4.7 Article

A Cloud-Connected Multi-Lead Electrocardiogram (ECG) Sensor Ring

Journal

IEEE SENSORS JOURNAL
Volume 21, Issue 14, Pages 16340-16349

Publisher

IEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC
DOI: 10.1109/JSEN.2021.3075992

Keywords

Wearable ECG; 12 lead ECGs; wearable sensors; medical IoT; Bluetooth Low Energy; cloud informatics system; telemedicine; point-of-care

Funding

  1. Virginia Center for Innovative Technology Matching Fund [MF15-021-L]

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The study introduced a finger-ring-shaped ECG sensor that can provide 12-lead ECGs and demonstrated its performance comparable to a clinical 12-lead ECG machine.
The ability to acquire multi-lead electrocardiograms (ECGs) in a timely manner is critical to patient survival and better clinical outcomes after acute cardiac events, including myocardial infarctions (MI). However, current wearable ECG devices do not provide the traditional 12-lead information needed for clinical MI diagnosis. Here, we report, to our knowledge, the first finger-ring-shaped ECG sensor that can provide asynchronously derived 12-lead ECGs by sequentially placing the ring on eight defined locations on the body. We demonstrate that the sensor performance is comparable to that of a clinical 12-lead ECG machine in a human subject study. The ring ECG sensor has an input-referred electronics noise floor of less than 10uV (peak-to-peak) with a 480X gain and a bandwidth of 0.16 similar to 156 Hz. The battery lasts similar to 5 days under normal usage. The ring sensor can also wirelessly upload data to a cloud-based medical IoT informatics system via a smartphone gateway. Combined with advancements in cloud computing, telemedicine, and artificial intelligence, this on-demand IoT ECG sensor can potentially help high-risk cardiac patients reduce prehospital delays and seek timely life-saving interventions.

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