60% of Americans live with at least one chronic disease. These diseases and associated comorbidities are now the leading causes of death in the United States. Effective management of complex chronic diseases requires body-wide, long-term, accurate, and continuous monitoring of multiple physiological signals from wearable devices to precisely determine the pathological state. These wearable physiological signal monitoring can dramatically reduce the demand of physician visiting and increase patients’ engagement and treatment adherence rate. Although wearable bioelectronic devices have shown huge potential in chronic disease management, existing technology still mostly relies on rigid chip components, where the interface between chips and skin/tissue has been a bottleneck that limits the system performance (noise, robustness etc). To address these challenges, my research has been involved in the exploration of rational system design concepts, material and device fabrication innovation, and tailored algorithms to enable smart wearable electronics that targets next-generation chronic disease management.Here I would like to discuss two of my developed technology platforms to elaborate the concept of smart wearables. First, I will describe a body area sensor network technology platform. In the system design concept side, this technology utilizes a novel wireless hybridization strategy and an unconventional detuned RFID working regime that provide an ideal skin interface. In the material/device side, this system integrates several skin-conforming polymer-based soft devices (ring oscillators, RF diodes, antennas, transistors etc.) as an integrated soft multimode sensing sticker. (1,2) Next, I will describe a wireless closed-loop smart bandage that can accelerate and monitor the wound healing process. (3) Such smart bandage also integrates new design concepts (wireless, battery-free design that combines both sensing and stimulation), novel materials (low-impedance, high-toughness, and tunable adhesion hydrogel as skin interface) and closed-loop control algorithms. Overall, the developed technology platform could assess multiple health outcomes and treatment responses to various chronic diseases. Ultimately, this technology will help to reduce chronic disease burden, lower medical costs, and provide a better quality of life for patients.
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