Non-polarisable dry electrode based on NASICON ceramic

Characterization of a Novel Polypyrrole (PPy) Conductive Polymer Coated Patterned Vertical CNT (pvCNT) Dry ECG Electrode

Conventional electrode-based technologies, such as the electrocardiogram (ECG), capture physiological signals using an electrolyte solution or gel that evaporates shortly after exposure, resulting in a decrease in the quality of the signal. Previously, we reported a novel dry impedimetric electrode using patterned vertically-aligned Carbon NanoTubes (pvCNT) for biopotential measurement applications. The mechanical adhesion strength of the pvCNT electrode to the substrate was weak, hence, we have improved this electrode using a thin coating of the conductive polymer polypyrrole (PPy) that strengthens its mechanical properties. Multiwall CNTs were grown vertically on a circular stainless-steel disc (⌀ = 10 mm) substrate of 50 µm thickness forming patterned pillars on a square base (100 µm × 100 µm) with an inter-pillar spacing of 200 µm and height up to 1.5 mm. The PPy coating procedure involves applying 10 µL of PPy mixed with 70% ethyl alcohol solution and rapid drying at 300 °C using a hot air gun at a distance of 10 cm. A comparative study demonstrated that the coated pvCNT had higher impedance compared to a non-coated pvCNT but lower impedance compared to the standard gel electrode. The PPy-coated pvCNT had comparable signal capture quality but stronger mechanical adhesion to the substrate.

Dry electrodes for electrocardiography

Patient biopotentials are usually measured with conventional disposable Ag/AgCl electrodes. These electrodes provide excellent signal quality but are irritating for long-term use. Skin preparation is usually required prior to the application of electrodes such as shaving and cleansing with alcohol. To overcome these difficulties, researchers and caregivers seek alternative electrodes that would be acceptable in clinical and research environments. Dry electrodes that operate without gel, adhesive or even skin preparation have been studied for many decades. They are used in research applications, but they have yet to achieve acceptance for medical use. So far, a complete comparison and evaluation of dry electrodes is not well described in the literature. This work compares dry electrodes for biomedical use and physiological research, and reviews some novel systems developed for cardiac monitoring. Lastly, the paper provides suggestions to develop a dry-electrode-based system for mobile and long-term cardiac monitoring applications.

A quantitative skin impedance test to diagnose spinal cord injury

The purpose of this study was to develop a quantitative skin impedance test that could be used to diagnose spinal cord injury (SCI) if any, especially in unconscious and/or non-cooperative SCI patients. To achieve this goal, initially skin impedance of the sensory key points of the dermatomes (between C3 and S1 bilaterally) was measured in 15 traumatic SCI patients (13 paraplegics and 2 tetraplegics) and 15 control subjects. In order to classify impedance values and to observe whether there would be a significant difference between patient and subject impedances, an artificial neural network (ANN) with back-propagation algorithm was employed. Validation results of the ANN showed promising performance. It could classify traumatic SCI patients with a success rate of 73%. By assessing the experimental protocols and the validation results, the proposed method seemed to be a simple, objective, quantitative, non-invasive and non-expensive way of assessing SCI in such patients.

Linking brain, mind and behavior

Cortical brain areas and dynamics evolved to organize motor behavior in our three-dimensional environment also support more general human cognitive processes. Yet traditional brain imaging paradigms typically allow and record only minimal participant behavior, then reduce the recorded data to single map features of averaged responses. To more fully investigate the complex links between distributed brain dynamics and motivated natural behavior, we propose the development of wearable mobile brain/body imaging (MoBI) systems that continuously capture the wearer's high-density electrical brain and muscle signals, three-dimensional body movements, audiovisual scene and point of regard, plus new data-driven analysis methods to model their interrelationships. The new imaging modality should allow new insights into how spatially distributed brain dynamics support natural human cognition and agency.

Technology and instrumentation for detection and conditioning of the surface electromyographic signal: state of the art

The aim of this review is to present the state of the art of the technology of detection and conditioning systems for surface electromyography (sEMG). The first part of the manuscript focuses on the sEMG electrode system technology: the electrode classification, impedance, noise, transfer function, the spatial filtering effect of surface electrode configurations, the effects of electrode geometry, and location on the recorded sEMG signal. Examples of experimental sEMG signals are provided to show the potential value of high-density sEMG electrode grids and multichannel amplifiers that allow to add spatial information to the temporal information content of the sEMG signal. Furthermore, the results of a simple simulation are reported, in order to emphasize the effects of the subcutaneous tissue layers and of the detection volume on the recorded sEMG signal. The second part of the manuscript focuses on the sEMG amplifier technology: the front end amplifier characteristics for signal conditioning, the methods for stimulation artifact reduction, filtering methods, safety requirements, and the methods for analog-to-digital conversion of the sEMG signal.

Interpretation of EMG changes with fatigue: facts, pitfalls, and fallacies

Failure to maintain the required or expected force, defined as muscle fatigue, is accompanied by changes in muscle electrical activity. Although studied for a long time, reasons for EMG changes in time and frequency domain have not been clear until now. Many authors considered that theory predicted linear relation between the characteristic frequencies and muscle fibre propagation velocity (MFPV), irrespective of the fact that spectral characteristics can drop even without any changes in MFPV, or in proportion exceeding the MFPV changes. The amplitude changes seem to be more complicated and contradictory since data on increased, almost unchanged, and decreased amplitude characteristics of the EMG, M-wave or motor unit potential (MUP) during fatigue can be found in literature. Moreover, simultaneous decrease and increase in amplitude of MUP and M-wave, detected with indwelling and surface electrodes, were referred to as paradoxical. In spite of this, EMG amplitude characteristics are predominantly used when causes for fatigue are analysed. We aimed to demonstrate theoretical grounds for pitfalls and fallacies in analysis of experimental results if changes in intracellular action potential (IAP), i.e. in peripheral factors of muscle fatigue, were not taken into consideration. We based on convolution model of potentials produced by a motor unit and detected by a point or rectangular plate electrode in a homogeneous anisotropic infinite volume conductor. Presentation of MUP in the convolution form gave us a chance to consider power spectrum (PS) of MUP as a product of two terms. The first one, PS of the input signal, represented PS of the first temporal derivative of intracellular action potential (IAP). The second term, PS of the impulse response, took into account MFPV, differences in instants of activation of each fibre, MU anatomy, and MU position in the volume conductor in respect to the detecting electrode. PS presentation through product means that not only changes in MFPV could be responsible for PS shift as is usually assumed. Changes in IAP duration and IAP after-potential magnitude, affecting the first term of the product, influence the product and thus MUP PS. Moreover, the interrelations between the two spectra and thus sensitivity of spectrum to different parameters change with MU-electrode distance because the second term depends on it. Thus, we have demonstrated that theory does not predict a linear relation between the characteristic frequencies (maximum, mean and median) and MFPV. IAP duration and after-potential magnitude are among parameters affecting MUP or M-wave PS and thus, EMG PS detected by monopolar and bipolar electrodes. Usage of single fibre action potential models instead of MUP ones can result in false dependencies of frequency characteristics. The MUP amplitude characteristics are determined not only by amplitude of IAP, but also by the length of the IAP profile and source-electrode distance. Due to the IAP profile lengthening and an increase in the negative after-potential, surface detected EMG amplitude characteristics can increase even when IAP amplitude decreases considerably during fatigue. Increase in surface detected MUP or M-wave amplitude should not be attributed to a weaker attenuation of the low-frequency components with distance. Simultaneous decrease and increase in amplitude of MUP and M-wave detected with indwelling and surface electrodes are regular, not paradoxical. Corner frequency of the high pass filter should be 0.5 or 1 Hz when muscle fatigue is analyzed. The area of MUP or M-wave normalized in respect of the amplitude of the terminal phase (that is produced during extinction of the depolarized zones at the ends of the fibres) could be useful as a fatigue index. Analysing literature data on IAP changes due to Ca(2+) increasing, we hypothesised that the ability of muscle fibres to uptake Ca(2+) back into the sarcoplasmic reticulum could be the limiting site for fatigue. If this hypothesis is valid, IAP changes are not a cause of fatigue; they are due to it.

Characterization of micromachined spiked biopotential electrodes

We present the characterization of dry spiked biopotential electrodes and test their suitability to be used in anesthesia monitoring systems based on the measurement of electroencephalographic signals. The spiked electrode consists of an array of microneedles penetrating the outer skin layers. We found a significant dependency of the electrode-skin-electrode impedance (ESEI) on the electrode size (i.e., the number of spikes) and the coating material of the spikes. Electrodes larger than 3 x 3 mm2 coated with Ag-AgCl have sufficiently low ESEI to be well suited for electroencephalograph (EEG) recordings. The maximum measured ESEI was 4.24 k(omega) and 87 k(omega), at 1 kHz and 0.6 Hz, respectively. The minimum ESEI was 0.65 k(omega) an 16 k(omega), at the same frequencies. The ESEI of spiked electrodes is stable over an extended period of time. The arithmetic mean of the generated dc offset voltage is 11.8 mV immediately after application on the skin and 9.8 mV after 20-30 min. A spectral study of the generated potential difference revealed that the ac part was unstable at frequencies below approximately 0.8 Hz. Thus, the signal does not interfere with a number of clinical applications using real-time EEG. Comparing raw EEG recordings of the spiked electrode with commercial Zipprep electrodes showed that both signals were similar. Due to the mechanical strength of the silicon microneedles and the fact that neither skin preparation nor electrolytic gel is required, use of the spiked electrode is convenient. The spiked electrode is very comfortable for the patient.

A direct comparison of wet, dry and insulating bioelectric recording electrodes

Alternatives to conventional wet electrode types are keenly sought for biomedical use and physiological research, especially when prolonged recording of biosignals is demanded. This paper describes a quantitative comparison of three types of bioelectrode (wet, dry and insulating) based on tests involving electrode impedance, static interference and motion artefact induced by various means. Data were collected simultaneously, and in the same physical environment for all electrode types. Results indicate that in many situations the performance of dry and insulating electrodes compares favourably with wet electrodes. The influence of non-stationary electric fields on shielded dry and insulating electrode types was compared to wet types. It was observed that interference experienced by dry and insulating electrode types was 40 dB and 34 dB less than that experienced by wet electrode types. Similarly, the effect of motion artefact on dry and insulating electrodes was compared to wet types. Artefact levels for dry and insulating electrodes were significantly higher than those for wet types at the beginning of trials conducted. By the end of the trial periods artefact levels for dry and insulating types were lower than wet electrodes by an average of 8.2 dB and 6.8 dB respectively. The reservations expressed in other studies regarding the viability of dry and insulating electrodes for reliable sensing of biosignals are not supported by the work described here.

A micropower dry-electrode ECG preamplifier

This paper describes the development of a very low-power preamplifier intended for use in pasteless-electrode recording of the human electrocardiogram. The expected input signal range is 100 microV-10 mV from a lead-II electrode configuration. The amplifier provides a gain of 43 dB in a 3-dB bandwidth of 0.05 Hz-2 kHz with a defined high input impedance of 75 M omega. It uses a driven common electrode to enhance rejection of common-mode interfering signals, including low-frequency motion artifact, achieving a common-mode rejection ratio (CMRR) of better than 80 dB over its entire bandwidth. The gain and phase characteristics meet the recommendations of the American Heart Association, ensuring low distortion of the output ECG signal and making it suitable for clinical monitoring. The amplifier has a power consumption of 30 microW operating from a 3.3-V battery and is intended for use in small, lightweight, portable electrocardiographic equipment and heart-rate monitoring instrumentation.

Noise of surface bio-potential electrodes based on NASICON ceramic and Ag-AgCl

The electrochemical noise from dry NASICON-based surface electrodes and pregelled Ag-AgCl electrodes is evaluated in saline solutions and on the skin. The electrochemical noise from the electrode/electrolyte interface is found to be negligible (less than 1 microV peak to peak). On the skin, the noise level is highly dependent on the patient. At high frequencies, the skin/electrode interface noise is equal to 'thermal noise' and can be related to the real part of the skin/electrode impedance. At low frequencies (F < 100 Hz), excess noise is observed that varies as f-2. It is tentatively ascribed to a non-stationary process or noise of electrochemical origin due to the ionic nature of the skin. The contribution of residual EMG signal of low amplitude (5 microV peak to peak) is suggested for electrodes with large surface area.