Continuous monitoring of the central-blood-pressure waveform from deeply embedded vessels, such as the carotid artery and jugular vein, has clinical value for the prediction of all-cause cardiovascular mortality. However, existing non-invasive approaches, including photoplethysmography and tonometry, only enable access to the superficial peripheral vasculature. Although current ultrasonic technologies allow non-invasive deep-tissue observation, unstable coupling with the tissue surface resulting from the bulkiness and rigidity of conventional ultrasound probes introduces usability constraints. Here, we describe the design and operation of an ultrasonic device that is conformal to the skin and capable of capturing blood-pressure waveforms at deeply embedded arterial and venous sites. The wearable device is ultrathin (240 μm) and stretchable (with strains up to 60%), and enables the non-invasive, continuous and accurate monitoring of cardiovascular events from multiple body locations, which should facilitate its use in a variety of clinical environments.

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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.

Sleeping disorder is a major health threatening in high-pace modern society. Characterizing sleep behavior with pressure-sensitive, simple fabrication, and decent washability still remains a challenge and highly desired. Here, a pressure-sensitive, large-scale, and washable smart textile is reported based on triboelectric nanogenerator (TENG) array as bedsheet for real-time and self-powered sleep behavior monitoring. Fabricated by conductive fibers and elastomeric materials with a wave structure, the TENG units exhibit desirable features including high sensitivity, fast response time, durability, and water resistance, and are interconnected together, forming a pressure sensor array. Furthermore, highly integrated data acquisition, processing, and wireless transmission system is established and equipped with the sensor array to realize real-time sleep behavior monitoring and sleep quality evaluation. Moreover, the smart textile can further serve as a self-powered warning system in the case of an aged nonhospitalized patients falling down from the bed, which will immediately inform the medical staff. This work not only paves a new way for real-time noninvasive sleep monitoring, but also presents a new perspective for the practical applications of remote clinical medical service.

Pulse wave carries comprehensive information regarding the human cardiovascular system (CS), which is essential for directly capturing CS parameters. More importantly, cuffless blood pressure (BP) is one of the most critical markers in CS. Accurately measuring BP via the pulse wave for continuous and noninvasive diagnosis of a disease associated with hypertension remains a challenge and highly desirable. Here, a flexible weaving constructed self‐powered pressure sensor (WCSPS) is reported for measurement of the pulse wave and BP in a noninvasive manner. The WCSPS holds an ultrasensitivity of 45.7 mV Pa−1 with an ultrafast response time of less than 5 ms, and no performance degradation is observed after up to 40 000 motion cycles. Furthermore, a low power consumption sensor system is developed for precisely monitoring pulse wave from the fingertip, wrist, ear, and ankles. A practical measurement is performed with 100 people with ages spanning from 24 to 82 years and different health statuses. The discrepancy between the measured BP results using the WCSPS and that provided by the commercial cuff‐based device is about 0.87–3.65%. This work demonstrates an efficient and cost‐effective way for human health monitoring, which would be a competitive alternative to current complex cardiovascular monitoring systems.

Ultrasound adds the third dimension to wearable sensors.

The flexible pressure sensor is one of the essential components of the wearable device, which is a critical solution to the applications of artificial intelligence and human−computer interactions in the future. Due to its simple manufacturing process and measurement methods, research related to piezoresistive mechanical sensors is booming, and those sensors are already widely used in industry. However, existing pressure sensors are almost all based on negative resistance variations, making it difficult to reach a balance between the sensitivity and the detection range. Here, we demonstrated a low-cost flexible pressure sensor with a positive resistance−pressure response based on laser scribing graphene. The sensor can be customized and modulated to achieve both an ultrahigh sensitivity and a broad detection range. Furthermore, the device possesses the signal amplification property like a mechanical triode under the external pressure bias. Based on its amplification ability, varieties of physiological signals and human movements have been detected using our devices; then, an integrated gait monitoring system has been realized. The reported positive graphene pressure sensor has outstanding capability, showing a wide application range such as intelligent perception, an interactive device, and real-time health/motion monitoring.