In recent years, soft robotics technologies enabled the development of a new generation of biomedical devices. The combination of elastomeric materials with tunable properties and muscle-like motions paved the way toward more realistic phantoms and innovative soft active implants as artificial organs or assistive mechanisms. This review collects the most relevant studies in the field, giving some insights about their distribution in the past 10 years, their level of development and opening a discussion about the most commonly employed materials and actuating technologies. The reported results show some promising trends, highlighting that the soft robotics approach can help replicate specific material characteristics in the case of static or passive organs but also reproduce peculiar natural motion patterns for the realization of dynamic phantoms or implants. At the same time, some important challenges still need to be addressed. However, by joining forces with other research fields and disciplines, it will be possible to get one step closer to the development of complex, active, self-sensing and deformable structures able to replicate as closely as possible the typical properties and functionalities of our natural body organs.
The journey of a prosthetic user is characterized by the opportunities and the limitations of a device that should enable activities of daily living (ADL). In particular, experiencing a bionic hand as a functional (and, advantageously, embodied) limb constitutes the premise for promoting the practice in using the device, mitigating the risk of its abandonment. In order to achieve such a result, different aspects need to be considered for making the artificial limb an effective solution to accomplish ADL. According to such a perspective, this review aims at presenting the current issues and at envisioning the upcoming breakthroughs in upper limb prosthetic devices. We first define the sources of input and feedback involved in the system control (at user-level and device-level), alongside the related algorithms used in signal analysis. Moreover, the paper focuses on the user-centered design challenges and strategies that guide the implementation of novel solutions in this area in terms of technology acceptance, embodiment, and, in general, human-machine integration based on co-adaptive processes. We here provide the readers (belonging to the target communities of researchers, designers, developers, clinicians, industrial stakeholders, and end-users) with an overview of the state-of-the-art and the potential innovations in bionic hands features, hopefully promoting interdisciplinary efforts for solving current issues of upper limb prostheses. The integration of different perspectives should be the premise to a transdisciplinary intertwining leading to a truly holistic comprehension and improvement of the bionic hands design. Overall, this paper aims to move the boundaries in prosthetic innovation beyond the development of a tool and toward the engineering of human-centered artificial limbs.
As the field of tissue engineering and regenerative medicine progresses, the possibility for artificial organs to restore normal tissue functions seems to become more feasible. However, a major challenge in the long-term culture of the engineered tissues is the lack of adequate oxygenation. The photosynthetic supply of oxygen (O2) for tissues and organs using photoautotrophic microorganisms has been explored recently in bothin vitroandin vivostudies. The biofabrication of photosymbiotic scaffolds using biomaterials, photosynthetic microorganisms, and human cells has shown constant generation of O2in response to light illumination while avoiding hypoxic conditions. This emerging strategy of photosymbiotic oxygenation is potentially an attractive approach to overcome the need of adequate oxygenation in tissue engineering and regenerative medicine. This Perspective aims to present an overview on the applications of photoautotrophic microorganism-enabled oxygenation strategies for overcoming hypoxia-related challenges in tissue engineering and regenerative medicine.

