AcCorps: A low-cost 3D printed stethoscope for fetal phonocardiography

Acquisition Devices for Fetal Phonocardiography: A Scoping Review

Timely and reliable fetal monitoring is crucial to prevent adverse events during pregnancy and delivery. Fetal phonocardiography, i.e., the recording of fetal heart sounds, is emerging as a novel possibility to monitor fetal health status. Indeed, due to its passive nature and its noninvasiveness, the technique is suitable for long-term monitoring and for telemonitoring applications. Despite the high share of literature focusing on signal processing, no previous work has reviewed the technological hardware solutions devoted to the recording of fetal heart sounds. Thus, the aim of this scoping review is to collect information regarding the acquisition devices for fetal phonocardiography (FPCG), focusing on technical specifications and clinical use. Overall, PRISMA-guidelines-based analysis selected 57 studies that described 26 research prototypes and eight commercial devices for FPCG acquisition. Results of our review study reveal that no commercial devices were designed for fetal-specific purposes, that the latest advances involve the use of multiple microphones and sensors, and that no quantitative validation was usually performed. By highlighting the past and future trends and the most relevant innovations from both a technical and clinical perspective, this review will represent a useful reference for the evaluation of different acquisition devices and for the development of new FPCG-based systems for fetal monitoring.

Facial Muscle Activity Recognition with Reconfigurable Differential Stethoscope-Microphones

Many human activities and states are related to the facial muscles’ actions: from the expression of emotions, stress, and non-verbal communication through health-related actions, such as coughing and sneezing to nutrition and drinking. In this work, we describe, in detail, the design and evaluation of a wearable system for facial muscle activity monitoring based on a re-configurable differential array of stethoscope-microphones. In our system, six stethoscopes are placed at locations that could easily be integrated into the frame of smart glasses. The paper describes the detailed hardware design and selection and adaptation of appropriate signal processing and machine learning methods. For the evaluation, we asked eight participants to imitate a set of facial actions, such as expressions of happiness, anger, surprise, sadness, upset, and disgust, and gestures, like kissing, winkling, sticking the tongue out, and taking a pill. An evaluation of a complete data set of 2640 events with 66% training and a 33% testing rate has been performed. Although we encountered high variability of the volunteers’ expressions, our approach shows a recall = 55%, precision = 56%, and f1-score of 54% for the user-independent scenario(9% chance-level). On a user-dependent basis, our worst result has an f1-score = 60% and best result with f1-score = 89%. Having a recall ≥60% for expressions like happiness, anger, kissing, sticking the tongue out, and neutral(Null-class).