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开发用于远程生理监测的多模态生物传感器。

Developing a multimodal biosensor for remote physiological monitoring.

机构信息

Academic Department of Military General Practice, RCI, Birmingham, UK

Defence Postgraduate Medical Deanery, Lichfield, Staffordshire, UK.

出版信息

BMJ Mil Health. 2023 Apr;169(2):170-175. doi: 10.1136/bmjmilitary-2020-001629. Epub 2021 Feb 4.

Abstract

INTRODUCTION

Several UK military expeditions have successfully used physiological sensors to monitor participant's physiological responses to challenging environmental conditions. This article describes the development and trial of a multimodal wearable biosensor that was used during the first all-female unassisted ski crossing of the Antarctic land mass. The project successfully transmitted remote real-time physiological data back to the UK. The ergonomic and technical lessons identified have informed recommendations for future wearable devices.

METHOD

The biosensor devices were designed to be continuously worn against the skin and capture: HR, ECG, body surface temperature, bioimpedance, perspiration pH, sodium, lactate and glucose. The data were transmitted from the devices to an android smartphone using near-field technology. A custom-built App running on an android smartphone managed the secure transmission of the data to a UK research centre, using a commercially available satellite transceiver.

RESULTS

Real-time physiological data, captured by the multimodal device, was successfully transmitted back to a UK research control centre on 6 occasions. Postexpedition feedback from the participants has contributed to the ergonomic and technical refinement of the next generation of devices.

CONCLUSION

The future success of wearable technologies lies in establishing clinical confidence in the quality of the measured data and the accurate interpretation of those data in the context of the individual, the environment and activity being undertaken. In the near future, wearable physiological monitoring could improve point-of-care diagnostic accuracy and inform critical medical and command decisions.

摘要

简介

英国的几次军事远征都成功地使用生理传感器来监测参与者对具有挑战性的环境条件的生理反应。本文介绍了一种多模式可穿戴生物传感器的开发和试验情况,该传感器在首次全女性无协助南极大陆滑雪穿越中得到了使用。该项目成功地将远程实时生理数据传回了英国。确定的人体工程学和技术经验教训为未来的可穿戴设备提供了建议。

方法

生物传感器设备设计为紧贴皮肤连续佩戴,可捕获:心率、心电图、体表温度、生物阻抗、出汗 pH 值、钠、乳酸和葡萄糖。数据使用近场技术从设备传输到安卓智能手机。一个运行在安卓智能手机上的定制应用程序使用市售卫星收发器管理数据的安全传输到英国研究中心。

结果

多模式设备捕获的实时生理数据成功地在 6 次传输回英国研究控制中心。参与者的远征后反馈为下一代设备的人体工程学和技术改进做出了贡献。

结论

可穿戴技术的未来成功在于在个体、环境和正在进行的活动的背景下,在测量数据的质量和对这些数据的准确解释方面建立临床信心。在不久的将来,可穿戴生理监测可以提高即时诊断的准确性,并为关键的医疗和指挥决策提供信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c3f/10176328/20b84804ed2a/bmjmilitary-2020-001629f01.jpg

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