This document proposes a novel lab-on-a-chip system for biomedical applications that integrates actuation, sensing, and real-time tracking of biocells. It discusses various actuation techniques including dielectrophoresis which can manipulate cells using nonuniform electric fields. It also covers different sensing methods like optical, fluorescence labeling, and impedance sensing. A new electric field sensor called DeFET is introduced that can detect the intensity of nonuniform fields for real-time monitoring of cell responses. Simulation results show that DeFET sensors can precisely trap cells above the sensor surface while monitoring the electric field profile. This innovative lab-on-a-chip has potential for advanced biomedical research and diagnostics with its integrated actuation