Monitoring of the central blood pressure waveform via a conformal ultrasonic device

Chonghe Wang1, Xiaoshi Li2, Hongjie Hu2

  • 1Department of Nanoengineering, University of California San Diego, La Jolla, CA, USA.

Insights

A new wearable ultrasound device offers continuous, non-invasive monitoring of deep blood pressure waveforms. This innovation aids in predicting cardiovascular mortality by accessing previously unreachable arterial and venous sites.

Area of Science:

  • Biomedical Engineering
  • Cardiovascular Physiology
  • Medical Device Innovation

Background:

  • Continuous central blood pressure monitoring from deep vessels like the carotid artery is crucial for predicting cardiovascular mortality.
  • Current non-invasive methods (e.g., photoplethysmography, tonometry) are limited to superficial peripheral vasculature.
  • Conventional ultrasound probes face usability constraints due to bulkiness and surface coupling instability for deep-tissue observation.

Purpose of the Study:

  • To develop and describe an innovative conformal ultrasonic device for non-invasive, continuous blood pressure waveform monitoring.
  • To enable accurate waveform capture from deeply embedded arterial and venous sites.
  • To overcome the limitations of existing technologies for deep vascular access.

Main Methods:

  • Design and operation of an ultrathin (240 μm) and stretchable (up to 60% strain) wearable ultrasonic device.
  • Utilizing ultrasound technology for non-invasive deep-tissue observation.
  • Ensuring conformal contact with the skin for stable signal acquisition.

Main Results:

  • The device successfully captures blood pressure waveforms from deeply embedded arterial and venous sites.
  • Demonstrated non-invasive, continuous, and accurate monitoring of cardiovascular events.
  • The wearable nature and flexibility overcome previous usability constraints.

Conclusions:

  • The developed conformal ultrasound device enables effective non-invasive monitoring of central blood pressure waveforms.
  • This technology facilitates continuous cardiovascular event monitoring from multiple body locations.
  • The device holds significant potential for diverse clinical environments and improved patient outcomes.

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