Real-time monitoring of heart rate, blood pressure, and respiration rate assume significance since these data can provide the status of one’s personal health and early warning about deterioration of health so that necessary therapeutic treatments can be given to the patient. In spite of the numerous developments of sensors for real-time monitoring, meeting their requirements such as flexibility, sensitivity, response time and mechanical stability and biocompatibility remains to be really challenging. Researchers at Korea Advanced Institute of Science and Technology (KAIST), Republic of Korea, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Republic of Korea, KAIST Institute for NanoCentury (KINC), Republic of Korea, The Pennsylvania State University, USA and ROBOPRINT Co., Ltd., Republic of Korea have demonstrated a self-powered flexible piezoelectric pulse sensor based on PZT thin film for real-time healthcare monitoring.
The fabrication process of self-powered flexible pressure sensor on an ultrathin polyethylene terephthalate (PET) substrate is described schematically in Fig. 1. A high-quality PZT thin film was deposited on sapphire using a 0.6 M sol-gel PZT solution by spin coating at 2000 rpm for 30 s, annealed at 700 °C for 2 h (Fig. 1(a)), followed by attachment of a thermal release tape (Fig. 1(b)). Subsequently, the PZT thin film was exfoliated by an inorganic-based laser lift-off (ILLO) technique, which involves irradiation at the backside of the sapphire substrate using a XeCl Excimer laser (Fig. 1(c)). The exfoliated PZT thin film was then transferred to an ultrathin PET substrate using an UV-cured adhesive polymer and the transfer medium was detached by thermal treatment (Fig. 1(d)). Photolithography and wet etching process were employed to develop gold interdigitated electrodes (IDEs) (Fig. 1(e)) followed by deposition of a photocurable epoxy passivation layer on the PZT thin film. The ultrathin piezoelectric sensor is highly flexible, which enables a conformal contact of the sensor to the human skin topography and improves the sensing ability of tiny pressure arising near the surface region of epidermis. The epoxy passivation of the piezoelectric sensor offers negligible cytotoxicity.
Fig. 1 Schematic illustration of the various stages involved in the fabrication of self-powered flexible pressure sensor on an ultrathin PET substrate
The flexible ultrathin piezoelectric sensor can be conformally attached on human wrist (Fig. 2(a)) and carotid artery (Fig. 2(b)) using a biocompatible liquid bandage spray. Besides, it can be integrated with the medical mask (Fig. 2(c)).
Fig. 2 (a-c) Photographs of piezoelectric pulse sensor conformally attached on (a) human wrist; and (b) carotid artery position (top) and the middle of the throat (bottom) using a biocompatible liquid bandage; (c) sensor integrated with the medical mask
The variation in the radial artery pulse signals before (red line) and after (blue line) physical exercise (running for 10 min) (Fig. 3(a)) indicate the effectiveness of the sensor to respond to blood vessel movements. Similarly, the flexible ultrathin piezoelectric sensor can be used to monitor carotid artery pulse and muscle movements (Fig. 3(b)) and respiratory activities (Fig. 3(c)).
Fig. 3 (a) Radial artery pulse signals showing different heart rates and generated output voltages before and after physical exercise; (b) output voltage in response to carotid arterial pressure (top) and saliva swallowing actions (bottom); and (c) output voltage response of the pressure sensor to normal (right bottom, blue) and deep oral breathing (right top, red) during periodic oral breathing.
The applicability of the self-powered flexible pulse sensor for real-time pulse monitoring is validated by integrating signal amplification, frequency filtering, signal processing circuit to identify arterial pulse signals, decision making module and a microcontroller unit for wireless transmission of the signal to a smart phone, in the assembly (Fig. 4). The outputs from the system confirm that the self-powered pulse sensor can be effectively utilized for continuous real-time monitoring.
Fig. 4 (a) Photograph of the LED and speaker unit operated synchronously corresponding to the radial artery pulse (inset: output voltage from the first (bottom, red) and second (top, blue) amplifier stage; (b) Photograph of wireless transmission of the pulse to a smart phone, showing capability for a real-time arterial pulse monitoring system.
The sensitivity (0.018 kPa−1), fast response time (60 ms), good mechanical stability (5000 pushing cycles), response to lower frequency vibrations (0.2 to 5.0 Hz) and higher frequency sound waves (240 Hz), ability to conformally attach on human epidermis of the flexible piezoelectric sensor helps effective monitoring of radial/carotid artery pulse, respiratory activities, and trachea movements. Development of such sensors is believed to make significant impact in medical diagnosis towards achieving a better human health care.
T.S.N. Sankara Narayanan
For more information, the reader may kindly refer: Dae Yong Park et al., Self-Powered Real-Time Arterial Pulse Monitoring Using Ultrathin Epidermal Piezoelectric Sensors, Adv. Mater. 2017, 1702308, DOI: 10.1002/adma.201702308