Flexible Non-Constrained RF Wrist Pulse Detection Sensor Based on Array Resonators

Recent advances in the metamaterial and metasurface-based biosensor in the gigahertz, terahertz, and optical frequency domains

Recently, metamaterials and metasurface have gained rapidly increasing attention from researchers due to their extraordinary optical and electrical properties. Metamaterials are described as artificially defined periodic structures exhibiting negative permittivity and permeability simultaneously. Whereas metasurfaces are the 2D analogue of metamaterials in the sense that they have a small but not insignificant depth. Because of their high optical confinement and adjustable optical resonances, these artificially engineered materials appear as a viable photonic platform for biosensing applications. This review paper discusses the recent development of metamaterial and metasurface in biosensing applications based on the gigahertz, terahertz, and optical frequency domains encompassing the whole electromagnetic spectrum. Overlapping features such as material selection, structure, and physical mechanisms were considered during the classification of our biosensing applications. Metamaterials and metasurfaces working in the GHz range provide prospects for better sensing of biological samples, THz frequencies, falling between GHz and optical frequencies, provide unique characteristics for biosensing permitting the exact characterization of molecular vibrations, with an emphasis on molecular identification, label-free analysis, and imaging of biological materials. Optical frequencies on the other hand cover the visible and near-infrared regions, allowing fine regulation of light-matter interactions enabling metamaterials and metasurfaces to offer excellent sensitivity and specificity in biosensing. The outcome of the sensor's sensitivity to an electric or magnetic field and the resonance frequency are, in theory, determined by the frequency domain and features. Finally, the challenges and possible future perspectives in biosensing application areas have been presented that use metamaterials and metasurfaces across diverse frequency domains to improve sensitivity, specificity, and selectivity in biosensing applications.

Challenges and Limitation Analysis of an IoT-Dependent System for Deployment in Smart Healthcare Using Communication Standards Features

The use of IoT technology is rapidly increasing in healthcare development and smart healthcare system for fitness programs, monitoring, data analysis, etc. To improve the efficiency of monitoring, various studies have been conducted in this field to achieve improved precision. The architecture proposed herein is based on IoT integrated with a cloud system in which power absorption and accuracy are major concerns. We discuss and analyze development in this domain to improve the performance of IoT systems related to health care. Standards of communication for IoT data transmission and reception can help to understand the exact power absorption in different devices to achieve improved performance for healthcare development. We also systematically analyze the use of IoT in healthcare systems using cloud features, as well as the performance and limitations of IoT in this field. Furthermore, we discuss the design of an IoT system for efficient monitoring of various healthcare issues in elderly people and limitations of an existing system in terms of resources, power absorption and security when implemented in different devices as per requirements. Blood pressure and heartbeat monitoring in pregnant women are examples of high-intensity applications of NB-IoT (narrowband IoT), technology that supports widespread communication with a very low data cost and minimum processing complexity and battery lifespan. This article also focuses on analysis of the performance of narrowband IoT in terms of delay and throughput using single- and multinode approaches. We performed analysis using the message queuing telemetry transport protocol (MQTTP), which was found to be efficient compared to the limited application protocol (LAP) in sending information from sensors.

Flexible Metamaterial Electronics

Over the last decade, extensive efforts have been made on utilizing advanced materials and structures to improve the properties and functionalities of flexible electronics. While the conventional ways are approaching their natural limits, a revolutionary strategy, namely metamaterials, is emerging toward engineering structural materials to break the existing fetters. Metamaterials exhibit supernatural physical behaviors, in aspects of mechanical, optical, thermal, acoustic, and electronic properties that are inaccessible in natural materials, such as tunable stiffness or Poisson's ratio, manipulating electromagnetic or elastic waves, and topological and programmable morphability. These salient merits motivate metamaterials as a brand-new research direction and have inspired extensive innovative applications in flexible electronics. Here, such a groundbreaking interdisciplinary field is first coined as "flexible metamaterial electronics," focusing on enhancing and innovating functionalities of flexible electronics via the design of metamaterials. Herein, the latest progress and trends in this infant field are reviewed while highlighting their potential value. First, a brief overview starts with introducing the combination of metamaterials and flexible electronics. Then, the developed applications are discussed, such as self-adaptive deformability, ultrahigh sensitivity, and multidisciplinary functionality, followed by the discussion of potential prospects. Finally, the challenges and opportunities facing flexible metamaterial electronics to advance this cutting-edge field are summarized.

A Flexible Near-Field Biosensor for Multisite Arterial Blood Flow Detection

Modern wearable devices show promising results in terms of detecting vital bodily signs from the wrist. However, there remains a considerable need for a device that can conform to the human body's variable geometry to accurately detect those vital signs and to understand health better. Flexible radio frequency (RF) resonators are well poised to address this need by providing conformable bio-interfaces suitable for different anatomical locations. In this work, we develop a compact wearable RF biosensor that detects multisite hemodynamic events due to pulsatile blood flow through noninvasive tissue-electromagnetic (EM) field interaction. The sensor consists of a skin patch spiral resonator and a wearable transceiver. During resonance, the resonator establishes a strong capacitive coupling with layered dielectric tissues due to impedance matching. Therefore, any variation in the dielectric properties within the near-field of the coupled system will result in field perturbation. This perturbation also results in RF carrier modulation, transduced via a demodulator in the transceiver unit. The main elements of the transceiver consist of a direct digital synthesizer for RF carrier generation and a demodulator unit comprised of a resistive bridge coupled with an envelope detector, a filter, and an amplifier. In this work, we build and study the sensor at the radial artery, thorax, carotid artery, and supraorbital locations of a healthy human subject, which hold clinical significance in evaluating cardiovascular health. The carrier frequency is tuned at the resonance of the spiral resonator, which is 34.5 ± 1.5 MHz. The resulting transient waveforms from the demodulator indicate the presence of hemodynamic events, i.e., systolic upstroke, systolic peak, dicrotic notch, and diastolic downstroke. The preliminary results also confirm the sensor's ability to detect multisite blood flow events noninvasively on a single wearable platform.

Consistency between Impedance Technique and Echocardiogram Hemodynamic Measurements in Neonates

OBJECTIVE

The aim of this study was to validate impedance technique (IT) by investigating the agreement in cardiac output measurements performed by IT and echocardiography (ECHO).

STUDY DESIGN

This is a prospective observational study, including a total of 30 neonates who underwent hemodynamic measurements by IT and ECHO. To determine the agreement between both methods, we performed IT to measure stroke volume (SV-IT) and cardiac output (CO-IT) immediately before or after ECHO to measure SV (SV-ECHO) and CO (CO-ECHO). The precision and accuracy of the IT relative to ECHO were assessed.

RESULTS

SV-ECHO and SV-IT were (4.45 ± 0.78) and (4.54 ± 0.81) mL, respectively. The bias and limits of agreement of SV-IT were 0.09 mL and ( -1.92 to 1.73) mL, respectively. The true precision of SV-IT was 27.3%. Furthermore, CO-ECHO and CO-IT were (0.62 ± 0.12) and (0.61 ± 0.12) L/min, respectively. The bias and LoA of CO-IT were 0.01L/min and (-0.33 to 0.31) L/min, respectively. The true precision of CO-IT was 28.3%.

CONCLUSION

Agreement between the IT and ECHO in the cardiac output measurement appeared acceptable. However, the accuracy and precision of the IT approach should be further investigated using a larger sample.

Recent Advances in Atherosclerotic Disease Screening Using Pervasive Healthcare

Atherosclerosis screening helps the medical model transform from therapeutic medicine to preventive medicine by assessing degree of atherosclerosis prior to the occurrence of fatal vascular events. Pervasive screening emphasizes atherosclerotic monitoring with easy access, quick process, and advanced computing. In this work, we introduced five cutting-edge pervasive technologies including imaging photoplethysmography (iPPG), laser Doppler, radio frequency (RF), thermal imaging (TI), optical fiber sensing and piezoelectric sensor. IPPG measures physiological parameters by using video images that record the subtle skin color changes consistent with cardiac-synchronous blood volume changes in subcutaneous arteries and capillaries. Laser Doppler obtained the information on blood flow by analyzing the spectral components of backscattered light from the illuminated tissues surface. RF is based on Doppler shift caused by the periodic movement of the chest wall induced by respiration and heartbeat. TI measures vital signs by detecting electromagnetic radiation emitted by blood flow. The working principle of optical fiber sensor is to detect the change of light properties caused by the interaction between the measured physiological parameter and the entering light. Piezoelectric sensors are based on the piezoelectric effect of dielectrics. All these pervasive technologies are noninvasive, mobile, and can detect physiological parameters related to atherosclerosis screening.

A Supersensitive, Multidimensional Flexible Strain Gauge Sensor Based on Ag/PDMS for Human Activities Monitoring

For more comprehensive monitoring human state of motion, it is necessary to sense multidimensional stimulus information. In this paper, we reported a supersensitive flexible sensor based on Ag/PDMS composites with sensing abilities of strain and force. The fabrication method is simple and rapid, which only need physically grinding the silver particles and mixing with liquid PDMS. The flexible sensor has excellent performances in multidimensional detection. The strain gauge factor can reach as high as 939 when it was stretched to 36%, and the minimum resolution for force detection is 0.02 N. The sensing characteristic of the sensors with different filling fraction and thickness were analyzed from the microscopic point of view. Multidimensional sensing abilities of flexible sensor have greatly expands its applications. We experimentally verified the Ag/PDMS based sensor in human body dynamic monitoring and sound detecting in real-time, which has shown great potential in motion recognition, haptic perception and soft robotics.

Acoustic Sensing as a Novel Wearable Approach for Cardiac Monitoring at the Wrist

This paper introduces the concept of using acoustic sensing over the radial artery to extract cardiac parameters for continuous vital sign monitoring. It proposes a novel measurement principle that allows detection of the heart sounds together with the pulse wave, an attribute not possible with existing photoplethysmography (PPG)-based methods for monitoring at the wrist. The validity of the proposed principle is demonstrated using a new miniature, battery-operated wearable device to sense the acoustic signals and a novel algorithm to extract the heart rate from these signals. The algorithm utilizes the power spectral analysis of the acoustic pulse signal to detect the S1 sounds and additionally, the K-means method to remove motion artifacts for an accurate heartbeat detection. It has been validated on a dataset consisting of 12 subjects with a data length of 6 hours. The results demonstrate an accuracy of 98.78%, mean absolute error of 0.28 bpm, limits of agreement between −1.68 and 1.69 bpm, and a correlation coefficient of 0.998 with reference to a state-of-the-art PPG-based commercial device. The results in this proof of concept study demonstrate the potential of this new sensing modality to be used as an alternative, or to complement existing methods, for continuous monitoring of heart rate at the wrist.

A Noninvasive, Electromagnetic, Epidermal Sensing Device for Hemodynamics Monitoring

Non-intrusive monitoring of blood flow parameters is vital for obtaining physiological and pathophysiological information pertaining to dynamic cardiovascular events and is feasible to achieve via non-invasive, conformal, wearable technologies. Here, we present a proof-of-concept of a fully integrated, high frequency (bandwidth 40 MHz), electromagnetic sensing device for monitoring limb hemodynamics and morphology associated with blood flow. The sensing architecture integrates a novel radio frequency (RF) skin patch resonator embedded with a coplanar outer loop antenna and a scalable, standalone wireless readout hardware based on standing wave ratio (SWR) bridge. The resonator itself is a copper-based open circuit planar Archimedean spiral with a rectangular cross-sectional area, chemically etched on a flexible polyimide substrate. The readout hardware is developed exploiting off-the-shelf components, fabricated on the top of a rigid FR4 substrate. The proposed readout circuit can measure resonant frequency of an RLC network. When energized by the external oscillating RF field via loop antenna, the resonator produces an electromagnetic field response which can be perturbed by dielectric variation inside its field boundary. Through leveraging this principle, the in-vitro experimental results from the benchtop models suggest that the resonator's RF attributes such as resonant frequency shift and magnitude variation of reflection coefficient due to fluid volume displacement can be successfully detected through the proposed hardware architecture. Hence, the system could be an alternative to the conventional, multimodal, non-invasive wearable sensing with an unprecedented capability of ubiquitous fluid phenomena detection from multiple sites of the human body.

EM-Wave Biosensors: A Review of RF, Microwave, mm-Wave and Optical Sensing

This article presents a broad review on optical, radio-frequency (RF), microwave (MW), millimeter wave (mmW) and terahertz (THz) biosensors. Biomatter-wave interaction modalities are considered over a wide range of frequencies and applications such as detection of cancer biomarkers, biotin, neurotransmitters and heart rate are presented in detail. By treating biological tissue as a dielectric substance, having a unique dielectric signature, it can be characterized by frequency dependent parameters such as permittivity and conductivity. By observing the unique permittivity spectrum, cancerous cells can be distinguished from healthy ones or by measuring the changes in permittivity, concentration of medically relevant biomolecules such as glucose, neurotransmitters, vitamins and proteins, ailments and abnormalities can be detected. In case of optical biosensors, any change in permittivity is transduced to a change in optical properties such as photoluminescence, interference pattern, reflection intensity and reflection angle through techniques like quantum dots, interferometry, surface enhanced raman scattering or surface plasmon resonance. Conversely, in case of RF, MW, mmW and THz biosensors, capacitive sensing is most commonly employed where changes in permittivity are reflected as changes in capacitance, through components like interdigitated electrodes, resonators and microstrip structures. In this paper, interactions of EM waves with biomatter are considered, with an emphasis on a clear demarcation of various modalities, their underlying principles and applications.

Passive Self Resonant Skin Patch Sensor to Monitor Cardiac Intraventricular Stroke Volume Using Electromagnetic Properties of Blood

This paper focuses on the development of a passive, lightweight skin patch sensor that can measure fluid volume changes in the heart in a non-invasive, point-of-care setting. The wearable sensor is an electromagnetic, self-resonant sensor configured into a specific pattern to formulate its three passive elements (resistance, capacitance, and inductance). In an animal model, a bladder was inserted into the left ventricle (LV) of a bovine heart, and fluid was injected using a syringe to simulate stoke volume (SV). In a human study, to assess the dynamic fluid volume changes of the heart in real time, the sensor frequency response was obtained from a participant in a 30° head-up tilt (HUT), 10° HUT, supine, and 10° head-down tilt positions over time. In the animal model, an 80-mL fluid volume change in the LV resulted in a downward frequency shift of 80.16 kHz. In the human study, there was a patterned frequency shift over time which correlated with ventricular volume changes in the heart during the cardiac cycle. Statistical analysis showed a linear correlation \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{upgreek} \usepackage{mathrsfs} \setlength{\oddsidemargin}{-69pt} \begin{document} }{}${R} ^{2} = 0.98$ \end{document} and 0.87 between the frequency shifts and fluid volume changes in the LV of the bovine heart and human participant, respectively. In addition, the patch sensor detected heart rate in a continuous manner with a 0.179% relative error compared to electrocardiography. These results provide promising data regarding the ability of the patch sensor to be a potential technology for SV monitoring in a non-invasive, continuous, and non-clinical setting.

Real-time Humidity Sensor Based on Microwave Resonator Coupled with PEDOT:PSS Conducting Polymer Film

A real-time humidity sensor based on a microwave resonator coupled with a poly(3,4-ethylenedioxythiophene) polystyrene sulfonate (PEDOT:PSS) conducting polymer (CP) film is proposed in this paper. The resonator is patterned on a printed circuit board and is excited by electromagnetic field coupling. To enhance the sensitivity of the sensor, the CP film is located in the area with the strongest electric field in the resonator. To investigate the performance, the proposed sensor is placed alongside a reference sensor in a humidity chamber, and humidity is injected at room temperature. The experimental results indicate that the electrical properties of the resonator with the CP film, such as the transmission coefficient (S₂₁) and resonance frequency, change with the relative humidity (RH). Specifically, as the RH changes from 5% to 80%, S₂₁ and the resonance frequency change simultaneously. Moreover, the proposed sensor exhibits great repeatability in the middle of the sensing range, which is from 40% to 60% RH. Consequently, our resonator coupled with the CP film can be used as a real-time humidity-sensing device in the microwave range, where various radio-frequency devices are in use.

Developing a Wireless, High Precision and Processing Speed Pulse Monitoring Headset Using Photoplethysmography

In this paper, thorough improvement of pulse monitoring and analysis equipment with a headset structure is presented. In order to study the most suitable infrared wavelength for the acquisition of the pulse wave at the earlobe, Monte Carlo simulation was adapted. Both high frequency noise and baseline drift, generated in the signal acquisition process, are considered. To further optimize the system design and improve accuracy, for the sensor's dimensional drift, the corresponding compensation was carried on in the software. This paper introduced nonlinear quantization, especially in terms of very weak pulse signal, in the time domain analysis process. A quick extraction method named table look-up combing with interpolation was utilized to obtain frequency domain information whose processing speed can be increased by about 30 times compared with fast Fourier transformation setting the sampling point as 300. The results demonstrated the sensor's excellent performance in pulse signal acquisition whose maximum residual is less than 0.004 mV. The test on a random sample of 300 people indicates that the system had high correlation with reference, validating the system accuracy is extremely high. Overall, this paper provides a practical pulse monitoring and analysis system with high precision and processing speed that can be widely applied in the field of health management or medical measurement.

Heart Rate Detection During Sleep Using a Flexible RF Resonator and Injection-Locked PLL Sensor

Novel nonintrusive technologies for wrist pulse detection have been developed and proposed as systems for sleep monitoring using three types of radio frequency (RF) sensors. The three types of RF sensors for heart rate measurement on wrist are a flexible RF single resonator, array resonators, and an injection-locked PLL resonator sensor. To verify the performance of the new RF systems, we compared heart rates between presleep time and postsleep onset time. Heart rates of ten subjects were measured using the RF systems during sleep. All three RF devices detected heart rates at 0.2 to 1 mm distance from the skin of the wrist over clothes made of cotton fabric. The wrist pulse signals of a flexible RF single resonator were consistent with the signals obtained by a portable piezoelectric transducer as a reference. Then, we confirmed that the heart rate after sleep onset time significantly decreased compared to before sleep. In conclusion, the RF system can be utilized as a noncontact nonintrusive method for measuring heart rates during sleep.