Underneath the ear skin there are richly branching vascular and neural networks that ultimately connecting to our heart and brain. Hence, the three-dimensional (3D) mapping of auricular electrophysiological signals could provide a new perspective for biomedical studies such as diagnosis of cardiovascular diseases and neurological disorders. However, it is still extremely challenging for current sensing techniques to cover the entire ultra-curved auricle. Here, we report a graphene-based ear-conformable sensing device with embedded and distributed 3D electrodes which enable full-auricle physiological monitoring. The sensing device, which incorporates programable 3D electrode thread array and personalized auricular mold, has 3D-conformable sensing interfaces with curved auricular skin, and was developed using one-step multi-material 3D-printing process. As a proof-of-concept, spatiotemporal auricular electrical skin resistance (AESR) mapping was demonstrated. For the first time, 3D AESR contours were generated and human subject-specific AESR distributions among a population were observed. From the data of 17 volunteers, the auricular region-specific AESR changes after cycling exercise were observed in 98% of the tests and were validated via machine learning techniques. Correlations of AESR with heart rate and blood pressure were also studied using statistical analysis. This 3D electronic platform and AESR-based new biometrical findings show promising biomedical applications.
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