Multifunctional wearable devices for diagnosis and therapy of movement disorders.

Wearable systems that monitor muscle activity, store data and deliver feedback therapy are the next frontier in personalized medicine and healthcare. However, technical challenges, such as the fabrication of high-performance, energy-efficient sensors and memory modules that are in intimate mechanical contact with soft tissues, in conjunction with controlled delivery of therapeutic agents, limit the wide-scale adoption of such systems. Here, we describe materials, mechanics and designs for multifunctional, wearable-on-the-skin systems that address these challenges via monolithic integration of nanomembranes fabricated with a top-down approach, nanoparticles assembled by bottom-up methods, and stretchable electronics on a tissue-like polymeric substrate. Representative examples of such systems include physiological sensors, non-volatile memory and drug-release actuators. Quantitative analyses of the electronics, mechanics, heat-transfer and drug-diffusion characteristics validate the operation of individual components, thereby enabling system-level multifunctionalities.

[1]  Raeed H. Chowdhury,et al.  Epidermal Electronics , 2011, Science.

[2]  Andrea R Tao,et al.  Langmuir-Blodgettry of nanocrystals and nanowires. , 2008, Accounts of chemical research.

[3]  M. Kaltenbrunner,et al.  An ultra-lightweight design for imperceptible plastic electronics , 2013, Nature.

[4]  T. Someya,et al.  A Rubberlike Stretchable Active Matrix Using Elastic Conductors , 2008, Science.

[5]  Yei Hwan Jung,et al.  Injectable, Cellular-Scale Optoelectronics with Applications for Wireless Optogenetics , 2013, Science.

[6]  W. Stacey,et al.  Technology Insight: neuroengineering and epilepsy—designing devices for seizure control , 2008, Nature Clinical Practice Neurology.

[7]  Benjamin C. K. Tee,et al.  Skin-like pressure and strain sensors based on transparent elastic films of carbon nanotubes. , 2011, Nature nanotechnology.

[8]  J. Rogers,et al.  Materials for multifunctional balloon catheters with capabilities in cardiac electrophysiological mapping and ablation therapy. , 2011, Nature materials.

[9]  Yusuke Yamada,et al.  Nanocrystal bilayer for tandem catalysis. , 2011, Nature chemistry.

[10]  Byung Joon Choi,et al.  A detailed understanding of the electronic bipolar resistance switching behavior in Pt/TiO2/Pt structure , 2011, Nanotechnology.

[11]  Andrew G. Gillies,et al.  Nanowire active-matrix circuitry for low-voltage macroscale artificial skin. , 2010, Nature materials.

[12]  Sungho Kim,et al.  A Comprehensive Study of the Resistive Switching Mechanism in $\hbox{Al/TiO}_{x}/\hbox{TiO}_{2}/\hbox{Al}$-Structured RRAM , 2009, IEEE Transactions on Electron Devices.

[13]  C. Herman,et al.  A heat transfer model of skin tissue for the detection of lesions: sensitivity analysis , 2010, Physics in medicine and biology.

[14]  J. Rogers,et al.  Synthesis, assembly and applications of semiconductor nanomembranes , 2011, Nature.

[15]  Su-Ting Han,et al.  Microcontact Printing of Ultrahigh Density Gold Nanoparticle Monolayer for Flexible Flash Memories , 2012, Advanced materials.

[16]  Joseph A. C. Delaney Sensitivity analysis , 2018, The African Continental Free Trade Area: Economic and Distributional Effects.

[17]  Taeghwan Hyeon,et al.  Uniform mesoporous dye-doped silica nanoparticles decorated with multiple magnetite nanocrystals for simultaneous enhanced magnetic resonance imaging, fluorescence imaging, and drug delivery. , 2010, Journal of the American Chemical Society.

[18]  R. Waser,et al.  Nanoionics-based resistive switching memories. , 2007, Nature materials.

[19]  P. Leleux,et al.  In vivo recordings of brain activity using organic transistors , 2013, Nature Communications.

[20]  Gregory S. Snider,et al.  ‘Memristive’ switches enable ‘stateful’ logic operations via material implication , 2010, Nature.

[21]  S. Bauer,et al.  Organic Nonvolatile Memory Transistors for Flexible Sensor Arrays , 2009, Science.

[22]  Robert Langer,et al.  First-in-Human Testing of a Wirelessly Controlled Drug Delivery Microchip , 2012, Science Translational Medicine.

[23]  Younan Xia,et al.  Facile synthesis of gold nanoparticles with narrow size distribution by using AuCl or AuBr as the precursor. , 2008, Chemistry.

[24]  T. Someya,et al.  Flexible organic transistors and circuits with extreme bending stability. , 2010, Nature materials.

[25]  Sungho Kim,et al.  A Comprehensive Study of the Resistive Switching Mechanism in {Al/TiO}_{x}/{TiO}_{2}/{Al}-Structured RRAM , 2009 .

[26]  Brian Litt,et al.  Flexible, Foldable, Actively Multiplexed, High-Density Electrode Array for Mapping Brain Activity in vivo , 2011, Nature Neuroscience.

[27]  Patrik Brundin,et al.  Pathogenesis of parkinson's disease: dopamine, vesicles and α-synuclein , 2002, Nature Reviews Neuroscience.

[28]  Taeghwan Hyeon,et al.  Multifunctional mesoporous silica nanocomposite nanoparticles for theranostic applications. , 2011, Accounts of chemical research.

[29]  Zhibin Yu,et al.  User-interactive electronic skin for instantaneous pressure visualization. , 2013, Nature materials.

[30]  Nicholas V. Annetta,et al.  A Conformal, Bio-Interfaced Class of Silicon Electronics for Mapping Cardiac Electrophysiology , 2010, Science Translational Medicine.

[31]  Robert Langer,et al.  Transdermal drug delivery , 2008, Nature Biotechnology.

[32]  Michael M Laks,et al.  New devices for very long-term ECG monitoring. , 2012, Cardiology journal.

[33]  Jae Hyuck Jang,et al.  Atomic structure of conducting nanofilaments in TiO2 resistive switching memory. , 2010, Nature nanotechnology.

[34]  T. Someya,et al.  A large-area wireless power-transmission sheet using printed organic transistors and plastic MEMS switches. , 2007, Nature materials.

[35]  M. Kringelbach,et al.  Translational principles of deep brain stimulation , 2007, Nature Reviews Neuroscience.

[36]  Yonggang Huang,et al.  Stretchable and Foldable Silicon Integrated Circuits , 2008, Science.

[37]  Cherie R. Kagan,et al.  Flexible and low-voltage integrated circuits constructed from high-performance nanocrystal transistors , 2012, Nature Communications.

[38]  J. Karp,et al.  Nanocarriers as an emerging platform for cancer therapy. , 2007, Nature nanotechnology.

[39]  Wenqing Zhang,et al.  Effect of carrier trapping on the hysteretic current-voltage characteristics in Ag/La 0.7 Ca 0.3 MnO 3 /Pt heterostructures , 2006 .

[40]  Byungjin Cho,et al.  Structural and Electrical Characterization of a Block Copolymer‐Based Unipolar Nonvolatile Memory Device , 2012, Advanced materials.

[41]  M. Kovalenko,et al.  Prospects of colloidal nanocrystals for electronic and optoelectronic applications. , 2010, Chemical reviews.

[42]  Sung-Yool Choi,et al.  Interface‐Engineered Amorphous TiO2‐Based Resistive Memory Devices , 2010 .