Noninvasive and Nonocclusive Blood Pressure Monitoring via a Flexible Piezo-Composite Ultrasonic Sensor

Abstract

Continuous blood pressure monitoring in everyday life is important and necessary to detect and control high blood pressure in advance. While the existing blood pressure monitoring techniques are well suited for applications in current clinical settings, they are inadequate for next-generation wearable long-term monitoring of blood pressure on a daily basis. In this study, a flexible piezo-composite ultrasonic sensor was reported, for the first time, for continuous blood pressure measurement through ultrasonic motion tracking of blood vessel wall. A flexible piezo-composite ultrasonic sensor was designed and fabricated with a layer of PZT-5A/ polydimethylsiloxane (PDMS) anisotropic 1-3 composite and silver nanowire based stretchable electrodes. The material properties and dimensions of the sensor were determined according to the volume fraction of PZT-5A and the material properties of PZT-5A and PDMS. The experimental results illustrated that the flexible sensor possessed adequate bandwidth and sensitivity for blood pressure monitoring. Continuous blood pressure measurement was successfully conducted with the ulnar artery on a volunteer's right arm. Compared with the measurement results using a clinical ultrasound probe and a commercial upper arm blood monitor, the results obtained in this study demonstrated the capability of the proposed flexible sensor to continuously monitor blood pressure waveforms during cardiac cycles. The flexible sensor provides a promising solution for noninvasive, nonocclusive and calibration-free blood pressure monitoring. It has great potential to be integrated into a wearable ultrasonic healthcare sensing system for blood pressure and flow monitoring.