Evaluation of antidecubitus mattresses.

Pressure sores are a current problem in hospitals and care of the elderly, leading to protracted hospital stays and a high care burden. The trauma for the patients is severe, and the cost of pressure sore prevention and treatment, is considerable. Antidecubitus mattresses are used for prevention and in treatment, but they also contribute to the cost of treating pressure sores. The problem highlighted in the review is that the mattresses' effectiveness in preventing and treating pressure sores has not been sufficiently evaluated. When antidecubitus mattresses are evaluated, it is often only with regard to aspects of the interface pressure and the mattresses' ability to redistribute the pressure. The review points out the important observation that, to be able to evaluate the efficacy of the antidecubitus mattress, the mattress's effect on tissue viability needs to be studied. The parameters that ought to be considered when evaluating a support surface are: interface pressure, pressure and blood flow distribution, temperature and humidity in the skin-support surface interface. The authors propose that the effect on tissue viability of external loading can be assessed by simultaneous measurement of the interface pressure and tissue perfusion.

End tidal carbon dioxide measurement using an electro acoustic sensor.

End tidal carbon dioxide measurement with an electro-acoustic sensor is demonstrated. The sensor consists of an acoustic resonator coupled to a low cost electro-acoustic element. By simultaneous measurements with a reference sensor, the new device was tested on subjects performing exercise, hypo- and hyperventilation whereby the CO2concentration ranged from 2.1 to 7.0 kPa. The output from the experimental device correlated well with the reference CO2readings with a correlation coefficient of 0.976. Response time for expiration less than 0.8 seconds was noted. The new device could be useful in situations where selectivity to other gases is not important.

Optimization of wireless Bluetooth sensor systems.

Within this study, three different Bluetooth sensor systems, replacing cables for transmission of biomedical sensor data, have been designed and evaluated. The three sensor architectures are built on 1-, 2- and 3-chip solutions and depending on the monitoring situation and signal character, different solutions are optimal. Essential parameters for all systems have been low physical weight and small size, resistance to interference and interoperability with other technologies as global- or local networks, PC's and mobile phones. Two different biomedical input signals, ECG and PPG (photoplethysmography), have been used to evaluate the three solutions. The study shows that it is possibly to continuously transmit an analogue signal. At low sampling rates and slowly varying parameters, as monitoring the heart rate with PPG, the 1-chip solution is the most suitable, offering low power consumption and thus a longer battery lifetime or a smaller battery, minimizing the weight of the sensor system. On the other hand, when a higher sampling rate is required, as an ECG, the 3-chip architecture, with a FPGA or micro-controller, offers the best solution and performance. Our conclusion is that Bluetooth might be useful in replacing cables of medical monitoring systems.

The IOP-IOL. A probe into the eye.

The intraocular lens (IOL) implant can be looked upon as a probe into the space of the eye. Adapting that view, it is logical to furnish the IOL-probe with biomedical sensors that would explore its environment. A sensor is presented for continuous monitoring of intraocular pressure (IOP), incorporated in the haptics of an IOL. The sensor consists of a capacitative spiral circuit, needing no energy, correlating its resonance frequency to the actual IOP. This resonance frequency is remotely and non-invasively detected by an external device located in a spectacle frame.