Detecting vital signs with wearable wireless sensors

Tuba Yilmaz, Robert Foster, Yang Hao, Tuba Yilmaz, Robert Foster, Yang Hao

Abstract

The emergence of wireless technologies and advancements in on-body sensor design can enable change in the conventional health-care system, replacing it with wearable health-care systems, centred on the individual. Wearable monitoring systems can provide continuous physiological data, as well as better information regarding the general health of individuals. Thus, such vital-sign monitoring systems will reduce health-care costs by disease prevention and enhance the quality of life with disease management. In this paper, recent progress in non-invasive monitoring technologies for chronic disease management is reviewed. In particular, devices and techniques for monitoring blood pressure, blood glucose levels, cardiac activity and respiratory activity are discussed; in addition, on-body propagation issues for multiple sensors are presented.

Keywords: BAN networks; RF sensing; on-body sensors; wearable sensors; wireless telemetry.

Figures

Figure 1.
Figure 1.
Blood pressure sensor by MIT [15].
Figure 2.
Figure 2.
Arm module proposed in [23] (1) deep, (2) mid and (3) shallow electrodes. (4) Temperature sensor. (5) Sweat sensor. (6) Siliconwafer based optical reflection sensor. (7) Humidity sensor. (8) 3-axes acceleration sensor.
Figure 3.
Figure 3.
(a) Initial design of microwave sensor (b) Modified microwave sensor with silicon positioning aid [27].
Figure 4.
Figure 4.
Capacitive electrodes proposed in [38].
Figure 5.
Figure 5.
AMON wrist module [46].
Figure 6.
Figure 6.
Antenna types used in [66].
Figure 7.
Figure 7.
Inter-body propagation case in [71].

References

    1. Hall PS, Hao Y. Antennas and Propagation for Body-Centric Wireless Networks. 1st ed. Artech House; Boston, MA, USA: 2006.
    1. Hao Y, Foster R. Wireless body sensor networks for health-monitoring applications. Phys Meas. 2008;29:R27–R56.
    1. Newman JD, Turner APF. Home blood glucose biosensors: A commercial perspective. Biosens Bioelectron. 2005;20:2435–2453.
    1. Pickering TG, Shimbo D, Hass D. Ambulatory blood-pressure monitoring. N Engl J Med. 2006;354:2368–2374.
    1. Moranes JCTB, Cerulli M, Ng PS. A Strategy for Determination of Systolic, Mean and Diastolic Blood Pressures from Oscillometric Pulse Profiles. Proceedings of Computers in Cardiology 2000; Cambridge, MA, USA. September 24–27, 2000; pp. 211–214.
    1. Belani KG, Buckley JJ, Poliac MO. Accuracy of radial artery blood pressure determination with the Vasotrac. Can J Anesth. 1999;46:488–496.
    1. McCann ME, Hill D, Thomas KC, Zurakowski D, Laussen PC. A comparison of radial artery blood pressure determination between the Vasotrac device and invasive arterial blood pressure monitoring in adolescents undergoing scoliosis surgery. Anesth Analg. 2005:978–985.
    1. Franklin DL, Schlegel W, Rushme RF. Blood Flow Measured by doppler frequency shift of back-scattered ultrasound. Science. 1961;134:564–565.
    1. Elseed AM, Shinebourne EA, Joseph MC. Assessment of techniques for measurement of blood pressure in infants and children. Dis Child. 1973;48:932–936.
    1. Gribbin B, Steptoe A, Sleight P. Pulse wave velocity as a measure of blood pressure change. Psychophysiology. 1976;3:86–90.
    1. Poon C, Zhang Y. Cuff-less and Noninvasive Measurements of Arterial Blood Pressure by Pulse Transit Time. Proceedings of 27th Annual International Conference of the Engineering in Medicine and Biology Society, IEEE-EMBS 2005; Shanghai, China. Sep, 2005. pp. 5877–5880.
    1. Poon CCY, Wong YM, Zhang YT. Proceedings of Life Science Systems and Applications Workshop, IEEE/NLM. Bethesda, MD, USA: Jul, 2006. M-Health: The Development of Cuff-less and Wearable Blood Pressure Meters for Use in Body Sensor Networks; pp. 1–2.
    1. Shaltis P, Reisner A, Asada H. Calibration of the Photoplethysmogram to Arterial Blood Pressure: Capabilities and Limitations for Continuous Pressure Monitoring. Proceedings of 27th Annual International Conference of the Engineering in Medicine and Biology Society, IEEE-EMBS 2005; Shanghai, China. Sep, 2005. pp. 3970–3973.
    1. Shaltis P, Reisner A, Asada H. Cuffless blood pressure monitoring using hydrostatic pressure changes. IEEE Trans Biomed Eng. 2008;55:1775–1777.
    1. Shaltis P, Reisner A, Asada H. Wearable, Cuff-less PPG-based Blood Pressure Monitor with Novel Height Sensor. Proceedings of 28th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS ’06; New York, NY, USA. Sep, 2006. pp. 908–911.
    1. Medtronic, Inc. Available online: (accessed on 20 November 2010).
    1. Vadgama P, Hao Y, Foster R. Wireless Implantable Sensors with Advanced On-Body Data Processing: NEAT Project FSE031 Final Report. Technical Report, Queen Mary University of London, London, UK, 2009. Available online: .(accessed on 18 November 2010)
    1. Sieg A, Guy RH, Delgado-Charro MB. Noninvasive and minimally invasive methods for transdermal glucose monitoring. Diabetes Technol Ther. 2005;7:174–197.
    1. Hayashi Y, Livshits L, Caduff A, Feldman Y. Dielectric spectroscopy study of specific glucose influence on human erythrocyte membranes. J Phys D Appl Phys. 2003;36:369–374.
    1. Hillier TA, Abbott RD, Barrett EJ. Hyponatremia: Evaluating the correction factor for hyperglycemia. Am J Med. 1999;106:399–403.
    1. Caduff A, Feldman Y. Method and A Device for Measuring Glucose. U.S. Patent 11/070,853, 27 February 2007.
    1. Caduff A, Donath M, Talary M, Haug S, Huber D, Stahel WA, Dewarrat F, Jonasson LS, Krebs HJ, Klisic J. Multisensor Concept for Non-Invasive Physiological Monitoring. Instrumentation and Measurement Technology Conference Proceedings, IMTC 2007; Warsaw, Poland. May, 2007. pp. 1–4.
    1. Caduff A, Talary MS, Mueller M, Dewarrat F, Klisic J, Donath M, Heinemann L, Stahel WA. Non-invasive glucose monitoring in patients with Type 1 diabetes: A Multisensor system combining sensors for dielectric and optical characterisation of skin. Biosens Bioelectron. 2009;24:2778–2784.
    1. Topsakal E, Moreland EC, Karacolak T, Acar M. The Impact of Glucose Concentration in Blood Plasma on Relative Dielectric Constant and Conductivity; National Radio Science Meeting (USNC-URSI); Boulder, CO, USA. January 2008.
    1. Hancock C, Chaudhry S. A non-invasive monitoring system. Proceedings of 2007 European Microwave Conference; Munich, Germany. October 2007; pp. 313–316.
    1. Hancock CP. A Non-invasive Monitoring System; January 17, 2007. G.B. Patent 2428093.
    1. Jean B, Green E, McClung M. A Microwave Frequency Sensor for Non-invasive Blood-glucose Measurement. Sensors Applications Symposium, SAS 2008; Atlanta, GA, USA. October 2008; pp. 4–7.
    1. Nikawa Y, Michiyama T. Non-invasive Measurement of Blood-sugar Level by Reflection of Millimeter-Waves. Proceedings of Asia-Pacific Microwave Conference, APMC 2006; Yokohama, Japan. December 2006; pp. 47–50.
    1. Nikawa Y, Michiyama T. Blood-sugar Monitoring by Reflection of Millimeter Wave. Proceedings of Asia-Pacific Microwave Conference, APMC 2007; Bangkok, Thailand. December 2007; pp. 1–4.
    1. Arnold MA, Burmeister JJ, Small GW. Phantom glucose calibration models from simulated noninvasive human near-infrared spectra. Anal Chem. 1998;70:1773–1781.
    1. Barman I, Singh GP, Dasari RR, Feld MS. Turbidity-corrected raman spectroscopy for blood analyte detection. Anal Chem. 2009;81:4233–4240.
    1. Barman I, Kong CR, Singh GP, Dasari RR, Feld MS. Accurate spectroscopic calibration for noninvasive glucose monitoring by modeling the physiological glucose dynamics. Anal Chem. 2010;82:6104–6114.
    1. Zimetbaum PJ, Josephson ME. The evolving role of ambulatory arrhythmia monitoring in general clinical practice. Ann Intern Med. 1999;130:848–856.
    1. Bergey GE, Squires RD, Sipple WC. Electrocardiogram recording with pasteless electrodes. IEEE Trans Biomed Eng. 1971:206–211. BME-18.
    1. Searle A, Kirkup L. A direct comparison of wet, dry and insulating bioelectric recording electrodes. Physiol Meas. 2000;21:271–283.
    1. Muhlsteff J, Such O. Dry Electrodes for Monitoring of Vital Signs in Functional Textiles. 26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, IEMBS ’04; San Francisco, CA, USA. September 2004; pp. 2212–2215.
    1. Matthews R, McDonald NJ, Fridman I, Hervieux P, Nielsen T. The Invisible Electrode zero prep Time, Ultra Low Capacitive Sensing. Proceedings of the 11th International Conference on Human-Computer Interaction; Las Vegas, NV, USA. July 2005; pp. 22–27.
    1. Chi YM, Cauwenberghs G. Wireless Non-contact EEG/ECG Electrodes for Body Sensor Networks. Proceedings of 2010 International Conference on, Body Sensor Networks (BSN); Biopolis, Singapore. June 2010; pp. 297–301.
    1. Droitcour AD, Boric-Lubecke O, Lubecke VM, Lin J, Kovacs GTA. Range correlation and I/Q performance benefits in single-chip silicon Doppler radars for noncontact cardiopulmonary monitoring. IEEE Trans Microw Theory Tech. 2004;52:838–848.
    1. Matsubara A, Tanaka S. Unconstrained and Noninvasive Measurement of Heartbeat and Respiration for Drivers using a Strain Gauge. Proceedings of the 41st SICE Annual Conference; Osaka, Japan. August 2002; pp. 1067–1068.
    1. Jeong JW, Jang YW, Lee I, Shin S, Kim S. Wearable Respiratory Rate Monitoring using Piezo-resistive Fabric Sensor. In: Magjarevic R, Nagel JH, Dössel O, Schlegel WC, editors. World Congress on Medical Physics and Biomedical Engineering. Springer; Berlin/Heidelberg, Germany: 2009. pp. 282–284.
    1. Karki S, Lekkala J. Film-type Transducer Materials PVDF and EMFi in the Measurement of Heart and Respiration Rates. Proceedigns of 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS 2008; Vancouver, BC, Canada. August 2008; pp. 530–533.
    1. Grossman P. Wearable eHealth Systems for Personalised Health Management: State of the Art and Future Challenges. Vol. 108. IOS Press; Fairfax, VA, USA: Wearable eHealth Systems for Personalised Health Management: State of the Art and Future Challenges; pp. 133–141. year?
    1. Paradiso R, Loriga G, Taccini N. A wearable health care system based on knitted integrated sensors. IEEE Trans Inf Technol Biomed. 2005;9:337–344.
    1. Lukowicz P, Anliker U, Ward J, Troster G, Hirt E, Neufelt C. AMON: A Wearable Medical Computer for High Risk Patients. Proceedings Sixth International Symposium on Wearable Computers, (ISWC 2002); Seattle, WA, USA. August 2002; pp. 133–134.
    1. Anliker U, Ward J, Lukowicz P, Troster G, Dolveck F, Baer M, Keita F, Schenker E, Catarsi F, Coluccini L, Belardinelli A, Shklarski D, Alon M, Hirt E, Schmid R, Vuskovic M. AMON: A wearable multiparameter medical monitoring and alert system. IEEE Trans Inf Technol Biomed. 2004;8:415–427.
    1. Bodymedia. Available online: (accessed on 20 November 2010)
    1. Escort Guardian, Invivo Research. Available online: (accessed on 19 November 2010).
    1. Micropaq, Wellch Allyn Available online: (accessed on 21 November 2010).
    1. Sensatex 2007. Available online: (accessed on 20 November 2010).
    1. Weber J, Blanc D, Dittmar A, Comet B, Corroy C, Noury N, Baghai R, Vaysse S, Blinowska A. VTAM—A New ”Biocloth” for Ambulatory Telemonitoring. Proceedings of 4th International IEEE EMBS Special Topic Conference on Information Technology Applications in Biomedicine; April 2003; Birmingham, UK: pp. 299–301.
    1. Zimmerman TG. Personal Area Networks: Near-field intrabody communication. IBM Syst J. 1996;35:609–617.
    1. Okoniewski M, Stuchly M. A study of the handset antenna and human body interaction. IEEE Trans Microw Theory Tech. 1996;44:1855–1864.
    1. Okoniewski M, Stuchly M. FDTD Analysis of the Handset Antenna and Human Body Interaction. Vol. 3. Antennas and Propagation Society International Symposium, 1996 AP-S Digest; Baltimore, MD, USA. July 1996; pp. 1668–1673.
    1. Amos S, Smith M, Kitchener D. Modelling of Handset Antenna Interactions with the User and SAR Reduction Techniques. IEE National Conference on Antennas and Propagation; York, UK. March 1999; pp. 12–15.
    1. Vainikainen P, Ollikainen J, Kivekas O, Kelander K. Resonator-based analysis of the combination of mobile handset antenna and chassis. IEEE Trans Antennas Propag. 2002;50:1433–1444.
    1. Saraereh O, Jayawardene M, McEvoy P, Vardaxoglou J. Quad-band Handset Antenna Operation for GSM900/DCS1800/PCS1900/UMTS. Proceedings of IEE Wideband and Multi-band Antennas and Arrays, (Ref No 2005/11059); Birmingham, UK. September 2005; pp. 129–133.
    1. Krzysztofik W. Meandered Double-PIFA Antenna—Handset / Human Interaction. International Conference on Microwaves, Radar Wireless Communications, MIKON 2006; Karakow, Poland. September 2006; pp. 119–122.
    1. Cho T, Nam S, Lee H. Penta-band Internal Antenna for Mobile Handset. Microwave Conference, 2009 APMC 2009; Asia Pacific, Singapore. December 2009; pp. 2699–2702.
    1. Ur Rehman M, Gao Y, Wang Z, Zhang J, Alfadhl Y, Chen X, Parini C, Ying Z, Bolin T. Investigation of on-body bluetooth transmission. IET Microw Antennas Propag. 2010;4:871–880.
    1. Teng XF, Zhang YT, Poon C, Bonato P. Wearable medical systems for p-Health. IEEE Rev Biomed Eng. 2008;1:62–74.
    1. Pantelopoulos A, Bourbakis N. A survey on Wearable sensor-based systems for health monitoring and prognosis. IEEE Trans Syst Man Cybern. 2010;40:1–12.
    1. Alomainy A, Hao Y, Hu X, Parini C, Hall P. UWB on-body radio propagation and system modelling for wireless body-centric networks. IEE Proc Commun. 2006;153:107–114.
    1. Soontornpipit P, Furse C, Chung YC. Design of implantable microstrip antenna for communication with medical implants. IEEE Trans Microw Theory Tech. 2004;52:1944–1951.
    1. Karacolak T, Hood A, Topsakal E. Design of a dual-band implantable antenna and development of skin mimicking gels for continuous glucose monitoring. IEEE Trans Microw Theory Tech. 2008;56:1001–1008.
    1. Alomainy A, Hao Y, Davenport D. Parametric Study of Wearable Antennas with Varying Distances from the Body and Different On-Body Positions. Proceedings of Antennas and Propagation for Body-Centric Wireless Communications, 2007 IET Seminar; London, UK. April 2007; pp. 84–89.
    1. Alomainy A, Sani A, Hao Y, Pettitt G, Cushnaghan P. Parametric Study of Ground Reflections and Diversity Techniques Effect on Body-Worn VHF/UHF Antenna Performance. 2010 Proceedings of the Fourth European Conference on Antennas and Propagation (EuCAP); Barcelona, Spain. April 2010; pp. 1–4.
    1. Khaleel H, Al-Rizzo H, Rucker D, Elwi T. Wearable Yagi Microstrip Antenna for Telemedicine Applications. Radio and Wireless Symposium (RWS); New Orleans, LA, USA. January 2010; pp. 280–283.
    1. Traille A, Yang L, Rida A, Tentzeris M. A Novel Liquid Antenna for Wearable Bio-Monitoring Applications. In Microwave Symposium Digest, 2008 IEEE MTT-S International; Atlanta, GA, USA. June 2008; pp. 923–926.
    1. Nechayev Y, Hall P, Khan I, Constantinou C. Wireless Channels and Antennas for Body-Area Networks. 2010 Seventh International Conference on Wireless On-demand Network Systems and Services (WONS); Kranska Gora, Slovenia. February 2010; pp. 137–144.
    1. Zhao Y, Sani A, Hao Y, Lee S, Yang G. A Subject-Specific Radio Propagation Study in Wireless Body Area Networks. Antennas Propagation Conference, LAPC 2009; Loughborough, UK. November 2009; pp. 80–83.
    1. Alomainy A, Hao Y, Hu X, Parini C, Hall P. UWB on-body radio propagation and system modelling for wireless body-centric networks. IEE Proc Commun. 2006;153:107–114.
    1. Abbasi Q, Sani A, Alomainy A, Hao Y. Arm Movements Effect on Ultra Wideband on-body Propagation Channels and Radio Systems. Antennas Propagation Conference, 2009 LAPC 2009; Loughborough, UK. November 2009; pp. 261–264.
    1. Lim S, Oh TH, Choi Y, Lakshman T. Security Issues on Wireless Body Area Network for Remote Healthcare Monitoring. 2010 IEEE International Conference on Sensor Networks, Ubiquitous, and Trustworthy Computing (SUTC); Newport Beach, CA, USA. June 2010; pp. 327–332.
    1. Ahamed S, Talukder N, Kameas A. Towards Privacy Protection in Pervasive Healthcare. 3rd IET International Conference on Intelligent Environments; Ulm, Germany. June 2007; pp. 296–303.
    1. Witters D, Seidman S, Bassen H. EMC and Wireless Healthcare. 2010 Asia-Pacific Symposium on Electromagnetic Compatibility (APEMC); Beijing, China. April 2010; pp. 5–9.
    1. Chien T, Cheng C, Yang H, Luo C. Develop Implantable Ceramic Antennas with no Superstrate. Antennas and Propagation Society International Symposium (APSURSI); Toronto, ON, Canada. July 2010; pp. 1–4.
    1. Lee CM, Yo TC, Huang FJ, Luo CH. Dual-resonant x003C0;-shape with double L-strips PIFA for implantable biotelemetry. Electron Lett. 2008;44:837–838.
    1. Chow E, Beier B, Ouyang Y, Chappell W, Irazoqui P. High Frequency Transcutaneous Transmission Using Stents Configured as A Dipole Radiator for Cardiovascular Implantable Devices; IEEE MTT-S International Microwave Symposium Digest, MTT’09; Boston, MA, USA. June 2009; pp. 1317–1320.

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