A WI-FI BASED SMART DATA LOGGER FOR CAPSULE ENDOSCOPY AND MEDICAL APPLICATIONS

Wireless capsule endoscopy (WCE) is a non-invasive technology for capturing images of a human digestive system for medical diagnostics purpose. With WCE, the patient swallows a miniature capsule with camera, data processing unit, RF transmitter and batteries. The capsule captures and transmits images wirelessly from inside the human gastrointestinal (GI) tract. The external data logger worn by the patient stores the images and is later on transferred to a computer for presentation and image analysis. In this research, we designed and built a Wi-Fi based, low cost, miniature, versatile wearable data logger. The data logger is used with Wi-Fi enabled smart devices, smart phones and data servers to store and present images captured by capsule. The proposed data logger is designed to work with wireless capsule endoscopy and other biosensors like- temperature and heart rate sensors. The data logger is small enough to carry and conduct daily activities, and the patient do not need to carry traditional bulky data recorder all the time during diagnosis. The doctors can remotely access data and analyze the images from capsule endoscopy using remote access feature of the data logger. Smartphones and tablets have extensive processing power with expandable memory. This research exploits those capabilities to use with wireless capsule endoscopy and medical data logging applications. The application- specific data recorders are replaced by the proposed Wi-Fi data logger and smartphone. The data processing application is distributed on smart devices like smartphone /tablets and data logger. Once data are stored in smart devices, the data can be accessed remotely, distributed to the cloud and shared within networks to enable telemedicine. The data logger can work in both standalone and network mode. In the normal mode of the device, data logger stores medical data locally into a micro Secure Digital card for future download using the universal serial bus to the computer. In network mode, the real-time data is streamed into a smartphone and tablet for further processing and storage. The proposed Wi-Fi based data logger is prototyped in the lab and tested with the capsule hardware developed in our laboratory. The supporting Android app is also developed to collect data from the data logger and present the processed data to the viewer. The PC based software is also developed to access the data recorder and capture and download data from the data logger in real-time remotely. Both in vivo and ex vivo trials using live pig have been conducted to validate the performance of the proposed device

의료용 인체 삽입물을 위한 무선 저전력 송수신기에 관한 연구

학위논문 (박사)-- 서울대학교 대학원 : 전기·컴퓨터공학부, 2016. 2. 남상욱.This thesis presents the wireless transceiver for medical implant application. The high propagation loss in human body which has high relative permittivity and conductive makes the implantable device be required for high sensitivity. Moreover, the device should have low power consumption to use for wireless implant medical application due to a restricted battery life. Also, this problem should be solved for on-body device considering integration with mobile device in the future. Simultaneously, the specific medical application such as epiretinal prosthesis, multi-channel electroencephalogram sensor demand high-data rate. Therefore, it is a main challenge that enhancing the devices power consumption and data-rate for implantable medical application. In order to enhance the performance of the device, several techniques are proposed in implantable human body transceivers. Firstly, the propagation loss in human-body is calculated for determine the frequency for medical implant application. The frequency bands allocated by FCC or MICS are too narrow and high lossy bands in human-body. For this reason, the optimum frequency for Implantable medical device is found by using Frisss formula and the link budget is calculated for capsule endoscopy system. The optimum frequency is verified through image recovery experiment in liquid human phantom and pig by using designed capsule endoscopy system. Secondly, the Super-Regenerative Receiver (SRR) with Digital Self-Quenching Loop (DSQL) is proposed for low power consumption. The proposed DSQL replaces the envelope detector used in a conventional SRR and minimizes power consumption by generating a self-quench signal digitally for a super-regenerative oscillator. The measurement results are given to show the performance of the proposed receiver. Thirdly, the RF Current Reused and Current Combining (CRCC) Power Amplifier (PA) is proposed for low power and high-speed transmitter. Normally, the PA having low output power has a feasibility issue that an optimum impedance of PA is too high to match with antenna impedance. For this reason, obtaining the maximum efficiency of PA is difficult for conventional structure. Moreover, conventional PAs output bandwidth is to be narrow due to high impedance transform ratio between PAs output and antennas input impedances. The CRCC structure solves this issue by decreasing the impedance transform ratio. The transmitter with CRCC PA is designed and verified through the measurement.Chapter 1. Introduction 1 1.1. WBAN (Wireless Body Area Network) 1 1.2. Challenges in Designing Transceiver for Medical Implant Application 7 Chapter 2. Propagation Loss in Human Body 10 2.1. Introduction 10 2.2. Far field approximation in human-body 13 2.3. Calculation of propagation loss in human-body 15 2.3.1. Frisss formula 15 2.3.2. Efficiency of transmitting antenna in human-body 17 2.4. Calculation of propagation loss in human-body and conclusion 19 Chapter 3. A Design of Transceiver for Capsule Endoscopy Application 21 3.1. Introduction 21 3.2. System Link Budget Calculation 24 3.3. Implementation 26 3.3.1. Transmitter with class B amplifier 26 3.3.2. Super-heterodyne receiver with AGC 28 3.3.3. Measurement results 30 3.4. Image recovery experiment 35 3.4.1. Integration of capsule endoscopy 35 3.4.2. Image recovery in the liquid human phantom 38 3.4.3. Image recovery in a pigs stomach and large intestine 40 3.5. Conclusion 41 Chapter 4. Super-Regenerative Receiver with Digitally Self-Quenching Loop 42 4.1. Introduction 42 4.1.1. Selection of receivers architecture for implantable medical device 44 4.1.2. Previous study of super-regenerative receiver 50 4.2. Main idea of proposed super-regenerative receiver 51 4.3. Description of proposed receiver 53 4.3.1. Digital self-quenching loop 55 4.3.2. Low noise amplifier and super-regenerative oscillator 57 4.3.3. Active RC filter for low power consumption 59 4.4. Experimental results 63 4.5. Summary and conclusion 69 Chapter 5. A Transmitter with Current-Reused and Current-Combining PA 71 5.1. Introduction 71 5.1.1. Previous study of OOK transmitter 72 5.2. Main idea of proposed transmitter 73 5.3. Description of proposed transmitter 79 5.3.1. Current-combining and current-reused PA 79 5.3.2. Ring oscillator with driving buffer 83 5.4. Experimental Results 85 5.5. Summary and conclusion 93 Chapter 6. Conclusion 95 Chapter 7. Appendix 97 7.1. Output spectrum of OOK signal 97 7.2. Theoretical BER of OOK comunication 99 Bibliography 101 초 록 109Docto

A prototype design of wireless capsule endoscope.

by Chan Yawen.Thesis submitted in: September 12, 2005.Thesis (M.Phil.)--Chinese University of Hong Kong, 2005.Includes bibliographical references (leaves 57-64).Abstracts in English and Chinese.Acknowledgement --- p.iiAbstract --- p.iv摘要 --- p.viiTable of Contents --- p.ixList of Figures --- p.xiiList of Tables --- p.xivChapter Chapter 1 --- Introduction --- p.1Chapter 1.1 --- Diseases of the Gastrointestinal (GI) Tract --- p.1Chapter 1.2 --- Wireless Capsule Endoscopy --- p.2Chapter 1.3 --- Goals of My Research Project --- p.9Chapter Part I - --- Experimental Study to Determine the Frequency of Wireless Transmission --- p.11Chapter Chapter 2 --- Background --- p.11Chapter 2.1 --- Analog and Digital Wireless Video Transmission --- p.11Chapter 2.2 --- "Industrial, Scientific and Medical (ISM) Bands" --- p.11Chapter 2.3 --- Adsorption of RP Energy by Biological Tissue --- p.13Chapter 2.4 --- Frequency used by Implanted/Ingested Devices --- p.13Chapter 2.5 --- Incentives of using Higher Frequencies --- p.14Chapter 2.6 --- Radiation Efficiency from an Implanted/Ingested Source --- p.15Chapter Chapter 3 --- Material and Method --- p.18Chapter 3.1 --- Human Body Trunk Experimental Model --- p.18Chapter 3.2 --- Radiating and Receiving Antennas --- p.19Chapter 3.3 --- Experimental Procedures --- p.21Chapter Chapter 4 --- Results and Discussions --- p.23Chapter Chapter 5 --- Conclusions --- p.30Chapter Part II - --- Prototype Design and Implementation --- p.31Chapter Chapter 6 --- Background --- p.31Chapter 6.1 --- Prototype Overview --- p.31Chapter 6.2 --- Digital and Analog Cameras --- p.32Chapter 6.3 --- Digital and Analog Transmitters --- p.34Chapter Chapter 7 --- Possible Solutions --- p.38Chapter 7.1 --- Analog Camera + Analog Video Transmission --- p.38Chapter 7.2 --- Digital Camera + Analog Video Transmission --- p.38Chapter 7.3 --- Digital Camera + Digital Video Transmission using WLAN Technology --- p.40Chapter 7.4 --- Digital Camera + Digital Video Transmission with Video Compression --- p.42Chapter Chapter 8 --- Implementation of the Analog Camera + Analog Transmission Solution --- p.44Chapter 8.1 --- Circuit Implementation --- p.44Chapter 8.2 --- System Verification --- p.49Chapter 8.3 --- Conclusions --- p.51Chapter Chapter 9 --- Conclusions and Future Work --- p.53Chapter 9.1 --- General Conclusions --- p.53Chapter 9.2 --- Future Work --- p.55List of Abbreviations --- p.6

Capsule endoscopy system with novel imaging algorithms

Wireless capsule endoscopy (WCE) is a state-of-the-art technology to receive images of human intestine for medical diagnostics. In WCE, the patient ingests a specially designed electronic capsule which has imaging and wireless transmission capabilities inside it. While the capsule travels through the gastrointestinal (GI) tract, it captures images and sends them wirelessly to an outside data logger unit. The data logger stores the image data and then they are transferred to a personal computer (PC) where the images are reconstructed and displayed for diagnosis. The key design challenge in WCE is to reduce the area and power consumption of the capsule while maintaining acceptable image reconstruction. In this research, the unique properties of WCE images are identified by analyzing hundreds of endoscopic images and video frames, and then these properties are used to develop novel and low complexity compression algorithms tailored for capsule endoscopy. The proposed image compressor consists of a new YEF color space converter, lossless prediction coder, customizable chrominance sub-sampler and an efficient Golomb-Rice encoder. The scheme has both lossy and lossless modes and is further customized to work with two lighting modes – conventional white light imaging (WLI) and emerging narrow band imaging (NBI). The average compression ratio achieved using the proposed lossy compression algorithm is 80.4% for WBI and 79.2% for NBI with high reconstruction quality index for both bands. Two surveys have been conducted which show that the reconstructed images have high acceptability among medical imaging doctors and gastroenterologists. The imaging algorithms have been realized in hardware description language (HDL) and their functionalities have been verified in field programmable gate array (FPGA) board. Later it was implemented in a 0.18 μm complementary metal oxide semiconductor (CMOS) technology and the chip was fabricated. Due to the low complexity of the core compressor, it consumes only 43 µW of power and 0.032 mm2 of area. The compressor is designed to work with commercial low-power image sensor that outputs image pixels in raster scan fashion, eliminating the need of significant input buffer memory. To demonstrate the advantage, a prototype of the complete WCE system including an FPGA based electronic capsule, a microcontroller based data logger unit and a Windows based image reconstruction software have been developed. The capsule contains the proposed low complexity image compressor and can generate both lossy and lossless compressed bit-stream. The capsule prototype also supports both white light imaging (WLI) and narrow band imaging (NBI) imaging modes and communicates with the data logger in full duplex fashion, which enables configuring the image size and imaging mode in real time during the examination. The developed data logger is portable and has a high data rate wireless connectivity including Bluetooth, graphical display for real time image viewing with state-of-the-art touch screen technology. The data are logged in micro SD cards and can be transferred to PC or Smartphone using card reader, USB interface, or Bluetooth wireless link. The workstation software can decompress and show the reconstructed images. The images can be navigated, marked, zoomed and can be played as video. Finally, ex-vivo testing of the WCE system has been done in pig's intestine to validate its performance

Prolonged energy harvesting for ingestible devices

Ingestible electronics have revolutionized the standard of care for a variety of health conditions. Extending the capacity and safety of these devices, and reducing the costs of powering them, could enable broad deployment of prolonged-monitoring systems for patients. Although previous biocompatible power-harvesting systems for in vivo use have demonstrated short (minute-long) bursts of power from the stomach, little is known about the potential for powering electronics in the longer term and throughout the gastrointestinal tract. Here, we report the design and operation of an energy-harvesting galvanic cell for continuous in vivo temperature sensing and wireless communication. The device delivered an average power of 0.23 μW mm⁻² of electrode area for an average of 6.1 days of temperature measurements in the gastrointestinal tract of pigs. This power-harvesting cell could provide power to the next generation of ingestible electronic devices for prolonged periods of time inside the gastrointestinal tract.National Institutes of Health (U.S.) (Grant EB-000244

Design and performance analysis of human body communication digital transceiver for wireless body area network applications

Wireless body area network (WBAN) is a prominent technology for resolving health-care concerns and providing high-speed continuous monitoring and real-time help. Human body communication (HBC) is an IEEE 802.15.6 physical layer standard for short-range communications that is not reliant on radio frequency (RF). Most WBAN applications can benefit from the HBC's low-latency and low-power architectural features. In this manuscript, an efficient digital HBC transceiver (TR) hardware architecture is designed as per IEEE 802.15.6 standard to overcome the drawbacks of the RF-wireless communication standards like signal leakage, on body antenna and power consumption. The design is created using a frequency selective digital transmission scheme for transmitter and receiver modules. The design resources are analyzed using different field programmable gate array (FPGA) families. The HBC TR utilizes <1% slices, consumes 101 mW power, and provides a throughput of 24.31 Mbps on Artix-7 FPGA with a latency of 10.5 clock cycles. In addition, the less than 10-4bit error rate of HBC is achieved with a 9.52 Mbps data rate. The proposed work is compared with existing architectures with significant improvement in performance parameters like chip area, power, and data rate

Prolonged energy harvesting for ingestible devices

Ingestible electronics have revolutionized the standard of care for a variety of health conditions. Extending the capacity and safety of these devices, and reducing the costs of powering them, could enable broad deployment of prolonged monitoring systems for patients. Although prior biocompatible power harvesting systems for in vivo use have demonstrated short minute-long bursts of power from the stomach, not much is known about the capacity to power electronics in the longer term and throughout the gastrointestinal tract. Here, we report the design and operation of an energy-harvesting galvanic cell for continuous in vivo temperature sensing and wireless communication. The device delivered an average power of 0.23 μW per mm2 of electrode area for an average of 6.1 days of temperature measurements in the gastrointestinal tract of pigs. This power-harvesting cell has the capacity to provide power for prolonged periods of time to the next generation of ingestible electronic devices located in the gastrointestinal tract

sCAM: An Untethered Insertable Laparoscopic Surgical Camera Robot

Fully insertable robotic imaging devices represent a promising future of minimally invasive laparoscopic vision. Emerging research efforts in this field have resulted in several proof-of-concept prototypes. One common drawback of these designs derives from their clumsy tethering wires which not only cause operational interference but also reduce camera mobility. Meanwhile, these insertable laparoscopic cameras are manipulated without any pose information or haptic feedback, which results in open loop motion control and raises concerns about surgical safety caused by inappropriate use of force.This dissertation proposes, implements, and validates an untethered insertable laparoscopic surgical camera (sCAM) robot. Contributions presented in this work include: (1) feasibility of an untethered fully insertable laparoscopic surgical camera, (2) camera-tissue interaction characterization and force sensing, (3) pose estimation, visualization, and feedback with sCAM, and (4) robotic-assisted closed-loop laparoscopic camera control. Borrowing the principle of spherical motors, camera anchoring and actuation are achieved through transabdominal magnetic coupling in a stator-rotor manner. To avoid the tethering wires, laparoscopic vision and control communication are realized with dedicated wireless links based on onboard power. A non-invasive indirect approach is proposed to provide real-time camera-tissue interaction force measurement, which, assisted by camera-tissue interaction modeling, predicts stress distribution over the tissue surface. Meanwhile, the camera pose is remotely estimated and visualized using complementary filtering based on onboard motion sensing. Facilitated by the force measurement and pose estimation, robotic-assisted closed-loop control has been realized in a double-loop control scheme with shared autonomy between surgeons and the robotic controller.The sCAM has brought robotic laparoscopic imaging one step further toward less invasiveness and more dexterity. Initial ex vivo test results have verified functions of the implemented sCAM design and the proposed force measurement and pose estimation approaches, demonstrating the technical feasibility of a tetherless insertable laparoscopic camera. Robotic-assisted control has shown its potential to free surgeons from low-level intricate camera manipulation workload and improve precision and intuitiveness in laparoscopic imaging

Development of A Soft Robotic Approach for An Intra-abdominal Wireless Laparoscopic Camera

In Single-Incision Laparoscopic Surgery (SILS), the Magnetic Anchoring and Guidance System (MAGS) arises as a promising technique to provide larger workspaces and field of vision for the laparoscopes, relief space for other instruments, and require fewer incisions. Inspired by MAGS, many concept designs related to fully insertable magnetically driven laparoscopes are developed and tested on the transabdominal operation. However, ignoring the tissue interaction and insertion procedure, most of the designs adopt rigid structures, which not only damage the patients\u27 tissue with excess stress concentration and sliding motion but also require complicated operation for the insertion. Meanwhile, lacking state tracking of the insertable camera including pose and contact force, the camera systems operate in open-loop control. This provides mediocre locomotion precision and limited robustness to uncertainties in the environment. This dissertation proposes, develops, and validates a soft robotic approach for an intra-abdominal wireless laparoscopic camera. Contributions presented in this work include (1) feasibility of a soft intra-abdominal laparoscopic camera with friendly tissue interaction and convenient insertion, (2) six degrees of freedom (DOF) real-time localization, (3) Closed-loop control for a robotic-assisted laparoscopic system and (4) untethering solution for wireless communication and high-quality video transmission. Embedding magnet pairs into the camera and external actuator, the camera can be steered and anchored along the abdominal wall through transabdominal magnetic coupling. To avoid the tissue rapture by the sliding motion and dry friction, a wheel structure is applied to achieve rolling motion. Borrowing the ideas from soft robotic research, the main body of the camera implements silicone material, which grants it the bendability to passively attach along the curved abdominal wall and the deformability for easier insertion. The six-DOF pose is estimated in real-time with internal multi-sensor fusion and Newton-Raphson iteration. Combining the pose tracking and force-torque sensor measurement, an interaction model between the deformable camera and tissue is established to evaluate the interaction force over the tissue surface. Moreover, the proposed laparoscopic system is integrated with a multi-DOF manipulator into a robotic-assisted surgical system, where a closed-loop control is realized based on a feedback controller and online optimization. Finally, the wireless control and video streaming are accomplished with Bluetooth Low Energy (BLE) and Analog Video (AV) transmission. Experimental assessments have been implemented to evaluate the performance of the laparoscopic system

Front-end receiver for miniaturised ultrasound imaging

Point of care ultrasonography has been the focus of extensive research over the past few decades. Miniaturised, wireless systems have been envisaged for new application areas, such as capsule endoscopy, implantable ultrasound and wearable ultrasound. The hardware constraints of such small-scale systems are severe, and tradeoffs between power consumption, size, data bandwidth and cost must be carefully balanced. To address these challenges, two synthetic aperture receiver architectures are proposed and compared. The architectures target highly miniaturised, low cost, B-mode ultrasound imaging systems. The first architecture utilises quadrature (I/Q) sampling to minimise the signal bandwidth and computational load. Synthetic aperture beamforming is carried out using a single-channel, pipelined protocol in order to minimise system complexity and power consumption. A digital beamformer dynamically apodises and focuses the data by interpolating and applying complex phase rotations to the I/Q samples. The beamformer is implemented on a Spartan-6 FPGA and consumes 296mW for a frame rate of 7Hz. The second architecture employs compressive sensing within the finite rate of innovation (FRI) framework to further reduce the data bandwidth. Signals are sampled below the Nyquist frequency, and then transmitted to a digital back-end processor, which reconstructs I/Q components non-linearly, and then carries out synthetic aperture beamforming. Both architectures were tested in hardware using a single-channel analogue front-end (AFE) that was designed and fabricated in AMS 0.35μm CMOS. The AFE demodulates RF ultrasound signals sequentially into I/Q components, and comprises a low-noise preamplifier, mixer, programmable gain amplifier (PGA) and lowpass filter. A variable gain low noise preamplifier topology is used to enable quasi-exponential time-gain control (TGC). The PGA enables digital selection of three gain values (15dB, 22dB and 25.5dB). The bandwidth of the lowpass filter is also selectable between 1.85MHz, 510kHz and 195kHz to allow for testing of both architectural frameworks. The entire AFE consumes 7.8 mW and occupies an area of 1.5×1.5 mm. In addition to the AFE, this thesis also presents the design of a pseudodifferential, log-domain multiplier-filter or “multer” which demodulates low-RF signals in the current-domain. This circuit targets high impedance transducers such as capacitive micromachined ultrasound transducers (CMUTs) and offers a 20dB improvement in dynamic range over the voltage-mode AFE. The bandwidth is also electronically tunable. The circuit was implemented in 0.35μm BiCMOS and was simulated in Cadence; however, no fabrication results were obtained for this circuit. B-mode images were obtained for both architectures. The quadrature SAB method yields a higher image SNR and 9% lower root mean squared error with respect to the RF-beamformed reference image than the compressive SAB method. Thus, while both architectures achieve a significant reduction in sampling rate, system complexity and area, the quadrature SAB method achieves better image quality. Future work may involve the addition of multiple receiver channels and the development of an integrated system-on-chip.Open Acces