VTAMN--a smart clothe for ambulatory remote monitoring of physiological parameters and activity

A Review of the Commercially Available ECG Detection and Transmission Systems-The Fuzzy Logic Approach in the Prevention of Sudden Cardiac Arrest

Sudden cardiac death (SCD) constitutes a major clinical and public health problem, whose death burden is comparable to the current worldwide pandemic. This comprehensive review encompasses the following topics: available rescue systems, wearable electrocardiograms (ECG), detection and transmission technology, and a newly developed fuzzy logic algorithm (FA) for heart rhythm classification which is state-of-the art in the field of SCD prevention. Project “PROTECTOR”, the Polish Rapid Transtelephonic ECG to Obtain Resuscitation for development of a rapid rescue system for patients at risk of sudden cardiac arrest (SCA), is presented. If a lethal arrhythmia is detected on the basis of FA, the system produces an alarm signal audible for bystanders and transmits the alarm message along with location to the emergency medical center. Phone guided resuscitation can be started immediately because an automated external defibrillator (AED) localization map is available. An automatic, very fast diagnosis is a unique feature of the PROTECTOR prototype. The rapid detection of SCA is based on a processor characterized by 100% sensitivity and 97.8% specificity (as measured in the pilot studies). An integrated circuit which implements FA has already been designed and a diagnosis is made within few seconds, which is extremely important in ischemic brain damage prophylaxis. This circuit could be implemented in smart implants (Sis).

Fabrics and Garments as Sensors: A Research Update

Properties critical to the structure of apparel and apparel fabrics (thermal and moisture transfer, elasticity, and flexural rigidity), those related to performance (durability to abrasion, cleaning, and storage), and environmental effects have not been consistently addressed in the research on fabric sensors designed to interact with the human body. These fabric properties need to be acceptable for functionalized fabrics to be effectively used in apparel. Measures of performance such as electrical conductivity, impedance, and/or capacitance have been quantified. That the apparel/human body system involves continuous transient conditions needs to be taken into account when considering performance. This review highlights gaps concerning fabric-related aspects for functionalized apparel and includes information on increasing the inclusion of such aspects. A multidisciplinary approach including experts in chemistry, electronics, textiles, and standard test methods, and the intended end use is key to widespread development and adoption.

Preferred Placement and Usability of a Smart Textile System vs. Inertial Measurement Units for Activity Monitoring

Wearable sensors and systems have become increasingly popular in recent years. Two prominent wearable technologies for human activity monitoring are smart textile systems (STSs) and inertial measurement units (IMUs). Despite ongoing advances in both, the usability aspects of these devices require further investigation, especially to facilitate future use. In this study, 18 participants evaluate the preferred placement and usability of two STSs, along with a comparison to a commercial IMU system. These evaluations are completed after participants engaged in a range of activities (e.g., sitting, standing, walking, and running), during which they wear two representatives of smart textile systems: (1) a custom smart undershirt (SUS) and commercial smart socks; and (2) a commercial whole-body IMU system. We first analyze responses regarding the usability of the STS, and subsequently compared these results to those for the IMU system. Participants identify a short-sleeved shirt as their preferred activity monitor. In additional, the SUS in combination with the smart socks is rated superior to the IMU system in several aspects of usability. As reported herein, STSs show promise for future applications in human activity monitoring in terms of usability.

Unobtrusive sensing and wearable devices for health informatics

The aging population, prevalence of chronic diseases, and outbreaks of infectious diseases are some of the major challenges of our present-day society. To address these unmet healthcare needs, especially for the early prediction and treatment of major diseases, health informatics, which deals with the acquisition, transmission, processing, storage, retrieval, and use of health information, has emerged as an active area of interdisciplinary research. In particular, acquisition of health-related information by unobtrusive sensing and wearable technologies is considered as a cornerstone in health informatics. Sensors can be weaved or integrated into clothing, accessories, and the living environment, such that health information can be acquired seamlessly and pervasively in daily living. Sensors can even be designed as stick-on electronic tattoos or directly printed onto human skin to enable long-term health monitoring. This paper aims to provide an overview of four emerging unobtrusive and wearable technologies, which are essential to the realization of pervasive health information acquisition, including: 1) unobtrusive sensing methods, 2) smart textile technology, 3) flexible-stretchable-printable electronics, and 4) sensor fusion, and then to identify some future directions of research.

Wearable medical devices using textile and flexible technologies for ambulatory monitoring

Health smart clothes are in contact with almost all the surface of the skin offer large possibilities for the location of sensors for non invasive measurements. Head band, collar, tee-shirt, socks, shoes, belts for chest, arm, wrist, legs ... provide localization with specific purpose taking into account their proximity of an organ or a source of biosignal, and also its ergonomic possibility (user friendly) to fix a sensor, and the associated instrumentations (batteries, amplifiers, signal processing, telecom, alarm, display ...). Progress in science and technology offers, for the first time, intelligence, speed, miniaturization, sophistication and new materials at low cost. In this new landscape, microtechnologies, information technologies and telecommunications are a key factor. Microsensors : Microtechnologies offer the possibility of small size, but also intelligent, active device, working with low energy, wireless and non invasive or mini invasive. These sensors have to be thin, flexible and compatible with textile, or made using textile technologies, new fibers with specific properties: mechanical, electrical, optical ... The field of applications is very large, e.g. continuous monitoring on elderly population, professional and military activities, athlete's performance and condition, and people with disabilities. The research are oriented toward two complementary directions: Improving the relevancy of each sensor and increasing the number of sensors for having a more global synthetic and robust information.

A review of wearable sensors and systems with application in rehabilitation

The aim of this review paper is to summarize recent developments in the field of wearable sensors and systems that are relevant to the field of rehabilitation. The growing body of work focused on the application of wearable technology to monitor older adults and subjects with chronic conditions in the home and community settings justifies the emphasis of this review paper on summarizing clinical applications of wearable technology currently undergoing assessment rather than describing the development of new wearable sensors and systems. A short description of key enabling technologies (i.e. sensor technology, communication technology, and data analysis techniques) that have allowed researchers to implement wearable systems is followed by a detailed description of major areas of application of wearable technology. Applications described in this review paper include those that focus on health and wellness, safety, home rehabilitation, assessment of treatment efficacy, and early detection of disorders. The integration of wearable and ambient sensors is discussed in the context of achieving home monitoring of older adults and subjects with chronic conditions. Future work required to advance the field toward clinical deployment of wearable sensors and systems is discussed.

A review of accelerometry-based wearable motion detectors for physical activity monitoring

Characteristics of physical activity are indicative of one's mobility level, latent chronic diseases and aging process. Accelerometers have been widely accepted as useful and practical sensors for wearable devices to measure and assess physical activity. This paper reviews the development of wearable accelerometry-based motion detectors. The principle of accelerometry measurement, sensor properties and sensor placements are first introduced. Various research using accelerometry-based wearable motion detectors for physical activity monitoring and assessment, including posture and movement classification, estimation of energy expenditure, fall detection and balance control evaluation, are also reviewed. Finally this paper reviews and compares existing commercial products to provide a comprehensive outlook of current development status and possible emerging technologies.

Testing of a long-term fall detection system incorporated into a custom vest for the elderly

A fall detection system and algorithm, incorporated into a custom designed garment has been developed. The developed fall detection system uses a tri-axial accelerometer to detect impacts and monitor posture. This sensor is attached to a custom designed vest, designed to be worn by the elderly person under clothing. The fall detection algorithm was developed and incorporates both impact and posture detection capability. The vest and fall algorithm was tested by two teams of 5 elderly subjects who wore the sensor system in turn for 2 week each and were monitored for 8 hours a day. The system previously achieved sensitivity of >90% and a specificity of >99%, using young healthy subjects performing falls and normal activities of daily living (ADL). In this study, over 833 hours of monitoring was performed over the course of the four weeks from the elderly subjects, during normal daily activity. In this time no actual falls were recorded, however the system registered a total of the 42 fall-alerts however only 9 were received at the care taker site. A fall detection system incorporated into a custom designed garment has been developed which will help reduce the incidence of the long-lie, when falls occur in the elderly population. However further development is required to reduce the number of false-positives and improve the transmission of messages.

The design and development of a long-term fall detection system incorporated into a custom vest for the elderly

A fall detection system and algorithm, incorporated into a custom designed garment has been developed. The developed fall detection system uses a tri-axial accelerometer, microcontroller, battery and Bluetooth module. This sensor is attached to a custom designed vest, designed to be worn by the elderly person under clothing. The fall detection algorithm was developed and incorporates both impact and posture detection capability. The vest and fall algorithm was tested on young healthy subjects performing normal activities of daily living (ADL) and falls onto crash mats, while wearing the best and sensor. Results show that falls can de distinguished from normal activities with a sensitivity >90% and a specificity of >99%, from a total data set of 264 falls and 165 normal ADL. By incorporating the fall-detection sensor into a custom designed garment it is anticipated that greater compliance when wearing a fall-detection system can be achieved and will help reduce the incidence of the long-lie, when falls occur in the elderly population. However further long-term testing using elderly subjects is required to validate the systems performance.

Preliminary results on the study of smart wearable antennas

We report a study on the design, simulation and evaluation of wearable antennas. This work open the way to continuous and automatic monitoring with wearable devices.