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International Journal of Bioprinting                                         PEDOT/PSS-based sensors




            layers for two independent sensors on a single substrate,   gel-based electrodes in terms of quality. Additionally,
            interconnected in a serial combination, it enables a single   textile  electrodes  coated  with  PEDOT:PSS  via  the  layer-
            humidity sensing device with good properties, such as   by-layer technique not only exhibit low impedance and
            high sensitivity that exhibits exceptionally high sensitivity   excellent skin contact properties, but can also reliably
            and  responds  to  a  wide  range  of  relative  humidity.    detect high-quality heart rate signals in both wet and dry
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            Integrating multiple sensors may address the limitations   conditions and maintain stability through 20–30 wash
            of  separate  sensors  and  at  the  same  time  combine  their   cycles and 120–130 bending cycles.  The highly porous
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            advantages. For instance, integrating strain and pH sensors   PEDOT:PSS hydrogels, formed through self-assembly on
            with a humidity detector based on PEDOT:PSS into a   paper fibers, enable efficient electron transmission and
            single demonstrator enables simultaneous monitoring of   substance diffusion.  They can function as low-impedance
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            multiple biomedical parameters. 114                ECG  electrodes and  highly sensitive glucose  sensors,
                                                               providing simultaneous real-time monitoring of ECG
               Furthermore, the synergistic use of various materials is
            also a common approach for developing multi-functional   and biochemical signals (glucose levels) in sweat during
                                                               physical activity. 3D-printed PEDOT-based eutectogels,
            sensors. Printing commercial silver nanoparticle ink and   known for their flexibility, stretchability, strong adhesion,
            PEDOT:PSS onto glossy inkjet photo paper allows the   and excellent  capacity as  conformal  electrodes, can
            formation of an interdigitated electrode array and curved   continuously record epidermal physiological signals such
            micro-ribbon, which enable concurrent measurement of   as electrocardiograms and electromyograms over extended
            relative humidity, temperature, as well as compression and   periods.   However,  when  prepared  as  concentric  ring
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            tensile bending. 115                               electrodes, silver electrodes provide a more stable response
            4.7. Electrocardiogram sensor                      (fewer saturations and alterations) to intentionally induced
            As  a  critical  tool  used  in  healthcare  sector,   subject movement, as compared with PEDOT:PSS
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            electrocardiography (ECG) provides a clear picture about   concentric rings.  When PEDOT conductive polymer
            cardiac activity. Commercially available Ag/AgCl electrodes   inks are added to thermoplastic styrene-ethylene-butylene-
            are commonly used to capture ECG signals. However,   styrene  elastomers for  micro-extrusion 3D  printing, the
            they may cause skin irritation and lead to unreliable data   resulting PEDOT composites demonstrate conductivity
            during prolonged use. In contrast, PEDOT:PSS hydrogels   and stretchability lower than those of silver micro-flakes
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            offer  a promising alternative  due to their  low  electrode   and carbon black nanoparticles.  Although they exhibit
            interface impedance and excellent biocompatibility.    unique properties due to their ionic conductivity, the
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            ECG signals acquired with PEDOT:PSS electrodes closely   application of PEDOT conductive polymers in ECG signal
            resemble  those  obtained  with  commercial  electrodes.   detection requires further exploration.
            Remarkably, these electrodes maintain their electrical
            properties and functionality even after several washing   5. Recent advances of 3D-printed
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            cycles when subjected to physical stretching.  In certain   PEDOT/PSS conductive hydrogel for
            electrolyte conditions, the skin contact impedance and   biomedical sensors
            physiological signal extraction characteristics closely   In summary, the recent advances of 3D-printed PEDOT/
            resemble those achieved with disposable gelled Ag/AgCl   PSS conductive hydrogel for biomedical sensors are rooted
            electrodes (rho >0.99). Therefore, PEDOT:PSS electrodes   in the development of strategies for fabricating PEDOT/
            can potentially replace commercial electrodes in wearable   PSS conductive hydrogels using 3D printing technology,
            devices  for  health  monitoring  under  both  static  and   allowing  for  the  amalgamation  of  the  conductivity  of
            dynamic conditions. In addition, the dual ionic and   PEDOT with the water solubility and processability of
            electronic conductivity properties of PEDOT:PSS endow   PSS. This unique combination makes PEDOT:PSS an
            the electrodes the ability to record ECG signals on dry skin   exceptional candidate for biomedicine sensors. The main
            conditions.  Signal amplification occurs when moisture   achievements in this field are summarized in the following:
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            evaporates  from  the  skin  or  common  emollients  are
            applied, making the recorded ECG signals comparable to   5.1. Fabrication methods: from traditional methods
            those obtained with copper-wired Ag/AgCl electrodes. This   to 3D printing
            phenomenon may be attributed to PEDOT:PSS’s ability to   The evolution of PEDOT:PSS-based sensor fabrication
            reduce contact impedance of dry electrodes.  Therefore,   methods has traversed various stages. Initially, simple
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            dry electrodes which are reusable, comfortable to use, and   coating and spraying methods were employed to apply
            suitable for long-term measurements permit the collection   PEDOT:PSS  onto  substrates  in  the  process  of  creating
            of electrocardiograms comparable to those collected with   basic sensors. After gaining significant understanding


            Volume 10 Issue 2 (2024)                        17                                doi: 10.36922/ijb.1725
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