No abstract

Wearable textile electronics are highly desirable for realizing personalized health management. However, most reported textile electronics can either periodically target a single physiological signal or miss the explicit details of the signals, leading to a partial health assessment. Furthermore, textiles with excellent property and comfort still remain a challenge. Here, we report a triboelectric all-textile sensor array with high pressure sensitivity and comfort. It exhibits the pressure sensitivity (7.84 mV Pa −1 ), fast response time (20 ms), stability (>100,000 cycles), wide working frequency bandwidth (up to 20 Hz), and machine washability (>40 washes). The fabricated TATSAs were stitched into different parts of clothes to monitor the arterial pulse waves and respiratory signals simultaneously. We further developed a health monitoring system for long-term and noninvasive assessment of cardiovascular disease and sleep apnea syndrome, which exhibits great advancement for quantitative analysis of some chronic diseases.

Heart-rate monitoring plays a critical role in personal healthcare management. A low-cost, noninvasive, and user-friendly heart-rate monitoring system is highly desirable. Here, a self-powered wireless body sensor network (BSN) system is developed for heart-rate monitoring via integration of a downy-structure-based triboelectric nanogenerator (D-TENG), a power management circuit, a heart-rate sensor, a signal processing unit, and Bluetooth module for wireless data transmission. By converting the inertia energy of human walking into electric power, a maximum power of 2.28 mW with total conversion efficiency of 57.9% was delivered at low operation frequency, which is capable of immediately and sustainably driving the highly integrated BSN system. The acquired heart-rate signal by the sensor would be processed in the signal process circuit, sent to an external device via the Bluetooth module, and displayed on a personal cell phone in a real-time manner. Moreover, by combining a TENG-based generator and a TENG-based sensor, an all-TENG-based wireless BSN system was developed, realizing continuous and self-powered heart-rate monitoring. This work presents a potential method for personal heart-rate monitoring, featured as being self-powered, cost-effective, noninvasive, and user-friendly.

Furthermore, by 2030 this number is expected to rise steadily to 23.6 million. [2] Despite such high mortality rates, most CVD, [3,4] including arteriosclerosis, [5,6] diabetes, [7][8][9][10] myocardial infarction, [11,12] coronary heart disease, [13,14] and hypertension, [15][16][17][18] can be prevented and treated through early diagnosis and long-term monitoring of physiological signaling. Conventional health systems suffer from deficiencies in wearability, wireless technology, lifespan, and stability to maintain a long-term collection of clinical-grade individual health metrics for accurate diagnosis. [19][20][21] As such, promoting the utility of Internet of Things (IoT)-enabled technology in personalized healthcare is still significantly impeded by the need for costeffective and wearing-comfort biomedical devices to continuously provide real-time patient-generated health data. Over the past several decades, significant advances in wearable pressure sensors have been observed, allowing them to noninvasively and continuously detect human physiological and pathological signals. [22][23][24][25][26][27][28][29][30][31][32][33][34][35] These biomedical metrics can then be used to evaluate cardiovascular conditions, providing a personalized health care system with better health outcomes, increased user-friendliness, greater quality, and cost-effectiveness that are essential to reducing CVD incidence and mortality. [36][37][38][39] Pulse waves are prominent component of human physiological signaling and involve abundant human-health information that can reveal individual conditions, including heart problems (such as arrhythmia), blood pressure, vascular aging, exercise, medication, and sleep status. [40][41][42][43][44][45] Although physical symptoms are often elusively observed in their early stages, they can be diagnosed through subtle pulsewave changes. Preventive action of CVDs can be taken by differentiating the variance of pulse waveforms with consideration of participants' age, gender, weight, and daily diet. [46][47][48][49] Traditional Chinese medicine (TCM) has proposed empirical approaches to analyze human physical state from pulse waves, rendering pulse wave surveillance unavoidable for TCM. [50,51] TCM is unable to continuously monitor pulse waves, limiting the accuracy of the assessment results. As such, empirical diagnostic methods may profoundly depend on the experiences of the practitioner, the emotions of the participant, and the external environment, resulting in the administration of distorted or problematic treatment. [52] Additionally, the diagnostic results among practitioners are Cardiovascular diseases remain the leading cause of death worldwide. The rapid development of flexible sensing technologies and wearable pressure sensors have attracted keen research interest and have been widely used for longterm and real-time cardiovascular status monitoring. Owing to compelling characteristics, including light weight, wearing comfort, and high sensitivity to pulse pressures, physiological pulse ...