Park, Jae YoungLim, JongcheonRussell, Carl R., IIIChen, Pei-LunEksioglu, DenizHong, SeokkyoonMesa, Juan C.Ward, Matthew P.Lee, Chi HwanLee, Hyowon2025-06-132025-06-132025Park JY, Lim J, Russell CR 3rd, et al. Hydrogel Adhesive Integrated-Microstructured Electrodes for Cuff-Free, Less-Invasive, and Stable Interface for Vagus Nerve Stimulation. Adv Healthc Mater. 2025;14(12):e2404189. doi:10.1002/adhm.202404189https://hdl.handle.net/1805/48698Vagus nerve stimulation (VNS) is a recognized treatment for neurological disorders, yet the surgical procedure carries significant risks. During the process of isolating or cuffing the vagus nerve, there is a danger of damaging the nerve itself or the adjacent carotid artery or jugular vein. To minimize this risk, here we introduce a novel hydrogel adhesive-integrated and stretchable microdevice that provides a less invasive, cuff-free option for interfacing with the vagus nerve. The device features a novel hydrogel adhesive formulation that enables crosslinking on biological tissue. The inclusion of kirigami structures within the thin-film microdevice creates space for uniform hydrogel-to-epineurium contact while accommodating the stiffness changes of the hydrogel upon hydration. Using a rodent model, we demonstrate a robust device adhesion on a partially exposed vagus nerve in physiological fluid even without the vagus nerve isolation and cuffing process. Our device elicted stable and clear evoked compound action potential (~1500 µV peak-to-peak) in C-fibers with a current amplitude of 0.4 mA. We believe this innovative platform provides a novel, less-risky approach to interface with fragile nerve and vascular structures during VNS implantation.en-USAttribution-NonCommercial-NoDerivatives 4.0 InternationalHydrogel adhesiveNeural interfaceMedical deviceNeural stimulationVagus nerve stimulationArticle