Graphene-based Distributed 3D Sensing Electrodes for Mapping Spatiotemporal Auricular Physiological Signals

Underneath the ear skin there are richly branching vascular and neural networks that ultimately connecting to our heart and brain. Hence, the three-dimensional (3D) mapping of auricular electrophysiological signals could provide a new perspective for biomedical studies such as diagnosis of cardiovascular diseases and neurological disorders. However, it is still extremely challenging for current sensing techniques to cover the entire ultra-curved auricle. Here, we report a graphene-based ear-conformable sensing device with embedded and distributed 3D electrodes which enable fullauricle physiological monitoring. The sensing device, which incorporates programable 3D electrode thread array and personalized auricular mold, has 3D-conformable sensing interfaces with curved auricular skin, and was developed using one-step multi-material 3D-printing process. As a proof-ofconcept, spatiotemporal auricular electrical skin resistance (AESR) mapping was demonstrated. For the first time, 3D AESR contours were generated and human subject-specific AESR distributions among a population were observed. From the data of 17 volunteers, the auricular region-specific AESR changes after cycling exercise were observed in 98% of the tests and were validated via machine learning techniques. Correlations of AESR with heart rate and blood pressure were also studied using

[1]  William D S Killgore,et al.  Skin Conductance Responses and Neural Activations During Fear Conditioning and Extinction Recall Across Anxiety Disorders , 2017, JAMA psychiatry.

[2]  Sheng Xu,et al.  An epidermal patch for the simultaneous monitoring of haemodynamic and metabolic biomarkers , 2021, Nature Biomedical Engineering.

[3]  Timothy Bretl,et al.  Large-area MRI-compatible epidermal electronic interfaces for prosthetic control and cognitive monitoring , 2019, Nature Biomedical Engineering.

[4]  James J. S. Norton,et al.  Soft, curved electrode systems capable of integration on the auricle as a persistent brain–computer interface , 2015, Proceedings of the National Academy of Sciences.

[5]  C. Akdis,et al.  Direct assessment of skin epithelial barrier by electrical impedance spectroscopy , 2019, Allergy.

[6]  A. Villringer,et al.  Simultaneous EEG–fMRI , 2006, Neuroscience & Biobehavioral Reviews.

[7]  T. Someya,et al.  Skin Impedance Measurements with Nanomesh Electrodes for Monitoring Skin Hydration , 2020, Advanced healthcare materials.

[8]  Anne L. Martel,et al.  Improving functional magnetic resonance imaging motor studies through simultaneous electromyography recordings , 2007, Human brain mapping.

[9]  Kyung-In Jang,et al.  3D multifunctional integumentary membranes for spatiotemporal cardiac measurements and stimulation across the entire epicardium , 2014, Nature Communications.

[10]  Qifa Zhou,et al.  Stretchable ultrasonic transducer arrays for three-dimensional imaging on complex surfaces , 2018, Science Advances.

[11]  Jeffrey B. Model,et al.  Soft, skin-interfaced microfluidic systems with integrated immunoassays, fluorometric sensors, and impedance measurement capabilities , 2020, Proceedings of the National Academy of Sciences.

[12]  Danilo P. Mandic,et al.  In-Ear EEG Biometrics for Feasible and Readily Collectable Real-World Person Authentication , 2017, IEEE Transactions on Information Forensics and Security.

[13]  Tsuyoshi Sekitani,et al.  An ultraflexible organic differential amplifier for recording electrocardiograms , 2019, Nature Electronics.

[14]  John A. Rogers,et al.  An on-skin platform for wireless monitoring of flow rate, cumulative loss and temperature of sweat in real time , 2021 .

[15]  Sheng Xu,et al.  Three-dimensional integrated stretchable electronics , 2018, Nature Electronics.

[16]  Huanyu Cheng,et al.  Epidermal Impedance Sensing Sheets for Precision Hydration Assessment and Spatial Mapping , 2013, IEEE Transactions on Biomedical Engineering.

[17]  Zhong Lin Wang,et al.  Flexible Weaving Constructed Self‐Powered Pressure Sensor Enabling Continuous Diagnosis of Cardiovascular Disease and Measurement of Cuffless Blood Pressure , 2018, Advanced Functional Materials.

[18]  Yu Cao,et al.  Flexible Hybrid Electronics for Digital Healthcare , 2019, Advanced materials.

[19]  Huanyu Cheng,et al.  Flexible Conductive Composite Integrated with Personal Earphone for Wireless, Real-Time Monitoring of Electrophysiological Signs. , 2018, ACS applied materials & interfaces.

[20]  Jie Chen,et al.  A highly sensitive, self-powered triboelectric auditory sensor for social robotics and hearing aids , 2018, Science Robotics.

[21]  Doris A Taylor,et al.  An epicardial bioelectronic patch made from soft rubbery materials and capable of spatiotemporal mapping of electrophysiological activity , 2020, Nature Electronics.

[22]  Sihong Wang,et al.  Stretchable transistors and functional circuits for human-integrated electronics , 2021, Nature Electronics.

[23]  A novel art of continuous noninvasive blood pressure measurement , 2021, Nature communications.

[24]  Qifa Zhou,et al.  Monitoring of the central blood pressure waveform via a conformal ultrasonic device , 2018, Nature Biomedical Engineering.

[25]  Yuanwen Jiang,et al.  A wireless body area sensor network based on stretchable passive tags , 2019, Nature Electronics.

[26]  Sanat S Bhole,et al.  Soft Microfluidic Assemblies of Sensors, Circuits, and Radios for the Skin , 2014, Science.

[27]  Hiroki Ota,et al.  3D Printed "Earable" Smart Devices for Real-Time Detection of Core Body Temperature. , 2017, ACS sensors.

[28]  Dae-Hyeong Kim,et al.  Curved neuromorphic image sensor array using a MoS2-organic heterostructure inspired by the human visual recognition system , 2020, Nature Communications.

[29]  Danilo Mandic,et al.  Hearables: Automatic Overnight Sleep Monitoring With Standardized In-Ear EEG Sensor , 2020, IEEE Transactions on Biomedical Engineering.

[30]  Zhenan Bao,et al.  Multifunctional materials for implantable and wearable photonic healthcare devices , 2020, Nature Reviews Materials.

[31]  P. Federico Simultaneous Eeg and Fmri: Recording, Analysis and Application , 2010, Neurology.

[32]  Luke J. Chang,et al.  Multivariate Brain Prediction of Heart Rate and Skin Conductance Responses to Social Threat , 2016, The Journal of Neuroscience.

[33]  Yonggang Huang,et al.  Miniaturized electromechanical devices for the characterization of the biomechanics of deep tissue , 2021, Nature biomedical engineering.

[34]  Eugenijus Kaniusas,et al.  Optic Visualization of Auricular Nerves and Blood Vessels: Optimisation and Validation , 2011, IEEE Transactions on Instrumentation and Measurement.

[35]  D. Mandic,et al.  A novel in-ear sensor to determine sleep latency during the Multiple Sleep Latency Test in healthy adults with and without sleep restriction , 2018, Nature and science of sleep.

[36]  Steffen Leonhardt,et al.  Robustness, Specificity, and Reliability of an In-Ear Pulse Oximetric Sensor in Surgical Patients , 2014, IEEE Journal of Biomedical and Health Informatics.

[37]  Alina Y. Rwei,et al.  Wireless, implantable catheter-type oximeter designed for cardiac oxygen saturation , 2021, Science Advances.

[38]  Jangho Park,et al.  Wearable Sensing of In-Ear Pressure for Heart Rate Monitoring with a Piezoelectric Sensor , 2015, Sensors.

[39]  Zhaoqian Xie,et al.  Flexible and stretchable metal oxide nanofiber networks for multimodal and monolithically integrated wearable electronics , 2020, Nature Communications.