Sleep monitoring is of major importance for various medical areas such as the detection and treatment of sleep disorders, assessment of different medical conditions or medications' effects over sleep quality, and mortality risk assessment associated with sleep patterns in adults and children. It is a challenging area of medical problems due to both privacy issues and technical considerations. It calls for monitoring methods in which the patient's natural state is less interfered. An ideal device would be non-invasive, minimally restrictive, robust enough to compensate movements of the patients, and would operate without relying on patient's cooperation.
Non-contact methods for monitoring vital signs and physiological activities have been given lots of attention recently. In addition to the sleep monitoring, various other medical applications demand for less-obtrusive continuous respiratory and cardiac activity monitoring methods. Applications such as home health care, neonates and burned victims monitoring and applications in which using the traditional skin electrodes may worsen or disturb the conditions of the patient, call for new contact-less approaches for monitoring purposes.
This thesis focuses on the design and development of an unobtrusive, vital sign monitoring system particularly suited for long-term monitoring. The system is a low-cost, non-contact planar system designed to be placed under the bed or mattress for applications such as sleep monitoring, neonates monitoring, etc.
The system is based on the magnetic induction sensing method, designed to infer presence on the bed, breathing and cardiac activity and consists of two coils for excitation and detection. The receiver is an asymmetric planar gradiometer which has been optimized to minimize the impact of the primary magnetic field. The signal acquisition system has been designed using simple electronics to avoid ending up with a complex expensive system. Safety study indicates that the developed system is safe to be used for continuous monitoring of breathing and cardiac activity for patients, in terms of being exposed to magnetic fields. The experimental results were compared with reference signals obtained by other sensors (photoplethysmogram, respiratory pressure transducer), for benchmarking and identifying the advantages and drawbacks of the new system regarding other techniques. Experimental results confirm the suitability and safety of the sensor for long-term cardiac and respiratory monitoring. The system is able to detect respiration and cardiac activity as well as presence on the bed and changes in position.
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