Our long-term goal is the development of a wearable warning system that uses electrocutaneous stimulation. To find appropriate stimulation parameters and electrode configurations, we investigate perception amplitude thresholds and qualitative perceptions of electrocutaneous stimulation for varying pulse widths, electrode sizes, and electrode positions. The upper right arm was stimulated in 81 healthy volunteers with biphasic rectangular current pulses varying between 20 and $$2000\,\upmu \hbox {s}$$ 2000 μ s . We determined perception, attention, and intolerance thresholds and the corresponding qualitative perceptions for 8 electrode pairs distributed around the upper arm. For a pulse width of $$150\,\upmu \hbox {s}$$ 150 μ s , we find median values of 3.5, 6.9, and 13.8 mA for perception, attention, and intolerance thresholds, respectively. All thresholds decrease with increasing pulse width. Lateral electrode positions have higher intolerance thresholds than medial electrode positions, but perception and attention threshold are not significantly different across electrode positions. Electrode size between $$15 \times 15\,\hbox {mm}^{2}$$ 15 × 15 mm 2 and $$40\times 40\,\hbox {mm}^{2}$$ 40 × 40 mm 2 has no significant influence on the thresholds. Knocking is the prevailing perception for perception and attention thresholds while mostly muscle twitching, pinching, and stinging are reported at the intolerance threshold. Biphasic stimulation pulse widths between $$150\,\upmu \hbox {s}$$ 150 μ s and $$250\,\upmu \hbox {s}$$ 250 μ s are suitable for electric warning wearables. Within the given practical limits at the upper arm, electrode size, inter-electrode distance, and electrode position are flexible parameters of electric warning wearables. Our investigations provide the basis for electric warning wearables.
Acoustic or visual warning signals for workers in hazardous situations might fail under loud and/or lowvisibility work situations. A warning system that uses electrocutaneous stimulation can overcome this problem. The aim of this pilot study was to find spatio-temporal stimulation patterns for appropriate electrical warning. Eight electrode pairs were attached to the upper right arm of 16 participants. The stimulation was conducted with bi-phasic rectangular pulses of 150 μs and an amplitude of up to 25 mA. Pulse intervals that generate a single pulse, pulsating, vibrating, and continuous perception as well as varying spatial patterns (e.g. alternating between electrode pairs or circumferentially around the arm) were investigated and evaluated with regard to alertness, discomfort, and urgency. The pilot study revealed that a stimulation signal that generates a vibrating perception and is applied as a circumferential signal around the arm showed the highest values of alertness and is therefore considered a potential warning pattern for future studies with larger study groups.
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