A flexible wearable wireless fetal ECG monitoring system

被引:0
|
作者
Yang H. [1 ]
Xia J. [1 ]
Chen B. [2 ]
Tang R. [2 ]
Chen Y. [2 ]
Ai J. [2 ]
Fu J. [2 ]
机构
[1] Zhejiang Center for Medical Device Evaluation, Hangzhou
[2] Institute of Flexible Electronics Technolog of THU, Jiaxing
关键词
fetal ECG; flexible fabrication; flexible wearable system; long-term and wireless monitoring; micro-nano machining;
D O I
10.1360/SST-2021-0237
中图分类号
学科分类号
摘要
Fetal heart rate monitoring can effectively reflect the health of a fetus and provide an important basis for diagnosing fetal diseases. Further, continuous and accurate fetal heart rate monitoring can guide prenatal and postnatal care. However, available fetal heart monitoring systems are not convenient for long-term continuous monitoring outside the confines of a hospital, owing to their cumbersome equipment, complex operation, and movement interference. Therefore, a flexible, wearable, and wireless fetal ECG monitoring system was developed in this work. Five flexible electrode patches were used to form multiple measurements and interference-elimination channels; the singular value decomposition algorithm was used to improve measurement accuracy. Based on the micromachining technology and laminated packaging technology, a multi-unit integrated electrode, transmission line, and processing circuit structure is designed and built, and flexible serpentine wire is used to provide ductility to the device. The resulting signal acquisition device is only 12.5 g in weight, and the electrode patch is 0.25 mm thick. The developed device can perfectly conform to skin, greatly improving the wearing comfort. The data can be wirelessly transmitted via Bluetooth, thereby enabling portable measurement anytime and anywhere. The clinical application demonstrated that the system could accurately detect fetal heart rate, maternal heart rate, and maternal uterine contractions. These results are in good agreement with a commercial Philips fetal monitor. The developed system can continuously monitor fetal heart rate for more than 6 h and thus provides a more effective long-term solution for fetal health monitoring. © 2022 Chinese Academy of Sciences. All rights reserved.
引用
收藏
页码:1912 / 1922
页数:10
相关论文
共 27 条
  • [1] Wang Z Z, Zhang W G, Sun D B, Et al., An optimization algorithm of birth prediction based on big data (in Chinese), Comput Digital Eng, 48, pp. 546-549, (2020)
  • [2] Hu J F., An analysis of antepartum and intrapartum electronic fetal monitoring in fetal distress (in Chinese), Smart Healthcare, 7, pp. 92-94, (2021)
  • [3] Valderrama C E, Katebi N, Marzbanrad F, Et al., A review of fetal cardiac monitoring, with a focus on low-and middle-income countries, Physiol Meas, 41, (2020)
  • [4] Shi W, Guo X H., Recommendations for clinical application of electronic fetal heart monitoring (in Chinese), Chin J Pract Gynecol Obstet, 37, pp. 390-395, (2021)
  • [5] Milazzo R, Ligato E, Laoreti A, Et al., Home fetal heart rate monitoring in anti Ro/SSA positive pregnancies: Literature review and case report, Eur J Obstetrics GynEcol Reproductive Biol, 259, pp. 1-6, (2021)
  • [6] Tian Y R., To study the diagnostic effect of fetal heart rate monitoring on fetal distress before and during labor (in Chinese), China Med Dev Inform, 27, pp. 133-134, (2021)
  • [7] Wang Z Y., Research on key technologies of continuous wireless monitoring of fetal heart sounds, (2019)
  • [8] Cahill L S, Stortz G, Chandran A R, Et al., Determination of fetal heart rate short-term variation from umbilical artery Doppler waveforms, Ultrasound Obstet Gynecol, 57, pp. 70-74, (2021)
  • [9] Li Y N, Cai K., Detection of instantaneous heart rate of Doppler fetal heart sound signal based on independent component analysis, Chin Med Equipment J, 37, pp. 1-5, (2016)
  • [10] Abdulhay E W, Oweis R J, Alhaddad A M, Et al., Review article: Non-invasive fetal heart rate monitoring techniques, Biomed Sci Eng, 2, pp. 53-67, (2014)