Continuous cuffless blood pressure monitoring with a wearable ring bioimpedance device

Smart rings provide unique opportunities for continuous physiological measurement. They are easy to wear, provide little burden in comparison to other smart wearables, are suitable for nocturnal settings, and can be sized to provide ideal contact between the sensors and the skin at all times. Contin...

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Bibliographic Details
Published in:NPJ digital medicine 2023-03, Vol.6 (1), p.59-59, Article 59
Main Authors: Sel, Kaan, Osman, Deen, Huerta, Noah, Edgar, Arabella, Pettigrew, Roderic I., Jafari, Roozbeh
Format: Article
Language:English
Subjects:
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Biomedicine
Biotechnology
Blood pressure
Digital technology
Medical technology
Medicine
Medicine & Public Health
Pressure measurement
Sensors
Wearable computers
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Summary:Smart rings provide unique opportunities for continuous physiological measurement. They are easy to wear, provide little burden in comparison to other smart wearables, are suitable for nocturnal settings, and can be sized to provide ideal contact between the sensors and the skin at all times. Continuous measuring of blood pressure (BP) provides essential diagnostic and prognostic value for cardiovascular health management. However, conventional ambulatory BP measurement devices operate using an inflating cuff that is bulky, intrusive, and impractical for frequent or continuous measurements. We introduce ring-shaped bioimpedance sensors leveraging the deep tissue sensing ability of bioimpedance while introducing no sensitivity to skin tones, unlike optical modalities. We integrate unique human finger finite element model with exhaustive experimental data from participants and derive optimum design parameters for electrode placement and sizes that yields highest sensitivity to arterial volumetric changes, with no discrimination against varying skin tones. BP is constructed using machine learning algorithms. The ring sensors are used to estimate arterial BP showing peak correlations of 0.81, and low error (systolic BP: 0.11 ± 5.27 mmHg, diastolic BP: 0.11 ± 3.87 mmHg) for >2000 data points and wide BP ranges (systolic: 89–213 mmHg and diastolic: 42–122 mmHg), highlighting the significant potential use of bioimpedance ring for accurate and continuous estimation of BP.
ISSN:2398-6352
2398-6352
DOI:10.1038/s41746-023-00796-w