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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.
Abstract:
Continuous monitoring of the central-blood-pressure waveform from deeply embedded vessels, such as the carotid artery and jugular vein, has clinical value for the prediction of all-cause cardiovascular mortality. However, existing non-invasive approaches, including photoplethysmography and tonometry, only enable access to the superficial peripheral vasculature. Although current ultrasonic technologies allow non-invasive deep-tissue observation, unstable coupling with the tissue surface resulting from the bulkiness and rigidity of conventional ultrasound probes introduces usability constraints. Here, we describe the design and operation of an ultrasonic device that is conformal to the skin and capable of capturing blood-pressure waveforms at deeply embedded arterial and venous sites. The wearable device is ultrathin (240 μm) and stretchable (with strains up to 60%), and enables the non-invasive, continuous and accurate monitoring of cardiovascular events from multiple body locations, which should facilitate its use in a variety of clinical environments.
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