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  4. In vivo evaluation of a novel, wrist-mounted arterial pressure sensing device versus the traditional hand-held tonometer
 
research article

In vivo evaluation of a novel, wrist-mounted arterial pressure sensing device versus the traditional hand-held tonometer

Vardoulis, Orestis  
•
Saponas, T. Scott
•
Morris, Dan
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2016
Medical Engineering & Physics

Although hemodynamic parameters can be assessed non-invasively, state-of-the-art non-invasive systems generally require an expert operator and are not applicable for ambulatory measurements. These limitations have restricted our understanding of the continuous behavior of hemodynamic parameters. In this manuscript, we introduce a novel wrist-mounted device that incorporates an array of pressure sensors which can be used to extract arterial waveforms and relevant pulse wave analysis biomarkers. In vivo evaluation is performed with Bland-Altman analysis to compare the novel sensor to a gold-standard hand-held tonometer by assessing their reproducibility and agreement in peripheral augmentation index (AIx) estimation at the radial artery. Arterial waves from 28 randomly selected participants were recorded in a controlled environment. Initially we assess the reproducibility of AIx results for both devices. The intra-class correlation coefficient (ICC) and mean difference +/- SD were [0.913, 0.033 +/- 0.048] and [0.859, 0.039 +/- 0.076] for the hand-held and the wrist-mounted tonometer respectively. We then show that the AIx values derived from the novel tonometer have good agreement, accuracy, and precision when compared against the AIx values derived from the reference hand-held tonometer (ICC 0.927, mean difference 0.026 +/- 0.049). In conclusion, we have presented evidence that the new wrist-mounted arterial pressure sensor records arterial waveforms that can be processed to yield AIx values that are in good agreement with its traditional hand-held counterpart. (C) 2016 IPEM. Published by Elsevier Ltd. All rights reserved.

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Type
research article
DOI
10.1016/j.medengphy.2016.06.022
Web of Science ID

WOS:000385330000004

Author(s)
Vardoulis, Orestis  
Saponas, T. Scott
Morris, Dan
Villar, Nicolas
Smith, Greg
Patel, Shwetak
Tan, Desney
Date Issued

2016

Publisher

Elsevier Sci Ltd

Published in
Medical Engineering & Physics
Volume

38

Issue

10

Start page

1063

End page

1069

Subjects

Arterial tonometry

•

Pressure sensor

•

Radial artery

•

Arterial stiffness

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
STI  
Available on Infoscience
November 21, 2016
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/131435
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