Introduction
Contact-based wearable physiological sensors, such as skin-coupled electrocardiogram (ECG) monitors, respiration belts, electroencephalogram (EEG) headbands, and smart watches [1], offer great promise for personalized healthcare [2], [3]. Such contact-based sensing systems generally provide good signal-to-noise ratio (SNR) due to direct contact with the monitored subject, thus reducing the interface circuit complexity. However, they suffer from challenges during long-term use due to issues with patient comfort, security and privacy, engagement and interaction, and psychological burden [4], [5]. For example, wearables can induce subjects to change their behavior for the worse, become more anxious about their health, self-diagnose problems, become addicted to the device, or place too much trust in its data [6]. Contact sensors can also interfere with natural sleep and thus bias the results of sleep studies [7]. One example is the well-known “first-night” effect on polysomnography (PSG) [8], in which normal sleep structure is significantly altered during the first few nights of a study due to the discomfort of the electrodes, movement limitations due to gauges and cables, and the psychological consequences of being under scrutiny [9], [10]. In some cases, contact sensors can even damage the skin, for example while monitoring infants in the NICU [11]. Finally, contact sensors are not useful when the person to be monitored is not wearing the device, e.g., during battery charging or in a search-and-rescue situation where the goal is to detect survivors. Thus, a variety of methods have been proposed for unobtrusive non-contact physiological monitoring [12]–[14]. Here we define non-contact sensing as measuring physiological signals with an off-body air gap, while contact sensing is defined as signal detection using gel, spiky, dry (direct skin contact but gel-less), or insulated electrodes [15]. One limitation of the non-contact method is that sensors need to be placed in different locations, such as beds, wheelchairs, and automobiles, in order to enable ubiquitous health monitoring. Therefore, low power, low cost, easy deployment, and relatively large sensing range are necessary for ubiquitous monitoring.
Key metrics for non-contact monitoring include safety, power consumption, useful sensing distance, sensitivity to subject position and environmental conditions, ability to simultaneously sense multiple subjects, and installation/ maintenance costs. Table 1 summarizes qualitative values of these metrics for the main non-contact sensing modalities used in cardiopulmonary monitoring, which is a major application due to the widespread and growing prevalence of cardiovascular diseases (CVDs) worldwide [16], [17]. The relative performance of the proposed modalities can be compared as follows: (i) Active Energy Injection: Sensors that actively inject energy into the subject, such as radar/laser or impedance-based methods, must be assessed for safety and operating risks. Passive methods are intrinsically safe; they also have advantages of portability and low power consumption. (ii) Distance: PPG, BCG/SCG, and cECG require direct mechanical coupling with the subject, so the sensing range is limited to a few mm [18], [19]. However, electric potential sensors (EPS) and impedance methods operate up to the cm range, while radar/laser, video, and thermography-based analysis can measure cardiopulmonary signals up to the meter range. (iii) Position Sensitivity: All non-contact modalities suffer from fluctuations in signal quality due to subject motion (variable position and/or orientation) and environmental changes, which limits their diagnostic utility. Non-directional methods such as thermography and EPS are less sensitive to these effects. (iv) Cost: PPG, cECG, and EPS sensors have the lowest cost, since they use relatively simple low-power circuits compared to radar/laser, video motion, and thermography-based systems.
The discussion above suggests that passive EPS have the advantages of low power, relatively long range, low position sensitivity, and low cost. We have earlier demonstrated low-power EPS for reliable capacitive measurement of respiration rate (RR) at distances up to ~1.5 m in unshielded indoor environments [29]. The sensors can also be used for accurate motion estimation, human localization, and tracking at distances up to several meters. In this paper, we develop passive EPS with improved sensitivity for non-contact monitoring of multiple physiological signals. Besides non-contact respiration cycle (RC) and RR sensing, the proposed EPS can also detect electrocardiograms (ECG) at distances up to ~0.5 m in noisy unshielded rooms, thus enabling non-contact measurements of heart rate (HR) and HR variability (HRV). By contrast, the current state-of-art non-contact EPS can only detect ECG up to 0.1~0.3 m in electromagnetically-shielded environments [28], [30]. This makes it difficult for ubiquitous monitoring in daily life, where power line interference (PLI) becomes a critical issue. Our sensors can also be used for non-contact detection of other electrical biosignals such as electromyograms (EMG) and electroencephalograms (EEG). Such capabilities are of interest since, by contrast with the wide range of non-contact cardiopulmonary monitoring methods shown in the table, non-contact detection of EMG and EEG is much less common. In fact, earlier efforts have been restricted to distances less than 0.3 cm from the body surface [30]–[32]. However, similar to contact-based biopotential sensing, our proposed EPS suffers from motion artifact issues. The small coupling capacitance and large relative movements between skin and electrode leads to more difficulties in sensing electrode and analog front end (AFE) design than for wet/dry contact sensors.
The rest of the paper is organized as follows. Section II describes the design of the proposed multi-functional EPS for non-contact measurements of both respiration and electrical biosignals. Experimental results on human subjects are presented in Section III, while Section IV concludes the paper.
Sensor Design
A. System Overview
The proposed not-contact sensing system uses a network of low-cost wireless nodes based on passive EPS. Each node also contains i) an off-the-shelf microcontroller (MCU) for on-board signal processing and power management, and ii) a low-power radio for wireless networking with a remote base station. By default, the plane of the EPS electrode is aligned with the chest surface and placed a distance
(a) Typical geometry used for non-contact electric potential sensing (EPS) of cardiopulmonary signals. (b) System overview of the proposed EPS, including active PLI cancellation at the TIA stage.
For convenience, we denote the local PLI frequency (50 or 60 Hz) as
B. Choice of Tia Architecture
Fig. 2(a) shows simplified Thevenin and Norton equivalent circuit models for EPS-based biophysical measurements. The Thevenin equivalent consists of a voltage source
(a) Simplified Thevenin and Norton equivalent circuit models of non-contact EPS-based biophysical measurements. (b)–(d) Transimpedance amplifier (TIA) circuits for EPS: (b) continuous-time, (c) integrator (charge amplifier) with reset, resulting in a switched integrator, and (d) alternate switched integrator with a current switch. In each case
The performance of any low-current sensor is largely determined by the input TIA stage that converts the input current
An alternative is to remove
In one popular approach, pure charge integration is replaced by a correlated double sampling (CDS) scheme in which we i) sample the output voltage twice with an interval of \begin{equation*} Z_{T,CDS}(s)=\frac {v_{OUT}(s)}{i_{IN}(s)}=\frac {1-e^{-sT_{s}}}{sC_{f}}.\tag{1}\end{equation*}
Switched integrators can be implemented in two main ways. Conventionally, a switch is placed in parallel with
C. Choice of OP-AMP
The choice of op-amp is critical for TIA performance. Key requirements include i) low input bias current
Apart from the op-amp itself, the board- and package-level leakage resistance
D. TIA Noise Analysis
1) Continuous-Time TIA
If the op-amp’s input-referred voltage and current noise terms are uncorrelated, the input-referred current noise PSD for a continuous-time TIA is \begin{align*} \overline {i_{n,tot}^{2}}=&\frac {4kT}{R_{leak}}+\overline {i_{n}^{2}}+\frac {\overline {e_{n}^{2}}} {\left |{Z_{in}||Z_{s}||Z_{f}}\right |^{2}}+\frac {4kT}{R_{f}} \\=&2qI_{b,eff}\left ({1+\frac {R_{n}^{2}}{\left |{Z_{in}||Z_{s}||Z_{f}}\right |^{2}}}\right)+\frac {4kT}{R_{f}||R_{leak}},\tag{2}\end{align*}
For the ADA-4530-1,
2) Switched-Integrator TIA
The same analysis is valid for a CDS-based switched-integrator TIA, except for the fact that noise from the feedback resistor \begin{align*} \overline {i_{n,tot}^{2}}=2qI_{b,eff}\left ({1+\frac {R_{n}^{2}}{\left |{Z_{in}||Z_{s}||Z_{f}}\right |^{2}}}\right) +4qI_{rst}+\frac {4kT}{R_{leak}}, \\\tag{3}\end{align*}
3) Total Input-Referred Noise
Based on the analysis above, we can estimate the total input-referred voltage noise \begin{equation*} v_{n,in}^{2}=\int _{f_{1}}^{f_{2}}{\overline {v_{n,tot}^{2}(f)}df} = \int _{f_{1}}^{f_{2}}{\overline {i_{n,tot}^{2}(f)}\left |{Z_{s}(f)}\right |^{2}df},\tag{4}\end{equation*}
Fig. 3(a) summarizes the estimated input-referred noise
(a) Simulated input-referred voltage noise for continuous-time (CT) and switched integrator (SI) TIA designs for recording three important electrical biosignals (ECG, EEG, and EMG) as a function of the coupling capacitance
E. Optimized Design of the Sensing Electrode and TIA
1) Sensing Electrode
A square sensing electrode (size
The estimated dependence of
2) TIA Architecture
The analysis above shows that while switched-integrator TIAs can efficiently remove PLI (via synchronous integration), they also require an ultra-low-leakage reset switch. Given the difficulties in selecting an appropriate switch, we designed a continuous-time TIA using the ADA-4530-1 for this application. A surface-mounted feedback resistor of value
Fig. 4 shows a detailed view of the optimized sensing electrode and TIA. The sensing electrode and top portion of the guard electrode (which surrounds it) reside on the top layer of the PCB. The guard also includes another portion beneath the sensing electrode, connected through vias. The sensing electrode is separated from the surface portion of the guard by an isolation trench (gap = 0.406 mm) on the top layer to minimize the leakage current. Ground shields are laid out around the whole sensor, as shown in Fig. 4.
Schematic and physical cross-section of the optimized sensing electrode and TIA, including a DSP-based signal estimator for the adaptive cancellation loop (ACL). DAC = digital-to-analog converter.
The EPS uses a TIA-based adaptive cancellation loop (ACL) to cancel unwanted signal components such as PLI and motion artifacts. The loop uses either an analog circuit or a digital signal processing (DSP) algorithm running on the on-board MCU to estimate the unwanted components in real-time; a digital version is shown in the figure. The estimated signal is fed back to the (normally unused) positive input terminal of the TIA. Since the TIA input stage is differential, the feedback signal cancels the unwanted signal components, as analyzed in detail in the next subsection. Thus,
F. Performance of the Other Circuit Blocks
1) PLI Cancellation
Our ACL design uses a two-stage analog estimator for simplicity. A small auxiliary ground loop placed over the surface of the main sensing electrode is used for initial PLI sensing and cancellation. In the next step, a BPF at \begin{equation*} H(s) = \frac {v_{OUT}}{v_{IN}} = \frac {-H_{0}(s)}{H_{BPF}(s)[1+H_{0}(s)]+1},\tag{5}\end{equation*}
\begin{equation*} H(s) = \frac {v_{OUT}}{v_{IN}} \approx \frac {-H_{0}(s)}{H_{BPF}(s)+1}.\tag{6}\end{equation*}
(a) Band pass filter (BPF) tuned to
2) Additional Gain and Filter Stages
Fig. 5(b) shows the measured frequency response of the
Experimental Results
A. Experimental Setup
This section is focused on experimental verification of the custom EPS on healthy human volunteers. The inset in Fig. 6 shows a photograph of a fully-assembled sensor board, while the rest of the figure shows the typical experimental setup used for non-contact sensing. Data was acquired by a USB-based data acquisition system (DAQ) (USB-1608-FS, Measurement Computing) connected to a battery-powered personal computer (PC) to minimize PLI. Two identical sensor boards were simultaneously interfaced with the DAQ to allow evaluation of differential sensing. Results from single boards are presented in the following subsections.
Experimental setup for non-contact cardiopulmonary sensing using a DAQ (USB-1608-FS, measurement computing) interfaced with a battery-powered PC (left) and a zoomed-in view of two sensing boards (right).
Signals were measured from a total of 8 healthy adult volunteers, who wore indoor clothing during the measurements while sitting on a grounded chair. These test results were validated using three off-the-shelf contact sensors (BITalino (r)evolution, NeuLog NUL-236, and OpenBCI Ganglion) that have themselves been validated in earlier studies [38]–[40]. Major properties of the contact sensors and our non-contact EPS are listed in Table 2; sample statistics are noted below the table.4 The EPS were tested in multiple electromagnetic (EM) environments during both the summer and winter. These environments included two labs and one office at Case Western Reserve University, as well as several residential areas (e.g., apartments) in Cleveland, OH. The main measurement challenge in all these environments arose from AFE saturation due to 60-Hz PLI. Here we focus on data from the worst-case environment (a noisy lab) for sensor performance characterization and comparison.
B. Adaptive Cancellation Loop (ACL)
In addition to the PLI cancellation methods described in Section II-F (auxiliary loop, feedback BPF, and notch filters), the sensor board also included electrostatic shields on the sides and bottom surfaces. The overall amount of PLI suppression (ACL + notch filters) is estimated to be ~60 dB. Fig. 7 shows that the auxiliary loop alone provides >20 dB of suppression.
Measured PLI cancellation performance of the auxiliary loop within the ACL: (a) time and time-frequency domains; (b) signal spectra when the loop is ON and OFF, respectively; 22 dB PLI suppression is obtained at
C. Motion Cancellation Loop (MCL)
In addition to PLI, large-amplitude signals from body movements (e.g., upper limb swings) can also saturate the TIA. The proposed adaptive motion cancellation loop (MCL) is designed to improve the dynamic range (DR) of the EPS in the presence of minor movements (e.g., while sitting on a couch/chair or sleeping), not whole-body activities (e.g., while walking, jogging, or running). It is based on a real-time signal estimator, as shown in Fig. 4. In our initial implementation, we used a LPF for motion estimation and fed its output (after attenuation to ensure stability) back to the TIA’s positive terminal. Fig. 8(a) illustrates a typical example of improved DR obtained by using the MCL to cancel an arm motion artifact. The measured signal spectra (Fig. 8(b)) show approximately ~15 dB of motion artifact suppression.
Simulated performance of active motion cancellation at the TIA (using pre-recorded data): (a) time domain; (b) signal spectra when MCL is ON and OFF, respectively; ~15 dB suppression of motion artifacts is obtained.
We further characterized the MCL by using the EPS to record ECG waveforms during different upper limb motions at two different distances (20 cm and 35 cm), as shown in Figs. 9(a) and (b). Typically, the subject moved around 10 cm during each slow movement (< 5 Hz). Figs. 9(c) and (e) show that the ECG peaks can be clearly observed when applying motion cancellation during Motion #1, while Figs. 9(d) and (f) show that some of the ECG peaks are corrupted during Motion #2 even with motion cancellation. This result can be explained by the fact that Motion #2 has more nonlinear capacitive coupling than Motion #1, which makes linear cancellation less effective. Nevertheless, a typical motion suppression level of ~16 dB was observed. Finally, note that the respiration signal is corrupted by in-band motion artifacts and cannot be extracted using the proposed linear motion cancellation technique.
(a) Experimental setup for the limb motion effect study, in which the upper body either moved towards the sensor (motion #2) or parallel to the sensor (motion #1); (b) design of experimental matrix: sensor-to-subject distances and motion directions; (c)–(f) ECG recordings during different upper limb motions: 1) without MCL (grey); and 2) with MCL (red). The arrows highlight the zoomed-in waveforms shown in the insets.
D. Electrocardiogram (ECG) Sensing
1) Measured Signal Properties
As shown in Fig. 6, the subject generally sat (in this case, ~30 cm from the sensor) in a very noisy and unshielded laboratory environment during the experiments. In most cases ECG waveforms could be clearly observed without any pre-filtering, as visible on the PC screen in the figure. To quantify the maximum non-contact measurement distance, we measured ECG signals at different sensor-subject distances. Specifically, the subject was located at distances of 15 cm to 50 cm (with a step of 5 cm) from the surface of the electrode. Each experimental setting was repeated 6 times to reduce the sensor-subject distance variations during experiments. Fig. 10(a) shows that the measured ECG signal amplitude decays quickly as the distance increases; note that the power spectra used to create this plot were obtained using a fast Fourier transform (FFT).
(a) Measured ECG amplitudes at different sensor-subject distances; (b) continuous wavelet transform (CWT) filtered ECGs in the time domain, showing that the signal amplitude decreases with sensing distance.
The raw time-domain data was filtered using a continuous wavelet transform (CWT) with the Morlet wavelet before further analysis. Fig. 10(b) shows the filtered time-domain waveforms, where the ECG can be clearly observed at each distance. The shapes of the ECG waveforms shown in Fig. 10(b) are clearly distance-dependent; they resemble typical capacitively-coupled ECG for distances up to ~30 cm, beyond which the QRS complex becomes harder to detect. Harland et al. [28], [30] have suggested that conventional ECG cannot be measured by electrodes spaced by an air gap, because the off-body cardiac signal is not purely electric; the measured signals also include ballistocardiogram (BCG) components generated by the arterial pulse moving the chest wall [44]. Therefore, completely non-contact detection [45] results in different waveform morphology from contact measurements. It is likely that the signals measured by our EPS are also a combination of ECG and BCG components. The latter arises from periodic mechanical motion of triboelectrically-induced charges on the body surface during the cardiac cycle, which results in current flow through the time-varying coupling capacitance
The potential importance of the BCG component is illustrated in Fig. 11. In this experiment, the subject generated triboelectric charge by mechanically rubbing an outer clothing layer (a woollen sweater). The resulting charge increased the measured cardiac signal amplitude by approximately
(a) Time-domain waveform (bottom) and its spectrum (top) measured after the subject generated a large amount of triboelectric charge at
The measured decay rate of the combined cardiac signal (defined as the peak of the FFT spectrum) follows
Fig. 12(a) shows the experimental setup used to study the angular dependence of the proposed EPS. During this test, the plane of the EPS electrode was rotated to different angles (
(a) Experimental setup used for studying the angle sensitivity of the proposed EPS; (b) Non-contact sensing of ECG activity when the sensor is positioned along +30°, 0°, and −30°.
2) Synchronization with Contact ECG Recordings
The ECG measurements discussed above were further confirmed using synchronization experiments. For this purpose, the non-contact EPS was validated using the reference contact sensor (BITalino wireless physiological recording platform using conventional patch electrodes). To synchronize the two recordings, we introduced signal artifacts from large body motions during the experiments and aligned them during post-processing (in MATLAB) before further analysis.
Fig. 13(a) shows two typical recordings from the reference sensor and the EPS (at
(a) Synchronization of two ECG recordings from the reference contact sensor (BITalino) and our custom E-Field sensor; (b) a zoomed-in view of the two recordings.
Fig. 14(b) shows the power spectrum of two ECG recordings (top: from the custom EPS at
(a) Typical synchronized recordings from our non-contact sensor (at
Beat durations (durations between peaks of the QRS complexes) were estimated to evaluate agreement between the contact and non-contact recordings as a function of time. Fig. 15(a) compares extracted beat durations using the reference sensor and the EPS (
(a) Comparison of the extracted heart beat durations using the reference sensor and our custom sensor for sensing distances from 15–50 cm; (b) histogram of the differences between beat durations measured by the two sensors, along with a Gaussian fit to the data.
Fig. 16 shows two examples (at
Beat duration (R-R interval) comparison of the reference contact sensor and our proposed non-contact sensor along two typical heart beat sequences at (a)
Fig. 17(a) confirms that the timing differences increase as
(a) Heart beat duration errors obtained from measured ECG data when the human subject sits at different distances, outliers are not included; (b) selected cumulative density functions (CDFs) of the duration errors.
E. Respiratory Cycle (RC) Monitoring
Non-contact RC signals were measured at different sensor-subject distances. Specifically, the subject was located at distances of
Fig. 18(a) shows that the measured RC signal amplitude decays with distance \begin{align*} i_{in}=&v_{body}\frac {d}{dt}\left ({\frac {\epsilon _{0} A}{d_{0}+\Delta d\sin (\omega _{RR} t)}}\right) \\\approx&-v_{body}\left ({\frac {\epsilon _{0} A}{d_{0}^{2}}}\right)\omega _{RR}\Delta d \cos (\omega _{RR}t),\quad \Delta d\ll d_{0}\tag{7}\end{align*}
\begin{equation*} v_{int} = -R_{f} \int _{0}^{t}{i_{in}(t)dt}\approx v_{body}\left ({\frac {\epsilon _{0} A}{d_{0}^{2}}}\right)\Delta d \sin (\omega _{RR}t).\quad \tag{8}\end{equation*}
(a) Measured respiration cycle (RC) amplitudes at different sensor-subject distances (10 cm to 100 cm); and (b) the experimental setup.
The EPS was validated using the reference contact sensor (NeuLog USB respiration monitoring belt), as shown in Fig. 18(b). Fig. 19 shows typical recordings from the two sensors that were synchronized using a cross-correlation method; the sensor-subject distances were (a)
Two sets of synchronized respiration recordings from the reference contact sensor and our non-contact EPS at sensor-subject distances of 10 cm (a) and 100 cm (b). The middle row shows the non-contact measurements after integrating the received signal along time.
Fig. 20 plots the power spectra of the data shown in Fig. 19, as estimated using a CWT; the spectra of the integrated EPS signals are in good agreement with those from the contact sensor. Also, there are no statistically significant differences between the RR values estimated from the two recordings.
Power spectra of two synchronized respiration recordings (from Fig. 19) using CWT when the human subject is sitting at distances of 10 cm (top) and 100 cm (bottom) from the sensors.
Fig. 21(a) compares peak−to−peak durations extracted from multiple recordings (65 recordings, ~461 durations) made using the reference sensor and the EPS (distance
(a) Comparison of extracted peak-to-peak RC durations using the reference sensor and the EPS positioned at distances from
Fig. 22 shows two examples (
Peak-to-peak duration comparisons of the reference sensor and our custom sensor along several typical respiration cycle sequences, with human-sensor distances of 20 cm (a) and 70 cm (b).
Fig. 23(a) shows that timing differences increase with
(a) Respiration cycle duration comparison when the human subject sits at different distances from the sensor, outliers are not shown; (b) cumulative density functions (CDF) of the duration errors.
Spirometry is a common pulmonary function test (PFT) for assessing breathing patterns that identify conditions such as asthma or pulmonary fibrosis [48]. Fig. 24(a) shows a typical spirometry test and its parameter definitions, while Fig. 24(b) compares the measured respiratory waveforms for shallow breathing and forced inspiration/expiration using the contact belt sensor and the EPS; the two are in good agreement.
(a) Parameter definitions for a typical spirometry measurement; and (b) their corresponding transit waveforms during shallow breathing (left) and deep forced breathing (right).
Fig. 25(a) shows the flow-volume (F-V) loop during a successful forced vital capacity (FVC) maneuver, as extracted from Fig. 24(a). Positive and negative “flow” values represent expiration and inspiration, respectively, while the “volume” axis represents volume in the spirometer. The flow trace moves clockwise, starting at the FVC point during inspiration, and rapidly mounts to a peak during expiration. Forced expiratory flow (FEF) is the flow during the middle portion of a forced expiration, and 25-75% FEF appears to be a sensitive parameter for detecting obstructive small airway disease [49]. Instead of using a traditional spirometer for validation, here we demonstrate that the contact sensor and our EPS provide similar F-V loops and thus FEF values, as shown in Fig. 25(b).
(a) Flow-volume (F-V) loop showing a normal FVC maneuver; and (b) its estimation using the contact belt sensor and the non-contact EPS.
F. Electroencephalogram (EEG) Sensing
This subsection describes non-contact EEG measurement results using the ECG channel of the EPS. The experimental setup used during these studies is shown in Fig. 26, with the back of the subject’s head (occipital lobe) being
(a) Sketch view of 10–20 EEG electrode placement and E-field sensor location, (b) the corresponding experimental setup, where only 4 contact electrodes are implemented, and (c) zoom-in view for contact electrode (O1) sensing and non-contact E-field sensing.
Fig. 27(a) shows power spectra for 4 typical non-contact EEG recordings from an awake subject using Welch’s power spectral density estimate, as calculated using MATLAB. This plot exhibits the well-known scale-invariant properties of EEG spectra: the observed spectra are well-modeled as power-laws of the form
(a) PSD of measured EEG waveforms using the EPS, with the subject’s forehead ~5 cm away from the sensing electrode, and (b) the filtered EEG waveforms within different filtering bands.
Fig. 28(a) illustrates another example of EEG waveforms measured from an awake subject using the EPS; the
(a) Typical recording of EEG waveforms at different filtering bands, and (b) their corresponding power spectra, estimated using a CWT.
In additional experiments, as shown in Fig. 29, we compare the EEG spectra measured with the subject’s eyes open and closed, respectively. A significant increase in
(a) Typical time- and frequency-domain EEG waveforms measured when the eyes are closed (in between eye blinks), and (b) the corresponding power spectra using Welch’s PSD estimate.
G. Monitoring in Sleep-Like Postures
Non-contact cardiovascular and EEG sensing in home settings has the potential to reduce the cost of sleep studies compared to conventional data collection in a sleep lab [51]. Fig. 30 illustrates a typical example of non-contact vital signal monitoring during sleep-like conditions using our custom EPS. The EPS was placed ~2 cm under a wooden table (3 cm thick) and fixed on a tripod, while the subject lay down on the table with different postures: upward- and side-facing, respectively. The measured RC and ECG waveforms are shown in Fig. 31. Both signals are clearly observed during different sleep-like postures. Note that the measured QRS-complex features in the side-facing case (a) die down faster than that in the upward-facing case (b); this is because the heart-vector projection is further attenuated in the first case. Adding another EPS near the head would allow EEG to be simultaneously monitored for sleep studies.
Experimental setup for non-contact sensing of cardiopulmonary signals (RC and ECG) in sleep-like postures.
Non-contact sensing of RC and ECG signals during different sleep-like postures: (a) upward-facing, and (b) side-facing.
H. Wireless Measurements
The EPS nodes were integrated with off-the-shelf wireless modules to realize a self-contained sensing solution. Wireless links were set up using a low-power API and protocol (known as EasyLink) supported by the chosen MCU (CC2650, Texas Instruments). Each sensor node was configured to simultaneously sample two channels at 1 kS/s and transmit 100 samples per data packet to a remote base station. Relevant signal features (e.g., HR and RR) can be extracted from the raw data prior to transmission to reduce the wireless data rate and power consumption, but this was not implemented in this work. The base station time-stamps the received data using an on-board GPS module and then communicates with a secondary MCU board (Teensy 3.6) to save time-stamped data to a SD card. The base station can also live-steam the measured data (100 samples per frame) on a built-in screen. Wireless ECG and RC recording at distances of several meters was successfully demonstrated using this setup.
I. Comparison with Prior Work
Table 3 compares our work with recent literature on non-contact detection of cardiopulmonary signals and EEG. Earlier non-contact sensing systems have relied on differential voltage sensing using instrumentation amplifiers (IAs) with double electrodes [28], [45], [52], whereas our proposed system relies on current sensing using a TIA with a single electrode to obtain very high sensitivity. Also, most of the non-contact monitoring systems [45], [52] have limited sensing range (only up to several mm). Radar-based active sensors such as [53] have the longest detection range, but are limited to sensing cardiac and respiratory rates (HR and RR, respectively). Also the median detection accuracies for HR and RR in [53] are 98% and 99%, respectively, and degrade with distance and sensor orientation. By contrast, there are no accuracy issues for passive non-contact sensing methods since the timing errors are negligible. Also, the system in [53] is quite bulky and power hungry compared with other work in Table 3. Finally, our EPS can simultaneously monitor ECG and RC, while earlier passive sensors only measure ECG [28], [45], [52]. Thus, our work combines the advantages of relatively long sensing range with suitability for multi-modal sensing (ECG, RC, and EEG).
Conclusion
This paper has proposed passive non-contact
ACKNOWLEDGMENT
The authors would like to thank Mohammad S. Islam and Jifu Liang for assistance with the experiments.
AppendixMinimizing Leakage Currents
Minimizing Leakage Currents
EPS sensitivity can be improved by minimizing leakage currents at the TIA input terminal, i.e., maximizing
In addition to humidity effects,