20.6 Future Developments and Associated Roadblocks
From the discussion conducted so far, it is clear that self-powered technology has tre
mendous advantages that can potentially revolutionize the entire field of bioelectronics
gadgets. A time in the history of the human race where each biomedical device discussed
so far runs on such technology is not very far away. However, getting there would re
quire the entire scientific community to identify the challenges that persist at each im
plementation step. In this section, we compile some of the roadblocks ahead of us and we
shall try to provide some of our understanding of how those can be tackled to achieve the
goal of advanced medical care for all.
1. The most significant challenge associated with the self-powered biomedical device
is that it must meet all the biocompatibility requirements, especially considering
that these devices are required to be implanted inside the body. The in-vivo
conditions are especially harsh considering that the nanogenerators involve certain
configurations, which need to be shielded from such environments. Thus,
encapsulation is an extreme necessity, and materials providing such tight en
capsulation that does not significantly degrade are required. Additionally, the
human body has a very complex structure. Therefore, flexible devices that can
handle deformations without damaging internal electronics can be a great asset.
2. The nanogenerators shall be primarily based on the piezoelectric/pyroelectric/
triboelectric effect to power the devices. Thus, ensuring that the external packa
ging does not disrupt these devices to tap the mechanical vibrations/temperature
fluctuations. Therefore, the encapsulation layers must not be unnecessarily thick,
and at the same time, they must be able to maintain the sensitivity of the na
nogenerators. Research has suggested that flexible polymers like PDMS and
polyimide (PI) films can serve as excellent encapsulation layers. However, the
FIGURE 20.7
(a–d) TENG-based cardiac pacemaker implanted in a pig model, (e and f) shows the associated electronics of the
TENG model and how it helps in real-time monitoring of the heart rate and (g) shows the ECG and the as
sociated voltage generated from the TENG due to energy harvesting from the heart. Adapted with permission
[ 29]. Copyright, The Authors, some rights reserved; exclusive licensee Nature. Distributed under a Creative
Commons Attribution License 4.0 (CC BY).
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