A wireless ultrasound surgical system (WUSS) with battery modules requires efficient power consumption with appropriate cutting effects during surgical operations. Effective cutting performances of the ultrasound transducer (UT) should be produced for ultrasound surgical knives for effective hemostasis performance and efficient dissection time. Therefore, we implemented a custom-made UT with piezoelectric material and re-poling process, which is applied to enhance the battery power consumption and output amplitude performances of the WUSS. After the re-poling process of the UT, the quality factor increased from 1231.1 to 2418 to minimize the unwanted heat generation. To support this UT, we also developed a custom-made generator with a transformer and developed 2nd harmonic termination circuit, control microcontroller with an advanced reduced instruction set computer machine (ARM) controller, and battery management system modules to produce effective WUSS performances. The generator with a matching circuit in the WUSS showed a peak-to-peak output voltage and current amplitude of 166 V and 1.12 A, respectively, at the resonant frequency. The performance with non-contact optical vibrators was also measured. In the experimental data, the developed WUSS reduced power consumption by 3.6% and increased the amplitude by 20% compared to those of the commercial WUSS. Therefore, the improved WUSS performances could be beneficial for hemostatic performance and dissection time during surgical operation because of the developed UT with a piezoelectric material and re-poling process.
This paper presents a fully integrated voltage-reference circuit for implantable devices such as retinal implants. The recently developed retinal prostheses require a stable supply voltage to drive a high-density stimulator array. Accordingly, a voltage-reference circuit plays a critical role in generating a constant reference voltage, which is provided to a low-voltage-drop regulator (LDO), and filtering out the AC ripples in a power-supply rail after rectification. For this purpose, we use a beta-multiplier voltage-reference architecture to which a nonlinear current sink circuit is added, to improve the supply-independent performance drastically. The proposed reference circuit is fabricated using the standard 0.35 µm technology, along with an LDO that adopts an output ringing compensation circuit. The novel reference circuit generates a reference voltage of 1.37 V with a line regulation of 3.45 mV/V and maximum power-supply rejection ratio (PSRR) of −93 dB.
With the growth of computing and communication technologies, the information processing paradigm of the healthcare environment is evolving. The patient information is stored electronically, making it convenient to store and retrieve patient information remotely when needed. However, evolving the healthcare systems into smart healthcare environments comes with challenges and additional pressures. Internet of Things (IoT) connects things, such as computing devices, through wired or wireless mediums to form a network. There are numerous security vulnerabilities and risks in the existing IoT-based systems due to the lack of intrinsic security technologies. For example, patient medical data, data privacy, data sharing, and convenience are considered imperative for collecting and storing electronic health records (EHR). However, the traditional IoT-based EHR systems cannot deal with these paradigms because of inconsistent security policies and data access structures. Blockchain (BC) technology is a decentralized and distributed ledger that comes in handy in storing patient data and encountering data integrity and confidentiality challenges. Therefore, it is a viable solution for addressing existing IoT data security and privacy challenges. BC paves a tremendous path to revolutionize traditional IoT systems by enhancing data security, privacy, and transparency. The scientific community has shown a variety of healthcare applications based on artificial intelligence (AI) that improve health diagnosis and monitoring practices. Moreover, technology companies and startups are revolutionizing healthcare with AI and related technologies. This study illustrates the implication of integrated technologies based on BC, IoT, and AI to meet growing healthcare challenges. This research study examines the integration of BC technology with IoT and analyzes the advancements of these innovative paradigms in the healthcare sector. In addition, our research study presents a detailed survey on enabling technologies for the futuristic, intelligent, and secure internet of health things (IoHT). Furthermore, this study comprehensively studies the peculiarities of the IoHT environment and the security, performance, and progression of the enabling technologies. First, the research gaps are identified by mapping security and performance benefits inferred by the BC technologies. Secondly, practical issues related to the integration process of BC and IoT devices are discussed. Third, the healthcare applications integrating IoT, BC, and ML in healthcare environments are discussed. Finally, the research gaps, future directions, and limitations of the enabling technologies are discussed.
Piezoelectric transducers are important devices that are triggered by amplifier circuits in mobile ultrasound systems. Therefore, amplifier performance is vital because it determines the acoustic piezoelectric transducer performances. Particularly, mobile ultrasound applications have strict battery performance and current consumption requirements; hence, amplifier devices should exhibit good efficiency because the direct current (DC) voltage in the battery are provided to the supply voltages of the amplifier, thus limiting the maximum DC drain voltages of the main transistors in the amplifier. The maximum DC drain voltages are related with maximum output power if the choke inductor in the amplifier is used. Therefore, a need to improve the amplifier performance of piezoelectric transducers exists for mobile ultrasound applications. In this study, a post-voltage-boost circuit-supported class-B amplifier used for mobile ultrasound applications was developed to increase the acoustic performance of piezoelectric transducers. The measured voltage of the post-voltage-boost circuit-supported class-B amplifier (62 VP-P) is higher than that of only a class-B amplifier (50 VP-P) at 15 MHz and 100 mVP-P input. By performing the pulse-echo measurement test, the echo signal with the post-voltage-boost circuit-supported class-B amplifier (10.39 mVP-P) was also noted to be higher than that with only a class-B amplifier (6.15 mVP-P). Therefore, this designed post-voltage-boost circuit can help improve the acoustic amplitude of piezoelectric transducers used for mobile ultrasound applications.
Significant progress has been made in the field of micro/nano-retinal implant technologies. However, the high pixel range, power leakage, reliability, and lifespan of retinal implants are still questionable. Active implantable devices are safe, cost-effective, and reliable. Although a device that can meet basic safety requirements set by the Food and Drug Administration and the European Union is reliable for long-term use and provides control on current and voltage parameters, it will be expensive and cannot be commercially successful. This study proposes an economical, fully controllable, and configurable wireless communication system based on field-programmable gated arrays (FPGAs) that were designed with the ability to cope with the issues that arise in retinal implantation. This system incorporates hexagonal biphasic stimulation pulses generated by a digital controller that can be fully controlled using an external transmitter. The integration of two separate domain analog systems and a digital controller based on FPGAs is proposed in this study. The system was also implemented on a microchip and verified using in vitro results.
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