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Wearable and implantable devices are attracting growing attention as they show great potential for real\u2010time recording of physiological conditions and body motions. Conventional piezoelectric sensors have the advantage of potentially being self\u2010powered, but have limitations due to their intrinsic lack of stretchability. Herein, a kirigami approach to realize a novel stretchable strain sensor is introduced through a network of cut patterns in a piezoelectric thin film, exploiting the anisotropic and local bending that the patterns induce. The resulting pattern simultaneously enhances the electrical performance of the film and its stretchability while retaining the mechanical integrity of the underlying materials. The power output is enhanced from the mechano\u2010electric piezoelectric sensing effect by introducing an intersegment, through\u2010plane, electrode pattern. By additionally integrating wireless electronics, this sensing network could work in an entirely battery\u2010free mode. The kirigami stretchable piezoelectric sensor is demonstrated in cardiac monitoring and wearable body tracking applications. The integrated soft, stretchable, and biocompatible sensor demonstrates excellent in vitro and ex vivo performances and provides insights for the potential use in myriad biomedical and wearable health monitoring applications.<\/jats:p>","DOI":"10.1002\/admt.201900100","type":"journal-article","created":{"date-parts":[[2019,2,26]],"date-time":"2019-02-26T00:26:25Z","timestamp":1551140785000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":134,"title":["Stretchable Piezoelectric Sensing Systems for Self\u2010Powered and Wireless Health Monitoring"],"prefix":"10.1002","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6136-7277","authenticated-orcid":false,"given":"Rujie","family":"Sun","sequence":"first","affiliation":[{"name":"Bristol Composites Institute (ACCIS) University of Bristol  Bristol BS8 1TR UK"}]},{"given":"Sara Correia","family":"Carreira","sequence":"additional","affiliation":[{"name":"School of Cellular and Molecular Medicine University of Bristol  Bristol BS8 1TD UK"}]},{"given":"Yan","family":"Chen","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Mechanics and Control of Mechanical Structures Nanjing University of Aeronautics and Astronautics  Nanjing 210016 China"}]},{"given":"Chaoqun","family":"Xiang","sequence":"additional","affiliation":[{"name":"Bristol Robotics Laboratory University of Bristol  Bristol BS16 1QY UK"}]},{"given":"Lulu","family":"Xu","sequence":"additional","affiliation":[{"name":"School of Materials University of Manchester  Oxford Road Manchester M13 9PL UK"}]},{"given":"Bing","family":"Zhang","sequence":"additional","affiliation":[{"name":"Bristol Composites Institute (ACCIS) University of Bristol  Bristol BS8 1TR UK"}]},{"given":"Mudan","family":"Chen","sequence":"additional","affiliation":[{"name":"Bristol Composites Institute (ACCIS) University of Bristol  Bristol BS8 1TR 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