Kick Ring LL: A Multi-Sensor Ring Capturing Respiration, Electrocardiogram, Oxygen Saturation, and Skin Temperature<sup>1</sup>

Ummel, Jason D.; Hoilett, Orlando S.; Walters, Benjamin D.; Bluhm, Nicholas D. P.; Pickering, Alyson S.; Wilson, Damen A.; Linnes, Jacqueline C.

doi:10.1109/embc44109.2020.9176654

Cited by 4 publications

(4 citation statements)

References 16 publications

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“…Our previous studies have validated the ability of NeoWarm to warm hypothermic (35°C) tissue phantoms (bottle filled with water) to 37°C (normal human body temperature) and maintain this temperature for 2 h with no overheating (47,48). These studies have also validated our ability to miniaturize our vital signs monitoring technology into a package that can be integrated into the neonatal carrier (53)(54)(55)(56)(57)(58).…”

Section: Introductionmentioning

confidence: 85%

Preclinical validation of NeoWarm, a low-cost infant warmer and carrier device, to ameliorate induced hypothermia in newborn piglets as models for human neonates

Bluhm,

Tomlin,

Hoilett

et al. 2024

Front. Pediatr.

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IntroductionApproximately 1.5 million neonatal deaths occur among premature and small (low birthweight or small-for gestational age) neonates annually, with a disproportionate amount of this mortality occurring in low- and middle-income countries (LMICs). Hypothermia, the inability of newborns to regulate their body temperature, is common among prematurely born and small babies, and often underlies high rates of mortality in this population. In high-resource settings, incubators and radiant warmers are the gold standard for hypothermia, but this equipment is often scarce in LMICs. Kangaroo Mother Care/Skin-to-skin care (KMC/STS) is an evidence-based intervention that has been targeted for scale-up among premature and small neonates. However, KMC/STS requires hours of daily contact between a neonate and an able adult caregiver, leaving little time for the caregiver to care for themselves. To address this, we created a novel self-warming biomedical device, NeoWarm, to augment KMC/STS. The present study aimed to validate the safety and efficacy of NeoWarm.MethodsSixteen, 0-to-5-day-old piglets were used as an animal model due to similarities in their thermoregulatory capabilities, circulatory systems, and approximate skin composition to human neonates. The piglets were placed in an engineered cooling box to drop their core temperature below 36.5°C, the World Health Organizations definition of hypothermia for human neonates. The piglets were then warmed in NeoWarm (n = 6) or placed in the ambient 17.8°C ± 0.6°C lab environment (n = 5) as a control to assess the efficacy of NeoWarm in regulating their core body temperature.ResultsAll 6 piglets placed in NeoWarm recovered from hypothermia, while none of the 5 piglets in the ambient environment recovered. The piglets warmed in NeoWarm reached a significantly higher core body temperature (39.2°C ± 0.4°C, n = 6) than the piglets that were warmed in the ambient environment (37.9°C ± 0.4°C, n = 5) (p < 0.001). No piglet in the NeoWarm group suffered signs of burns or skin abrasions.DiscussionOur results in this pilot study indicate that NeoWarm can safely and effectively warm hypothermic piglets to a normal core body temperature and, with additional validation, shows promise for potential use among human premature and small neonates.

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Section: Introductionmentioning

confidence: 85%

Preclinical validation of NeoWarm, a low-cost infant warmer and carrier device, to ameliorate induced hypothermia in newborn piglets as models for human neonates

Bluhm,

Tomlin,

Hoilett

et al. 2024

Front. Pediatr.

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“…Fitness bands and smartwatches are wrist-worn devices, able to track heart rate in real time (22)(23)(24)(25)(26). Heart rate sensors have also been integrated into accessories, such as rings (27,28), necklaces (29), earbud headphones (30)(31)(32), chest straps (31,(33)(34)(35), footwear (36), glasses (37), even into textiles (38). Table 1 summarizes the most commonly used, FDA certified or/and CE-marked wearables to monitor heart rate, while Table 2 presents the essential technical specifications of each device.…”

Section: Wearable Devices To Monitor Heart Rate and Cardiac Rhythmmentioning

confidence: 99%

“…The integration of heart rate sensors into textiles and accessories has led to the development of a wide variety of devices, that can track heart rate and/or record ECG. Accessories, such as rings ( 27 , 28 ), headphones ( 30 , 32 ), and footwear ( 36 ) are reported to be reliable in heart rate measurements, even though their accuracy can be compromised during high intensity exersice ( 31 ). Another monitoring system features a devices that resembles a necklace (CoVa monitoring system) ( 29 ), which, not only monitors heart rate and ECG in real-time, but also provides information regarding stroke volume, cardiac output and fluid status, providing an holistic hemodynamic assessement of heart failure patients, rather than merely cardiac rhythm monitoring.…”

Section: Wearables For Detection Of Atrial Fibrillationmentioning

confidence: 99%

Remote Cardiac Rhythm Monitoring in the Era of Smart Wearables: Present Assets and Future Perspectives

Xintarakou

Sousonis

Asvestas

et al. 2022

Front. Cardiovasc. Med.

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Remote monitoring and control of heart function are of primary importance for patient evaluation and management, especially in the modern era of precision medicine and personalized approach. Breaking technological developments have brought to the frontline a variety of smart wearable devices, such as smartwatches, chest patches/straps, or sensors integrated into clothing and footwear, which allow continuous and real-time recording of heart rate, facilitating the detection of cardiac arrhythmias. However, there is great diversity and significant differences in the type and quality of the information they provide, thus impairing their integration into daily clinical practice and the relevant familiarization of practicing physicians. This review will summarize the different types and dominant functions of cardiac smart wearables available in the market. Furthermore, we report the devices certified by official American and/or European authorities and the respective sources of evidence. Finally, we comment pertinent limitations and caveats as well as the potential answers that flow from the latest technological achievements and future perspectives.

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“…Our multidisciplinary team has developed a suite of innovations to provide automated thermal support and vital signs monitoring for premature/low birthweight infants while they are engaged in KMC/STS with adult caregivers. Our innovation is an integrated mHealth platform that features a wearable, sensor-enabled, self-warming, biomedical device (swaddling baby carrier) with automated vital signs monitoring for KMC/STS adult-baby dyads (“NeoWarm”; [ 57 , 58 ]) and connected Android-based mobile applications which are customized, respectively, for parents/family stakeholders and healthcare providers (“NeoRoo”).…”

Section: Introductionmentioning

confidence: 99%

The NeoRoo mobile app: Initial design and prototyping of an Android-based digital health tool to support Kangaroo Mother Care in low/middle-income countries (LMICs)

Bucher,

Young,

Dolan

et al. 2023

PLOS Digit Health

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Premature birth and neonatal mortality are significant global health challenges, with 15 million premature births annually and an estimated 2.5 million neonatal deaths. Approximately 90% of preterm births occur in low/middle income countries, particularly within the global regions of sub-Saharan Africa and South Asia. Neonatal hypothermia is a common and significant cause of morbidity and mortality among premature and low birth weight infants, particularly in low/middle-income countries where rates of premature delivery are high, and access to health workers, medical commodities, and other resources is limited. Kangaroo Mother Care/Skin-to-Skin care has been shown to significantly reduce the incidence of neonatal hypothermia and improve survival rates among premature infants, but there are significant barriers to its implementation, especially in low/middle-income countries (LMICs). The paper proposes the use of a multidisciplinary approach to develop an integrated mHealth solution to overcome the barriers and challenges to the implementation of Kangaroo Mother Care/Skin-to-skin care (KMC/STS) in LMICs. The innovation is an integrated mHealth platform that features a wearable biomedical device (NeoWarm) and an Android-based mobile application (NeoRoo) with customized user interfaces that are targeted specifically to parents/family stakeholders and healthcare providers, respectively. This publication describes the iterative, human-centered design and participatory development of a high-fidelity prototype of the NeoRoo mobile application. The aim of this study was to design and develop an initial (“A”) version of the Android-based NeoRoo mobile app specifically to support the use case of KMC/STS in health facilities in Kenya. Key functions and features are highlighted. The proposed solution leverages the promise of digital health to overcome identified barriers and challenges to the implementation of KMC/STS in LMICs and aims to equip parents and healthcare providers of prematurely born infants with the tools and resources needed to improve the care provided to premature and low birthweight babies. It is hoped that, when implemented and scaled as part of a thoughtful, strategic, cross-disciplinary approach to reduction of global rates of neonatal mortality, NeoRoo will prove to be a useful tool within the toolkit of parents, health workers, and program implementors.

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Kick Ring LL: A Multi-Sensor Ring Capturing Respiration, Electrocardiogram, Oxygen Saturation, and Skin Temperature¹

Cited by 4 publications

References 16 publications

Preclinical validation of NeoWarm, a low-cost infant warmer and carrier device, to ameliorate induced hypothermia in newborn piglets as models for human neonates

Preclinical validation of NeoWarm, a low-cost infant warmer and carrier device, to ameliorate induced hypothermia in newborn piglets as models for human neonates

Remote Cardiac Rhythm Monitoring in the Era of Smart Wearables: Present Assets and Future Perspectives

The NeoRoo mobile app: Initial design and prototyping of an Android-based digital health tool to support Kangaroo Mother Care in low/middle-income countries (LMICs)

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Kick Ring LL: A Multi-Sensor Ring Capturing Respiration, Electrocardiogram, Oxygen Saturation, and Skin Temperature1

Cited by 4 publications

References 16 publications

Preclinical validation of NeoWarm, a low-cost infant warmer and carrier device, to ameliorate induced hypothermia in newborn piglets as models for human neonates

Preclinical validation of NeoWarm, a low-cost infant warmer and carrier device, to ameliorate induced hypothermia in newborn piglets as models for human neonates

Remote Cardiac Rhythm Monitoring in the Era of Smart Wearables: Present Assets and Future Perspectives

The NeoRoo mobile app: Initial design and prototyping of an Android-based digital health tool to support Kangaroo Mother Care in low/middle-income countries (LMICs)

Contact Info

Product

Resources

About

Kick Ring LL: A Multi-Sensor Ring Capturing Respiration, Electrocardiogram, Oxygen Saturation, and Skin Temperature¹