Electrocardiogram (ECG) electrodes are sensors attached to the skin that detect the electrical activity of the heart. They are critical components of ECG systems used for diagnosis and management of cardiovascular diseases. This project demonstrates the process of printing a set of dry ECG electrodes.
Project Overview
Purpose
The purpose of this project was to demonstrate how we validated the effectiveness of printing ECG electrodes on TPU (Dupont Intexar TE-11C) using biocompatible gold ink (Creative Materials EXP 2613-40) and stretchable silver ink (Celanese Micromax™ Intexar™ PE874). We used the Voltera NOVA materials dispensing system and the Voltera V-One PCB printer for this purpose.
Design
We divided the project into three main parts:
The ECG electrodes to be attached to the skin
The control unit with the heart rate monitor and the controller
An enclosure that protects the control unit from impact
The SparkFun Heart Rate Monitor AD8232 (SENS-12650) acts as a pre-amplifier, transforming the heart’s biopotentials picked up by the ECG electrodes into a usable voltage while also rejecting electrical noise inherent in the measurement. The Arduino Micro captures the voltage and interprets it as a graph of the heart waveform through a program that we custom-made for this project.
Figure 1: A graph showing beats per minute and ECG wave reading
Desired outcome
The printed electrodes should be flexible enough to conform to body movement and different physiques. Once the gold ECG electrodes are attached to the skin and connected to the circuit, we connect the circuit to power. The Arduino Micro controller should accurately interpret heart rates and rhythm readings.
Functionality
Inspired by this study where researchers developed a hexagonal labyrinth pattern as an optimized dry electrode geometry, our design allowed for maximum sensitivity while eliminating the need for wet gel, which can cause skin irritation in some patients.
For this project we printed a set of three electrodes, to be placed on the chest, as a proof of concept. Although our design was able to output data into meaningful graphs, commercial ECGs typically have 12 points of readings. As such, this project is not intended for diagnosis or treatment of any medical conditions.
Printing and post-processing the ECG electrodes
To ensure the electrodes could conform to body movement and accommodate different physiques, we designed the corners to be stretchable. We divided the layout into two layers:
Base silver layer for stretchability
Top gold layer for biocompatibility
Figure 2: Layer overview of the ECG electrodes
This approach allowed us to use a relatively small amount of gold ink to minimize costs while achieving the desired outcome.
Printing the base silver layer
This layer consists of three circle patterns designed to connect to metal snaps, as well as traces that connect to the gold layer. For ease of alignment, we also included four sets of fiducials at each corner of the individual patterns.
Figure 3: Silver layer design
Figure 4: NOVA print settings for the silver layer
Printing the top gold layer
This layer consists of three hexagonal labyrinth patterns with traces that connect to the silver layer.
Similar to the silver layer, we included four sets of fiducials for better alignment and precise cutting of the substrate.
Figure 5: Gold layer design
Figure 6: NOVA print settings for the gold layer
Figure 7: Finished print of the electrodes
Post-processing of the electrodes
After the electrodes were printed, we punched a hole in the middle of the silver circle on each electrode for the metal snaps. Next, we folded the electrodes in the middle and inserted the metal snaps into the punched holes.
Figure 8: One of the printed electrodes with a hole for a metal snap
We cut three PET sheets proportional to the labyrinth pattern with the intention of inserting them between the layers of TPU. This added strength to the electrodes, preventing excessive stretching that could cause the gold ink to lose conductivity. We laminated them together using a T-shirt press machine. The electrodes were now ready to be connected to the heart rate monitor via the sensor cable.
Figure 9: Laminating the two sides of the TPU together
Printing the control unit
To mount the Arduino Micro controller and the SparkFun Heart Rate Monitor, we needed to drill a few holes on an FR1 board using V-One. After drilling, we used V-One to print silver traces that electrically connected the two components together.
Figure 10: FR1 mounting board design
Figure 11: FR1 mounting board
We then inserted rivets, mounted the components in place, and connected the wires from the heart rate monitor to the electrodes.
Figure 12: FR1 board with components
Printing the enclosure
To protect the control unit from impact, we designed and 3D printed an enclosure that consists of a top and a bottom cover.
Figure 13: Top cover of the enclosure Figure 14: Bottom cover of the enclosure
After placing the control unit inside, we bolted the top and bottom covers together.
Figure 15: Components and the enclosure
Challenges and advice
Minimizing material waste
One of the primary challenges we encountered was managing the gold ink. Given its high cost, we aimed to avoid waste. To mitigate this risk, we initially experimented with alternative inks to validate the electrode design. We tested silver ink first to ensure successful prints before proceeding with the gold ink. We also included overlapping fiducial marks for the two layers in our design to ensure precise alignment.
Optimizing ink flow
The gold particles settled at the bottom due to being left unused for extended periods, which initially resulted in the nozzle clogging. We resolved this issue by mixing the gold ink using a dual asymmetric centrifugal mixer before printing.
Conclusion
While working with gold ink presented new challenges, using NOVA allowed us to precisely control the amount of ink dispensed, a benefit particularly relevant for applications using expensive materials.
As we continue to explore the possibilities of bioelectronics, we invite you to view the other application projects we’ve completed. In the meantime, if you’d like to discuss your designs or our NOVA materials dispensing system, please book a meeting with our applications team or contact us at sales@voltera.io.
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