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Continuous long-term monitoring and diagnosis of biomedical signals, such as electrocardiograms (ECGs), can help mitigate an increasing threat to public health. Artificial Intelligence (AI) models, such as Convolutional Neural Networks (CNNs), provide accurate monitoring and classification for relevant diseases; however, they require more computational resources than conventional AI hardware can typically afford, especially for a resource-constrained environment on the edge. In this work, we present BenDi, an energy-efficient quasi-stochastic systolic architecture for bioelectronic systems on the edge. BenDi leverages multiple levels of energy and power optimization, ranging from circuits to software quantization, including low supply voltage, the \underline{Ben}t-Pyramid data format for quasi-stochastic multiplication, the \underline{Di}P systolic dataflow, and hardware-aware quantization, to handle CNNs with high accuracy on the edge within limited hardware budgets. The hardware implementation results, using a commercial 22nm technology, show that BenDi architecture, at 0.5 Voltage and 100 MHz, offers 3.35x smaller area and 5x higher energy efficiency, compared to state-of-the-ar

Thin-film self-assembly of three-dimensional (3D) microsystems presents a compelling route to integrate complex functionalities into ultra-compact volumes, yet strategies for incorporating tunable ion-conducting elements remain limited. Here, we introduce a strain-induced self assembly platform that transforms lithographically patterned multilayer thin films into functional 3D coaxial Swiss-roll microtubes with total active volumes below 1 uL. A key innovation is the monolithic integration of a chemically tunable polyimide proton-exchange membrane, enabling post-fabrication optimization of ionic transport that balances proton transport with mediator blocking. We further implement a dual-mode operational scheme that decouples microbial metabolism from electrochemical power generation, revealing biofouling, not chemical fouling or membrane degradation, as the dominant failure mechanism in conventional architectures. Critically, optimally treated polyimide membranes exhibit excellent recoverability after fouling, while cell-free mode operation maintains stable performance by physically excluding microorganisms from the microelectronic environment. This integrated bio-electronic micros

Over the past years, rapid progress has been made on soft-matter electronics for wearable and implantable devices, for bioelectronics and optogenetics. Liquid Metal (LM) based electronics were especially popular, due to their long-term durability, when subject to repetitive strain cycles. However, one major limitation has been the need for tethering bioelectronics circuits to external power, or the use of rigid bulky batteries. This has motivated a growing interest in wireless energy transfer, which demands circuit miniaturization. However, miniaturization of LM circuits is challenging due to low LM-substrate adhesion, LM smearing, and challenges on microchip-interfacing. In this article, we address these challenges by high-resolution laser-assisted micropatterning of biphasic LM composites and vapor-assisted LM microchip soldering. Through development of a search algorithm for optimization of the biphasic ink coil performance, we designed and implemented micro coils with trace spacing of 50 μm that can harvest a significant amount of energy (178 mW/cm2) through near field inductive coupling. We show miniaturized soft-matter circuits with integrated SMD chips such as NFC chips, cap

Recent advances in manufacturing of flexible and conformable microelectronics have opened opportunities for health monitoring and disease treatment. Other material engineering advances, such as the development of conductive, skin-like hydrogels, liquid metals, electric textiles, and piezoelectric films provide safe and comfortable means of interfacing with the human body. Together, these advances have enabled the design and engineering of bioelectronic devices with integrated multimodal sensing and stimulation capabilities to be worn nearly anywhere on the body. Of particular interest here, the external ear (auricle) offers a unique opportunity to design scalable bioelectronic devices with a high degree of usability and familiarity given the broad use of headphones. This perspective article discusses recent design and engineering advances in the development of auricular bioelectronic devices capable of physiological and biochemical sensing, cognitive monitoring, targeted neuromodulation, and control for human-computer interactions. Stemming from this scalable foundation, there will be increased growth and competition in research and engineering to advance auricular bioelectronics.

Organoids offer a promising alternative in biomedical research and clinical medicine, with better feature recapitulation than 2D cultures. They also have more consistent responses with clinical results when compared to animal models. However, major challenges exist in the longevity of culture, the reproducibility of organoid properties, and the development of non-disruptive monitoring methods. Recent advances in materials and microfabrication methods, such as 3D printing and compressive buckling, have enabled three-dimensional (3D) interfaces of microfluidics and bioelectronics to manipulate and monitor these biological models in exciting ways. These advanced systems have great potential for applications in drug delivery, personalized medicine, and disease modelling. We conclude with important future considerations to generate longevity using further technological development in organoid and spheroid models.

Bioelectronic implants with soft mechanics, biocompatibility, and excellent electrical performance enable biomedical implants to record electrophysiological signals and execute interventions within internal organs, promising to revolutionize the diagnosing, monitoring, and treatment of various pathological conditions. However, challenges remain in improving excessive impedance at the bioelectronic-tissue interface and thus the efficacy of electrophysiological signaling and intervention. Here, we devise orbit symmetry breaking in MXene (a low-cost scalability, biocompatible, and conductive 2D layered material, that we refer to as OBXene), that exhibits low bioelectronic-tissue impedance, originating from the out-of-plane charge transfer. Furthermore, the Schottky-induced piezoelectricity stemming from the asymmetric orbital configuration of OBXene facilitates interlayered charge transport in the device. In this study, we report an OBXene-based cardiac patch applied on the left ventricular epicardium of both rodent and porcine models to enable spatiotemporal epicardium mapping and pacing, while coupling the wireless and battery-free operation for long-term real-time recording and clo

Integrating biology with complementary metal-oxide-semiconductor (CMOS) sensors can enable highly parallel measurements with minimal parasitic effects, significantly enhancing sensitivity. However, realizing this potential often requires overcoming substantial barriers related to design, fabrication, and heterogeneous integration. In this context, we present a comprehensive suite of tools and methods designed for wafer-scale biosensor prototyping that is sensitive, highly parallelizable, and manufacturable. A central component of our approach is a new initiative that allows for open-source multi-project wafers (MPW), giving all participants access to the designs submitted by others. We demonstrate that this strategy not only promotes design reuse but also facilitates advanced back-end-of-line (BEOL) fabrication techniques, improving the manufacturability and process yield of CMOS biosensors. Developing CMOS-based biosensors also involves the challenge of heterogeneous integration, which includes external electrical, mechanical, and fluid layers. We demonstrate simple modular designs that enable such integration for sample delivery and signal readout. Finally, we showcase the effect

Symmetry lies at the heart of 2D bioelectronics, determining material properties at the fundamental level. Breaking the symmetry allows emergent functionalities and effects. However, symmetry modulation in 2D bioelectronics and the resultant applications have been largely overlooked. Here we devise an oxidized architectural MXene, referred as OXene, that couples orbit symmetric breaking with inverse symmetric breaking to entitle the optimized interfacial impedance and Schottky-induced piezoelectric effects. The resulting OXene validates applications ranging from microelectrode arrays, gait analysis, active transistor matrix, and wireless signaling transmission, which enables highly-fidelity signal transmission and reconfigurable logic gates. Further OXene interfaces are investigated in both rodent and porcine myocardium, featuring high-quality and spatiotemporally resolved physiological recordings, while accurate differentiated predictions, enabled via various machine learning pipelines.

Autonomous implantable bioelectronics rely on wireless connectivity, necessitating highly efficient electromagnetic (EM) radiation systems. However, limitations in power, safety, and data transmission currently impede the advancement of innovative wireless medical devices, such as tetherless neural interfaces, electroceuticals, and surgical microrobots. To overcome these challenges and ensure sufficient link and power budgets for wireless implantable systems, this study explores the mechanisms behind EM radiation and losses, offering strategies to enhance radiation efficiency in wireless implantable bioelectronics. Using analytical modeling, the EM waves emitted by the implant are expanded as a series of spherical harmonics, enabling a detailed analysis of the radiation mechanisms. This framework is then extended to approximate absorption losses caused by the lossy and dispersive properties of tissues through derived analytical expressions. The radiation efficiency and in-body path loss are quantified and compared in terms of three primary loss mechanisms. The impact of various parameters on the EM efficiency of implantable devices is analyzed and quantified, including operating fr

Wireless minimally invasive bioelectronic implants enable a wide range of applications in healthcare, medicine, and scientific research. Magnetoelectric (ME) wireless power transfer (WPT) has emerged as a promising approach for powering miniature bio-implants because of its remarkable efficiency, safety limit, and misalignment tolerance. However, achieving low-power and high-quality uplink communication using ME remains a challenge. This paper presents a pulse-width modulated (PWM) ME backscatter uplink communication enabled by a switched-capacitor energy extraction (SCEE) technique. The SCEE rapidly extracts and dissipates the kinetic energy within the ME transducer during its ringdown period, enabling time-domain PWM in ME backscatter. Various circuit techniques are presented to realize SCEE with low power consumption. This paper also describes the high-order modeling of ME transducers to facilitate the design and analysis, which shows good matching with measurement. Our prototyping system includes a millimeter-scale ME implant with a fully integrated system-on-chip (SoC) and a portable transceiver for power transfer and bidirectional communication. SCEE is proven to induce >5

Stretchable electronics capable of conforming to nonplanar and dynamic human body surfaces are central for creating implantable and on-skin devices for high-fidelity monitoring of diverse physiological signals. While various strategies have been developed to produce stretchable devices, the signals collected from such devices are often highly sensitive to local strain, resulting in inevitable convolution with surface strain-induced motion artifacts that are difficult to distinguish from intrinsic physiological signals. Here we report all-printed super stretchable strain-insensitive bioelectronics using a unique universal gradient interface (UGI) to bridge the gap between soft biomaterials and stiff electronic materials. Leveraging a versatile aerosol-based multi-materials printing technique that allows precise spatial control over the local stiffnesses with submicron resolution, the UGI enables strain-insensitive electronic devices with negligible resistivity changes under a 180% stretch ratio. We demonstrate various stretchable devices directly printed on the UGI for on-skin health monitoring with high signal quality and near perfect immunity to motion artifacts, including semicon

A central endeavour in bioelectronics is the development of logic elements to transduce and process ionic to electronic signals. Motivated by this challenge, we report fully monolithic, nanoscale logic elements featuring n- and p-type nanowires as electronic channels that are proton-gated by electron-beam patterned Nafion. We demonstrate inverter circuits with state-of-the-art ion-to-electron transduction performance giving DC gain exceeding 5 and frequency response up to 2 kHz. A key innovation facilitating the logic integration is a new electron-beam process for patterning Nafion with linewidths down to 125 nm. This process delivers feature sizes compatible with low voltage, fast switching elements. This expands the scope for Nafion as a versatile patternable high-proton-conductivity element for bioelectronics and other applications requiring nanoengineered protonic membranes and electrodes.