Composites, Fabrication and Application of Polyvinylidene Fluoride for Flexible Electromechanical Devices: A Review

The technological development of piezoelectric materials is crucial for developing wearable and flexible electromechanical devices. There are many inorganic materials with piezoelectric effects, such as piezoelectric ceramics, aluminum nitride and zinc oxide. They all have very high piezoelectric coefficients and large piezoelectric response ranges. The characteristics of high hardness and low tenacity make inorganic piezoelectric materials unsuitable for flexible devices that require frequent bending. Polyvinylidene fluoride (PVDF) and its derivatives are the most popular materials used in flexible electromechanical devices in recent years and have high flexibility, high sensitivity, high ductility and a certain piezoelectric coefficient. Owing to increasing the piezoelectric coefficient of PVDF, researchers are committed to optimizing PVDF materials and enhancing their polarity by a series of means to further improve their mechanical–electrical conversion efficiency. This paper reviews the latest PVDF-related optimization-based materials, related processing and polarization methods and the applications of these materials in, e.g., wearable functional devices, chemical sensors, biosensors and flexible actuator devices for flexible micro-electromechanical devices. We also discuss the challenges of wearable devices based on flexible piezoelectric polymer, considering where further practical applications could be.


Introduction
Piezoelectric materials have been in development for 140 years [1]. These materials are widely used in electromechanical devices because they can convert mechanical energy to electrical energy under pressure or generate mechanical motion by electricity [2,3]. The use of piezoelectric materials for the preparation of micro-electromechanical devices makes it possible to develop miniature resonators [4][5][6][7][8], frequency meters [9] and micro energy supply chips [10][11][12][13][14]. Piezoelectric crystals have a single crystal structure and natural piezoelectricity, such as α-quartz [15,16]. In addition to natural piezoelectric materials that can adapt to different application scenarios, researchers have also manufactured many high-performance artificial piezoelectric materials. Typical piezoelectric-crystal materials include aluminum nitride (AlN) and zinc oxide (ZnO) [17,18], which have a variety of advantages, such as very high strength, large piezoelectric coefficients and good applicability to micro devices [19,20]. Piezoelectric ceramics consist of many small crystals and the crystals are randomly oriented. The crystal orientation can be changed through a polarization process to exhibit piezoelectricity. The polarization process is usually performed by applying a high electric field. PZT-series materials such as PMN-PZT

Piezoelectric Materials based on PVDF and Its Derivatives
Polymer piezoelectric material is a material with a carbon chain as the basic skeleton, and its flexibility is higher than that of single crystals and ceramics [21,22]. This high flexibility allows it to withstand a greater amount of strain, thereby making it more suitable for application scenarios with large bending and twisting requirements. Piezoelectric polymer PVDF and its copolymers have the

Piezoelectric Materials based on PVDF and Its Derivatives
Polymer piezoelectric material is a material with a carbon chain as the basic skeleton, and its flexibility is higher than that of single crystals and ceramics [21,22]. This high flexibility allows it to withstand a greater amount of strain, thereby making it more suitable for application scenarios with large bending and twisting requirements. Piezoelectric polymer PVDF and its copolymers have the advantages of natural flexibility, easy processing and sufficient mechanical strength, which make them more suitable for flexible sensors than inorganic piezoelectric materials [35][36][37][38][39][40][41].
Therefore, increasing the β-phase PVDF composition is vital to enlarge the mechanical-electrical energy conversion performance of PVDF. Therefore, the piezoelectric coefficient of PVDF is lower than that of common inorganic piezoelectric materials. Chang et al. [41] prepared PVDF nanofibers with a high β-phase PVDF component by near-field electrospinning (Figure 2a). The fiber-based generator could provide a maximum output voltage of 30 mV and maximum output current of 3 nA (Figure 2c). It has a much higher energy conversion efficiency than generators made of PVDF thin films [41].
Micromachines 2020, 11, x 4 of 30 advantages of natural flexibility, easy processing and sufficient mechanical strength, which make them more suitable for flexible sensors than inorganic piezoelectric materials [35][36][37][38][39][40][41]. Thus far, PVDF has been found to exist as five semi-crystalline polymorphs: α, β, γ, б and ε. Among these, α phase is not electroactive, and β phase has the strongest piezoelectricity. PVDF with a low component of β phase has a d33 value of approximately 20-30 pC/N [42][43][44][45][46][47][48][49]. Therefore, increasing the β-phase PVDF composition is vital to enlarge the mechanical-electrical energy conversion performance of PVDF. Therefore, the piezoelectric coefficient of PVDF is lower than that of common inorganic piezoelectric materials. Chang et al. [41] prepared PVDF nanofibers with a high β-phase PVDF component by near-field electrospinning (Figure 2a). The fiber-based generator could provide a maximum output voltage of 30 mV and maximum output current of 3 nA (Figure 2c). It has a much higher energy conversion efficiency than generators made of PVDF thin films [41].  [41]; (c) the generator based on fiber could provide a maximum output power is 5-30 mV and 0.5-3 nA with different feature sizes [41]; (d) a free-standing film's photograph and SEM image [42]; (e) the output power of the generators based on textile [42]; (f) the  [41]; (c) the generator based on fiber could provide a maximum output power is 5-30 mV and 0.5-3 nA with different feature sizes [41]; (d) a free-standing film's photograph and SEM image [42]; (e) the output power of the generators based on textile [42]; (f) the "3D spacer" cross-sectional SEM image [50]; and (g) 2D and 3D piezoelectric textile's output power [50].
The P(VDF-TrFE) copolymer has high crystallinity and piezoelectric properties, thus it has a high piezoelectric response [51][52][53]. Persano et al. [42] proposed a piezoelectric textile based on highly aligned electrospun P(VDF-TrFE) fibers. The proposed piezoelectric textile has a large area, and it is flexible and freestanding (Figure 2d) [42]. The maximum open-circuit voltage of the generators based on textiles can reach 1.5 V (Figure 2e) [42], thus showing excellent flexibility and mechanical strength. Many new designs have emerged in the practice field to produce all-fiber piezoelectric textiles. A "3D spacer" based on all-fiber piezoelectric textiles was reported [50], consisting of top and bottom electrodes and a spacer yarn. The spacer yarn is composed of high concentration of β-phase PVDF monofilaments. The top and bottom electrodes are composed of silver-coated polyamide multifilament yarn layers (Figure 2f) [50]. The new type of 3D textile-based PVDF generator had a much larger output power density than the traditional 2D piezoelectric textile, up to 5.07 µW/cm 2 (Figure 2g) [50].

Piezoelectric Materials Doped in PVDF
To balance the contradiction between flexibility and higher voltage coefficient, researchers have tried to mix polymer piezoelectric materials with inorganic piezoelectric materials. Because of the good piezoelectric properties and relatively soft properties of PZT and the tensile and flexural properties of PVDF, the combination of the two will make sense. According to the above ideas, Tiwari et al. [54] prepared PZT and PVDF piezoelectric composite films using solution casting technology. This method can achieve both electric field polarization and mechanical stretching during the electrospinning process, making it very suitable for manufacturing piezoelectric nanofibers. Similarly, the dielectric properties of PZT/P (VDF-TrFE) composite films [55] were also studied. In 2020, Pal et al. [56] used lanthanum-doped lead zirconate titanate (PLZT), PVDF and multi-walled carbon nanotubes (MWCNTs) as supplementary fillers to create a three-phase hybrid piezoelectric nanogenerator. Figure 3a shows the variation of stored power with time and SEM of PLZT particles dispersed in the PVDF matrix. Raad et al. [57] fabricated nanogenerator devices on the basis of composite structure of PVDF, ZnO, nanorods and BaTiO 3 . The voltage output of these composite structures is up to 12 V under the force of 1.5 N (Figure 3b).
Considering the compatibility with the human body, lead-free materials are more popular. Titanate or bismuth [58] are mixed with PVDF to develop lead-free piezoelectric nanofiber composites. The piezoelectric properties of PVDF can be changed by adding calcined BaTiO 3 ceramic powder [59,60]. [50].
The P(VDF-TrFE) copolymer has high crystallinity and piezoelectric properties, thus it has a high piezoelectric response [51][52][53]. Persano et al. [42] proposed a piezoelectric textile based on highly aligned electrospun P(VDF-TrFE) fibers. The proposed piezoelectric textile has a large area, and it is flexible and freestanding (Figure 2d) [42]. The maximum open-circuit voltage of the generators based on textiles can reach 1.5 V (Figure 2e) [42], thus showing excellent flexibility and mechanical strength. Many new designs have emerged in the practice field to produce all-fiber piezoelectric textiles. A "3D spacer" based on all-fiber piezoelectric textiles was reported [50], consisting of top and bottom electrodes and a spacer yarn. The spacer yarn is composed of high concentration of β-phase PVDF monofilaments. The top and bottom electrodes are composed of silver-coated polyamide multifilament yarn layers (Figure 2f) [50]. The new type of 3D textile-based PVDF generator had a much larger output power density than the traditional 2D piezoelectric textile, up to 5.07 μW/cm 2 (Figure 2g) [50].

Piezoelectric Materials Doped in PVDF
To balance the contradiction between flexibility and higher voltage coefficient, researchers have tried to mix polymer piezoelectric materials with inorganic piezoelectric materials. Because of the good piezoelectric properties and relatively soft properties of PZT and the tensile and flexural properties of PVDF, the combination of the two will make sense. According to the above ideas, Tiwari et al. [54] prepared PZT and PVDF piezoelectric composite films using solution casting technology. This method can achieve both electric field polarization and mechanical stretching during the electrospinning process, making it very suitable for manufacturing piezoelectric nanofibers. Similarly, the dielectric properties of PZT/P (VDF-TrFE) composite films [55] were also studied. In 2020, Pal et al. [56] used lanthanum-doped lead zirconate titanate (PLZT), PVDF and multi-walled carbon nanotubes (MWCNTs) as supplementary fillers to create a three-phase hybrid piezoelectric nanogenerator. Figure 3a shows the variation of stored power with time and SEM of PLZT particles dispersed in the PVDF matrix. Raad et al. [57] fabricated nanogenerator devices on the basis of composite structure of PVDF, ZnO, nanorods and BaTiO3. The voltage output of these composite structures is up to 12 V under the force of 1.5 N (Figure 3b).
Considering the compatibility with the human body, lead-free materials are more popular. Titanate or bismuth [58] are mixed with PVDF to develop lead-free piezoelectric nanofiber composites. The piezoelectric properties of PVDF can be changed by adding calcined BaTiO3 ceramic powder [59,60].  [56]; (b) the relationship between output voltage and applied forces with different frequencies [57]; (c) the relationship between output frequency and voltage of PVDF nanofiber composite  [56]; (b) the relationship between output voltage and applied forces with different frequencies [57]; (c) the relationship between output frequency and voltage of PVDF nanofiber composite containing BNT-ST [9]; (d) optical diagram PVDF/BTZO hybrid film [61]; and (e) SEM of PVDF/BTZO hybrid film [61].
Researchers at Kyungnam University synthesized an excellent lead-free piezoelectric material [9]. It is a kind of flexible lead-free piezoelectric nanofiber composite of BNT-ST((1−x)Bi0.5Na0.5TiO 3− xSrTiO) ceramics and PVDF polymer, which was fabricated by electrospinning. By measuring the functional relationship between the output frequency and voltage of the PVDF nanofiber composite containing BNT-ST (Figure 3c) [9], the piezoelectric properties of the composite and the sensitivity of the piezoelectric output to frequency are substantially improved because BNT-series materials can overcome large coercive field defects and exhibit strong piezoelectric properties [62][63][64][65][66].

Conductive Nanomaterials Doped in PVDF
Although polymer materials have the advantages of high flexibility and high mechanical strength compared to inorganic materials, the piezoelectric coefficient of piezoelectric materials is relatively small; moreover, their piezoelectric conversion efficiency is low, and they do not easily conduct electricity. The introduction of nanomaterials may change the crystal structure of polymer piezoelectric polymers and improve the piezoelectric properties [77][78][79][80][81][82]. Zirconate titanate, barium titanate and zinc oxide have high piezoelectric constants; therefore, polymer piezoelectric matrices usually use them as piezoelectric fillers [83][84][85][86][87][88]. Compared with those of the pure piezoelectric polymer, the piezoelectric properties of the nanocomposites are improved, dielectric constant is significantly increased, crystallinity of the phase is increased and local stress is increased. Adding nanoclay [89] to PVDF can prompt the formation of the β-phase in the spinning process, which is an ideal method to prepare piezoelectric nanofibers. BTO nanoparticles were used to improve the P(VDF-TrFE) nanofibers' piezoelectric sensing properties (Figure 4a) [90]. BTO/P(VDF-TrFE) nanofibers doped with BTO nanoparticles have the largest β-phase crystallinity and the best piezoelectric properties.
Wu et al. [91] studied the piezoelectric properties, crystal structure and sound absorption properties of PVDF nanofibers doped with carbon nanotubes prepared by electrospinning. The results show that adding CNTs further improves the piezoelectric properties and the ability to absorb sound waves at low frequencies. Hosseini et al. [92] studied the potential synergistic effect of Cloisite 30B (OMMT) nanoclay and multi-walled carbon nanotube (MWCNT) nanofillers on PVDF crystal structure and piezoelectric device performance. They evaluated PVDF fiber mats' sound-absorbing and piezoelectric properties, and the results show that, compared with OMMT, the MWCNT could decrease PVDF impedance and increase the dielectric constant. MWCNT/OMMT hybrid nanocomposites have good sound absorption properties, which might be caused by the enhanced interaction at the polymer-filled interface between the acoustic wave and OMMT plates and MWCNT nanotubes [93][94][95][96][97]. They found that the sound absorption efficiency of PVDF/MWCNT/OMMT hybrid nanocomposites was higher than that of pure PVDF fibers and film. Negar et al. [11] fabricated PVDF nanocomposites by doping with PZT particles. The PVDF-PZT nanocomposite fiber, the crystallization mechanism and β-phase formation based on the addition of PZT are shown in Figure 4b.
PVDF and graphene-silver (GAg) nanocomposites have plasma-coupled piezoelectric properties, and the piezoelectric energy conversion efficiency reaches 15% [98]. Using the unique interface structure of silver nanoparticles, silver-doped oriented PVDF nanofibers with a high content of β phase were prepared by electrospinning [99], and the crystallinity of the β phase was 44.5%. Silver nanoparticles in graphene dispersion form n-type doping on graphene owing to electrostatic effects [100][101][102][103][104]. The self-polarization of silver nanoparticles in PVDF is beneficial to the nucleation of the electroactive β phase. PVDF nanocomposites are environmentally friendly and low-cost nanocomposites, having high piezoelectric coefficients and different piezoelectric coefficients under different light conditions ( Figure 4c) [98].
Gan et al. [105] developed composite materials using TiO 2 nanoparticles and PVDF. The increase in conductivity makes the polarization process easier, and the required electric field was reduced from 260 to 120 MV/m. In 2017, Al-Saygh et al. [106] proposed a flexible pressure sensor based on PVDF doped with rGO and TiO 2 nanolayers (TNL). The hybrid PVF/rGO-TNL film had a higher β-phase content (75.68%) than PVDF (70.37%), PVDF/rGO (72.73%) and PVDF/TNL (73.5%) films. Similarly, Pusty et al. [107] combined iron with carbon nanotubes and graphene nanomaterials and proposed that adding CNT and Fe-RGO to PVDF can increase the conductivity of nanocomposite membranes. Mishra et al. [108] developed a flexible piezoelectric polymer nanocomposite film to collect mechanical energy, which is based on PVDF doped with gallium ferrite nanoparticles (GFO). Under mechanical pressure and release conditions, the output voltage and current are 3.5 V and 4 nA, respectively ( Figure 4d). As a type of piezoelectric ceramic, nano ZnO is also used as a piezoelectric filler [109]. Dodds et al. [110] prepared PVDF TrFE/ZnO nanoparticle films by spin coating and studied their piezoelectric response. The prepared films not only maintain their mechanical flexibility but also improve their piezoelectric properties. Zinc oxide-PVDF composite membrane [111] can also be prepared by sol-gel technology. The latest report is on the preparation of metal ZnO PVDF composite films by doping ZnO nanoparticles into metals, which shows the potential for mechanical energy generation and motion sensing. Figure 4e shows the fabrication process of the device. They studied and compared the voltage output of pure ZnO-PVDF samples and ZnO-PVDF composites doped with sodium (Na), cobalt (Co), silver (Ag), ferric oxide (Fe 3 O 4 ) and lithium (Li) [112].   [90]; (b) PVDF-PZT nanocomposite fiber, the crystallization mechanism and β-phase formation based on adding PZT [11]; (c) change of piezoelectric coefficient in the form of output voltage under different light conditions [98]; (d) output voltage and current signal of GFO-PVDF composite films [108]; and (e) schematic of the manufacturing process of the device [112].

Biomaterials Functional PVDF
Some biomaterials have certain piezoelectric properties naturally. In 2017, Nuraeva et al. [113] investigated (S)-glutamine and ortho-carboranyl derivatives of (S)-asparagine films and bulk crystal piezoelectric properties, demonstrating a very high piezoelectric response. The high local transverse piezoelectric coefficients of these biocrystals indicate that they are promising materials for various piezoelectric applications. Stapleton et al. [114] provided experimental evidence of the globulin and lysozyme's direct piezoelectric effect. They measured the direct piezoelectric effect of the lysozyme

Biomaterials Functional PVDF
Some biomaterials have certain piezoelectric properties naturally. In 2017, Nuraeva et al. [113] investigated (S)-glutamine and ortho-carboranyl derivatives of (S)-asparagine films and bulk crystal piezoelectric properties, demonstrating a very high piezoelectric response. The high local transverse piezoelectric coefficients of these biocrystals indicate that they are promising materials for various piezoelectric applications. Stapleton et al. [114] provided experimental evidence of the globulin and lysozyme's direct piezoelectric effect. They measured the direct piezoelectric effect of the lysozyme crystal aggregation film and found that the average piezoelectric coefficients of the monoclinic and tetragonal lysozyme films were 0.94 and 3.16 pC/N, respectively ( Figure 5a). Nguyen et al. [115] reported that diphenylalanine (FF) is a short peptide composed of two natural amino acids, with special piezoelectric properties and excellent mechanical properties ( Figure 5b). Doping with a piezoelectric polymer can stimulate the piezoelectric properties. Recently, Yang et al. [116] modified barium titanate (BTO) with polydopamine (PDA). Then, the mixing ratio was adjusted between it and the PVDF matrix, and they finally formed a uniform and homogeneous PDA@BTO/PVDF composite material. The facial solution-casting method was used to make the flexible piezoelectric pressure sensor shown in Figure 5c. PDA can improve the dispersion of BTO in the PVDF matrix and reduce interface void defects and cracks between the two components. The output voltage is about 2 times higher than the unmodified one and 13.3 times higher than the original PVDF. Tamang et al. [117] reported that DNA was used as a nucleating agent to produce a self-polarized PVDF membrane with higher piezoelectric properties ( Figure 5d). This nucleating agent can achieve the molecular dipole arrangement and the nucleation of the electroactive β phase in PVDF. Phosphate ions interact with hydrogen bonds on the single-strand deoxyribonucleic acid (ss-DNA) backbone to form a stable polar β phase, accounting for more than 80% of polar β phase in the PVDF matrix ( Figure 5e).
Micromachines 2020, 11, x 9 of 30 reduce interface void defects and cracks between the two components. The output voltage is about 2 times higher than the unmodified one and 13.3 times higher than the original PVDF. Tamang et al. [117] reported that DNA was used as a nucleating agent to produce a self-polarized PVDF membrane with higher piezoelectric properties ( Figure 5d). This nucleating agent can achieve the molecular dipole arrangement and the nucleation of the electroactive β phase in PVDF. Phosphate ions interact with hydrogen bonds on the single-strand deoxyribonucleic acid (ss-DNA) backbone to form a stable polar β phase, accounting for more than 80% of polar β phase in the PVDF matrix ( Figure 5e).  [116]; (d) DNA was used as a nucleating agent to produce a self-polarized PVDF membrane to fabricate nanogenerator [117]; and (e) denaturation of DNA and the forming process of ß-enriched DNA-PVDF membrane [117].

Fabrication and Polarization of PVDF
There are many methods to convert PVDF into the β phase, including electrospinning, spin coating, solvent casting and 3D printing. PVDF processed by spin coating and solvent casting methods mainly forms the α phase; therefore, a subsequent polarization method is needed to increase the β phase state of PVDF [118,119]. Polarization can be achieved with a set of widely used techniques that can be used to reorient polymers to increase the net polarization vector in three directions, which is an important step during the fabrication process. For the processing methods of electrospinning and 3D printing, the polarization process can be completed directly in situ under the action of an (b) open-circuit voltage of the FF-generator [115]; (c) the fabrication process of PDA@BTO/PVDF composite membrane on the basis of flexible pressure sensor [116]; (d) DNA was used as a nucleating agent to produce a self-polarized PVDF membrane to fabricate nanogenerator [117]; and (e) denaturation of DNA and the forming process of ß-enriched DNA-PVDF membrane [117].

Fabrication and Polarization of PVDF
There are many methods to convert PVDF into the β phase, including electrospinning, spin coating, solvent casting and 3D printing. PVDF processed by spin coating and solvent casting methods mainly forms the α phase; therefore, a subsequent polarization method is needed to increase the β phase state of PVDF [118,119]. Polarization can be achieved with a set of widely used techniques that can be used to reorient polymers to increase the net polarization vector in three directions, which is an important step during the fabrication process. For the processing methods of electrospinning and 3D printing, the polarization process can be completed directly in situ under the action of an electric field and temperature, and no subsequent polarization process is required. The following sections mainly discuss the preparation and polarization methods of PVDF films, including the piezoelectric effect principle.

Fabrication of PVDF by Spin Coating and Solvent Casting
Spin coating and solvent casting mainly form the α phase of PVDF; therefore, a subsequent polarization process is required. In the spin coating method, the surface stress is increased during the spinning process. The addition of some compounds helps induce and contribute to the formation of the β phase state of PVDF, and sometimes it can be formed with a certain piezoelectric coefficient without subsequent polarization. A schematic diagram of the spin coating and solvent casting is shown in Figure 6a,b. Electrode poling and corona poling are the two most common methods of polarization. Electrode poling has the advantages of high d33 coefficient and reproducibility. Electrode poling is the relatively simpler one of these two methods. The PVDF film is sandwiched between two electrodes and then wrapped by a shell (Figure 6a). In the process of corona poling, there is a heated substrate at the bottom of the shell and an electrode on the heated substrate. The PVDF film is only in contact with one of the electrodes. The corona tip is placed on the top and applied with a 10 kV voltage. There is a grid between tip and PVDF material. The grid is applied a voltage, which is much lower than 10 kV. Therefore, there is a voltage difference close to 10 kV between corona tip and grid. It ionizes the gas between the corona tip and the grid. The ionized gas accelerates to the film, and the PVDF film is polarized (Figure 6b). Corona poling needs to keep the gas in the shell dry. The electron beam poling method uses a focused electron beam and irradiates the PVDF film to reorient into the β phase. In addition to the above polarization methods, mechanical drawing and additive manufacturing can polarize PVDF. As for additive manufacturing, we can induce the formation of the β phase using composite systems. Table 1 shows the advantages of various polarization methods. The method of solvent casting mainly relies on the addition of some compounds and application of high temperature and external electric field, to promote the formation of the β phase state of PVDF. Chien et al. [120]   Electrode poling and corona poling are the two most common methods of polarization. Electrode poling has the advantages of high d33 coefficient and reproducibility. Electrode poling is the relatively simpler one of these two methods. The PVDF film is sandwiched between two electrodes and then wrapped by a shell (Figure 6a). In the process of corona poling, there is a heated substrate at the bottom of the shell and an electrode on the heated substrate. The PVDF film is only in contact with one of the electrodes. The corona tip is placed on the top and applied with a 10 kV voltage. There is a grid between tip and PVDF material. The grid is applied a voltage, which is much lower than 10 kV. Therefore, there is a voltage difference close to 10 kV between corona tip and grid. It ionizes the gas between the corona tip and the grid. The ionized gas accelerates to the film, and the PVDF film is polarized (Figure 6b). Corona poling needs to keep the gas in the shell dry. The electron beam poling method uses a focused electron beam and irradiates the PVDF film to reorient into the β phase. In addition to the above polarization methods, mechanical drawing and additive manufacturing can polarize PVDF. As for additive manufacturing, we can induce the formation of the β phase using composite systems. Table 1 shows the advantages of various polarization methods. The method of solvent casting mainly relies on the addition of some compounds and application of high temperature and external electric field, to promote the formation of the β phase state of PVDF. Chien et al. [120] spin-coated PVDF-TrFE dissolved in MEK and hot embossed the silicon mold on the film under DC poling (Figure 7c). The electric voltage varied from 30 to 60 V, and the temperature was 90 or 110 • C. The maximum piezoelectricity of the single PVDF−TrFE nanopillar was 210.4 pm/V, with an average d33 value of 72.7 pC/N of the developed PVDF−TrFE nanograss structures. Tushar et al. [121] spin-coated PVDF-TrFE copolymer into thin films to induce the formation of the β phase with a d33 value varying from 38 to 74 pC/N (Figure 7d). Schulze et al. [122] prepared P(VDF-TrFE) films for 20 µm thickness by solvent casting under the effect of electrode poling and an electric field of 75 MV/m. The d33 coefficients were measured to be about 20 pC/N. The spin-coating technique [123] was used to prepare the PVDF-BaTiO 3 nanocomposite films on an interdigital ITO electrode (Figure 7e). Vineet et al. [54] fabricated PVDF/PZT piezoelectric composite films by a solution cast technique. The d33 value varied from 60 to 84 pC/ N. The higher is the content of PZT ceramic, the greater is the proportion of β phase of the PVDF.  (d) SEM of PVDF-TrFE copolymer thin films fabricated by spin coating [121]; and (e) preparing the PVDF-BaTiO3 nanocomposite films by spin coating [123]. Increased the design scope of the three-dimensional structure of the material

Fabrication of PVDF by Electrospinning
Electrospinning is a very promising processing technology. The needle tube containing the (d) SEM of PVDF-TrFE copolymer thin films fabricated by spin coating [121]; and (e) preparing the PVDF-BaTiO 3 nanocomposite films by spin coating [123].
After the PVDF film is formed, there are further studies to constrain the nanostructure of the film, such as the serpentine structure [124][125][126] and Kirigami structure [127] formed by cutting plotter, achieving sufficient compliance of mechanical deformation to skin motion. Conversely, the polymer film is cut into the desired shape and then stacked and laminated to increase the density of the filler [128].

Fabrication of PVDF by Electrospinning
Electrospinning is a very promising processing technology. The needle tube containing the PVDF solution sprays the PVDF solution onto a drum through a nozzle, the substrate wraps around the drum, and a voltage between 10 and 20 kV is usually added between the nozzle and the substrate [129].
Nano-to micro-scale PVDF fibers are randomly deposited on the substrate, forming a low-density PVDF film. The electrospinning technique completes the PVDF deposition and polarization process in one step. The rotation of the drum increases the stress between PVDF and the substrate, which in turn promotes the formation of the β-phase state of PVDF. A schematic diagram of the electrospinning technique is shown in Figure 8a. Gong et al. [130] combined the PVDF nanofiber membrane by electrospinning with PDMS-Ag NWS and PET/ITO electrodes to fabricate sensors. Lu et al. [99] made a flexible bend sensor to monitor human respiration by electrospinning PVDF and a silver mixed solution (Figure 8b). (d) optical photo and SEM of BNT-ST/PVDF nanofiber composite [9]; (e) PVDF strain sensor for measuring the force of the string [131]; (f) mechanical movement in the primitive phase and the bending phase [132]; and (g) optical image and output voltage generated by human movement [132].
Xiaohe et al. [90] fabricated (BTO)/P(VDF-TrFE) composite nanofibers by electrospinning and were able to distinguish and sense the movement of walking ants and the energy of a free-falling ball as low as 0.6 μJ (Figure 8c). Sang et al. [9] fabricated flexible lead-free piezoelectric nanofibers composed of PVDF and BNT-ST ceramic by electrospinning. The output voltage measurement  [99]; (c) optical photo and SEM of (BTO)/P(VDF-TrFE) composite nanofibers [90]; (d) optical photo and SEM of BNT-ST/PVDF nanofiber composite [9]; (e) PVDF strain sensor for measuring the force of the string [131]; (f) mechanical movement in the primitive phase and the bending phase [132]; and (g) optical image and output voltage generated by human movement [132].
Xiaohe et al. [90] fabricated (BTO)/P(VDF-TrFE) composite nanofibers by electrospinning and were able to distinguish and sense the movement of walking ants and the energy of a free-falling ball as low as 0.6 µJ (Figure 8c). Sang et al. [9] fabricated flexible lead-free piezoelectric nanofibers composed of PVDF and BNT-ST ceramic by electrospinning. The output voltage measurement system is a frequency function for the BNT-ST/PVDF nanofiber composite module (Figure 8d). Rahul et al. [131] fabricated PVDF nanofibers with a high β-phase state to develop a PVDF strain sensor to measure the string force (Figure 8e). Kunming et al. [132] fabricated nanocomposite fiber mats by electrospinning graphene nanosheets, barium titanate and PVDF, obtaining as high as 11 V of open-circuit voltage (Figure 8f,g).

Fabrication of PVDF Devices by 3D Print
The 3D print can deposit PVDF or PVDF compounds on the bottom heating plate under heating and nozzle extrusion (Figure 9a). Based on the 3D printing principles, we can incorporate polarizing processes including heat press, electric field poling and mechanical stretching simultaneously. The polarization process is shown in Figure 9b.

Fabrication of PVDF Devices by 3D Print
The 3D print can deposit PVDF or PVDF compounds on the bottom heating plate under heating and nozzle extrusion (Figure 9a). Based on the 3D printing principles, we can incorporate polarizing processes including heat press, electric field poling and mechanical stretching simultaneously. The polarization process is shown in Figure 9b.  [133]; (e) 3D cylindrical sensor's piezoelectric voltage output when five finger taps [134]; and (f) optical diagram of 3D printing technique and corona poling process [135].
Finally, we completed the integration of 3D printed PVDF and PVDF composites with the in situ polarized PVDF. The schematic is shown in Figure 9c. The shear force between the nozzle and PVDF, as well as heating, nucleation on filler surfaces and electric field, all help to promote the formation of the β-phase state of PVDF. Hoejin et al. [136] fabricated PVDF/BaTiO3 nanocomposites using a 3D printing technique. Then, the composite material was thermally polarized to improve the piezoelectric response of the composite. The piezoelectric response of the PVDF/BaTiO3 nanocomposite was three times higher than that of the nanocomposites fabricated by solvent casting. Using the 3D printing technique, we can obtain a more homogeneous dispersion of PVDF/BaTiO3 nanocomposites, in comparison with nanocomposites fabricated by solvent casting. Chen et al. [133] fabricated electroactive PVDF thin films of bi-axially orientation using layer-by-layer 3D printing. Carbon nanotubes were added as a nucleating agent to induce the formation of the β-phase state of PVDF (Figure 9d).
Sampada et al. [134] fabricated flexible, lightweight and complex-shaped piezoelectric devices by 3D printing (Figure 9e). The d31 coefficients were measured to be about 18 pC/N. PVDF films with enhanced β-phase percentage [135] were fabricated by 3D printing (Figure 9f). This section reviews the common preparation methods for PVDF. The different fabrication methods, polarization, description and comparison of the performance of PVDF are shown in Table  2. The electrospinning process has the advantages of direct polarization, while spin coating and pouring methods are simpler and more compatible with other processes. As a new technology, 3D printing has also attracted the attention of researchers. Table 2 shows that the electrospinning method  [133]; (e) 3D cylindrical sensor's piezoelectric voltage output when five finger taps [134]; and (f) optical diagram of 3D printing technique and corona poling process [135].
Finally, we completed the integration of 3D printed PVDF and PVDF composites with the in situ polarized PVDF. The schematic is shown in Figure 9c. The shear force between the nozzle and PVDF, as well as heating, nucleation on filler surfaces and electric field, all help to promote the formation of the β-phase state of PVDF. Hoejin et al. [136] fabricated PVDF/BaTiO 3 nanocomposites using a 3D printing technique. Then, the composite material was thermally polarized to improve the piezoelectric response of the composite. The piezoelectric response of the PVDF/BaTiO 3 nanocomposite was three times higher than that of the nanocomposites fabricated by solvent casting. Using the 3D printing technique, we can obtain a more homogeneous dispersion of PVDF/BaTiO 3 nanocomposites, in comparison with nanocomposites fabricated by solvent casting. Chen et al. [133] fabricated electroactive PVDF thin films of bi-axially orientation using layer-by-layer 3D printing. Carbon nanotubes were added as a nucleating agent to induce the formation of the β-phase state of PVDF (Figure 9d).
Sampada et al. [134] fabricated flexible, lightweight and complex-shaped piezoelectric devices by 3D printing (Figure 9e). The d31 coefficients were measured to be about 18 pC/N. PVDF films with enhanced β-phase percentage [135] were fabricated by 3D printing (Figure 9f). This section reviews the common preparation methods for PVDF. The different fabrication methods, polarization, description and comparison of the performance of PVDF are shown in Table 2. The electrospinning process has the advantages of direct polarization, while spin coating and pouring methods are simpler and more compatible with other processes. As a new technology, 3D printing has also attracted the attention of researchers. Table 2 shows that the electrospinning method still shows higher piezoelectric conversion performance for energy acquisition and strain sensing. However, for the electro deformation, the spin coating method can produce thinner films with greater deformation.

Flexible Electromechanical Device Made by PVDF
PVDF polymer material has the advantages of low weight, high flexibility, high sensitivity, good fit and ductility and high piezoelectric coefficient. It is suitable for flexible sensors with high flexibility requirements and is used in physics, chemistry and biology. These fields have a wide range of applications.
There are many applications based on PVDF materials, such as energy harvesting device, physical sensors, chemical sensors and biosensors. When PVDF is used for energy harvesting devices and physical sensors, PVDF is mainly used to convert external mechanical energy into electrical energy. Methods such as doping inorganic piezoelectric and nanomaterials and improving processes have been adopted to improve the piezoelectric conversion ability of materials. Piezoelectric polymer-based chemical sensors and biosensors, such as humidity, gas and DNA sensors, are constructed by modifying the sensitive layer on piezoelectric materials, which can specifically adsorb humidity, gas and biomolecules. After specific adsorption of the target, the sensor will undergo a slight volume change, which will cause deformation of the PVDF material, thereby generating electrical signals, or the quality change will cause the sensor's resonance frequency to shift. The materials, fabrication methods and sensitivity are shown in Table 3.

Energy Harvesting Device
The main principle of energy harvesting device manufacturing is to use the piezoelectric conversion effect of piezoelectric materials. Under external pressure, the piezoelectric material deforms and generates a voltage, thereby converting mechanical to electrical energy. A schematic diagram of the energy harvesting device is shown in Figure 10a.

Flexible Electromechanical Device Made by PVDF
PVDF polymer material has the advantages of low weight, high flexibility, high sensitivity, good fit and ductility and high piezoelectric coefficient. It is suitable for flexible sensors with high flexibility requirements and is used in physics, chemistry and biology. These fields have a wide range of applications.
There are many applications based on PVDF materials, such as energy harvesting device, physical sensors, chemical sensors and biosensors. When PVDF is used for energy harvesting devices and physical sensors, PVDF is mainly used to convert external mechanical energy into electrical energy. Methods such as doping inorganic piezoelectric and nanomaterials and improving processes have been adopted to improve the piezoelectric conversion ability of materials. Piezoelectric polymer-based chemical sensors and biosensors, such as humidity, gas and DNA sensors, are constructed by modifying the sensitive layer on piezoelectric materials, which can specifically adsorb humidity, gas and biomolecules. After specific adsorption of the target, the sensor will undergo a slight volume change, which will cause deformation of the PVDF material, thereby generating electrical signals, or the quality change will cause the sensor's resonance frequency to shift. The materials, fabrication methods and sensitivity are shown in Table 3.

Energy Harvesting Device
The main principle of energy harvesting device manufacturing is to use the piezoelectric conversion effect of piezoelectric materials. Under external pressure, the piezoelectric material deforms and generates a voltage, thereby converting mechanical to electrical energy. A schematic diagram of the energy harvesting device is shown in Figure 10a.  [140]; (c) nanogenerator harvests energy from human finger tapping, human arm movement and human footsteps [140]; and (d) the phenomenon of charge separation during the process of press nanogenerator and release pressure of nanogenerator [141].
In 2020, Mokhtari et al. [142] fabricated a high-performance hybrid piezofiber composed of a PVDF and barium titanate (BT) nanoparticle (mass ratio 10:1). These fibers are knitted to fabricate a Figure 10. (a) Schematic of the energy harvesting device; (b) schematic diagram of woven nanogenerator production process [140]; (c) nanogenerator harvests energy from human finger tapping, human arm movement and human footsteps [140]; and (d) the phenomenon of charge separation during the process of press nanogenerator and release pressure of nanogenerator [141].
In 2020, Mokhtari et al. [142] fabricated a high-performance hybrid piezofiber composed of a PVDF and barium titanate (BT) nanoparticle (mass ratio 10:1). These fibers are knitted to fabricate a wearable energy generator with a power density of 87 µW cm −3 and a maximum voltage output of 4 V. They confirmed through experiments that the stability performance of the triaxial braided piezoelectric fibers in the bending test during 1000 cycles to a maximum strain of 50% at 0.6 Hz with no change in its performance. In 2019, Sang et al. [143] prepared a wearable piezoelectric energy harvester based on core-shell piezoelectric yarns prepared by twining the yarns around a conductive thread, improving the durability of the energy harvesting process. The yarns were composed of flexible piezoelectric nanofibers of BNT-ST and PVDF-TrFE by electrospinning. Muhammad et al. [140] fabricated a woven nanogenerator using commercial nylon cloth and PVDF nanofibers, which can harvest energy from human motions. A woven nanogenerator harvests energy from human movement; a schematic diagram of the production process of this device is shown in Figure 10b. Figure 10c shows that the nanogenerator harvests energy from human finger tapping, human arm movement and human footsteps. Satyaranjan et al. [141] fabricated a nanogenerator based on flexible PVDF/SM-KNN, which has a current density of 5.5 mA/cm 2 and a power density of 115.5 mw/cm 2 . They found that the output voltage error of repeated detection under the same pressure is about 1%. Figure 10d shows the charge separation phenomenon during the pressing process and the release pressure of the nanogenerator.
Researchers at the University of Texas at San Antonio have developed a self-charging pacemaker based on PVDF piezoelectric films [144]. The kinetic energy of the heartbeat is converted into electrical energy to charge the battery. The work is expected to be developed into products on the market within five years.

Physical Sensors
In sensing applications, flexible and wearable pressure sensors are made of piezoelectric polymer materials with flexible characteristics. High-voltage electrospinning can be used to fabricate PVDF piezoelectric nanofiber films [49,[145][146][147][148][149]. Gong et al. [130] combined the PVDF nanofiber membrane by electrospinning with PDMS-Ag NWS and PET/ITO electrodes to fabricate sensors. When the tester repeats the word "you", the detected output signal is also periodic (Figure 11a) [130]. This type of sensor has evident piezoelectric properties and performs well in quantitative pressure measurement. In addition, because of their shape-preserving function, they can be used as real-time monitors of people's activities (Figure 11b). Lee et al. [87] proposed a highly sensitive gauge sensor based on PVDF and ZnO nanostructures on graphene electrodes (Figure 11c) [87]. It can detect pressure changes with the lowest value of 10 Pa, which is 1000 times lower than the minimum required for artificial skin. The temperature value calculation is based on the signal recovery time (Figure 11d). The PVDF-TrFE copolymer membrane pressure sensor is manufactured via a standard photolithography process that can be used for batch processing, thereby reducing costs. The resulting membrane has good uniformity and high polymer pattern resolution [150]. Alluri et al. [61] processed piezoelectric films made of PVDF and BaTi(1−x)ZrxO 3 , which can effectively convert pressure signals into electrical signals, with a maximum peak power of 15.8 nW. They confirmed superb reproducibility and durability of the PNGs by a stability test using a cyclic pushing instrument. Sang et al. [143] manufactured a wearable piezoelectric energy harvester by electrospinning PVDF-TrFE and BNT-ST(0.78Bi0.5Na0.5TiO 3 -0.22SrTiO 3 ). The generated output voltages, output currents and output powers by finger bending as well as knee and elbow movements are shown in Figure 11e. The 3D printed PVDF with BaTiO 3 (BTO) filler [151] can also be used for pressure sensing. Compared with the single PVDF composite of TNL [152][153][154], the sensitivity was increased by 333.46% at 5 kPa under the effects of the new additives shape, good interaction and well-distributed hybrid additives in the matrix. This confirmed that it was possible to fabricate low-cost and lightweight electronic devices with reduced quantities of metal oxides and pressure sensing devices. Figure 11. (a) Schematic of flexible pressure sensor used to detect pressure signal [130]; (b) device was used as a motion sensor to monitor knuckle bends and vocal cord vibrates [130]; (c) schematic of sensor based on PVDF and ZnO nanostructures on graphene electrodes [87]; (d) the relationship between temperature and recovery time [87]; (e) generated output voltages, output currents and output powers by finger bending as well as knee and elbow movements [143]; and (f) pressure sensor embedded in the bottom of the insole or stuck on human arm and voltage generated by jumping, walking, running and different bending angles' elbows [116].
Ye et al. [116] fabricated flexible wearable pressure sensors that were sensitive to various human behaviors based on piezoelectric materials. The pressure sensor was embedded in the bottom of the insole or stuck on the human arm, and the voltage generated by jumping, walking, running and elbows at different bending angles is shown in Figure 11f. According the fatigue testing of the sensor for 1000 cycles at 12 N, the output voltages dropped by 6.7%, demonstrating the excellent stability and durability of the sensor.
Commercially, many commercial products related to pressure are based on PVDF materials. For example, based on PVDF, Dymedix Diagnostics, Inc (Minnesota, USA) developed airflow and snore sensors [155]. Cambridge Touch Technologies (CCT) is a fast-growing high-tech enterprise originating from the University of Cambridge. Its KF Piezo series PVDF is a well-known piezoelectric film product in the industry. CCT has developed an UltraTouch Sensor with a simple structure, a low cost and a high performance [156].

Chemical Sensor based on Piezoelectric Polymer
As a flexible piezoelectric material, the mechanical deformation state of PVDF electrically driven is directly related to its mass load. Then, by modifying the sensor surface with adsorbent materials, it can specifically adsorb gas or water vapor to form a mass sensor. For example, when the sensing interface contacts the target gas, the physical shape and mass changes caused by the absorption of gas will affect the resonance frequency and other physical parameters of the piezoelectric polymersensitive film. Zengwei et al. [157] applied the phase separation method to deposit a PVDF microporous membrane on the surface of a palladium-loaded tin dioxide (Pd-SnO2) gas-sensitive film. The stability of the sensor under high humidity was evidently improved by the influence of the PVDF microporous membrane. To detect the hydrogen concentration, a hydrogen sensor [158] can be made by sticking the Pd film on both sides of the PVDF membrane. Because of the selective Figure 11. (a) Schematic of flexible pressure sensor used to detect pressure signal [130]; (b) device was used as a motion sensor to monitor knuckle bends and vocal cord vibrates [130]; (c) schematic of sensor based on PVDF and ZnO nanostructures on graphene electrodes [87]; (d) the relationship between temperature and recovery time [87]; (e) generated output voltages, output currents and output powers by finger bending as well as knee and elbow movements [143]; and (f) pressure sensor embedded in the bottom of the insole or stuck on human arm and voltage generated by jumping, walking, running and different bending angles' elbows [116].
Ye et al. [116] fabricated flexible wearable pressure sensors that were sensitive to various human behaviors based on piezoelectric materials. The pressure sensor was embedded in the bottom of the insole or stuck on the human arm, and the voltage generated by jumping, walking, running and elbows at different bending angles is shown in Figure 11f. According the fatigue testing of the sensor for 1000 cycles at 12 N, the output voltages dropped by 6.7%, demonstrating the excellent stability and durability of the sensor.
Commercially, many commercial products related to pressure are based on PVDF materials. For example, based on PVDF, Dymedix Diagnostics, Inc (Minnesota, USA) developed airflow and snore sensors [155]. Cambridge Touch Technologies (CCT) is a fast-growing high-tech enterprise originating from the University of Cambridge. Its KF Piezo series PVDF is a well-known piezoelectric film product in the industry. CCT has developed an UltraTouch Sensor with a simple structure, a low cost and a high performance [156].

Chemical Sensor based on Piezoelectric Polymer
As a flexible piezoelectric material, the mechanical deformation state of PVDF electrically driven is directly related to its mass load. Then, by modifying the sensor surface with adsorbent materials, it can specifically adsorb gas or water vapor to form a mass sensor. For example, when the sensing interface contacts the target gas, the physical shape and mass changes caused by the absorption of gas will affect the resonance frequency and other physical parameters of the piezoelectric polymer-sensitive film. Zengwei et al. [157] applied the phase separation method to deposit a PVDF microporous membrane on the surface of a palladium-loaded tin dioxide (Pd-SnO 2 ) gas-sensitive film. The stability of the sensor under high humidity was evidently improved by the influence of the PVDF microporous membrane. To detect the hydrogen concentration, a hydrogen sensor [158] can be made by sticking the Pd film on both sides of the PVDF membrane. Because of the selective absorption of hydrogen by the palladium membrane, expansion deformation occurs under the PVDF action, which is converted into voltage signal output. The output voltage of sensors showed a similar change when the sensor was exposed to repeated cycles of H 2 .
The introduction of humidity in sensitive materials can also play a role in humidity sensing. The spin coating technique was used to prepare the PVDF TiO 2 nanocomposite films on interdigital ITO electrode [159], and the surface morphology was modified by acetone etching. The volume deformation of PVDF is caused by the hygroscopicity of nano-TiO 2 , resulting in a piezoelectric effect (Figure 12a) [159]. Wang et al. [160] proposed a simple and low-cost method to prepare a moisture-responsive composite membrane composed of PEDOT:PSS and PVDF by spin coating and thermal evaporation. The bending angles of the composite film in both directions can reach −191 • and 225 • , respectively, showing good bidirectional bending performance. They also demonstrated that the bending of the PVDF/ PEDOT:PSS strip at different RHs is recyclable and repeatable. As shown in Figure 12b-d, the PVDF film is glued together with the PEDOT:PSS film. PEDOT:PSS easily absorbs water [160][161][162][163]. In different humidity environments, PEDOT has different bending degrees due to different water absorption rates. PVDF films produce voltage signals under the corresponding bending degrees, representing the specific humidity.
Micromachines 2020, 11, x 18 of 30 absorption of hydrogen by the palladium membrane, expansion deformation occurs under the PVDF action, which is converted into voltage signal output. The output voltage of sensors showed a similar change when the sensor was exposed to repeated cycles of H2. The introduction of humidity in sensitive materials can also play a role in humidity sensing. The spin coating technique was used to prepare the PVDF TiO2 nanocomposite films on interdigital ITO electrode [159], and the surface morphology was modified by acetone etching. The volume deformation of PVDF is caused by the hygroscopicity of nano-TiO2, resulting in a piezoelectric effect (Figure 12a) [159]. Wang et al. [160] proposed a simple and low-cost method to prepare a moistureresponsive composite membrane composed of PEDOT:PSS and PVDF by spin coating and thermal evaporation. The bending angles of the composite film in both directions can reach −191° and 225°, respectively, showing good bidirectional bending performance. They also demonstrated that the bending of the PVDF/ PEDOT:PSS strip at different RHs is recyclable and repeatable. As shown in Figure 12b-d, the PVDF film is glued together with the PEDOT:PSS film. PEDOT:PSS easily absorbs water [160][161][162][163]. In different humidity environments, PEDOT has different bending degrees due to different water absorption rates. PVDF films produce voltage signals under the corresponding bending degrees, representing the specific humidity.

Biosensor and Bionic Actuator Based on Piezoelectric Polymer
Piezoelectric polymers are used as biosensors mainly through biosensor surface modification. The binding of biological target molecules on the sensing surface changes the mass of the sensing end of the sensor, thus affecting the resonant output of the piezoelectric polymer. PVDF-TrFE films were fabricated by electrodeposition, and piezoelectric polymer ultrasonic transceivers were developed, which proved that they can be used for the ultra-sensitive detection of antibiotics. The diameter of the entire ultrasonic transceiver was 680 μm. The ultrasonic transducers consist of a receiver and a transmitter, which is patterned on a gold electrode and integrated with a microfluidic channel. The biosensor was successfully applied to detect the animals' doxycycline with a detection limit of 50 ppb (Figure 13a-c) [164]. In the field of microfluidic channels, the developed on-chip ultrasonic transducer performed excellently, with the potential to be used for ultra-sensitive detection of DNA, proteins and food antibiotics. Lin et al. [165] fabricated microporous PVDF membranes with different surface morphologies from coagulation baths of different strengths by immersion-precipitation. Using the dual-step procedure, ss-DNA was covalently immobilized on the membranes. The antibody in serum

Biosensor and Bionic Actuator Based on Piezoelectric Polymer
Piezoelectric polymers are used as biosensors mainly through biosensor surface modification. The binding of biological target molecules on the sensing surface changes the mass of the sensing end of the sensor, thus affecting the resonant output of the piezoelectric polymer. PVDF-TrFE films were fabricated by electrodeposition, and piezoelectric polymer ultrasonic transceivers were developed, which proved that they can be used for the ultra-sensitive detection of antibiotics. The diameter of the entire ultrasonic transceiver was 680 µm. The ultrasonic transducers consist of a receiver and a transmitter, which is patterned on a gold electrode and integrated with a microfluidic channel. The biosensor was successfully applied to detect the animals' doxycycline with a detection limit of 50 ppb (Figure 13a-c) [164]. In the field of microfluidic channels, the developed on-chip ultrasonic transducer performed excellently, with the potential to be used for ultra-sensitive detection of DNA, proteins and food antibiotics. Lin et al. [165] fabricated microporous PVDF membranes with different surface morphologies from coagulation baths of different strengths by immersion-precipitation. Using the dual-step procedure, ss-DNA was covalently immobilized on the membranes. The antibody in serum can be effectively adsorbed by the immobilized DNA, performing antibody detection. Similarly, nucleic acid sensors based on PVDF [166] have been developed. In the experiment, they used the hybridization between the capture probe and target analyte (Figure 13d) [166] and found that the mass load on the membrane was proportional to the quantity of target nucleic acids (Figure 13e) [166].
Micromachines 2020, 11, x 19 of 30 can be effectively adsorbed by the immobilized DNA, performing antibody detection. Similarly, nucleic acid sensors based on PVDF [166] have been developed. In the experiment, they used the hybridization between the capture probe and target analyte (Figure 13d) [166] and found that the mass load on the membrane was proportional to the quantity of target nucleic acids (Figure 13e) [166]. Figure 13. (a) Schematic of the chip [164]; (b) the experimental setup for characterizing the ultrasonic transceivers [164]; (c) the plastic microfluidic chip with ultrasonic transceivers [164]; (d) schematic of the biosensor using PVDF film as piezoelectric layer [166]; and (e) relationship between mass load and frequency shift (Δf) [166].
In recent years, much attention has been paid to the research of artificial bionics devices. In 2019, Wu et al. [167] reported a flexible robot based on a piezoelectric single chip bending structure ( Figure  14a,b) [167]. Its relative speed is 20 times its body length per second, which is the fastest measurement speed among the reported artificial robots on an insect scale. The soft robot uses the principle of several kinds of animal movements, such as carrying load, the firmness of a cockroach and climbing slopes. Even after bearing the weight of an adult's footsteps (approximately 1 million times heavier than the robot), the system can continue to move (Figure 14c) [167].
Piezoelectric polymers also have good performance in the manufacturing of artificial muscles. Simaite et al. [168] prepared a hybrid membrane with hydrophilic PVDF grafted poly(ethylene glycol) monomethyl ether methacrylate (PEGMA) outer surface and hydrophobic main body, which is a model human muscle composition, as shown in Figure 14d. The results are expected to be used in artificial muscles. Xiao et al. [169] fabricated a fish-like robot to imitate fish swimming. The fishlike robot is composed of a body and a tail. The body is made of expandable polystyrene and the tail is made of graphene-PVDF as an actuator. The graphene-PVDF film is connected with a flexible Au wire. When the power is turned on, the fish's tail is bent, and, when the power is turned off, the tail returns to its original position. As the power is continuously turned on and off, the fish-shaped robot can move forward at a speed of 5.02 mm/s (Figure 14e). Kim et al. [170] fabricated a new IPMC actuator on the basis of blend membrane made by PVDF/polyvinyl pyrrolidone/polystyrene sulfuric acid . The robot can support 2-, 4-, or 6-IPMC-leg models and this miniature walking robot has a size of 18 mm  11 mm  12 mm, a weight of 1.3 g and a maximum speed of 0.58 mm/s.  [164]; (c) the plastic microfluidic chip with ultrasonic transceivers [164]; (d) schematic of the biosensor using PVDF film as piezoelectric layer [166]; and (e) relationship between mass load and frequency shift (∆f) [166]. In recent years, much attention has been paid to the research of artificial bionics devices. In 2019, Wu et al. [167] reported a flexible robot based on a piezoelectric single chip bending structure (Figure 14a,b) [167]. Its relative speed is 20 times its body length per second, which is the fastest measurement speed among the reported artificial robots on an insect scale. The soft robot uses the principle of several kinds of animal movements, such as carrying load, the firmness of a cockroach and climbing slopes. Even after bearing the weight of an adult's footsteps (approximately 1 million times heavier than the robot), the system can continue to move (Figure 14c) [167].  [167]; (b) images of prototype robot the movements in a driving cycled [167]; (c) after bearing the weight of an adult's footsteps (about one million times heavier than the robot), the system can continue to move [167] ; (d) the cross-sectional view of the hydrophilic PVDF-graft-PEGMA [168]; and (e) a fish-like robot to imitate fish swimming [169]. electrodeposited PVDF-TrFE on the electrode, and modified with chitin on the biosensor surface detection limit of 50 ppb of Antibiotic  [167]; (b) images of prototype robot the movements in a driving cycled [167]; (c) after bearing the weight of an adult's footsteps (about one million times heavier than the robot), the system can continue to move [167]; (d) the cross-sectional view of the hydrophilic PVDF-graft-PEGMA [168]; and (e) a fish-like robot to imitate fish swimming [169].
Piezoelectric polymers also have good performance in the manufacturing of artificial muscles. Simaite et al. [168] prepared a hybrid membrane with hydrophilic PVDF grafted poly(ethylene glycol) monomethyl ether methacrylate (PEGMA) outer surface and hydrophobic main body, which is a model human muscle composition, as shown in Figure 14d. The results are expected to be used in artificial muscles. Xiao et al. [169] fabricated a fish-like robot to imitate fish swimming. The fish-like robot is composed of a body and a tail. The body is made of expandable polystyrene and the tail is made of graphene-PVDF as an actuator. The graphene-PVDF film is connected with a flexible Au wire. When the power is turned on, the fish's tail is bent, and, when the power is turned off, the tail returns to its original position. As the power is continuously turned on and off, the fish-shaped robot can move forward at a speed of 5.02 mm/s (Figure 14e). Kim et al. [170] fabricated a new IPMC actuator on the basis of blend membrane made by PVDF/polyvinyl pyrrolidone/polystyrene sulfuric acid. The robot can support 2-, 4-, or 6-IPMC-leg models and this miniature walking robot has a size of 18 mm × 11 mm × 12 mm, a weight of 1.3 g and a maximum speed of 0.58 mm/s.

Conclusion and Perspectives
Although inorganic piezoelectric materials have the advantages of a large piezoelectric coefficient and high strength, they are fragile and unsuitable for applications with higher flexibility requirements.
As a typical representative of flexible piezoelectric polymers, PVDF has irreplaceable advantages in the development of piezoelectric materials. It has great flexibility and its piezoelectric properties can also be improved by doping optimization or other processes. Various doping methods for PVDF polymer materials have been introduced, and the effects of different piezoelectric materials, nanomaterials and biomaterials are compared. Some preparation methods for improving the polarization properties of piezoelectric polymers are also introduced in detail. Based on flexible piezoelectric polymer materials, we can obtain flexible electromechanical devices for different purposes, such as energy harvesting devices, chemical sensor for humidity, pressure, gas and biomolecules.
We can prepare actuators of different sizes and functions based on flexible piezoelectric polymer materials. However, the piezoelectric coefficient of flexible piezoelectric polymer materials in general is still less than that of the inorganic piezoelectric material. In the follow-up work, the optimization method of the piezoelectric polymer should continue to be studied and applied to wearable devices.
(1) Piezoelectric materials based on biological crystals are one of the materials with great potential. The modification of the unique functional groups of biological materials can be used to improve the vertical piezoelectric coefficient of PVDF. (2) Aiming at shape retention, the method of preparing flexible electromechanical devices with high mechanical voltage conversion efficiency should be further explored. (3) With the help of piezocatalysis of PVDF, it can be used for the pretreatment of chemicals in the development of lab-on-a-chip microsystem. (4) In addition, the use of piezoelectric polymer materials for wearable flexible devices requires a piezoelectric polymer exhibiting better skin affinity and more compatibility with other flexible materials to be suitable for the applications of physiological sensors and implantable devices. Biomaterials and flexible conductive polymers can be introduced to improve its biocompatibility, antifouling ability and the capability of integration with hydrophilic surface. In summary, giving full play to the flexible characteristics of piezoelectric polymers and developing wearable piezoelectric sensors and executable devices will have very broad application prospects.