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. Author manuscript; available in PMC: 2020 Jul 29.
Published in final edited form as: Nat Rev Mater. 2020 Jan 7;5(2):149–165. doi: 10.1038/s41578-019-0167-3

Table 2 |.

Types, working principles and applications of implantable and wearable photonic devices for smart healthcare

Device Main mechanism Working principle Applications Refs
Implantable photonic devices
Health-monitoring device Pulse oximetry Comparison of the optical absorption of Hb and HbO2 Monitoring neural behaviour 105
Optical resonance of cavity structure Monitoring the reflected resonance peak shift via the distance change of the optical cavity caused by IOP IOP monitoring 106
Photodynamic device Photonic ROS generation Photosensitizers generate ROS for cancer therapy Cancer therapy 107,108
Optogenetic device Optogenetics Genetically modified cells express light-sensitive ion channels Treatment of diabetes, brain, peripheral nerve and bladder diseases 1922,114,128
Wearable photonic devices
Contact lens Structural colour change of photonic crystal Volume change resulting from the binding of glucose to boronic acid Tear glucose level monitoring 158,160,161
Volume change resulting from drug release from the lens Ocular drug-release monitoring 162
Colorimetric change of glucose reagents Optical change resulting from the binding of glucose to boronic acid or concanavalin A Tear glucose level monitoring 163166
Diffuse reflection of NIR light Light scattering depending on the glucose concentration change in ocular blood vessels Blood glucose level monitoring 169
Smart glasses Photoreceptor stimulation Modulating hormone secretion with blue-light LEDs SAD and circadian rhythm control 182184
Skin patch Pulse oximetry Comparison of the optical absorption of Hb and HbO2 SpO2 level monitoring 142,143,187,
188,190,191
Photoplethysmography Detecting the volumetric change of peripheral blood Cardiac function monitoring 145,189
Photobiomodulation Stimulating mitochondrial chromophores for cell proliferation Wound healing, skin care and hair growth 194,195

Hb, haemoglobin; HbO2, oxygenated haemoglobin; IOP, intraocular pressure; LED, light-emitting diode; NIR, near infrared; ROS, reactive oxygen species; SAD, seasonal affective disorder; SpO2, saturation of peripheral oxygen.