We report the development of an Electronic Patch for wearable health monitoring. The Electronic Patch is a new health monitoring system incorporating biomedical sensors, microelectronics, radio frequency (RF) communication, and a battery embedded in a 3-dimensional hydrocolloid polymer. In this paper the Electronic Patch is demonstrated with a new optical biomedical sensor for reflectance pulse oximetry so that the Electronic Patch in this case can measure the pulse and the oxygen saturation. The reflectance pulse oximetry solution is based on a recently developed annular backside silicon photodiode to enable low power consumption by the light emitting components. The Electronic Patch has a disposable part of soft adhesive hydrocolloid polymer and a reusable part of hard polylaurinlactam. The disposable part contains the battery. The reusable part contains the reflectance pulse oximetry sensor and microelectronics. The reusable part is 'clicked' into the disposable part when the patch is prepared for use. The patch has a size of 88 mm by 60 mm and a thickness of 5 mm.

Abstract-We present a wearable health system (WHS) for non-invasive and wireless monitoring of physiological signals. The system is made as an electronic patch where sensors, low power electronics, and radio communication are integrated in an adhesive material of hydrocolloid polymer making it a sticking patch. The patch is made with a reusable part and a disposable part which contains the adhesive material and the battery. This part is changed once every week. The patch has a size of 88 mm by 60 mm and a thickness of 5 mm. It is made for attachment on truncus or the greater muscle groups. The patch is demonstrated in two applications: Monitoring of electromyography (EMG) and arterial oxygen saturation by pulse oximetry (SpO2). The pulse oximetry sensor is made of a concentric backside Silicon photodiode with a hole in the middle for the two light sources. This makes it suitable for reflectance pulse oximetry. For the EMG application three standard dry silver electrodes are used separated by 10 mm.

We report a photodiode for use in a reflectance pulse oximeter for use in autonomous and low-power homecare applications. The novelty of the reflectance pulse oximeter is a large ring shaped backside silicon pn photodiode. The ring-shaped photodiode gives optimal gathering of light and thereby enable very low light-emitting diode (LED) driving currents for the pulse oximeter. The photodiode also have a two layer SiO 2 SiN interference filter yielding 98% transmission at the measuring wavelengths, 660 nm and 940 nm, and suppressing other wavelengths down to 50% transmission. The photodiode has a radius of 3.68 mm and a width of 0.78 mm giving an area of 18 mm 2 .The capacitance of the photodiode is measured to 34.5 nF. The quantum efficiency of the photodiode is measured to 55% and 62% at 660 nm and 940 nm, respectively. It is acceptable for this prototype but can be improved. The sensor also has an on-chip integrated Au thermistor for measuring the skin temperature of the body. The thermistor has a Temperature Coefficient of Resistance of 2 7 10 3 K 1 and a repeatability on temperature measurements of 0 26 C. The photodiode is fabricated in a clean room environment by two diffusion processes and an Advanced Silicon Etch to make the hole in the middle for the LEDs. The sensor is designed to be integrated in a sticking patch of hydrocolloid polymer together with integrated electronics, radio communication unit, and a coin cell battery. The reflectance pulse oximetry sensor is demonstrated to work in a laboratory setup with a Ledtronics dual LED with wavelengths of 660 and 940 nm. Using this setup photoplethysmograms which clearly show the cardiovascular cycle have been recorded. The sensor is shown to work very well with low currents of less than 10 mA.

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The respiratory rate (RR) is a clinically important vital sign and is a frequently used parameter in the general hospital wards. In current clinical practice, the monitoring of the RR is by manual count of the chest movement for one minute. This paper addresses a new approach where the respiratory rate is extracted using photoplethysmography (PPG) on the chest bone (sternum). Sternal PPG signals were acquired from 10 healthy subjects resting in a supine position. As reference signals, finger PPG, electrocardiogram (ECG), and capnography were simultaneously recorded during spontaneous and paced breathing. The sternal PPG signals were then compared with the reference signals in terms of Bland-Altman analysis, the power spectrum analysis and the magnitude squared coherence. The Bland-Altman analysis showed an average bias of 0.21 breaths/min between RR extracted from sternal PPG and capnography. The respiratory power content at the sternum was 78.8 (38) % in terms of the median and (the interquartile range). The cardiac content was 19 (18.4) % within the cardiac region. The results from the magnitude squared coherence analysis was 0.97 (0.09) in the respiratory region (6 to 27 breaths/min) and 0.98 (0.01) in the cardiac pulse region (30-120 beats/min). This preliminary study demonstrates the possibility of monitoring the RR from sternal PPG on a healthy group of subjects during rest.