Wearable Loop Sensor for Bilateral Knee Flexion Monitoring.

We have previously reported wearable loop sensors that can accurately monitor knee flexion with unique merits over the state of the art. However, validation to date has been limited to single-leg configurations, discrete flexion angles, and in vitro (phantom-based) experiments. In this work, we take a major step forward to explore the bilateral monitoring of knee flexion angles, in a continuous manner, in vivo. The manuscript provides the theoretical framework of bilateral sensor operation and reports a detailed error analysis that has not been previously reported for wearable loop sensors. This includes the flatness of calibration curves that limits resolution at small angles (such as during walking) as well as the presence of motional electromotive force (EMF) noise at high angular velocities (such as during running). A novel fabrication method for flexible and mechanically robust loops is also introduced. Electromagnetic simulations and phantom-based experimental studies optimize the setup and evaluate feasibility. Proof-of-concept in vivo validation is then conducted for a human subject performing three activities (walking, brisk walking, and running), each lasting 30 s and repeated three times. The results demonstrate a promising root mean square error (RMSE) of less than 3° in most cases.

Real-Time Magnetocardiography with Passive Miniaturized Coil Array in Earth Ambient Field.

We demonstrate a magnetocardiography (MCG) sensor that operates in non-shielded environments, in real-time, and without the need for an accompanying device to identify the cardiac cycles for averaging. We further validate the sensor's performance on human subjects. Our approach integrates seven (7) coils, previously optimized for maximum sensitivity, into a coil array. Based on Faraday's law, magnetic flux from the heart is translated into voltage across the coils. By leveraging digital signal processing (DSP), namely, bandpass filtering and averaging across coils, MCG can be retrieved in real-time. Our coil array can monitor real-time human MCG with clear QRS complexes in non-shielded environments. Intra- and inter-subject variability tests confirm repeatability and accuracy comparable to gold-standard electrocardiography (ECG), viz., a cardiac cycle detection accuracy of >99.13% and averaged R-R interval accuracy of <5.8 ms. Our results confirm the feasibility of real-time R-peak detection using the MCG sensor, as well as the ability to retrieve the full MCG spectrum as based upon the averaging of cycles identified via the MCG sensor itself. This work provides new insights into the development of accessible, miniaturized, safe, and low-cost MCG tools.

Quarter-Wave Plates to Improve Rotational Misalignment Robustness in Medical Telemetry.

A major challenge in developing robust wireless links to implanted/ingestible antennas is the potential for rotational misalignment. In this paper, we present an artificially anisotropic quarter-wave plate (QWP) capable of developing a circularly polarized wave from a linearly polarized wave. Without loss of generality, our QWP is composed of plastic and hydrogel, while the linearly polarized wave is developed by a bio-matched antenna-a high gain, broadband antenna with a dielectric engineered to match to biological tissues. Using a basic implanted patch antenna, we demonstrate a 1.00 dB (1.26) variance in transmission coefficient over a 90° variance, with a remarkable average measured transmission coefficient of -34.4 dB (3.63 × 10-4 ) at 2.4 GHz. Without the QWP, the rotational variance is 12.52 dB (17.9). Notably, the QWP increases the maximum input power to comply with specific absorption rate limitations. In our case, this allows for -15.0 dBm (31.6 µW) of power to be received by the implant, which is comparable to the -15.7 dBm (26.9 µW) received without the QWP. Additionally, we demonstrate that with the QWP, the standard deviation from the mean transmission for rotational misalignments remains below 3 dB (2.00) from 2 to 3.62 GHz, resulting in a simulated 57.7% fractional bandwidth. © 2021 Bioelectromagnetics Society.

Wireless Wearables and Implants: A Dosimetry Review.

Wireless wearable and implantable devices are continuing to grow in popularity, and as this growth occurs, so too does the need to consider the safety of such devices. Wearable and implantable devices require the transmitting and receiving of electromagnetic waves near and through the body, which at high enough exposure levels may damage proximate tissues. The specific absorption rate (SAR) is the quantity commonly used to enumerate exposure levels, and various national and international organizations have defined regulations limiting exposure to ensure safe operation. In this paper, we comprehensively review dosimetric studies reported in the literature up to the year 2019 for wearables and implants. We discuss antenna designs for wearables and implants as they relate to SAR values and field and thermal distributions in tissue, present designs that have made steps to reduce SAR, and then review SAR considerations as they relate to applied devices. As compared with previous review papers, this paper is the first review to focus on dosimetry aspects relative to wearable and implantable devices. Bioelectromagnetics. 2020;41:3-20 © 2019 The Authors. Bioelectromagnetics published by Wiley Periodicals, Inc.

Enhanced Microwave Hyperthermia of Cancer Cells with Fullerene.

Hyperthermia generated with various energy sources including microwave has been widely studied for cancer treatment. However, the potential damage due to nontargeted heating of normal tissue is a major hurdle to its widespread application. Fullerene is a potential agent for improving cancer therapy with microwave hyperthermia but is limited by its poor solubility in water for biomedical applications. Here we report a combination therapy for enhanced cancer cell destruction by combining microwave heating with C60-PCNPs consisting of fullerene (C60) encapsulated in Pluronic F127-chitosan nanoparticles (PCNPs) with high water solubility. A cell culture dish integrated with an antenna was fabricated to generate microwave (2.7 GHz) for heating PC-3 human prostate cancer cells either with or without the C60-PCNPs. The cell viability data show that the C60-PCNPs alone have minimal cytotoxicity. The combination of microwave heating and C60-PCNPs is significantly more effective than the microwave heating alone in killing the cancer cells (7.5 versus 42.2% cell survival). Moreover, the combination of microwave heating and C60-PCNPs is significantly more destructive to the cancer cells than the combination of simple water-bath heating (with a similar thermal history to microwave heating) and C60-PCNPs (7.5 versus 32.5% survival) because the C60 in the many nanoparticles taken up by the cells can absorb the microwave energy and convert it into heat to enhance heating inside the cells under microwave irradiation. These data suggest the great potential of targeted heating via fullerene for enhanced cancer treatment by microwave hyperthermia.

Numerical assessment of the performance of a scalp-implantable antenna: effects of head anatomy and dielectric parameters.

We numerically assess the effects of head properties (anatomy and dielectric parameters) on the performance of a scalp-implantable antenna for telemetry in the Medical Implant Communications Service band (402.0-405.0 MHz). Safety issues and performance (resonance, radiation) are analyzed for an experimentally validated implantable antenna (volume of 203.6 mm(3) ), considering five head models (3- and 5-layer spherical, 6-, 10-, and 13-tissue anatomical) and seven scenarios (variations ± 20% in the reference permittivity and conductivity values). Simulations are carried out at 403.5 MHz using the finite-difference time-domain method. Anatomy of the head model around the implantation site is found to mainly affect antenna performance, whereas overall tissue anatomy and dielectric parameters are less significant. Compared to the reference dielectric parameter scenario within the 3-layer spherical head, maximum variations of -19.9%, +3.7%, -55.1%, and -39.2% are computed in the maximum allowable net input power imposed by the IEEE Std C95.1-1999 and Std C95.1-2005 safety guidelines, return loss, and maximum far-field gain, respectively. Compliance with the recent IEEE Std C95.1-2005 is found to be almost insensitive to head properties, in contrast with IEEE Std C95.1-1999. Taking tissue property uncertainties into account is highlighted as crucial for implantable antenna design and performance assessment. Bioelectromagnetics 34:167-179, 2013. © 2012 Wiley Periodicals, Inc.