Recent Improvement of Medical Optical Fibre Pressure and Temperature Sensors

Optical fiber sensors for posture monitoring, ulcer detection and control in a wheelchair: a state-of-the-art

BACKGROUND

In the last ten years, the design and implementation of Optical Fiber Sensors (OFS) in biomedical applications have been discussed, with a focus on different subareas, such as body parameter monitoring and control of assistive devices.

MATERIALS AND METHODS

A scoping review was performed including scientific literature (PubMed/Scopus, IEEE and Web of Science), patents (WIPO/Google Scholar), and commercial information.

RESULTS

The main applications of OFS in the rehabilitation field for preventing future postural diseases and applying them in device controllers were discussed in this review. Physical characteristics of OFS, different uses, and applications of Polymer Optical Fiber pressure sensors are mentioned. The main postures used for posture monitoring analysis when the user is sitting are normal position, crooked back, high lumbar pressure, sitting on the edge of the chair, and crooked back, left position, and right position. Additionally, it is possible to use Machine Learning (ML) algorithms for posture classification, and device control such as Support Vector Machine, k-Nearest Neighbors, etc., obtaining accuracies above 97%. Moreover, the literature mentions wheelchair controllers and Graphical User Interfaces using pressure maps to provide feedback to the user.

CONCLUSIONS

OFS have been used in several healthcare applications as well as postural and preventive applications. The literature showed an effort to implement and design accessible devices for people with disabilities and people with specific diseases. Alternatively, ML algorithms are widely used in this direction, leaving the door open for further studies that allow the application of real-time systems for posture monitoring and wheelchairs control.

Fiber-Optic Intracranial Pressure Monitoring System Using Wi-Fi-An In Vivo Study

BACKGROUND

Continuous invasive monitoring of intracranial pressure (ICP) is essential in neurocritical care for surveillance and management of raised ICP. Fluid-based systems and strain gauge microsensors remain the current standard. In the past few decades, several studies with wireless monitoring were developed aiming to reduce invasiveness and complications.

OBJECTIVE

To describe a novel Wi-Fi fiber-optic device for continuous ICP monitoring using smartphone in a swine model.

METHODS

Two ICP sensors (wireless prototype and wire-based reference) were implanted in the cerebral parenchyma of a swine model for a total of 120 minutes of continuous monitoring. Every 5 minutes, jugular veins compression was performed to evaluate ICP changes. The experimentation was divided in 3 phases for comparison and analysis.

RESULTS

Phase 1 showed agreement in ICP changes for both sensors during jugular compression and releasing, with a positive and strong Spearman correlation (r = 0.829, P < .001). Phase 2 started after inversion of the sensors in the burr holes; there was a positive and moderately weak Spearman correlation (r = 0.262, P < .001). For phase 3, the sensors were returned to the first burr holes; the prototype behaved similarly to the reference sensor, presenting a positive and moderately strong Spearman correlation (r = 0.669, P < .001).

CONCLUSION

A Wi-Fi ICP monitoring system was demonstrated in a comprehensive and feasible way. It was possible to observe, using smartphone, an adequate correlation regarding ICP variations. Further adaptations are already being developed.

Fiber Bragg Grating Array for Shape Reconstruction in Structural Elements

This paper presents the development, analysis and application of a fiber Bragg grating (FBG) array for two-dimensional (2D) shape reconstruction in a cantilever beam. The structural elements made of Pinus wood and Nylon 6.0 were numerically analyzed using the finite element method for the strain distribution when constant loading is applied at the free end of the beam. In addition, the temperature compensation method is proposed to decouple the temperature cross-sensitivity in the deflection analysis. In this case, the temperature sensitivities of all sensing elements of the 5-FBG array were obtained. An additional FBG was encapsulated in a silicone mold for increased sensitivity and positioned in the clamping point in which deflection was negligible. Temperature compensation was achieved considering the temperature measured by the silicone-embedded FBG (sensitivity of 27.78 pm/°C) and the sensitivity of all five FBGs of the deflection-sensing array (9.14 pm/°C ± 0.33 pm/°C). In the deflection experiments, the sensors presented a high linearity, in which a determination coefficient (R2) higher than 0.995 was obtained in all of the analyzed cases. Furthermore, the 2D shape construction using the proposed sensor approach resulted in the elastic line estimation for all analyzed beams, where the experimental results were in agreement with the theoretical and numerical analysis with a R2 higher than 0.99 in all of the analyzed cases. Therefore, the proposed sensor array is a feasible approach for real-time shape reconstruction of structural elements with the advantages related to the possibility of direct embedment in the measured structure.

Micromachined Optical Fiber Sensors for Biomedical Applications

Optical fibers revolutionized the rate of information reception and transmission in telecommunications. The revolution has now extended to the field of physicochemical sensing. Optical fiber sensors (OFSs) have found a multitude of applications, spanning from structural health monitoring to biomedical and clinical measurements due to their unique physical and functional advantages, such as small dimensions, light weight, immunity to electromagnetic interference, high sensitivity and resolution, multiplexing, and remote operation. OFSs generally rely on the detection of measurand-induced changes in the optical properties of the light propagating in the fiber, where the OFS essentially functions as the conduit and physical link between the probing light waves and the physicochemical parameters under investigation. Several advanced micromachining techniques have been developed to optimize the structure of OFSs, thus improving their sensing performance. These techniques include fusion splicing, tapering, polishing, and more complicated femtosecond laser micromachining methods. This chapter discusses and reviews the most recent developments in micromachined OFSs specifically for biomedical applications. Step-by-step procedures for several optical fiber micromachining techniques are detailed.

Skin-Integrated Wearable Systems and Implantable Biosensors: A Comprehensive Review

Biosensors devices have attracted the attention of many researchers across the world. They have the capability to solve a large number of analytical problems and challenges. They are future ubiquitous devices for disease diagnosis, monitoring, treatment and health management. This review presents an overview of the biosensors field, highlighting the current research and development of bio-integrated and implanted biosensors. These devices are micro- and nano-fabricated, according to numerous techniques that are adapted in order to offer a suitable mechanical match of the biosensor to the surrounding tissue, and therefore decrease the body’s biological response. For this, most of the skin-integrated and implanted biosensors use a polymer layer as a versatile and flexible structural support, combined with a functional/active material, to generate, transmit and process the obtained signal. A few challenging issues of implantable biosensor devices, as well as strategies to overcome them, are also discussed in this review, including biological response, power supply, and data communication.

Techniques for Interface Stress Measurements within Prosthetic Sockets of Transtibial Amputees: A Review of the Past 50 Years of Research

The distribution of interface stresses between the residual limb and prosthetic socket of a transtibial amputee has been considered as a direct indicator of the socket quality fit and comfort. Therefore, researchers have been very interested in quantifying these interface stresses in order to evaluate the extent of any potential damage caused by the socket to the residual limb tissues. During the past 50 years a variety of measurement techniques have been employed in an effort to identify sites of excessive stresses which may lead to skin breakdown, compare stress distributions in various socket designs, and evaluate interface cushioning and suspension systems, among others. The outcomes of such measurement techniques have contributed to improving the design and fitting of transtibial sockets. This article aims to review the operating principles, advantages, and disadvantages of conventional and emerging techniques used for interface stress measurements inside transtibial sockets. It also reviews and discusses the evolution of different socket concepts and interface stress investigations conducted in the past five decades, providing valuable insights into the latest trends in socket designs and the crucial considerations for effective stress measurement tools that lead to a functional prosthetic socket.