Self-template manufacturing of on-skin electrodes with 3D multi-channel structure for standard 3-limb-lead ECG suit.

Abstract

Wearable electrocardiogram (ECG) devices are the mainstream technology in the diagnosis of various cardiovascular diseases, in which soft, flexible, permeable electrodes are the key link in human-machine interface to capture bioelectrical signals. Herein, we propose a self-template strategy to fabricate silver-coated fiber/silicone (AgCF-S) electrodes. With a simple dissolving-curing-redissolving process, the polyvinyl acetate shell around the AgCF core is in-situ removed to form a three-dimensional (3D) multi-channel structure. The conductive fibers overlap each other and pass through the silicon substrate in a network state, so that the electrode can be bent to 180° or stretched to 30%. The 3D multi-channels in AgCF-S adhesive is further coupled with a Kirigami-design structure of flexible substrate, to maintain high flexibility without sacrificing air-permeability, enabling an excellent water evaporation rate of 1.8 μg/mm²/min, and non-allergenic adhere on pigskin after 24 h. Combined with the self-developed standard 3-limb-lead ECG suit, multi-lead signals with high signal-to-noise ratio (SNR) and low variance (σ²), can be transmitted in real-time via Bluetooth and displayed in the client. Typical heart diseases such as coronary, arrhythmia, myocardial infarction, etc., are detected by our ECG equipment, revealing a huge promise in future medical electronics.