title: Designing for reliable textile neonatal ECG monitoring using multi-sensor recordings.
abstract: When designing an ECG monitoring system embedded with textile electrodes for comfort, it is challenging to ensure reliable monitoring, because textile electrodes suffer from motion artifacts and incidental poor signal quality. For the design of a comfortable monitoring system for prematurely born babies in the Neonatal Intensive Care Unit (NICU), we propose the concepts of 'diversity measurement' and 'context awareness' to improve reliability. Clinical multi-modal sensor data was collected in the NICU with the Smart Jacket connected to a state-of-the-art amplifier. We found that the ECG signals quality varied among sensors and varied over time, and found correlations between ECG signal, acceleration data, and context, which supports the feasibility of the concepts. Our explorative system level approach has lead to design parameters and meta-insights into the role of clinical validation in the design process.
authors.affiliation: Department of Industrial Design, Eindhoven University of Technology, PO Box 513, 5600 MB Eindhoven, the Netherlands. s.bouwstra@tue.nl
authors.forename: S
authors.initials: S
authors.lastname: Bouwstra
authors.forename: W
authors.initials: W
authors.lastname: Chen
authors.forename: S Bambang
authors.initials: SB
authors.lastname: Oetomo
authors.forename: L M G
authors.initials: LM
authors.lastname: Feijs
authors.forename: P J M
authors.initials: PJ
authors.lastname: Cluitmans
mesh_terms: D004562:Electrocardiography / Q000295:instrumentation*; D004566:Electrodes; D004867:Equipment Design; D005240:Feasibility Studies; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature / Q000502:physiology*; D015203:Reproducibility of Results