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Stretch flexible electrodes on the skin surface: When the skin becomes an electronic interface - the 'second layer of skin' for wearable health monitoring

Time:2026-08-21Number:7

1、 The signal dilemma that a cardiologist faces every day

Flexible electrode with stretchable skin surface, conformal bonding and dynamic signal

In dynamic electrocardiogram monitoring, doctors often encounter the following situation: within 24 hours of wearing a Holter, the signal is clear and readable for the first 6 hours, but by the 12th hour, the waveform begins to show baseline drift and motion artifacts; By the 18th hour, some lead signals were no longer available for diagnosis.

The problem lies inElectrode skin interfaceUp there.

Traditional Ag/AgCl wet electrode relies on conductive gel to establish ion electron conversion pathway. However, as the wearing time prolonged, the water in the gel gradually evaporated, the impedance increased, and the signal deteriorated. More importantly, human skin undergoes stretching, twisting, and deformation during movement - with a skin extension rate of over 30% - while traditional electrodes are rigid and cannot follow skin deformation. The relative displacement between the electrode and the skin is directly converted into signal noise.

�� Core proposition:The core question that stretchable flexible electrodes need to answer is——How to make an electronic device stretch, bend, and twist like skin, while also stably collecting microvolt level bioelectric signals?

2、 What is skin stretchable flexible electrode: definition and engineering boundary

The stretchable flexible electrode on the skin surface is a bioelectric signal acquisition device that can form a conformal fit with human skin and maintain stable electrical properties under mechanical deformation conditions. It is not a simple "flexibility" of traditional electrodes - it is a comprehensive reconstruction from material selection, structural design to interface engineering.

�� Stretchability

Can withstand 30% -100% tensile strain of the skin without causing the conductive layer to break.

�� Low contact impedance

Establish a stable and low-noise signal pathway to avoid the submergence of weak signals (at the mV level of electrocardiogram and µ V level of electroencephalography).

�� biocompatibility

Long term exposure is non-toxic, non irritating, and non allergenic, meeting the ISO 10993 standard.

�� Breathability and Comfort

Allow sweat and moisture to pass through, and wear for a long time without causing skin immersion or discomfort.

3、 Material system: from elastomers to conductive networks

The "stretchability" ability of stretchable electrodes comes from two aspects: the elasticity of the substrate and the deformation tolerance of the conductive layer.

�� Elastic substrate

PDMS (Young's modulus is as low as 0.53MPa), PU, silica gel PEG blend, hydrogel, etc., provide soft mechanical support.

�� conductive material

Silver nanowires (AgNW): tensile strength 500%, conductivity~1923 S/cm; PEDOT:PSS(~3250 S/cm); Liquid metal EGaIn; Carbon nanotubes/graphene.

4、 Structural Design: How to Make Conductors Stretch Like Springs

�� Serpentine structure

The winding geometric shape absorbs strain through in-plane "scissor like" deformation, and after optimizing the line width/spacing, it can significantly improve stretchability and conformity.

��️ Island bridge structure

Rigid functional components are distributed on the "island" and connected by stretchable "bridges" (serpentine interconnections), with deformation concentrated in the bridge structure during stretching.

✂️ Kirigami (Paper Cuttings)

Cutting specific patterns on the film enables the originally non stretchable material to obtain stretchability, achieving excellent skin conformity and resistance to water/motion interference.

5、 Key Performance: What Engineers Should Pay Attention to

�� Contact Impedance

Advanced epidermal electrodes can reach 21.0-27.41k Ω at 100Hz, and low impedance means high signal-to-noise ratio.

�� Stretching rate and electrical stability

The AgNW/graphene system has a Δ R/R ₀ of only 0.14 at 40% strain, and the resistance increases by only~0.8% after 24 hours at 50% strain.

⚡ sheet resistance

The square resistance of ultra-thin epidermal electrodes (~50 μ m) can be as low as 0.781 Ω/□.

�� Breathability and long-term wear

After 7 days of storage, the breathable electrode maintains an initial moisture content of>81.4%, and long-term wear maintains low contact impedance.

�� Adhesion and Sweat Resistance

The vertical peel strength of sweat adaptive polymer electrodes can reach 60N/m, maintaining stable adhesion and signal quality under sweating conditions.

6、 Three major application scenarios: from electrocardiogram monitoring to human-computer interaction

❤️ Electrocardiogram (ECG) and Cardiovascular Monitoring

The global market size of electrocardiogram electrodes is expected to reach 4.95 billion US dollars by 2025. The stretchable electrode does not need gel, and it still collects high-quality data in motion. The prediction accuracy of the wireless system is more than 93.3%.

�� EMG and Exercise Rehabilitation

Collect muscle electrical signals to evaluate muscle activity and fatigue. Soft, breathable, self-adhesive, suitable for long-term wearing in dynamic sports scenes.

�� EEG and Brain Computer Interface

Stretchable transparent electrodes can collect EEG with high signal-to-noise ratio in a small area (<1cm ²). The global flexible neural electrode market size is expected to reach 1.87 billion US dollars by 2025, driven by BCI for explosive growth. <>

7、 Customization: on-demand matching from substrate to pattern

There are significant differences in the substrate, conductive material, electrode pattern, and size requirements for stretchable electrodes in different application scenarios. Based on its technological accumulation in the fields of precision processing of flexible substrates and precious metal coating, Advanced Institute Technology provides the following customized services:

�� Substrate selection

Supports various flexible films such as PDMS, PU, PI, PET, etc., and the thickness can be customized according to needs.

⚡ conductive material

Supports various systems such as AgNW, PEDOT: PSS, gold/platinum, and other biocompatible metal coatings.

�� Electrode pattern

Screen printing, laser direct writing, photolithography, vacuum coating, customizable snake like structures, forked electrodes, microelectrode arrays, etc.

�� surface modification

Customizable functional solutions such as conductive polymer coatings, nanomaterial modifications, and biocompatibility treatments.

8、 Conclusion

The essence of stretchable flexible electrodes on the skin is to establish a stable, low-noise, and biologically friendly signal channel between rigid electronic devices and soft biological tissues. It uses elastic substrates to match the mechanical properties of the skin, a stretchable conductive network to ensure electrical continuity under deformation, and structural design to "guide" strain from the functional layer - the three work together to answer a core engineering question:How to make electronic devices stretch and contract like skin, while also understanding the language of the body.                

From electrocardiogram monitoring to brain computer interfaces, from exercise rehabilitation to human-computer interaction - stretchable electrodes are bringing the collection of bioelectric signals from hospitals to homes, from static to dynamic, and from "sticking up" to "growing up". In this technological evolution, material selection, structural design, and precision machining processes have always been the core variables that determine the upper limit of electrode performance.

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