Cited by 895Non-Invasive Vital Sign MonitoringAdvanced Sensor and Energy Harvesting MaterialsCardiovascular Health and Disease Prevention

Monitoring of the central blood pressure waveform via a conformal ultrasonic device

Open access
Wang, Chonghe, Li, Xiaoshi, Hu, Hongjie, Zhang, Lin, Huang, Zhenlong, Lin, Muyang, Zhang, Zhuorui, Yin, Zhenan +16 more·2018·Nature Biomedical Engineering

Abstract

Continuous monitoring of the central blood pressure waveform from deeply embedded vessels such as the carotid artery and jugular vein has clinical value for the prediction of all-cause cardiovascular mortality. However, existing non-invasive approaches, including photoplethysmography and tonometry, only enable access to the superficial peripheral vasculature. Although current ultrasonic technologies allow non-invasive deep tissue observation, unstable coupling with the tissue surface resulting from the bulkiness and rigidity of conventional ultrasound probes introduces usability constraints. Here, we describe the design and operation of an ultrasonic device that is conformal to the skin and capable of capturing blood pressure waveforms at deeply embedded arterial and venous sites. The wearable device is ultrathin (240 μm) and stretchable (with strains up to 60%), and enables the non-invasive, continuous and accurate monitoring of cardiovascular events from multiple body locations, which should facilitate its use in a variety of clinical environments. An ultrasonic and stretchable device conformal to the skin that captures blood pressure waveforms at deeply embedded arterial and venous sites enables the continuous monitoring of cardiovascular events.

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  • Other flexible health monitoring mechanisms like optoelectronic and ultrasound devices can be applied to heartbeat, pulse oximetry, blood pressure, and other on-body measurements.

    “Other mechanisms of flexible health monitoring in rehabilitation, like optoelectronic[263,264] and ultrasound[265,266] devices, can also be applied to heartbeat, pulse oximetry, blood pressure, and other on-body measurements.”

    From Flexible Electronics and Devices as Human–Machine Interfaces for Medical Robotics (2022) · cites this paper as [266]

    The Abstract describes a wearable, skin-conformal ultrasonic device that continuously monitors blood-pressure waveforms. The Results (‘Dynamic hemodynamics monitoring’) also report heart-rate measurements. Our copy does not show this ultrasonic device measuring pulse oximetry, so it supports only part of the measurement list attributed to it. (LLM, conf=0.84)

    Experimental — accuracy not yet measured
  • A novel spiked ultra-flexible neural interface (SUNI) collected sensory information from rat mechanoreceptors through a spike structure.

    “Figure 4b displayed a novel spiked ultra-flexible neural interface (SUNI), which collected sensory information from rat mechanoreceptors through the spike structure (Wang, J. et al., 2018).”
  • High-quality recordings from SUNI contributed to differentiating tactile and proprioceptive stimuli and provided for high spatial resolution classification of neural signals.

    “High-quality recordings from SUNI contributed differentiate tactile and proprioceptive stimuli, and furtherly provided for high spatial resolution classification of neural signals.”

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  1. [43]Williams B Differential impact of blood pressure–lowering drugs on central aortic pressure and clinical outcomes: principal results of the Conduit Artery Function Evaluation (CAFE) study. Circulation 113, 1213– 1225 (2006). 16476843

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Authors
Wang, C., Li, X., Hu, H., Zhang, L., Huang, Z., Lin, M., Zhang, Z., Yin, Z., Huang, B., Gong, H., Bhaskaran, S., Gu, Y., Makihata, M., Guo, Y., Lei, Y., Chen, Y., Wang, C., Li, Y., Zhang, T., Chen, Z., Pisano, A. P., Zhang, L., Zhou, Q., & Xu, S.
Affiliations
  • University of California San Diego (US)
  • Tianjin University (CN)
  • University of Southern California (US)
Corresponding author
Xu, Sheng
Venue
Nature Biomedical Engineering
Published
2018-09-11
Volume
2
Issue
9
Pages
687-695
ISSN
2157-846X (ISSN-L)
OpenAlex
W2891821958
Cited by
895
References
50
Citations by year
2026: 90 · 2025: 157 · 2024: 124 · 2023: 134 · 2022: 118 · 2021: 120 · 2020: 97 · 2019: 52 · 2018: 3
FWCI
27.16
Type
journal article
Language
en
Open access
Locations
  • Nature Biomedical Engineering (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • National Institutes of Health (1r21eb025521-01)
  • National Institute of Biomedical Imaging and Bioengineering (R21 EB025521)
Topics
  • Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
  • Physical Sciences › Engineering › Biomedical Engineering › Advanced Sensor and Energy Harvesting Materials
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
Keywords
central blood pressure, blood pressure waveform, wearable ultrasound device, stretchable sensors, carotid artery, jugular vein, deep tissue imaging, non-invasive blood pressure monitoring, cardiovascular mortality prediction

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