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Gluco-Medes Design Report 1
March 20, 2015
Final Design Report
Non-Invasive Glucose Monitor
Gluco-Medes
Charlie Aylward
Jonah Clinard
Amanda Toan
Travis Stuever
Gluco-Medes Design Report 2
Table of Contents
Introduction……………………………………………………………………….……..3
Project Overview……………………………………………………………….....3
Clients…………………………………………………………………………......3
Stakeholders……………………………………………………………….……...4
Framed Insights and Opportunities…………………………………………….....4
Goals and Objectives……………………………………………………………..6
Outcomes and Deliverables……………………….……………………………...7
Team Mission and Objectives…………………………………………………....7
Team Membership and Roles…………………………………………….……....8
Planning Information……………………………………………………….…….8
Related Work……………………………………………………………………….…...9
Formal Product Definition……………………………………………………………..12
Introduction……………………………………………………………………....12
Marketing Requirements………………………………………………………....13
Engineering Requirements……………………………………………………….14
Constraints………………………………………………………………………..14
Criteria…………………………………………………………………………....15
The User Experience…………………………………………………….…….………..16
Overview………………………………………………………………………....17
Personas…………………………………………………………………………..17
Design and Justification………………………………………………………………...18
Overview of Team Process…………………………………………………….....18
System Architecture……………………………………………………………....19
Hardware Design..…………….…………………………………………………..19
Software Architecture…………………………………………….……………….26
Mechanical Design……………………………………………….……………….27
Test Plan……………………………………………………………….………………....27
Appendices……………………………………………………………………………….30
Bill of Materials………………………………….………….……....…………....31
Gantt Chart…….………………………………………….…………….….…….32
Circuit Diagrams…………………………………………………….…………...33
Final Test Plan………………………………………………………………..….36
Gluco-Medes Design Report 3
Introduction
Project Overview
The Gluco-Medes team was formed in order to develop a non-invasive glucose monitoring
device. The team will be working with New Vision Telemedicine (NVT) as well as Innovative
Concepts to complete this project. The most important goal of the project is to create a device
that will measure blood glucose levels with some degree of accuracy. The other major goal of the
project is for the device to be simple enough for easy accessibility of individuals who may have
disabilities. After measuring the glucose levels, the device should also be able to display the
results of the test onto an android device with an android based application loaded onto it. In
short, the device aims to become a new and reliable solution to the invasive ways of measuring
blood glucose levels.
Clients
The clients of the project are Dr. Ahmad Nooristani and Paden Hughes of New Vision
Telemedicine and Lonny Rollins of Innovative Concepts. New Vision Telemedicine is a
company that aims to ensure quality health care for those in need by providing telehealth
products that will allow for easier communication between families, patients, and companies
with medical consultations. The company is run by Dr. Ahmad Nooristani, who is a practicing
hospitalist and previous chair of the Department of Medicine at his local hospital. Innovative
Concepts is acting as the IT consultant for the project, with Lonny Rollins, the CEO, being the
main consultant. The final product of this project, if finished, will be given to Dr. Nooristani of
NVT to use as he deems fit. Otherwise, it will most likely be a project that Innovative Concepts
will take over.
Gluco-Medes Design Report 4
Stakeholders
There are many stakeholders involved in this project, including the clients of the project, people
with diabetes, as well as people affected by those with diabetes—family members of people with
diabetes. The main clients of the project are Dr. Nooristani and Paden Hughes, the
representatives of New Vision Telemedicine, the company whom this team is collaborating with
for this project. The other client whom the team will be working with is Lonny Rollins, the CEO
of Innovative Concepts. These two clients will be most interested in the success of the project as
they are the main investors of the project and have the most to lose. Aside from the obvious
stakeholders—the clients—however, there are also two other groups to consider. These two
groups are people with diabetes and family or friends of people with diabetes. The success of this
project will have a major impact on the lives of those suffering from diabetes as it will allow
them to measure their glucose levels without having to draw blood. A reliable non-invasive
glucose monitor can also potentially lower the medical costs of families with diabetic members.
Friends and family will also no longer have to watch their loved ones prick their fingers several
times a day just to measure their glucose levels. To sum it up, many people will be affected by
the success of this project, including the members of this team, making the success of this project
all the more desired.
Framed Insights and Opportunities
The initial meeting between the team and the clients focused on the specifications expected of
the device and the possible design solutions for the device. One possible design suggested by
Lonny Rollins—the acting IT consultant of the project—for the device included the use of light
sensors to measure the percentage of the glucose levels within the body. This design utilizes
specific frequencies of light chosen within a range of wavelengths in order to calculate and
Gluco-Medes Design Report 5
determine the glucose level of an individual. Other designs were also briefly mentioned, such as
measuring glucose levels through saliva or tears. However, Lonny expressed the preferred choice
of using the light sensor for the project; though it should be noted that alternatives were deemed
acceptable if proven to be better or easier to work with. The location at which the device is to
measure the glucose levels was also discussed during the meeting. Several different parts of the
body were suggested. These suggestions included measuring at the earlobe, the area between the
pointer finger and thumb, or the wrist. The client’s preferred choice of location was the wrist.
However, the wrist was decided to be the location that would most likely cause the most trouble
as the bone would have to be taken into account when trying to measure the reflections of light.
Therefore, it was suggested that the team start at a much easier location for the initial device
design such as the area between the pointer finger and thumb or the earlobe. These locations are
ideal for testing as they are areas that do not contain bone, which is the main concern with the
wrist based design. Once the device starts working on those areas with reasonable accuracy, it
can then be slowly moved towards the client’s desired wrist area. The initial design of the clients
has the device simply measure the individual’s glucose level and then have it display directly
onto an android based mobile application. This particular aspect of the project, however, can be
expanded on, if time permits, to being able to possibly transmit the data to Dr. Nooristani
directly or into a database of New Vision Telemedicine’s. Ultimately, the most vital part of this
project that was agreed upon was accuracy. Being able to measure the glucose levels of
individuals accurately is of the utmost importance. An aesthetically pleasing device, although
would be nice to have, is the least important aspect of the overall goal of the project. Individuals
with diabetes who will need to use the device several times a day need to be able to rely on the
device and trust that it will give them accurate readings. An inaccurate device will not only be
Gluco-Medes Design Report 6
useless for the company and its potential users but will also mean that the team essentially
wasted all their time into producing a device that does not work. In conclusion, an accurate
device will not only help New Vision Telemedicine and people suffering from diabetes but will
also prove to have been a project worth all the time and effort put into it by the team itself.
Goals and Objectives
The following list highlights the goals and objectives of the project.
● The product should be affordable for average consumers/patients.
● The device should be simple to use.
● The device must be reliable
● The device must be portable.
● The final product must be aesthetic/sleek.
● Using the device must be 100% safe.
● The device will feature USB data transfer.
● Results will be displayed on mobile devices (Android).
● The device will work with an Android application.
● Accuracy needs to be within 80% of a typical venipuncture test.
● The device will use 1500 - 1700 nm wavelength light for sugar reflection.
● The device will operate in room temperature environment (20-26C).
Outcomes and Deliverables
The final result of this project should be a working non-invasive glucose monitor. The device
should be able to accurately measure the blood glucose level of the user with results comparable
to a traditional method, such as finger pricking. Results of the blood glucose measurement
Gluco-Medes Design Report 7
should then be displayed on an android device loaded with an android based mobile application.
Upon completion of this project, the team hopes to leave behind a reliable and working device.
The team will also aim to leave behind not only a working device, but also an aesthetically
pleasing encasing of the device, though it should be noted that this is not a major priority of the
project. In conclusion, even if not aesthetically pleasing, a working and accurate device will be
considered a finished product for this project.
Team Mission and Objectives
The following subsections highlight the team’s mission and objectives.
Team Mission
Our mission is to provide easier means of communication between doctors and their patients
through the use of medical technologies.
Team Objectives
● To better the lives of others
● To successfully collaborate between team members and our client
● To improve doctor patient communication
● To provide a working product
● To meet the needs of our client
● To create lifelong bonds between team members
● To further develop the understanding behind telemedicine
● To gain experience through real life application
● To apply skills and concepts we have learned in our CPE studies
Gluco-Medes Design Report 8
Team Membership and Roles
The members of Gluco-Medes are: Jonah Clinard, Amanda Toan, Travis Stuever, and Charlie
Aylward. The following list shows the team roles as well as the assigned roles of the team
members.
Project Manager and Liaison - Charlie Aylward
Procurement and Financial Officer - Jonah Clinard
System Architect - Amanda Toan, Travis Stuever
Hardware Architect - Jonah Clinard, Travis Stuever
Software Architect - Charlie Aylward, Amanda Toan
Hardware Designer - Travis Stuever
Software Designer - Charlie Aylward, Jonah Clinard
System Interface - Travis Stuever, Amanda Toan
Development Tools Specialist - All team members
Product Verification - All team members
Product Reliability and Serviceability - All team members
Planning Information
While planning this device, there are various constraints and challenges to keep in mind. One
major constraint to this project will definitely be time, having only around six months to
complete such an ambitious project. Another challenge is the development period; as the project
currently has no known working and approved device, the time for developing a design will
definitely be longer than other projects. Due to the technology still being in the early infant
stages, this project will potentially present many unforeseeable problems during the whole
duration of the project. As the team consists of all computer engineers with little to no
Gluco-Medes Design Report 9
background of such medical devices/technology, a large bulk of the planning/development stage
will consist of heavy research on the type of sensors to use. The client also did not specify a
specific design they desired for the project, leaving the design process much more open-ended
and up to the members of the team. Seeing as this technology is still so new to the market, there
is still much to be learned by the team members as well as plenty of planning.
Related Work
Krishnamurthy, Gaurav. “Non-Invasive Measurement of Blood Glucose Levels Using
GlucoTrack: Interview with CEO Avner Gal.” MedGadget, 13 Oct.
2013. Web. 9 Oct. 2014.
This article talks about an Israeli company who has developed a
non-invasive glucose monitor. The device clips to the user’s ear in
order to measure their glucose levels, which is then displayed onto
the screen of a device. The ear lobe is chosen because it’s a
convenient location that doesn’t interfere with activities. It also
contains a large number of capillary vessels and blood flows relatively slowly in the ear lobe. It’s
size is also relatively stable in adults. The device uses ultrasonic, electromagnetic and thermal
technology with multi-sensors.
Ahmad, Masab, Awais Kamboh, and Ahmed Khan. “Non-invasive blood glucose monitoring
using near-infrared spectroscopy.” EDN Network. 16 Oct. 2013. Web. 9 Oct. 2014. This article
talks about using near infrared spectroscopy to determine glucose levels. This device measures
glucose levels on the ear lobe. The thickness of the ear lobe is also measured to calibrate it. They
choose a wavelength of 1550nm for the glucose signals due to its high signal-to-noise ratio.
Gluco-Medes Design Report 10
Photodiode signals are fed into an amplifier to amplify the NIR
signals. The correlation coefficient between their device and a
reference glucometer is 0.85. The reading is displayed on an LCD
and an android phone through bluetooth.
"GlucoWise™." : Meet the New Non-invasive Glucose Monitor
That Helps You Take Control of Your Life. N.p., n.d. Web. 10
Oct. 2014.
This device is a glucose monitor that takes its readings from the skin
between the thumb and forefinger and also from the earlobe
interchangeably. This device uses radio waves at the high frequency
of 65 GHz and uses these waves to send through the skin to a sensor
on the opposite side of the hand or earlobe. The special thing this
company says its product does is temporarily make the skin of the analyzed area transparent
ensuring consistent readings across all individuals. The actual specifics of what calculations are
done with this product are not given on the website but the product is scheduled to make its
market appearance in late 2016.
Honor Whiteman. “New breathalyzer ‘monitors blood glucose’ in diabetics.” 12 Nov. 2013.
Web. 15 Oct. 2014.
This article is about a breathalyzer based approach to glucose
monitoring. Ronnie Priefer, who is a researcher at Western New
England University in Massachusetts, has discovered a way to
measure one’s glucose levels through the acetone levels in one’s
Gluco-Medes Design Report 11
breath. The device incorporates a piece of film that has different nanometer thick levels of
polymers on it. The acetone levels from one’s breath join with the polymers and in turn cause a
reaction with the film. Currently the device is about the size of a book, which Priefer is working
on changing, he expects the device to enter testing procedures for accuracy in early 2015.
Scott, Mark. "Novartis Joins With Google to Develop Contact Lens That Monitors Blood
Sugar." The New York Times. The New York Times, 15 July
2014. Web. 10 Oct. 2014.
This device is yet another that is not yet on the market but still
within its development cycle. This device will use a so called
smart contact lens that has built in sensors and software that
will provide blood glucose level monitoring as part of one its offerings. This device of course
will have to pair to an application in order to send out data taken while on the eye. Beyond what
can obviously be stated not much is known on how the lens will calculate the glucose levels.
This product holds a lot of promise however as it is a joint venture with Google and Novartis,
wherein Google can provide all the technology Novartis needs in order to make this a reality.
"Grove Instruments - Grove Technology." Grove Instruments - Grove Technology. N.p., n.d.
Web. 10 Oct. 2014.
This device has had a lot of grants awarded to its development,
about 7.8 million according to its website, and is slated to hit the
market in 2016. The actual specifics of this product are not
documented at all on Grove's website but what they do say is that
they have a technology to nullify the background tissue and water content of the analyzed region,
Gluco-Medes Design Report 12
and sense glucose levels in the vascular space. What exactly this means is anyone's guess but it
has at the very least created a viable product for this company. Their current test results show
that they have achieved readings as accurate as 88% and higher compared to conventional
means.
The related works which we found most applicable to our design is the prototype glucose
sensor created by Masab Ahmad, Awais Kamboh and Ahmed Khan, published on EDN Network.
This design had the most (while still limited) information regarding the hardware and software
architecture to base our design off of. The parts used in this device complied with our design
constraints of created a low-budget device.
Formal Product Definition
Introduction
Moska, our formal product name, is a new non-invasive glucose monitor that aims to replace the
traditional finger-pricking method through the use of light and light sensors. The simple one
button design of the product allows just about anyone, regardless of age, to use it with ease. With
the push of a button, the device will accurately measure the glucose level of the user. The results
of which will then be conveniently displayed onto an android device for easy monitoring. Listed
below are the requirements as well as constraints of the device.
Objectives
● The product should be affordable for average consumers/patients.
● The device should be simple to use.
● The device must be reliable
● The device must be portable.
● The final product must be aesthetic/sleek.
Gluco-Medes Design Report 13
● Using the device must be 100% safe.
● The device will feature USB data transfer.
● Results will be displayed on mobile devices (Android).
● The device will work with an Android application.
● Accuracy needs to be within 80% of a typical venipuncture test.
● The device will use 1500 - 1700 nm wavelength light for sugar reflection.
● The device will operate in room temperature environment (20-26C).
Marketing Requirements
● The product should be affordable for average consumers/patients
● The device should be simple to use.
● The device must be reliable
● The readings must be accurate.
● The device must be portable.
● The final product must be aesthetic/sleek
● Using the device must be %100 safe
● Environmentally Friendly
● Modular
● Device will have universal accessibility (disabled patients will be able to use)
Engineering Requirements
● The device will be USB powered (5V)
● The device will feature Bluetooth/USB data transfer
● Accuracy needs to be within 85% of a typical venipuncture test
● The device will use 1500-1700 nm wavelength light for sugar absorption
Gluco-Medes Design Report 14
● The device will operate in room temperature environment (20-26C)
● Have replaceable components
● More affordable than comparable monitoring techniques
● No initial calibration required
● Earpiece must weigh less than 2.5 oz
● RoHs compliant
Constraints
● The device must engineer
● The device must be simplistic in its nature
● The device must be accurate
● The device must be noninvasive
● Results will be displayed on mobile devices (Android)
● The device will work with an Android application
● The device must be completely safe to use
● The device must be affordable
● The final product must be aesthetic/sleek
Criteria
In order to effectively meet the constraints and engineering requirements, some standards are
needed to help with the decision making process. An example of this would be the size of the
device. The clients wish for the device to be small, however, the size of the device will
ultimately depend on several different aspects of the design. Things such as the end user and the
necessary technology needed for the device will need to be taken into consideration when
deciding on and designing the size of the product. The device will need to be large enough to
Gluco-Medes Design Report 15
house a microcontroller, a sensor, and several LEDs. However, the device will also need to be
able to clamp comfortably onto the user’s earlobe. This means that the device should be small
enough where it will not feel too heavy on the user’s earlobe. The device also needs to be
affordable and accurate. These two requirements, in particular, are dependent on each other as a
cheaper part will most likely be less accurate than a more expensive part. Therefore, in order to
meet the criterion of being affordable, some accuracy may be lost. However, since a certain
percentage of accuracy is needed, the part will likely still be a little pricey. Careful thought will
be needed in order to find the cheapest point at which the device will still meet the required
accuracy. All of the previous standards were considered during the selection process. Table 1
shows the highlights of the decision making process to meet the criteria and requirements of the
device.
Table 1. Description of decision making process to meet product requirements
Requirement Criteria Decision
Size of device The device must be small The device must be large
enough to house the
microcontroller and the
sensors, but small enough to fit
on the users ear
Affordability of device The device must be affordable The average cost of devices
using invasive technology is
annually around $1200 we
consider any device that is
under this cost a success
Accuracy of device The device must be accurate Glucose levels of a human can
fluctuate within a matter of
minutes, after discussing with
our client we consider anything
that can report glucose levels
within 80% of their true values
to be a success
Accessibility of device The device should be usable Part of the accessibility of a
Gluco-Medes Design Report 16
and accessible to everybody device depends on factors such
as the size and cost of the
device. In addition to these
factors we also must consider
the audience that is using the
device. Since some of the
device users may be elderly,
the device needs to be light
(weight) enough for their use.
The User Experience
Overview
A typical user of the non-invasive glucose monitor could be of any age or ethnicity and would
most likely have had prior experience with other invasive devices. It could be presumed that
these types of people are fed up with the traditional invasive methods of glucose monitoring and
would be open to try any non-invasive solution.
Personas
A person who would use this product could be of any age, therefore, this product must be simple
enough for young as well as old people to use. Users of this product are also not limited to just
one part of the world, as anyone could have the need to monitor their blood sugar levels.
Therefore, the simplicity of the design will be necessary so that the device can be used all over
the world by people of any age regardless of whether or not they live in the U.S. or speak
english. The main concerns for the users of this device will be whether or not the device is
accurate and if they will be able to discontinue the invasive methods of glucose measurement.
A specific example of an individual who may who this device is an elderly diabetic who
lives alone. This individual would want a product which does not weigh a lot so that it may not
damage their body, and our monitor would fit this criteria perfectly as we have put a limit on
how much our device can weigh. Because this individual is old in age they would not want a
Gluco-Medes Design Report 17
product that requires them to do complicated steps so that it may work, and in this way our
simple one button setup would be perfect for this individual. Lastly this individual probably
would not have a lot of money, maybe due to the fact that they can no longer work as much as
they used to or even the fact that they are retired. With this low income our device would look
very nice to this individual because we will have a lower price than traditional methods and also
lower in price than comparable non-invasive monitors.
Use Cases
● Diabetics - This person will utilize the device to check their own blood sugar levels. This
is necessary for them to monitor their glucose levels to avoid dropping below or rising
above the healthy range.
● Doctors - This person will use the device with their patients to monitor the patient's
glucose levels. Doctors will be able to use the device for diagnosis of diabetes in patients
that are potentially at risk.
● Sales Rep - This person will promote the finished product to patients and doctors who fall
under the target audience. As the device strives to change the industry, the sales rep may
sway current medical practices to use the newer technology.
Design and Justification
Overview of Team Process
The approach taken to this project involved equal input from all team members to brainstorm
initial concepts and produce our design plan. The initial meetings, which included the client
(NVT), established a basis to build ideas from. At the client meetings, the product constraints
were discussed in order to ensure the end result matched the client’s requirements. Once the team
Gluco-Medes Design Report 18
and the client reached an agreement with a feasible product and design, the team was able to
begin brainstorming implementations. During team meetings, goals were established with
deadlines to be met in order to make the planning process fluid and optimize productivity. Most
of the goals involved determining the specifications and parts required for the product to function
as required. Team members were expected to come to each meeting with a follow up on research
topics discussed at the prior meeting, as well as possible design ideas to be discussed with the
whole team. By the end of this process of elimination, the team reached a final design plan and
were ready to begin the implementation process.
System Architecture
Figure 1. Black Box diagram for non-invasive monitor
The architecture presented above in Figure 1 is a low level black box diagram of how each
separate component will coordinate and transmit data to the other components. Starting with the
earlobe device, it can be seen that this is where all the sensors will be located as well as receive
and transmit data. The LEDs will transmit a certain light wavelength in a certain order and the
light sensor will receive this data and send it on to the logic unit for processing. The same
process can be said for the earlobe thickness sensor which will, in some way, find out the
thickness of the ear and transmit the data. Moving on to the logic unit, this component will
Gluco-Medes Design Report 19
regulate power for the sensors in the earlobe device if needed, and perform the calculations for
finding the glucose level. Lastly, the android device will provide power to the other two devices,
in addition to displaying the results of the glucose calculation for a user to see. These are the
only three components used in the glucose sensor.
Hardware Design
After discussing our ideas as a group, as well as doing some research about the proposed ideas,
we decided that the light sensors seemed to be what works best for non-invasive glucose
monitoring. It was also the method with the most available resources on the web, which is
definitely helpful for such a new type of technology. Our research also found that the earlobe
seemed to be the ideal location to measure blood glucose since the size of an earlobe doesn't vary
much between individuals and there would be little to no interference when shining a light
through it. This was the main reason for the elimination of the wrist, as it would be difficult to
work around the bone. Saliva and tears were also voted out since they didn't seem to have as
much resources available as compared to measuring at the earlobe. A specific microcontroller
has not been decided on for the final product, however, the Arduino will likely be chosen for use
during the testing/prototype stage. The concept fan in Figure 2 on the following page shows the
possible ideas for our chosen method of glucose monitoring.
Gluco-Medes Design Report 20
Figure 2. Concept generation fan
Measuring Locations/Methods Sensors Computation Power
Webbing between index finger and thumb Light sensors (IR, LED, etc) Arduino USB
Wrist Chemical reaction Android Battery
Earlobe Thermal Microcontroller
Saliva Electromagnetic
Tears Sonar
Data Transfer Earlobe Width Measurement
Bluetooth Clamp
USB Sensor
WiFi Light
Gluco-Medes Design Report 21
Table 2. Decision matrix for earlobe width sensor
Earlobe Width via
Sonar
Earlobe Width via displacement
sensor
Earlobe Width via
IR
Accuracy 0.60 7 9 7
Cost 0.10 5 5 5
Size 0.15 5 5 8
Range 0.15 8 8 8
Score 6.65 7.85 7.1
The above scores in Table 2 reflect the preferential device to be used for the measurement of
earlobe width. The three options to consider: width measurement via sonar (using sound
reflection), a strain gauge(displacement sensor), and via infrared light. This depends on the
availability of the sensor itself. For instance, if it is harder for to acquire a sensor using sonar,
then the next best option would be used in place of it. The size of the sensor isn’t a heavy weight
due to the fact that the device being placed on the user’s ear is already fairly large. Accuracy is
the primary concern, and thus holds the heaviest weighting. All three sensors would provide an
acceptable level of accuracy, therefore the other choices will determine the choice of the actual
sensor. At the moment we are currently leaning more toward using IR light to measure the width
of the ear, though we are looking more into using a strain gauge for the measurement.
Table 3. Decision matrix for microcontroller
Weighting Arduino IOIO-OTG
Cost 0.1 8 8
Size 0.2 5 5
Ease of Use 0.1 7 7
Gluco-Medes Design Report 22
Speed 0.1 6 6
Power 0.5 10 0
Score 8.1 3.1
The above scores in Table 3 reflect the device being used for processing the data obtained from
the sensors. The weighting column reflects the relative importance (greater value is more
important) to our design. The weighting is broken across several different categories, the ease of
use, cost and speed of the device all received an equal weighting. The cost of the device is based
upon the idea that we expect the cost of the microcontroller to be one of the greater factors in our
device. The ease of use factor is strictly for the developers consideration, therefore both
microcontrollers received an equal score. The speed of the device comes down to the fact that all
it needs to do is read and transmit serial data to an android device, this allows the android device
to handle some of the processing. The size of the device is going to allow more convenience in
the accessibility and portability of the device. The power category is a consideration to how the
microcontroller will receive power, ultimately we arrived at the arduino due to the fact that it
could be powered over usb, whereas the IOIO couldn’t.
Table 4. Decision matrix sensor placement
Weighting Ear Wrist Thumb and
Forefinger
Webbing
Consistent Size 0.25 8 5 8
Location 0.25 7 8 5
Gluco-Medes Design Report 23
Blood Flow 0.25 10 10 10
Density 0.25 9 3 9
Score 8.5 6.5 8
The above scores in Table 4 represent the decision for where the devices sensor should be placed
upon the human body. The weighting was broken equally across the four categories: consistent
size, location, blood flow, and density of skin. The options for placement were upon the users
earlobe, wrist, or between the skin webbing located between the thumb and forefinger.
Ultimately the decision resulted with taking the measurement on the users ear. There is no bone
to pass through, making the density score high, the blood flow is good due to many capillaries in
the ear lobe. The location of the earlobe is somewhat convenient for the user, and the size of the
earlobe is fairly consistent across humans. Unfortunately this might limit users with body
modifications such as earrings or gauged ear-lobes to not use our device, we are seeking ways
around this.
Table 5. Decision matrix for device power
Weighting Batteries Phone
Size 0.25 5 5
Environmental 0.25 3 7
Convenience 0.25 3 8
Gluco-Medes Design Report 24
Cost 0.25 3 1
Score 3.5 5.25
The above scores for Table 5 reflect the decision process on how our device will be powered.
The weighting for each of the above four categories is equal because we felt that the size,
environmental impact, convenience and cost were all important for deciding how our device
would be powered. In terms of size a phone and battery pack are very comparable in size, but
they are still large items, so the score there reflects this. Batteries are thrown out as soon as they
are used up while a phone can be recharged so the phone wins the environmental aspect. Almost
everyone nowadays has a phone in their pocket, but who has batteries on their person, probably
no one so the phone wins this category also. Lastly the initial cost of a phone is high while
batteries are comparably cheap so batteries score higher than the phone on this. Adding up all the
scores it is clear in Table 5 that the phone was the choice for powering the device.
Figure 3 provides a very general data flow diagram for the device. As the diagram shows, the
fundamental operation of the device will be contained in six different steps. Initially, the user
will place the device on their ear, this will help ensure that the device can properly calibrate
while it powers on. After this the device will acquire the data reported by the sensor. This data
will then be processed and sent to the android device. Once the data has been received by the
android device, it will display the information to the user.
Gluco-Medes Design Report 25
Figure 3. Data flow diagram
Software Architecture
Figure 4 represents the software data flow of the device. After the device is powered on, it will
wait for a button press, which acts as a signal from the user to let the device know that data is
ready to be transmitted. After the button is pressed, the user’s earlobe width and blood oxygen
levels will be measured. Using the earlobe width and blood oxygen levels will allow the device
to know if there is an adequate amount of blood in the particular position that the sensor is
placed. Once these levels are received, the glucose reading will be taken and then used to
calculate the glucose level of the user. The final stage will then be to display the results through
the android device.
Figure 4. State diagram for software data flow
Gluco-Medes Design Report 26
Mechanical Design
At this point in the development process, our team has not yet decided what the casing will look
like or even what materials to use when building it. We do believe that some part of the casing
will be made using a 3D printer, but beyond that, we have not yet considered anything further. At
some point in the future, when we have created a working prototype, we will then design the
casing to fit what we have found works.
Test Plan
The component that the team will be most concerned with during the testing process involves the
LEDs. The LEDs are essentially the main component in the device as they are what will be used
to measure the glucose levels as well as possibly the width of the earlobe. Theoretically, the
LEDs within the range of 1500-1700 nm should all give a considerable amount of accuracy, as
research has stated that the wavelength to measure blood sugar should be around 1600 nm. So
the main concern would be to find the LED with the best accuracy. The testing plan for the LEDs
is to order several LEDs within the range of 1500-1700 nm and then comparing the results
against one another to see which will give the best reading. The level of accuracy of the LEDs
will be determined by testing the readings against a typical finger-prick glucose test kit.
Gluco-Medes Design Report 27
Gantt Chart
Figure 5. Gantt chart for project timeline
The above Gantt chart in Figure 5, shows the rough outline of the schedule for the project. The
chart also shows which team members are responsible for which part of the project. As shown in
the chart, many things during the design process of the project are dependent on one another.
Therefore, it is very important that each team member will complete their designated tasks on
time. Once the initial alpha prototype is done, however, the final testing stages can then be done
as a team.
Gluco-Medes Design Report 28
Budget Request and Justification
Most of the budget for this project will go towards the purchasing of the LEDs used to for the
calculation of glucose levels. The LEDs that will be used for the device are non-standard LEDs.
Due to the fact that they are non-standard LEDs, the pricing of the LEDs were found to be very
expensive. However, since the device will only work with LEDs in those ranges, the team has no
other choice but to purchase these expensive LEDs. Beyond the cost of the LEDs, the rest of the
components should be relatively cheap in comparison to the LEDs. Although the goal of the
project is to have the device be as low cost as possible, there is no guarantee the device will stay
within budget, especially since there is still no definite list of the materials needed for the device.
Bill of Materials
Table 6. Project bill of materials
Item Name Part # Supplier Name Quantity Price Each Extended Price Total
Vials 10mm N/A Cal Poly Corp. 10 $0.75 $7.50
Vials 5mm N/A Cal Poly Corp. 10 $0.50 $5.00
12-bit ADC ADS1015 Adafruit 1 $9.95 $9.95
Photodiode MTPD1346-150 Marktech 1 $26.66 $26.66
Photodiode FGA10 ThorLabs 1 $158.10 $158.10
Photodiode FGA01 ThorLabs 1 $55.00 $55.00
1550nm LED LED1550E ThorLabs 2 $17.95 $35.90
Cuvette 5mm 1-G-5 Starna Cells 1 $45.00 $45.00
$343.11
Gluco-Medes Design Report 29
References
Ahmad, Masab, Awais Kamboh, and Ahmed Khan. “Non-invasive blood glucose monitoring
using near-infrared spectroscopy.” EDN Network. 16 Oct. 2013. Web. 9 Oct. 2014.
"GlucoWise™." : Meet the New Non-invasive Glucose Monitor That Helps You Take Control of
Your Life. N.p., n.d. Web. 10 Oct. 2014.
"Grove Instruments - Grove Technology." Grove Instruments - Grove Technology. N.p., n.d.
Web. 10 Oct. 2014.
Honor Whiteman. “New breathalyzer ‘monitors blood glucose’ in diabetics.” 12 Nov. 2013.
Web. 15 Oct. 2014.
Krishnamurthy, Gaurav. “Non-Invasive Measurement of Blood Glucose Levels Using
GlucoTrack: Interview with CEO Avner Gal.” MedGadget, 13 Oct. 2013. Web. 9 Oct.
2014.
Scott, Mark. "Novartis Joins With Google to Develop Contact Lens That Monitors Blood Sugar."
The New York Times. The New York Times, 15 July 2014. Web. 10 Oct. 2014.
Appendices
Bill of Materials
Gantt Chart
Circuit Diagrams, Layouts, CAD Drawings, etc.
Final Test Plan Documentation
Gluco-Medes Design Report 30
Bill of Materials
Hardware Listing:
Item Name Part # Supplier Name Quantity Price Each Extended Price
Vials 10mm N/A Cal Poly Corp. 10 $0.75 $7.50
Vials 5mm N/A Cal Poly Corp. 10 $0.50 $5.00
12-bit ADC ADS1015 Adafruit 1 $9.95 $9.95
Photodiode MTPD1346-150 Marktech 1 $26.66 $26.66
Photodiode FGA10 ThorLabs 1 $158.10 $158.10
Photodiode FGA01 ThorLabs 1 $55.00 $55.00
1550nm LED LED1550E ThorLabs 2 $17.95 $35.90
Cuvette 5mm 1-G-5 Starna Cells 1 $45.00 $45.00
$343.11
Gluco-Medes Design Report 31
Gantt Chart
The following is a gantt chart outlining the timeline and workflow
of our project
Gluco-Medes Design Report 32
Circuit Diagrams and Layouts
System Schematic of the Device
Block Diagram of the Entire System
System State Diagram
Gluco-Medes Design Report 33
Data Flow Diagram
Concept Generation Fan Diagram
Gluco-Medes Design Report 34
Non-Invasive Glucose Monitor
High Level Functional Verification Test Plan
Version 2
March 20, 2015
Prepared for
New Vision Telemedicine
Prepared By
Gluco-Medes
Charlie Aylward (caylward@calpoly.edu), Jonah Clinard
(jwclinar@calpoly.edu), Travis Stuever (tstuever@calpoly.edu)
Introduction
This is the non-invasive glucose monitor high level test plan prepared by the Cal Poly capstone
team Gluco-Medes for New Vision Telemedicine. This document describes the procedures taken in the
testing phase of the glucose monitor.
Document Control Information
Author / Owner
Travis Stuever - Design/Application Specialist- tstuever@calpoly.edu
Jonah Clinard - Application/Hardware Specialist - jwclinar@calpoly.edu
Gluco-Medes Design Report 35
Charlie Aylward - Implementation Specialist and Team Leader - caylward@calpoly.edu
Approvers
The following people provide the approval of this document:
Name Function Approval Date
Dr. Nooristani Client
John Oliver Class Leader
Reviewers
The following people provide the review comments to this document:
Name Function Mandatory/Optional
John Oliver Class Leader Mandatory
Dr. Nooristani Client Mandatory
Summary of Changes
The Author/Owner of this document is authorized to make the following types of changes to the
document (identified in the change history) without requiring the document re-approval:
Editorial, formatting, and spelling
Clarification
Document structure
Note: Any other changes may require re-review and re-approval.
Gluco-Medes Design Report 36
To request a change to this document, contact it’s Author/Owner.
Changes to this document are summarized chronologically in the following table.
Version Number Date Summary of Changes Editor
1.0 1-28-2015 Initial Write Up Glucomedes Team
1.1 1-31-2015 Cont.Initial Write Up Glucomedes Team
1.2 2-4-2015 Cont. Initial Write
Up
Glucomedes Team
1.3 2-9-2015 Cont. Initial Write
Up
Glucomedes Team
2.0 3-19-2015 Final Revision Glucomedes Team
Supporting Documents
The following are the supporting documents for this Functional Verification Test plan:
Project Wiki
Primary resource center containing all project documentation.
https://polylearn.calpoly.edu/AY_2014-2015/mod/ouwiki/view.php?id=66785
Reference Documents
The following documents expand on the information available in this test plan:
Existing Non-invasive glucose monitoring research project
This is a detailed article outlining the basic principles behind MIT researchers methods
for measuring glucose levels via a non invasive method
http://www.edn.com/design/medical/4422840/Non-invasive-blood-glucose-monitoring-
using-near-infrared-spectroscopy
Gluco-Medes Design Report 37
Use Cases
Overview
A typical user of the non-invasive glucose monitor could be of any age or ethnicity and would
most likely have had prior experience with other invasive devices. It could be presumed that these
types of people are fed up with the traditional invasive methods of glucose monitoring and would
be open to try any non-invasive solution.
Personas
A person who would use this product could be of any age, therefore, this product must be simple
enough for young as well as old people to use. Users of this product are also not limited to just
one part of the world, as anyone could have the need to monitor their blood sugar levels.
Therefore, the simplicity of the design will be necessary so that the device can be used all over
the world by people of any age regardless of whether or not they live in the U.S. or speak english.
The main concerns for the users of this device will be whether or not the device is accurate and if
they will be able to discontinue the invasive methods of glucose measurement.
A specific example of an individual who may who this device is an elderly diabetic who lives
alone. This individual would want a product which does not weigh a lot so that it may not damage
their body, and our monitor would fit this criteria perfectly as we have put a limit on how much
our device can weigh. Because this individual is old in age they would not want a product that
requires them to do complicated steps so that it may work, and in this way our simple one button
setup would be perfect for this individual. Lastly this individual probably would not have a lot of
money, maybe due to the fact that they can no longer work as much as they used to or even the
fact that they are retired. With this low income our device would look very nice to this individual
because we will have a lower price than traditional methods and also lower in price than
comparable non-invasive monitors.
A design goal for this device is compatibility with individuals who have disabilities preventing
the use traditional finger-pricking test kits. A constraint for the device is the user must be able to
administer the device under their own supervision. In order to keep the compatibility spectrum
wide, we’d like to make this device operable under conditions such as partial paralysis,
wheelchair, and other physical inhibitions.
Gluco-Medes Design Report 38
Objective
This is the High Level Functional Verification Test Plan for version 1. The test plan outlines the
following aspects of a Functional Verification Test:
Assumptions
Scope
Test methodology
Entry & exit criteria
Exclusions
Dependencies & responsibilities
Schedule
Risks management
Testing Results and Preparation
Test resources
Defect management for functional test activities
Assumptions
The following assumptions are made for the functional verification test of this project in terms of
glucose solution testing:
● The user will have no cosmetic modifications on their earlobe
● The user will have a large enough earlobe to test upon
● The placement of the device on the users earlobe will be the same globally
Functional Verification Test
Functional verification testing is a type of black box testing that uses the solution specifications,
design document and use case document as a point of comparison to validate that the product is
functioning properly. FVT also needs to ensure the system is working properly and not leading to an
undesired behaviour when an end user uses the device in a way not described in the use cases. FVT
testing is not limited to positive flow tests described in use cases.
.
Gluco-Medes Design Report 39
Functional Verification Test Scope
The tests are responsible for the validation of functional correctness for the following aspects of
the scope:
Phone Application Tests
Validate data received
Validate correct data displayed
Exploratory Testing/Ad hoc Testing
Functional Scenario Testing
Main Flow
User clips ear-piece to earlobe. User then connect earlobe device to phone. Phone then
displays glucose level.
Exception Flow
Alerts user to connect to device if not already connected.
Functional End to End Flow
User connects device to ear, connects device to phone, phone displays value.
Exploratory Testing / Ad hoc Testing
This type of testing will encompass unforeseen errors while using the device/product. These
errors will be addressed as they come along without need for documentation or formal meetups to
address the issues, unless they are major issues. The fixes for these errors will be done by the
person who found the error, with help from others if asked.
Test Methodology
High level test planning is done prior to formal detailed test planning and execution. As part of
the high level test planning the following are determined:
FVT Criteria
FVT entrance criteria
FVT exit criteria
FVT Exception handling for entry and exit criteria
A detailed test case document is prepared based on the project specifications and use cases. The
test case document is reviewed and approved as part of the functional test preparation.
Gluco-Medes Design Report 40
Prior to formal entry into the test execution phase, the Lab environment will be setup with
appropriate operating systems, protocols, and any other pre-requisite software and hardware.
Entry and Exit Criteria
Entry Criteria
The software and hardware development is based on the Waterfall development model.
The following is the post development code and unit test entry criteria for FVT:
Functional verification test preparation can begin once:
Solution specifications are reviewed and approved for the whole project
Use cases are reviewed and approved for the whole project
Functional verification test execution can begin once:
Functional verification high level test plan (this document) is reviewed and
approved
Functional verification test case document is reviewed and approved
Code is complete and has been unit tested for the necessary areas
Exit Criteria
The development is based on Waterfall development model.
Functional verification test preparation can exit once:
All test documents are reviewed and approved
High Level Functional Verification Test Plan
Detailed Test Case Document
Functional verification test can exit once:
All test cases have been attempted and completed
All defects have been addressed
Functional verification test exit checklist is completed, reviewed, and approved
Exception Handling for Entry / Exit Criteria
A document is prepared by the test team lead with the exceptions and associated reason, action
plan, and risks. The document is then reviewed by the solution owner/manager, development
lead, test manager and project manager. The exceptions must be approved before officially
claiming functional verification test entry or exit.
Exclusions
This test plan only covers the testing of glucose solution and does not check the wavelength of
light used in the sensor. The parts for the sensor were chosen based on manufacturer
Gluco-Medes Design Report 41
specifications assumed to be accurate. Especially as the device uses NIR (near-infrared) light,
the wavelength must be trusted to be correct without a spectrometer able to test in the NIR range
of the LED.
Dependencies
The following dependencies will affect the completion and testing phase of the project.
Dependency By (date) By Whom Risk if Not Met
Initial collection of
glucose level
datapoints
2-11-2015 All developers Impedes the accuracy
of the results obtained
by the FVT
Second stage collection
of glucose level
datapoints
2-13-2015 All developers Impedes the accuracy
of the results obtained
by the FVT
Blood glucose
comparison
2-16-2015 All developers Impedes final
completion of the
device
Responsibilities
Role Responsibilities Remarks
Project Manager Oversees the flow of the project Charlie Aylward
Arduino Developer Maintains and oversees Arduino code Jonah Clinard
Android Developer Maintains and oversees Android code Travis Stuever, Jonah Clinard
Designer Oversees and develops the aesthetic
solutions for the project
Travis Stuever
Build Team Responsible for assembling the
hardware elements of the device
Travis Stuever, Charlie
Aylward, Jonah Clinard
Unit Tests Testing individual components of the
entire project
Charlie Aylward
Gluco-Medes Design Report 42
Schedule
Milestone Description Date
Beta Prototype Develop second phase
prototype
2-6-15
Test Plan Develop outline for testing
sensor functionality
2-9-15
Ear Clamp Completion Part developed with CAD and
printed using 3D Printer
2-13-15
Testing Completion Complete test plan 2-18-15
Design Review Review current device and
make needed revisions
2-23-15
Packaging Finalize device aesthetics 2-25-15
Risk Management
Risks
The following risks have been identified in this project:
Functional verification testing assumes the following tests are covered by the
development team:
Software Testing
Hardware Testing
If these areas are not properly unit tested, they could potentially be missed
altogether.
Test Environment - functional testing includes measurements with the LED and
photodiode. The functional test assumes the environment in which the emission and
detection of light will be controlled with negligible outside interference.
Sensor Quality - functional testing of the sensor assumes compatibility between the
photodiode and LED which are both documented to operate at their optimal levels at the
1550nm wavelength mark. Our testing relies on the data presented on the device
datasheets to be accurate.
Test Tracking
Gluco-Medes Design Report 43
Testing Results and Procedures
Test Preparation
The following document discusses our test preparation:
https://docs.google.com/document/d/1mwifIAcCFAVmPiwe6H27z6EnYmH5zYxudx_Qw523_
mM/edit?usp=sharing
Test Execution
The following document is our first run excel spreadsheet:
https://drive.google.com/file/d/0B8HcwAbTkZGVMEh5X2wtc245TmM/view?usp=shari
ng
Test Resources
Hardware
The following machines were used for testing:
Hardware Located Hardware
Specification
Used For Contact Person
Android Phone Jonah’s person Android 3.0+ Displaying
Glucose Level
Jonah Clinard
Software
Software Version License Type Where to
download
Contact Person
Android Version 4.4.4 Free Pre loaded with
phone
Google
Gluco-medes app Version 1.6 Free Not available to
download
Gluco-medes
Team
Arduino IDE Version 1.0.6 Free Arduino.cc Arduino
Gluco-Medes Design Report 44
Staffing
Name Phone E-mail Location Title
Travis
Stuever
970-403-4040 tstuever@calpoly.edu San Luis
Obispo
Design/Application
Specialist
Jonah Clinard 805-550-4957 jwclinar@calpoly.edu San Luis
Obispo
Application/Hardware
Specialist
Charlie
Aylward
530-774-6696 caylward@calpoly.edu San Luis
Obispo
Implementation
Specialist and Team
Leader
Defect Management
Defect
A defect is when the software/hardware fails to display/calculate the user’s glucose level.
Defect Severity
Defects are classified by severity. Defect severity levels can only be changed by the defect’s
originator or by concurring with the originator or test lead. Severity levels are defined as:
SEVERITY 1 - A severity 1 defect involves a hardware failure to calculate a glucose level.
Schedules are impacted. A problem fix and problem retest is required before any test activity
can effectively proceed. The defect must be resolved within 48 hours and a fixed test driver
must be delivered to the test team as soon as possible after the defect is fixed; so that testing can
resume. When the problem is fixed, the test execution record may not be closed as complete
until a supported build containing the fix has been delivered to the test team.
SEVERITY 2 - A severity 2 defect represents a significant functional defect with the android
application. This defect may invalidate continued testing in the functional area. The defect may
mask the further detection of problems in the functional area affected. A problem fix and retest
is required before test activity can proceed in the functional area. The next scheduled build (no
more than 10 days later) must resolve the defect. When the problem is fixed, the test execution
record may not be closed as complete until a supported build containing the fix has been
delivered to the test team.
Gluco-Medes Design Report 45
Defect Reporting System
All defects will be reported to the entire team and then a discussion will ensue on where the
defect is located and the severity of the defect. The team will then delegate a member to fix the
defect and report back when it has been resolved.
Defect Reporting Data
We will keep a cloud based copy of all reported defects.
Defect Validation
When a defect is fixed, the team is notified via email. The team then follows the steps that
produced the defect to ensure the defect is fixed.
Specific Tests:
Drop Rate Tests: This series of tests will look at the change in intensity with a single drop of
glucose water, over the course of multiple drops or saturation. This test is for looking at how the glucose
concentrations in the glucose water we are using is affecting the intensity level of light we are recording.
To pass these tests the drops must register a difference in the intensity we see as more drops are
added to a vial.
Change In Intensity Tests: This set of tests will focus on the difference in intensity levels we
see as different glucose solutions are tested. For instance, a 50 mg/dl solution will have a different
intensity than a 200 mg/dl glucose solution. These tests will cover a varying amount of liquid tested
against, meaning glucose solutions will be tested with 15 drops of glucose water in each sample and then
the next test run will have 18 drops of water to see if there is a consistent trend across the amount of water
used. These tests will also cover different factors outside of the glucose samples. Examples include
varying the ambient light outside of the testing environment, the distance between the samples, LED, and
photodiode.
Gluco-Medes Design Report 46
In order for these tests to pass they must show a difference between the glucose samples being
tested against and also have a visible trend to extrapolate data from the results.
Component Tests: This set of tests will see if the LED and the photodiode are working as
expected. We will set up the LED and photodiode and see if the photodiode receives more light as the
LED comes closer and less as it goes away by outputting the photodiode levels to a serial connection.
To pass this test the LED photodiode must output a higher number the closer the LED is to it and
a lower number as it goes farther away.
Application Test: This test is for the application specifically, where we test the full
functionality of the app. We see how the application reacts to not being connected to the device,
plagued by excessive recalculation tests, and purposefully sending bogus data.
The criteria for passing these tests is to perform without error, or crashing. Basically, the
app must function as designed with no visible problems.
Calibration Process
After the development of the beta prototype we are able to begin calibration on the device. The
Calibration of the device will be performed as follows: (please note this is assuming we have
gotten our beta prototype functioning)
● First we will obtain a range of glucose solutions with tested and specified nominal levels.
● We are using a curve fit for our solution to measurements, therefore we have taken many
many data points and have devised a trend from this data.
● This best fit curve has been programmed into the device in the form of a software
algorithm.
● We will then compare the readings the device gives us to the true readings as reported by
the controlled solutions.
Gluco-Medes Design Report 47
● If we obtain any outliers they will be noted, and if we receive enough outliers at a given
measurement range we will note the device as being defective, or depending on the
severity of the outlier, adjust the devices software accordingly.
● This will be performed on several different devices, each with the identical build
specifications. We will record the results of the all these devices and then extract which
ones are defective, and which devices produce the same results. If a majority of the
devices (80%) produce the same true results as reported by the solutions then we can
confirm that these devices are functioning properly.
Bug Tracking
We are using github as our version control manager. Each iteration marking a major design
change is pushed into a new branch. Each branch contains multiple revision histories specifying
both major and minor updates. If a bug is encountered in a pushed revision then it is noted in the
versions notes. The software team will then try and replicate the bug and then attempt to fix it. If
the bug is verified as fixed it will be updated and pushed to the repository documenting and
listing any changes that were made.
Gluco-Medes Design Report 48
Conclusion
The result of the effort put toward making this device was far from the goals in the initial design
plan. However, going into this project, the limitations and potential obstacles were made clear.
Thus the struggles we encountered during the development process did not come with a surprise.
The beta prototype will be the hand off project to be continued by another design group. The
most challenging obstacle we faced while creating the device was the conceptual proof of the
theory on which the device design was based off of. The lack of informative research combined
with our tight budget made for a difficult challenge in creating a non-invasive glucose
monitoring solution. Our group put forth a great effort in ensuring we crosschecked all of the
design decisions to ensure we didn’t make a mistake in our approach to the problem.
Unfortunately, we were unable to observe a data trend in the NIR light attenuation through
varying levels of glucose solutions. This step was necessary to move forward in the product
design. We do have ideas to fix the issues we had should further investigation be performed on
the device prototype. The main improvement to be made to the system is an increase in the
intensity of the light source by using multiple LEDs of the same model/wavelength.

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Non-Invasive Glucose Monitor Design Report

  • 1. Gluco-Medes Design Report 1 March 20, 2015 Final Design Report Non-Invasive Glucose Monitor Gluco-Medes Charlie Aylward Jonah Clinard Amanda Toan Travis Stuever
  • 2. Gluco-Medes Design Report 2 Table of Contents Introduction……………………………………………………………………….……..3 Project Overview……………………………………………………………….....3 Clients…………………………………………………………………………......3 Stakeholders……………………………………………………………….……...4 Framed Insights and Opportunities…………………………………………….....4 Goals and Objectives……………………………………………………………..6 Outcomes and Deliverables……………………….……………………………...7 Team Mission and Objectives…………………………………………………....7 Team Membership and Roles…………………………………………….……....8 Planning Information……………………………………………………….…….8 Related Work……………………………………………………………………….…...9 Formal Product Definition……………………………………………………………..12 Introduction……………………………………………………………………....12 Marketing Requirements………………………………………………………....13 Engineering Requirements……………………………………………………….14 Constraints………………………………………………………………………..14 Criteria…………………………………………………………………………....15 The User Experience…………………………………………………….…….………..16 Overview………………………………………………………………………....17 Personas…………………………………………………………………………..17 Design and Justification………………………………………………………………...18 Overview of Team Process…………………………………………………….....18 System Architecture……………………………………………………………....19 Hardware Design..…………….…………………………………………………..19 Software Architecture…………………………………………….……………….26 Mechanical Design……………………………………………….……………….27 Test Plan……………………………………………………………….………………....27 Appendices……………………………………………………………………………….30 Bill of Materials………………………………….………….……....…………....31 Gantt Chart…….………………………………………….…………….….…….32 Circuit Diagrams…………………………………………………….…………...33 Final Test Plan………………………………………………………………..….36
  • 3. Gluco-Medes Design Report 3 Introduction Project Overview The Gluco-Medes team was formed in order to develop a non-invasive glucose monitoring device. The team will be working with New Vision Telemedicine (NVT) as well as Innovative Concepts to complete this project. The most important goal of the project is to create a device that will measure blood glucose levels with some degree of accuracy. The other major goal of the project is for the device to be simple enough for easy accessibility of individuals who may have disabilities. After measuring the glucose levels, the device should also be able to display the results of the test onto an android device with an android based application loaded onto it. In short, the device aims to become a new and reliable solution to the invasive ways of measuring blood glucose levels. Clients The clients of the project are Dr. Ahmad Nooristani and Paden Hughes of New Vision Telemedicine and Lonny Rollins of Innovative Concepts. New Vision Telemedicine is a company that aims to ensure quality health care for those in need by providing telehealth products that will allow for easier communication between families, patients, and companies with medical consultations. The company is run by Dr. Ahmad Nooristani, who is a practicing hospitalist and previous chair of the Department of Medicine at his local hospital. Innovative Concepts is acting as the IT consultant for the project, with Lonny Rollins, the CEO, being the main consultant. The final product of this project, if finished, will be given to Dr. Nooristani of NVT to use as he deems fit. Otherwise, it will most likely be a project that Innovative Concepts will take over.
  • 4. Gluco-Medes Design Report 4 Stakeholders There are many stakeholders involved in this project, including the clients of the project, people with diabetes, as well as people affected by those with diabetes—family members of people with diabetes. The main clients of the project are Dr. Nooristani and Paden Hughes, the representatives of New Vision Telemedicine, the company whom this team is collaborating with for this project. The other client whom the team will be working with is Lonny Rollins, the CEO of Innovative Concepts. These two clients will be most interested in the success of the project as they are the main investors of the project and have the most to lose. Aside from the obvious stakeholders—the clients—however, there are also two other groups to consider. These two groups are people with diabetes and family or friends of people with diabetes. The success of this project will have a major impact on the lives of those suffering from diabetes as it will allow them to measure their glucose levels without having to draw blood. A reliable non-invasive glucose monitor can also potentially lower the medical costs of families with diabetic members. Friends and family will also no longer have to watch their loved ones prick their fingers several times a day just to measure their glucose levels. To sum it up, many people will be affected by the success of this project, including the members of this team, making the success of this project all the more desired. Framed Insights and Opportunities The initial meeting between the team and the clients focused on the specifications expected of the device and the possible design solutions for the device. One possible design suggested by Lonny Rollins—the acting IT consultant of the project—for the device included the use of light sensors to measure the percentage of the glucose levels within the body. This design utilizes specific frequencies of light chosen within a range of wavelengths in order to calculate and
  • 5. Gluco-Medes Design Report 5 determine the glucose level of an individual. Other designs were also briefly mentioned, such as measuring glucose levels through saliva or tears. However, Lonny expressed the preferred choice of using the light sensor for the project; though it should be noted that alternatives were deemed acceptable if proven to be better or easier to work with. The location at which the device is to measure the glucose levels was also discussed during the meeting. Several different parts of the body were suggested. These suggestions included measuring at the earlobe, the area between the pointer finger and thumb, or the wrist. The client’s preferred choice of location was the wrist. However, the wrist was decided to be the location that would most likely cause the most trouble as the bone would have to be taken into account when trying to measure the reflections of light. Therefore, it was suggested that the team start at a much easier location for the initial device design such as the area between the pointer finger and thumb or the earlobe. These locations are ideal for testing as they are areas that do not contain bone, which is the main concern with the wrist based design. Once the device starts working on those areas with reasonable accuracy, it can then be slowly moved towards the client’s desired wrist area. The initial design of the clients has the device simply measure the individual’s glucose level and then have it display directly onto an android based mobile application. This particular aspect of the project, however, can be expanded on, if time permits, to being able to possibly transmit the data to Dr. Nooristani directly or into a database of New Vision Telemedicine’s. Ultimately, the most vital part of this project that was agreed upon was accuracy. Being able to measure the glucose levels of individuals accurately is of the utmost importance. An aesthetically pleasing device, although would be nice to have, is the least important aspect of the overall goal of the project. Individuals with diabetes who will need to use the device several times a day need to be able to rely on the device and trust that it will give them accurate readings. An inaccurate device will not only be
  • 6. Gluco-Medes Design Report 6 useless for the company and its potential users but will also mean that the team essentially wasted all their time into producing a device that does not work. In conclusion, an accurate device will not only help New Vision Telemedicine and people suffering from diabetes but will also prove to have been a project worth all the time and effort put into it by the team itself. Goals and Objectives The following list highlights the goals and objectives of the project. ● The product should be affordable for average consumers/patients. ● The device should be simple to use. ● The device must be reliable ● The device must be portable. ● The final product must be aesthetic/sleek. ● Using the device must be 100% safe. ● The device will feature USB data transfer. ● Results will be displayed on mobile devices (Android). ● The device will work with an Android application. ● Accuracy needs to be within 80% of a typical venipuncture test. ● The device will use 1500 - 1700 nm wavelength light for sugar reflection. ● The device will operate in room temperature environment (20-26C). Outcomes and Deliverables The final result of this project should be a working non-invasive glucose monitor. The device should be able to accurately measure the blood glucose level of the user with results comparable to a traditional method, such as finger pricking. Results of the blood glucose measurement
  • 7. Gluco-Medes Design Report 7 should then be displayed on an android device loaded with an android based mobile application. Upon completion of this project, the team hopes to leave behind a reliable and working device. The team will also aim to leave behind not only a working device, but also an aesthetically pleasing encasing of the device, though it should be noted that this is not a major priority of the project. In conclusion, even if not aesthetically pleasing, a working and accurate device will be considered a finished product for this project. Team Mission and Objectives The following subsections highlight the team’s mission and objectives. Team Mission Our mission is to provide easier means of communication between doctors and their patients through the use of medical technologies. Team Objectives ● To better the lives of others ● To successfully collaborate between team members and our client ● To improve doctor patient communication ● To provide a working product ● To meet the needs of our client ● To create lifelong bonds between team members ● To further develop the understanding behind telemedicine ● To gain experience through real life application ● To apply skills and concepts we have learned in our CPE studies
  • 8. Gluco-Medes Design Report 8 Team Membership and Roles The members of Gluco-Medes are: Jonah Clinard, Amanda Toan, Travis Stuever, and Charlie Aylward. The following list shows the team roles as well as the assigned roles of the team members. Project Manager and Liaison - Charlie Aylward Procurement and Financial Officer - Jonah Clinard System Architect - Amanda Toan, Travis Stuever Hardware Architect - Jonah Clinard, Travis Stuever Software Architect - Charlie Aylward, Amanda Toan Hardware Designer - Travis Stuever Software Designer - Charlie Aylward, Jonah Clinard System Interface - Travis Stuever, Amanda Toan Development Tools Specialist - All team members Product Verification - All team members Product Reliability and Serviceability - All team members Planning Information While planning this device, there are various constraints and challenges to keep in mind. One major constraint to this project will definitely be time, having only around six months to complete such an ambitious project. Another challenge is the development period; as the project currently has no known working and approved device, the time for developing a design will definitely be longer than other projects. Due to the technology still being in the early infant stages, this project will potentially present many unforeseeable problems during the whole duration of the project. As the team consists of all computer engineers with little to no
  • 9. Gluco-Medes Design Report 9 background of such medical devices/technology, a large bulk of the planning/development stage will consist of heavy research on the type of sensors to use. The client also did not specify a specific design they desired for the project, leaving the design process much more open-ended and up to the members of the team. Seeing as this technology is still so new to the market, there is still much to be learned by the team members as well as plenty of planning. Related Work Krishnamurthy, Gaurav. “Non-Invasive Measurement of Blood Glucose Levels Using GlucoTrack: Interview with CEO Avner Gal.” MedGadget, 13 Oct. 2013. Web. 9 Oct. 2014. This article talks about an Israeli company who has developed a non-invasive glucose monitor. The device clips to the user’s ear in order to measure their glucose levels, which is then displayed onto the screen of a device. The ear lobe is chosen because it’s a convenient location that doesn’t interfere with activities. It also contains a large number of capillary vessels and blood flows relatively slowly in the ear lobe. It’s size is also relatively stable in adults. The device uses ultrasonic, electromagnetic and thermal technology with multi-sensors. Ahmad, Masab, Awais Kamboh, and Ahmed Khan. “Non-invasive blood glucose monitoring using near-infrared spectroscopy.” EDN Network. 16 Oct. 2013. Web. 9 Oct. 2014. This article talks about using near infrared spectroscopy to determine glucose levels. This device measures glucose levels on the ear lobe. The thickness of the ear lobe is also measured to calibrate it. They choose a wavelength of 1550nm for the glucose signals due to its high signal-to-noise ratio.
  • 10. Gluco-Medes Design Report 10 Photodiode signals are fed into an amplifier to amplify the NIR signals. The correlation coefficient between their device and a reference glucometer is 0.85. The reading is displayed on an LCD and an android phone through bluetooth. "GlucoWise™." : Meet the New Non-invasive Glucose Monitor That Helps You Take Control of Your Life. N.p., n.d. Web. 10 Oct. 2014. This device is a glucose monitor that takes its readings from the skin between the thumb and forefinger and also from the earlobe interchangeably. This device uses radio waves at the high frequency of 65 GHz and uses these waves to send through the skin to a sensor on the opposite side of the hand or earlobe. The special thing this company says its product does is temporarily make the skin of the analyzed area transparent ensuring consistent readings across all individuals. The actual specifics of what calculations are done with this product are not given on the website but the product is scheduled to make its market appearance in late 2016. Honor Whiteman. “New breathalyzer ‘monitors blood glucose’ in diabetics.” 12 Nov. 2013. Web. 15 Oct. 2014. This article is about a breathalyzer based approach to glucose monitoring. Ronnie Priefer, who is a researcher at Western New England University in Massachusetts, has discovered a way to measure one’s glucose levels through the acetone levels in one’s
  • 11. Gluco-Medes Design Report 11 breath. The device incorporates a piece of film that has different nanometer thick levels of polymers on it. The acetone levels from one’s breath join with the polymers and in turn cause a reaction with the film. Currently the device is about the size of a book, which Priefer is working on changing, he expects the device to enter testing procedures for accuracy in early 2015. Scott, Mark. "Novartis Joins With Google to Develop Contact Lens That Monitors Blood Sugar." The New York Times. The New York Times, 15 July 2014. Web. 10 Oct. 2014. This device is yet another that is not yet on the market but still within its development cycle. This device will use a so called smart contact lens that has built in sensors and software that will provide blood glucose level monitoring as part of one its offerings. This device of course will have to pair to an application in order to send out data taken while on the eye. Beyond what can obviously be stated not much is known on how the lens will calculate the glucose levels. This product holds a lot of promise however as it is a joint venture with Google and Novartis, wherein Google can provide all the technology Novartis needs in order to make this a reality. "Grove Instruments - Grove Technology." Grove Instruments - Grove Technology. N.p., n.d. Web. 10 Oct. 2014. This device has had a lot of grants awarded to its development, about 7.8 million according to its website, and is slated to hit the market in 2016. The actual specifics of this product are not documented at all on Grove's website but what they do say is that they have a technology to nullify the background tissue and water content of the analyzed region,
  • 12. Gluco-Medes Design Report 12 and sense glucose levels in the vascular space. What exactly this means is anyone's guess but it has at the very least created a viable product for this company. Their current test results show that they have achieved readings as accurate as 88% and higher compared to conventional means. The related works which we found most applicable to our design is the prototype glucose sensor created by Masab Ahmad, Awais Kamboh and Ahmed Khan, published on EDN Network. This design had the most (while still limited) information regarding the hardware and software architecture to base our design off of. The parts used in this device complied with our design constraints of created a low-budget device. Formal Product Definition Introduction Moska, our formal product name, is a new non-invasive glucose monitor that aims to replace the traditional finger-pricking method through the use of light and light sensors. The simple one button design of the product allows just about anyone, regardless of age, to use it with ease. With the push of a button, the device will accurately measure the glucose level of the user. The results of which will then be conveniently displayed onto an android device for easy monitoring. Listed below are the requirements as well as constraints of the device. Objectives ● The product should be affordable for average consumers/patients. ● The device should be simple to use. ● The device must be reliable ● The device must be portable. ● The final product must be aesthetic/sleek.
  • 13. Gluco-Medes Design Report 13 ● Using the device must be 100% safe. ● The device will feature USB data transfer. ● Results will be displayed on mobile devices (Android). ● The device will work with an Android application. ● Accuracy needs to be within 80% of a typical venipuncture test. ● The device will use 1500 - 1700 nm wavelength light for sugar reflection. ● The device will operate in room temperature environment (20-26C). Marketing Requirements ● The product should be affordable for average consumers/patients ● The device should be simple to use. ● The device must be reliable ● The readings must be accurate. ● The device must be portable. ● The final product must be aesthetic/sleek ● Using the device must be %100 safe ● Environmentally Friendly ● Modular ● Device will have universal accessibility (disabled patients will be able to use) Engineering Requirements ● The device will be USB powered (5V) ● The device will feature Bluetooth/USB data transfer ● Accuracy needs to be within 85% of a typical venipuncture test ● The device will use 1500-1700 nm wavelength light for sugar absorption
  • 14. Gluco-Medes Design Report 14 ● The device will operate in room temperature environment (20-26C) ● Have replaceable components ● More affordable than comparable monitoring techniques ● No initial calibration required ● Earpiece must weigh less than 2.5 oz ● RoHs compliant Constraints ● The device must engineer ● The device must be simplistic in its nature ● The device must be accurate ● The device must be noninvasive ● Results will be displayed on mobile devices (Android) ● The device will work with an Android application ● The device must be completely safe to use ● The device must be affordable ● The final product must be aesthetic/sleek Criteria In order to effectively meet the constraints and engineering requirements, some standards are needed to help with the decision making process. An example of this would be the size of the device. The clients wish for the device to be small, however, the size of the device will ultimately depend on several different aspects of the design. Things such as the end user and the necessary technology needed for the device will need to be taken into consideration when deciding on and designing the size of the product. The device will need to be large enough to
  • 15. Gluco-Medes Design Report 15 house a microcontroller, a sensor, and several LEDs. However, the device will also need to be able to clamp comfortably onto the user’s earlobe. This means that the device should be small enough where it will not feel too heavy on the user’s earlobe. The device also needs to be affordable and accurate. These two requirements, in particular, are dependent on each other as a cheaper part will most likely be less accurate than a more expensive part. Therefore, in order to meet the criterion of being affordable, some accuracy may be lost. However, since a certain percentage of accuracy is needed, the part will likely still be a little pricey. Careful thought will be needed in order to find the cheapest point at which the device will still meet the required accuracy. All of the previous standards were considered during the selection process. Table 1 shows the highlights of the decision making process to meet the criteria and requirements of the device. Table 1. Description of decision making process to meet product requirements Requirement Criteria Decision Size of device The device must be small The device must be large enough to house the microcontroller and the sensors, but small enough to fit on the users ear Affordability of device The device must be affordable The average cost of devices using invasive technology is annually around $1200 we consider any device that is under this cost a success Accuracy of device The device must be accurate Glucose levels of a human can fluctuate within a matter of minutes, after discussing with our client we consider anything that can report glucose levels within 80% of their true values to be a success Accessibility of device The device should be usable Part of the accessibility of a
  • 16. Gluco-Medes Design Report 16 and accessible to everybody device depends on factors such as the size and cost of the device. In addition to these factors we also must consider the audience that is using the device. Since some of the device users may be elderly, the device needs to be light (weight) enough for their use. The User Experience Overview A typical user of the non-invasive glucose monitor could be of any age or ethnicity and would most likely have had prior experience with other invasive devices. It could be presumed that these types of people are fed up with the traditional invasive methods of glucose monitoring and would be open to try any non-invasive solution. Personas A person who would use this product could be of any age, therefore, this product must be simple enough for young as well as old people to use. Users of this product are also not limited to just one part of the world, as anyone could have the need to monitor their blood sugar levels. Therefore, the simplicity of the design will be necessary so that the device can be used all over the world by people of any age regardless of whether or not they live in the U.S. or speak english. The main concerns for the users of this device will be whether or not the device is accurate and if they will be able to discontinue the invasive methods of glucose measurement. A specific example of an individual who may who this device is an elderly diabetic who lives alone. This individual would want a product which does not weigh a lot so that it may not damage their body, and our monitor would fit this criteria perfectly as we have put a limit on how much our device can weigh. Because this individual is old in age they would not want a
  • 17. Gluco-Medes Design Report 17 product that requires them to do complicated steps so that it may work, and in this way our simple one button setup would be perfect for this individual. Lastly this individual probably would not have a lot of money, maybe due to the fact that they can no longer work as much as they used to or even the fact that they are retired. With this low income our device would look very nice to this individual because we will have a lower price than traditional methods and also lower in price than comparable non-invasive monitors. Use Cases ● Diabetics - This person will utilize the device to check their own blood sugar levels. This is necessary for them to monitor their glucose levels to avoid dropping below or rising above the healthy range. ● Doctors - This person will use the device with their patients to monitor the patient's glucose levels. Doctors will be able to use the device for diagnosis of diabetes in patients that are potentially at risk. ● Sales Rep - This person will promote the finished product to patients and doctors who fall under the target audience. As the device strives to change the industry, the sales rep may sway current medical practices to use the newer technology. Design and Justification Overview of Team Process The approach taken to this project involved equal input from all team members to brainstorm initial concepts and produce our design plan. The initial meetings, which included the client (NVT), established a basis to build ideas from. At the client meetings, the product constraints were discussed in order to ensure the end result matched the client’s requirements. Once the team
  • 18. Gluco-Medes Design Report 18 and the client reached an agreement with a feasible product and design, the team was able to begin brainstorming implementations. During team meetings, goals were established with deadlines to be met in order to make the planning process fluid and optimize productivity. Most of the goals involved determining the specifications and parts required for the product to function as required. Team members were expected to come to each meeting with a follow up on research topics discussed at the prior meeting, as well as possible design ideas to be discussed with the whole team. By the end of this process of elimination, the team reached a final design plan and were ready to begin the implementation process. System Architecture Figure 1. Black Box diagram for non-invasive monitor The architecture presented above in Figure 1 is a low level black box diagram of how each separate component will coordinate and transmit data to the other components. Starting with the earlobe device, it can be seen that this is where all the sensors will be located as well as receive and transmit data. The LEDs will transmit a certain light wavelength in a certain order and the light sensor will receive this data and send it on to the logic unit for processing. The same process can be said for the earlobe thickness sensor which will, in some way, find out the thickness of the ear and transmit the data. Moving on to the logic unit, this component will
  • 19. Gluco-Medes Design Report 19 regulate power for the sensors in the earlobe device if needed, and perform the calculations for finding the glucose level. Lastly, the android device will provide power to the other two devices, in addition to displaying the results of the glucose calculation for a user to see. These are the only three components used in the glucose sensor. Hardware Design After discussing our ideas as a group, as well as doing some research about the proposed ideas, we decided that the light sensors seemed to be what works best for non-invasive glucose monitoring. It was also the method with the most available resources on the web, which is definitely helpful for such a new type of technology. Our research also found that the earlobe seemed to be the ideal location to measure blood glucose since the size of an earlobe doesn't vary much between individuals and there would be little to no interference when shining a light through it. This was the main reason for the elimination of the wrist, as it would be difficult to work around the bone. Saliva and tears were also voted out since they didn't seem to have as much resources available as compared to measuring at the earlobe. A specific microcontroller has not been decided on for the final product, however, the Arduino will likely be chosen for use during the testing/prototype stage. The concept fan in Figure 2 on the following page shows the possible ideas for our chosen method of glucose monitoring.
  • 20. Gluco-Medes Design Report 20 Figure 2. Concept generation fan Measuring Locations/Methods Sensors Computation Power Webbing between index finger and thumb Light sensors (IR, LED, etc) Arduino USB Wrist Chemical reaction Android Battery Earlobe Thermal Microcontroller Saliva Electromagnetic Tears Sonar Data Transfer Earlobe Width Measurement Bluetooth Clamp USB Sensor WiFi Light
  • 21. Gluco-Medes Design Report 21 Table 2. Decision matrix for earlobe width sensor Earlobe Width via Sonar Earlobe Width via displacement sensor Earlobe Width via IR Accuracy 0.60 7 9 7 Cost 0.10 5 5 5 Size 0.15 5 5 8 Range 0.15 8 8 8 Score 6.65 7.85 7.1 The above scores in Table 2 reflect the preferential device to be used for the measurement of earlobe width. The three options to consider: width measurement via sonar (using sound reflection), a strain gauge(displacement sensor), and via infrared light. This depends on the availability of the sensor itself. For instance, if it is harder for to acquire a sensor using sonar, then the next best option would be used in place of it. The size of the sensor isn’t a heavy weight due to the fact that the device being placed on the user’s ear is already fairly large. Accuracy is the primary concern, and thus holds the heaviest weighting. All three sensors would provide an acceptable level of accuracy, therefore the other choices will determine the choice of the actual sensor. At the moment we are currently leaning more toward using IR light to measure the width of the ear, though we are looking more into using a strain gauge for the measurement. Table 3. Decision matrix for microcontroller Weighting Arduino IOIO-OTG Cost 0.1 8 8 Size 0.2 5 5 Ease of Use 0.1 7 7
  • 22. Gluco-Medes Design Report 22 Speed 0.1 6 6 Power 0.5 10 0 Score 8.1 3.1 The above scores in Table 3 reflect the device being used for processing the data obtained from the sensors. The weighting column reflects the relative importance (greater value is more important) to our design. The weighting is broken across several different categories, the ease of use, cost and speed of the device all received an equal weighting. The cost of the device is based upon the idea that we expect the cost of the microcontroller to be one of the greater factors in our device. The ease of use factor is strictly for the developers consideration, therefore both microcontrollers received an equal score. The speed of the device comes down to the fact that all it needs to do is read and transmit serial data to an android device, this allows the android device to handle some of the processing. The size of the device is going to allow more convenience in the accessibility and portability of the device. The power category is a consideration to how the microcontroller will receive power, ultimately we arrived at the arduino due to the fact that it could be powered over usb, whereas the IOIO couldn’t. Table 4. Decision matrix sensor placement Weighting Ear Wrist Thumb and Forefinger Webbing Consistent Size 0.25 8 5 8 Location 0.25 7 8 5
  • 23. Gluco-Medes Design Report 23 Blood Flow 0.25 10 10 10 Density 0.25 9 3 9 Score 8.5 6.5 8 The above scores in Table 4 represent the decision for where the devices sensor should be placed upon the human body. The weighting was broken equally across the four categories: consistent size, location, blood flow, and density of skin. The options for placement were upon the users earlobe, wrist, or between the skin webbing located between the thumb and forefinger. Ultimately the decision resulted with taking the measurement on the users ear. There is no bone to pass through, making the density score high, the blood flow is good due to many capillaries in the ear lobe. The location of the earlobe is somewhat convenient for the user, and the size of the earlobe is fairly consistent across humans. Unfortunately this might limit users with body modifications such as earrings or gauged ear-lobes to not use our device, we are seeking ways around this. Table 5. Decision matrix for device power Weighting Batteries Phone Size 0.25 5 5 Environmental 0.25 3 7 Convenience 0.25 3 8
  • 24. Gluco-Medes Design Report 24 Cost 0.25 3 1 Score 3.5 5.25 The above scores for Table 5 reflect the decision process on how our device will be powered. The weighting for each of the above four categories is equal because we felt that the size, environmental impact, convenience and cost were all important for deciding how our device would be powered. In terms of size a phone and battery pack are very comparable in size, but they are still large items, so the score there reflects this. Batteries are thrown out as soon as they are used up while a phone can be recharged so the phone wins the environmental aspect. Almost everyone nowadays has a phone in their pocket, but who has batteries on their person, probably no one so the phone wins this category also. Lastly the initial cost of a phone is high while batteries are comparably cheap so batteries score higher than the phone on this. Adding up all the scores it is clear in Table 5 that the phone was the choice for powering the device. Figure 3 provides a very general data flow diagram for the device. As the diagram shows, the fundamental operation of the device will be contained in six different steps. Initially, the user will place the device on their ear, this will help ensure that the device can properly calibrate while it powers on. After this the device will acquire the data reported by the sensor. This data will then be processed and sent to the android device. Once the data has been received by the android device, it will display the information to the user.
  • 25. Gluco-Medes Design Report 25 Figure 3. Data flow diagram Software Architecture Figure 4 represents the software data flow of the device. After the device is powered on, it will wait for a button press, which acts as a signal from the user to let the device know that data is ready to be transmitted. After the button is pressed, the user’s earlobe width and blood oxygen levels will be measured. Using the earlobe width and blood oxygen levels will allow the device to know if there is an adequate amount of blood in the particular position that the sensor is placed. Once these levels are received, the glucose reading will be taken and then used to calculate the glucose level of the user. The final stage will then be to display the results through the android device. Figure 4. State diagram for software data flow
  • 26. Gluco-Medes Design Report 26 Mechanical Design At this point in the development process, our team has not yet decided what the casing will look like or even what materials to use when building it. We do believe that some part of the casing will be made using a 3D printer, but beyond that, we have not yet considered anything further. At some point in the future, when we have created a working prototype, we will then design the casing to fit what we have found works. Test Plan The component that the team will be most concerned with during the testing process involves the LEDs. The LEDs are essentially the main component in the device as they are what will be used to measure the glucose levels as well as possibly the width of the earlobe. Theoretically, the LEDs within the range of 1500-1700 nm should all give a considerable amount of accuracy, as research has stated that the wavelength to measure blood sugar should be around 1600 nm. So the main concern would be to find the LED with the best accuracy. The testing plan for the LEDs is to order several LEDs within the range of 1500-1700 nm and then comparing the results against one another to see which will give the best reading. The level of accuracy of the LEDs will be determined by testing the readings against a typical finger-prick glucose test kit.
  • 27. Gluco-Medes Design Report 27 Gantt Chart Figure 5. Gantt chart for project timeline The above Gantt chart in Figure 5, shows the rough outline of the schedule for the project. The chart also shows which team members are responsible for which part of the project. As shown in the chart, many things during the design process of the project are dependent on one another. Therefore, it is very important that each team member will complete their designated tasks on time. Once the initial alpha prototype is done, however, the final testing stages can then be done as a team.
  • 28. Gluco-Medes Design Report 28 Budget Request and Justification Most of the budget for this project will go towards the purchasing of the LEDs used to for the calculation of glucose levels. The LEDs that will be used for the device are non-standard LEDs. Due to the fact that they are non-standard LEDs, the pricing of the LEDs were found to be very expensive. However, since the device will only work with LEDs in those ranges, the team has no other choice but to purchase these expensive LEDs. Beyond the cost of the LEDs, the rest of the components should be relatively cheap in comparison to the LEDs. Although the goal of the project is to have the device be as low cost as possible, there is no guarantee the device will stay within budget, especially since there is still no definite list of the materials needed for the device. Bill of Materials Table 6. Project bill of materials Item Name Part # Supplier Name Quantity Price Each Extended Price Total Vials 10mm N/A Cal Poly Corp. 10 $0.75 $7.50 Vials 5mm N/A Cal Poly Corp. 10 $0.50 $5.00 12-bit ADC ADS1015 Adafruit 1 $9.95 $9.95 Photodiode MTPD1346-150 Marktech 1 $26.66 $26.66 Photodiode FGA10 ThorLabs 1 $158.10 $158.10 Photodiode FGA01 ThorLabs 1 $55.00 $55.00 1550nm LED LED1550E ThorLabs 2 $17.95 $35.90 Cuvette 5mm 1-G-5 Starna Cells 1 $45.00 $45.00 $343.11
  • 29. Gluco-Medes Design Report 29 References Ahmad, Masab, Awais Kamboh, and Ahmed Khan. “Non-invasive blood glucose monitoring using near-infrared spectroscopy.” EDN Network. 16 Oct. 2013. Web. 9 Oct. 2014. "GlucoWise™." : Meet the New Non-invasive Glucose Monitor That Helps You Take Control of Your Life. N.p., n.d. Web. 10 Oct. 2014. "Grove Instruments - Grove Technology." Grove Instruments - Grove Technology. N.p., n.d. Web. 10 Oct. 2014. Honor Whiteman. “New breathalyzer ‘monitors blood glucose’ in diabetics.” 12 Nov. 2013. Web. 15 Oct. 2014. Krishnamurthy, Gaurav. “Non-Invasive Measurement of Blood Glucose Levels Using GlucoTrack: Interview with CEO Avner Gal.” MedGadget, 13 Oct. 2013. Web. 9 Oct. 2014. Scott, Mark. "Novartis Joins With Google to Develop Contact Lens That Monitors Blood Sugar." The New York Times. The New York Times, 15 July 2014. Web. 10 Oct. 2014. Appendices Bill of Materials Gantt Chart Circuit Diagrams, Layouts, CAD Drawings, etc. Final Test Plan Documentation
  • 30. Gluco-Medes Design Report 30 Bill of Materials Hardware Listing: Item Name Part # Supplier Name Quantity Price Each Extended Price Vials 10mm N/A Cal Poly Corp. 10 $0.75 $7.50 Vials 5mm N/A Cal Poly Corp. 10 $0.50 $5.00 12-bit ADC ADS1015 Adafruit 1 $9.95 $9.95 Photodiode MTPD1346-150 Marktech 1 $26.66 $26.66 Photodiode FGA10 ThorLabs 1 $158.10 $158.10 Photodiode FGA01 ThorLabs 1 $55.00 $55.00 1550nm LED LED1550E ThorLabs 2 $17.95 $35.90 Cuvette 5mm 1-G-5 Starna Cells 1 $45.00 $45.00 $343.11
  • 31. Gluco-Medes Design Report 31 Gantt Chart The following is a gantt chart outlining the timeline and workflow of our project
  • 32. Gluco-Medes Design Report 32 Circuit Diagrams and Layouts System Schematic of the Device Block Diagram of the Entire System System State Diagram
  • 33. Gluco-Medes Design Report 33 Data Flow Diagram Concept Generation Fan Diagram
  • 34. Gluco-Medes Design Report 34 Non-Invasive Glucose Monitor High Level Functional Verification Test Plan Version 2 March 20, 2015 Prepared for New Vision Telemedicine Prepared By Gluco-Medes Charlie Aylward (caylward@calpoly.edu), Jonah Clinard (jwclinar@calpoly.edu), Travis Stuever (tstuever@calpoly.edu) Introduction This is the non-invasive glucose monitor high level test plan prepared by the Cal Poly capstone team Gluco-Medes for New Vision Telemedicine. This document describes the procedures taken in the testing phase of the glucose monitor. Document Control Information Author / Owner Travis Stuever - Design/Application Specialist- tstuever@calpoly.edu Jonah Clinard - Application/Hardware Specialist - jwclinar@calpoly.edu
  • 35. Gluco-Medes Design Report 35 Charlie Aylward - Implementation Specialist and Team Leader - caylward@calpoly.edu Approvers The following people provide the approval of this document: Name Function Approval Date Dr. Nooristani Client John Oliver Class Leader Reviewers The following people provide the review comments to this document: Name Function Mandatory/Optional John Oliver Class Leader Mandatory Dr. Nooristani Client Mandatory Summary of Changes The Author/Owner of this document is authorized to make the following types of changes to the document (identified in the change history) without requiring the document re-approval: Editorial, formatting, and spelling Clarification Document structure Note: Any other changes may require re-review and re-approval.
  • 36. Gluco-Medes Design Report 36 To request a change to this document, contact it’s Author/Owner. Changes to this document are summarized chronologically in the following table. Version Number Date Summary of Changes Editor 1.0 1-28-2015 Initial Write Up Glucomedes Team 1.1 1-31-2015 Cont.Initial Write Up Glucomedes Team 1.2 2-4-2015 Cont. Initial Write Up Glucomedes Team 1.3 2-9-2015 Cont. Initial Write Up Glucomedes Team 2.0 3-19-2015 Final Revision Glucomedes Team Supporting Documents The following are the supporting documents for this Functional Verification Test plan: Project Wiki Primary resource center containing all project documentation. https://polylearn.calpoly.edu/AY_2014-2015/mod/ouwiki/view.php?id=66785 Reference Documents The following documents expand on the information available in this test plan: Existing Non-invasive glucose monitoring research project This is a detailed article outlining the basic principles behind MIT researchers methods for measuring glucose levels via a non invasive method http://www.edn.com/design/medical/4422840/Non-invasive-blood-glucose-monitoring- using-near-infrared-spectroscopy
  • 37. Gluco-Medes Design Report 37 Use Cases Overview A typical user of the non-invasive glucose monitor could be of any age or ethnicity and would most likely have had prior experience with other invasive devices. It could be presumed that these types of people are fed up with the traditional invasive methods of glucose monitoring and would be open to try any non-invasive solution. Personas A person who would use this product could be of any age, therefore, this product must be simple enough for young as well as old people to use. Users of this product are also not limited to just one part of the world, as anyone could have the need to monitor their blood sugar levels. Therefore, the simplicity of the design will be necessary so that the device can be used all over the world by people of any age regardless of whether or not they live in the U.S. or speak english. The main concerns for the users of this device will be whether or not the device is accurate and if they will be able to discontinue the invasive methods of glucose measurement. A specific example of an individual who may who this device is an elderly diabetic who lives alone. This individual would want a product which does not weigh a lot so that it may not damage their body, and our monitor would fit this criteria perfectly as we have put a limit on how much our device can weigh. Because this individual is old in age they would not want a product that requires them to do complicated steps so that it may work, and in this way our simple one button setup would be perfect for this individual. Lastly this individual probably would not have a lot of money, maybe due to the fact that they can no longer work as much as they used to or even the fact that they are retired. With this low income our device would look very nice to this individual because we will have a lower price than traditional methods and also lower in price than comparable non-invasive monitors. A design goal for this device is compatibility with individuals who have disabilities preventing the use traditional finger-pricking test kits. A constraint for the device is the user must be able to administer the device under their own supervision. In order to keep the compatibility spectrum wide, we’d like to make this device operable under conditions such as partial paralysis, wheelchair, and other physical inhibitions.
  • 38. Gluco-Medes Design Report 38 Objective This is the High Level Functional Verification Test Plan for version 1. The test plan outlines the following aspects of a Functional Verification Test: Assumptions Scope Test methodology Entry & exit criteria Exclusions Dependencies & responsibilities Schedule Risks management Testing Results and Preparation Test resources Defect management for functional test activities Assumptions The following assumptions are made for the functional verification test of this project in terms of glucose solution testing: ● The user will have no cosmetic modifications on their earlobe ● The user will have a large enough earlobe to test upon ● The placement of the device on the users earlobe will be the same globally Functional Verification Test Functional verification testing is a type of black box testing that uses the solution specifications, design document and use case document as a point of comparison to validate that the product is functioning properly. FVT also needs to ensure the system is working properly and not leading to an undesired behaviour when an end user uses the device in a way not described in the use cases. FVT testing is not limited to positive flow tests described in use cases. .
  • 39. Gluco-Medes Design Report 39 Functional Verification Test Scope The tests are responsible for the validation of functional correctness for the following aspects of the scope: Phone Application Tests Validate data received Validate correct data displayed Exploratory Testing/Ad hoc Testing Functional Scenario Testing Main Flow User clips ear-piece to earlobe. User then connect earlobe device to phone. Phone then displays glucose level. Exception Flow Alerts user to connect to device if not already connected. Functional End to End Flow User connects device to ear, connects device to phone, phone displays value. Exploratory Testing / Ad hoc Testing This type of testing will encompass unforeseen errors while using the device/product. These errors will be addressed as they come along without need for documentation or formal meetups to address the issues, unless they are major issues. The fixes for these errors will be done by the person who found the error, with help from others if asked. Test Methodology High level test planning is done prior to formal detailed test planning and execution. As part of the high level test planning the following are determined: FVT Criteria FVT entrance criteria FVT exit criteria FVT Exception handling for entry and exit criteria A detailed test case document is prepared based on the project specifications and use cases. The test case document is reviewed and approved as part of the functional test preparation.
  • 40. Gluco-Medes Design Report 40 Prior to formal entry into the test execution phase, the Lab environment will be setup with appropriate operating systems, protocols, and any other pre-requisite software and hardware. Entry and Exit Criteria Entry Criteria The software and hardware development is based on the Waterfall development model. The following is the post development code and unit test entry criteria for FVT: Functional verification test preparation can begin once: Solution specifications are reviewed and approved for the whole project Use cases are reviewed and approved for the whole project Functional verification test execution can begin once: Functional verification high level test plan (this document) is reviewed and approved Functional verification test case document is reviewed and approved Code is complete and has been unit tested for the necessary areas Exit Criteria The development is based on Waterfall development model. Functional verification test preparation can exit once: All test documents are reviewed and approved High Level Functional Verification Test Plan Detailed Test Case Document Functional verification test can exit once: All test cases have been attempted and completed All defects have been addressed Functional verification test exit checklist is completed, reviewed, and approved Exception Handling for Entry / Exit Criteria A document is prepared by the test team lead with the exceptions and associated reason, action plan, and risks. The document is then reviewed by the solution owner/manager, development lead, test manager and project manager. The exceptions must be approved before officially claiming functional verification test entry or exit. Exclusions This test plan only covers the testing of glucose solution and does not check the wavelength of light used in the sensor. The parts for the sensor were chosen based on manufacturer
  • 41. Gluco-Medes Design Report 41 specifications assumed to be accurate. Especially as the device uses NIR (near-infrared) light, the wavelength must be trusted to be correct without a spectrometer able to test in the NIR range of the LED. Dependencies The following dependencies will affect the completion and testing phase of the project. Dependency By (date) By Whom Risk if Not Met Initial collection of glucose level datapoints 2-11-2015 All developers Impedes the accuracy of the results obtained by the FVT Second stage collection of glucose level datapoints 2-13-2015 All developers Impedes the accuracy of the results obtained by the FVT Blood glucose comparison 2-16-2015 All developers Impedes final completion of the device Responsibilities Role Responsibilities Remarks Project Manager Oversees the flow of the project Charlie Aylward Arduino Developer Maintains and oversees Arduino code Jonah Clinard Android Developer Maintains and oversees Android code Travis Stuever, Jonah Clinard Designer Oversees and develops the aesthetic solutions for the project Travis Stuever Build Team Responsible for assembling the hardware elements of the device Travis Stuever, Charlie Aylward, Jonah Clinard Unit Tests Testing individual components of the entire project Charlie Aylward
  • 42. Gluco-Medes Design Report 42 Schedule Milestone Description Date Beta Prototype Develop second phase prototype 2-6-15 Test Plan Develop outline for testing sensor functionality 2-9-15 Ear Clamp Completion Part developed with CAD and printed using 3D Printer 2-13-15 Testing Completion Complete test plan 2-18-15 Design Review Review current device and make needed revisions 2-23-15 Packaging Finalize device aesthetics 2-25-15 Risk Management Risks The following risks have been identified in this project: Functional verification testing assumes the following tests are covered by the development team: Software Testing Hardware Testing If these areas are not properly unit tested, they could potentially be missed altogether. Test Environment - functional testing includes measurements with the LED and photodiode. The functional test assumes the environment in which the emission and detection of light will be controlled with negligible outside interference. Sensor Quality - functional testing of the sensor assumes compatibility between the photodiode and LED which are both documented to operate at their optimal levels at the 1550nm wavelength mark. Our testing relies on the data presented on the device datasheets to be accurate. Test Tracking
  • 43. Gluco-Medes Design Report 43 Testing Results and Procedures Test Preparation The following document discusses our test preparation: https://docs.google.com/document/d/1mwifIAcCFAVmPiwe6H27z6EnYmH5zYxudx_Qw523_ mM/edit?usp=sharing Test Execution The following document is our first run excel spreadsheet: https://drive.google.com/file/d/0B8HcwAbTkZGVMEh5X2wtc245TmM/view?usp=shari ng Test Resources Hardware The following machines were used for testing: Hardware Located Hardware Specification Used For Contact Person Android Phone Jonah’s person Android 3.0+ Displaying Glucose Level Jonah Clinard Software Software Version License Type Where to download Contact Person Android Version 4.4.4 Free Pre loaded with phone Google Gluco-medes app Version 1.6 Free Not available to download Gluco-medes Team Arduino IDE Version 1.0.6 Free Arduino.cc Arduino
  • 44. Gluco-Medes Design Report 44 Staffing Name Phone E-mail Location Title Travis Stuever 970-403-4040 tstuever@calpoly.edu San Luis Obispo Design/Application Specialist Jonah Clinard 805-550-4957 jwclinar@calpoly.edu San Luis Obispo Application/Hardware Specialist Charlie Aylward 530-774-6696 caylward@calpoly.edu San Luis Obispo Implementation Specialist and Team Leader Defect Management Defect A defect is when the software/hardware fails to display/calculate the user’s glucose level. Defect Severity Defects are classified by severity. Defect severity levels can only be changed by the defect’s originator or by concurring with the originator or test lead. Severity levels are defined as: SEVERITY 1 - A severity 1 defect involves a hardware failure to calculate a glucose level. Schedules are impacted. A problem fix and problem retest is required before any test activity can effectively proceed. The defect must be resolved within 48 hours and a fixed test driver must be delivered to the test team as soon as possible after the defect is fixed; so that testing can resume. When the problem is fixed, the test execution record may not be closed as complete until a supported build containing the fix has been delivered to the test team. SEVERITY 2 - A severity 2 defect represents a significant functional defect with the android application. This defect may invalidate continued testing in the functional area. The defect may mask the further detection of problems in the functional area affected. A problem fix and retest is required before test activity can proceed in the functional area. The next scheduled build (no more than 10 days later) must resolve the defect. When the problem is fixed, the test execution record may not be closed as complete until a supported build containing the fix has been delivered to the test team.
  • 45. Gluco-Medes Design Report 45 Defect Reporting System All defects will be reported to the entire team and then a discussion will ensue on where the defect is located and the severity of the defect. The team will then delegate a member to fix the defect and report back when it has been resolved. Defect Reporting Data We will keep a cloud based copy of all reported defects. Defect Validation When a defect is fixed, the team is notified via email. The team then follows the steps that produced the defect to ensure the defect is fixed. Specific Tests: Drop Rate Tests: This series of tests will look at the change in intensity with a single drop of glucose water, over the course of multiple drops or saturation. This test is for looking at how the glucose concentrations in the glucose water we are using is affecting the intensity level of light we are recording. To pass these tests the drops must register a difference in the intensity we see as more drops are added to a vial. Change In Intensity Tests: This set of tests will focus on the difference in intensity levels we see as different glucose solutions are tested. For instance, a 50 mg/dl solution will have a different intensity than a 200 mg/dl glucose solution. These tests will cover a varying amount of liquid tested against, meaning glucose solutions will be tested with 15 drops of glucose water in each sample and then the next test run will have 18 drops of water to see if there is a consistent trend across the amount of water used. These tests will also cover different factors outside of the glucose samples. Examples include varying the ambient light outside of the testing environment, the distance between the samples, LED, and photodiode.
  • 46. Gluco-Medes Design Report 46 In order for these tests to pass they must show a difference between the glucose samples being tested against and also have a visible trend to extrapolate data from the results. Component Tests: This set of tests will see if the LED and the photodiode are working as expected. We will set up the LED and photodiode and see if the photodiode receives more light as the LED comes closer and less as it goes away by outputting the photodiode levels to a serial connection. To pass this test the LED photodiode must output a higher number the closer the LED is to it and a lower number as it goes farther away. Application Test: This test is for the application specifically, where we test the full functionality of the app. We see how the application reacts to not being connected to the device, plagued by excessive recalculation tests, and purposefully sending bogus data. The criteria for passing these tests is to perform without error, or crashing. Basically, the app must function as designed with no visible problems. Calibration Process After the development of the beta prototype we are able to begin calibration on the device. The Calibration of the device will be performed as follows: (please note this is assuming we have gotten our beta prototype functioning) ● First we will obtain a range of glucose solutions with tested and specified nominal levels. ● We are using a curve fit for our solution to measurements, therefore we have taken many many data points and have devised a trend from this data. ● This best fit curve has been programmed into the device in the form of a software algorithm. ● We will then compare the readings the device gives us to the true readings as reported by the controlled solutions.
  • 47. Gluco-Medes Design Report 47 ● If we obtain any outliers they will be noted, and if we receive enough outliers at a given measurement range we will note the device as being defective, or depending on the severity of the outlier, adjust the devices software accordingly. ● This will be performed on several different devices, each with the identical build specifications. We will record the results of the all these devices and then extract which ones are defective, and which devices produce the same results. If a majority of the devices (80%) produce the same true results as reported by the solutions then we can confirm that these devices are functioning properly. Bug Tracking We are using github as our version control manager. Each iteration marking a major design change is pushed into a new branch. Each branch contains multiple revision histories specifying both major and minor updates. If a bug is encountered in a pushed revision then it is noted in the versions notes. The software team will then try and replicate the bug and then attempt to fix it. If the bug is verified as fixed it will be updated and pushed to the repository documenting and listing any changes that were made.
  • 48. Gluco-Medes Design Report 48 Conclusion The result of the effort put toward making this device was far from the goals in the initial design plan. However, going into this project, the limitations and potential obstacles were made clear. Thus the struggles we encountered during the development process did not come with a surprise. The beta prototype will be the hand off project to be continued by another design group. The most challenging obstacle we faced while creating the device was the conceptual proof of the theory on which the device design was based off of. The lack of informative research combined with our tight budget made for a difficult challenge in creating a non-invasive glucose monitoring solution. Our group put forth a great effort in ensuring we crosschecked all of the design decisions to ensure we didn’t make a mistake in our approach to the problem. Unfortunately, we were unable to observe a data trend in the NIR light attenuation through varying levels of glucose solutions. This step was necessary to move forward in the product design. We do have ideas to fix the issues we had should further investigation be performed on the device prototype. The main improvement to be made to the system is an increase in the intensity of the light source by using multiple LEDs of the same model/wavelength.