Microfabricated tactile sensors for biomedical applications: a review

During the last decades, tactile sensors based on different sensing principles have been developed due to the growing interest in robotics and, mainly, in medical applications. Several technological solutions have been employed to design tactile sensors; in particular, solutions based on microfabrication present several attractive features. Microfabrication technologies allow for developing miniaturized sensors with good performance in terms of metrological properties (e.g., accuracy, sensitivity, low power consumption, and frequency response). Small size and good metrological properties heighten the potential role of tactile sensors in medicine, making them especially attractive to be integrated in smart interfaces and microsurgical tools. This paper provides an overview of microfabricated tactile sensors, focusing on the mean principles of sensing, i.e., piezoresistive, piezoelectric and capacitive sensors. These sensors are employed for measuring contact properties, in particular force and pressure, in three main medical fields, i.e., prosthetics and artificial skin, minimal access surgery and smart interfaces for biomechanical analysis. The working principles and the metrological properties of the most promising tactile, microfabricated sensors are analyzed, together with their application in medicine. Finally, the new emerging technologies in these fields are briefly described

Beyond Tissue replacement: The Emerging role of smart implants in healthcare

Smart implants are increasingly used to treat various diseases, track patient status, and restore tissue and organ function. These devices support internal organs, actively stimulate nerves, and monitor essential functions. With continuous monitoring or stimulation, patient observation quality and subsequent treatment can be improved. Additionally, using biodegradable and entirely excreted implant materials eliminates the need for surgical removal, providing a patient-friendly solution. In this review, we classify smart implants and discuss the latest prototypes, materials, and technologies employed in their creation. Our focus lies in exploring medical devices beyond replacing an organ or tissue and incorporating new functionality through sensors and electronic circuits. We also examine the advantages, opportunities, and challenges of creating implantable devices that preserve all critical functions. By presenting an in-depth overview of the current state-of-the-art smart implants, we shed light on persistent issues and limitations while discussing potential avenues for future advancements in materials used for these devices

Surgical Microporous Capacitive Pressure Sensors: A Good use for Table Sugar.

M.S. Thesis. University of Hawaiʻi at Mānoa 2017

Future of smart cardiovascular implants

Cardiovascular disease remains the leading cause of death in Western society. Recent technological advances have opened the opportunity of developing new and innovative smart stent devices that have advanced electrical properties that can improve diagnosis and even treatment of previously intractable conditions, such as central line access failure, atherosclerosis and reporting on vascular grafts for renal dialysis. Here we review the latest advances in the field of cardiovascular medical implants, providing a broad overview of the application of their use in the context of cardiovascular disease rather than an in-depth analysis of the current state of the art. We cover their powering, communication and the challenges faced in their fabrication. We focus specifically on those devices required to maintain vascular access such as ones used to treat arterial disease, a major source of heart attacks and strokes. We look forward to advances in these technologies in the future and their implementation to improve the human condition

Progress in Probe-Based Sensing Techniques for In Vivo Diagnosis

Advancements in robotic surgery help to improve the endoluminal diagnosis and treatment with minimally invasive or non-invasive intervention in a precise and safe manner. Miniaturized probe-based sensors can be used to obtain information about endoluminal anatomy, and they can be integrated with medical robots to augment the convenience of robotic operations. The tremendous benefit of having this physiological information during the intervention has led to the development of a variety of in vivo sensing technologies over the past decades. In this paper, we review the probe-based sensing techniques for the in vivo physical and biochemical sensing in China in recent years, especially on in vivo force sensing, temperature sensing, optical coherence tomography/photoacoustic/ultrasound imaging, chemical sensing, and biomarker sensing

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

Dry EEG Electrodes

Electroencephalography (EEG) emerged in the second decade of the 20th century as a technique for recording the neurophysiological response. Since then, there has been little variation in the physical principles that sustain the signal acquisition probes, otherwise called electrodes. Currently, new advances in technology have brought new unexpected fields of applications apart from the clinical, for which new aspects such as usability and gel-free operation are first order priorities. Thanks to new advances in materials and integrated electronic systems technologies, a new generation of dry electrodes has been developed to fulfill the need. In this manuscript, we review current approaches to develop dry EEG electrodes for clinical and other applications, including information about measurement methods and evaluation reports. We conclude that, although a broad and non-homogeneous diversity of approaches has been evaluated without a consensus in procedures and methodology, their performances are not far from those obtained with wet electrodes, which are considered the gold standard, thus enabling the former to be a useful tool in a variety of novel applications.This work was supported by Nicolo Association for the R+D+i in Neurotechnologies for disability, the research project P11-TIC-7983, Junta of Andalucia (Spain) and the Spanish National Grant TIN2012-32030, co-financed by the European Regional Development Fund (ERDF). We also thank Erik Jung, head of the Medical Microsystems working group, at the Department of System Integration & Interconnection Technologies, Fraunhofer IZM (Berlin), for his support

Wearable sensors for respiration monitoring: a review

This paper provides an overview of flexible and wearable respiration sensors with emphasis on their significance in healthcare applications. The paper classifies these sensors based on their operating frequency distinguishing between high-frequency sensors, which operate above 10 MHz, and low-frequency sensors, which operate below this level. The operating principles of breathing sensors as well as the materials and fabrication techniques employed in their design are addressed. The existing research highlights the need for robust and flexible materials to enable the development of reliable and comfortable sensors. Finally, the paper presents potential research directions and proposes research challenges in the field of flexible and wearable respiration sensors. By identifying emerging trends and gaps in knowledge, this review can encourage further advancements and innovation in the rapidly evolving domain of flexible and wearable sensors.This work was supported by the Spanish Government (MICINN) under Projects TED2021-131209B-I00 and PID2021-124288OB-I00.Peer ReviewedPostprint (published version