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International Journal of Engineering and Techniques - Volume 3 Issue 1, Jan – Feb 2017
ISSN: 2395-1303 http://www.ijetjournal.org Page 136
User-Friendly Vital Signs Recording System for Home
Tele monitoring Applications
Mrs.Smita S. Kadam1
, Prof.Sandeep S. Bidwai2
Department of Electronics and Telecommunication ADCET Ashta, India
I. INTRODUCTION
Today, most countries are struggling with
increased number of patients and increased costs of
patient care. This is happened because of unhealthy
lifestyle, habits, including stress which increasingly
leads to chronic illness such as heart disease even in
younger age. Also it is difficult for doctors to monitor
particular patient for total working hours. In many
critical conditions such as one where patient is
located far away from hospital or also in case of old
patient who is suffering with heart disease and
physical disorders, continuous monitoring of such
patient is not possible. Normally it is difficult to keep
track on abnormalities in patient itself manually so
there must be a system which would help patient to
keep track on their health by themselves.
The world has lot of new technologies and
new techniques which really helps a lot while
designing a new system. The Heart is a two stage
electrical pump and the heart’s electrical activity can
be measured by electrodes placed on the skin. The
ECG can measure the rate and rhythm of the
heartbeat, as well as provide indirect evidence of
blood flow to the heart muscle. Oxygen is integral for
countless biological processes. The transport of
oxygen throughout the human body is performed by
the circulatory system, and more specifically,
hemoglobin in red blood cells. Critical medical
information can be obtained by measuring the
amount of oxygen in blood, as a percentage of the
maximum capacity. Pulse oximeter is a medical
instrument that can detect heart-rate and oxygen
saturation as signatures of our level of health
condition. It can be implemented as a small device,
and therefore, has been used widely in different
applications. The designed Module solves above
problems. Module consists of Spo2 sensor, ECG
sensor , temperature sensor which measures the
blood oxygen saturation, heart rate & body
temperature resp.
II. PROPOSED SYSTEM
Fig.1Block diagram of System for User-friendly
Vital Signs Recording
The system described in the above block diagram is
about a monitoring of vital parameters in a
hospitalized person requiring constant measurement
of his/her blood oxygen saturation levels along with
his/her body temperature& ECG. The system is built
around an 8-bit microcontroller ATmega16.It makes
use of three electrodes to record ECG, LM35 analog
sensor to measure body temperature &
photoplethysmography technique incorporated in
RESEARCH ARTICLE OPEN
Abstract:
In this paper, an ATmega16 based system for vital signs recording using GSM is developed to measure patient’s
Heart Rate, Blood oxygen saturation percentage ,Body Temperature & also records ECG in real time. Nowadays people
are dying because of various health problems so a device will be designed to keep track on patient which should be easy
to use, portable, light weighted, small size so that it gives freedom of mobility for patient. The system is for home use by
patients that are not in critical condition but need to be periodically monitored by clinician. At any critical condition the
SMS is send to the doctor so that quick services can be provided.
Keywords — ECG, CHF, Telemonitoring.
International Journal of Engineering and Techniques - Volume 3 Issue 1, Jan – Feb 2017
ISSN: 2395-1303 http://www.ijetjournal.org Page 137
Spo2 sensor to measure blood oxygen saturation level
in non-invasive way i.e., just by contacts and without
any needles or blood samples. The system displays
the real time values on the 16x4 LCD screen. The
system is capable of transmitting the measured values
to a distance user by means of GSM communication
also it displays ECG plot on Dr.’s PC. To achieve
this, the system uses a separate communication
module called SIM900 which is interfaced to the
microcontroller at UART.
III. COMPONENTS INTEGRATED
A. Temperature sensor
Fig.2 Temperature measurement circuit
LM35 used as temperature sensor which gives
voltage variations for changes in the ambience
temperature. The pin 2 which is output pin is
connected at ADC0 pin of the microcontroller, while
the pin 1 and 3 are Vcc and ground respectively.
B. Spo2 sensor
Fig.3 Pulse oximetry measurement circuit
This sensor is useful in making Pulse oximetry,
which is a test that measures what proportion of the
oxygen-carrying molecules in the blood (called
hemoglobin) are actually carrying oxygen. This is
known as oxygen saturation or SpO2. One hundred
percent oxygen saturation is attained when all
hemoglobin in the blood is completely saturated with
oxygen. This simple test does not require a blood
sample and is called non-invasive. A pulse oximeter
is a medical device that indirectly measures the
oxygen saturation of a patient’s blood and changes in
blood volume in the skin, producing a
photoplethysmograph. It is often attached to a
medical monitor so staff can see a patient’s
oxygenation at all times.
Internally it consists of IR and Red LED on one side
and Light Detector on other side. A finger pulse
oximeter is composed of two light emitting diodes
(LED) for sensing blood volume and blood oxygen
saturation in the finger.
Fig.4 Sensor showing saturation and ratio
At 0% saturation, there is only deoxyHb. The
absorbance ratio ( i.e. comparing how much red light
and infrared light is absorbed) will therefore be same
as that seen with the deoxyHb absorbance curve.
At 50 % oxygen saturation, the absorbance pattern is
different to when the saturation was 75 %. The ratio
of red light and infrared light absorbed is also
therefore different and the pulse oximeter uses this to
calculate the saturation as 50 %.
International Journal of Engineering and Techniques - Volume 3 Issue 1, Jan – Feb 2017
ISSN: 2395-1303 http://www.ijetjournal.org Page 138
At 100% saturation, the absorbance ratio (i.e.
comparing how much red light and infrared light is
absorbed) will be same as that seen with the oxy Hb
absorbance curve.
C. ECG sensor
Fig. 5 ECG Recording Circuit
The electrocardiograph (ECG) is an instrument which
records the electrical activity of the heart. ECG
provides valuable information about a wide range of
cardiac disorders such as the presence of an inactive
part (infarction) or an enlargement (cardiac
hypertrophy)of the heart muscle. Electrocardiographs
are used in catheterization laboratory, coronary care
units and for routine cardiac diagnostic applications
in cardiology.
The ECG Leads:-Two electrodes placed over
different areas of heart and connected to the
galvanometer will pick up the electrical currents,
resulting from potential difference between them.
There are two types of ECG leads as follows,
 Bipolar leads
 Unipolar leads
We are using three electrodes as ECG leads. Two of
them will be connected on the body and the third one
will be used as ground.
D. ATmega16 Microcontroller
The Atmel’s ATmega series microcontrollers are
based on RISC architecture, which facilitates single
cycle execution for most instructions. Also, the
maximum allowed operating frequency of these
controllers is 16MHz, thus allowing 16 million
instructions execution in a single second @ 16MHz.
It has two UARTs (Universal Asynchronous
Receiver and Transmitter) hardware which makes it
easier to interface it with the GSM modem.
E. LCD Display
Fig. 6 16 x 2 text LCD Display
The LCD display shall be used to continuously
display various status/error information in the GSM
operation thus making us easy to debug the problems
if any. Also, the LCD screen will display the actual
real time sensor data. We used 16x4 text LCD screen.
F. GSM modem
Fig. 7 GSM modem
GSM (Global System for Mobile) is an open source
system which allows access to code. GSM operates
on the 900 MHz, 1800 MHz and 1900 MHz.GSM is
now a worldwide standard.
GSM uses Time Division Multiple Access
technology as their air interface standard. GSM uses
Digital Communication System and is the world’s
main 2G standard.A GSM module is used for
communication between patient and a doctor.
International Journal of Engineering and Techniques - Volume 3 Issue 1, Jan – Feb 2017
ISSN: 2395-1303 http://www.ijetjournal.org Page 139
IV. IMPLEMENTATION
Fig. 8 System Circuit Diagram
V. SIMULATION MODULE
I have used MATLAB software to plot the ECG of
patient on Dr’s PC. It is an excellent integrating
platform for acquiring, processing, and transmitting
thephysiological data. I choose MATLAB for the
project because of the following reasons:
 It can model and analyze a large data set
generated from a variety of measurements
coming from sensors.
 It provides very strong data acquisition
tools, data analysis tools, and data
visualization tools.
The program starts by receiving the readings from the
ECG Electrodes connected to the patient’s body
through wires. The acquired data is then sent to the
programming environment (i.e.,MATLABSoftware).
The program analyzes and displays the data regarding
the ECG and heart rate.
VI. EXPERIMENTAL RESULT
Fig. 9 The Hardware Setup
Fig. 10 Heart Rate and Spo2 % of Patient Indicated
on LCD
Fig. 11 Patient’s ECG acquired and sent to Doctor
Fig. 12 Message sent through GSM
VII. CONCLUSION
The proposed system fulfills the objective to measure
the patient’s Heart Rate, Blood oxygen saturation
percentage, Body Temperature & also ECG
Recording in real time with less expense without
using time consuming and expensive clinical pulse
detection systems. The system is for home use by
patients that are not in critical condition but need to
be constant or periodically monitored by clinician. In
any critical condition the SMS will be send to the
doctor so that we can easily save many lives by
providing them quick services.
International Journal of Engineering and Techniques - Volume 3 Issue 1, Jan – Feb 2017
ISSN: 2395-1303 http://www.ijetjournal.org Page 140
VIII. REFERENCES
[1] J. G. Webster, “Encyclopedia of Medical
Devices and Instrumentation”, ,2nd Edition,
Vol. 1, ISBN:978-0-470-04066-9, pp.471-
475, 2006.
[2] J. Parak, J. Havlik, "ECG signal processing
and heart rate frequency detection methods,"
Czech Technical University in Prague,
unpublished IEEE.
[3] Pico Technology, “Calculating the heart rate
with a pulse plethysmograph”, Available at:
http://www.picotech.com/experiments/calcul
ating_heart_rate/index.html
[4] S. Rhee, B.-H. Yang, and H. H. Asada,
"Modeling of finger photoplethysmography
for wearable sensors," 21st Annual
Conference and the 1999 Annual Fall
Meeting of the Biomedical Engineering Soc.
BMES/EMBS Conference, 1999.
[5] P. Kligfield, et al, "Recommendations for
the standardization and Interpretation of
electrocardiogram," Circulation, 155:1306-
1324, 2007 IEEE.
[6] A. Baba, M.J. Burke, "Electrical
characterization of dry electrodes for ECG
recordings," 12th WSEAS International
Conference on Circuits, Heraklion, Greece,
July 22-24, 2008 IEEE.
[7] Subhani Sk. M., Sateesh G.N.V,
ChaitanyaCh.and Prakash Babu G.,
“Implementation of GSM Based Heart Rate
andTemperature Monitoring System” ,
Research Journal of Engineering Sciences,
Vol. 2(4), 43-45, April 2013
[8] Alessandro Benini, Massimiliano Donati,
Fabrizio Iacopetti, Luca Fanucci,“User-
Friendly Single-lead ECG Device for Home
Telemonitoring Applications” Dept. Of
information Engg., University of Pisa,Italy
ISMICT 2014.

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IJET-V3I1P26

  • 1. International Journal of Engineering and Techniques - Volume 3 Issue 1, Jan – Feb 2017 ISSN: 2395-1303 http://www.ijetjournal.org Page 136 User-Friendly Vital Signs Recording System for Home Tele monitoring Applications Mrs.Smita S. Kadam1 , Prof.Sandeep S. Bidwai2 Department of Electronics and Telecommunication ADCET Ashta, India I. INTRODUCTION Today, most countries are struggling with increased number of patients and increased costs of patient care. This is happened because of unhealthy lifestyle, habits, including stress which increasingly leads to chronic illness such as heart disease even in younger age. Also it is difficult for doctors to monitor particular patient for total working hours. In many critical conditions such as one where patient is located far away from hospital or also in case of old patient who is suffering with heart disease and physical disorders, continuous monitoring of such patient is not possible. Normally it is difficult to keep track on abnormalities in patient itself manually so there must be a system which would help patient to keep track on their health by themselves. The world has lot of new technologies and new techniques which really helps a lot while designing a new system. The Heart is a two stage electrical pump and the heart’s electrical activity can be measured by electrodes placed on the skin. The ECG can measure the rate and rhythm of the heartbeat, as well as provide indirect evidence of blood flow to the heart muscle. Oxygen is integral for countless biological processes. The transport of oxygen throughout the human body is performed by the circulatory system, and more specifically, hemoglobin in red blood cells. Critical medical information can be obtained by measuring the amount of oxygen in blood, as a percentage of the maximum capacity. Pulse oximeter is a medical instrument that can detect heart-rate and oxygen saturation as signatures of our level of health condition. It can be implemented as a small device, and therefore, has been used widely in different applications. The designed Module solves above problems. Module consists of Spo2 sensor, ECG sensor , temperature sensor which measures the blood oxygen saturation, heart rate & body temperature resp. II. PROPOSED SYSTEM Fig.1Block diagram of System for User-friendly Vital Signs Recording The system described in the above block diagram is about a monitoring of vital parameters in a hospitalized person requiring constant measurement of his/her blood oxygen saturation levels along with his/her body temperature& ECG. The system is built around an 8-bit microcontroller ATmega16.It makes use of three electrodes to record ECG, LM35 analog sensor to measure body temperature & photoplethysmography technique incorporated in RESEARCH ARTICLE OPEN Abstract: In this paper, an ATmega16 based system for vital signs recording using GSM is developed to measure patient’s Heart Rate, Blood oxygen saturation percentage ,Body Temperature & also records ECG in real time. Nowadays people are dying because of various health problems so a device will be designed to keep track on patient which should be easy to use, portable, light weighted, small size so that it gives freedom of mobility for patient. The system is for home use by patients that are not in critical condition but need to be periodically monitored by clinician. At any critical condition the SMS is send to the doctor so that quick services can be provided. Keywords — ECG, CHF, Telemonitoring.
  • 2. International Journal of Engineering and Techniques - Volume 3 Issue 1, Jan – Feb 2017 ISSN: 2395-1303 http://www.ijetjournal.org Page 137 Spo2 sensor to measure blood oxygen saturation level in non-invasive way i.e., just by contacts and without any needles or blood samples. The system displays the real time values on the 16x4 LCD screen. The system is capable of transmitting the measured values to a distance user by means of GSM communication also it displays ECG plot on Dr.’s PC. To achieve this, the system uses a separate communication module called SIM900 which is interfaced to the microcontroller at UART. III. COMPONENTS INTEGRATED A. Temperature sensor Fig.2 Temperature measurement circuit LM35 used as temperature sensor which gives voltage variations for changes in the ambience temperature. The pin 2 which is output pin is connected at ADC0 pin of the microcontroller, while the pin 1 and 3 are Vcc and ground respectively. B. Spo2 sensor Fig.3 Pulse oximetry measurement circuit This sensor is useful in making Pulse oximetry, which is a test that measures what proportion of the oxygen-carrying molecules in the blood (called hemoglobin) are actually carrying oxygen. This is known as oxygen saturation or SpO2. One hundred percent oxygen saturation is attained when all hemoglobin in the blood is completely saturated with oxygen. This simple test does not require a blood sample and is called non-invasive. A pulse oximeter is a medical device that indirectly measures the oxygen saturation of a patient’s blood and changes in blood volume in the skin, producing a photoplethysmograph. It is often attached to a medical monitor so staff can see a patient’s oxygenation at all times. Internally it consists of IR and Red LED on one side and Light Detector on other side. A finger pulse oximeter is composed of two light emitting diodes (LED) for sensing blood volume and blood oxygen saturation in the finger. Fig.4 Sensor showing saturation and ratio At 0% saturation, there is only deoxyHb. The absorbance ratio ( i.e. comparing how much red light and infrared light is absorbed) will therefore be same as that seen with the deoxyHb absorbance curve. At 50 % oxygen saturation, the absorbance pattern is different to when the saturation was 75 %. The ratio of red light and infrared light absorbed is also therefore different and the pulse oximeter uses this to calculate the saturation as 50 %.
  • 3. International Journal of Engineering and Techniques - Volume 3 Issue 1, Jan – Feb 2017 ISSN: 2395-1303 http://www.ijetjournal.org Page 138 At 100% saturation, the absorbance ratio (i.e. comparing how much red light and infrared light is absorbed) will be same as that seen with the oxy Hb absorbance curve. C. ECG sensor Fig. 5 ECG Recording Circuit The electrocardiograph (ECG) is an instrument which records the electrical activity of the heart. ECG provides valuable information about a wide range of cardiac disorders such as the presence of an inactive part (infarction) or an enlargement (cardiac hypertrophy)of the heart muscle. Electrocardiographs are used in catheterization laboratory, coronary care units and for routine cardiac diagnostic applications in cardiology. The ECG Leads:-Two electrodes placed over different areas of heart and connected to the galvanometer will pick up the electrical currents, resulting from potential difference between them. There are two types of ECG leads as follows,  Bipolar leads  Unipolar leads We are using three electrodes as ECG leads. Two of them will be connected on the body and the third one will be used as ground. D. ATmega16 Microcontroller The Atmel’s ATmega series microcontrollers are based on RISC architecture, which facilitates single cycle execution for most instructions. Also, the maximum allowed operating frequency of these controllers is 16MHz, thus allowing 16 million instructions execution in a single second @ 16MHz. It has two UARTs (Universal Asynchronous Receiver and Transmitter) hardware which makes it easier to interface it with the GSM modem. E. LCD Display Fig. 6 16 x 2 text LCD Display The LCD display shall be used to continuously display various status/error information in the GSM operation thus making us easy to debug the problems if any. Also, the LCD screen will display the actual real time sensor data. We used 16x4 text LCD screen. F. GSM modem Fig. 7 GSM modem GSM (Global System for Mobile) is an open source system which allows access to code. GSM operates on the 900 MHz, 1800 MHz and 1900 MHz.GSM is now a worldwide standard. GSM uses Time Division Multiple Access technology as their air interface standard. GSM uses Digital Communication System and is the world’s main 2G standard.A GSM module is used for communication between patient and a doctor.
  • 4. International Journal of Engineering and Techniques - Volume 3 Issue 1, Jan – Feb 2017 ISSN: 2395-1303 http://www.ijetjournal.org Page 139 IV. IMPLEMENTATION Fig. 8 System Circuit Diagram V. SIMULATION MODULE I have used MATLAB software to plot the ECG of patient on Dr’s PC. It is an excellent integrating platform for acquiring, processing, and transmitting thephysiological data. I choose MATLAB for the project because of the following reasons:  It can model and analyze a large data set generated from a variety of measurements coming from sensors.  It provides very strong data acquisition tools, data analysis tools, and data visualization tools. The program starts by receiving the readings from the ECG Electrodes connected to the patient’s body through wires. The acquired data is then sent to the programming environment (i.e.,MATLABSoftware). The program analyzes and displays the data regarding the ECG and heart rate. VI. EXPERIMENTAL RESULT Fig. 9 The Hardware Setup Fig. 10 Heart Rate and Spo2 % of Patient Indicated on LCD Fig. 11 Patient’s ECG acquired and sent to Doctor Fig. 12 Message sent through GSM VII. CONCLUSION The proposed system fulfills the objective to measure the patient’s Heart Rate, Blood oxygen saturation percentage, Body Temperature & also ECG Recording in real time with less expense without using time consuming and expensive clinical pulse detection systems. The system is for home use by patients that are not in critical condition but need to be constant or periodically monitored by clinician. In any critical condition the SMS will be send to the doctor so that we can easily save many lives by providing them quick services.
  • 5. International Journal of Engineering and Techniques - Volume 3 Issue 1, Jan – Feb 2017 ISSN: 2395-1303 http://www.ijetjournal.org Page 140 VIII. REFERENCES [1] J. G. Webster, “Encyclopedia of Medical Devices and Instrumentation”, ,2nd Edition, Vol. 1, ISBN:978-0-470-04066-9, pp.471- 475, 2006. [2] J. Parak, J. Havlik, "ECG signal processing and heart rate frequency detection methods," Czech Technical University in Prague, unpublished IEEE. [3] Pico Technology, “Calculating the heart rate with a pulse plethysmograph”, Available at: http://www.picotech.com/experiments/calcul ating_heart_rate/index.html [4] S. Rhee, B.-H. Yang, and H. H. Asada, "Modeling of finger photoplethysmography for wearable sensors," 21st Annual Conference and the 1999 Annual Fall Meeting of the Biomedical Engineering Soc. BMES/EMBS Conference, 1999. [5] P. Kligfield, et al, "Recommendations for the standardization and Interpretation of electrocardiogram," Circulation, 155:1306- 1324, 2007 IEEE. [6] A. Baba, M.J. Burke, "Electrical characterization of dry electrodes for ECG recordings," 12th WSEAS International Conference on Circuits, Heraklion, Greece, July 22-24, 2008 IEEE. [7] Subhani Sk. M., Sateesh G.N.V, ChaitanyaCh.and Prakash Babu G., “Implementation of GSM Based Heart Rate andTemperature Monitoring System” , Research Journal of Engineering Sciences, Vol. 2(4), 43-45, April 2013 [8] Alessandro Benini, Massimiliano Donati, Fabrizio Iacopetti, Luca Fanucci,“User- Friendly Single-lead ECG Device for Home Telemonitoring Applications” Dept. Of information Engg., University of Pisa,Italy ISMICT 2014.