Fuzzy Controller for Dual Sensors Cardiac Pacemaker System in Patients with Bradycardias at Rest

Cardiovascular disease is defined as a heart rate that is less than 60 bpm. Implantable cardiac devices such as pacemakers are widely used nowadays. In this paper, design and implementation of the heart model can be controlled to be the heart of a patient suffering from a decrease in heart rate (Bradycardia). A system is designed to sense and calculate the heart rate per minute and it is considered as an input to the controller. The design and implementation of Mamdani fuzzy controller to generate electric pulses that mimic the natural pacing system of the heart maintains an adequate heart rate by delivering controlled, rhythmic electrical stimuli to the chambers of the patient heart. The proposed controller is tested by using Matlab/Simulink program

Advanced intelligent control and optimization for cardiac pacemaker systems

Since cardiovascular diseases are major causes of morbidity and mortality in the developed countries and the number one cause of death in the United States, their accurate diagnosis and effective treatment via advanced cardiac pacemaker systems have become very important. Intelligent control and optimization of the pacemakers are significant research subjects. Serious but infrequently occurring arrhythmias are difficult to diagnose. The use of electrocardiogram (ECG) waveform only cannot exactly distinguish between deadly abnormalities and temporary arrhythmias. Thus, this work develops a new method based on frequency entrainment to analyze pole-zero characteristics of the phase error between abnormal ECG and entrained Yanagihara, Noma, and Irisawa (YNI)-response. The thresholds of poles and zeros to diagnose deadly bradycardia and tachycardia are derived, respectively, for the first time. For bradycardia under different states, a fuzzy proportional-integral-derivative (FPID) controller for dual- sensor cardiac pacemaker systems is designed. It can automatically control the heart rate to accurately track a desired preset profile. Through comparing with the conventional algorithm, FPID provides a more suitable control strategy for offering better adaptation of the heart rate, in order to fulfill the patient\u27s physiological needs. This novel control method improves the robustness and performance of a pacemaker system significantly. Higher delivered energy for stimulation may cause higher energy consumption in pacemakers and accelerated battery depletion. Hence, this work designs an optimal single-pulse stimulus to treat sudden cardiac arrest, while minimizing the pulse amplitude and releasing stimulus pain. Moreover, it derives the minimum pulse amplitude for successful entrainment. The simulation results confirm that the optimal single-pulse is effective to induce rapid response of sudden cardiac arrest for heartbeat recovery, while a significant reduction in the delivered energy is achieved. The study will be helpful for not only better diagnosis and treatment of cardiovascular diseases but also improving the performance of pacemaker systems

Type-2 fuzzy sets applied to multivariable self-organizing fuzzy logic controllers for regulating anesthesia

In this paper, novel interval and general type-2 self-organizing fuzzy logic controllers (SOFLCs) are proposed for the automatic control of anesthesia during surgical procedures. The type-2 SOFLC is a hierarchical adaptive fuzzy controller able to generate and modify its rule-base in response to the controller's performance. The type-2 SOFLC uses type-2 fuzzy sets derived from real surgical data capturing patient variability in monitored physiological parameters during anesthetic sedation, which are used to define the footprint of uncertainty (FOU) of the type-2 fuzzy sets. Experimental simulations were carried out to evaluate the performance of the type-2 SOFLCs in their ability to control anesthetic delivery rates for maintaining desired physiological set points for anesthesia (muscle relaxation and blood pressure) under signal and patient noise. Results show that the type-2 SOFLCs can perform well and outperform previous type-1 SOFLC and comparative approaches for anesthesia control producing lower performance errors while using better defined rules in regulating anesthesia set points while handling the control uncertainties. The results are further supported by statistical analysis which also show that zSlices general type-2 SOFLCs are able to outperform interval type-2 SOFLC in terms of their steady state performance

Performance Analysis of Extracted Rule-Base Multivariable Type-2 Self-Organizing Fuzzy Logic Controller Applied to Anesthesia

We compare type-1 and type-2 self-organizing fuzzy logic controller (SOFLC) using expert initialized and pretrained extracted rule-bases applied to automatic control of anaesthesia during surgery. We perform experimental simulations using a nonfixed patient model and signal noise to account for environmental and patient drug interaction uncertainties. The simulations evaluate the performance of the SOFLCs in their ability to control anesthetic delivery rates for maintaining desired physiological set points for muscle relaxation and blood pressure during a multistage surgical procedure. The performances of the SOFLCs are evaluated by measuring the steady state errors and control stabilities which indicate the accuracy and precision of control task. Two sets of comparisons based on using expert derived and extracted rule-bases are implemented as Wilcoxon signed-rank tests. Results indicate that type-2 SOFLCs outperform type-1 SOFLC while handling the various sources of uncertainties. SOFLCs using the extracted rules are also shown to outperform those using expert derived rules in terms of improved control stability

Time-Delay Switch Attack on Networked Control Systems, Effects and Countermeasures

In recent years, the security of networked control systems (NCSs) has been an important challenge for many researchers. Although the security schemes for networked control systems have advanced in the past several years, there have been many acknowledged cyber attacks. As a result, this dissertation proposes the use of a novel time-delay switch (TDS) attack by introducing time delays into the dynamics of NCSs. Such an attack has devastating effects on NCSs if prevention techniques and countermeasures are not considered in the design of these systems. To overcome the stability issue caused by TDS attacks, this dissertation proposes a new detector to track TDS attacks in real time. This method relies on an estimator that will estimate and track time delays introduced by a hacker. Once a detector obtains the maximum tolerable time delay of a plant’s optimal controller (for which the plant remains secure and stable), it issues an alarm signal and directs the system to its alarm state. In the alarm state, the plant operates under the control of an emergency controller that can be local or networked to the plant and remains in this stable mode until the networked control system state is restored. In another effort, this dissertation evaluates different control methods to find out which one is more stable when under a TDS attack than others. Also, a novel, simple and effective controller is proposed to thwart TDS attacks on the sensing loop (SL). The modified controller controls the system under a TDS attack. Also, the time-delay estimator will track time delays introduced by a hacker using a modified model reference-based control with an indirect supervisor and a modified least mean square (LMS) minimization technique. Furthermore, here, the demonstration proves that the cryptographic solutions are ineffective in the recovery from TDS attacks. A cryptography-free TDS recovery (CF-TDSR) communication protocol enhancement is introduced to leverage the adaptive channel redundancy techniques, along with a novel state estimator to detect and assist in the recovery of the destabilizing effects of TDS attacks. The conclusion shows how the CF-TDSR ensures the control stability of linear time invariant systems

Multifingered robot hand robot operates using teleoperation

The purpose of research on anthropomorphic dextrous manipulation is to develop anthropomorphic dextrous robot hand which approximates the versatility and sensitivity of the human hand by teleoperation methods that will communicate in master– slave manners. Glove operates as master part and multi-fingered hand as slave. The communication medium between operator and multi-fingered hand is via KC-21 Bluetooth wireless modules. Multi-fingered hand developed using 5 volt, 298:1 gear ratio micro metal dc motors which controlled using L293D motor drivers and actuator controlled the movement of robot hand combined with dextrous human ability by PIC18F4520 microcontroller. The slave components of 5 fingers designed with 15 Degree of Freedom (DOF) by 3 DOF for each finger. Fingers design, by modified IGUS 07-16-038-0 enclosed zipper lead E-Chain® Cable Carrier System, used in order to shape mimic as human size. FLEX sensor, bend sensing resistance used for both master and slave part and attached as feedback to the system, in order to control position configuration. Finally, the intelligence, learning and experience aspects of the human can be combined with the strength, endurance and speed of the robot in order to generate proper output of this project