Flexible biodegradable wireless battery-free integrated theranostic adhesive patch

Conventional drug delivery and diagnostic models are increasingly inadequate for the evolving demands of precision medicine and real-time treatment. Integrated theranostic systems offer a promising solution; however, challenges such as wired control, non-degradable materials, and poor wet-tissue integration hinder their clinical adoption. Here, we present an integrated theranostic adhesive patch (ITAP) that combines wireless operation, full biodegradability, and robust bioadhesion on wet-tissue surfaces for seamless diagnostic and therapeutic functionality. The ITAP adheres stably to moist tissues through a biocompatible hydrogel layer, continuously monitors physiological motion via resonant mechanical sensing, and enables precise on-demand drug release through the magnetically activated electrochemical corrosion of magnesium (Mg) valves. By introducing thickness-graded Mg valves and distance-dependent magnetic actuation, the system enables programmable, sequential, and selective drug release with tolerance to physiological motion and anatomical variability. Experimental results demonstrate strong wet-tissue adhesion, sensitive mechanical signal detection, and controllable drug release under magnetic stimulation. In vivo studies in an asthmatic rat model validated the integrated functionality, achieving wireless respiratory rhythm monitoring and triggered bronchodilator delivery with significant therapeutic efficacy. In vitro degradation tests and in vivo biocompatibility evaluations confirmed the transient and safe nature of all device components, avoiding the need for device retrieval. This bioresorbable theranostic platform establishes a practical framework for wireless, tissue-conformal diagnosis and therapy, offering new opportunities for minimally invasive and personalized interventions on dynamic wet tissue surfaces.