Krbec Brooke A, Zhang Xiang, Chityat Inbar, Brady-Mine Alexandria, Linton Evan, Copeland Daniel, Anthony Brian W, Edelman Elazer R, Davis Jonathan M
Division of Newborn Medicine, Tufts Medical Center, Boston, MA, United States.
Institute for Medical Engineering and Science, Department of Mechanical Engineering, Center for Clinical and Translational Research, Massachusetts Institute of Technology, Cambridge, MA, United States.
Front Pediatr. 2024 Oct 14;12:1442753. doi: 10.3389/fped.2024.1442753. eCollection 2024.
Continuous monitoring of high-risk neonates is essential for the timely management of medical conditions. However, the current reliance on wearable or contact sensor technologies for vital sign monitoring often leads to complications including discomfort, skin damage, and infections which can impede medical management, nursing care, and parental bonding. Moreover, the dependence on multiple devices is problematic since they are not interconnected or time-synchronized, use a variety of different wires and probes/sensors, and are designed based on adult specifications. Therefore, there is an urgent unmet need to enable development of wireless, non- or minimal-contact, and non-adhesive technologies capable of integrating multiple signals into a single platform, specifically designed for neonates. This paper summarizes the limitations of existing wearable devices for neonates, discusses advancements in non-contact sensor technologies, and proposes directions for future research and development.
对高危新生儿进行持续监测对于及时处理医疗状况至关重要。然而,目前依靠可穿戴或接触式传感器技术进行生命体征监测往往会导致包括不适、皮肤损伤和感染在内的并发症,这些并发症会妨碍医疗处理、护理以及亲子关系的建立。此外,依赖多种设备存在问题,因为它们没有相互连接或时间同步,使用各种不同的电线和探头/传感器,并且是根据成人规格设计的。因此,迫切需要开发无线、非接触或最小接触、非粘性的技术,这些技术能够将多个信号集成到一个专为新生儿设计的单一平台上。本文总结了现有新生儿可穿戴设备的局限性,讨论了非接触传感器技术的进展,并提出了未来研发的方向。