Key result
Au:Ti-coated textile dry electrodes achieve comparable ECG signal-to-noise ratio to standard Ag/AgCl electrodes.
Why the study?
Ag/AgCl gel electrodes are the clinical standard for ECG recording, but gel drying and skin irritation limit accurate multi-day recording, prompting exploration of gold-titanium nanofilm textile dry electrodes as gel-free alternatives.
Do gold-titanium nanofilm textile dry electrodes improve electrical, electromechanical, and simulated ECG performance compared to uncoated textiles and commercial Ag/AgCl gel electrodes on a two-layer skin phantom?
Do gold-titanium nanofilm textile dry electrodes improve electrical, electromechanical, and simulated ECG performance compared to uncoated textiles and commercial Ag/AgCl gel electrodes on a two-layer skin phantom?
Gold-titanium coated serpentine textiles demonstrate feasibility as a gel-free biointerface capable of recording identifiable ECG waveforms on a skin phantom, though further on-skin and durability testing is needed.
Answers are grounded in this paper and cite their sources.
Dry electrodes achieve near-comparable phantom SNR; leaves open viability for extended wearable ECG monitoring pending human studies.
Ag/AgCl gel electrodes are the clinical standard for electrocardiogram (ECG) recording, but at the skin–electrode biointerface, gel drying and skin irritation limit accurate recording over several days. To explore gel-free alternatives, we sputtered gold over a titanium adhesion layer onto serpentine textile dry electrodes and examined how Au:Ti thickness affects electrical, electromechanical and simulated ECG performance. Four variants (50:10, 80:15, 100:15 and 100:20 nm) were characterised by scanning electron microscopy, collinear four-probe measurement and mandrel bending, and the textile geometry by tensile testing. The two best coatings were then compared with commercial Ag/AgCl electrodes on a two-layer skin phantom using impedance measurements and simulated ECG acquisition. All coatings lowered sheet resistance relative to the uncoated textile, with the 80:15 nm variant giving the lowest value. The 100:20 nm variant was the most stable under bending and showed the least post-bend surface damage. The serpentine track did not significantly reduce bend-induced resistance change. On a porous phantom, both dry electrodes recorded identifiable ECG waveforms; mean signal-to-noise ratio was 24.4 ± 0.2 dB for Ag/AgCl, 15.9 ± 3.9 dB for 80:15 nm and 18.4 ± 0.5 dB for 100:20 nm (p = 0.061). Au:Ti-coated textiles are a feasible, gel-free biointerface for conformable ECG electrodes, but motion, durability and on-skin testing are required.
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Manandhar et al. (2026) studied Electrocardiogram (ECG) monitoring (two-layer skin phantom evaluation). Gold-titanium (Au:Ti) nanofilm serpentine textile dry electrodes (50:10, 80:15, 100:15, and 100:20 nm variants) vs. Commercial Ag/AgCl gel electrodes and uncoated textile was evaluated on Simulated ECG mean signal-to-noise ratio (dB) (p=0.061). Au:Ti-coated textile dry electrodes recorded ECG waveforms on a skin phantom with mean SNR of 18.4 dB (100:20 nm) and 15.9 dB (80:15 nm) vs 24.4 dB for Ag/AgCl (p=0.061).
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