The status of textile-based dry EEG electrodes

Electroencephalogram (EEG) is the biopotential recording of electrical signals generated by brain activity. It is useful for monitoring sleep quality and alertness, clinical applications, diagnosis, and treatment of patients with epilepsy, disease of Parkinson and other neurological disorders, as well as continuous monitoring of tiredness/ alertness in the field. We provide a review of textile-based EEG. Most of the developed textile-based EEGs remain on shelves only as published research results due to a limitation of flexibility, stickability, and washability, although the respective authors of the works reported that signals were obtained comparable to standard EEG. In addition, nearly all published works were not quantitatively compared and contrasted with conventional wet electrodes to prove feasibility for the actual application. This scenario would probably continue to give a publication credit, but does not add to the growth of the specific field, unless otherwise new integration approaches and new conductive polymer composites are evolved to make the application of textile-based EEG happen for bio-potential monitoring

Wearable chemical sensors: characterization of heart rate electrodes using electrochemical impedance spectroscopy

Wearable monitoring systems have become very popular in the health and sports industry in recent years. Noninvasive measurements, such as speed, direction, acceleration, strain, impact and heart rate, are being utilized across countless different monitoring platforms. Heart rate monitoring is of particular interest, since this one diagnostic can provide descriptive information about the health of the user in all levels of activity. In addition, there is a recent exploration of different acquisition techniques and placement of sensors on the body in order to increase ease of use and comfort of the device. Optimizing these factors is a high priority as they will ultimately determine the extent to which device is used. However, it is important that accuracy does not suffer for the sake of comfort. Herein, a series of measurements comparing heart rate monitoring electrodes is presented. Using electrochemical impedance spectroscopy, textile electrodes are compared to disposable Ag/AgCl electrodes. Equivalent circuit modeling is used to understand the reaction kinetics occurring within both types of electrodes and how they differ from each other. In addition, nonmotion on-body measurements are performed to observe the practical differences between the electrodes. This work will provide a foundation to assess future generations of heart rate monitoring electrodes

Hybrid Nanostructured Textile Bioelectrode for Unobtrusive Health Monitoring

Coronary heart disease, cardiovascular diseases and strokes are the leading causes of mortality in United States of America. Timely point-of-care health diagnostics and therapeutics for person suffering from these diseases can save thousands of lives. However, lack of accessible minimally intrusive health monitoring systems makes timely diagnosis difficult and sometimes impossible. To remedy this problem, a textile based nano-bio-sensor was developed and evaluated in this research. The sensor was made of novel array of vertically standing nanostructures that are conductive nano-fibers projecting from a conductive fabric. These sensor electrodes were tested for the quality of electrical contact that they made with the skin based on the fundamental skin impedance model and electromagnetic theory. The hybrid nanostructured dry electrodes provided large surface area and better contact with skin that improved electrode sensitivity and reduced the effect of changing skin properties, which are the problems usually faced by conventional dry textile electrodes. The dry electrodes can only register strong physiological signals because of high background noise levels, thus limiting the use of existing dry electrodes to heart rate measurement and respiration. Therefore, dry electrode systems cannot be used for recording complete ECG waveform, EEG or measurement of bioimpedance. Because of their improved sensitivity these hybrid nanostructured dry electrodes can be applied to measurement of ECG and bioimpedance with very low baseline noise. These textile based electrodes can be seamlessly integrated into garments of daily use such as vests and bra. In combination with embedded wireless network device that can communicate with smart phone, laptop or GPRS, they can function as wearable wireless health diagnostic systems

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

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

Characterization of heart rate electrodes using electrochemical impedance spectroscopy

Wearable monitoring systems have flooded the health and sports industry in recent years. Heart rate monitors have taken many forms, relying on a wide variety of different measurement techniques to measure the heart rate signal.1-3 Despite these recent advancements, commercially available systems still require improvements in many aspects, including battery life, wearability and signal acquisition to become reliable monitoring systems, that meet current inpatient monitoring.4 Standard Ag/AgCl disposable monitoring electrodes rely on a reduction-oxidation reaction to produce clear, reliable electrocardiogram (ECG) signal for inpatient monitoring5, however, these electrodes are not suitable for athletic monitoring in real-time, most notably for the difficulty of use. A series of non-motion electrochemical impedance experiments were conducted in order to determine the charge transfer resistance of various types of heart rate monitoring electrodes with respect to temperature. In these experiments, a textile electrode is compared against two types of solid-gel Ag/AgCl single use monitoring electrodes, which are used as the gold standard for non-motion measurements. The test method created here will serve as a basis to evaluate future heart rate monitoring electrodes in both motion and non-motion applications. 1 http://wellograph.com/. Retrieved 28 April 2014. 2 http://www.lg.com/us/fitness-activity-trackers/lg-FR74-heart-rate-monitor. Retrieved 28 April 2014. 3 http://www.polar.com/en. Retrieved 28 April 2014. 4 Pantelopoulos, A., & Bourbakis, N. G. (2010). A Survey on Wearable Sensor-Based Systems for Health Monitoring and Prognosis. IEEE Transactions on Systems, Man, and Cybernetics, Part C: Applications and Reviews, 40(1), 1–12. 5 Chi, Y. M., Jung, T.-P., & Cauwenberghs, G. (2010). Dry-Contact and Noncontact Biopotential Electrodes: Methodological Review. IEEE Reviews in Biomedical Engineering, 3, 106–119

Conception, development and evaluation of polymer-based screen-printed textile electrodes for biopotential monitoring

Wearable technologies represent the new frontier of vital signs monitoring in different applications, from fitness to health. With the progressive miniaturization of the electronic components, enabling the implementation of portable and hand-held acquisition and recording devices, the research focus has shifted toward the development of effective and unobtrusive textile electrodes. This work deals with the study, development and characterization of organic-polymer-based electrodes for biopotentials. After an overview of the main materials and fabrication technologies presented so far in the scientific literature, the possibility to use these electrodes as an alternative to the Ag/AgCl disposable gelled electrodes usually adopted in clinical practice was tested. For this purpose, several textile electrode realization techniques were studied and optimized, in order to create electrodes with adequate features to detect two fundamental physiological signals: the electrocardiogram (ECG) and the electromyogram (EMG). The electrodes were obtained by depositing on the fabric the organic bio-compatible polymer poly(3,4-ethylenedioxythiophene) doped with poly(4-styrenesulfonate) (PEDOT:PSS) with three deposition procedures: dipcoating, ink-jet printing and screen printing. The physical\u2013chemical properties of the polymer solution were varied for each procedure to obtain an optimal and reproducible result. For what concerns the ECG signal, the research activity focused on screen-printed textile electrodes and their performance was first assessed by benchtop measurements and then by human trials. The first tests demonstrated that, by adding solid or liquid electrolytes the electrodes, the largest part of the characteristics required by the ANSI/AAMI EC12:2000 standard for gelled ECG electrodes can be achieved. Tests performed in different conditions showed that the skin contact impedance and the ECG morphological features are highly similar to those obtainable with disposable gelled Ag/AgCl electrodes (\u3c1 > 0.99). A trial with ten subjects revealed also the capability of the proposed electrodes to accurately capture with clinical instruments an ECG morphology with performance comparable to off-the-shelf disposable electrodes. Furthermore, the proposed textile electrodes preserve their electrical properties and functionality even after several mild washing cycles, while they suffered physical stretching. Similar tests were performed on screen-printed textile electrodes fabricated in two different sizes to test them as EMG sensors, with and without electrolytes. After a series of controlled acquisitions performed by electro-stimulating the muscles in order to analyze the waveform morphologu of the M-wave, the statistical analysis showed a high similarity in terms of rms of the noise and electrode-skin impedance between conventional and textile electrodes with the addition of solid hydrogel and saline solution. Furthermore, the M-wave recorded on the tibialis anterior muscle during the stimulation of the peroneal nerve was comparatively analyzed between conventional and textile electrodes. The comparison provided an R2 value higher than 97% in all measurement conditions. These results opened their use in smart garments for real application scenarios and for this purpose were developed a couple of smart shirts able to detect the EGC and the EMG signal. The results indicated that this approach could be adopted in the future for the development of smart garments able to comfortably detect physiological signals

Electrically Conductive Cotton Textile and Its Applications

Electronic textiles (e-textiles) have been considered as important applications in wearable electronics, which can combine the functionality of smart electronic devices with the comfort and flexibility of stylish clothing. Herein, we have successfully prepared a conductive textile via electroless deposition onto cotton textiles by using a three-step treatment process. The cotton textiles are first dipped in P4VP-SU8 solution to form a uniform layer for the subsequent absorption of silver ions. Then, the cotton textiles are immersed in silver nitrate solution in preparation for the next step electroless deposition. The sheet resistance can be as low as 0.05 Ωsq-1. Two sensors were made based on the copper coated cotton textiles. One is flexible pressure sensor, the other is ECG sensor. Both sensors performed well, proving this method is a promising candidate for applications in the fabrication of functional textile-based wearable devices