A New Wristband Design for Cardiac Event Recorder and Telemetry System

Yıl 2021, Cilt: 12 Sayı: 1, 104 - 120, 23.05.2021

Gürkan Bilgin , Mustafa Oktay Süleyman Bilgin

https://doi.org/10.29048/makufebed.889637

Öz

With the system implemented, a telemetry system has been developed to assist in the follow-up and diagnosis of people with heart disease or those who are likely to have heart disease. In accordance with this purpose, the study that we carried out consists of three parts. These sections are respectively: Wireless ECG receiver design, Android interface design and computer interface design. In this study, the signals received through electrodes placed on the body are amplified and filtered, and then transformed into an analog signal that can be processed. The signal that is converted to digital with the help of microprocessor is provided wireless data transmission by sending to Bluetooth module. The ECG recording system is executed by providing a Bluetooth connection between the Android interface design and the wireless ECG receiver circuit. At the end of the recording process, the data is provided to be sent to the physician’s email address with the patient information. With the computer interface, Physician’s Emails automatic control is provided. With the detection of the new incoming e-mail, the patient information and ECG file were saved to the computer and the patient ECG graphic was drawn.

Anahtar Kelimeler

Telemetry, ECG, Bluetooth, Android Interface, Computer Interface

Kardiyak Olay Kaydedici ve Telemetri Sistemi için Yeni Bir Bileklik Tasarımı

Öz

Gerçekleştirilen sistem sayesinde kalp rahatsızlığı olan kişilerin veya kalp rahatsızlığı olma ihtimali olan kişilerin takibi ve teşhisinin konulmasına yardımcı bir telemetri sistem geliştirilmiştir. Bu amaç doğrultusunda gerçekleştirilen çalışma üç bölümden oluşmaktadır. Bu bölümler sırasıyla kablosuz EKG (Elektrokardiyogram) alıcı tasarımı, Android ara yüz tasarımı ve bilgisayar ara yüzü tasarımlarıdır. Bu çalışmada vücuda yerleştirilen elektrotlar aracılığı ile alınan sinyaller yükseltip filtrelendikten sonra işlenebilir analog bir sinyale dönüştürülmüştür. Mikroişlemci yardımıyla dijitale dönüştürülen sinyal Bluetooth modülüne gönderilerek kablosuz veri iletimi sağlanmıştır. Android ara yüzü tasarımı ile kablosuz EKG alıcı devresi arasında Bluetooth bağlantısı sağlanarak EKG kayıt sistemi gerçekleştirilmiştir. Kayıt işleminin sonunda veriler hasta bilgileriyle birlikte hekim E-mail adresine yönlendirilmesi sağlanmıştır. Bilgisayar ara yüzü ile ise hekim E-mailleri otomatik kontrolü sağlanmıştır. Yeni gelen E-mailin algılanması ile hasta bilgileri ve EKG dosyası bilgisayara kaydedilip hasta EKG grafiği çizdirilmiştir.

Anahtar Kelimeler

telemetri, EKG, Bluetooth, Android Arayüzü, Bilgisayar Arayüzü

Kaynakça

• Aktürk, T. B. (2009). PDA Tabanlı Gerçek Zamanlı EKG Görüntüleme Sistemi. Afyon Kocatepe Üniversitesi Fen Bilimleri Enstitüsü, Yüksek Lisans Tezi, Afyon.
• Analog Devices (2021). Datasheet. https://www.analog.com/media/en/technical-documentation/data-sheets/ad8232.pdf (Erişim Tarihi: 27.02.2021).
• Bharathi, M. M., Belal, M. (2013). Wireless Transmission of Real Time Electrocardiogram (ECG) Signals through Radio Frequency (RF) Waves. International Journal of Scientific & Engineering Research, 4(4):1471-1477.
• Boskovic, A., Despotovic, M. (2005). An efficient approach to ECG signal transmission via GPRS. In EUROCON 2005-The International Conference: Computer as a Tool, November, 2005, 1:76-79. IEEE.
• Chandini, H. P., Mangala, H. D., Sapna, C. L., Manojkumar, S. B. (2018). ECG Telemetry System for IoT Using Raspberry Pi. In International Journal of Engineering Research & Technology (IJERT): NCESC-2018 Conference Proceedings, 6(13): 1-4.
• Chatzigiannakis, I., Valchinov, E. S., Antoniou, A., Kalogeras, A., Alexakos, C., Konstantinopoulos, P. (2015). Advanced observation and telemetry heart system utilizing wearable ECG device and a Cloud platform. In 2015 IEEE Symposium on Computers and Communication (ISCC), July, 2015, 25-30.
• Çakır, L. (2014). Elektrokardiyogram (EKG) İşaretlerinin Optik Biyotelemetri Kullanarak İletilmesi. Gazi Üniversitesi Fen Bilimleri Enstitüsü, Yüksek Lisans Tezi, Ankara.
• Çalıkuşu, İ. (2012). Design and Development of a Medical Telemetry System. Near East University, Unpublished PhD Dissertation, Nicosia.
• Cunedioğlu, U. (2007). Aliev-panfilov modeli kullanarak kalbin elektriksel aktivitesinin 3-boyutlu simülasyonu. Başkent Üniversitesi Fen Bilimleri Enstitüsü, Yüksek Lisans Tezi, Ankara.
• Elena, M., Quero, J. M., Toral, S., Tarrida, C. (2002). Cardiosmart: Intelligent Cardiology Monitoring System Using GPS/GPRS Networks. IEEE 2002 28th Annual Conference of the Industrial Electronics Society, November, 2002, Spain, 7762022: 3419– 3424.
• Fensli, R., Gunnarson, E., Gundersen, T. (2005). A wearable ECG-recording system for continuous arrhythmia monitoring in a wireless tele-home-care situation.18th IEEE symposium on computer-based medical systems, New Jersey: IEEE, 407–412.
• Güler, N., Fidan, U. (2006). Wireless Transmission of ECG Signal. Journal of Medical Systems, 30(3): 231-235.
• Hegazy, R. A., Lotfy, W. (2007). The value of holter monitoring in the assessment of pediatric patients. Indian Pacing Electrophysiol Journal, 7(4): 204–214.
• Karpawich, P. P., Cavitt, D. L., Sugalski, J. S. (1993). Ambulatory arrhythmia screening in symptomatic children and young adults: comparative effectiveness of holter and telephone event recordings. Pediatric Cardiology, 14(3): 147–150.
• Keskin, E. H. (2018). UART Nedir ve Nasıl Çalışır? http://herenkeskin.com/uart-nedir-ve-nasil-calisir/[Son erişim tarihi: 27.02.2021].
• Kocatürk, M. (2004). Design of A Wi-Fi Based Electrocardıography Monitoring System. İTÜ Fen Bilimleri Enstitüsü, Yüksek Lisans Tezi, İstanbul.
• Lee, J. H., Seo, D. W. (2019). Development of ECG monitoring system and implantable device with wireless charging. Micromachines, 10(1): 38.
• Lin, B., Chou, N., Chong, F., Chen, S. (2006). Rtwpms: a real-time wireless physiological monitoring system. IEEE Transactions on Information Technology in Biomedicine, 10(4): 647–656.
• Linzer, M., Pritchett, E. L., Pontinen, M., McCarthy, E., Divine, G. W. (1990). Incremental diagnostic yield of loop electrocardiographic recorders in unexplained syncope. The American Journal of Cardiology, 66(2): 214–219.
• Liu, J., Xie, F., Zhou, Y., Zou, Q., Wu, J. (2013). A Wearable Health Monitoring System with Multi-Parameters. 6th International Conference on Biomedical Engineering and Informatics, 2013, Hangzhou, 332-336.
• Lucani, D., Cataldo, G., Cruz, J., Villegas, G., Wong, S. (2006). A portable ECG monitoring device with bluetooth and holter capabilities for telemedicine applications. 28th annual international conference of the IEEE engineering in medicine and biology society, New Jersey: IEEE, 5244–5247.
• Lv, Z., Xia, F., Wu, G., Yao, L., Chen, Z. (2010). Icare: a mobile health monitoring system for the elderly. IEEE/ACM Int'l Conference on Green Computing and Communications & Int'l Conference on Cyber, Physical and Social Computing, New Jersey: IEEE, 699–705.
• Mahdiani, S., Jeyhani, V., Peltokangas, M., Vehkaoja, A. (2015). Is 50 Hz high enough ECG sampling frequency for accurate HRV analysis? 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, August, 2015, 5948 – 5951.
• Marouf, M., Vukomanovic, G., Saranovac, L., Bozic, M. (2017). Multi-purpose ECG telemetry system. BioMedical Engineering OnLine, Serbia 16(1): 1-20.
• Özkaraca, O, Güler, I. (2015). Denoising and remote monitoring of ECG signal with real-time extended kalman filter in a wearable system. Biomedical Engineering: Applications, Basis and Communications, 27(1): 1550009.
• Park, C., Chou, P. H. (2006). An Ultra-Wearable, Wireless, Low Power ECG Monitoring System. Biomedical Circuits and Systems Conference, IEEE, England,10146289, 241-244. Proulx, J., Clifford, R., Sorensen, S. (2006). Development and Evaluation of a Bluetooth EKG Monitoring Sensor. 19th IEEE Symposium on Computer-Based Medical Systems, USA, 9187352, 507– 511p.
• Russell, D. M., McCormick, D., Taberner, A. J., Malpas, S. C., Budgett, D. M. (2011). A high bandwidth fully implantable mouse telemetry system for chronic ECG measurement. 2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society, August, 7666-7669p.
• Şişman, C. (2017). Kablosuz IEEE 802.15. 6 haberleşmesi ile EKG ve solunum takip sistemi. Karadeniz Teknik Üniversitesi Fen Bilimleri Enstitüsü, Doktora Tezi, Trabzon.
• Tseng, K., Lin, B., Liao, L., Wang, Y., Wang, Y. (2014). Development of a wearable mobile electrocardiogram monitoring system by using novel dry foam electrodes. IEEE systems Journal, 8(3): 900–6.
• Türker, G. F., Tarımer, İ. (2016). Kablosuz algılayıcı ağ tabanlı taşınabilir EKG tasarımı ve uygulaması. Pamukkale University Journal of Engineering Sciences, 22(2).
• Wu, C. C., Hsieh, M. H., Tai, C. T., Chiang, C. E., Yu, W. C., Lin, Y. K, Tsao, H. M., Ding, P. Y. A, Chen, S. A. (2003). Utility of patient-activated cardiac event recorders in the detection of cardiac arrhythmias. Journal of interventional cardiac electrophysiology, 8(2):117–20.
• Xue,Y., Shuicai,W., Yanping, B. (2007). An ECG Wireless Monitoring Instrument Based on GPRS. International Conference on Complex Medical Engineering, China, 9720378, 238-241.
• Yalman, S., Irmak, M. C., Haşıloğlu, A. (2015). A mobile-based approach to monitor biomedical signals. In 2015 Medical Technologies National Conference, IEEE, October, 2015, 1-4.
• Zeybek, M. (2007). Real Time Acquisition and Wireless Transmission of ECG Signal. Dokuz Eylül Üniversitesi Fen Bilimleri Enstitüsü, Yüksek Lisans Tezi, İzmir.
• Zhu, Q., Wang, M. (2006). A Wireless PDA-based Electrocardiogram Transmission System for Telemedicine. Engineering in Medicine and Biology Society, China, 9218680, 3807 – 3809.
• Zimetbaum, P., Goldman, A. (2010). Ambulatory arrhythmia monitoring choosing the right device. Circulation, 122(16): 1629–36.
• Zimetbaum, P. J., Kim K. Y., Josephson, M. E., Goldberger, A. L., Cohen, D. J. (1998). Diagnostic yield and optimal duration of continuous-loop event monitoring for the diagnosis of palpitations: a cost-effectiveness analysis. Annals of Internal Medicine, 128(11): 890–5.