Fibre Bragg Grating Based Interface Pressure Sensor for Compression Therapy

Compression therapy is widely used as the gold standard for management of chronic venous insufficiency and venous leg ulcers, and the amount of pressure applied during the compression therapy is crucial in supporting healing. A fibre optic pressure sensor using Fibre Bragg Gratings (FBGs) is develop...

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Main Authors: James A. Bradbury, Qimei Zhang, Francisco U. Hernandez Ledezma, Ricardo Correia, Serhiy Korposh, Barrie R. Hayes-Gill, Ferdinand Tamoué, Alison Parnham, Simon A. McMaster, Stephen P. Morgan
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/22/5/1798
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author James A. Bradbury
Qimei Zhang
Francisco U. Hernandez Ledezma
Ricardo Correia
Serhiy Korposh
Barrie R. Hayes-Gill
Ferdinand Tamoué
Alison Parnham
Simon A. McMaster
Stephen P. Morgan
author_facet James A. Bradbury
Qimei Zhang
Francisco U. Hernandez Ledezma
Ricardo Correia
Serhiy Korposh
Barrie R. Hayes-Gill
Ferdinand Tamoué
Alison Parnham
Simon A. McMaster
Stephen P. Morgan
author_sort James A. Bradbury
collection DOAJ
description Compression therapy is widely used as the gold standard for management of chronic venous insufficiency and venous leg ulcers, and the amount of pressure applied during the compression therapy is crucial in supporting healing. A fibre optic pressure sensor using Fibre Bragg Gratings (FBGs) is developed in this paper to measure sub-bandage pressure whilst removing cross-sensitivity due to strain in the fibre and temperature. The interface pressure is measured by an FBG encapsulated in a polymer and housed in a textile to minimise discomfort for the patient. The repeatability of a manual fabrication process is investigated by fabricating and calibrating ten sensors. A customized calibration setup consisting of a programmable translation stage and a weighing scale gives sensitivities in the range 0.4–1.5 pm/mmHg (2.6–11.3 pm/kPa). An alternative calibration method using a rigid plastic cylinder and a blood pressure cuff is also demonstrated. Investigations are performed with the sensor under a compression bandage on a phantom leg to test the response of the sensor to changing pressures in static situations. Measurements are taken on a human subject to demonstrate changes in interface pressure under a compression bandage during motion to mimic a clinical application. These results are compared to the current gold standard medical sensor using a Bland–Altman analysis, with a median bias ranging from −4.6 to −20.4 mmHg, upper limit of agreement (LOA) from −13.5 to 2.7 mmHg and lower LOA from −32.4 to −7.7 mmHg. The sensor has the potential to be used as a training tool for nurses and can be left in situ to monitor bandage pressure during compression therapy.
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spelling doaj.art-9722f3553ac446cab61ae2a2bbbca0a92023-11-23T23:46:20ZengMDPI AGSensors1424-82202022-02-01225179810.3390/s22051798Fibre Bragg Grating Based Interface Pressure Sensor for Compression TherapyJames A. Bradbury0Qimei Zhang1Francisco U. Hernandez Ledezma2Ricardo Correia3Serhiy Korposh4Barrie R. Hayes-Gill5Ferdinand Tamoué6Alison Parnham7Simon A. McMaster8Stephen P. Morgan9Optics and Photonics Group, Faculty of Engineering, University of Nottingham, Nottingham NG7 2RD, UKDepartment of Engineering, School of Science and Technology, Nottingham Trent University Nottingham, Nottingham NG1 4FQ, UKFootfalls and Heartbeats (UK) Limited, 10 Castle Quay, Castle Boulevard, Nottingham NG7 1FW, UKOptics and Photonics Group, Faculty of Engineering, University of Nottingham, Nottingham NG7 2RD, UKOptics and Photonics Group, Faculty of Engineering, University of Nottingham, Nottingham NG7 2RD, UKOptics and Photonics Group, Faculty of Engineering, University of Nottingham, Nottingham NG7 2RD, UKKOB GmbH, Lauterstraße 50, 67752 Wolfstein, GermanySchool of Health Sciences, University of Nottingham, Nottingham NG7 2RD, UKFootfalls and Heartbeats (UK) Limited, 10 Castle Quay, Castle Boulevard, Nottingham NG7 1FW, UKOptics and Photonics Group, Faculty of Engineering, University of Nottingham, Nottingham NG7 2RD, UKCompression therapy is widely used as the gold standard for management of chronic venous insufficiency and venous leg ulcers, and the amount of pressure applied during the compression therapy is crucial in supporting healing. A fibre optic pressure sensor using Fibre Bragg Gratings (FBGs) is developed in this paper to measure sub-bandage pressure whilst removing cross-sensitivity due to strain in the fibre and temperature. The interface pressure is measured by an FBG encapsulated in a polymer and housed in a textile to minimise discomfort for the patient. The repeatability of a manual fabrication process is investigated by fabricating and calibrating ten sensors. A customized calibration setup consisting of a programmable translation stage and a weighing scale gives sensitivities in the range 0.4–1.5 pm/mmHg (2.6–11.3 pm/kPa). An alternative calibration method using a rigid plastic cylinder and a blood pressure cuff is also demonstrated. Investigations are performed with the sensor under a compression bandage on a phantom leg to test the response of the sensor to changing pressures in static situations. Measurements are taken on a human subject to demonstrate changes in interface pressure under a compression bandage during motion to mimic a clinical application. These results are compared to the current gold standard medical sensor using a Bland–Altman analysis, with a median bias ranging from −4.6 to −20.4 mmHg, upper limit of agreement (LOA) from −13.5 to 2.7 mmHg and lower LOA from −32.4 to −7.7 mmHg. The sensor has the potential to be used as a training tool for nurses and can be left in situ to monitor bandage pressure during compression therapy.https://www.mdpi.com/1424-8220/22/5/1798optical fibre sensorcompression therapyvenous leg ulcersub-bandage pressure sensorFibre Bragg Grating
spellingShingle James A. Bradbury
Qimei Zhang
Francisco U. Hernandez Ledezma
Ricardo Correia
Serhiy Korposh
Barrie R. Hayes-Gill
Ferdinand Tamoué
Alison Parnham
Simon A. McMaster
Stephen P. Morgan
Fibre Bragg Grating Based Interface Pressure Sensor for Compression Therapy
Sensors
optical fibre sensor
compression therapy
venous leg ulcer
sub-bandage pressure sensor
Fibre Bragg Grating
title Fibre Bragg Grating Based Interface Pressure Sensor for Compression Therapy
title_full Fibre Bragg Grating Based Interface Pressure Sensor for Compression Therapy
title_fullStr Fibre Bragg Grating Based Interface Pressure Sensor for Compression Therapy
title_full_unstemmed Fibre Bragg Grating Based Interface Pressure Sensor for Compression Therapy
title_short Fibre Bragg Grating Based Interface Pressure Sensor for Compression Therapy
title_sort fibre bragg grating based interface pressure sensor for compression therapy
topic optical fibre sensor
compression therapy
venous leg ulcer
sub-bandage pressure sensor
Fibre Bragg Grating
url https://www.mdpi.com/1424-8220/22/5/1798
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