Final Presentation - Lawrence Technological University

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Wireless Auscultation Device for Continuous

Monitoring of Heart Sounds

Danielle Manley | Stephen Krammin | Mateusz Koper

Department of Biomedical Engineering

Lawrence Technological University

Faculty Advisors: Dr. Gerald LeCarpentier & Dr. Mansoor Nasir

Technical Advisor: Professor Kenneth Cook

1

What is Auscultation?

Auscultation: Act of listening to body sounds as a part of making a medical diagnosis

● Occurs during almost all hospital visits

● Auscultate heart, lungs, intestinal sounds

● Evaluate certain sound characteristics: o Frequency o Intensity o Duration

2

Heart Sounds

● Heart Sounds o Blood flow through the heart valves o Frequency range from 20-650 Hz o Abnormal sounds interpreted as potential murmurs

● Most common murmurs: o Regurgitation o Stenosis

3

Current Methods

Mechanical Stethoscope:

Cheap $15-100

No Power Necessary

Poor Sound Quality

Excess outside noise

Not Handsfree

Electrical Stethoscopes

Filter Noise

Amplify Sounds

Expensive $250-1000

Power Necessary

Not Handsfree

4

Stethoscope Limitations

Problem: Stethoscopes do not monitor sounds continuously and they are not hands free

Continuous heart sound monitoring would be very useful for the following applications:

● Diagnose Patients with Infectious Diseases

● Pharmaceutical Interventions

● Multiple Patient Monitoring

● Telemedicine

5

Project & Design Goals

● Wireless auscultation device

● Remove need for physician’s presence

● Create Bluetooth capable device

● Untethered

● Low-power

● Low-cost

● User Friendly

6

Design Process

7

Sound Pick-up

● Used a cheap stethoscope head and PVC tubing

● Placed an electret condenser microphone into end of tubing

● Two wires connected from microphone to circuit’s input and ground

Microphone

Placement

8

Circuitry

Microphone

Bias Network

HPF

LPF

Signal Amplification

Voltage Offset

9

Bode Plot

High Pass: 15 Hz

Low Pass: 964 Hz

Bandwidth:

15 Hz - 964 Hz

Gain = 75

10

A/D Conversion

● Arduino Uno microcontroller with SD card shield

● Arduino program developed: o Sampling frequency of

1000 points/sec o Analog voltages read and converted to bytes (0-1023) o Data stored into a text file created on the SD card

11

Data Transfer

● Laptop paired to Bluetooth device (HC-05 Transceiver)

● Similar program developed in MATLAB o SD card read and Bluetooth transfer of data into MATLAB o Bytes converted to voltages and stored into an array

12

Data Analysis

● Matlab: o Plotting o Fast-Fourier Transform (FFT)

 Frequency components o Digital filtering

 Signal processing toolbox o Audio playback

 Sound function

13

CH #2

Verification of Device

CH #1

Biopac Electronic

Stethoscope

Signal Cable Auscultation Circuitry Biopac Display

14

Our Stethoscope vs Biopac Stethoscope

● First peak - S1 heart sound (“Lub”)

● Second peak - S2 heart sound (“Dub”)

Red = Our Stethoscope

Blue = Biopac Stethoscope

● Similar results support our device functionality

15

Biopac: Healthy vs Abnormal

● Our device is capable of depicting healthy and abnormal heartbeats

16

Biopac vs Arduino: Silence

● Seems like Arduino is collecting more noise than Biopac

17

Biopac vs Arduino: Talking

● Seems like Arduino is collecting more noise than Biopac

18

Biopac vs Arduino: Filtered Talking

● Signal is much cleaner compared to unfiltered talking

19

Discussion and Conclusion

● Wireless prototype created that can collect and send heart sounds using Bluetooth

● MATLAB program developed that can process and playback captured heart sounds

● Our device can compete with both mechanical and electrical stethoscopes in terms of: o Ease of use o Sound quality o Cost

20

Future Improvements

● Test sound isolation materials

● Miniaturize device

● Incorporate adhesive

● Central monitoring system

● Other body sounds

21

Miniaturizing the Device

● Printed Circuit Board

● Piezoelectric Transducer

● Smaller Batteries

● Mini Microcontroller

Estimated price of our stethoscope ≈ $50

(Mechanical: $15+ Electronic: $250+)

22

Roles and Responsibilities

23

Timeline

24

Acknowledgments

Faculty Advisors:

● Dr. Gerald LeCarpentier: o Arduino Programming o Providing Arduino Uno

● Dr. Mansoor Nasir: o Matlab Programming o Providing Various Materials

Technical Advisor:

● Professor Kenneth Cook: o Circuit Development & Testing o Providing Various Materials

25

References

● http://www.electronics-lab.com/blog/?p=20744

● https://www.circuitsathome.com/products-page/power-supplies/3-3v-to-

5v-600ma-dc-dc-converter-bare-pcb

● http://www.explainthatstuff.com/piezoelectricity.html

● http://www.cdc.gov/nchs/data/nhsr/nhsr007.pdf

● http://www.audiologyonline.com/articles/amplified-stethoscope-optionsfor-professionals-860

● http://www.nlm.nih.gov/medlineplus/ency/article/002226.htm

26

Questions?

27

ECG vs Heart Sounds

● ECG provides insight into the electrical activity of the heart o Used primarily to determine arrhythmias

● Heart sounds provide insight on the structure o Health of heart valves o Thickening of ventricular septum o Fluid build up in pericardium

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