Non-Invasive Wearable Patch Utilizing Seismocardiography for Peri-Operative Use in Surgical Patients
Open accessAbstract
OBJECTIVE: Optimizing peri-operative fluid management has been shown to improve patient outcomes and the use of stroke volume (SV) measurement has become an accepted tool to guide fluid therapy. The Transesophageal Doppler (TED) is a validated, minimally invasive device that allows clinical assessment of SV. Unfortunately, the use of the TED is restricted to the intra-operative setting in anesthetized patients and requires constant supervision and periodic adjustment for accurate signal quality. However, post-operative fluid management is also vital for improved outcomes. Currently, there is no device regularly used in clinics that can track patient's SV continuously and non-invasively both during and after surgery. METHODS: In this paper, we propose the use of a wearable patch mounted on the mid-sternum, which captures the seismocardiogram (SCG) and electrocardiogram (ECG) signals continuously to predict SV in patients undergoing major surgery. In a study of 12 patients, hemodynamic data was recorded simultaneously using the TED and wearable patch. Signal processing and regression techniques were used to derive SV from the signals (SCG and ECG) captured by the wearable patch and compare it to values obtained by the TED. RESULTS: The results showed that the combination of SCG and ECG contains substantial information regarding SV, resulting in a correlation and median absolute error between the predicted and reference SV values of 0.81 and 7.56 mL, respectively. SIGNIFICANCE: This work shows promise for the proposed wearable-based methodology to be used as an alternative to TED for continuous patient monitoring and guiding peri-operative fluid management.
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The e-tattoo achieves one of the lowest current draws (940 μA) among wearable cardiac sensors developed in prior work.
“This form factor coupled with innovative firmware for sensor interfacing and transmission of data allows us to achieve one of the lowest total device weights (2.5 g including battery) and current draws (940 µ A) among wearable cardiac sensors developed in prior work as illustrated via Ashby plot in Figure 1e. [18-24]”
From A Chest‐Conformable, Wireless Electro‐Mechanical E‐Tattoo for Measuring Multiple Cardiac Time Intervals (2023) · cites this paper as [20]
The e-tattoo achieves one of the lowest total device weights (2.5 g including battery) among wearable cardiac sensors developed in prior work.
“This form factor coupled with innovative firmware for sensor interfacing and transmission of data allows us to achieve one of the lowest total device weights (2.5 g including battery) and current draws (940 µ A) among wearable cardiac sensors developed in prior work as illustrated via Ashby plot in Figure 1e. [18-24]”
From A Chest‐Conformable, Wireless Electro‐Mechanical E‐Tattoo for Measuring Multiple Cardiac Time Intervals (2023) · cites this paper as [20]
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- Authors
- Semiz, B., Carek, A. M., Johnson, J. C., Ahmad, S., Heller, J. A., Vicente, F. G., Caron, S., Hogue, C. W., Etemadi, M., & Inan, O. T.
- Affiliations
- Georgia Institute of Technology (US)
- Northwestern University (US)
- ORCID
- Venue
- IEEE Journal of Biomedical and Health Informatics
- Published
- 2021-05
- Volume
- 25
- Issue
- 5
- Pages
- 1572-1582
- ISSN
- 2168-2194 (ISSN-L)
- 2168-2208
- PMC
- PMC8189504
- OpenAlex
- W3094395646
- Cited by
- 35
- References
- 51
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 4 · 2023: 9 · 2022: 9 · 2021: 2
- FWCI
- 4.57
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- IEEE Journal of Biomedical and Health Informatics (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (1R01HL130619-A1)
- Topics
- Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Health Sciences › Medicine › Surgery › Healthcare Technology and Patient Monitoring
- Keywords
- seismocardiography, wearable patch, stroke volume estimation, esophageal Doppler, electrocardiogram, continuous hemodynamic monitoring, major surgery, non-invasive monitoring
- MeSH terms
- Wearable Electronic Devices, Electrocardiography, Humans, Monitoring, Physiologic, Signal Processing, Computer-Assisted, Stroke Volume, Perioperative Care
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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