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Bio-Design and Manufacturing  2024 Vol.7 No.2 P.167-180

http://doi.org/10.1007/s42242-023-00268-w


Wearable multilead ECG sensing systems using on-skin stretchable and breathable dry adhesives


Author(s):  Yingxi Xie, Longsheng Lu, Wentao Wang & Huan Ma

Affiliation(s):  School of Mechanical and Automotive Engineering, South China University of Technology, Guangzhou 510641, China; more

Corresponding email(s):   wangwentao@csust.edu.cn

Key Words:  Multilead electrocardiogram, Dry electrodes, Wearable electronics, Wireless transmission


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Yingxi Xie, Longsheng Lu, Wentao Wang & Huan Ma . Wearable multilead ECG sensing systems using on-skin stretchable and breathable dry adhesives[J]. Journal of Zhejiang University Science D, 2024, 7(2): 167-180.

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Abstract: 
Electrocardiogram (ECG) monitoring is used to diagnose cardiovascular diseases, for which wearable electronics have attracted much attention due to their lightweight, comfort, and long-term use. This study developed a wearable multilead ECG sensing system with on-skin stretchable and conductive silver (Ag)-coated fiber/silicone (AgCF-S) dry adhesives. Tangential and normal adhesion to pigskin (0.43 and 0.20 N/cm2, respectively) was optimized by the active control of fiber density and mixing ratio, resulting in close contact in the electrode–skin interface. The breathable AgCF-S dry electrode was nonallergenic after continuous fit for 24 h and can be reused/cleaned (>100 times) without loss of adhesion. The AgCF encapsulated inside silicone elastomers was overlapped to construct a dynamic network under repeated stretching (10% strain) and bending (90°) deformations, enabling small intrinsic impedance (0.3  , 0.1 Hz) and contact impedance variation (0.7 k ) in high-frequency vibration (70 Hz). All hard/soft modules of the multilead ECG system were integrated into lightweight clothing and equipped with wireless transmission for signal visualization. By synchronous acquisition of I–III, aVR, aVL, aVF, and V4 lead data, the multilead ECG sensing system was suitable for various scenarios, such as exercise, rest, and sleep, with extremely high signal-to-noise ratios.

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