A sound way to deliver power: Implanted medical devices, such as pacemakers and neurological stimulators, require a source of power, usually in the form of a battery. If a battery is implanted with the device, replacing it would require additional surgery. On the other hand, external power packs are prone to lead to infections where their wires enter the body. Hinchet et al. describe a triboelectric generator that can convert externally applied ultrasound into an internal electricity source capable of delivering sufficient energy to recharge a battery on a daily basis. Science , this issue p. 491
Self-powered implantable devices have the potential to extend device operation time inside the body and reduce the necessity for high-risk repeated surgery. Without the technological innovation of in vivo energy harvesters driven by biomechanical energy, energy harvesters are insufficient and inconvenient to power titanium-packaged implantable medical devices. Here, we report on a commercial coin battery-sized high-performance inertia-driven triboelectric nanogenerator (I-TENG) based on body motion and gravity. We demonstrate that the enclosed five-stacked I-TENG converts mechanical energy into electricity at 4.9 μW/cm3 (root-mean-square output). In a preclinical test, we show that the device successfully harvests energy using real-time output voltage data monitored via Bluetooth and demonstrate the ability to charge a lithium-ion battery. Furthermore, we successfully integrate a cardiac pacemaker with the I-TENG, and confirm the ventricle pacing and sensing operation mode of the self-rechargeable cardiac pacemaker system. This proof-of-concept device may lead to the development of new self-rechargeable implantable medical devices.