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npj Flexible Electronics · 2024 ·Vol. 8 ·期 1 ·1-16 · IF 12.3

Flexible adaptive sensing tonometry for medical-grade multi-parametric hemodynamic monitoring

Deng Mengkang,Du Chentao,Fang Jiayuan,Xu Changshun,Guo Chenhui,Huang Jiantao,Li Kang,Chen Lei,Zhang Yuan-Ting,Chang Yu,Pan Tingrui

Continuous hemodynamic monitoring in a wearable means can play a crucial role in managing hypertension and preventing catastrophic cardiovascular events. In this study, we have described the fully wearable tonometric device, referred to as flexible adaptive sensing tonometry (FAST), which is capable of continuous and accurate monitoring of hemodynamic parameters within the medical-grade precision. In particular, the FAST system integrates a 1 × 8 unit array of highly sensitive and highly flexible iontronic sensing (FITS) with 1 mm spatial resolution and a closed-loop motion system. The flexible tonometric architecture has been used to determine the radial arterial position with high sensitivity and high conformability, which simplifies the biaxial searching process of the traditional applanation tonometry into a highly efficient uniaxial applanation while keeping the medical-precision assessments. Importantly, a self-calibration algorithm can be automatically implemented during the applanation process, from which the intra-arterial blood pressure wave can be continuously predicted within the medical-grade precision, and subsequently, multi-parametric hemodynamic analysis can be performed in real-time. Experimental validations on health volunteers have demonstrated that the FAST measurements are all within the required accuracy of the clinical standards for continuous pulse wave assessments, blood pressure monitoring as well as other key hemodynamic parameter evaluations. Therefore, the FAST system, by integrating the flexible iontronic sensing array, provides a real-time, medical-grade hemodynamic monitoring solution in a continuously wearable manner, from which remote patient-centered monitoring can be delivered with both medical precision and convenience.

CAS / MDL: 872-50-4
研究领域: 生物医学工程 · 医疗器械 · 健康监测
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Science Advances · 2025 ·Vol. 11 ·期 37 · IF 12.5

Skin-adaptive focused flexible micromachined ultrasound transducers for wearable cardiovascular health monitoring

Jiawei Yuan,Zhikang Li,Yihe Zhao,Ruiyan Luo,Shaohui Qin,Jie Li,Min Li,Gengyu Han,Zixuan Li,Zilong Zhao,Jiazhu Li,Shiwang Zhang,Zheng Yuan,Xiangguang Han,Lihong Fan,Xiaozhang Wang,Tong Wang,Ping Yang,Libo Zhao,Lirong Yuan,Yi Lv,Rongqian Wu,Tzung K. Hsiai,Zhuangde Jiang

Continuous monitoring of cardiovascular vital signs can reduce the incidence and mortality of cardiovascular diseases, yet cannot be implemented by current technologies because of device bulkiness and rigidity. Here, we report self-adhesive and skin-conformal ultrasonic transducer arrays that enable wearable monitoring of multiple hemodynamic parameters without interfering with daily activities. A skin-adaptive focused ultrasound method with rational array design is proposed to implement measurement under wide ranges of skin curvatures and depths with improved sensing performances. We introduce a self-adhesive hydrogel layer to enhance the acoustic impedance matching, biocompatibility and contact reliability at device-skin interfaces, and a microelectromechanical systems-compatible process for batch-to-batch and high-consistency manufacturing. The resultant transducer array, with a frequency of 2.4 megacycles per second and a –6 dB bandwidth of 47%, implements accurate and continuous detection of cardiovascular signs, including blood pressure (BP) waveforms of various arteries, heart rate and BP during exercises, and arterial stiffness, validated clinically.

研究领域: 生物医学工程 · 心血管病学 · 传感器技术 · 转化医学 · 微纳制造 · 生物电子学 · 生理信号监测
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