Wearable electroencephalography for long-term monitoring and diagnostic purposes

Truly Wearable EEG (WEEG) can be considered as the future of ambulatory EEG units, which are the current standard for long-term EEG monitoring. Replacing these short lifetime, bulky units with long-lasting, miniature and wearable devices that can be easily worn by patients will result in more EEG data being collected for extended monitoring periods. This thesis presents three new fabricated systems, in the form of Application Specific Integrated Circuits (ASICs), to aid the diagnosis of epilepsy and sleep disorders by detecting specific clinically important EEG events on the sensor node, while discarding background activity. The power consumption of the WEEG monitoring device incorporating these systems can be reduced since the transmitter, which is the dominating element in terms of power consumption, will only become active based on the output of these systems. Candidate interictal activity is identified by the developed analog-based interictal spike selection system-on-chip (SoC), using an approximation of the Continuous Wavelet Transform (CWT), as a bandpass filter, and thresholding. The spike selection SoC is fabricated in a 0.35 μm CMOS process and consumes 950 nW. Experimental results reveal that the SoC is able to identify 87% of interictal spikes correctly while only transmitting 45% of the data. Sections of EEG data containing likely ictal activity are detected by an analog seizure selection SoC using the low complexity line length feature. This SoC is fabricated in a 0.18 μm CMOS technology and consumes 1.14 μW. Based on experimental results, the fabricated SoC is able to correctly detect 83% of seizure episodes while transmitting 52% of the overall EEG data. A single-channel analog-based sleep spindle detection SoC is developed to aid the diagnosis of sleep disorders by detecting sleep spindles, which are characteristic events of sleep. The system identifies spindle events by monitoring abrupt changes in the input EEG. An approximation of the median frequency calculation, incorporated as part of the system, allows for non-spindle activity incorrectly identified by the system as sleep spindles to be discarded. The sleep spindle detection SoC is fabricated in a 0.18 μm CMOS technology, consuming only 515 nW. The SoC achieves a sensitivity and specificity of 71.5% and 98% respectively.Open Acces

A Multi-Sensor Platform for Microcurrent Skin Stimulation during Slow Wave Sleep

Insu cient and low quality sleep is related to several health issues and social outcomes. Regular sleep study conducted in a sleep laboratory is impractical and expensive. As a result, miniature and non-invasive sleep monitoring devices provide an accessible sleep data. Though not as accurate as polysomnography, these devices provide useful data to the subject by tracking sleep patterns regularly. On the other hand, proactive improvement of sleep quality has been limited to pharmacological solutions and cranial electrotherapy stimulation. An alternative approach and a potential solution to sleep deprivation is a non-pharmacological technique which involves the application of micro-current electrical stimulation on the palm during Slow Wave Sleep (SWS). This thesis presents the development of a miniature device for SWS detection and electrocutaneous stimulation. Several sensors are embedded in the prototype device to measure physiological data such as body movement, electrodermal activity, heart rate, and skin and ambient temperature. Furthermore, the prototype device provides local storage and wireless transfer for data acquisition. The quality of the sensor data during sleep are discussed in this thesis. For future work, the results of this thesis shall be the used as a baseline to develop a more re ned prototype for clinical trials in sleep laboratories

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

Wearable Multi-Biosignal Analysis Integrated Interface with Direct Sleep-Stage Classification

This paper presents a wearable multi-biosignal wireless interface for sleep analysis. It enables comfortable sleep monitoring with direct sleep-stage classification capability while conventional analytic interfaces including the Polysomnography (PSG) require complex post-processing analyses based on heavy raw data, need expert supervision for measurements, or do not provide comfortable fit for long-time wearing. The proposed multi-biosignal interface consists of electroencephalography (EEG), electromyography (EMG), and electrooculography (EOG). A readout integrated circuit (ROIC) is designed to collect three kinds of bio-potential signals through four internal readout channels, where their analog feature extraction circuits are included together to provide sleep-stage classification directly. The designed multi-biosignal sensing ROIC is fabricated in a 180-nm complementary metal & x2013;oxide & x2013;semiconductor (CMOS) process. For system-level verification, its low-power headband-style analytic device is implemented for wearable sleep monitoring, where the direct sleep-stage classification is performed based on a decision tree algorithm. It is functionally verified by comparison experiments with post-processing analysis results from the OpenBCI module, whose sleep-stage detection shows reasonable correlation of 74% for four sleep stages

Multi-Biosignal Sensing Interface with Direct Sleep-Stage Classification

Department of Electrical EngineeringSleep is a time of mental and physical rest in a person???s daily cycle. It is an indispensable metabolic activity that helps the body grow and boosts immunity. Therefore, sleep disorders can cause illness in the body as well as just physical condition. Among these diseases are typically included rapid eye movement (REM) sleep behavior disorder, nocturnal enuresis, sleepwalking, etc., which can cause serious injury on sleep. Sleep disorders are a common disease. According to a survey, sleep deprivation and disability affect a significant part of the world???s population. It is a disease that affects tens of millions of people around the world. In general, treatment for sleep disorders checks the quality during sleep and prescribes various sleep diseases by checking the condition of sleep. Sleep quality and sleep disease are determined by the depth and time of the sleep phase. Therefore, the analysis and classification of the sleep stage are essential. According to the manual of the American Academy of Sleep Medicine (AASM), sleep stages are divided into five stages. Various methods for sleep analysis have been developed. Polysomnography (PSG), called the golden standard, is the most reliable measurement of sleep quality in hospitals for sleep disorders, but this conventional method requires the use of various human body signals, and it is difficult to access due to the complex interface and various electrodes. It is not economical because of its infrastructure, which does not lead to direct treatment of prospective patients. In addition, the conventional interface system process is not an integrated interface system. The integrated interface system refers to the integration of the interface in the measuring and analysis process. Conventional sensing and analysis take place on the instrument measuring the patient and on the analyst???s computer. Therefore, conventional treatments are not economical and make patient self-analysis difficult. Furthermore, this makes it difficult to increase the demand for prospective patients. This paper presents a multi-biosignal sensing interface system with direct sleep-stage classification. Unlike conventional systems, this work proposes an interface system that is an integrated interface system, measuring, and analysis based on the analog circuit and system. The proposed paper configures a multi-biosignal sensing interface consisting of single-channel EEG, EMG, and 2EoG. The multi-biosignal sensing readout integrated circuit (ROIC) collects analog signals from the electrodes and extracts features from the signal. The multi-biosignal sensing ROIC has a feature extraction stage that directly extracts the characteristic of sleep stages. The analog feature extraction stage consists of the optimized circuit for three multi-biosignal extracts the feature of each stage during sleep on the waveform. The extracted signal is scored by the rule-based decision tree sleep stage proposed by the micro controller unit (MCU). The multi-biosignal sensing ROIC can analyze the sleep stage through EEG, EMG, and 2EOG, and can simultaneously analyze four channels. The multi-biosignal sensing ROIC is implemented using a compensate metal-oxide-semiconductor 0.18um process. In addition, this system implements a low-power, integrated module for portable device configuration, and from this interface makes a smart headband for prospective patients. Depending on the purpose of use, it consists of 2 type paths, including raw data recording and analog feature extraction based direct sleep classification using decision tree algorithm. Finally, sleep stage scoring can be displayed, or raw data can be sent to the personal computer interface to increase accuracy. The sleep stage was verified by comparing the OpenBCI module-based MATLAB analysis using SVM with this system, and the result shows an overall accuracy of 74% for four sleep stages.clos

The 2023 wearable photoplethysmography roadmap

Photoplethysmography is a key sensing technology which is used in wearable devices such as smartwatches and fitness trackers. Currently, photoplethysmography sensors are used to monitor physiological parameters including heart rate and heart rhythm, and to track activities like sleep and exercise. Yet, wearable photoplethysmography has potential to provide much more information on health and wellbeing, which could inform clinical decision making. This Roadmap outlines directions for research and development to realise the full potential of wearable photoplethysmography. Experts discuss key topics within the areas of sensor design, signal processing, clinical applications, and research directions. Their perspectives provide valuable guidance to researchers developing wearable photoplethysmography technology

Strategies for neural networks in ballistocardiography with a view towards hardware implementation

A thesis submitted for the degree of Doctor of Philosophy at the University of LutonThe work described in this thesis is based on the results of a clinical trial conducted by the research team at the Medical Informatics Unit of the University of Cambridge, which show that the Ballistocardiogram (BCG) has prognostic value in detecting impaired left ventricular function before it becomes clinically overt as myocardial infarction leading to sudden death. The objective of this study is to develop and demonstrate a framework for realising an on-line BCG signal classification model in a portable device that would have the potential to find pathological signs as early as possible for home health care. Two new on-line automatic BeG classification models for time domain BeG classification are proposed. Both systems are based on a two stage process: input feature extraction followed by a neural classifier. One system uses a principal component analysis neural network, and the other a discrete wavelet transform, to reduce the input dimensionality. Results of the classification, dimensionality reduction, and comparison are presented. It is indicated that the combined wavelet transform and MLP system has a more reliable performance than the combined neural networks system, in situations where the data available to determine the network parameters is limited. Moreover, the wavelet transfonn requires no prior knowledge of the statistical distribution of data samples and the computation complexity and training time are reduced. Overall, a methodology for realising an automatic BeG classification system for a portable instrument is presented. A fully paralJel neural network design for a low cost platform using field programmable gate arrays (Xilinx's XC4000 series) is explored. This addresses the potential speed requirements in the biomedical signal processing field. It also demonstrates a flexible hardware design approach so that an instrument's parameters can be updated as data expands with time. To reduce the hardware design complexity and to increase the system performance, a hybrid learning algorithm using random optimisation and the backpropagation rule is developed to achieve an efficient weight update mechanism in low weight precision learning. The simulation results show that the hybrid learning algorithm is effective in solving the network paralysis problem and the convergence is much faster than by the standard backpropagation rule. The hidden and output layer nodes have been mapped on Xilinx FPGAs with automatic placement and routing tools. The static time analysis results suggests that the proposed network implementation could generate 2.7 billion connections per second performance

Analog and Mixed Signal Design towards a Miniaturized Sleep Apnea Monitoring Device

Sleep apnea is a sleep-induced breathing disorder with symptoms of momentary and often repetitive cessations in breathing rhythm or sustained reductions in breathing amplitude. The phenomenon is known to occur with varying degrees of severity in literally millions of people around the world and cause a range of chronicle health issues. In spite of its high prevalence and serious consequences, nearly 80% of people with sleep apnea condition remain undiagnosed. The current standard diagnosis technique, termed polysomnography or PSG, requires the patient to schedule and undergo a complex full-night sleep study in a specially-equipped sleep lab. Due to both high cost and substantial inconvenience, millions of apnea patients are still undiagnosed and thus untreated. This research work aims at a simple, reliable, and miniaturized solution for in-home sleep apnea diagnosis purposes. The proposed solution bears high-level integration and minimal interference with sleeping patients, allowing them to monitor their apnea conditions at the comfort of their homes. Based on a MEMS sensor and an effective apnea detection algorithm, a low-cost single-channel apnea screening solution is proposed. A custom designed IC chip implements the apnea detection algorithm using time-domain signal processing techniques. The chip performs autonomous apnea detection and scoring based on the patient’s airflow signals detected by the MEMS sensor. Variable sensitivity is enabled to accommodate different breathing signal amplitudes. The IC chip was fabricated in standard 0.5-μm CMOS technology. A prototype device was designed and assembled including a MEMS sensor, the apnea detection IC chip, a PSoC platform, and wireless transceiver for data transmission. The prototype device demonstrates a valuable screening solution with great potential to reach the broader public with undiagnosed apnea conditions. In a battery-operated miniaturized medical device, an energy-efficient analog-to-digital converter is an integral part linking the analog world of biomedical signals and the digital domain with powerful signal processing capabilities. This dissertation includes the detailed design of a successive approximation register (SAR) ADC for ultra-low power applications. The ADC adopts an asynchronous 2b/step scheme that halves both conversion time and DAC/digital circuit’s switching activities to reduce static and dynamic energy consumption. A low-power sleep mode is engaged at the end of all conversion steps during each clock period. The technical contributions of this ADC design include an innovative 2b/step reference scheme based on a hybrid R-2R/C-3C DAC, an interpolation-assisted time-domain 2b comparison scheme, and a TDC with dual-edge-comparison mechanism. The prototype ADC was fabricated in 0.18μm CMOS process with an active area of 0.103 mm^(2), and achieves an ENoB of 9.2 bits and an FoM of 6.7 fJ/conversion-step at 100-kS/s