Next-Gen Healthcare Devices: Evolution of MEMS and BioMEMS in the Era of the Internet of Bodies for Personalized Medicine

The rapid evolution of healthcare technology is being driven by advancements in Micro-Electro-Mechanical Systems (MEMS), BioMEMS (Biological MEMS), and the expanding concept of the Internet of Bodies (IoB). This review explores the convergence of these three domains and their transformative impact on personalized medicine (PM), with a focus on smart, connected biomedical devices. Starting from the historical development of MEMS for medical sensing and diagnostics, the review traces the emergence of BioMEMS as biocompatible, minimally invasive solutions for continuous monitoring and real-time intervention. The integration of such devices within the IoB ecosystem enables data-driven, remote, and predictive healthcare, offering tailored diagnostics and treatment for chronic and acute conditions alike. The paper classifies IoB-associated technologies into non-invasive, invasive, and incorporated devices, reviewing wearable systems such as smart bracelets, e-tattoos, and smart footwear, as well as internal devices including implantable and ingestible. Alongside these opportunities, significant challenges persist, particularly in device biocompatibility, data interoperability, cybersecurity, and ethical regulation. By synthesizing recent advances and critical perspectives, this review aims to provide a comprehensive understanding of the current landscape, clinical potential, and future directions of MEMS, BioMEMS, and IoB-enabled personalized healthcare.