A credit card-sized PCB with two sensing pads and a small OLED display

Card/IO Is A Credit Card-Sized, Open Source ECG Monitor

Of all the electrical signals generated by the human body, those coming from the heart are probably the most familiar to the average person. And because it’s also quite simple to implement the required sensors, it makes sense that electrocardiogram (ECG) machines are a popular choice among introductory medical electronics projects. [Dániel Buga], for instance, designed a compact ECG system the size of a credit card, cleverly dubbed Card/IO, that clearly demonstrates how to implement a single-lead ECG.

Although obviously not a medical-grade instrument, it still contains all the basic components that make up a proper biosignal sensing system. First, there are the sensing pads, which sense the voltage difference between the user’s two thumbs and simultaneously cancel their common-mode voltage with a technique called Right Leg Driving (RLD). The differential signal then goes through a low-pass filter to remove high-frequency noise, after which it enters an ADS1291 ECG analog front-end chip.

The ADS1291 contains a delta-sigma analog-to-digital converter as well as an SPI bus to communicate with the main processor. [Dániel] chose an ESP32-S3, programmed in Rust, to interface with the SPI bus and drive a 1″ OLED display that shows the digitized ECG signal. It also runs the user interface, which is operated using the ECG sensing pads: if you touch them for less than five seconds, the device goes into menu mode and the two pads become buttons to scroll through the different options.

All source code, as well as KiCad files for the board, can be found on the project’s GitHub page. If you’re just getting started in the biosensing field, you might also want check out this slightly more advanced project that includes lots of relevant safety information.

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Showing pulse oximeter and color sensor combining to measure oxygen in blood and skin tone

Perfecting The Pulse Oximeter

We’re always looking for interesting biohacks here on Hackaday, and this new research article describing a calibrated pulse oximeter for different skin tones really caught our attention.

Pulse oximeters are handy little instruments that measure your blood oxygen saturation using photoplethysmography (PPG) and are a topic we’re no strangers to here at Hackaday. Given PPG is an optical technique, it stands to reason that its accuracy could be significantly affected by skin tone and that has been a major topic of discussion recently in the medical field. Given the noted issues with pulse oximeter accuracy, these researchers endeavored to create a better pulse oximeter by quantifying skin pigmentation and using that data to offset errors in the pulse oximeter measurements. A slick idea, but we think their results leave a lot to be desired.

Diagram showing pulse oximeter and color sensor combining to measure oxygen in blood and skin toneTheir idea sounds pretty straightforward enough. They created their own hardware to measure blood oxygen saturation, a smartwatch that includes red and infrared (IR) light-emitting diodes (LED) to illuminate the tissue just below the surface of the skin, and a photosensor for measuring the amount of light that reflects off the skin. But in addition to the standard pulse oximeter hardware, they also include a TCS34725 color sensor to quantify the user’s skin tone.

So what’s the issue? Well, the researchers mentioned calibrating their color sensor to a standard commercially-available dermatology instrument just to make sure their skin pigmentation values match a gold standard, but we can’t find that data, making it a bit hard to evaluate how accurate their color sensor actually is. That’s pretty crucial to their entire premise. And ultimately, their corrected blood oxygen values don’t really seem terribly promising either. For one individual, they reduced their error from 5.44% to 0.82% which seems great! But for another user, their error actually increases from 0.99% to 6.41%. Not so great. Is the problem in their color sensor calibration? Could be.

We know from personal experience that pulse oximeters are hard, so we applaud their efforts in tackling a major problem. Maybe the Hackaday community could help them out?

Fiber-Infused Ink Allows 3D-Printed Heart Muscle To Beat

Illustration from Anatomy & Physiology, Connexions Web site. http://cnx.org/content/col11496/1.6/, Jun 19, 2013.
Illustration from Anatomy & Physiology, Connexions Web site. http://cnx.org/content/col11496/1.6/, Jun 19, 2013.

What makes a body’s organs into what they are is more than just a grouping of specialized cells. They also need to be oriented and attached to each other and scaffolding in order to create structures which can effectively perform the desired function. A good example here is the heart, which requires a large number of muscle cells to contract in unison in order for the heart component (like a ventricle) to effectively pump blood. This complication is what has so far complicated efforts to 3D print complex tissues and entire organs, but recently researchers have demonstrated a way to 3D print heart muscle which can contract when stimulated similarly to a human heart’s ventricle.

At the center of this technique lies a hydrogel that is infused with gelatin fibers. Using a previously developed Rotary Jet-Spinning technology that was reported on in 2016, a sheet of spun fibers was produced that were then cut up into micrometer-sized fibers which were dispersed into the hydrogel. After printing the desired structure – taking into account the fiber alignment – it was found that the cardiomyocytes (the cells responsible for carrying the contractile signal in the heart muscle) align along the thus laid out pattern, ultimately creating a cardiac muscle capable of organized contraction.

These findings come after many years of research into the topic, with e.g. Zihan Wang and colleagues in a 2021 paper reporting on the challenges remaining with 3D printing cardiac tissue, yet also the massive opportunities that this could provide. Although entire heart replacements (via therapeutic cloning with the patient’s own cells) might become possible too, more immediate applications would involve replacements for damaged cardiac muscle and other large structures of the heart.

Open-Source LAMP Instrument Aimed At Clinicians And Biohackers Alike

Over the last few years, we’ve all been given a valuable lesson in both the promise and limitations of advanced molecular biology methods for clinical diagnostics. Polymerase chain reaction (PCR) was held up as the “gold standard” of COVID-19 testing, but the cost, complexity, and need for advanced instrumentation and operators with specialized training made PCR difficult to scale to the levels demanded by a pandemic.

There are other diagnostic methods, of course, some of which don’t have all the baggage of PCR. RT-LAMP, or reverse transcriptase loop-mediated amplification, is one method with a lot of promise, especially when it can be done on a cheap open-source instrument like qLAMP. For about 50€, qLAMP makes amplification and detection of nucleic acids, like the RNA genome of the SARS-CoV-2 virus, a benchtop operation that can be performed by anyone. LAMP is an isothermal process; it can be done at one single temperature, meaning that no bulky thermal cycler is required. Detection is via the fluorescent dye SYTO 9, which layers into the base pairs inside the amplified DNA strands, using a 470-nm LED for excitation and a photodiode with a filter to detect the emission. Heating is provided by a PCB heater and a 3D-printed aluminum block that holds tubes for eight separate reactions. Everything lives in a 3D-printed case, including the ESP32 which takes care of all the housekeeping and data analysis duties.

With the proper test kits, which cost just a couple of bucks each, qLAMP would be useful for diagnosing a wide range of diseases, and under less-than-ideal conditions. It could also be a boon to biohackers, who could use it for their own citizen science efforts. We saw a LAMP setup at the height of the pandemic that used the Mark 1 eyeball as a detector; this one is far more quantitative.

MIT Engineers Pioneer Cost-Effective Protein Purification For Cheaper Drugs

There are a wide variety of protein-based drugs that are used to treat various serious conditions. Insulin is perhaps the most well-known example, which is used for life-saving treatments for diabetes. New antibody treatments also fall into this category, as do various vaccines.

A significant cost element in the production of these treatments is the purification step, wherein the desired protein is separated from the contents of the bioreactor it was produced in. A new nanotech discovery from MIT could revolutionize this area, making these drugs cheaper and easier to produce.

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A glass plate holds a translucent set of silver electrodes. The plate appears to be suspended across two petri dishes, so the scale must be small.

Hydrogels For Bioelectronic Interfaces

Interfacing biological and electrical systems has traditionally been done with metal electrodes, but something flexible can be more biocompatible. One possible option is 3D-printed bioelectric hydrogels.

Electrically conductive hydrogels based on conducting polymers have mechanical, electrical, and chemical stability properties in a fully organic package that makes them more biocompatible than other systems using metals, ionic salts, or carbon nanomaterials. Researchers have now found a way to formulate bi-continuous conducting polymer hydrogels (BC-CPH) that are a phase-separated system that can be used in a variety of manufacturing techniques including 3D printing.

To make the BC-CPH, a PEDOT:PSS electrical phase and a hydrophilic polyurethane mechanical phase are mixed with an ethanol/water solvent. Since the phase separation occurs in the ink before deposition, when the solvent is evaporated, the two phases remain continuous and interspersed, allowing for high mechanical stability and high electrical conductivity which had previously been properties at odds with each other. This opens up new avenues for printed all-hydrogel bioelectronic interfaces that are more robust and biocompatible than what is currently available.

If you want to try another kind of squishy electrode gel, try growing it.

Blood Pressure Monitor For Under $1

Medical equipment is not generally known for being inexpensive, with various imaging systems usually weighing in at over a million dollars, and even relatively simpler pieces of technology like digital thermometers, stethoscopes, and pulse oximeters coming in somewhere around $50. As the general pace of technological improvement continues on we expect marginal decreases in costs, but every now and then a revolutionary piece of technology will drop the cost of something like a blood pressure monitor by over an order of magnitude.

Typically a blood pressure monitor involves a cuff that pressurizes against a patient’s arm, and measures the physical pressure of the blood as the heart forces blood through the area restricted by the cuff. But there are some ways to measure blood pressure by proxy, instead of directly. This device, a small piece of plastic with a cost of less than a dollar, attaches to a smartphone near the camera sensor and flashlight. By pressing a finger onto the device, the smartphone uses the flashlight and the camera in tandem to measure subtle changes in the skin, which can be processed in an app to approximate blood pressure.

The developers of this technology note that it’s not a one-to-one substitute for a traditional blood pressure monitor, but it is extremely helpful for those who might not be able to afford a normal monitor and who might otherwise go undiagnosed for high blood pressure. Almost half of adults in the US alone have issues relating to blood pressure, so just getting information at all is the hurdle this device is attempting to overcome. And, we’ll count it as a win any time medical technology becomes more accessible, more inexpensive, or more open-source.