Cited by 95Non-Invasive Vital Sign MonitoringWireless Body Area NetworksECG Monitoring and Analysis

A Wearable Patch to Enable Long-Term Monitoring of Environmental, Activity and Hemodynamics Variables

Open access
Etemadi, Mozziyar, Inan, Omer T., Heller, J. Alex, Hersek, Sinan, Klein, Liviu, Roy, Shuvo·2016·IEEE Transactions on Biomedical Circuits and Systems

Abstract

We present a low power multi-modal patch designed for measuring activity, altitude (based on high-resolution barometric pressure), a single-lead electrocardiogram, and a tri-axial seismocardiogram (SCG). Enabled by a novel embedded systems design methodology, this patch offers a powerful means of monitoring the physiology for both patients with chronic cardiovascular diseases, and the general population interested in personal health and fitness measures. Specifically, to the best of our knowledge, this patch represents the first demonstration of combined activity, environmental context, and hemodynamics monitoring, all on the same hardware, capable of operating for longer than 48 hours at a time with continuous recording. The three-channels of SCG and one-lead ECG are all sampled at 500 Hz with high signal-to-noise ratio, the pressure sensor is sampled at 10 Hz, and all signals are stored to a microSD card with an average current consumption of less than 2 mA from a 3.7 V coin cell (LIR2450) battery. In addition to electronic characterization, proof-of-concept exercise recovery studies were performed with this patch, suggesting the ability to discriminate between hemodynamic and electrophysiology response to light, moderate, and heavy exercise.

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Crossref · 10.1109/tbcas.2015.2405480

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  • 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]”
  • 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]”
  • The elevated T-wave is a result of the short inter-electrode distance and not an issue caused by the dry electrodes themselves.

    “The elevated T-wave is a result of the short inter-electrode distance and not an issue caused by the dry electrodes themselves, evident both by the waveform acquired from the gel electrodes placed in the same location and in the literature. [18,32-34]”

    From A Chest‐Conformable, Wireless Electro‐Mechanical E‐Tattoo for Measuring Multiple Cardiac Time Intervals (2023) · cites this paper as [18]

    The System Specifications section describes a patch with three gel electrodes, and the PCB Design Rationale section mentions example ECG waveforms (page numbers unavailable). Neither addresses an elevated T-wave or attributes it to short inter-electrode distance rather than dry electrodes. Searches for T-wave, electrode spacing, and dry electrodes found no passage making that comparison. (LLM, conf=0.75)

    Experimental — accuracy not yet measured

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Research works printed but not linked: 1

  1. [22]Froelicher VF Myers J Exercise and the Heart 5 Philadelphia, PA, USA Saunders 2006

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Authors
Etemadi, M., Inan, O. T., Heller, J. A., Hersek, S., Klein, L., & Roy, S.
Affiliations
  • University of California, San Francisco (US)
  • Georgia Institute of Technology (US)
Venue
IEEE Transactions on Biomedical Circuits and Systems
Published
2016-04
Volume
10
Issue
2
Pages
280-288
ISSN
  • 1932-4545 (ISSN-L)
  • 1940-9990
OpenAlex
W2290287932
Cited by
95
References
32
Citations by year
2026: 2 · 2025: 7 · 2024: 7 · 2023: 6 · 2022: 10 · 2021: 9 · 2020: 11 · 2019: 12 · 2018: 5 · 2017: 15 · 2016: 11
FWCI
5.14
Type
journal article
Language
en
Open access
Locations
  • IEEE Transactions on Biomedical Circuits and Systems (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • NIH MSTP fellowship ((T32GMO7618)
  • NIH/NCRR UCSF-CTSI (UL1 RR024131)
  • NIH STTR (1R41HL110466)
  • FDA P50 (2P50FD003793)
  • CIMIT 2012 Prize for Primary Healthcare Competition
  • National Center for Advancing Translational Sciences, National Institutes of Health (UL1 TR000004)
Topics
  • Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
  • Physical Sciences › Engineering › Biomedical Engineering › Wireless Body Area Networks
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › ECG Monitoring and Analysis
Keywords
wearable patch, seismocardiography, single-lead ECG, altitude measurement, activity monitoring, long-term physiological monitoring, low-power embedded systems, exercise hemodynamics, post-exercise recovery, personal health monitoring
MeSH terms
Electrocardiography, Equipment Design, Hemodynamics, Humans, Kinetocardiography, Electric Power Supplies, Exercise

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