Central venous catheters (CVC) are commonly used in clinical practice to improve a patient's quality of life. Unfortunately, there is an intrinsic risk of acquiring an infection related to microbial biofilm formation inside the catheter lumen. It has been estimated that 80 % of all human bacterial infections are biofilm-associated. Additionally, 50 % of all nosocomial infections are associated with indwelling devices. Bloodstream infections account for 30-40 % of all cases of severe sepsis and septic shock, and are major causes of morbidity and mortality. Diagnosis of bloodstream infections must be performed promptly so that adequate antimicrobial therapy can be started and patient outcome improved. An ideal diagnostic technology would identify the infecting organism(s) in a timely manner, so that appropriate pathogen-driven therapy could begin promptly. Unfortunately, despite the essential information it provides, blood culture, the gold standard, largely fails in this purpose because time is lost waiting for bacterial or fungal growth. This work presents a new design of a venous access port that allows the monitoring of the inner reservoir surface by means of an impedimetric biosensor. An ad-hoc electronic system was designed to manage the sensor and to allow communication with the external receiver. Historic data recorded and stored in the device was used as the reference value for the detection of bacterial biofilm. The RF communication system sends an alarm signal to the external receiver when a microbial colonization of the port occurs. The successful in vitro analysis of the biosensor, the electronics and the antenna of the new indwelling device prototype are shown. The experimental conditions were selected in each case as the closest to the clinical working conditions for the smart central venous catheter (SCVC) testing. The results of this work allow a new generation of this kind of device that could potentially provide more efficient treatments for catheter-related infections.
Information and Communication Technologies (ICTs) continue to overcome many of the challenges related to wireless sensor monitoring, such as for example the design of smarter embedded processors, the improvement of the network architectures, the development of efficient communication protocols or the maximization of the life cycle autonomy. This work tries to improve the communication link of the data transmission in wireless sensor monitoring. The upstream communication link is usually based on standard IP technologies, but the downstream side is always masked with the proprietary protocols used for the wireless link (like ZigBee, Bluetooth, RFID, etc.). This work presents a novel solution (WebTag) for a direct IP based access to a sensor tag over the Near Field Communication (NFC) technology for secure applications. WebTag allows a direct web access to the sensor tag by means of a standard web browser, it reads the sensor data, configures the sampling rate and implements IP based security policies. It is, definitely, a new step towards the evolution of the Internet of Things paradigm.
Fully textile smart wearables will be the result of the complete integration and miniaturization of electronics and textile materials. Off-body communications are key for connecting smart wearables with external devices, even for wireless power transfer or energy harvesting. They need to fulfill specific electromagnetic (EM) (impedance bandwidth (BW), gain, efficiency, and front to back radiation (FTBR)) and mechanical (bending, crumpling, compression, washing and ironing) requirements so that the smart wearable device provides the required performance. Therefore, textile and flexible antennas require a proper trade-off between materials, antenna topologies, construction techniques, and EM and mechanical performances. This review shows the latest research works for textile and flexible planar, fully grounded antennas for off-body communications, providing a novel design guide that relates key antenna performance parameters versus topologies, feeding techniques, conductive and dielectric textile materials, as well as the behavior under diverse measurement conditions.
Novel combinations of materials and construction techniques are key for the development of new textile antenna configurations for on-body applications. Stretchable, flexible and conformable features of textile antennas are one of the hot topics in research nowadays. This work gives a step forward with new designs of purely textile spiral antennas with flexible and robust features for Near Field Communications (NFC) onbody applications. Their performance is successfully validated with a real NFC chipset, and some design and construction considerations for novel textile materials are offered.
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