Search Results (3)

Portable handheld bioprinters represent a transformative advancement in personalized skin regeneration, bypassing the logistical constraints of stationary lab-based systems by enabling real-time, in situ fabrication of bioengineered constructs directly within the wound bed. This review aims to evaluate the current state of their development and clinical translation. One of the foci is placed on the stringent physicochemical requirements for bioinks, where we examined the critical balance between bioadhesion—facilitated by functional groups—and mechanical cohesion necessary for maintaining structural integrity during deposition, while RGD motifs are considered primarily as promoters of integrin-mediated cell adhesion. Preclinical studies have demonstrated promising effects of bioprinted constructs on wound healing and tissue organization; however, human evidence for handheld and direct in situ skin bioprinting remains limited, and clinical efficacy has yet to be established in controlled studies. Nevertheless, widespread adoption is hindered by inferior printing fidelity relative to stationary counterparts, a lack of standardized GMP-compliant bioink production, and regulatory ambiguity that impedes clear classification as either medical devices or biologics. Practical barriers, including intraoperative sterility assurance and operator training, also remain unresolved. Looking ahead, we discuss how the convergence of, in particular, artificial intelligence for real-time wound morphometry, closed-loop process control, and smart, self-healing biomaterials promises to surmount these obstacles. We conclude that these synergistic innovations may propel handheld bioprinters from experimental prototypes toward clinical tools with the potential to reshape reconstructive surgery and emergency wound care, although their clinical value will require validation in appropriately designed human studies. Full article

Gel-based flexible electronic sensors have emerged as a transformative class of materials for next-generation applications. These applications are wearable electronics, soft robotics, electronic skin (e-skin), and healthcare monitoring systems. Owing to their intrinsic softness, stretchability, and biocompatibility, gels provide an ideal platform for constructing highly deformable and skin-conformable sensing devices. This paper provides insight into emerging fabrication techniques, including 3D printing, bioprinting, and microfabrication. These techniques have facilitated the creation of complex architectures with improved sensitivity and scalability. The review also focuses on recent advancements that have focused on overcoming traditional limitations. These limitations are poor mechanical strength, dehydration, limited environmental stability, and low sensitivity. In particular, the incorporation of conductive fillers and ionic species has enabled a range of sensing mechanisms. These mechanisms include piezoresistive, capacitive, piezoelectric, and ionotronic responses. Therefore, it allows for the accurate detection of strain, pressure, temperature, and biochemical signals. Finally, this review provides a summary of future research, which is expected to focus on multifunctional integration, sustainable materials, and intelligent data processing. It provides pathways to the widespread adoption of gel-based flexible electronic sensors in both consumer and clinical applications. Full article

Nanogenerators are a recently emerging technology which is able to cost-effectively harvest energy from renewable and clean energy sources at the micro/nano-scale. Their applications in the field of self-powered sensing systems and portable power supplying devices have been increasing in recent years. Wearable and implantable electromechanical/electrochemical transducers for energy harvesting represent a novel alternative to chemical batteries for low-power devices and to exploit the energy conveyed by human biomechanics. The human heart, in particular, is a compelling in vivo source of continuous biomechanical energy and is a natural battery which can power implantable or wearable medical devices. This review describes the recent advances in cardiac wearable/implantable soft and flexible devices and nanogenerators for energy harvesting (piezoelectric nanogenerators, triboelectric nanogenerators, biofuel cells, solar cells, etc.), as well as cardiovascular implantable electronic devices in a more general sense, as components of more complex self-sustainable bioelectronic systems for controlling irregular heartbeats or for interventional therapy for cardiac diseases. The main types of soft heart energy harvesters (HEHs) and heart bioelectronic systems (HBSs) are covered and classified, with a detailed presentation of state-of-the-art devices, and the advances in terms of materials choice, chemical functionalization, and design engineering are highlighted. In vivo bioelectronic cardiac interfaces are outlined as well as soft devices for in vitro cardiac models (patch and organoids). Cutting-edge 3D/4D bioprinting techniques of cardiac tissue are also mentioned. The technical challenges for the practical application and commercialization of soft HBSs are discussed at the end of this paper. Full article