouro apresentou uma resistência de 26,41 Ω e TCR de 0,0015 ºC-1

From wearable towards epidermal computing : soft wearable devices for rich interaction on the skin

Human skin provides a large, always available, and easy to access real-estate for interaction. Recent advances in new materials, electronics, and human-computer interaction have led to the emergence of electronic devices that reside directly on the user's skin. These conformal devices, referred to as Epidermal Devices, have mechanical properties compatible with human skin: they are very thin, often thinner than human hair; they elastically deform when the body is moving, and stretch with the user's skin. Firstly, this thesis provides a conceptual understanding of Epidermal Devices in the HCI literature. We compare and contrast them with other technical approaches that enable novel on-skin interactions. Then, through a multi-disciplinary analysis of Epidermal Devices, we identify the design goals and challenges that need to be addressed for advancing this emerging research area in HCI. Following this, our fundamental empirical research investigated how epidermal devices of different rigidity levels affect passive and active tactile perception. Generally, a correlation was found between the device rigidity and tactile sensitivity thresholds as well as roughness discrimination ability. Based on these findings, we derive design recommendations for realizing epidermal devices. Secondly, this thesis contributes novel Epidermal Devices that enable rich on-body interaction. SkinMarks contributes to the fabrication and design of novel Epidermal Devices that are highly skin-conformal and enable touch, squeeze, and bend sensing with co-located visual output. These devices can be deployed on highly challenging body locations, enabling novel interaction techniques and expanding the design space of on-body interaction. Multi-Touch Skin enables high-resolution multi-touch input on the body. We present the first non-rectangular and high-resolution multi-touch sensor overlays for use on skin and introduce a design tool that generates such sensors in custom shapes and sizes. Empirical results from two technical evaluations confirm that the sensor achieves a high signal-to-noise ratio on the body under various grounding conditions and has a high spatial accuracy even when subjected to strong deformations. Thirdly, Epidermal Devices are in contact with the skin, they offer opportunities for sensing rich physiological signals from the body. To leverage this unique property, this thesis presents rapid fabrication and computational design techniques for realizing Multi-Modal Epidermal Devices that can measure multiple physiological signals from the human body. Devices fabricated through these techniques can measure ECG (Electrocardiogram), EMG (Electromyogram), and EDA (Electro-Dermal Activity). We also contribute a computational design and optimization method based on underlying human anatomical models to create optimized device designs that provide an optimal trade-off between physiological signal acquisition capability and device size. The graphical tool allows for easily specifying design preferences and to visually analyze the generated designs in real-time, enabling designer-in-the-loop optimization. Experimental results show high quantitative agreement between the prediction of the optimizer and experimentally collected physiological data. Finally, taking a multi-disciplinary perspective, we outline the roadmap for future research in this area by highlighting the next important steps, opportunities, and challenges. Taken together, this thesis contributes towards a holistic understanding of Epidermal Devices}: it provides an empirical and conceptual understanding as well as technical insights through contributions in DIY (Do-It-Yourself), rapid fabrication, and computational design techniques.Die menschliche Haut bietet eine große, stets verfügbare und leicht zugängliche Fläche für Interaktion. Jüngste Fortschritte in den Bereichen Materialwissenschaft, Elektronik und Mensch-Computer-Interaktion (Human-Computer-Interaction, HCI) [so that you can later use the Englisch abbreviation] haben zur Entwicklung elektronischer Geräte geführt, die sich direkt auf der Haut des Benutzers befinden. Diese sogenannten Epidermisgeräte haben mechanische Eigenschaften, die mit der menschlichen Haut kompatibel sind: Sie sind sehr dünn, oft dünner als ein menschliches Haar; sie verformen sich elastisch, wenn sich der Körper bewegt, und dehnen sich mit der Haut des Benutzers. Diese Thesis bietet, erstens, ein konzeptionelles Verständnis von Epidermisgeräten in der HCI-Literatur. Wir vergleichen sie mit anderen technischen Ansätzen, die neuartige Interaktionen auf der Haut ermöglichen. Dann identifizieren wir durch eine multidisziplinäre Analyse von Epidermisgeräten die Designziele und Herausforderungen, die angegangen werden müssen, um diesen aufstrebenden Forschungsbereich voranzubringen. Im Anschluss daran untersuchten wir in unserer empirischen Grundlagenforschung, wie epidermale Geräte unterschiedlicher Steifigkeit die passive und aktive taktile Wahrnehmung beeinflussen. Im Allgemeinen wurde eine Korrelation zwischen der Steifigkeit des Geräts und den taktilen Empfindlichkeitsschwellen sowie der Fähigkeit zur Rauheitsunterscheidung festgestellt. Basierend auf diesen Ergebnissen leiten wir Designempfehlungen für die Realisierung epidermaler Geräte ab. Zweitens trägt diese Thesis zu neuartigen Epidermisgeräten bei, die eine reichhaltige Interaktion am Körper ermöglichen. SkinMarks trägt zur Herstellung und zum Design neuartiger Epidermisgeräte bei, die hochgradig an die Haut angepasst sind und Berührungs-, Quetsch- und Biegesensoren mit gleichzeitiger visueller Ausgabe ermöglichen. Diese Geräte können an sehr schwierigen Körperstellen eingesetzt werden, ermöglichen neuartige Interaktionstechniken und erweitern den Designraum für die Interaktion am Körper. Multi-Touch Skin ermöglicht hochauflösende Multi-Touch-Eingaben am Körper. Wir präsentieren die ersten nicht-rechteckigen und hochauflösenden Multi-Touch-Sensor-Overlays zur Verwendung auf der Haut und stellen ein Design-Tool vor, das solche Sensoren in benutzerdefinierten Formen und Größen erzeugt. Empirische Ergebnisse aus zwei technischen Evaluierungen bestätigen, dass der Sensor auf dem Körper unter verschiedenen Bedingungen ein hohes Signal-Rausch-Verhältnis erreicht und eine hohe räumliche Auflösung aufweist, selbst wenn er starken Verformungen ausgesetzt ist. Drittens, da Epidermisgeräte in Kontakt mit der Haut stehen, bieten sie die Möglichkeit, reichhaltige physiologische Signale des Körpers zu erfassen. Um diese einzigartige Eigenschaft zu nutzen, werden in dieser Arbeit Techniken zur schnellen Herstellung und zum computergestützten Design von multimodalen Epidermisgeräten vorgestellt, die mehrere physiologische Signale des menschlichen Körpers messen können. Die mit diesen Techniken hergestellten Geräte können EKG (Elektrokardiogramm), EMG (Elektromyogramm) und EDA (elektrodermale Aktivität) messen. Darüber hinaus stellen wir eine computergestützte Design- und Optimierungsmethode vor, die auf den zugrunde liegenden anatomischen Modellen des Menschen basiert, um optimierte Gerätedesigns zu erstellen. Diese Designs bieten einen optimalen Kompromiss zwischen der Fähigkeit zur Erfassung physiologischer Signale und der Größe des Geräts. Das grafische Tool ermöglicht die einfache Festlegung von Designpräferenzen und die visuelle Analyse der generierten Designs in Echtzeit, was eine Optimierung durch den Designer im laufenden Betrieb ermöglicht. Experimentelle Ergebnisse zeigen eine hohe quantitative Übereinstimmung zwischen den Vorhersagen des Optimierers und den experimentell erfassten physiologischen Daten. Schließlich skizzieren wir aus einer multidisziplinären Perspektive einen Fahrplan für zukünftige Forschung in diesem Bereich, indem wir die nächsten wichtigen Schritte, Möglichkeiten und Herausforderungen hervorheben. Insgesamt trägt diese Arbeit zu einem ganzheitlichen Verständnis von Epidermisgeräten bei: Sie liefert ein empirisches und konzeptionelles Verständnis sowie technische Einblicke durch Beiträge zu DIY (Do-It-Yourself), schneller Fertigung und computergestützten Entwurfstechniken

Imperceptible electrooculography graphene sensor system for human-robot interface

Electrooculography (EOG) is a method to record the electrical potential between the cornea and the retina of human eyes. Despite many applications of EOG in both research and medical diagnosis for many decades, state-of-the-art EOG sensors are still bulky, stiff, and uncomfortable to wear. Since EOG has to be measured around the eye, a prominent area for appearance with delicate skin, mechanically and optically imperceptible EOG sensors are highly desirable. Here, we report an imperceptible EOG sensor system based on noninvasive graphene electronic tattoos (GET), which are ultrathin, ultrasoft, transparent, and breathable. The GET EOG sensors can be easily laminated around the eyes without using any adhesives and they impose no constraint on blinking or facial expressions. High-precision EOG with an angular resolution of 4 degrees of eye movement can be recorded by the GET EOG and eye movement can be accurately interpreted. Imperceptible GET EOG sensors have been successfully applied for human-robot interface (HRI). To demonstrate the functionality of GET EOG sensors for HRI, we connected GET EOG sensors to a wireless transmitter attached to the collar such that we can use eyeball movements to wirelessly control a quadcopter in real time

The era of nano-bionic: 2D materials for wearable and implantable body sensors

Nano-bionics have the potential of revolutionizing modern medicine. Among nano-bionic devices, body sensors allow to monitor in real-time the health of patients, to achieve personalized medicine, and even to restore or enhance human functions. The advent of two-dimensional (2D) materials is facilitating the manufacturing of miniaturized and ultrathin bioelectronics, that can be easily integrated in the human body. Their unique electronic properties allow to efficiently transduce physical and chemical stimuli into electric current. Their flexibility and nanometric thickness facilitate the adaption and adhesion to human body. The low opacity permits to obtain transparent devices. The good cellular adhesion and reduced cytotoxicity are advantageous for the integration of the devices in vivo. Herein we review the latest and more significant examples of 2D material-based sensors for health monitoring, describing their architectures, sensing mechanisms, advantages and, as well, the challenges and drawbacks that hampers their translation into commercial clinical devices

Towards Stable Electrochemical Sensing for Wearable Wound Monitoring

Wearable biosensing has the tremendous advantage of providing point-of-care diagnosis and convenient therapy. In this research, methods to stabilize the electrochemical sensing response from detection of target biomolecules, Uric Acid (UA) and Xanthine, closely linked to wound healing, have been investigated. Different kinds of materials have been explored to address such detection from a wearable, healing platform. Electrochemical sensing modalities have been implemented in the detection of purine metabolites, UA and Xanthine, in the physiologically relevant ranges of the respective biomarkers. A correlation can be drawn between the concentrations of these bio-analytes and wound severity, thus offering probable quantitative insights on wound healing progression. These insights attempt to contribute in reducing some impacts of the financial structure on the healthcare economy associated with wound-care. An enzymatic electrochemical sensing system was designed to provide quick response at a cost-effective, miniaturized scale. Robust enzyme immobilization protocols have assisted in preserving enzyme activity to offer stable response under relevant variations of temperature and pH, from normal. Increased hydrophilicity of the sensor surface using corona plasma, has assisted in improving conductivity, thus allowing for increased electroactive functionalization and loading across the substrate’s surface. Superior sensor response was attained from higher loading of nanomaterials (MWCNT/AuNP) and enzymes (UOx/XO) employed in detection. Potentiometric analyses of the nanomaterial modified enzymatic biosensors were conducted using cyclic voltammetry (CV) and differential pulse voltammetry (DPV) modalities. Under relevant physiological conditions, the biosensor was noted to offer a variation in response between 10 % and 30 % within a week. Stable, reproducible results were obtained from repeated use of the biosensor over multiple days, also offering promise for continuous monitoring. Shelf life of the biosensor was noted to be more than two days with response retained by about 80 % thereafter. Secondary analyses have been performed utilizing the enzymatic biosensor to explore the feasibility of target biomarker detection from clinical extracts of different biofluids for wound monitoring. Biosensor response evaluation from the extracts of human wound exudate, and those obtained from perilesional and healthy skin, provided an average recovery between 107 % and 110 % with a deviation within (+/-) 6 %. Gradual decrease in response (10-20 %) was noted in detection from extracts further away from injury site. Increased accumulation of biofluids on the sensor surface was studied to explore sensor response stability as a function of sample volume. With a broad linear range of detection (0.1 nM – 7.3 mM) and detection limits lower than the physiological concentrations, this study has assessed the viability of stable wound monitoring under physiologically relevant conditions on a wearable platform

The era of nano-bionic: 2D materials for wearable and implantable body sensors

Nano-bionics have the potential of revolutionizing modern medicine. Among nano-bionic devices, body sensors allow to monitor in real-time the health of patients, to achieve personalized medicine, and even to restore or enhance human functions. The advent of two-dimensional (2D) materials is facilitating the manufacturing of miniaturized and ultrathin bioelectronics, that can be easily integrated in the human body. Their unique electronic properties allow to efficiently transduce physical and chemical stimuli into electric current. Their flexibility and nanometric thickness facilitate the adaption and adhesion to human body. The low opacity permits to obtain transparent devices. The good cellular adhesion and reduced cytotoxicity are advantageous for the integration of the devices in vivo. Herein we review the latest and more significant examples of 2D material-based sensors for health monitoring, describing their architectures, sensing mechanisms, advantages and, as well, the challenges and drawbacks that hampers their translation into commercial clinical devices

Epidermal sensors for monitoring skin physiology

Wearable sensors are revolutionizing personalised healthcare and have continuously progressed over the years in both research and commercialization. However, most efforts on wearable sensors have been focused on tracking movement, spatial position and continuous monitoring of vital signs such as heart rate or respiration rate. Recently, there is a demand to obtain biochemical information from the body using wearables. This demand stems from an individuals’ desire for improved personal health awareness as well as the drive for doctors to continuously obtain medical information for a patients’ disease management. Epidermal sensors are a sub-class of wearable sensors that can intimately integrate with skin and have the potential for monitoring physical changes as well as detecting biomarkers within skin that can be related to human health. The holy grail for these types of sensors is to achieve continuous real-time monitoring of the state of an individual and the development of these sensors are paving the way towards personalised healthcare. However, skin is highly anisotropic which makes it challenging to keep epidermal sensors in consistent contact with skin. It is important that these sensors remain in contact with skin in order to measure its electrical properties and acquire high fidelity signals. The key objective of this thesis is to develop thin conformable, stretchable epidermal sensors for tracking changes in skin physiology. The initial iteration of the screen printed epidermal sensor comprised of a flexible silver film. Impedance spectroscopy was used to understand the electrical signals generated on skin and it was used to measure relative changes due to varying water content. However, this iteration was more suited for single use. The next chapters explore different ink formulations and adherence methodologies to enhance the epidermal sensors adherence to skin. Impedance spectroscopy was used to characterise the electrical signals from these different epidermal sensor iterations, while tensile testing and on-body assessment was used to characterise its mechanical properties. The final chapter focused on investigating the use of phenyl boronic acid (PBA) functionalized hydrogels to modify the epidermal sensor with responsive hydrogel materials to enable chemical sensing of analytes relevant to skin physiology. Impedance spectroscopy was used to characterise and understand the electrical signals generated by the binding interaction of the PBA and analytes using the sensor. Overall, the work demonstrates the challenges of developing these epidermal sensors as well as presenting their potential for continuous monitoring of human skin in the future