Wireless sensor networks for healthcare: A survey

The increasing use of wireless networks and the constant miniaturization of electrical devices has empowered the development of Wireless Body Area Networks (WBANs). In these networks various sensors are attached on clothing or on the body or even implanted under the skin. The wireless nature of the network and the wide variety of sensors offer numerous new, practical and innovative applications to improve health care and the Quality of Life. The sensors of a WBAN measure for example the heartbeat, the body temperature or record a prolonged electrocardiogram. Using a WBAN, the patient experiences a greater physical mobility and is no longer compelled to stay in the hospital. This paper offers a survey of the concept of Wireless Body Area Networks. First, we focus on some applications with special interest in patient monitoring. Then the communication in a WBAN and its positioning between the different technologies is discussed. An overview of the current research on the physical layer, existing MAC and network protocols is given. Further, cross layer and quality of service is discussed. As WBANs are placed on the human body and often transport private data, security is also considered. An overview of current and past projects is given. Finally, the open research issues and challenges are pointed out.

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A survey on wireless body area networks

A review of smart homes-Present state and future challenges

Sensor networks have the potential to greatly impact many aspects of medical care. By outfitting patients with wireless, wearable vital sign sensors, collecting detailed real-time data on physiological status can be greatly simplified. However, there is a significant gap between existing sensor network systems and the needs of medical care. In particular, medical sensor networks must support multicast routing topologies, node mobility, a wide range of data rates and high degrees of reliability, and security. This paper describes our experiences with developing a combined hardware and software platform for medical sensor networks, called CodeBlue. CodeBlue provides protocols for device discovery and publish/subscribe multihop routing, as well as a simple query interface that is tailored for medical monitoring. We have developed several medical sensors based on the popular MicaZ and Telos mote designs, including a pulse oximeter, EKG and motion-activity sensor. We also describe a new, miniaturized sensor mote designed for medical use. We present initial results for the CodeBlue prototype demonstrating the integration of our medical sensors with the publish/subscribe routing substrate. We have experimentally validated the prototype on our 30-node sensor network testbed, demonstrating its scalability and robustness as the number of simultaneous queries, data rates, and transmitting sensors are varied. We also study the effect of node mobility, fairness across multiple simultaneous paths, and patterns of packet loss, confirming the system’s ability to maintain stable routes despite variations in node location and

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Sensor networks for medical care

The development of the wireless body area sensor network (BASN) is imperative for modern telemedicine and m-health, but security remains a formidable challenge yet to be resolved. As nodes of BASN are expected to be interconnected on or in the human body, the body itself can form an inherently secure communication pathway that is unavailable to all other kinds of wireless networks. This article explores the use of this conduit in the security mechanism of BASN; that is, by a biometrics approach that uses an intrinsic characteristic of the human body as the authentication identity or the means of securing the distribution of a cipher key to secure inter-BASN communications. The method was tested on 99 subjects with 838 segments of simultaneous recordings of electrocardiogram and photoplethysmogram. By using the interpulse interval (IPI) as the biometric trait, the system achieved a minimum half total error rate of 2.58 percent when the IPIs measured from signals, which were sampled at 1000 Hz, were coded into 128-bit binary sequences. The study opens up a few key issues for future investigation, including compensation schemes for the asynchrony of different channels, coding schemes, and other suitable biometric traits.

A novel biometrics method to secure wireless body area sensor networks for telemedicine and m-health

The forthcoming wide availability of high bandwidth public wireless networks will give rise to new mobile health care services. Towards this direction the MobiHealth project has developed and trialed a highly customisable vital signals' monitoring system based on a Body Area Network (BAN) and an m-health service platform utilizing next generation public wireless networks. The developed system allows the incorporation of diverse medical sensors via wireless connections, and the live transmission of the measured vital signals over public wireless networks to healthcare providers. Nine trials with different health care cases and patient groups in four different European countries have been conducted to test and verify the system, the service and the network infrastructure for its suitability and the restrictions it imposes to mobile health care applications.

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Mobile Patient Monitoring: The MobiHealth System

MobiHealth aims at introducing new mobile value added services in the area of healthcare, based on 2.5 (GPRS) and 3G (UMTS) technologies, thus promoting the use and deployment of GPRS and UMTS. This will be achieved by the integration of sensors and actuators to a Wireless Body Area Network (BAN). These sensors and actuators will continuously measure and transmit vital constants along with audio and video to health service providers and brokers, improving on one side the life of patients and allowing on the other side the introduction of new value-added services in the areas of disease prevention and diagnostic, remote assistance, para-health services, physical state monitoring (sports) and even clinical research. Furthermore, the MobiHealth BAN system will support the fast and reliable application of remote assistance in case of accidents by allowing the paramedics to send reliable vital constants data as well as audio and video directly from the accident site.

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MobiHealth-Innovative 2.5/3G mobile services and applications for health care

MobiHealth aims at introducing new mobile value-added services in the area of mobile healthcare, based on 25 (GPRS) and 3G (UMTS) technologies This is achieved by the integration of sensors and actuators to a Wireless Body Area Network (BAN) These sensors and actuators continuously measure and transmit vital constants along with voice and images/video to health service providers and brokers, improving on one side the life of patients and allowing on the other side the introduction of new value-added services in the areas of disease prevention and diagnostic, remote assistance, para-health services, physical state monitoring (sports) and even clinical research Furthermore, the MobiHealth BAN system supports the fast and reliable application of remote assistance in case of accidents by allowing the paramedics to send reliable vital constants data as well as audio and video directly from the accident site Trials are underway focusing on home care, trauma care and ambulatory monitoring

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Continuous monitoring of vital constants for mobile users: the MobiHealth approach

In this chapter we describe the concept of MobiHealth and the approach developed during the MobiHealth project (MobiHealth, 2002). The concept was to bring together the technologies of Body Area Networks (BANs), wireless broadband communications and wearable medical devices to provide mobile healthcare services for patients and health professionals. These technologies enable remote patient care services such as management of chronic conditions and detection of health emergencies. Because the patient is free to move anywhere whilst wearing the MobiHealth BAN, patient mobility is maximised. The vision is that patients can enjoy enhanced freedom and quality of life through avoidance or reduction of hospital stays. For the health services it means that pressure on overstretched hospital services can be alleviated.

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Mobihealth: mobile health services based on body area networks

The forthcoming wide availability of high bandwidth public wireless networks will give rise to new mobile health care services Towards this direction the MobiHealth project has developed and trialed a highly customisable vital signals' monitoring system based on a Body Area Network (BAN) and an m-health service platform utilizing next generation public wireless networks The developed system allows the incorporation of diverse medical sensors via wireless connections, and the live transmission of the measured vital signals over public wireless networks to healthcare providers Nine trials with different health care cases and patient groups in four different European countries have been conducted to test and verify the system, the service and the network infrastructure for its suitability and the restrictions it imposes to mobile health care applications

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Rainer Herzog

Papers

Mobile Patient Monitoring: The MobiHealth System

MobiHealth-Innovative 2.5/3G mobile services and applications for health care

Continuous monitoring of vital constants for mobile users: the MobiHealth approach

Mobihealth: mobile health services based on body area networks

Wireless body area networks for healthcare: the MobiHealth project.