Obstructive Sleep Apnea (OSA) is one of the main under-diagnosed sleep disorder. It is an aggravating factor for several serious cardiovascular diseases, including stroke. There is, however, a lack of medical devices for long-term ambulatory monitoring of OSA since current systems are rather bulky, expensive, intrusive, and cannot be used for long-term monitoring in ambulatory settings. In this paper, we propose a wearable, accurate, and energy efficient system for monitoring obstructive sleep apnea on a long-term basis. As an embedded system for Internet of Things, it reduces the gap between home health-care and professional supervision. Our approach is based on monitoring the patient using a single-channel electrocardiogram signal. We develop an efficient time-domain analysis to meet the stringent resources constraints of embedded systems to compute the sleep apnea score. Our system, for a publicly available database (PhysioNet Apnea-ECG), has a classification accuracy of up to 88.2% for our new online and patient-specific analysis, which takes the distinct profile of each patient into account. While accurate, our approach is also energy efficient and can achieve a battery lifetime of 46 days for continuous screening of OSA.

Abstract-Obstructive Sleep Apnea (OSA) is one of the main sleep disorders, but only 10% of the cases are diagnosed. Moreover, there is a lack of tools for long-term monitoring of OSA, since current systems are too bulky and intrusive to be used continuously. In this context, recent studies have shown that it is possible to detect it automatically based on singlelead ECG recordings. This approach can be used in non-invasive smart wearable sensors which measure and process bio-signals online. This work focuses on the implementation, optimization and integration of an algorithm for OSA detection for preventive health-care. It relies on a frequency-domain analysis while targeting an ultra-low power embedded wearable device. As it must share its resources usage with other computations, it must be as lightweight as possible. Our current results based on publicly available signals show a classification accuracy of up to 83.2% for both the offline analysis and the embedded online one. This system gives an even better classification accuracy than the best offline algorithm when using the same features for classification [1].

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In the context of wearable medical systems, resources are scarce while performance requirements are high. Traditional sampling strategies create large amounts of data, which hinders the device's battery lifetime. However, energy savings are possible when relying on an event-triggered strategy, following the brain example. In this paper, we explore the use of non-Nyquist sampling for cardiovascular monitoring systems, with an in-depth analysis of the performance of a knowledge-based adaptive sampling strategy. By reducing the average sampling rate from 360 Hz down to 13.6 Hz, we can increase the battery lifetime by 4× with a marginal impact on the accuracy of heart-rate analysis.

Abstract-Latest progress in microelectronics have enabled a new generation of low cost, low power, miniaturized, yet, smart sensor nodes. This new generation of wearable sensor nodes promise to deploy automated complex bio-signals analysis. In this paper, we present INYU, a wearable sensor device for physical and emotional health monitoring. The device obtains key vital signs of the user, namely Electrocardiogram (ECG), respiration and skin conductance continuously. Using this information, INYU can deliver a novel real-time algorithm for on-line heart-beat classification and correction that relies on a probabilistic model to determine whether a heartbeat is likely to happen under certain timing conditions. Thus, using this algorithm INYU can quickly decide if a beat is occurring at an expected time or if there is a problem in the series (e.g., a skipped, an extra or a misplaced beat). This new algorithm has been integrated in the processing pipeline of automated Heart-Rate Variability (HRV) analysis, both for time-domain (RMSSD, SDNN) and frequencydomain (LF/HF) algorithms.