Table 1 Comparative Summary of Bioelectronic Systems Based on Key Functional Features, Enabling Materials, Advantages, and Challenges

From: Materials strategy and device fabrication for stable closed-loop bioelectronics

Type

Ref

Biosignals

Device strategy

Mechanical

property

Advantage

Limitation

Ref

Wearable

Patch type

Monitoring electrophysiological signals on the skin surface

Flexible patch

Flexible

Skin-conformal, lightweight

Limited durability, no self-healing

88

Ultrathin patch

Ultraflexible

High skin conformability

Fragile under strain

90,97,98,108

Stretchable patch

Stretchable

Allows motion with minimal signal noise

Limited durability, no self-healing

109,110,111,112,113,116,124

Self-healing patch

Stretchable and Self-healing

Extended lifespan, durability after damage

Material complexity, slower healing at low temperature

131,132,133

Implantable

Probe type

Recording electrophysiological signals from internal organs or tissues

Microelectrode array

Rigid/Flexible

High spatial resolution

Mechanical mismatch with tissue

147

Soft microelectrode array

Soft conformable

Reduced inflammation, better biocompatibility

Fabrication complexity

148

Rigid probe

Rigid

High spatial resolution

Mechanical mismatch with tissue

149,150

flexible probe

Flexible

Easy insertion, better tissue integration

Risk of micromotion-induced damage

152,153,154,155,157

Stretchable probe

Stretchable

Tissue-like compliance

Long-term reliability concerns

156

Patch type

Applied to the surface of internal organs for signal acquisition or stimulation

Flexible patch

Flexible

Easy to conform to organ surfaces

Poor integration over time

166,167

Flexible cuff

Flexible

Useful for nerve wrapping, stable stimulation

May cause nerve compression

168,169

Stretahble patch

Stretchable

High conformability and minimal motion artifact

Mechanical fatigue

28,177,178,179

Stretchable, self-healing cuff

Stretchable and Self-healing

Damage tolerance, long-term implantation potential

Fabrication and encapsulation challenges

181,182,183

Adhesive

EMG

Adhesive hydrogel layer

Adhesive

Stable interface on set tissues

Mechanical failure with water infiltration

189

Adhesive OECT film

Adhesive and Conformable

Conformal contact with moving muscles

Fabrication complexity

197

ECG

Silica nanoparticle-loaded hydrogel

Adhesive and soft

Displaces interfacial water

Limited mechanical integrity due to dissipative hydrogel

192

NHS covalent adhesive hydrogel

Adhesive and soft

Long-term ECG signal acquisition

Mechanical fatigue over time

170,195,196

Catechol-modified adhesive hydrogel

Adhesive and Self-healing

Robust adhesion on cardiac tissues

Potential selling

201

ECoG

Catechol-modified adhesive hydrogel

Adhesive and Self-healing

Conformal contact and underwater adhesion

Potential selling

200

Injectable hydrogel

Drug delivery

Injectable through in-situ gelation

Syringe-injectable,

stretchable and conformable

Rapid in-situ gelation, stable adhesion, effective hemostasis, and adaptability to irregular tissues.

Limited potential for electronic device applications

202

injectable thermo-responsive hydrogel

Syringe-injectable,

stretchable and conformable

Shear-thinning injectability and magnetic-triggered hyperthermia enable localized, targeted drug delivery

Limited potential for electronic device applications

203

ENG, EMG,

tissue prosthesis

Phenylborate-based dynamic covalent bonds, in-situ gold nanoparticle formation

Syringe-injectable,

Stretchable, conformable,

self-healable, adhesive

Superior conductivity, self-healing, and robust mechanical integrity enable effective nerve &muscle reconnection, tissue repair, and closed-loop rehabilitation integration

Difficult to interface with conventional electronic devices

204

ENG

In situ curing of a silicone-silver composite

Syringe-injectable,

Stretchable, conformable,

adhesive

Minimally invasive, durable, and biocompatible neural interface enabling reliable signal transmission

Difficult to interface with conventional electronic devices

205

Injectable

self-deployable

mesh patch

Myocardial infarction treatment

Shape-memory cryogel

Syringe-injectable,

Stretchable, conformable,

self-deployable

Minimally invasive, shape-memory-enabled patch delivery enhances conductivity and promotes cardiac tissue repair

Lacks intrinsic adhesion and

precise targeting is challenging

206

Atrial Fibrillation Elimination

Mesh design, double-network (PVA/PEDOT:PSS)

Syringe-injectable,

Stretchable, conformable,

self-deployable

High conductivity, durability, and shape-memory ensure secure, long-term biocompatibility

Lacks intrinsic adhesion and

precise targeting is challenging

207

LFP recording

Ultrathin gold/polymer mesh device

Syringe-injectable,

Stretchable, conformable,

self-deployable

Ultrathin, macroporous mesh enables minimally invasive injection, rapid tissue conformity, and stable, inflammation-free chronic EEG monitoring

Challenging precise targeting, risk of deployment failure

208

Electrophysiology of

single RGCs

Noncoaxial intravitreal injection of mesh device

Syringe-injectable,

Stretchable, conformable,

self-deployable

Minimally invasive injection yields conformal retinal interfacing for stable, long-term RGC monitoring

Challenging precise targeting, risk of deployment failure

209

Neural recording & electrical stimulation,

Intracranial temperature & pressure monitoring

Compressed injection of mesh device

Syringe-injectable,

Stretchable, conformable,

self-deployable

Elastic expansion ensures conformal cortical contact for high-resolution multimodal monitoring and stimulation

Challenging precise targeting, risk of deployment failure

210

Pysiological sensing

PLCL-PLGA mesh device

Syringe-injectable,

Stretchable, conformable,

self-deployable

Biodegradable shape-memory mesh enables non-surgical, conformal interfacing with high-fidelity monitoring and reduced long-term risks

Challenging precise targeting, risk of deployment failure

211

Intrinsic-force-actuated deployable patch

ECoG

Fluidic pressure-driven eversion

Intrinsic-force-actuated deployable, Stretchable, conformable

Minimally invasive fluidic actuation enables gentle, conformal unfolding with real-time feedback for precise, large-scale neural recording

Mechanical mismatch with tissue, Lacks intrinsic adhesion

212

Origami pre-folded design,

Fluidic pressure-driven eversion

Intrinsic-force-actuated deployable, Stretchable, conformable

minimally invasive injection and controlled unfolding for large-area, stable high-resolution ECoG recordings

Lacks intrinsic adhesion

213

thermal-triggered in-situ expansion

using shap memory alloys

Intrinsic-force-actuated deployable, Stretchable, conformable

Precise electrode placement, and minimal-trauma deployment for scalable, effective ECoG acquisition

Lacks intrinsic adhesion

214

ECG monitoring and pacing

3D-printed PAA-PU/PEDOT:PSS,

thermoformed balloon catheter

Intrinsic-force-actuated deployable, Stretchable, conformable, adhesive

Robust 3D-printed bioadhesive, stable sensing, and superior charge injection capacity

Limited channel

215