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02.08.2022

Fraunhofer technology: High-tech vest monitors lung function

Patients with severe respiratory or lung diseases require intensive treatment and their lung function needs to be monitored on a continuous basis. As part of the Pneumo.Vest project, Fraunhofer researchers have developed a technology whereby noises in the lungs are recorded using a textile vest with integrated acoustic sensors. The signals are then converted and displayed visually using software. In this way, patients outside of intensive care units can still be monitored continuously. The technology increases the options for diagnosis and improves the patient’s quality of life.

For over 200 years, the stethoscope has been a standard tool for doctors and, as such, is a symbol of the medical profession. In television hospital dramas, doctors are seen rushing through the halls with a stethoscope around their neck. Experienced doctors do indeed use them to listen very accurately to heartbeats and the lungs and, as a result, to diagnose illnesses.

Patients with severe respiratory or lung diseases require intensive treatment and their lung function needs to be monitored on a continuous basis. As part of the Pneumo.Vest project, Fraunhofer researchers have developed a technology whereby noises in the lungs are recorded using a textile vest with integrated acoustic sensors. The signals are then converted and displayed visually using software. In this way, patients outside of intensive care units can still be monitored continuously. The technology increases the options for diagnosis and improves the patient’s quality of life.

For over 200 years, the stethoscope has been a standard tool for doctors and, as such, is a symbol of the medical profession. In television hospital dramas, doctors are seen rushing through the halls with a stethoscope around their neck. Experienced doctors do indeed use them to listen very accurately to heartbeats and the lungs and, as a result, to diagnose illnesses.

Now, the stethoscope is getting some help. As part of the Pneumo.Vest project, researchers of the Fraunhofer Institute for Ceramic Technologies and Systems IKTS at the Berlin office have developed a textile vest with integrated acoustic sensors, presenting a high-performance addition to the traditional stethoscope. Piezoceramic acoustic sensors have been incorporated into the front and back of the vest to register any noise produced by the lungs in the thorax, no matter how small. A software program records the signals and electronically amplifies them, while the lungs are depicted visually on a display. As the software knows the position of each individual sensor, it can attribute the data to its precise location. This produces a detailed acoustic and optical picture of the ventilation situation of all parts of the lungs. Here is what makes it so special: As the system collects and stores the data permanently, examinations can take place at any given time and in the absence of hospital staff. Pneumo.Vest also indicates the status of the lungs over a period of time, for example over the previous 24 hours. Needless to say, traditional auscultation can also be carried out directly on the patients. However, instead of carrying out auscultation manually at different points with a stethoscope, a number of sensors are used simultaneously.

“Pneumo.Vest is not looking to make the stethoscope redundant and does not replace the skills of experienced pneumologists. However, auscultation or even CT scans of the lungs only ever present a snapshot at the time of the examination. Our technology provides added value because it allows for the lungs to be monitored continuously in the same way as a long-term ECG, even if the patient is not attached to machines in the ICU but has instead been admitted to the general ward,” explains Ralf Schallert, project manager at Fraunhofer IKTS.

Machine learning algorithms aid with diagnosis
Alongside the acoustic sensors, the software is at the core of the vest. It is responsible for storing, depicting and analyzing the data. It can be used by the doctor to view the acoustic events in specific individual areas of the lungs on the display. The use of algorithms in digital signal processing enables a targeted evaluation of acoustic signals. This means it is possible, for example, to filter out heartbeats or to amplify characteristic frequency ranges, making lung sounds, such as rustling or wheezing, much easier to hear.

On top of this, the researchers at Fraunhofer IKTS are developing machine learning algorithms. In the future, these will be able to structure and classify complex ambient noises in the thorax. Then, the pneumologist will carry out the final assessment and diagnosis.

Discharge from the ICU
Patients can also benefit from the digital sensor alternative. When wearing the vest, they can recover without requiring constant observation from medical staff. They can transfer to the general ward and possibly even be sent home and move about more or less freely. Despite this, the lungs are monitored continuously, and any sudden deterioration can be reported to medical personnel straight away.

The first tests with staff at the University Clinic for Anesthesiology and Intensive Therapy at the University of Magdeburg have shown that the concept is successful in practice. “The feedback from doctors was overwhelmingly positive. The combination of acoustic sensors, visualization and machine learning algorithms will be able to reliably distinguish a range of different lung sounds,” explains Schallert. Dr. Alexander Uhrig from Charité – Universitätsmedizin Berlin is also pleased with the technology. The specialist in infectiology and pneumology at the renowned Charité hospital was one of those who initiated the idea: “Pneumo.Vest addresses exactly what we need. It serves as an instrument that expands our diagnostic options, relieves the burden on our hospital staff and makes hospital stays more pleasant for patients.”

The technology was initially designed for respiratory patients, but it also works well for people in care facilities and for use in sleep laboratories. It can also be used to train young doctors in auscultation.

Increased need for clinical-grade wearables
With Pneumo.Vest, the researchers at Fraunhofer IKTS have developed a product that is cut out for the increasingly strained situation at hospitals. In Germany, 385,000 patients with respiratory or lung diseases require inpatient treatment every year. Over 60 percent are connected to a ventilator for more than 24 hours. This figure does not account for the current increase in respiratory patients due to the COVID-19 pandemic. As a result of increasing life expectancy, the medical industry also expects the number of older patients with breathing problems to increase. With the help of technology from Fraunhofer IKTS, the burden on hospitals and, in particular, costly ICUs can be relieved as their beds will no longer be occupied for quite as long.

It should be added that the market for such clinical-grade wearables is growing rapidly. These are compact medical devices that can be worn directly on the body to measure vital signs such as heartbeat, blood oxygen saturation, respiratory rate or skin temperature. As a medical device that can be used flexibly, Pneumo.Vest fits in perfectly with this development. But do not worry: Doctors will still be using the beloved stethoscope in the future.

Fraunhofer “M³ Infekt” cluster project
Pneumo.Vest is just one part of the extensive M³ Infekt cluster project. Its objective is to develop monitoring systems for the decentralized monitoring of patients. The current basis of the project is the treatment of COVID-19 patients. With the SARS-CoV2 virus, it is common for even mild cases to suddenly deteriorate significantly. By continuously monitoring vital signs, any deterioration in condition can be quickly identified and prompt measures for treatment can be taken.

M3 Infekt can also be used for a number of other symptoms and scenarios. The systems have been designed to be modular and multimodal so that biosignals such as heart rate, ECG, oxygen saturation, or respiratory rate and volume can be measured, depending on the patient and illness.

A total of ten Fraunhofer institutes are working on the cluster project under the leadership of the Fraunhofer Institute for Integrated Circuits IIS in Dresden. Klinikum Magdeburg, Charité – Universitätsmedizin Berlin and the University Hospitals of Erlangen and Dresden are involved as clinical partners.

Source:

Fraunhofer Institute for Ceramic Technology and Systems IKTS

Imagine a truck tarp that can harvest the energy of sunlight! Picture by Peter H. on Pixabay
20.08.2019

TEXTILE BASED SOLAR CELLS

Imagine a truck tarp that can harvest the energy of sunlight!

Imagine a truck tarp that can harvest the energy of sunlight!
With the help of new textile-based solar cells developed by Fraunhofer researchers, semitrailers could soon be producing the electricity needed to power cooling systems or other onboard equipment. In short, textile-based solar cells could soon be adding a whole new dimension to photovoltaics, complementing the use of conventional silicon-based solar cells. Solar panels on building roofs are a common enough sight today – as are large-scale solar parks. In the future, we may well see other surfaces being exploited for photovoltaic generation. Truck tarps, for example, could be used to produce the electricity consumed by the driver when underway or parked up for the night, or to power electronic systems used to locate trailers in shipping terminals. Similarly, conventional building facades could be covered with photovoltaic textiles in place of concrete render. Or the blinds used to provide shade in buildings with glass facades could be used to create hundreds of square meters of additional surface for producing power.

Glass-fiber fabric as a solar-cell substrate
At the heart of such visions are pliable, textile-based solar cells developed at the Fraunhofer Institute for Ceramic Technologies and Systems IKTS in collaboration with the Fraunhofer Institute for Electronic Nano Systems ENAS, Sächsisches Textilforschungsinstitut e.V and industrial partners erfal GmbH & Co. KG, PONGS Technical Textiles GmbH, Paul Rauschert GmbH & Co. KG and GILLES PLANEN GmbH. “There are a number of processes that enable solar cells to be incorporated in coatings applied to textiles,” explains Dr. Lars Rebenklau, group manager for system integration and electronic packaging at Fraunhofer IKTS. In other words, the substrate for the solar cells is a woven fabric rather than the glass or silicon conventionally used. “That might sound easy, but the machines in the textile industry are designed to handle huge rolls of fabric – five or six meters wide and up to 1000 meters in length,” explains Dr. Jonas Sundqvist, group manager for thin-film technology at Fraunhofer IKTS. “And during the coating process, the textiles have to withstand temperatures of around 200 °Celsius. Other factors play a key role too: the fabric must meet fire regulations, have a high tensile strength and be cheap to produce. “The consortium therefore opted for a glass-fiber fabric, which fulfills all of these specifications,” Rebenklau says.

An emphasis on standard processes
Researchers also faced the challenge of how to apply the wafer-thin layers that make up a solar cell – the bottom electrode, the photovoltaic layer and the top electrode – to the fabric. These layers are between one and ten microns in thickness. By comparison, the surface of the fabric is like a mountain range. The solution was first to apply a layer that levels out the peaks and troughs on the surface of the fabric. For this purpose, researchers opted for a standard process from the textile industry: transfer printing, which is also used to rubberize fabrics. All the other processes have been adapted in such a way that they can be easily incorporated in standard production methods used in the textile industry. For example, the two electrodes – which are made of electrically conductive polyester – and the photovoltaic layer are applied by means of the common roll-to-roll method. The solar cells are also laminated with an additional protective layer in order to make them more robust.

Fabric-based solar cells ready for market launch in around five years
The research team has already produced an initial prototype. “This has demonstrated the basic functionality of our textile-based solar cells,” Rebenklau says. “Right now, they have an efficiency of between 0.1 and 0.3 percent.” In a follow-up project, he and the team are seeking to push this over the five percent mark, at which point the textile-based solar cells would prove commercially viable. Silicon-based solar cells are significantly more efficient, at between ten and 20 percent. However, this new form of solar cell is not intended to replace the conventional type, merely offer an alternative for specific applications. In the coming months, the team will be investigating ways of enhancing the service life of the fabric-based solar cells. If all goes according to plan, the first textile-based solar cells could be ready for commercialization in around five years. This would fulfill the original goal of the PhotoTex project: to provide new stimulus for Germany’s textile industry and improve its competitiveness.