Connectivity for Healthcare and Well-Being Management: Examples from Six European Projects

Technological advances and societal changes in recent years have contributed to a shift in traditional care models and in the relationship between patients and their doctors/carers, with (in general) an increase in the patient-carer physical distance and corresponding changes in the modes of access to relevant care information by all groups. The objective of this paper is to showcase the research efforts of six projects (that the authors are currently, or have recently been, involved in), CAALYX, eCAALYX, COGKNOW, EasyLine+, I2HOME, and SHARE-it, all funded by the European Commission towards a future where citizens can take an active role into managing their own healthcare. Most importantly, sensitive groups of citizens, such as the elderly, chronically ill and those suffering from various physical and cognitive disabilities, will be able to maintain vital and feature-rich connections with their families, friends and healthcare providers, who can then respond to, and prevent, the development of adverse health conditions in those they care for in a timely manner, wherever the carers and the people cared for happen to be

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

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

A Three – tier bio-implantable sensor monitoring and communications platform

One major hindrance to the advent of novel bio-implantable sensor technologies is the need for a reliable power source and data communications platform capable of continuously, remotely, and wirelessly monitoring deeply implantable biomedical devices. This research proposes the feasibility and potential of combining well established, ‘human-friendly' inductive and ultrasonic technologies to produce a proof-of-concept, generic, multi-tier power transfer and data communication platform suitable for low-power, periodically-activated implantable analogue bio-sensors. In the inductive sub-system presented, 5 W of power is transferred across a 10 mm gap between a single pair of 39 mm (primary) and 33 mm (secondary) circular printed spiral coils (PSCs). These are printed using an 8000 dpi resolution photoplotter and fabricated on PCB by wet-etching, to the maximum permissible density. Our ultrasonic sub-system, consisting of a single pair of Pz21 (transmitter) and Pz26 (receiver) piezoelectric PZT ceramic discs driven by low-frequency, radial/planar excitation (-31 mode), without acoustic matching layers, is also reported here for the first time. The discs are characterised by propagation tank test and directly driven by the inductively coupled power to deliver 29 μW to a receiver (implant) employing a low voltage start-up IC positioned 70 mm deep within a homogeneous liquid phantom. No batteries are used. The deep implant is thus intermittently powered every 800 ms to charge a capacitor which enables its microcontroller, operating with a 500 kHz clock, to transmit a single nibble (4 bits) of digitized sensed data over a period of ~18 ms from deep within the phantom, to the outside world. A power transfer efficiency of 83% using our prototype CMOS logic-gate IC driver is reported for the inductively coupled part of the system. Overall prototype system power consumption is 2.3 W with a total power transfer efficiency of 1% achieved across the tiers

Real-time signal detection and classification algorithms for body-centered systems

El principal motivo por el cual los sistemas de comunicación en el entrono corporal se desean con el objetivo de poder obtener y procesar señales biométricas para monitorizar e incluso tratar una condición médica sea ésta causada por una enfermedad o el rendimiento de un atleta. Dado que la base de estos sistemas está en la sensorización y el procesado, los algoritmos de procesado de señal son una parte fundamental de los mismos. Esta tesis se centra en los algoritmos de tratamiento de señales en tiempo real que se utilizan tanto para monitorizar los parámetros como para obtener la información que resulta relevante de las señales obtenidas. En la primera parte se introduce los tipos de señales y sensores en los sistemas en el entrono corporal. A continuación se desarrollan dos aplicaciones concretas de los sistemas en el entorno corporal así como los algoritmos que en las mismas se utilizan. La primera aplicación es el control de glucosa en sangre en pacientes con diabetes. En esta parte se desarrolla un método de detección mediante clasificación de patronones de medidas erróneas obtenidas con el monitor contínuo comercial "Minimed CGMS". La segunda aplicacióin consiste en la monitorizacióni de señales neuronales. Descubrimientos recientes en este campo han demostrado enormes posibilidades terapéuticas (por ejemplo, pacientes con parálisis total que son capaces de comunicarse con el entrono gracias a la monitorizacióin e interpretación de señales provenientes de sus neuronas) y también de entretenimiento. En este trabajo, se han desarrollado algoritmos de detección, clasificación y compresión de impulsos neuronales y dichos algoritmos han sido evaluados junto con técnicas de transmisión inalámbricas que posibiliten una monitorización sin cables. Por último, se dedica un capítulo a la transmisión inalámbrica de señales en los sistemas en el entorno corporal. En esta parte se estudia las condiciones del canal que presenta el entorno corporal para la transmisión de sTraver Sebastiá, L. (2012). Real-time signal detection and classification algorithms for body-centered systems [Tesis doctoral no publicada]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/16188Palanci

Toward Brain Area Sensor Wireless Network

RÉSUMÉ De nouvelles approches d'interfaçage neuronal de haute performance sont requises pour les interfaces cerveau-machine (BMI) actuelles. Cela nécessite des capacités d'enregistrement/stimulation performantes en termes de vitesse, qualité et quantité, c’est à dire une bande passante à fréquence plus élevée, une résolution spatiale, un signal sur bruit et une zone plus large pour l'interface avec le cortex cérébral. Dans ce mémoire, nous parlons de l'idée générale proposant une méthode d'interfaçage neuronal qui, en comparaison avec l'électroencéphalographie (EEG), l'électrocorticographie (ECoG) et les méthodes d'interfaçage intracortical conventionnelles à une seule unité, offre de meilleures caractéristiques pour implémenter des IMC plus performants. Les avantages de la nouvelle approche sont 1) une résolution spatiale plus élevée - en dessous dumillimètre, et une qualité de signal plus élevée - en termes de rapport signal sur bruit et de contenu fréquentiel - comparé aux méthodes EEG et ECoG; 2) un caractère moins invasif que l'ECoG où l'enlèvement du crâne sous une opération d'enregistrement / stimulation est nécessaire; 3) une plus grande faisabilité de la libre circulation du patient à l'étude - par rapport aux deux méthodes EEG et ECoG où de nombreux fils sont connectés au patient en cours d'opération; 4) une utilisation à long terme puisque l'interface implantable est sans fil - par rapport aux deux méthodes EEG et ECoG qui offrent des temps limités de fonctionnement. Nous présentons l'architecture d'un réseau sans fil de microsystèmes implantables, que nous appelons Brain Area Sensor NETwork (Brain-ASNET). Il y a deux défis principaux dans la réalisation du projet Brain-ASNET. 1) la conception et la mise en oeuvre d'un émetteur-récepteur RF de faible consommation compatible avec la puce de capteurs de réseau implantable, et, 2) la conception d'un protocole de réseau de capteurs sans fil (WSN) ad-hoc économe en énergie. Dans ce mémoire, nous présentons un protocole de réseau ad-hoc économe en énergie pour le réseau désiré, ainsi qu'un procédé pour surmonter le problème de la longueur de paquet variable causé par le processus de remplissage de bit dans le protocole HDLC standard. Le protocole adhoc proposé conçu pour Brain-ASNET présente une meilleure efficacité énergétique par rapport aux protocoles standards tels que ZigBee, Bluetooth et Wi-Fi ainsi que des protocoles ad-hoc de pointe. Le protocole a été conçu et testé par MATLAB et Simulink.----------ABSTRACT New high-performance neural interfacing approaches are demanded for today’s Brain-Machine Interfaces (BMI). This requires high-performance recording/stimulation capabilities in terms of speed, quality, and quantity, i.e. higher frequency bandwidth, spatial resolution, signal-to-noise, and wider area to interface with the cerebral cortex. In this thesis, we talk about the general proposed idea of a neural interfacing method which in comparison with Electroencephalography (EEG), Electrocorticography (ECoG), and, conventional Single-Unit Intracortical neural interfacing methods offers better features to implement higher-performance BMIs. The new approach advantages are 1) higher spatial resolution – down to sub-millimeter, and higher signal quality − in terms of signal-to-noise ratio and frequency content − compared to both EEG and ECoG methods. 2) being less invasive than ECoG where skull removal Under recording/stimulation surgery is required. 3) higher feasibility of freely movement of patient under study − compared to both EEG and ECoG methods where lots of wires are connected to the patient under operation. 4) long-term usage as the implantable interface is wireless − compared to both EEG and ECoG methods where it is practical for only a limited time under operation. We present the architecture of a wireless network of implantable microsystems, which we call it Brain Area Sensor NETwork (Brain-ASNET). There are two main challenges in realization of the proposed Brain-ASNET. 1) design and implementation of power-hungry RF transceiver of the implantable network sensors' chip, and, 2) design of an energy-efficient ad-hoc Wireless Sensor Network (WSN) protocol. In this thesis, we introduce an energy-efficient ad-hoc network protocol for the desired network, along with a method to overcome the issue of variable packet length caused by bit stuffing process in standard HDLC protocol. The proposed ad-hoc protocol designed for Brain-ASNET shows better energy-efficiency compared to standard protocols like ZigBee, Bluetooth, and Wi-Fi as well as state-of-the-art ad-hoc protocols. The protocol was designed and tested by MATLAB and Simulink

From Radio Channel Modeling to a System Level Perspective in Body-Centric Communications

Body-centric communications are emerging as a new paradigm in the panorama of personal communications. Being concerned with human behaviour, they are suitable for a wide variety of applications. The advances in the miniaturization of portable devices to be placed on or around the body, foster the diffusion of these systems, where the human body is the key element defining communication characteristics. This thesis investigates the human impact on body-centric communications under its distinctive aspects. First of all, the unique propagation environment defined by the body is described through a scenario-based channel modeling approach, according to the communication scenario considered, i.e., on- or on- to off-body. The novelty introduced pertains to the description of radio channel features accounting for multiple sources of variability at the same time. Secondly, the importance of a proper channel characterisation is shown integrating the on-body channel model in a system level simulator, allowing a more realistic comparison of different Physical and Medium Access Control layer solutions. Finally, the structure of a comprehensive simulation framework for system performance evaluation is proposed. It aims at merging in one tool, mobility and social features typical of the human being, together with the propagation aspects, in a scenario where multiple users interact sharing space and resources

Large-Area Soft e-Skin: The Challenges Beyond Sensor Designs

Sensory feedback from touch is critical for many tasks carried out by robots and humans, such as grasping objects or identifying materials. Electronic skin (e-skin) is a crucial technology for these purposes. Artificial tactile skin that can play the roles of human skin remains a distant possibility because of hard issues in resilience, manufacturing, mechanics, sensorics, electronics, energetics, information processing, and transport. Taken together, these issues make it difficult to bestow robots, or prosthetic devices, with effective tactile skins. Nonetheless, progress over the past few years in relation with the above issues has been encouraging, and we have achieved close to providing some of the abilities of biological skin with the advent of deformable sensors and flexible electronics. The naive imitation of skin morphology and sensing an impoverished set of mechanical and thermal quantities are not sufficient. There is a need to find more efficient ways to extract tactile information from mechanical contact than those previously available. Renewed interest in neuromorphic tactile skin is expected to bring some fresh ideas in this field. This article reviews these new developments, particularly related to the handling of tactile data, energy autonomy, and large-area manufacturing. The challenges in relation with these advances for tactile sensing and haptics in robotics and prosthetics are discussed along with potential solutions

High-Performance Modelling and Simulation for Big Data Applications

This open access book was prepared as a Final Publication of the COST Action IC1406 “High-Performance Modelling and Simulation for Big Data Applications (cHiPSet)“ project. Long considered important pillars of the scientific method, Modelling and Simulation have evolved from traditional discrete numerical methods to complex data-intensive continuous analytical optimisations. Resolution, scale, and accuracy have become essential to predict and analyse natural and complex systems in science and engineering. When their level of abstraction raises to have a better discernment of the domain at hand, their representation gets increasingly demanding for computational and data resources. On the other hand, High Performance Computing typically entails the effective use of parallel and distributed processing units coupled with efficient storage, communication and visualisation systems to underpin complex data-intensive applications in distinct scientific and technical domains. It is then arguably required to have a seamless interaction of High Performance Computing with Modelling and Simulation in order to store, compute, analyse, and visualise large data sets in science and engineering. Funded by the European Commission, cHiPSet has provided a dynamic trans-European forum for their members and distinguished guests to openly discuss novel perspectives and topics of interests for these two communities. This cHiPSet compendium presents a set of selected case studies related to healthcare, biological data, computational advertising, multimedia, finance, bioinformatics, and telecommunications