Low-Power Wearable ECG Monitoring System for Multiple-Patient Remote Monitoring

IEEE Sensors Journal

Volumn 16, Issue 13, 2016, Pages 5452-5462

  Spanò, Elisa ^a   Di Pascoli, Stefano ^a   Iannaccone, Giuseppe ^a  

^a UNIVERSITY OF PISA   (Italy)

Author keywords

ECG; healthcare; IoT; multiple patient monitoring; ZigBee

Indexed keywords

AUTOMATION; ELECTROCARDIOGRAPHY; HEALTH CARE; HOUSES; INTELLIGENT BUILDINGS; INTERNET OF THINGS; REMOTE CONTROL; WEARABLE SENSORS; ZIGBEE;

INTEGRATED FRONT ENDS; INTERNET OF THINGS (IOT); NON-TECHNICAL USERS; OFF-THE-SHELF COMPONENTS; REMOTE MONITORING; REMOTE MONITORING SYSTEM; RESIDENTIAL ENVIRONMENT; SEAMLESS INTEGRATION;

REMOTE PATIENT MONITORING;

EID: 84976291219     PISSN: 1530437X     EISSN: None     Source Type: Journal    
DOI: 10.1109/JSEN.2016.2564995     Document Type: Article

References (55)

1. A. E. Raftery, N. Li, H. Ševcíková, P. Gerland, and G. K. Heilig, "Bayesian probabilistic population projections for all countries," Proc. Nat. Acad. Sci. USA, vol. 109, no. 35, pp. 13915-13921, 2012.
2. G. Vincent and V. Velkoff, The Next Four Decades: The Older Population in the United States: 2010 to 2050. Washington, DC, USA: U.S. Census Bureau, US Government Printing Office, 2010.
3. The 2012 Ageing Report: Economic and Budgetary Projections for the 27 EU Member States (2010-2060), Eur. Commission, Brussels, Belgium, 2012.
4. R. E. Litan, "Vital signs via broadband: Remote health monitoring transmits savings, enhances lives," Better Health Care Together, Oct. 2008. [Online]. Available: www.corp. att.com/healthcare/docs/litan.pdf
5. H. Fraser, Y. J. Kwon and M. Neuer, The Future of Connected Health Devices. Somers, NY, USA: IBM Corporation, 2011. [Online]. Available: http://public.dhe.ibm.com/common/ssi/ecm/gb/en/gbe03398usen/GBE03398USEN.PDF
6. R. S. Dilmaghani, H. Bobarshad, M. Ghavami, S. Choobkar, and C. Wolfe, "Wireless sensor networks for monitoring physiological signals of multiple patients.," IEEE Trans. Biomed. Circuits Syst., vol. 5, no. 4, pp. 347-356, Aug. 2011.
7. M. K. Delano and C. G. Sodini, "A long-term wearable electrocardiogram measurement system," in Proc. IEEE Int. Conf. Body Sensor Netw., May 2013, pp. 1-6.
8. E. S. Winokur, M. K. Delano, and C. G. Sodini, "A wearable cardiac monitor for long-term data acquisition and analysis," IEEE Trans. Biomed. Eng., vol. 60, no. 1, pp. 189-192, Jan. 2013.
9. N. J. Kim, J. H. Hong, and T.-S. Lee, "A study on power consumption and transmission rate in ECG signal processing in mobile environment," in Proc. IFMBE, vol. 14, 2007, pp. 4107-4110.
10. I.-J. Wang et al., "A wearable mobile electrocardiogram measurement device with novel dry polymer-based electrodes," in Proc. IEEE Region 10 Conf., Fukuoka, Japan, Nov. 2010, pp. 379-384.
11. E. Nemati, M. J. Deen, and T. Mondal, "A wireless wearable ECG sensor for long-term applications," IEEE Commun. Mag., vol. 50, no. 1, pp. 36-43, Jan. 2012.
12. L. Fanucci et al., "Sensing devices and sensor signal processing for remote monitoring of vital signs in CHF patients," IEEE Trans. Instrum. Meas., vol. 62, no. 3, pp. 553-569, Mar. 2013.
13. J. M. Corchado, J. Bajo, D. I. Tapia, and A. Abraham, "Using heterogeneous wireless sensor networks in a telemonitoring system for healthcare," IEEE Trans. Inf. Technol. Biomed., vol. 14, no. 2, pp. 234-240, Mar. 2010.
14. S.-J. Jung, T.-H. Kwon, and W.-Y. Chung, "A new approach to design ambient sensor network for real time healthcare monitoring system," in Proc. IEEE Sensors, Oct. 2009, pp. 576-580.
15. K. Malhi, S. C. Mukhopadhyay, J. Schnepper, M. Haefke, and H. Ewald, "A Zigbee-based wearable physiological parameters monitoring system," IEEE Sensors J., vol. 12, no. 3, pp. 423-430, Mar. 2012.
16. W.-T. Sung, J.-H. Chen, and K.-W. Chang, "Mobile physiological measurement platform with cloud and analysis functions implemented via IPSO," IEEE Sensors J., vol. 14, no. 1, pp. 111-123, Jan. 2014.
17. J. Gömez-Clapers and R. Casanella, "A fast and easy-to-use ECG acquisition and heart rate monitoring system using a wireless steering wheel," IEEE Sensors J., vol. 12, no. 3, pp. 610-616, Mar. 2012.
18. Y. Chuo et al., "Mechanically flexible wireless multisensor platform for human physical activity and vitals monitoring," IEEE Trans. Biomed. Circuits Syst., vol. 4, no. 5, pp. 281-294, Oct. 2010.
19. L. Yan and H.-J. Yoo, "A low-power portable ECG touch sensor with two dry metal contact electrodes," J. Semicond. Technol. Sci., vol. 10, no. 4, pp. 300-308, Dec. 2010.
20. X. Zhang, H. Jiang, L. Zhang, C. Zhang, Z. Wang, and X. Chen, "An energy-efficient ASIC for wireless body sensor networks in medical applications," IEEE Trans. Biomed. Circuits Syst., vol. 4, no. 1, pp. 11-18, Feb. 2010.
21. S.-Y. Lee, J.-H. Hong, C.-H. Hsieh, M.-C. Liang, S.-Y. C. Chien, and K.-H. Lin, "Low-power wireless ECG acquisition and classification system for body sensor networks," IEEE J. Biomed. Health Informat., vol. 19, no. 1, pp. 236-246, Jan. 2015.
22. M. Altini et al., "An ECG patch combining a customized ultra-lowpower ECG SoC with Bluetooth low energy for long term ambulatory monitoring," in Proc. 2nd Conf. Wireless Health (WH), 2011, Art. no. 15.
23. H. Kim et al., "A configurable and low-power mixed signal SoC for portable ECG monitoring applications," IEEE Trans. Biomed. Circuits Syst., vol. 8, no. 2, pp. 257-267, Apr. 2014.
24. C. J. Deepu, X. Xu, X. Zou, L. Yao, and Y. Lian, "An ECG-on-chip for wearable cardiac monitoring devices," in Proc. 5th IEEE Int. Symp. Electron. Design, Test Appl. (DELTA), Jan. 2010, pp. 225-228.
25. C. J. Deepu et al., "An ECG-on-chip with 535 nW/channel integrated lossless data compressor for wireless sensors," IEEE J. Solid-State Circuits, vol. 49, no. 11, pp. 2435-2448, Nov. 2014.
26. E. Spanò, S. Di Pascoli, and G. Iannaccone, "An Intragrid implementation embedded in an Internet of Things platform," in Proc. IEEE 18th Int. Workshop CAMAD, Berlin, Germany, Sep. 2013, pp. 134-138.
27. E. Spanò, L. Niccolini, S. Di Pascoli, and G. Iannacconeluca, "Lastmeter smart grid embedded in an Internet-of-Things platform," IEEE Trans. Smart Grid, vol. 6, no. 1, pp. 468-476, Jan. 2015.
28. Introduction to Electrocardiographs, TUTORIAL 4693, Maxim Integrated, San Jose, CA, USA, May 2010. [Online]. Available: http://pdfserv.maximintegrated.com/en/an/AN4693.pdf
29. K. Soundarapandian and M. Berarducci, "Analog front-end design for ECG systems using delta-sigma ADCs," Texas Instrument, Dallas, TX, USA, Appl. Rep. SBAA160A, Apr. 2010. [Online] Available: http://www.ti.com/lit/an/sbaa160a/sbaa160a.pdf
30. B. B. Winter and J. G. Webster, "Driven-right-leg circuit design," IEEE Trans. Biomed. Eng., vol. BME-30, no. 1, pp. 62-66, Jan. 1983.
31. E. M. Spinelli, N. H. Martinez, and M. A. Mayosky, "A transconductance driven-right-leg circuit," IEEE Trans. Biomed. Eng., vol. 46, no. 12, pp. 1466-1470, Dec. 1999.
32. V. Acharya, "Improving common-mode rejection using the right-leg driver amplifier," Texas Instrument, Dallas, TX, USA, Tech. Rep. SBAA188, Jul. 2011.
33. N. V. Thakor and J. G. Webster, "Ground-free ECG recording with two electrodes," IEEE Trans. Biomed. Eng., vol. 27, no. 12, pp. 699-804, Dec. 1980.
34. E. Richard and A. D. C. Chan, "Design of a gel-less two-electrode ECG monitor," in Proc. IEEE Int. Workshop Med. Meas. Appl. (MeMeA), Apr./May 2010, pp. 92-96.
35. N. Hamza, L. Khriji, and R. Tourki, "Interference reduction in ECG signal acquisition: Ground electrode removal (case study)," in Proc. Int. Conf. Comput. Med. Appl., Jan. 2013, pp. 1-4.
36. "24-bit analog-to-digital converters for temperature sensors," Texas Instrument, Dallas, TX, USA, Tech. Rep. SBAS426G, Feb. 2016.
37. MC1322x Advanced ZigBee Compliant Platform-in-Package (PiP) for the 2.4 GHz IEEE 802.15.4 Standard, Datasheet, Document MC1322x, Freescale Semiconductor, Feb. 2016.
38. CSE (Common Standard for quantitative Electrocardiography) Working Party, C.S.E.W. Party, "Recommendations for measurement standards in quantitative electrocardiography," Eur. Heart J., vol. 6, no. 10, pp. 815-825, Oct. 1985.
39. P. Kligfield et al., "Recommendations for the standardization and interpretation of the electrocardiogram," J. Amer. College Cardiol., vol. 49, no. 10, pp. 1109-1127, Mar. 2007.
40. C. Li, C. Zheng, and C. Tai, "Detection of ECG characteristic points using wavelet transforms," IEEE Trans. Biomed. Eng., vol. 42, no. 1, pp. 21-28, Jan. 1995.
41. V. S. Chouhan and S. S. Mehta, "Total removal of baseline drift from ECG signal," in Proc. Int. Conf. Comput., Theory Appl. (ICCTA), Mar. 2007, pp. 512-515.
42. F. A. Afsar, M. S. Riaz, and M. Arif, "A comparison of baseline removal algorithms for electrocardiogram (ECG) based automated diagnosis of coronory heart disease," in Proc. 3rd Int. Conf. Bioinform. Biomed. Eng., Jun. 2009, pp. 1-4.
43. B. Taji, S. Shirmohammadi, V. Groza, and I. Batkin, "Impact of skin-electrode interface on electrocardiogram measurements using conductive textile electrodes," IEEE Trans. Instrum. Meas., vol. 63, no. 6, pp. 1412-1422, Jun. 2014.
44. C. D. Oster, Proper Skin Prep Helps Ensure ECG Trace Quality. St. Paul, MN, USA: 3M Health Care, 2005.
45. Texas Instrument. Wireless Heart Rate Monitor Reference Design, accessed on Feb. 17, 2016. http://www.ti.com/lit/ug/tidu195a/tidu195a.pdf
46. S.-C. Lee and W.-Y. Chung, "A robust wearable u-healthcare platform in wireless sensor network," J. Commun. Netw., vol. 16, no. 4, pp. 465-474, Aug. 2014.
47. H. Gjoreski, A. Rashkovska, S. Kozina, M. Luštrek, and M. Gams, "Telehealth using ECG sensor and accelerometer," in Proc. 37th Int. Conv. Inf. Commun. Technol., Electron. Microelectron., May 2014, pp. 270-274.
48. K. Bregar and V. Avbelj, "Multi-functional wireless body sensor-Analysis of autonomy," in Proc. 36th Int. Conv. Inf. Commun. Technol., Electron. Microelectron., May 2013, pp. 322-325.
49. E. Valchinov, A. Antoniou, K. Rotas, and N. Pallikarakis, "Wearable ECG system for health and sports monitoring," Proc. 4th Int. Conf. Wireless Mobile Commun. Healthcare, Athens, Greece, Nov. 2014, pp. 63-66.
50. D. J. C. MacKay, Information Theory, Inference, and Learning Algorithms. Oxford, U.K.: Oxford Univ. Press, 2006, p. 628.
51. A. L. Goldberger et al., "Physio Bank, Physio Toolkit, and Physio Net: Components of a new research resource for complex physiologic signals," Circulation, vol. 101, no. 23, pp. E215-E220, Jun. 2000.
52. J. Daemen and V. Rijmen, The Design of Rijndael: AES-The Advanced Encryption Standard. Berlin, Germany: Springer-Verlag, 2002.
53. ZigBee Specification, Document 053474r17, ZigBee Alliance, Oct. 2007.
54. Home Automation Profile Specification, Document 053520r25, ZigBee Alliance, Oct. 2007.
55. R. H. Walden, "Analog-to-digital converter survey and analysis," IEEE J. Sel. Areas Commun., vol. 17, no. 4, pp. 539-550, Apr. 1999.