Electrode Humidification Design for Artifact Reduction in Capacitive ECG Measurements

A High-Performance System for Weak ECG Real-Time Detection

Wearable devices have been widely used for the home monitoring of physical activities and healthcare conditions, among which ambulatory electrocardiogram (ECG) stands out for the diagnostic cardiovascular information it contains. Continuous and unobtrusive sensing often requires the integration of wearable sensors to existing devices such as watches, armband, headphones, etc.; nonetheless, it is difficult to detect high-quality ECG due to the nature of low signal amplitude at these areas. In this paper, a high-performance system with multi-channel signal superposition for weak ECG real-time detection is proposed. Firstly, theoretical analysis and simulation is performed to demonstrate the effectiveness of this system design. The detection system, including electrode array, acquisition board, and the application (APP), is then developed and the electrical characteristics are measured. A common mode rejection ratio (CMRR) of up to 100 dB and input inferred voltage noise below 1 μV are realized. Finally, the technique is implemented in form of ear-worn and armband devices, achieving an SNR over 20 dB. Results are also compared with the simultaneous recording of standard lead I ECG. The correlation between the heart rates derived from experimental and standard signals is higher than 0.99, showing the feasibility of the proposed technique.

Smart E-Textile Systems: A Review for Healthcare Applications

E-textiles is a new hybrid field developed with the help of the integration of electronic components into our daily usage of textile products. These wearable e-textiles provide user-defined applications as well as normal textile clothing. The medical field is one of the major leading areas where these new hybrid products are being implemented, and relatively mature products can be observed in the laboratory as well as in commercial markets. These products are developed for continuous patient monitoring in large-scale hospital centers as well as for customized patient requirements. Meanwhile, these products are also being used for complex medical treatments and the replacement of conventional methods. This review manuscript contains a basic overview of e-textile systems, their components, applications, and usages in the field of medical innovations. E-textile systems, integrated into customized products for medical needs, are discussed with their proposed properties and limitations. Finally, some recommendations to enhance the e-textile system’s integration into the medical field are argued.

Electrical Impedance of Upper Limb Enables Robust Wearable Identity Recognition against Variation in Finger Placement and Environmental Factors

Most biometric authentication technologies commercialized in various fields mainly rely on acquired images of structural information, such as fingerprints, irises, and faces. However, bio-recognition techniques using these existing physical features are always at risk of template forgery threats, such as fake fingerprints. Due to the risk of theft and duplication, studies have recently been attempted using the internal structure and biological characteristics of the human body, including our previous works on the ratiometric biological impedance feature. However, one may still question its accuracy in real-life use due to the artifacts from sensing position variability and electrode-skin interfacing noise. Moreover, since the finger possesses more severe thermoregulatory vasomotion and large variability in the tissue properties than the core of the body, it is necessary to mitigate the harsh changes occurring at the peripheral extremities of the human body. To address these challenges, we propose a biometric authentication method through robust feature extraction from the upper-limb impedance acquired based on a portable wearable device. In this work, we show that the upper limb impedance features obtained from wearable devices are robust against undesirable factors such as finger placement deviations and day-to-day physiological changes, along with ratiometric impedance features. Overall, our upper-limb impedance-based analysis in a dataset of 1627 measurement from 33 subjects lowered the classification error rate from 22.38% to 4.3% (by a factor of 5), and further down to 2.4% (by a factor of 9) when combined with the ratiometric features.

Novel Stable Capacitive Electrocardiogram Measurement System

This study presents a noncontact electrocardiogram (ECG) measurement system to replace conventional ECG electrode pads during ECG measurement. The proposed noncontact electrode design comprises a surface guard ring, the optimal input resistance, a ground guard ring, and an optimal voltage divider feedback. The surface and ground guard rings are used to reduce environmental noise. The optimal input resistor mitigates distortion caused by the input bias current, and the optimal voltage divider feedback increases the gain. Simulated gain analysis was subsequently performed to determine the most suitable parameters for the design, and the system was combined with a capacitive driven right leg circuit to reduce common-mode interference. The present study simulated actual environments in which interference is present in capacitive ECG signal measurement. Both in the case of environmental interference and motion artifact interference, relative to capacitive ECG electrodes, the proposed electrodes measured ECG signals with greater stability. In terms of R-R intervals, the measured ECG signals exhibited a 98.6% similarity to ECGs measured using contact ECG systems. The proposed noncontact ECG measurement system based on capacitive sensing is applicable for use in everyday life.

Wearable Belt With Built-In Textile Electrodes for Cardio-Respiratory Monitoring

Unobtrusive and continuous monitoring of vital signs is becoming more and more important both for patient monitoring in the home environment and for sports activity tracking. Even though many gadgets and clinical systems exist, the need for simple, low-cost and easily applicable solutions still remains, especially in view of a more widespread use within everyone’s reach. The paper presents a fully wearable and wireless sensorized belt, suitable to simultaneously acquire respiratory and cardiac signals employing a single acquisition channel. The adopted method relies on a 50-kHz current injected in the subject thorax through a couple of textile electrodes and on envelope detection of the trans-thoracic voltage acquired from a couple of different embedded electrodes. The resulting signal contains both the baseband electrocardiogram (ECG) signal and the trans-thoracic impedance signal, which encodes respiratory acts. The two signals can be easily separated through suitable filtering and the cardio–respiratory rates extracted. The proposed solution yields performances comparable to those of a spirometer and a two-lead ECG. The whole system, with a realization cost below 100 €, a wireless interface, and several hours (or even days) of autonomy, is a suitable candidate for everyday use, especially if complemented by motion artifact removal techniques, currently under implementation.