Design and development of an electronic stethoscope

Tablet-Based Wearable Patch Sensor Design for Continuous Cardiovascular System Monitoring in Postoperative Settings

Meticulous monitoring for cardiovascular systems is important for postoperative patients in postanesthesia or the intensive care unit. The continuous auscultation of heart and lung sounds can provide a valuable information for patient safety. Although numerous research projects have proposed the design of continuous cardiopulmonary monitoring devices, they primarily focused on the auscultation of heart and lung sounds and mostly served as screening tools. However, there is a lack of devices that could continuously display and monitor the derived cardiopulmonary parameters. This study presents a novel approach to address this need by proposing a bedside monitoring system that utilizes a lightweight and wearable patch sensor for continuous cardiovascular system monitoring. The heart and lung sounds were collected using a chest stethoscope and microphones, and a developed adaptive noise cancellation algorithm was implemented to remove the background noise corrupted with those sounds. Additionally, a short-distance ECG signal was acquired using electrodes and a high precision analog front end. A high-speed processing microcontroller was used to allow real-time data acquisition, processing, and display. A dedicated tablet-based software was developed to display the acquired signal waveforms and the processed cardiovascular parameters. A significant contribution of this work is the seamless integration of continuous auscultation and ECG signal acquisition, thereby enabling the real-time monitoring of cardiovascular parameters. The wearability and lightweight design of the system were achieved through the use of rigid-flex PCBs, which ensured patient comfort and ease of use. The system provides a high-quality signal acquisition and real-time monitoring of the cardiovascular parameters, thus proving its potential as a health monitoring tool.

Contactless Stethoscope Enabled by Radar Technology

Contactless vital sign measurement technologies have the potential to greatly improve patient experiences and practitioner safety while creating the opportunity for comfortable continuous monitoring. We introduce a contactless alternative for measuring human heart sounds. We leverage millimeter wave frequency-modulated continuous wave radar and multi-input multi-output beamforming techniques to capture fine skin vibrations that result from the cardiac movements that cause heart sounds. We discuss contact-based heart sound measurement techniques and directly compare the radar heart sound technique with these contact-based approaches. We present experimental cases to test the strengths and limitations of both the contact-based measurement techniques and the contactless radar measurement. We demonstrate that the radar measurement technique is a viable and potentially superior method for capturing human heart sounds in many practical settings.

Novel Design of a Multimodal Technology-Based Smart Stethoscope for Personal Cardiovascular Health Monitoring

Heart sounds and heart rate (pulse) are the most common physiological signals used in the diagnosis of cardiovascular diseases. Measuring these signals using a device and analyzing their interrelationships simultaneously can improve the accuracy of existing methods and propose new approaches for the diagnosis of cardiovascular diseases. In this study, we have presented a novel smart stethoscope based on multimodal physiological signal measurement technology for personal cardiovascular health monitoring. The proposed device is designed in the shape of a compact personal computer mouse for easy grasping and attachment to the surface of the chest using only one hand. A digital microphone and photoplehysmogram sensor are installed on the bottom and top surfaces of the device, respectively, to measure heart sound and pulse from the user's chest and finger simultaneously. In addition, a high-performance Bluetooth Low Energy System-on-Chip ARM microprocessor is used for pre-processing of measured data and communication with the smartphone. The prototype is assembled on a manufactured printed circuit board and 3D-printed shell to conduct an in vivo experiment to test the performance of physiological signal measurement and usability by observing users' muscle fatigue variation.

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).

A Radiating Near-Field 24 GHz Radar Stethoscope

A prototype 24 GHz radar stethoscope has been developed for the diagnosis of heart sounds when direct contact with the skin is contraindicated. It is shown that a vibration sensing, bi-static radar operating in the near-field has a sensitivity maximum at a non-zero range and that maximum is proportional to the square of the radar operating frequency. By placing the instrument in the near-field, close to, but not touching the skin, a 20 dB sensitivity increase can be demonstrated. The transmitter antenna has a hot spot in the near-field which further increases the stethoscope's sensitivity. The instrument is a modified, Doppler radar based, commercial RF motion detector that transmits very low RF power. When used as a stethoscope it is shown to pose no radiation hazard to the patient or medical personnel. An example is given to illustrate that the non-contact radar stethoscope has an audio output that is comparable in characteristics and quality to a conventional, skin-contact, acoustic stethoscope.