Traditional public health systems are suffering from limited, delayed, and inefficient medical services, especially when confronted with the pandemic and the aging population. Fusing traditional textiles with diagnostic, therapeutic, and protective medical devices can unlock electronic textiles (e-textiles) as point-of-care platform technologies on the human body, continuously monitoring vital signs and implementing round-the-clock treatment protocols in close proximity to the patient. This review comprehensively summarizes the research advances on e-textiles for wearable point-of-care systems. We start with a brief introduction to emphasize the significance of e-textiles in the current healthcare system. Then, we describe textile sensors for diagnosis, textile therapeutic devices for medical treatment, and textile protective devices for prevention, by highlighting their working mechanisms, representative materials, and clinical application scenarios. Afterward, we detail e-textiles’ connection technologies as the gateway for real-time data transmission and processing in the context of 5G technologies and Internet of Things. Finally, we provide new insights into the remaining challenges and future directions in the field of e-textiles. Fueled by advances in chemistry and materials science, textile-based diagnostic devices, therapeutic devices, protective medical devices, and communication units are expected to interact synergistically to construct intelligent, wearable point-of-care textile platforms, ultimately illuminating the future of healthcare system in the Internet of Things era.

Biosurfaces with geometry-gradient structures or special wettabilities demonstrate intriguing performance in manipulating the behaviors of versatile fluids. By mimicking natural species, that is, the cactus spine with a shape-gradient morphology and the Picher plant with a lubricated inner surface, we have successfully prepared an asymmetric slippery surface by following the processes of CO-laser cutting, superhydrophobic modification, and the fluorinert infusion. The asymmetric morphology will cause the deformation of gas bubbles and subsequently engender an asymmetric driven force on them. Due to the infusion of fluorinert, which has a low surface energy (∼16 mN/m, 25 °C) and an easy fluidic property (∼0.75 cP, 25 °C), the slippery surface demonstrates high adhesive force (∼300 μN) but low friction force on the gas bubbles. Under the cooperation of the asymmetric morphology and fluorinert infused surface, the fabricated asymmetric slippery surface is applicable to the directional and continuous bubble delivery in an aqueous environment. More importantly, due to the hard-compressed property of fluorinert, the asymmetric slippery surface is facilitated with distinguished bubble transport capability even in a pressurized environment (∼0.65 MPa), showing its feasibility in practical industrial production. In addition, asymmetric slippery surfaces with a snowflake-like structure and a star-shaped structure were successfully fabricated for the real-world applications, both of which illustrated reliable performances in the continuous generation, directional transportation, and efficient collection of CO and H microbubbles.

As the world marches into the era of the Internet of Things (IoT), the practice of human health care is on the cusp of a revolution, driven by an unprecedented level of personalization enabled by a variety of wearable bioelectronics. A sustainable and wearable energy solution is highly desired , but challenges still remain in its development. Here, we report a high-performance wearable electricity generation approach by manipulating the relative permittivity of a triboelectric nanogenerator (TENG). A compatible active carbon (AC)-doped polyvinylidene fluoride (AC@PVDF) composite film was invented with high relative permittivity and a specific surface area for wearable biomechanical energy harvesting. Compared with the pure PVDF, the 0.8% AC@PVDF film-based TENG obtained an enhancement in voltage, current, and power by 2.5, 3.5, and 9.8 times, respectively. This work reports a stable, cost-effective, and scalable approach to improve the performance of the triboelectric nanogenerator for wearable biomechanical energy harvesting, thus rendering a sustainable and pervasive energy solution for on-body electronics.

Magnetoelastic effect characterizes the change of materials’ magnetic properties under mechanical deformation, which is conventionally observed in some rigid metals or metal alloys. Here we show magnetoelastic effect can also exist in 1D soft fibers with stronger magnetomechanical coupling than that in traditional rigid counterparts. This effect is explained by a wavy chain model based on the magnetic dipole-dipole interaction and demagnetizing factor. To facilitate practical applications, we further invented a textile magnetoelastic generator (MEG), weaving the 1D soft fibers with conductive yarns to couple the observed magnetoelastic effect with magnetic induction, which paves a new way for biomechanical-to-electrical energy conversion with short-circuit current density of 0.63 mA cm−2, internal impedance of 180 Ω, and intrinsic waterproofness. Textile MEG was demonstrated to convert the arterial pulse into electrical signals with a low detection limit of 0.05 kPa,  even with heavy perspiration or in underwater situations without encapsulations.

No abstract