Bluetooth-Based Sensor Networks for Remotely Monitoring the Physiological Signals of a Patient

“This material is presented to ensure timely dissemination of scholarly and technical work. Copyright and all rights therein are retained by authors or by other copyright holders. All persons copying this information are expected to adhere to the terms and constraints invoked by each author's copyright. In most cases, these works may not be reposted without the explicit permission of the copyright holder." “Copyright IEEE. Personal use of this material is permitted. However, permission to reprint/republish this material for advertising or promotional purposes or for creating new collective works for resale or redistribution to servers or lists, or to reuse any copyrighted component of this work in other works must be obtained from the IEEE.”Integrating intelligent medical microsensors into a wireless communication network makes it possible to remotely collect physiological signals of a patient, release the patient from being tethered to monitoring medical instrumentations, and facilitate the patient's early hospital discharge. This can further improve life quality by providing continuous observation without the need of disrupting the patient's normal life, thus reducing the risk of infection significantly, and decreasing the cost of the hospital and the patient. This paper discusses the implementation issues, and describes the overall system architecture of our developed Bluetooth sensor network for patient monitoring and the corresponding heart activity sensors. It also presents our approach to developing the intelligent physiological sensor nodes involving integration of Bluetooth radio technology, hardware and software organization, and our solutions for onboard signal processing.Peer reviewe

A Two Channel Analog Front end Design AFE Design with Continuous Time Σ-Δ Modulator for ECG Signal

In this context, the AFE with 2-channels is described, which has high impedance for low power application of bio-medical electrical activity. The challenge in obtaining accurate recordings of biomedical signals such as EEG/ECG to study the human body in research work. This paper is to propose Multi-Vt in AFE circuit design cascaded with CT modulator. The new architecture is anticipated with two dissimilar input signals filtered from 2-channel to one modulator. In this methodology, the amplifier is low powered multi-VT Analog Front-End which consumes less power by applying dual threshold voltage. Type -I category 2 channel signals of the first mode: 50 and 150 Hz amplified from AFE are given to 2nd CT sigma-delta ADC. Depict the SNR and SNDR as 63dB and 60dB respectively, consuming the power of 11mW. The design was simulated in a 0.18 um standard UMC CMOS process at 1.8V supply. The AFE measured frequency response from 50 Hz to 360 Hz, depict the SNR and SNDR as 63dB and 60dB respectively, consuming the power of 11mW. The design was simulated in 0.18 m standard UMC CMOS process at 1.8V supply. The AFE measured frequency response from 50 Hz to 360 Hz, programmable gains from 52.6 dB to 72 dB, input referred noise of 3.5 μV in the amplifier bandwidth, NEF of 3

A comprehensive survey of wireless body area networks on PHY, MAC, and network layers solutions

Recent advances in microelectronics and integrated circuits, system-on-chip design, wireless communication and intelligent low-power sensors have allowed the realization of a Wireless Body Area Network (WBAN). A WBAN is a collection of low-power, miniaturized, invasive/non-invasive lightweight wireless sensor nodes that monitor the human body functions and the surrounding environment. In addition, it supports a number of innovative and interesting applications such as ubiquitous healthcare, entertainment, interactive gaming, and military applications. In this paper, the fundamental mechanisms of WBAN including architecture and topology, wireless implant communication, low-power Medium Access Control (MAC) and routing protocols are reviewed. A comprehensive study of the proposed technologies for WBAN at Physical (PHY), MAC, and Network layers is presented and many useful solutions are discussed for each layer. Finally, numerous WBAN applications are highlighted

CMOS Hyperbolic Sine ELIN filters for low/audio frequency biomedical applications

Hyperbolic-Sine (Sinh) filters form a subclass of Externally-Linear-Internally-Non- Linear (ELIN) systems. They can handle large-signals in a low power environment under half the capacitor area required by the more popular ELIN Log-domain filters. Their inherent class-AB nature stems from the odd property of the sinh function at the heart of their companding operation. Despite this early realisation, the Sinh filtering paradigm has not attracted the interest it deserves to date probably due to its mathematical and circuit-level complexity. This Thesis presents an overview of the CMOS weak inversion Sinh filtering paradigm and explains how biomedical systems of low- to audio-frequency range could benefit from it. Its dual scope is to: consolidate the theory behind the synthesis and design of high order Sinh continuous–time filters and more importantly to confirm their micro-power consumption and 100+ dB of DR through measured results presented for the first time. Novel high order Sinh topologies are designed by means of a systematic mathematical framework introduced. They employ a recently proposed CMOS Sinh integrator comprising only p-type devices in its translinear loops. The performance of the high order topologies is evaluated both solely and in comparison with their Log domain counterparts. A 5th order Sinh Chebyshev low pass filter is compared head-to-head with a corresponding and also novel Log domain class-AB topology, confirming that Sinh filters constitute a solution of equally high DR (100+ dB) with half the capacitor area at the expense of higher complexity and power consumption. The theoretical findings are validated by means of measured results from an 8th order notch filter for 50/60Hz noise fabricated in a 0.35μm CMOS technology. Measured results confirm a DR of 102dB, a moderate SNR of ~60dB and 74μW power consumption from 2V power supply

A -5 dBm 400MHz OOK Transmitter for Wireless Medical Application

A 400 MHz high efficiency transmitter forwireless medical application is presented in this paper. Transmitter architecture with high-energy efficiencies isproposed to achieve high data rate with low powerconsumption. In the on-off keying transmitters, the oscillatorand power amplifier are turned off when the transmittersends 0 data. The proposed class-e power amplifier has highefficiency for low level output power. The proposed on-offkeying transmitter consumes 1.52 mw at -5 dBm output by 40Mbps data rate and energy consumption 38 pJ/bit. Theproposed transmitter has been designed in 0.18µm CMOStechnology

Low Power Circuits for Smart Flexible ECG Sensors

Cardiovascular diseases (CVDs) are the world leading cause of death. In-home heart condition monitoring effectively reduced the CVD patient hospitalization rate. Flexible electrocardiogram (ECG) sensor provides an affordable, convenient and comfortable in-home monitoring solution. The three critical building blocks of the ECG sensor i.e., analog frontend (AFE), QRS detector, and cardiac arrhythmia classifier (CAC), are studied in this research. A fully differential difference amplifier (FDDA) based AFE that employs DC-coupled input stage increases the input impedance and improves CMRR. A parasitic capacitor reuse technique is proposed to improve the noise/area efficiency and CMRR. An on-body DC bias scheme is introduced to deal with the input DC offset. Implemented in 0.35m CMOS process with an area of 0.405mm2, the proposed AFE consumes 0.9W at 1.8V and shows excellent noise effective factor of 2.55, and CMRR of 76dB. Experiment shows the proposed AFE not only picks up clean ECG signal with electrodes placed as close as 2cm under both resting and walking conditions, but also obtains the distinct -wave after eye blink from EEG recording. A personalized QRS detection algorithm is proposed to achieve an average positive prediction rate of 99.39% and sensitivity rate of 99.21%. The user-specific template avoids the complicate models and parameters used in existing algorithms while covers most situations for practical applications. The detection is based on the comparison of the correlation coefficient of the user-specific template with the ECG segment under detection. The proposed one-target clustering reduced the required loops. A continuous-in-time discrete-in-amplitude (CTDA) artificial neural network (ANN) based CAC is proposed for the smart ECG sensor. The proposed CAC achieves over 98% classification accuracy for 4 types of beats defined by AAMI (Association for the Advancement of Medical Instrumentation). The CTDA scheme significantly reduces the input sample numbers and simplifies the sample representation to one bit. Thus, the number of arithmetic operations and the ANN structure are greatly simplified. The proposed CAC is verified by FPGA and implemented in 0.18m CMOS process. Simulation results show it can operate at clock frequencies from 10KHz to 50MHz. Average power for the patient with 75bpm heart rate is 13.34W

Edge Devices for Internet of Medical Things: Technologies, Techniques, and Implementation

The health sector is currently experiencing a significant paradigm shift. The growing number of elderly people in several countries along with the need to reduce the healthcare cost result in a big need for intelligent devices that can monitor and diagnose the well-being of individuals in their daily life and provide necessary alarms. In this context, wearable computing technologies are gaining importance as edge devices for the Internet of Medical Things. Their enabling technologies are mainly related to biological sensors, computation in low-power processors, and communication technologies. Recently, energy harvesting techniques and circuits have been proposed to extend the operating time of wearable devices and to improve usability aspects. This survey paper aims at providing an overview of technologies, techniques, and algorithms for wearable devices in the context of the Internet of Medical Things. It also surveys the various transformation techniques used to implement those algorithms using fog computing and IoT devices

PROCESS AWARE ANALOG-CENTRIC SINGLE LEAD ECG ACQUISITION AND CLASSIFICATION CMOS FRONTEND

The primary objective of this research work is the development of a low power single-lead ECG analog front-end (AFE) architecture which includes acquisition, digitization, process aware efficient gain and frequency control mechanism and a low complexity classifier for the detecting asystole, extreme bardycardia and tachycardia. Recent research on ECG recording systems focuses on the design of a compact single-lead wearable/portable devices with ultra-low-power consumption and in-built hardware for diagnosis and prognosis. Since, the amplitude of the ECG signal varies from hundreds of µV to a few mV, and has a bandwidth of DC to 250 Hz, conventional front-ends use an instrument amplifier followed by a programmable gain amplifier (PGA) to amplify the input ECG signal appropriately. This work presents an mixed signal ECG fronted with an ultra-low power two-stage capacitive-coupled signal conditioning circuit (or an AFE), providing programmable amplification along with tunable 2nd order high pass and lowpass filter characteristics. In the contemporary state-of-the-art ECG recording systems, the gain of the amplifier is controlled by external digital control pins which are in turn dynamically controlled through a DSP. Therefore, an efficient automatic gain control mechanism with minimal area overhead and consuming power in the order of nano watts only. The AGC turns the subsequent ADC on only after output of the PGA (or input of the ADC) reaches a level for which the ADC achieves maximum signal-to-noise-ratio (SNR), hence saving considerable startup power and avoiding the use of DSP. Further, in any practical filter design, the low pass cut-off frequency is prone to deviate from its nominal value across process and temperature variations. Therefore, post-fabrication calibration is essential, before the signal is fed to an ADC, to minimize this deviation, prevent signal degradation due to aliasing of higher frequencies into the bandwidth for classification of ECG signals, to switch to low resolution processing, hence saving power and enhances battery lifetime. Another short-coming noticed in the literature published so far is that the classification algorithm is implemented in digital domain, which turns out to be a power hungry approach. Moreover, Although analog domain implementations of QRS complexes detection schemes have been reported, they employ an external micro-controller to determine the threshold voltage. In this regard, finally a power-efficient low complexity CMOS fully analog classifier architecture and a heart rate estimator is added to the above scheme. It reduces the overall system power consumption by reducing the computational burden on the DSP. The complete proposed scheme consists of (i) an ultra-low power QRS complex detection circuit using an autonomous dynamic threshold voltage, hence discarding the need of any external microcontroller/DSP and calibration (ii) a power efficient analog classifier for the detection of three critical alarm types viz. asystole, extreme bradycardia and tachycardia. Additionally, a heart rate estimator that provides the number of QRS complexes within a period of one minute for cardiac rhythm (CR) and heart rate variability (HRV) analysis. The complete proposed architecture is implemented in UMC 0.18 µm CMOS technology with 1.8 V supply. The functionality of each of the individual blocks are successfully validated using postextraction process corner simulations and through real ECG test signals taken from the PhysioNet database. The capacitive feedback amplifier, Σ∆ ADC, AGC and the AFT are fabricated, and the measurement results are discussed here. The analog classification scheme is successfully validated using embed NXP LPC1768 board, discrete peak detector prototype and FPGA software interfac

Ultra low power wearable sleep diagnostic systems

Sleep disorders are studied using sleep study systems called Polysomnography that records several biophysical parameters during sleep. However, these are bulky and are typically located in a medical facility where patient monitoring is costly and quite inefficient. Home-based portable systems solve these problems to an extent but they record only a minimal number of channels due to limited battery life. To surmount this, wearable sleep system are desired which need to be unobtrusive and have long battery life. In this thesis, a novel sleep system architecture is presented that enables the design of an ultra low power sleep diagnostic system. This architecture is capable of extending the recording time to 120 hours in a wearable system which is an order of magnitude improvement over commercial wearable systems that record for about 12 hours. This architecture has in effect reduced the average power consumption of 5-6 mW per channel to less than 500 uW per channel. This has been achieved by eliminating sampled data architecture, reducing the wireless transmission rate and by moving the sleep scoring to the sensors. Further, ultra low power instrumentation amplifiers have been designed to operate in weak inversion region to support this architecture. A 40 dB chopper-stabilised low power instrumentation amplifiers to process EEG were designed and tested to operate from 1.0 V consuming just 3.1 uW for peak mode operation with DC servo loop. A 50 dB non-EEG amplifier continuous-time bandpass amplifier with a consumption of 400 nW was also fabricated and tested. Both the amplifiers achieved a high CMRR and impedance that are critical for wearable systems. Combining these amplifiers with the novel architecture enables the design of an ultra low power sleep recording system. This reduces the size of the battery required and hence enables a truly wearable system.Open Acces

Millimeter-Scale and Energy-Efficient RF Wireless System

This dissertation focuses on energy-efficient RF wireless system with millimeter-scale dimension, expanding the potential use cases of millimeter-scale computing devices. It is challenging to develop RF wireless system in such constrained space. First, millimeter-sized antennae are electrically-small, resulting in low antenna efficiency. Second, their energy source is very limited due to the small battery and/or energy harvester. Third, it is required to eliminate most or all off-chip devices to further reduce system dimension. In this dissertation, these challenges are explored and analyzed, and new methods are proposed to solve them. Three prototype RF systems were implemented for demonstration and verification. The first prototype is a 10 cubic-mm inductive-coupled radio system that can be implanted through a syringe, aimed at healthcare applications with constrained space. The second prototype is a 3x3x3 mm far-field 915MHz radio system with 20-meter NLOS range in indoor environment. The third prototype is a low-power BLE transmitter using 3.5x3.5 mm planar loop antenna, enabling millimeter-scale sensors to connect with ubiquitous IoT BLE-compliant devices. The work presented in this dissertation improves use cases of millimeter-scale computers by presenting new methods for improving energy efficiency of wireless radio system with extremely small dimensions. The impact is significant in the age of IoT when everything will be connected in daily life.PHDElectrical EngineeringUniversity of Michigan, Horace H. Rackham School of Graduate Studieshttps://deepblue.lib.umich.edu/bitstream/2027.42/147686/1/yaoshi_1.pd