Existing vital sign monitoring systems in the neonatal intensive care unit (NICU) require multiple wires connected to rigid sensors with strongly adherent interfaces to the skin. We introduce a pair of ultrathin, soft, skin-like electronic devices whose coordinated, wireless operation reproduces the functionality of these traditional technologies but bypasses their intrinsic limitations. The enabling advances in engineering science include designs that support wireless, battery-free operation; real-time, in-sensor data analytics; time-synchronized, continuous data streaming; soft mechanics and gentle adhesive interfaces to the skin; and compatibility with visual inspection and with medical imaging techniques used in the NICU. Preliminary studies on neonates admitted to operating NICUs demonstrate performance comparable to the most advanced clinical-standard monitoring systems.
Compact electronic systems that perform rapid, precise mechanical characterization of living biological tissues have important potential uses in monitoring and diagnosing various types of human-health disorders. Active devices that perform high-precision, real-time evaluations of deep tissue structures (millimeter-scale) in a precise, digital and non-invasive fashion could complement capabilities of recentlyreported approaches for sensing tissue biomechanics at super cial depths (typically micrometer-scale).This paper introduces a miniature electromagnetic platform that combines a vibratory actuator with a soft strain-sensing sheet for determining the Young's modulus of soft biological tissues, with speci c focus on skin. Experimental and computational studies establish the operational principles and performance attributes through evaluations of synthetic and biological materials, including human skin at various body locations across healthy subject volunteers. The results demonstrate dynamic monitoring of elastic modulus at characteristic depths between ~1 and ~8 mm, depending on the sensor designs.Arrays of such devices support capabilities in both depth pro ling and spatial mapping. Clinical studies on patients with skin disorders highlight potential for accurate targeting of lesions associated with psoriasis, as examples of practical medical utility.
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