Lead-based piezoelectric materials are currently facing global restrictions due to their lead toxicity. Thus it is urgent to develop lead-free substitutes with high piezoelectricity and temperature stability, among which, potassium-sodium niobate [(K,Na)NbO₃, KNN] has the most potential. It is very difficult to simultaneously achieve high piezoelectric performance and reliable stability in KNN-based systems. In particular, the structural/physical origin for their high piezoelectricity is still unclear, which hinders property optimization. Here we report the achievement of high temperature stability (less than 10% variation for electric field-induced strain from 27 °C to 80 °C), good fatigue properties (stable up to 10⁶ cycles) as well as an enhanced piezoelectric coefficient (d₃₃) of 525 pC N⁻¹ in (1 − x)(K_1−yNa_y)(Nb_1−zSb_z)O₃–xBi_0.5(Na_1−wK_w)_0.5HfO₃ (KNNS–BNKH) ceramics through manipulating the rhombohedral–tetragonal (R–T) phase boundary. The structural origin of their high piezoelectric performance can be attributed to a hierarchical nanodomain architecture, where the local structure inside nanodomains comprises R and T nanotwins. The physical origin can be attributed to low domain wall energy and nearly vanishing polarization anisotropy, facilitating easy polarization rotation among different states. We believe that the new breakthrough will open a window for the practical applications of KNN-based ceramics.

Implant-associated infections due to the formation of bacterial biofilms pose a serious threat in medical healthcare, which needs effective therapeutic methods. Here, we propose a multifunctional nanoreactor by spatiotemporal ultrasound-driven tandem catalysis to amplify the efficacy of sonodynamic and chemodynamic therapy. By combining piezoelectric barium titanate with polydopamine and copper, the ultrasound-activated piezo-hot carriers transfer easily to copper by polydopamine. It boosts reactive oxygen species production by piezoelectrics, and facilitates the interconversion between Cu2⁺ and Cu⁺ to promote hydroxyl radical generation via Cu⁺ -catalyzed chemodynamic reactions. Finally, the elevated reactive oxygen species cause bacterial membrane structure loosening and DNA damage. Transcriptomics and metabolomics analysis reveal that intracellular copper overload restricts the tricarboxylic acid cycle, promoting bacterial cuproptosis-like death. Therefore, the polyetherketoneketone scaffold engineered with the designed nanoreactor shows excellent antibacterial performance with ultrasound stimulation and promotes angiogenesis and osteogenesis on-demand in vivo.