Polypyrrole (PPy) Coated Patterned Vertical Carbon Nanotube (pvCNT) Dry ECG Electrode Integrated with a Novel Wireless Resistive Analog Passive (WRAP) ECG Sensor

Polypyrrole (PPy) Coated Patterned Vertical Carbon Nanotube (pvCNT) Dry ECG Electrode Integrated with a Novel Wireless Resistive Analog Passive (WRAP) ECG Senso

A new method for manufacturing dry electrodes on textiles. Validation for wearable ECG monitoring

[EN] This paper presents a new dry ECG electrode printed on a textile substrate. The proposed manufacturing process permits cost-effective mass production. The ECG dry electrode is obtained through screen printing a conductive silver ink coated with a biocompatible carbon layer. Three different designs combining two shapes (circular and square) and two sizes were developed. The resulting measured impedances are similar to those obtained via a conventional electrode. The prototypes were attached to a bracelet and used with a commercial electrocardiogram (ECG) device to register ECG signals. The dry electrodes were validated via ECG monitoring and compared with a conventional wet electrode. The clinical interest intervals reported similar results and the QRS morphology presented slight differences. Noise evaluation showed no notable differences for all the analyzed parameters.The work presented was funded by the Conselleria d'Economia Sostenible, Sectors Productius i Treball, through IVACE. HYBRID II Project, IMAMCI/2021/1. This work was also supported by PID2019-109547RB-I00 (National Research Program, Ministerio de Ciencia e Innovacion, Spanish Government) & CIBERCV CB16/11/00486 (Instituto de Salud Carlos III)Ferri, J.; Llinares Llopis, R.; Segarra, I.; Cebrián Ferriols, AJ.; Garcia-Breijo, E.; Millet Roig, J. (2022). A new method for manufacturing dry electrodes on textiles. Validation for wearable ECG monitoring. Electrochemistry Communications. 136:1-8. https://doi.org/10.1016/j.elecom.2022.1072441813

A washable silver-printed textile electrode for ECG monitoring

Electrocardiography (ECG) is one of the most widely used diagnostic methods to examine the development of cardiovascular diseases (CVD). It is important to have a long-term continuous ECG recording to properly monitor the heart activity, which can be measured by placing two or more electrodes on the skin. Ag/AgCl gelled electrodes are often used for the ECG measurement, but they are not suitable for long-term monitoring due to the dehydration of the gel over time and skin irritation. Textile-based electrodes could have an important role in replacing the gelled electrodes and avoid their associated problems. This paper focuses on the development of a textile-based electrode and studying its ECG detecting performance. We developed silver printed textile electrodes via a flat-screen printing of silver ink on knitted polyester fabric. The surface resistance of silver-coated PET fabric was 1.78 Ω/sq and 3.77 Ω/sq before and after washing, respectively. Stretching of the conductive fabric from 5% to 40% caused a 6% to 18.28% increase in surface resistance. The silver-printed PET fabric stayed reasonably conductive after washing and stretching which makes it suitable for wearable applications. Moreover, the ECG measurement at static condition showed that the signal quality collected before and after washing were comparable with the Ag/AgCl standard electrodes. The P, QRS, T waveforms, and heartbeat before washing in respective order were 0.09 mV, 1.20 mV, 0.30 mV for the silver printed fabric electrode and 72 bpm, and 0.10 mV, 1.21 mV, 0.30 mV, and 76 bpm for Ag/AgCl standard electrode

Paper-Based Flexible Electrode Using Chemically-Modified Graphene and Functionalized Multiwalled Carbon Nanotube Composites for Electrophysiological Signal Sensing

Flexible paper-based physiological sensor electrodes were developed using chemically-modified graphene (CG) and carboxylic-functionalized multiwalled carbon nanotube composites (f@MWCNTs). A solvothermal process with additional treatment was conducted to synthesize CG and f@MWCNTs to make CG-f@MWCNT composites. The composite was sonicated in an appropriate solvent to make a uniform suspension, and then it was drop cast on a nylon membrane in a vacuum filter. A number of batches (0%~35% f@MWCNTs) were prepared to investigate the performance of the physical characteristics. The 25% f@MWCNT-loaded composite showed the best adhesion on the paper substrate. The surface topography and chemical bonding of the proposed CG-f@MWCNT electrodes were characterized by scanning electron microscopy (SEM) and Raman spectroscopy, respectively. The average sheet resistance of the 25% CG-f@MWCNT electrode was determined to be 75 Ω/⬜ , and it showed a skin contact impedance of 45.12 kΩ at 100 Hz. Electrocardiogram (ECG) signals were recorded from the chest and fingertips of healthy adults using the proposed electrodes. The CG-f@MWCNT electrodes demonstrated comfortability and a high sensitivity for electrocardiogram signal detection

Graphene-Enabled Electrodes for Electrocardiogram Monitoring

The unique parameters of Graphene (GN), notably its considerable electron mobility, high surface area and electrical conductivity are bringing extensive attention into the wearable technologies. This work presents a novel Graphene-based electrode for acquisition of electrocardiogram (ECG). The proposed electrode was fabricated by coating GN on top of metallic layer of Ag/AgCl electrode using chemical vapor deposition (CVD) technique. To investigate the performance of the fabricated GN-based electrode, two types of electrodes were fabricated with different sizes to conduct the signal qualities and the skin-electrode contact impedance measurements. Performances of the GN-enabled electrodes were compared to the conventional Ag/AgCl electrodes in terms of ECG signal quality, skin-electrode contact impedance, signal-to-noise ratio (SNR) and response time. Experimental results showed the proposed GN-based electrodes produced better ECG signals, higher SNR (improved by 8%) and lower contact impedance (improved by 78%) values than conventional ECG electrodes

University of Memphis commencement, 2018 December. Program

Program for the Fall convocation of the 107th commencement of the University of Memphis at Memphis, Tennessee, held at the FedEx Forum on December 16, 2018.https://digitalcommons.memphis.edu/speccoll-ua-pub-commencements/1205/thumbnail.jp

Wearable smart textiles for long-term electrocardiography monitoring : a review

The continuous and long-term measurement and monitoring of physiological signals such as electrocardiography (ECG) are very important for the early detection and treatment of heart disorders at an early stage prior to a serious condition occurring. The increasing demand for the continuous monitoring of the ECG signal needs the rapid development of wearable electronic technology. During wearable ECG monitoring, the electrodes are the main components that affect the signal quality and comfort of the user. This review assesses the application of textile electrodes for ECG monitoring from the fundamentals to the latest developments and prospects for their future fate. The fabrication techniques of textile electrodes and their performance in terms of skin–electrode contact impedance, motion artifacts and signal quality are also reviewed and discussed. Textile electrodes can be fabricated by integrating thin metal fiber during the manufacturing stage of textile products or by coating textiles with conductive materials like metal inks, carbon mate-rials, or conductive polymers. The review also discusses how textile electrodes for ECG function via direct skin contact or via a non-contact capacitive coupling. Finally, the current intensive and promising research towards finding textile-based ECG electrodes with better comfort and signal quality in the fields of textile, material, medical and electrical engineering are presented as a perspective

Non-invasive sensor methods used in monitoring newborn babies after birth, a clinical perspective

Background Reducing the global new-born mortality is a paramount challenge for humanity. There are approximately 786,323 live births in the UK each year according to the office for National Statistics; around 10% of these newborn infants require assistance during this transition after birth. Each year around, globally around 2.5 million newborns die within their first month. The main causes are complications due to prematurity and during delivery. To act in a timely manner and prevent further damage, health professionals should rely on accurate monitoring of the main vital signs heart rate and respiratory rate. Aims To present a clinical perspective on innovative, non-invasive methods to monitor heart rate and respiratory rate in babies highlighting their advantages and limitations in comparison with well-established methods. Methods Using the data collected in our recently published systematic review we highlight the barriers and facilitators for the novel sensor devices in obtaining reliable heart rate measurements. Details about difficulties related to the application of sensors and interfaces, time to display, and user feedback are explored. We also provide a unique overview of using a non-invasive respiratory rate monitoring method by extracting RR from the pulse oximetry trace of newborn babies. Results Novel sensors to monitor heart rate offer the advantages of minimally obtrusive technologies but have limitations due to movement artefact, bad sensor coupling, intermittent measurement, and poor-quality recordings compared to gold standard well established methods. Respiratory rate can be derived accurately from pleth recordings in infants. Conclusion Some limitations have been identified in current methods to monitor heart rate and respiratory rate in newborn babies. Novel minimally invasive sensors have advantages that may help clinical practice. Further research studies are needed to assess whether they are sufficiently accurate, practical, and reliable to be suitable for clinical use

Bioimpedance sensors: a tutorial

Electrical bioimpedance entails the measurement of the electrical properties of tissues as a function of frequency. It is thus a spectroscopic technique. It has been applied in a plethora of biomedical applications for diagnostic and monitoring purposes. In this tutorial, the basics of electrical bioimpedance sensor design will be discussed. The electrode/electrolyte interface is thoroughly described, as well as methods for its modelling with equivalent circuits and computational tools. The design optimization and modelling of bipolar and tetrapolar bioimpedance sensors is presented in detail, based on the sensitivity theorem. Analytical and numerical modelling approaches for electric field simulations based on conformal mapping, point electrode approximations and the finite element method (FEM) are also elaborated. Finally, current trends on bioimpedance sensors are discussed followed by an overview of instrumentation methods for bioimpedance measurements, covering aspects of voltage signal excitations, current sources, voltage measurement front-end topologies and methods for computing the electrical impedance