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International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 11 Issue: 01 | Jan 2024 www.irjet.net p-ISSN: 2395-0072
© 2024, IRJET | Impact Factor value: 8.226 | ISO 9001:2008 Certified Journal | Page 548
IOT BASED PORTABLE HEART RATE & SPO2
PULSE OXIMETER
Bharath N1, Darshan BB2, Devraj M3, Dr. Nirmala S4
1Student, Dept. of Data Science and Engineering, AMC Engineering College, KARANATAKA, INDIA
2Student, Dept. of Data Science and Engineering, AMC Engineering College, KARANATAKA, INDIA
3Student, Dept. of Data Science and Engineering, AMC Engineering College, KARANATAKA, INDIA
4Prof., Dept. of Computer Science and Engineering, AMC Engineering College, KARANATAKA, INDIA
------------------------------------------------------------------------***-------------------------------------------------------------------------
ABSTRACT
A pulse oximeter is a gadget that uses light sensors
attached to the finger to monitor a person's heart rate
and oxygen saturation level. Doctors or carers can
monitor the data from an IoT-based pulse oximeter by
sending it via Wi-Fi to a remote server or application. In
the setting of COVID-19, where low oxygen levels can
signify serious infection, this can aid in the detection and
prevention of any significant health concerns.
Additionally helpful to patients with long-term
respiratory conditions like asthma, COPD, or lung cancer
is an Internet of Things-based pulse oximeter.
In this project, we design and implement an IoT-based
pulse oximeter system that can measure and transmit
the oxygen saturation level and heart rate of a person to
a cloud platform. We use a MAX30100 sensor, which
combines a red LED and an infrared LED with a
photodetector, to capture the blood volume changes in
the finger. We use an ESP8266 microcontroller, which
has built-in Wi-Fi capabilities, to process the sensor data
and send it to a Blynk application, where it can be
displayed and stored. We compare the performance of
our system with a commercial pulse oximeter and
evaluate its accuracy and reliability. We also discuss the
potential applications and benefits of our system for
healthcare and remote patient monitoring.
This project aims to create a low-cost, portable, Internet
of Things (IoT) heart rate and SpO2 sensor that can be
used to track real-time health during the COVID-19
pandemic. The system includes a MAX30100 pulse
oximeter sensor, an embedded OLED display, and an
HTML webpage with Wi-Fi capability for online data
access. The device is simple to use, consumes little
energy, and can perform measurements at high sample
rates. The proposed system aims to give everyone an
easy-to-use, Internet of Things (IoT)-based pulse
oximeter/heart monitoring system.
KEYWORDS: IOT Based SpO2 Pulse Oximeter, We Mos
D1 mini- ESP8266, MAX30100
I. INTRODUCTION
Pulse oximetry is a non-invasive method of measuring
the oxygen saturation level and heart rate of a person by
using light sensors attached to the finger. It is a vital sign
that can indicate the health status of a person, especially
in the context of COVID-19, where low oxygen levels can
signal severe infection. However, conventional pulse
oximeters are standalone devices that do not allow
remote monitoring or data logging.
Therefore, there is a need for an IoT-based pulse
oximeter system that can transmit the data to a cloud
platform or an application, where it can be accessed by
doctors or caregivers. Such a system can enable early
detection and intervention of critical health conditions,
as well as provide convenience and comfort for the
patients. In this project, we aim to design and implement
an IoT-based pulse oximeter system using a low-cost and
low-power sensor module, a Wi-Fi-enabled
microcontroller, and a Blynk application. We will also
evaluate the performance and accuracy of our system
and compare it with a commercial pulse oximeter.
The IOT project pulse oximeter is a portable, affordable
medical device that measures blood oxygen levels and
heart rate. The device is easy to use and convenient for
real-time health monitoring because it has an integrated
OLED display and can communicate acquired data
online. Because the pulse oximeter is built on the
MAX30100 sensor, it can host an HTML page that can be
accessed remotely over a local area network. This IOT-
based pulse oximeter can help ease the strain on
healthcare systems by enabling remote health
monitoring. It is an invaluable tool for keeping an eye on
patients' vital signs, particularly during the COVID-19
pandemic.
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 11 Issue: 01 | Jan 2024 www.irjet.net p-ISSN: 2395-0072
© 2024, IRJET | Impact Factor value: 8.226 | ISO 9001:2008 Certified Journal | Page 549
II. LITERATURE SURVEY
Pulse oximetry is a non-invasive technique for
determining heart rate and oxygen saturation level of a
person by using light sensors attached to the finger. It is
widely used in clinical settings and home care to monitor
the health status of individuals with respiratory
conditions, like COVID-19, asthma, COPD, etc. However,
conventional pulse oximeters are standalone devices
that require manual recording and transmission of the
data, which can be inconvenient, time-consuming and
imprecise. Additionally, they don't offer real-time
feedback or alerts to the patients or the doctors in case
of any abnormality.
Several academics have invented the Internet of Things
(IoT) to get around these restrictions-based pulse
oximeter systems that can wirelessly forward the
information to a smartphone or a web platform via Wi-
Fi, Bluetooth, or GSM. These systems can enable remote
monitoring, data analysis, and notification of the vital
signs of the patients, which can improve the quality of
care and reduce the risk of complications. Some of the
examples of IoT based pulse oximeter systems are:
 IoT Based Pulse Oximeter System: This
system uses Utilising an ESP8266
microcontroller and a MAX30100 sensor, the
oxygen level and heart rate to a Blynk app on a
smartphone or a web server
 Smart Pulse Oximeter: This system uses
oxygen sensor and pulse rate sensor to detect
the values and Arduino microcontroller to send
them to a Ubisoft’s app on a smartphone
 IoT Based Pulse Oximeter: This system uses
Utilising the Neelum microcontroller and
MAX30100 sensor, the oxygen level is measured
and transmitted. heart rate to a Things peak
platform on a web browser
 Vital Signs Monitoring Based on Pulse
Oximeter Sensor and IoT platform: This
system measures and transmits the heart rate
and oxygen level to a Firebase platform on a web
browser using an ESP32 microcontroller and a
MAX30100 sensor.
 Sensors and the microcontrollers may vary
depending on the environmental conditions, the
finger placement, the skin color, the motion
artifacts, etc.
 The security and privacy of the data
transmission and storage may be compromised
by unauthorized access, hacking, or data
leakage.
 The power consumption and battery life of the
devices may be affected by the frequency and
duration • Additional features, such data
visualisation, data analysis, data sharing, data
export, etc., could enhance the user interface and
experience of smartphone apps and web
platforms. These include data transfer and the
usage of Wi-Fi, Bluetooth, or GSM modules.
Therefore, there is still room for improvement
and innovation in the design and development of
IoT based pulse oximeter systems that can
address these issues and provide better
performance, functionality, and usability.
III. BLOCK DIAGRAM AND
WORKING PRINCIPLE
A pulse oximeter is a device that demonstrating the pulse
oximeter and saturation of oxygen the of a person’s
blood. It uses two light sources (red and infrared) and a
photo-detector to sense the changes in blood volume and
colour due to the heartbeat. The device can be connected
to the internet using an ESP32 microcontroller and a
Blynk application, which allows remote monitoring of
the health data.
A possible block diagram for a pulse oximeter IoT project
is shown below:
+-----------------+ +-----------------+ +-----------------+
| Pulse Oximeter | | ESP32 | | Blynk Server |
| Sensor | | Microcontroller | | and Application |
| (MAX30100) | | | | |
+-----------------+ +-----------------+ +-----------------+
| Red LED | | OLED Display | | Smartphone |
| Infrared LED | | WIFI Module | | Dashboard |
| Photo-detector | | ADC | | Notifications |
| I2C Interface |<--->| I2C Interface |<--->| Internet |
Fig.3.1 Block representation of connections
The working principle of the pulse oximeter IoT project
is as follows:
 The pulse oximeter sensor emits red and
infrared light through the finger or earlobe of
the person and detects the amount of light that
passes through or reflects back to the photo-
detector.The sensor uses the I2C protocol to
send the raw data to the ESP32 microcontroller,
which converts the analog signals to digital
values using an ADC (analogue-to-digital
converter)
 The ESP32 microcontroller processes the
information and determines the pulse rate (PR)
and oxygen saturation (SpO2) of the person
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 11 Issue: 01 | Jan 2024 www.irjet.net p-ISSN: 2395-0072
© 2024, IRJET | Impact Factor value: 8.226 | ISO 9001:2008 Certified Journal | Page 550
using an algorithm. It also displays the results on
an OLED display module connected via I2C.
 • The data is sent from the ESP32
microcontroller to the Blynk server, which saves
and displays it on a smartphone application, via
an internet connection made possible by a Wi-Fi
module.
 The Blynk application allows the user to
continuously check the health data and get
alerts or messages if the values are abnormal or
out of range.
Fig.3.2: The operating instruction flowchart
IV. HARD DESCRIPTION
The Internet of Things (IoT) pulse oximeter project is the
design and implementation of a monitoring system.
The device uses Bluetooth to transfer the data it collects
from a patient's body temperature, heart rate, and blood
oxygen saturation level (SpO2) to a mobile
The project's main goal is to make greater affordability
and accessibility of healthcare services for the general
public. The system's goal is to make it easier for patients
to use a medical gadget that would otherwise be
complicated while at home for the least amount of
money. The system applies a maximum relative error of
5% to all measures pertaining to the patient's health
metrics, hence providing a 95% confidence interval. The
general public's adoption of these gadgets as assistance
aids in particular circumstances may have a big influence
on their own life.
Individuals with long-term conditions that require
ongoing observation, such as COVID-19, high blood
pressure, diabetes, and other ailments, will find the
system very helpful. Real-time monitoring of the
patient's health parameters by the system makes it
possible to identify any irregularities early on and take
appropriate action. Additionally, the system can give
medical personnel access to the patient's health
information, empowering them to decide on the patient's
care with knowledge..
A temperature sensor, a microprocessor, a Bluetooth
module, a mobile application, and a pulse oximeter
sensor make up the system. The patient's body
temperature is measured by the temperature sensor,
while their heart rate and SpO2 level are determined by
the pulse oximeter sensor. After processing the data
gathered by the sensors, the microcontroller uses
Bluetooth to transmit it to the mobile application. The
patient and healthcare providers can keep an eye on each
other's health thanks to the user-friendly format in
which the results are shown on the smartphone
application.
The system was tested on three different human
participants and the findings demonstrated that the
system could measure the patient's health data
accurately. The study of temperature measurement data
revealed that, despite small variances brought on by the
various body types of test subjects, the temperature
values were quite near for each measurement setting.
The examination of the pulse rate measurement revealed
that the heart rates of the three subjects were similar,
and the suggested method displayed standard heart rate
values. The examination of the SpO2 measurement
revealed that the three individuals' SpO2 levels were
quite similar, and the suggested method displayed
standard SpO2 values.
Fig.4.1. The Key Electronic Modules Of The System
A)D1 Mini Wemos Microcontroller,
B)128*64 Oled Display, C)Max30100 Pulse
Oximeter Module.
A PCB with the entire hardware circuitry completed and
soldered to it is housed in a PLA case that was 3D
printed.
This device's salient features comprise:
● An Internet of Things-based health monitoring system
● Easy to put up and operate.
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 11 Issue: 01 | Jan 2024 www.irjet.net p-ISSN: 2395-0072
© 2024, IRJET | Impact Factor value: 8.226 | ISO 9001:2008 Certified Journal | Page 551
● Economical
V BUILD INSTRUCTION
To build an IoT pulse oximeter, you will need the
following components:
 ESP32: A microcontroller board that can
connect to Wi-Fi and communicate with the
pulse oximeter sensor and the OLED display.
 MAX30100: A pulse oximeter sensor that can
measure the SpO2 and BPM of a person using
red and infrared LEDs and photodetectors.
 OLED Display: A 0.96 inch blue OLED display
module that can show the SpO2 and BPM values
on the screen.
 3D Printed Enclosure: A case that can hold the
ESP32, the MAX30100, and the OLED display
together and provide a slot for the finger to
insert.
 Blynk Application: A smartphone app that may
build a dashboard to show the BPM and SpO2
readings online.
 The basic steps for building an IoT pulse
oximeter are as follows:
 Connect the I2C pins (SCL and SDA) of the
ESP32, the MAX30100, and the OLED display
together. Also, connect the VCC and GND pins of
the ESP32 to the VCC and GND pins of the
MAX30100 and the OLED display.
 Download and install the Arduino IDE and the
ESP32 board support package. Also, download
and install the libraries for the MAX30100 and
the OLED display.
 Create a Blynk account and a new project.
Choose ESP32 as the device and get the auth
token. Also, add a gauge widget and a super
chart widget to the dashboard and set the
virtual pins to V5 and V6 respectively.
 Write the code for the ESP32 to read the SpO2
and BPM values from the MAX30100 sensor,
display them on the OLED screen, and send
them to the Blynk server as a template and
modify it according to your needs.
 Upload the code to the ESP32 and test the
device. Insert your finger into the slot of the
MAX30100 sensor and see if the OLED display
shows the correct values. Also, check if the Blynk
app shows the same values on the dashboard.
 Interfacing between Adafruit OLED module and
D1 mini microcontroller: OLED module The
SSD1306 model of organic light-emitting diode
(OLED) display, which has monochromatic
colour and resolution, was utilized in this
project.
Fig. (A)
Fig.5.1: A) Schematic Diagram Of Jioning Circuit B).
Connection Of Oled Display126*64, Max8266mod,
Aurdino Uno, Hc-05 Blutooth Module
Fig.5.2. Esp8266 Based D1 Mini Hosting A Html Page.
of 128 x 64 pixels and a 0.96-inch display size. When
compared to LCD displays, OLED displays have the
advantage of not requiring a backlight, which enhances
the contrast of the image when seen in low light.When
compared to other displays, these OLED screens have a
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 11 Issue: 01 | Jan 2024 www.irjet.net p-ISSN: 2395-0072
© 2024, IRJET | Impact Factor value: 8.226 | ISO 9001:2008 Certified Journal | Page 552
relatively low power consumption. This OLED is
interfaced with D1 small, via I2C protocol. Of the seven
pins on the chip, only four (VCC,GND,SDA, and SCL) are
used for communication. Unlike conventional LCDs,
which require interfaces with 12 pin connections, OLEDs
only require 4 pins.
Fig.5.3: A Model Commercially Available Pulse
Oximeter
VI OPERATION INSTRUCTION
 A pulse oximeter is a tool used to evaluate blood
oxygen saturation. You must do the following
actions in order to utilise a pulse oximeter:
Install:
 Two AAA batteries according to the battery
installation instructions.
 Open the oximeter and insert one of your fingers
into the rubber hole. Make sure your nail surface
is facing upward.
 Press the function button once on the front
panel. The oximeter will turn on and display
your oxygen saturation and pulse rate.
 Keep your finger still and do not shake it during
the measurement. The reading may take a few
seconds to stabilize.
 Read the corresponding data on the display
screen. The normal range of oxygen saturation is
95% to 100%. If your reading is lower than
90%, you may have hypoxemia and should
consult a doctor.
 To turn off the oximeter, press the function
button again or remove your finger from the
device.
VII VALIDATION AND CHARACTERIZATION
Validation and characterization are important steps for
ensuring the accuracy and reliability of pulse oximeters.
Validation is the process of testing the performance of a
pulse oximeter against a reference standard, such as an
arterial blood gas analysers or a pulse oximeter
simulator. Characterization is the process of analysing
the factors that affect the pulse oximeter’s accuracy,
such as perfusion, motion, skin pigmentation, ambient
light, and temperature .
Depending on the device's intended usage and
application, there are many protocols and methods for
characterising and verifying pulse oximeters. For
instance, a standard (ISO 80601-2-61:2017) produced by
the International Organisation for Standardisation (ISO)
outlines the minimal specifications and testing
procedures for pulse oximeters meant to be used in
medical electrical equipment. Guidelines for the
characterization and validation of pulse oximeters
intended for over-the-counter and prescription usage
are also offered by the FDA.
Some of the common parameters that are measured
during validation and characterization of pulse
oximeters are:
 Accuracy: the degree of agreement between the
pulse oximeter’s measurement and the
reference value.
 Precision: the degree of repeatability or
consistency of the pulse oximeter’s
measurement.
 Linearity: the degree to which the pulse
oximeter’s measurement changes proportionally
to the reference value.
 Sensitivity: the ability of the pulse oximeter to
detect changes in the reference value.
 Specificity: the ability of the pulse oximeter to
distinguish between different types of
haemoglobin, such as oxyhaemoglobin,
carboxyhaemoglobin, and methaemoglobin.
 Response time: the time required for the pulse
oximeter to display a stable measurement after
a change in the reference value.
 Stability: the ability of the pulse oximeter to
maintain a consistent measurement over time
and under different conditions.
 Range: the minimum and maximum values that
the pulse oximeter can measure.
 The following are some typical techniques and
resources for characterising and validating pulse
oximeters:
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 11 Issue: 01 | Jan 2024 www.irjet.net p-ISSN: 2395-0072
© 2024, IRJET | Impact Factor value: 8.226 | ISO 9001:2008 Certified Journal | Page 553
Arterial blood gas analysis: a laboratory test that gauges
the arterial blood's pH, partial pressure of carbon
dioxide, oxygen saturation, and other characteristics.
Although this is the gold standard for determining
oxygen saturation, it is costly, time-consuming, and
invasive.
 Pulse oximeter simulator: a device that
simulates the optical properties of human tissue
and blood, and generates a PPG signal with
known oxygen saturation and pulse rate values.
This is a convenient and non-invasive method
for testing the accuracy precision of pulse
oximeters, but it might not take into
consideration every physiological and
environmental element that influences how well
a pulse oximeter works in practical settings.
 Multi-analyte calibration: a method that uses a
mixture of different types of haemoglobin, such
as oxyhaemoglobin, carboxyhaemoglobin, and
methaemoglobin, to test the specificity and
linearity of pulse oximeters. This method can
also be used to generate a calibration curve for
the pulse oximeter, which can improve its
accuracy and reduce its bias.
 Clinical trials: a method that involves testing the
pulse oximeter on human subjects under
controlled or natural conditions, and comparing
the results with a reference method. This is the
most realistic and reliable method for validating
and characterizing pulse oximeters, but it is also
the most complex, costly, and ethical. Clinical
studies need a sizable sample size, a strict
design, and a thorough data analysis.
Fig.7.1: (a) Maximised heart rate reading view (b)
device active time display
(c)proposed system's operational condition
VIII. A DISCLOSURE OF COMPETING INTERESTS
The authors state that none of their known financial
conflicts or interpersonal connections might have had an
impact on the work presented in this paper.
VIII CONCLUSION
An IoT-based pulse oximeter for PCs ensures convenient
health monitoring. With real-time data transmission, it
facilitates remote tracking and timely interventions. This
technology enhances accessibility, enabling users to
monitor their health effortlessly. The integration of IoT in
pulse oximetry brings about a paradigm shift in
healthcare, making it more proactive and personalized.
The convenience of PC connectivity further expands its
usability, providing users with comprehensive health
insights. Overall, this innovation signifies a significant
step towards advancing digital health and empowering
individuals to take charge of their well-being.
REFERENCES
[1].A. Anzueto, R. Casaburi, S. Holmes, T. Schermer "Pulse
oximeters: Project initiation document" (National Health
Service (UK) Centre for Evidence-based Purchasing,
2009).
[2]. S. Dei -Vasi- Gamani, M.R. Narmadha, H. Prasad, P. Nai
ATMEGA 328 Microcontroller-Based Smart Pulse
Oximeter Design and Development International Journal
of Emerging Technologies (2020).
[3]. B. Layout, A. Setup I2C interface for LCD supplied
data: Board Layout Specification: I2C Address
Configuration:" (2017).
[4].P.A.B. Pavani, N.L. Alitha A Novel Method for Modern
Home Monitoring and Control Using an ARM Controller
and an ESP8266 International Journal of Innovative
Research and Advanced Technology, 10 (2018).
[5] S. Yıldız, M. Burun kaya Third International
Symposium on Multidisciplinary Studies and Innovative
Technologies (ISMSIT) 2019: Web-Based Smart Meter for
All-Purpose Smart Home Systems with ESP8266

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IOT BASED PORTABLE HEART RATE & SPO2 PULSE OXIMETER

  • 1. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 11 Issue: 01 | Jan 2024 www.irjet.net p-ISSN: 2395-0072 © 2024, IRJET | Impact Factor value: 8.226 | ISO 9001:2008 Certified Journal | Page 548 IOT BASED PORTABLE HEART RATE & SPO2 PULSE OXIMETER Bharath N1, Darshan BB2, Devraj M3, Dr. Nirmala S4 1Student, Dept. of Data Science and Engineering, AMC Engineering College, KARANATAKA, INDIA 2Student, Dept. of Data Science and Engineering, AMC Engineering College, KARANATAKA, INDIA 3Student, Dept. of Data Science and Engineering, AMC Engineering College, KARANATAKA, INDIA 4Prof., Dept. of Computer Science and Engineering, AMC Engineering College, KARANATAKA, INDIA ------------------------------------------------------------------------***------------------------------------------------------------------------- ABSTRACT A pulse oximeter is a gadget that uses light sensors attached to the finger to monitor a person's heart rate and oxygen saturation level. Doctors or carers can monitor the data from an IoT-based pulse oximeter by sending it via Wi-Fi to a remote server or application. In the setting of COVID-19, where low oxygen levels can signify serious infection, this can aid in the detection and prevention of any significant health concerns. Additionally helpful to patients with long-term respiratory conditions like asthma, COPD, or lung cancer is an Internet of Things-based pulse oximeter. In this project, we design and implement an IoT-based pulse oximeter system that can measure and transmit the oxygen saturation level and heart rate of a person to a cloud platform. We use a MAX30100 sensor, which combines a red LED and an infrared LED with a photodetector, to capture the blood volume changes in the finger. We use an ESP8266 microcontroller, which has built-in Wi-Fi capabilities, to process the sensor data and send it to a Blynk application, where it can be displayed and stored. We compare the performance of our system with a commercial pulse oximeter and evaluate its accuracy and reliability. We also discuss the potential applications and benefits of our system for healthcare and remote patient monitoring. This project aims to create a low-cost, portable, Internet of Things (IoT) heart rate and SpO2 sensor that can be used to track real-time health during the COVID-19 pandemic. The system includes a MAX30100 pulse oximeter sensor, an embedded OLED display, and an HTML webpage with Wi-Fi capability for online data access. The device is simple to use, consumes little energy, and can perform measurements at high sample rates. The proposed system aims to give everyone an easy-to-use, Internet of Things (IoT)-based pulse oximeter/heart monitoring system. KEYWORDS: IOT Based SpO2 Pulse Oximeter, We Mos D1 mini- ESP8266, MAX30100 I. INTRODUCTION Pulse oximetry is a non-invasive method of measuring the oxygen saturation level and heart rate of a person by using light sensors attached to the finger. It is a vital sign that can indicate the health status of a person, especially in the context of COVID-19, where low oxygen levels can signal severe infection. However, conventional pulse oximeters are standalone devices that do not allow remote monitoring or data logging. Therefore, there is a need for an IoT-based pulse oximeter system that can transmit the data to a cloud platform or an application, where it can be accessed by doctors or caregivers. Such a system can enable early detection and intervention of critical health conditions, as well as provide convenience and comfort for the patients. In this project, we aim to design and implement an IoT-based pulse oximeter system using a low-cost and low-power sensor module, a Wi-Fi-enabled microcontroller, and a Blynk application. We will also evaluate the performance and accuracy of our system and compare it with a commercial pulse oximeter. The IOT project pulse oximeter is a portable, affordable medical device that measures blood oxygen levels and heart rate. The device is easy to use and convenient for real-time health monitoring because it has an integrated OLED display and can communicate acquired data online. Because the pulse oximeter is built on the MAX30100 sensor, it can host an HTML page that can be accessed remotely over a local area network. This IOT- based pulse oximeter can help ease the strain on healthcare systems by enabling remote health monitoring. It is an invaluable tool for keeping an eye on patients' vital signs, particularly during the COVID-19 pandemic.
  • 2. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 11 Issue: 01 | Jan 2024 www.irjet.net p-ISSN: 2395-0072 © 2024, IRJET | Impact Factor value: 8.226 | ISO 9001:2008 Certified Journal | Page 549 II. LITERATURE SURVEY Pulse oximetry is a non-invasive technique for determining heart rate and oxygen saturation level of a person by using light sensors attached to the finger. It is widely used in clinical settings and home care to monitor the health status of individuals with respiratory conditions, like COVID-19, asthma, COPD, etc. However, conventional pulse oximeters are standalone devices that require manual recording and transmission of the data, which can be inconvenient, time-consuming and imprecise. Additionally, they don't offer real-time feedback or alerts to the patients or the doctors in case of any abnormality. Several academics have invented the Internet of Things (IoT) to get around these restrictions-based pulse oximeter systems that can wirelessly forward the information to a smartphone or a web platform via Wi- Fi, Bluetooth, or GSM. These systems can enable remote monitoring, data analysis, and notification of the vital signs of the patients, which can improve the quality of care and reduce the risk of complications. Some of the examples of IoT based pulse oximeter systems are:  IoT Based Pulse Oximeter System: This system uses Utilising an ESP8266 microcontroller and a MAX30100 sensor, the oxygen level and heart rate to a Blynk app on a smartphone or a web server  Smart Pulse Oximeter: This system uses oxygen sensor and pulse rate sensor to detect the values and Arduino microcontroller to send them to a Ubisoft’s app on a smartphone  IoT Based Pulse Oximeter: This system uses Utilising the Neelum microcontroller and MAX30100 sensor, the oxygen level is measured and transmitted. heart rate to a Things peak platform on a web browser  Vital Signs Monitoring Based on Pulse Oximeter Sensor and IoT platform: This system measures and transmits the heart rate and oxygen level to a Firebase platform on a web browser using an ESP32 microcontroller and a MAX30100 sensor.  Sensors and the microcontrollers may vary depending on the environmental conditions, the finger placement, the skin color, the motion artifacts, etc.  The security and privacy of the data transmission and storage may be compromised by unauthorized access, hacking, or data leakage.  The power consumption and battery life of the devices may be affected by the frequency and duration • Additional features, such data visualisation, data analysis, data sharing, data export, etc., could enhance the user interface and experience of smartphone apps and web platforms. These include data transfer and the usage of Wi-Fi, Bluetooth, or GSM modules. Therefore, there is still room for improvement and innovation in the design and development of IoT based pulse oximeter systems that can address these issues and provide better performance, functionality, and usability. III. BLOCK DIAGRAM AND WORKING PRINCIPLE A pulse oximeter is a device that demonstrating the pulse oximeter and saturation of oxygen the of a person’s blood. It uses two light sources (red and infrared) and a photo-detector to sense the changes in blood volume and colour due to the heartbeat. The device can be connected to the internet using an ESP32 microcontroller and a Blynk application, which allows remote monitoring of the health data. A possible block diagram for a pulse oximeter IoT project is shown below: +-----------------+ +-----------------+ +-----------------+ | Pulse Oximeter | | ESP32 | | Blynk Server | | Sensor | | Microcontroller | | and Application | | (MAX30100) | | | | | +-----------------+ +-----------------+ +-----------------+ | Red LED | | OLED Display | | Smartphone | | Infrared LED | | WIFI Module | | Dashboard | | Photo-detector | | ADC | | Notifications | | I2C Interface |<--->| I2C Interface |<--->| Internet | Fig.3.1 Block representation of connections The working principle of the pulse oximeter IoT project is as follows:  The pulse oximeter sensor emits red and infrared light through the finger or earlobe of the person and detects the amount of light that passes through or reflects back to the photo- detector.The sensor uses the I2C protocol to send the raw data to the ESP32 microcontroller, which converts the analog signals to digital values using an ADC (analogue-to-digital converter)  The ESP32 microcontroller processes the information and determines the pulse rate (PR) and oxygen saturation (SpO2) of the person
  • 3. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 11 Issue: 01 | Jan 2024 www.irjet.net p-ISSN: 2395-0072 © 2024, IRJET | Impact Factor value: 8.226 | ISO 9001:2008 Certified Journal | Page 550 using an algorithm. It also displays the results on an OLED display module connected via I2C.  • The data is sent from the ESP32 microcontroller to the Blynk server, which saves and displays it on a smartphone application, via an internet connection made possible by a Wi-Fi module.  The Blynk application allows the user to continuously check the health data and get alerts or messages if the values are abnormal or out of range. Fig.3.2: The operating instruction flowchart IV. HARD DESCRIPTION The Internet of Things (IoT) pulse oximeter project is the design and implementation of a monitoring system. The device uses Bluetooth to transfer the data it collects from a patient's body temperature, heart rate, and blood oxygen saturation level (SpO2) to a mobile The project's main goal is to make greater affordability and accessibility of healthcare services for the general public. The system's goal is to make it easier for patients to use a medical gadget that would otherwise be complicated while at home for the least amount of money. The system applies a maximum relative error of 5% to all measures pertaining to the patient's health metrics, hence providing a 95% confidence interval. The general public's adoption of these gadgets as assistance aids in particular circumstances may have a big influence on their own life. Individuals with long-term conditions that require ongoing observation, such as COVID-19, high blood pressure, diabetes, and other ailments, will find the system very helpful. Real-time monitoring of the patient's health parameters by the system makes it possible to identify any irregularities early on and take appropriate action. Additionally, the system can give medical personnel access to the patient's health information, empowering them to decide on the patient's care with knowledge.. A temperature sensor, a microprocessor, a Bluetooth module, a mobile application, and a pulse oximeter sensor make up the system. The patient's body temperature is measured by the temperature sensor, while their heart rate and SpO2 level are determined by the pulse oximeter sensor. After processing the data gathered by the sensors, the microcontroller uses Bluetooth to transmit it to the mobile application. The patient and healthcare providers can keep an eye on each other's health thanks to the user-friendly format in which the results are shown on the smartphone application. The system was tested on three different human participants and the findings demonstrated that the system could measure the patient's health data accurately. The study of temperature measurement data revealed that, despite small variances brought on by the various body types of test subjects, the temperature values were quite near for each measurement setting. The examination of the pulse rate measurement revealed that the heart rates of the three subjects were similar, and the suggested method displayed standard heart rate values. The examination of the SpO2 measurement revealed that the three individuals' SpO2 levels were quite similar, and the suggested method displayed standard SpO2 values. Fig.4.1. The Key Electronic Modules Of The System A)D1 Mini Wemos Microcontroller, B)128*64 Oled Display, C)Max30100 Pulse Oximeter Module. A PCB with the entire hardware circuitry completed and soldered to it is housed in a PLA case that was 3D printed. This device's salient features comprise: ● An Internet of Things-based health monitoring system ● Easy to put up and operate.
  • 4. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 11 Issue: 01 | Jan 2024 www.irjet.net p-ISSN: 2395-0072 © 2024, IRJET | Impact Factor value: 8.226 | ISO 9001:2008 Certified Journal | Page 551 ● Economical V BUILD INSTRUCTION To build an IoT pulse oximeter, you will need the following components:  ESP32: A microcontroller board that can connect to Wi-Fi and communicate with the pulse oximeter sensor and the OLED display.  MAX30100: A pulse oximeter sensor that can measure the SpO2 and BPM of a person using red and infrared LEDs and photodetectors.  OLED Display: A 0.96 inch blue OLED display module that can show the SpO2 and BPM values on the screen.  3D Printed Enclosure: A case that can hold the ESP32, the MAX30100, and the OLED display together and provide a slot for the finger to insert.  Blynk Application: A smartphone app that may build a dashboard to show the BPM and SpO2 readings online.  The basic steps for building an IoT pulse oximeter are as follows:  Connect the I2C pins (SCL and SDA) of the ESP32, the MAX30100, and the OLED display together. Also, connect the VCC and GND pins of the ESP32 to the VCC and GND pins of the MAX30100 and the OLED display.  Download and install the Arduino IDE and the ESP32 board support package. Also, download and install the libraries for the MAX30100 and the OLED display.  Create a Blynk account and a new project. Choose ESP32 as the device and get the auth token. Also, add a gauge widget and a super chart widget to the dashboard and set the virtual pins to V5 and V6 respectively.  Write the code for the ESP32 to read the SpO2 and BPM values from the MAX30100 sensor, display them on the OLED screen, and send them to the Blynk server as a template and modify it according to your needs.  Upload the code to the ESP32 and test the device. Insert your finger into the slot of the MAX30100 sensor and see if the OLED display shows the correct values. Also, check if the Blynk app shows the same values on the dashboard.  Interfacing between Adafruit OLED module and D1 mini microcontroller: OLED module The SSD1306 model of organic light-emitting diode (OLED) display, which has monochromatic colour and resolution, was utilized in this project. Fig. (A) Fig.5.1: A) Schematic Diagram Of Jioning Circuit B). Connection Of Oled Display126*64, Max8266mod, Aurdino Uno, Hc-05 Blutooth Module Fig.5.2. Esp8266 Based D1 Mini Hosting A Html Page. of 128 x 64 pixels and a 0.96-inch display size. When compared to LCD displays, OLED displays have the advantage of not requiring a backlight, which enhances the contrast of the image when seen in low light.When compared to other displays, these OLED screens have a
  • 5. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 11 Issue: 01 | Jan 2024 www.irjet.net p-ISSN: 2395-0072 © 2024, IRJET | Impact Factor value: 8.226 | ISO 9001:2008 Certified Journal | Page 552 relatively low power consumption. This OLED is interfaced with D1 small, via I2C protocol. Of the seven pins on the chip, only four (VCC,GND,SDA, and SCL) are used for communication. Unlike conventional LCDs, which require interfaces with 12 pin connections, OLEDs only require 4 pins. Fig.5.3: A Model Commercially Available Pulse Oximeter VI OPERATION INSTRUCTION  A pulse oximeter is a tool used to evaluate blood oxygen saturation. You must do the following actions in order to utilise a pulse oximeter: Install:  Two AAA batteries according to the battery installation instructions.  Open the oximeter and insert one of your fingers into the rubber hole. Make sure your nail surface is facing upward.  Press the function button once on the front panel. The oximeter will turn on and display your oxygen saturation and pulse rate.  Keep your finger still and do not shake it during the measurement. The reading may take a few seconds to stabilize.  Read the corresponding data on the display screen. The normal range of oxygen saturation is 95% to 100%. If your reading is lower than 90%, you may have hypoxemia and should consult a doctor.  To turn off the oximeter, press the function button again or remove your finger from the device. VII VALIDATION AND CHARACTERIZATION Validation and characterization are important steps for ensuring the accuracy and reliability of pulse oximeters. Validation is the process of testing the performance of a pulse oximeter against a reference standard, such as an arterial blood gas analysers or a pulse oximeter simulator. Characterization is the process of analysing the factors that affect the pulse oximeter’s accuracy, such as perfusion, motion, skin pigmentation, ambient light, and temperature . Depending on the device's intended usage and application, there are many protocols and methods for characterising and verifying pulse oximeters. For instance, a standard (ISO 80601-2-61:2017) produced by the International Organisation for Standardisation (ISO) outlines the minimal specifications and testing procedures for pulse oximeters meant to be used in medical electrical equipment. Guidelines for the characterization and validation of pulse oximeters intended for over-the-counter and prescription usage are also offered by the FDA. Some of the common parameters that are measured during validation and characterization of pulse oximeters are:  Accuracy: the degree of agreement between the pulse oximeter’s measurement and the reference value.  Precision: the degree of repeatability or consistency of the pulse oximeter’s measurement.  Linearity: the degree to which the pulse oximeter’s measurement changes proportionally to the reference value.  Sensitivity: the ability of the pulse oximeter to detect changes in the reference value.  Specificity: the ability of the pulse oximeter to distinguish between different types of haemoglobin, such as oxyhaemoglobin, carboxyhaemoglobin, and methaemoglobin.  Response time: the time required for the pulse oximeter to display a stable measurement after a change in the reference value.  Stability: the ability of the pulse oximeter to maintain a consistent measurement over time and under different conditions.  Range: the minimum and maximum values that the pulse oximeter can measure.  The following are some typical techniques and resources for characterising and validating pulse oximeters:
  • 6. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 11 Issue: 01 | Jan 2024 www.irjet.net p-ISSN: 2395-0072 © 2024, IRJET | Impact Factor value: 8.226 | ISO 9001:2008 Certified Journal | Page 553 Arterial blood gas analysis: a laboratory test that gauges the arterial blood's pH, partial pressure of carbon dioxide, oxygen saturation, and other characteristics. Although this is the gold standard for determining oxygen saturation, it is costly, time-consuming, and invasive.  Pulse oximeter simulator: a device that simulates the optical properties of human tissue and blood, and generates a PPG signal with known oxygen saturation and pulse rate values. This is a convenient and non-invasive method for testing the accuracy precision of pulse oximeters, but it might not take into consideration every physiological and environmental element that influences how well a pulse oximeter works in practical settings.  Multi-analyte calibration: a method that uses a mixture of different types of haemoglobin, such as oxyhaemoglobin, carboxyhaemoglobin, and methaemoglobin, to test the specificity and linearity of pulse oximeters. This method can also be used to generate a calibration curve for the pulse oximeter, which can improve its accuracy and reduce its bias.  Clinical trials: a method that involves testing the pulse oximeter on human subjects under controlled or natural conditions, and comparing the results with a reference method. This is the most realistic and reliable method for validating and characterizing pulse oximeters, but it is also the most complex, costly, and ethical. Clinical studies need a sizable sample size, a strict design, and a thorough data analysis. Fig.7.1: (a) Maximised heart rate reading view (b) device active time display (c)proposed system's operational condition VIII. A DISCLOSURE OF COMPETING INTERESTS The authors state that none of their known financial conflicts or interpersonal connections might have had an impact on the work presented in this paper. VIII CONCLUSION An IoT-based pulse oximeter for PCs ensures convenient health monitoring. With real-time data transmission, it facilitates remote tracking and timely interventions. This technology enhances accessibility, enabling users to monitor their health effortlessly. The integration of IoT in pulse oximetry brings about a paradigm shift in healthcare, making it more proactive and personalized. The convenience of PC connectivity further expands its usability, providing users with comprehensive health insights. Overall, this innovation signifies a significant step towards advancing digital health and empowering individuals to take charge of their well-being. REFERENCES [1].A. Anzueto, R. Casaburi, S. Holmes, T. Schermer "Pulse oximeters: Project initiation document" (National Health Service (UK) Centre for Evidence-based Purchasing, 2009). [2]. S. Dei -Vasi- Gamani, M.R. Narmadha, H. Prasad, P. Nai ATMEGA 328 Microcontroller-Based Smart Pulse Oximeter Design and Development International Journal of Emerging Technologies (2020). [3]. B. Layout, A. Setup I2C interface for LCD supplied data: Board Layout Specification: I2C Address Configuration:" (2017). [4].P.A.B. Pavani, N.L. Alitha A Novel Method for Modern Home Monitoring and Control Using an ARM Controller and an ESP8266 International Journal of Innovative Research and Advanced Technology, 10 (2018). [5] S. Yıldız, M. Burun kaya Third International Symposium on Multidisciplinary Studies and Innovative Technologies (ISMSIT) 2019: Web-Based Smart Meter for All-Purpose Smart Home Systems with ESP8266