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 ISSN:0971-1260
THINK INDIA JOURNAL Vol-22-Issue-41-December-2019

IoT Enabled Smart Pulse Oxidation and Heart Rate

System for the Remote Monitoring
Shikha Mishra, Dr. Shanti Rathore
Research Scholar1 and Associate Professor2, Department of Electronics and Communication Engineering,
Dr. C. V. Raman University

Abstract— As we know 2020 is the one of the worst year in this 21st century. Before 2020 there is
normal life every human being is happy with their daily life, all types are businesses are running well,
but after 2019 one deadly virus enter in to this word which is well known as COVID-19. As per
COVID-19 systems WHO says your oxidation level & body temperature is the best way to identify the
COVID-19 possibility. So in present era SPO2 is most of the common device which is using by the
many of humans, but those devices are only show the result they are not able to send the data to
medical doctors who can easily understand the data values. In this area many researches are created
lots of SPO2 devices but the major problem with those devices are cost, no remote connectivity & size.
In this paper we proposed a novel model for the SPO2 which is very low in cost and able to show data
on the web & mobile. Similar it is able to send data to the cloud server so doctor can easily check
those data. Here we use ESP01 as a WIFI & MCU for the sensor we use MAX30100. This system is
working on 180mah Small battery which is able to give long battery life.
Key Words: COVID-19, SPO2, Hear Rate IoT, Wi-Fi, BLE.

INTRODUCTION
The COVID-19 pandemic in India is important for the overall pandemic of Covid sickness 2019
(COVID-19) brought about by extreme intense respiratory disorder Covid 2 (SARS-CoV-2). The first
instance of COVID-19 in Quite a while, which began from China, was accounted for on 30 January
2020. India at present has the biggest number of affirmed cases in Asia,[7] and has the second-most
elevated number of affirmed cases on the planet after the United States,[8][9] with in excess of 9 million
detailed instances of COVID-19 contamination and in excess of 100 thousand passings. By mid of 2020,
India had drawn nearer in situation of leading most noteworthy number of day by day tests on the planet
which thusly meant a high number of positive cases.[10][11]The every day cases crested mid-September
in India with more than 90,000 cases announced every day and have since come down to under 40,000
in December. On 22 March, India noticed a 14-hour intentional public time limitation at the demand of
Prime Minister Narendra Modi. It was trailed by obligatory lockdowns in COVID-19 hotspots and every
single significant city. Further, on 24 March, the PM requested a cross country lockdown for 21 days,
influencing the whole 1.3 billion populace of India. On 14 April, India broadened the cross country
lockdown till 3 May which was trailed by fourteen day augmentations beginning 3 and 17 May with
generous relaxations. From 1 June, the public authority began "opening" the nation (excepting "control
zones") in three open stages. The pandemic has left a serious effect on Indian economy, prompting a
negative development rate without precedent for many years. By the by, the economy began to bounce
back after the lockdown was facilitated. Expanded prerequisite for utilization had driven the public
authority and private firms to repurpose their plants and creation lines for assembling of more medical
clinic beds, PPE and ventilators. India arose as the world's second biggest maker of PPE during the
pandemic. The Union Government additionally dispatched a significant independence mission to
substitute imported items with locally created partners, particularly to supplant products imported from
China. Individuals' expectations for everyday comforts has kept on improving over time, particularly on
the necessities for clinical and wellbeing angles. As blood oxygen immersion is a significant
physiological boundary, it is important to get a continuous observing. As of late, with the broad use of
Internet of Things innovation and progressed signal handling strategies, the wearable non-obtrusive

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blood oxygen checking has become conceivable [1], [2], [3]. Clients can quantify their blood oxygen
immersion, beat rate and different boundaries at home and acquire data about the difference in their
breath and blood vessel oxygen immersion. These days, the non-obtrusive blood oxygen estimation has
become the principle strategy for oxygen immersion estimation, as the obtrusive blood oxygen
estimation can't to screen the patient ceaselessly and may make hurt the human body. The non-intrusive
blood oxygen immersion estimation was right off the bat utilized in the nineteenth century. In 1973,
Aoyagi distributed a Japanese patent of deciding the oxygen immersion utilizing the light retention bend.
In 1974 the world's first non-obtrusive heartbeat oximeter was developed. Following quite a few years of
improvement, the blood oxygen related items have decreased, more steady and that's only the tip of the
iceberg helpful. Today, specialists and researchers everywhere on the world have done a great deal of
investigation into the wearable blood oxygen beat rate checking innovation and accomplished incredible
advancement. Guo [4] has actualized a wearable blood oxygen beat rate checking framework which can
break down information and show the outcomes on a cell phone. To construct a wearable blood oxygen
checking framework, Xue [5] has planned an ear cut sort Oximeter fueled by sun powered energy, of
which the battery life is longer than a large portion of the other finger-type oximeters on the lookout. Li
[6] has planned the ring-type oximeter by joining the upsides of the customary oximeter and game arm
band. Chen[7] has planned the neonatal blood oxygen immersion screen which depends on the
intelligent estimation strategy. Watthanawisuth [8] has planned a blood oxygen checking framework
dependent on ZigBee remote sensor organizations. Nuria and different scientists [9] have built up a
blood oxygen checking framework based on Bluetooth, which can distinguish rest apnea from the blood
oxygen signals. In [10], the creators have built up a remote microcontroller-based heartbeat oximeter for
estimating the oxygen conveyed to the patient through the oxygen flowmeter. Shenzhen Jumper Medical
Equipment Co. Ltd was established in 1998, and began as a producer of obstetrics what's more,
gynecology hardware. On account of its incredible exertion in Research and development and clinical
preliminaries in the course of recent years, Jumper has made a few specialized advancement in its field.
Presently, its principle items comprises of fetal Doppler, beat oximeter, infrared thermometer, fetal
screen, understanding screen, focal observing framework and homecare gadgets. In this paper, we have
created IoT-based wearable heartbeat oximeters. These gadgets can recognize clients' information, for
example, blood oxygen immersion (SpO2), beat rate (P R), and perfusion record (P I). They will at that
point be sent to an APP for savvy cell phones. At that point, the information could be transferred to a
worker to create a report. As needs be, clinical faculty will know patients' ailment. The exactness of the
gadget has been checked by the examination led on the test system , Necessary literature survey related
previous research on Remote monitoring Emergency Medical System are given in II detection based
previous work are given in section ii whereas section III describes research issue IV describes
methodology & IMPLEMENTATION FOR THE PROPOSED & PREVIOUS EXISTING APPROACHES. Experimental
results and its analysis are given in section V. Finally, section VI concludes the paper.
LITRECTURE REVIEW

A PPG sign can be gotten by utilizing a heartbeat oximeter which lights up the skin and gauges the
adjustments in light assimilation. It is essential to get an ancient rarity free signal for exact estimation
[12]. Reflection-type beat oximeter contains transmitter channel and the beneficiary channel, which gets
and measures the sign from the sensor [13]. By picking the two frequencies intently, one can limit the
frequency reliance variety in the estimation [14]. Multi-frequency approach needs a laser, which is over
the top expensive. Higher exactness can be accomplished by using the Dual-frequency technique than
the single frequency approach [15]. Determinations of light sources are basic for precise estimation of
oxygen immersion [16]. PPG (Photo-plethysmography) signal emerges because of the blood volume
beat from the power variety of the skin [17]. Force interest of the beat oximeter framework relies upon
the exchanging circuit and the force scattering of the oscillator/LED, which is being utilized to enlighten
both the LEDs (RED and IR) in the framework [18]. Oxygen immersion in the blood can be controlled
by estimating the sent light through the finger with known power, way length, and the annihilation

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coefficient of a substance (oxyhemoglobin) [19]. Patients are checked consistently utilizing wearable
reflectance beat oximeter to get oxygen immersion [20]. Shade of the skin has high impact in the SpO2
estimation [21]. Customary beat oximeter is so insensate to blood and they can be utilized securely in
human [22]. Heartbeat oximeter gauges the blood oxygen immersion (SpO2) utilizing Red and IR
photoelectric-Plethysmography (PPG) signal [23]. Brew Lambert law can be applied to the tissues to
appraise the measure of oxygen in blood [24]. An optical assimilation normal for blood yields the data
about hemoglobin (Hb) and the blood vessel blood oxygen immersion (SpO2) [25]. Chao[26], Here
maker present a structure is essentially made out of two segments: the data acquiring part and the data
transmission part. The noticing plan (checking boundaries and repeat for each boundary) is the vital
motivation behind the data making sure about part, and we organized it subject to gatherings to clinical
trained professionals. Various actual signs (circulatory strain, ECG, SpO2, beat, beat rate, blood fat and
blood glucose) similarly as a characteristic marker (patients' zone) are expected to be assessed at
different rates reliably. Four data transmission modes are presented confronting patients' test, clinical
examination needs, demands for correspondence and enrolling resources into thought. Finally, a model
is realized to present a graph of the system. Prabal[27], In this structure calculates the understudy
afflictions earnestness by predicting the possible infirmity with its level by momentarily mining the
prosperity assessments accumulated from clinical and other IoT devices. To effectively inspect the
understudy human administrations data, a compositional model for keen understudy therapeutic
administrations system has been organized. For our circumstance study, prosperity dataset of 182
assumed understudies are reenacted to make appropriate waterborne diseses cases. This data is also
inspected to endorse our model by using k-cross endorsement approach. Model based assurance plot is
applied using diverse portrayal counts and subsequently results are handled reliant on precision,
affectability, expressness and response time. Naser[28], Here maker present the consistent far off
checking of patients is a huge issue in telemedicine. In the course of action of social protection
organizations, calm prioritization speaks to a colossal test because of the incredible powerful technique
it incorporates when patients are considered 'immense data'. All things considered, no examination has
highlighted the association between 'enormous data' characteristics and consistent far off restorative
administrations checking in the patient prioritization measure, similarly as the natural troubles included.
In this manner, we present broad pieces of information into the parts of enormous data characteristics as
shown by the six 'Versus': volume, speed, grouping, veracity, worth and variability. All of these
segments is presented and connected with a connected part in the examination of the relationship
between calm prioritization and realtime far off therapeutic administrations checking systems.
Ananm[30], This paper bases on the improvement of a novel, quick and monetarily smart tele-noticing
designing reliant on an Arduino contraption hardware structure. The prime goal was to structure a model
that could fill in as a strong patient noticing system, with the objective that social protection specialists
can screen their patients consistently, who are either hospitalized in fundamental conditions or ill suited
to play out their standard step by step life works out. In this work we have presented an Arduino based
monetarily adroit Tele-checking structure that can give constant information about physiological
conditions of a patient. Karthik[31], Here maker look at about the extended use of Mobile Technologies
and Smart Devices in the zone of prosperity has caused unfathomable impact on the world. Prosperity
experts are logically abusing the favorable circumstances these headways bring, in this way delivering a
colossal improvement in human administrations in clinical settings and out of them. In like way,
interminable basic customers are being served from the advantages of the M-Health (Mobile Health)
applications and E-Health (social protection supported by ICT) to improve, help constantly their
prosperity. The purpose of this paper is to develop a designing reliant on a way of thinking prepared for
checking the prosperity and exercise routine proposals to patients with ceaseless ailments. Priyan[32],
Here maker proposed configuration involves two essential sub models, to be explicit, Meta Fog-
Redirection (MF-R) and Grouping and Choosing (GC) designing. MF-R designing uses enormous data
advancements, for instance, Apache Pig and Apache HBase for collection and limit of the sensor data
(gigantic data) created from different sensor devices. The proposed GC designing is used for securing
compromise of murkiness preparing with circulated registering. This plan in like manner uses key

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Vol-22-Issue-41-December-2019

organization and data arrangement work (Sensitive, Critical and Normal) for giving security
organizations.
RESEARCH ISSUE & FUTURE SCOPE
In this section basically we talk about research gap which need to be solved, as we know COVID-19
change a lot of things but still on SPO2 & Heart Rate parameter calculation side there is lack in
improvement. In this field many research works on this but there is lots of research gap which needs to
be solved, those research gap are followings:
• No Connectivity with Doctor
• No Remote Connectivity
• Big in form factor
• *Implementation cost is very high
• Accuracy Issue
• No any cross verification for the result through doctor
• No any cloud storage facility
• No any old data recording system
As per the previous research there is lots of research gap which need to be solved in near future.

There is need of more improved system which we are try to present here, here we try to cover the
followings:

1. Low Cost System

2. Cloud Storage facility
3. Doctor can see the parameters
4. Small in Size
5. Easy to carry
6. Global monitoring from any where the world
7. Reduction in Hardware complexity
8. Fast data transfer rate
9. We will use web platform
10. Our system will not face the connectivity issue.
11. Emergency alert message send to doctor
12. We will use WiFi Connectivity so power consumption will be less and it can work on the 4G
technology

So this is the future scope of the our proposed SPO2 device which will give a new direction to the
researchers.

METHADOLOGY
In this section we talk about the basic Remote monitoring Emergency Medical System, what kind of
basic algorithm was used and what are the advance research is there. Here we did the complete
comparative study and implementation of those approaches.

4.1 Yuyang [45]:

As per this paper author proposed an approach for SPO2 System these are followings steps author
follows:
1. MCU
2. Light Emitting Diode
3. Led Light Emitting Diode

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Vol-22-Issue-41-December-2019

4. Infrared Light Emitting Diode

5. The BLE is controlled by the MCU and communicates with the external BLE device.
6. The display uses 0.96 inch OLED.
7. The buttons are used for user input, and the power supply.

8.

Fig. 4.1 Block Diagram

4.2 Kadaria [46]:
In this paper, author proposed an IoT-based SPO2 system which is follows the followings process to get
data:
1. Ardunio Borad
2. MAX30101
3. Raspberry Pi
4. Wifi
5. BLE
6. Cloud Through Mobile App

Fig. 4.2 Prototype System

4.3 Ashisha [47]: In this paper, author proposed an IoT-based SPO2 system which is follows the
followings process to get data:
1. Self-design SPO2 Sensor
2. Arduino
3. BLE Transmitter

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Vol-22-Issue-41-December-2019

4, BLE Receiver
5. Display

Fig. 4.3 IoT Architecture

4.4 Proposed:
As per our proposed system here we develop a device which is able to get SPO2 & Hearth Rate
data. Here we are using ESP01 as a MCU & Wi-FI this module is able to work as MCU & at the
same time it can work as a Wi-Fi module. Here we are using SPO2 sensor MAX30101, this sensor
is able to get data in quick time and more accuracy is there. Here our development cost is very
low. For battery point of view we are using 180mah battery which is able to give long life battery
backup. In terms of IoT point of view as we are using Wi-Fi so through internet connectivity we
are able to send data on cloud server and here we are using thinkspeak as a free clou server
platform which is powered by Mathwork.

RESULT & ANALYSIS

In this section we introduce the relative investigation of all with past existing methodology. Here we did
the analysis of followings approaches:
1. Cost
2. Features
a. SPO2
b. Heart Rate
3. Size
4. Efficiency

Table 5.1 Error Analysis

Process Cost Size Feature Efficien

cy

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Vol-22-Issue-41-December-2019
THINK INDIA JOURNAL
Yuyun High Big SPO2,Heart Low
g Rate
Kadari Low Mediu SPO2 Heart Avg
aa m Rate
Ashish Very Big SPO2, Heart
a High Rate High
Propos Very Small SPO2, Heart Very
ed Low Rate & Alert High
As we can see in table 5.1 we did the
comparative analysis based on some of the parameters as per the comparison we found that proposed
approach is far better than in comparison of all others but still there is lots of improvement is require
which research can target in future.
CONCLUSION
These days, heart maladies cause in excess of 17 Million death in worldwide every year and are
currently the main source of demise in the nation. For the most part, patients with heart infections live at
home and request social insurance administration when they feel wiped out. Be that as it may, for the
most part they won't feel wiped out until the late phase of the ailment, and it is late to the point that the
harms have just turned irreversible. What's more, a large portion of the patients bite the dust before they
get any treatment. In this manner, the way to improve heart ailments medicinal services execution and
diminish the demise rate is transforming the uninvolved social insurance mode into an inescapable way.
In this paper we did the comparative analysis based on the different parameter and as per the analysis we
found there is lots of improvement is require in current existing system.

REFERENCES

1. M. Krehel, M. Wolf, L. F. Boesel, R. M. Rossi, G.-L. Bona, and L. J. Scherer, “Development of

a luminous textile for reflective pulse oximetry measurements,” Biomedical Optics Express, vol.
5, no. 8, pp. 2537–2547, 2014.
2. F. Coetzee and Z. Elghazzawi, “Noise-resistant pulse oximetry using a synthetic reference
signal,” IEEE Transactions on Biomedical Engineering, vol. 47, no. 8, pp. 1018–1026, 2000.
3. H. Subramanian, B. Ibey, W. Xu, M. Wilson, M. Ericson, and G. Cote, “Real-time separation of
perfusion and oxygenation signals for an implantable sensor using adaptive filtering,” IEEE
Transactions on Biomedical Engineering, vol. 52, no. 12, pp. 2016–2023, 2005.
4. W. Guo, “Research and implementation of of wearable system for physiological parameters
monitoring,” Ph.D. dissertation, Jilin University, 2004.
5. J. Xue, Y. Huang, X. Du, X. Wu, W. Zeng, Y. Xi, Y. Chen, Y. Zhao, and K. Wu, “Design of a
wearable device for spo2 monitoring using ble,” Chinese Journal of Biomedical Engineering,
vol. 34, no. 6, pp. 701–707, 2015.
6. Y. Li, “Design and research for wearable smart oximetry sport ring,” Master’s thesis, South
China University of Technology, 2015.
7. W. Chen, I. Ayoola, S. B. Oetomo, and L. Feijs, “Noninvasive blood oxygen saturation
monitoring for neonates using reflectance pulse oximeter,” in Proceedings of the 2010 Design,
Automation & Test in Europe Conference & Exhibition (DATE). IEEE, 2010, pp. 1530–1535.
8. C. A. Ericson, “Wireless wearable pulse oximeter for health monitoring using zigbee wireless
sensor network,” in Proceedings of the 2010 International Conference on Electrical
Engineering/Electronics Computer Telecommunications and Information Technology (ECTI-
CON). IEEE, 2010, pp. 575– 579.
9. N. Oliver and F. Flores-Mangas, “Healthgear: a real-time wearable system for monitoring and
analyzing physiological signals,” in Proceedings of the 2006 International Workshop on
Wearable and Implantable Body Sensor Networks (BSN 2006), 2006, pp. 61–64. 253
10. A. hsan Blbl and S. Kk, “Pulse oximeter manufacturing and wireless telemetry for ventilation
oxygen support,” International Journal of Applied Mathematics, Electronics and Computers, vol.
4, p. 211215, 2016.
11. http://janeshealthykitchen.com/24-ways-increase-blood-oxygenation/
12. Mohan, P.M., Nisha, A.A., Nagarajan, V., Jothi, E.S.J.: Measurement of arterial oxygen
saturation (SpO2) using PPG optical sensor. In: International Conference on Communication and
Signal Processing (ICCSP), pp. 1136–1140. IEEE (2016)

P a g e | 210 Copyright ⓒ 2019Authors

 THINK INDIA JOURNAL ISSN:0971-1260
Vol-22-Issue-41-December-2019

13. Jarosz, A., Kolacinski, C., Wasowski, J., Szymanski, A., Kurjata-Pfitzner, E., Obrebski, D.,
Pleskacz, W.A.: Design and measurements of the specialized VLSI circuit for blood oxygen
saturation monitoring. In: 14th International Conference the Experience of Designing and
Application of CAD Systems in Microelectronics (CADSM), pp. 448–451. IEEE (2017)
14. Gao, F., Peng, Q., Feng, X., Gao, B., Zheng, Y.: Single-wavelength blood oxygen saturation
sensing with combined optical absorption and scattering. IEEE Sens. J. 16(7), 1943–1948 (2016)
15. Peng, Q., Gao, F., Feng, X., Zheng, Y.: Continuous Blood Oxygen Saturation Detection with
Single-Wavelength Photoacoustics (2015)
16. Shao, D., Liu, C., Tsow, F., Yang, Y., Du, Z., Iriya, R., Tao, N.: Noncontact monitoring of blood
oxygen saturation using camera and dual-wavelength imaging system. IEEE Trans. Biomed.
Eng. 63(6) (2016)
17. Feng, L., Po, L.M., Xu, X.L.Y., Ma, R.: Motion-resistant remote imaging photo
plethysmography based on the optical properties of skin. IEEE Trans. Circuits Syst. Video
Technol. 25(5), 879–891 (2015)
18. Maziar, T., Turicchia, L., Sarpeshkar, R.: An ultra-low-power pulse oximeter implemented with
an energy-efficient Trans impedance amplifier. IEEE Trans. Biomed. Circuits Syst. 4(1), 27–38
(2010)
19. Ogunduyile, O.O., Oludayo, O.O., Lall, M.: Development of wearable systems for ubiquitous
healthcare service provisioning. APCBEE Procedia 7, 163–168 (2013)
20. Fu, Yu., Jian, Liu: System design for wearable blood oxygen saturation and pulse measurement
device. Procedia Manuf. 3, 1187–1194 (2015)
21. Mishra, D., Priyadarshini, N., Chakraborty, S., Sarkar, M.: Blood oxygen saturation
measurement using polarization-dependent optical sectioning. IEEE Sens. J. 17(12), 3900–3908
(2017)
22. Zijlstra WG, A Buursma., WP Meeuwsen-Van der Roest (1991) Absorption spectra of human
fetal and adult oxyhemoglobin, de-oxyhemoglobin, carboxyhemoglobin, and methemoglobin.
Clinical chemistry 37.9: 1633–1638
23. Reddy, K.A., George, B., Mohan, N.M., Kumar, V.J.: A novel method for the measurement of
oxygen saturation in arterial blood. In: Instrumentation and Measurement Technology
Conference (I2MTC), pp. 1–5. IEEE (2011)
24. Martinez, L.: A non-invasive spectral reflectance method for mapping blood oxygen saturation in
wounds. In: Proceedings of 31st Applied Imagery Pattern Recognition Workshop. IEEE (2002)
25. Kraitl, J., Klinger, D., Fricke, D., Timm, U., Ewald, H.: Non-invasive measurement of blood
components. In: Advancement in Sensing Technology, pp. 237–262. Springer, Berlin,
Heidelberg (2013)
26. Verma, Prabal, Sandeep K. Sood, and Sheetal Kalra. "Cloud-centric IoT based student healthcare
monitoring framework." Journal of Ambient Intelligence and Humanized Computing9.5 (2018):
1293-1309.
27. Kalid, Naser, et al. "Based Real Time Remote Health Monitoring Systems: A Review on Patients
Prioritization and Related" Big Data" Using Body Sensors information and Communication
Technology." Journal of medical systems 42.2 (2018): 30.
28. Anzanpour, Arman, et al. "Internet of things enabled in-home health monitoring system using
early warning score." Proceedings of the 5th EAI International Conference on Wireless Mobile
Communication and Healthcare. ICST (Institute for Computer Sciences, Social-Informatics and
Telecommunications Engineering), 2015.
29. Bhatti, Anam, et al. "Development of cost-effective tele-monitoring system for remote area
patients." Engineering and Emerging Technologies (ICEET), 2018 International Conference on.
IEEE, 2018.
30. Karthik, B. N., et al. "Survey on IOT & Arduino Based Patient Health Monitoring System."
(2018).
31. Manogaran, Gunasekaran, et al. "A new architecture of Internet of Things and big data ecosystem
for secured smart healthcare monitoring and alerting system." Future Generation Computer
Systems 82 (2018): 375-387.
32. Janakiram, C., Rudrappa, R.B., Taha, F., Ramanarayanan, V., Akalgud, H.G., and Kadanakuppe,
S. Equity in oral healthcare in India: A review on health system analysis. Econ. Polit. Wkly.
52(9): 82–89, 2017.
33. S. Udayan, Lekha Viswanath, and Linda Varghese, “Awareness regarding Antenatal
Investigations among Antenatal Mothers attending Selected Tertiary Hospital, Kochi, Kerala.”,
Journal of South Asian Federation of Obstetrics & Gynecology, 6(3):129– 132, 2014.
34. James, P.T., Kunoor, A., and Rakesh, P.S., Awareness of health care workers, patients and visitors
regarding air borne infection control - a descriptive study from a Tertiary Care Centre in Kerala,
southern India. Indian J. Tuberc. 2017. https://doi.org/10.1016/j.ijtb.2017. 08.028.
35. Otto, C., Milenković, A., Sanders, C., and Jovanov, E., System architecture of a wireless body
area sensor network for ubiquitous health monitoring. J. Mob. Multimed. 1(4):307–326, 2005.
36. Megalingam, R.K., Pocklassery, G., Thulasi, A.A., Jayakrishnan, V., Mourya, G., and Nair, M.S.,
Integrated embedded system for pre-natal health care. Procedia Computer Science 57:313–322,
2015.
37. Lan, M., Samy, L., Alshurafa, N., Suh, M.-K., Ghasemzadeh, H., Macabasco-O’Connell, A., and
Sarrafzadeh, M., Wanda: An endto- end remote health monitoring and analytics system for heart
failure patients. In: Proc. of the Conf. on Wireless Health, ser. WH ‘12. New York, NY, USA:
ACM, pp. 9:1–9:8, 2012.

P a g e | 211 Copyright ⓒ 2019Authors

 ISSN:0971-1260
THINK INDIA JOURNAL Vol-22-Issue-41-December-2019

38. Bui, N., and Zorzi, M., BHealth care applications: A solution based on the internet of things. In:
Proc. of the 4th Int. Symposium on Applied Sciences in Biomed. and Com. Tech., ser. ISABEL
‘11. New York, NY, USA: ACM, pp. 131:1–131:5, 2011.
39. Hii, P.C., Lee, S.C., Kwon, T.H., and Chung, W.Y., Smart Phone Based Patient-Centred Remote
Healthcare Monitoring Application in WSN. Sens. Lett. 9:791–796, 2011.
40. Hu, F., Xie, D., and Shen, S., On the application of the internet of things in the field of medical
and health care. In: IEEE Int. Conf. on and IEEE Cyber, Physical and Social Computing Green
Computing and Communications (GreenCom),(iThings/CPSCom), pp. 2053– 2058, Aug 2013.
41. Megalingam, R.K., Unnikrishnan, U., Subash, A., Pocklassery, G., Thulasi, A. A., Mourya,G.,
and Jayakrishnan,V.,Wearablemedical devices in preventive health care: Cuffless blood pressure
measurement. Adv. Intell. Syst. Comput. 308:745–752, 2015.
42. Jersak, L. C., da Costa, A. C., Callegari, D. A., A Systematic Review on Mobile Health Care.
Tech. Report 073, Faculdade de Informática PUCRS – Brazil, May 2013.
43. Mao, Y., Chen, Y., Hackmann, G., Chen, M., Lu, C., Kollef, M., and Bailey, T., Medical data
mining for early deterioration warning in general hospital wards. In: IEEE 11th Int. Conf. on Data
Mining Workshops (ICDMW), pp. 1042–1049, Dec 2011.
44. Benharref, A., and Serhani, M., Novel cloud and SOA-based framework for E-Health monitoring
using wireless biosensors. IEEE J. Biomed. Health Inf. 18(1):46–55, 2014.

P a g e | 212 Copyright ⓒ 2019Authors

 Journal of University of Shanghai for Science and Technology ISSN: 1007-6735

IoT Enabled Smart ECG System for the Remote

Monitoring
Shikha Singh, Dr. Shanti Rathore
Research Scholar, Associate Professor
Department of Electronics & Communication
Dr. C. V. Raman University
Kargi Road, Kota, Bilaspur, (C.G.)

Abstract—As there is a quick development in Key Words: COVID-19, ECG, Hear Rate IoT,
human populace and clinical use and Wi-Fi, BLE.
furthermore the medical services has gotten
quite possibly the most critical issue for the two I. INTRODUCTION
people just as the public authority. Then, as per
a report from World Health Association (WHO), IoT or Internet of Things depends on an overall
the issue of exceptionally expanding populace is idea of having the option to control and dissect
getting more genuine. Strength of matured any non-living article from anyplace. The
individuals should be checked all the more often,
which represents a more noteworthy challenge to organization gadgets are utilized to associate any
existing clinical framework. Henceforth, to actual article through sensors and get information
distinguish human illnesses as expected and from the genuine world articles around us, and
precise way with minimal effort has been given
afterward utilize this information with assistance
an expanding consideration. Because of the
strength in conclusion of heart related of the Internet for preparing and using it for a
infections, electrocardiogram (ECG) observing superior future RS Dilmaghani et.al., (2011). The
has been broadly utilized in the two emergency
clinical business, which is however now
clinics and clinical examination. An
electrocardiogram gadget screens the extremely progressed yet, can't give assistance to
cardiovascular status of a patient by recording everybody. This is absolutely down to two
the heart's electrical potential versus time. Such
reasons, one of which is that not every person can
gadgets assume a vital part to save the existence
of patients who endure a respiratory failure or manage the cost of costly clinical treatment. The
experience the ill effects of these patients. An other explanation is such cutting-edge clinical
early identification of conditions that lead to the guide isn't accessible all over the place. One such
beginning of heart failure permits specialists to
give legitimate treatment on time and keeps clinical issue which is normal and requires
passing or incapacity from heart failure. Most standard checking is pulse. Pulse implies the
non-industrial nations have very helpless data number of heart thumps every moment (BPM). A
about these medical services issues. Here we
pulse screen will quantify the electrical action of
proposed a approach which is able to check the
ECG level with low cost and power consumption. the heart. This electrical movement can be

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outlined as an ECG or Electrocardiogram MK profoundly wanted for patients at high danger.

Delano et.al., (2013)ES Winokur et.al., (2013). There are convenient ECG gadgets available.
Fig.1 shows the proposed framework for distant Nonetheless, they are costly, enormous in size,
ECG observing framework utilizing light weight and of restricted battery life ES Winokur et.al.,(
MQTT convention for sending AD8232 sensor 2013). To screen a patient 24 hours every day
information continuously. f a patient by recording furthermore, 7 days every week, a wearable ECG
the heart's electrical likely versus time. Such gadget is exceptionally attractive. An ideal
gadgets assume a vital part to save the life of wearable ECG gadget ought to have highlights,
patients who endure a coronary episode or for example, light weight, little size, long battery
experience the ill effects of these patients. An life, what's more, solid notwithstanding standard
early discovery of conditions that lead to the information securing capacity. Much exertion has
beginning of heart failure permits specialists to been put resources into the advancement of
give legitimate treatment on schedule and keeps versatile ECG gadgets. The accentuation is on the
demise or inability from heart failure. Most non- little size and long chronicle hours. The gadget
industrial nations have extremely poor data about requires a few links associated with a patient of
these medical care issues. There are not many which influences the existence nature of a
clinics just so it couldn't adapt up to the tolerant. With the development of remote
development of populace. Those couple of correspondence and coordinated circuits, it is
emergency clinics are insufficiently prepared. The conceivable to assemble a wearable ECG gadget
fundamental analytic gears for the findings of life- that can be installed into garments MK Delano
threatening sicknesses are missing in the vast et.al., (2013),ES Winokur et.al., (2013).
majority of the emergency clinics. Presently, indecencies and advancements, for example, pulse
assembling new medical clinics, furnishing them screens, shrewd watches, following devices
with hello there tech instruments and selecting (including PillCam) and keen glasses (google
specialists in these emergency clinics are quite glass), and so forth are encountering a time of fast
costly and it's a since quite a while ago drawn development IJ Wang et.al., (2010). Wellness
strategy RS Dilmaghani et.al., (2011). In any gadgets are by a wide margin the most develop
case, if we could build up an ease convenient market, making up 97% of the extended an
wellbeing detecting gadget, containing wearable incentive in 2013. Despite the fact that this will
sensors, equipped for estimating the indispensable fall significantly as savvy and keen glasses
credits of a human body, and can speak with the classifications create and items with wearable
cloud, we could arrive at a huge populace and sensors that follow and investigate physical or
give them quality clinical counsel MK Delano different developments furthermore, action Y
et.al., (2013), A wearable ECG gadget is Lian et.al.,( 2005). A proficient VLSI design of a

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lossless ECG encoding circuit is utilized for Lower power utilization contributes not
remote medical services checking applications SL exclusively to delayed lifetime yet in addition to
Chen et.al., (2013). It comprises of a novel framework scaling down, in light of the fact that
versatile severing indicator and a novel two-stage the size of a battery involves more than half of
entropy encoder dependent on two Huffman framework volume. It is notable that the most
coding tables. An exceptionally incorporated power-hungry part in a remote checking
VLSI usage of a blended bio-signal lossless framework is the remote handset. Thusly, we need
information blower fit for dealing with to painstakingly configuration low force handset
multichannel electroencephalogram (EEG), that devours less force. To examine the exhibition
electrocardiogram (ECG) and diffuse optical of the different methods of ECG lossless pressure
tomography (DOT) bio-signal information is calculation for low force utilization, the MIT-BIH
planned E Chua et.al., (2011). A new ECG signal Arrhythmia data set was utilized as test designs.
preparing approach is utilized for ultra-low power Healy and Logan J Healey et.al., (2005) clarified
remote ECG recording gadgets. Huge energy in his work as wearable health checking utilizing
saving is feasible with the appropriation of level- ECG and accelerometer information paper, the
intersection examining, which adjusts its testing equipment permits information to be sent
recurrence as per signal exercises Y Hong et.al., remotely from on-body sensors to a handheld
(2011). Framework level design of novel ultralow gadget utilizing Bluetooth. Information is then
power remote body sensor hubs (WBSNs) for communicated to a backend worker for
real-time heart observing and examination is investigation utilizing either a remote web
talked about R Braojos et.al., (2014). A constant association, if accessible, or a wireless help.
lossless pressure method for ECG signals, which Jubadi et al. WM Jubadi et.al., (2009) proposed
benefits wearable clinical gadgets with tough low pulse checking alert by means of SMS. In this, a
power necessities, is introduced K Li et . al., ready framework is utilized to screen the heart
(2014).II detection based previous work are given beat pace of patient. This pulse estimation
in section ii whereas section III describes depends on the rule of photoplethysmography
methodology& IMPLEMENTATION FOR THE (PPG) method. At that point this PPG signal was
PROPOSED &PREVIOUS EXISTING APPROACHES. prepared by Amit S. Ridge, Prof. Shilpa S.
Experimental results and its analysis are given in Sonawani, Prof. Shridevi C. Karande utilizing a
section IV. Finally, section Concludes the paper. PIC16F87 microcontroller to check the heartbeat
rate per minute. An alarm was given to clinical
II. LITRECTURE REVIEW
specialists or family individuals through SMS.
With the assistance of this framework, specialists
Low force utilization is an exceptionally
could screen and analyze patient's condition
significant boundary to meet the plan objective.

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consistently and could recommend them CloudMQTT specialist utilizing MQTT

precautionary measures assuming any. PS mosquittocustomer utilizing IEEE 802.11
Purnima et.al., (2014) proposed wellbeing (WLAN) in-buit in Raspberry Pi 3. MQTT buy in
checking frameworks in light of GSM and Zigbee is utilized to imagine the ECG
innovation. In this ECG, temperature and
heartbeat signals are persistently sent and
observed through ZigBee. A ZigBee hub was
associated to each patient observing framework.
The information are sent to the specialists PC
through Zigbee just as GSM innovation is used to
send information to specialist's portable. CC Chiu
et.al., (2005) done productive arrhythmia
discovery calculation utilizing relationship Fig. 3.1 Block Diagram
coefficient in ECG signal for QRS complex are
3.2Kulkarni1[46]:
recognized, the connection coefficient and RR arrangement of the framework was utilized to
span were used to compute the closeness of assess key parts of the framework engineering,
arrhythmia. specifically, the likelihood to screen the ECG sign
III. METHADOLOGY of single patients in a huge territory and for quite
a while the likelihood to get to ECG information
In this section we talk about the basic Remote
through the web interface. The test organization
monitoring Emergency Medical System, what
comprised of ECG sensor AD8232, wi-fi module
kind of basic algorithm was used and what are the
and IoT worker. The IoT worker was introduced
advance research is there. Here we did the
on a Linux/windows machine. The Wi-Fi has been
complete comparative study and implementation
arranged to interface with the worker, through an
of those approaches.
ADSL switch

3.1 Ayaskanta[45]:
ECG observing dependent on light weight MQTT
keeping Internet-of-Things (IoT) as a primary
concern. ECG information is assembled utilizing
an ECG checking sensor (AD8232) by Texas
Instruments and are sent through ADS1115 16-
digit ADC interfaced with Raspberry Pi utilizing
I2C convention. The advanced ECG sensor
information got from ADC is distributed to a

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associated with cloud utilizing ESP8266 Wireless

LAN module.

-
Fig. 3.2 Prototype System

3.3Vaishnavi[47]:Medical care of public resident

has been paid an expanding consideration giving
the dramatic development to human populace and
clinical costs. As an essential way to deal with
finding of heart illnesses, ECG checking is widely
examined also, applied. A ceaseless checking of
information with the assistance of IoT will be a
superior stage for medical care industry, which
will empower specialists effectively with viable
strategy for conclusion. A continuous checking of
patient wellbeing utilizing Internet of Thing (IoT)
is going to be one of the huge things in future. An
IoT based medical care framework can be utilized
Fig. 3.3 IoT Architecture
to the patient for consistent perception utilizing a
3.4 Proposed:
wearable checking hub which will gather ECG
As per our proposed system here we develop a
signal send it for handling and afterward
device which is able to get ECG data. Here we are
communicate straightforwardly to the web
using ESP32 as a MCU &Wi-FI this module is
utilizing WiFi module. Here we will examine
able to work as MCU & at the same time it can
about ECG checking with IoT and its technique.
work as a Wi-Fi module. Here we are using
This paper has proposed and executed an
AD8232 sensor, this sensor is able to get data in
application on Biomedical Technology utilizing
quick time and more accuracy is there. Here our
IoT framework dependent on pulse sensor
development cost is very low. For battery point of
AD8232 interfaced to Arduino Uno and

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view we are using 180mah battery which is able Process Cost Size Efficiency Power
to give long life battery backup. In terms of IoT
point of view as we are using Wi-Fi so through Ayaskanta High Big Average High

internet connectivity, we are able to send data on Kulkarni1 High Big Medium High

cloud server and here we are using think speak as Vaishnavi Avg Med Low Avg

a free clou server platform which is powered by ium

MathWorks. Proposed Very Sma High Low

Low ll

As we can see in table 4.1 we did the comparative

analysis based on some of the parameters as per
the comparison we found that proposed approach
is far better than in comparison of all others but
still there is lots of improvement is require which
research can target in future.

Fig. 3.4 Proposed

ECG System

IV. RESULT & ANALYSIS

In this section we introduce the relative

investigation of all with past existing
methodology. Here we did the analysis of
followings approaches:

1. Cost
2. Size
3. Efficiency
4. Power

Table 4.1 Comparative Analysis

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organization when they feel cleared out.

Nevertheless, generally they won't feel cleared out
until the late period of the infirmity, and it is late
to the point that the damages have quite recently
turned irreversible. In this paper we proposed an
efficient system which is able to check ECG and
send data to the webserver. Our proposed
approach is do the proper justice with Cost, Size,
power & Efficiency parameters.

V. BIBLIOGRAPHY
 A.S. Kulkarni et.al. (2019). IoT based Low Power
Wearable ECG Monitoring System . Current
Signal Transduction Therapy , 68-74.
 Beach Christopher et.al. (2018). proposed an
ultraLow Power Personalizable Wrist Worn ECG
Monitor Integrated with IoT Infrastructure. IEEE
special section on wearable and implantable device
and system.
 CC Chiu et.al. (2005). Using correlation coefficient
Fig. 4.1 Proposed ECG Real Time Analysis on in ECG waveform for arrhythmia detection.
Biomed Eng Appl Basis Commun, 147-52.
Thingspeak  E Chua et.al. (2011). Mixed bio-signal lossless data
compressor for portable brain-heart monitoring
IV. CONCLUSION systems. IEEE Trans Consume Electron, 267-73.
 E Nemati et.al. (2012). A wireless wearable ECG
sensor for long-term applications. IEEE Commun
The medical services framework dependent on Mag.
IoT will assist us with forestalling infections. As  ES Winokur et.al. (2013). A wearable cardiac
monitor for long-term data acquisition and
the framework sends the information to web the analysis. IEEE Trans Biomed Eng , 189-92.
 IJ Wang et.al. (2010). A wearable mobile
specialists can get to it from any piece of the electrocardiogram measurement device with novel
dry polymer-based electrodes. Proc IEEE Region
world and there is no compelling reason to visit 10 Conf Fukuoka, Japan, 379-83.
 J Healey et.al. (2005, July). Wearable wellness
the specialists if the patient ECG waveform lies monitoring using ECG and accelerometer data. 9th
under typical condition. These will save patients IEEE International Symposium on Wearable
Computers. Osaka, Japan. Washington: IEEE
time just as cash. As a huge development of Computer Society.
 K Li et . al. (2014). Real-time lossless ECG
innovation this framework will demonstrate a compression for low power wearable medical
devices based on adaptive region prediction. IEEE
superior medical care facility. These days, heart Electr Lett, 1904-6.
 K Li et.al. (n.d.). Real-time lossless ECG
diseases cause more than 17 Million passing in compression for low power wearable medical
worldwide consistently and are right now the devices based on adaptive region prediction . IEEE
Electr Lett , 1904-6.
principle wellspring of end in the country.  Koshti Megha et.al. (2016). IoT Based Health
Monitoring System by using Raspberry Pi and
Generally, patients with heart diseases live at ECG Signal . IJIRSET.
 M Altini et.al. (2011). An ECG patch combining a
home and solicitation social protection customized ultra-lowpower ECG SoC with

Volume 23, Issue 6, June - 2021 Page -1242

 Journal of University of Shanghai for Science and Technology ISSN: 1007-6735

Bluetooth low energy for long term ambulatory  Y Lian et.al. (2005). A low power linear phase
monitoring. In Proceedings of the 2nd Conference digital FIR filter for wearable ECG devices. 27th
on Wireless Health, (p. 15). Annual Conference on Engineering in Medicine
 M Hassanalieragh et.al. (2015). Health monitoring and Biology, Shanghai., (pp. 1-4). China.
and management using Internet of Things (IoT)  Z Yang et.al. (2016). An IoT cloud Based
sensing with cloud based processing. IEEE Wearable ECG Monitoring System for Smart
International Conference on Service Computing Healthcare. Journal of Medical System , 286.
(pp. 285-292). Opportunities and challenges.
 Mishra et. al. (2018). Remote web based ECG
Monitoring using MQTT Protocol for IoT in
Healthcare. Development 5.04.
 MK Delano et.al. (2013). A long-term wearable
electrocardiogram measurement system. Proc
IEEE Int Conf Body Sensor Netw 2013, 1-6.
 NJ Kim et.al. (2007). A study on power
consumption and transmission rate in ECG signal
processing in mobile environment. Proc IFMBE,
4107-10.
 Pisal et.al. (n.d.). An IoT Cloud Based ECG
Monitoring System.
 PS Purnima et.al. (2014). Zigbee and GSM based
patient health monitoring system. Interntional
Conference on Electronics and Communication
System (IECS).
 R Braojos et.al. (2014). Ultra-low power design of
wearable cardiac monitoring systems. ACM.
 RS Dilmaghani et.al. (2011). Wireless sensor
networks for monitoring physiological signals of
multiple patients. IEEE Trans Biomed Circuits
Syst, 347-56.
 SC Lee et.al. (2014). A robust wearable u-
healthcare platform in wireless sensor network. J
Commun Netw. 465-74.
 singh Ranveer et.al. (2017). IoT based heart
monitoring system. International Journal of
Innovations and Advancement in Computer
Science, 453-455.
 SL Chen et.al. (2013). VLSI implementation of
low-power cost efficient lossless ECG encoder
design for wireless healthcare monitoring
application. IEEE Lett, 91-3.
 SY Lee et.al. (2015). Lowpower wireless ECG
acquisition and classification system for body
sensor networks. IEEE J Biomed Health Inform ,
236- 46.
 Wangl Xiao et.al. (2019). ECG Baseline wander
correction and denoising based on sparsity.
 Wireless Heart Rate Monitor Reference Design . (
2016, February 17). Retrieved from Texas
Instrument. : http://www.ti.com/lit/ug/tidu195a/
tidu195a.
 WM Jubadi et.al. (2009, October ). Heartbeat
monitoring alert via SMS. IEEE Symposium on
Industrial Electronics and Applications. Kuala
Lumpur, Malaysia: (ISIEA 2009).
 Y Hong et.al. (2011). A new ECG signal
processing scheme for low-power wearable ECG
devices. Asia Pacific Conference on Postgrte
Research in Microelectronics and Electronics.
Macau, China. Singapore: ScholarBank@NUS
Repository.

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ISSN : 0025-0422

A Comparative Paper on Remote monitoring Emergency Medical System

Shikha Singh Research Scholar Department of Electronics & Communication Engineering
Dr. C. V. Raman University, Bilaspur, (C.G.)

Dr. Shanti Rathore Associate Professor Department of Electronics and Communication

Engineering Dr. C. V. Raman University,Bilaspur, (C.G.)

ABSTRACT— We are living in the era of innovative medical science there is lots of improvement
did medical science, but still there are some issues are there where we are not able to resolve those
problems. We have fast ambulance service with high tech based hospitals but still there we are lack in
remote monitoring systems where patients can monitor remotely from the doctors. Individuals now a
days are paying attention to wellbeing which help in anticipation as well as location of medical problem
at introductory stage. Likewise, cutting edge advanced cells and clever devices like savvy and such have
incredible effect on our lives. Different sorts of Sensors like for ECG Monitoring, estimating systolic
weight and diastolic weight and heartbeat rate estimating sensors are being utilized in the devices, but all
these system are lack in remote monitoring. Internet of Things gives stage to improvement of numerous
wise devices &applications. IoT infrastructure gives base of availability and innovation. IoT intelligent
gadgets can actualize the offices of checking wellbeing remotely and advising any medical problems in
crisis. In this paper we did the comparative analysis based on the existing remote monitoring system. In
terms of result analysis, we use two parameters which are time complexity and accuracy.

Key Words: Internet of things, SPO2, ECG, Heart Rate, Pulse Rate.

I. INTRODUCTION
Presently a days, wellbeing related issues are mounting at an extremely rapid. High death rate is a
major worry for some nations. Subsequently, today there is necessity of time to overcome high death
rate. We, thusly, are demonstrating a framework having a few remote sensors which will quantify
wellbeing related data like internal heat level, pulse, saline level, heart beat rate, and so forth and
transmit over web to be gotten to by other client at remote area. Consistent schedule patient's wellbeing
database is made and recorded and the equivalent can supportive in examination by specialist, if
necessary. This paper proposes a wellbeing looking at framework which is having capacity of breaking
down different parameters and finding medical problems. Edge esteems are set dependent on past
perusing from the database. At time of earnest circumstance when edge esteems are crossed, cautions
will be created naturally which specialist can likewise observe for taking vital activities. Individuals now
a days are paying attention to wellbeing which help in anticipation or potentially recognition of medical
problem at introductory stage. Likewise, cutting edge advanced cells and clever contraptions like savvy
and such have incredible effect on our lives. Different kinds of Sensors like for ECG Monitoring,
estimating systolic weight and diastolic weight and heartbeat rate estimating sensors are being utilized in
the contraptions. Monstrously effective work has been done in wellbeing assessment utilizing Raspberry
Pi just as IoT. Here, in our paper, we are giving inserted idea of both. By utilizing blend of these, the

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proposed model will be progressively successful. In this paper, we researched ongoing papers identified
with wellbeing assessment frameworks &IoT. The idea of IoT is association of gadgets which
will consequently bring and procedure to create clever information which will be helpful to give a
superior life. This paper will show the advancement in clinical science innovation, and would be
valuable in sparing patients from emerging medical problems and furthermore help specialists in
taking important activities at a perfect opportunity to ensure patient's wellbeing isn't weakened.

India is the second most crowded nation on the planet. In spite of a few development situated human
services arrangements embraced by the Government, monetary and territorial inconsistencies bring
about deficient appropriation of medicinal services benefits in country zones [1]. The low
financial status that wins in such zones keeps those individuals from bearing great quality clinical
administrations. Absence of mindfulness about legitimate wellbeing rehearses and lacking access to
clinical offices are two extra factors that lead to an expanded death rate in provincial territories.
Moreover, Public Health Centers (PHCs) in country and remote regions have inadequate clinical
professionals and clinical framework. The proportion of clinical experts to patients is alarmingly low
contrasted with that in urban regions. It has been noticed that basic infirmities regularly lead to genuine
wellbeing conditions in these regions. Along these lines, there exists a pressing need to offer far reaching
mindfulness with respect to wellbeing [2], preventive consideration, self-checking and legitimate
sanitation and cleanliness [3] so as to lift wellbeing principles among the country poor. Engaging
residents and patients to deal with their own wellbeing conditions would bring about a progressively
compelling medicinal services framework in rustic India. The ongoing past has seen significant
increments in appropriation of innovation in social insurance due principally to mechanical forward
leaps in the field of ease sensors, progressions in the field of Body Area Networks (BAN) [4] and
presentation of the Internet-of-Things (IoT). Research and huge venture of assets have prompted the
improvement of items that help screen individual wellbeing maternal wellbeing [5] and body wellness.
Wearable minimal effort sensors and social insurance stages are presently promptly accessible for
customized utilize and have been drifting for a long while [6-8]. Information recorded by these
sensors is gathered in the cloud and clients are given helpful bits of knowledge by means of online
frameworks. These clinical gadgets have demonstrated to be successful in improving wellbeing
through consistent checking, convenient mediation of qualified specialists and simple access to
wellbeing related administrations. Besides, they have the ability to rise above geological
hindrances, offering a few viable wellbeing administration applications in rustic territories. One such
application is the remote wellbeing checking of patients, which helps wellbeing laborers in better
observing their patients and lessens acceleration of clinical issues even in areas with decreased
access to inaccessible clinical offices. Remote observing permits clinical professionals to in a flash
access present or chronicled wellbeing information whenever, empowering improved finding and proper
treatment in an ideal manner. An advancement of this sort can possibly change the whole medicinal
services industry as it arrives at zones that have little access to wellbeing focuses. The rate that such
stages have been received in clinical/clinical parts is lower in provincial zones than in urban territories.
Numerous variables, including reasonableness, absence of wellbeing related abilities and mindfulness,
ignorance, and low infiltration of innovation, add to these low reception rates. This clarifies why
such frameworks have so far had insignificant impact in clinical/clinical parts of provincial India. This
paper depicts the idea of Amrita Jeevanam, which means to give a unique social insurance stage
those objectives the necessities of rustic populaces. The segments that follow present an easy
to-use framework which can be utilized for individual wellbeing observing in zones that have
constrained or zero access to social insurance administrations. The stage takes care of human
services needs, yet in
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addition offers patients critical training and mindfulness with respect to ailments, medicines, and
individual cleanliness. Web of-Things (IoT) offers the chance of interfacing numerous articles on this
planet to a solitary worldwide system. In the IoT worldview, information can be gotten to by means of
the Internet from each associated element. An element can be anything with a sensor that can give data
about its physical environmental factors when associated with a system, subsequently rising above
geological limits and making information internationally open. In the human services setting, IoT can
get to information from sensors that measure essential wellbeing related parameters, for example, pulse,
and blood glucose level [9-11]. Wellbeing sensors associated with the patient's body will stream
information live to the system. Colossal volumes of information amassed along these lines over some
undefined time frame can be utilized to give important experiences to specialists and clinical specialists
miles away [12]. Amrita Jeevanam use the intensity of IoT, offering a stage for remote wellbeing
checking and clinical intercession. Minimal effort wellbeing sensors are utilized to gather indispensable
information from patients, which are then handled by a Medical Interface Unit. This insight is then used
to foresee the nearness of any obsessive conditions in the patient's body. These expectations lead to
arrangement of customized clinical direction to the patient for generally speaking improvement of
wellbeing just as improved mindfulness and avoidance of future inconveniences. In this manner, Amrita
Jeevanam is explicitly intended to be a simple to-utilize wellbeing stage, which can be worked by the
semi-educated country populace in India.

Which can be portrayed as interconnection of exceptionally distinguished brilliant articles and

gadgets. IoT is encircled by numerous items which are undetectably implanted in nature around us. Also,
IoT gives wanted answers for tremendous applications, for example, traffic blockage, industry the
executives, crisis administration, and medicinal services. To adequately screen remote patient wellbeing,
IoT based social insurance applications are picking up force day by day.With the ceaseless advancement
in Information and Communication Technology (ICT), clinical sensors give an answer for some clinical
applications like patient action observing at remote side, diagnosing interminable sicknesses, and giving
senior medicinal services. Also, the accessibility of clinical IoT gadgets lead to a superior route for
determination the sicknesses. Likewise, the utilization of clinical gadgets, sensors, and demonstrative
gadgets can be seen as savvy gadgets shaping a clinical IoT condition. IoT clubbed with distributed
computing turns into a ground-breaking stage for observing patients at remote site giving nonstop
wellbeing data to specialists and overseers. Distributed storage offers colossal measure of capacity and
preparing abilities in an adaptable structure. Distributed computing headways can deal with asset
sharing, equal handling, and information administration coordination with versatile information
stockpiling, and security issues without any problem. Additionally, in the current situation, checking
based cloud driven models can be utilized for the advancement of uses and administrations valuable in
brilliant condition Necessary literature survey related previous research on Remote monitoring
Emergency Medical System are given in II detection based previous work are given in section ii whereas
section III describes research issue & future scope methodology & IMPLEMENTATION FOR THE PREVIOUS
EXISTING APPROACHES. IV describes methodology & IMPLEMENTATION FOR THE PREVIOUS EXISTING
APPROACHES. Experimental results and its analysis are given in section V. Finally, section VI concludes
the paper.

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II. LITRECTURE REVIEW

Wellbeing observing stages incorporated with IoT/BAN exploit remote detecting capacities and
are effectively reforming the human services space [13, 14].Wearable sensors are utilized related to
such stages to gauge crucial parameters [15, 16] and stream information to an obtaining device
utilizing remote advancements, for example, Bluetooth, BLE, and Wi-Fi. Clinical/estimation
information, gathered by a middle of the road gadget, for example, a door, is frequently transmitted to a
remote server [17]. Transmitted information is put away in the remote server guaranteeing whenever
accessibility and openness. Comparable stages are executed utilizing cloud-based frameworks to
store the gathered clinical information [18]. Such wellbeing observing stages give an assortment
of uses. One such application, for instance, performs investigation on the clinical information put
away in servers to distinguish patients with high-hazard heart conditions [19]. Lee et al. [20]
portrayed another model including bio-signal observing utilizing brilliant cell phones. Clinical
investigation distinguishes trademark examples or patterns dependent on the gathered information.
Enormous information clinical investigation in wellbeing stages [21, 12] gives important bits of
knowledge to professionals that help distinguish appropriate analyses. Clinical information
examination can likewise recognize varieties in clinical examples or foresee the chance and
likelihood of fast approaching threat. Such an application, utilizing a wellbeing stage and
omnipresent portable innovation as a ready framework, has been investigated in certain
frameworks [22]. These stages rely upon Internet advancements and make direct mediation by
qualified clinical professionals conceivable. With regards to remote and country Indian populaces
that have low proficiency rates, need innovation, have little access to clinical focuses and are carefully
cut off from rest of the world on account of no or conflicting web access, utilization of such a
wellbeing framework has, as of not long ago, not been reasonable. The essential point of this venture
is to address this test by executing an ease answer for provincial wellbeing observing and
mindfulness. AmritaJeevanam is a coordinated, tolerant driven, medicinal services framework that
enables country networks and improves in general soundness of residents by offering them
open preventive consideration, wellbeing mindfulness, and self-observing. It encourages a framework
and technique for gathering wellbeing data of patients, deciphering symptomatic readings and
giving customized wellbeing input. This wellbeing checking stage is a mix of various ease wellbeing
sensors, a Medical Interface Unit, and related multi-lingual, insightful programming. It fills in as a
fringe medicinal services framework that can offer data on basic ailments. The framework bolsters
network wellbeing laborers in the demonstrative, the executives, and announcing of country patients,
and capacities well even with just discontinuous access to Internet. Key favorable circumstances of
AmritaJeevanam incorporate that general society has boundless access to the framework and that
normal checking of wellbeing can distinguish side effects of different regular conditions even at a
beginning time. Besides, it permits patients to find out about their wellbeing, track their conditions
occasionally and remotely record and transmit the information to their doctors. It additionally
permits patients to get to their recorded wellbeing profile on the off chance that they have lost
remedies or potentially directions.
Tushar[23], In this advancement gives straightforwardness to the patient shaving different sicknesses.
Thus, visit of patients to the specialists continually has brought down on the grounds that different
sorts of reports can be produced remotely and remotely at specialist's end at standard time frame. As a
result of this ongoing improvement in logical innovation, specialists are sparing a few lives.
Yang[24], Here creator propose a lightweight break-glass get to control (LiBAC) framework
that underpins two different ways for getting to scrambled clinical documents: trait based access and
break-
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ISSN : 0025-0422
glass get to. In typical circumstances, a clinical laborer with a characteristic set fulfilling the entrance
approach of a clinical record can decode and get to the information. In new circumstances, the break-
glass get to component sidesteps the entrance arrangement of the clinical record to allowtimely access to
the information by crisis clinical consideration or salvage laborers. LiBAC is lightweight since not many
computations are executed by gadgets in the social insurance IoT arrange, and the capacity and
transmission overheads are low. LiBAC is officially demonstrated secure in the standard model and
broad examinations are directed to show its proficiency.
Prema[25], Here creator present a wearable wellbeing gadgets has made it simpler to screen wellbeing
conditions and to interface specialists and patients in urban regions. Be that as it may, existing activities
have not prevailing with regards to giving sufficient wellbeing observing to country and low-educated
patients, as present techniques are costly, require steady availability and anticipate proficient clients. Our
plan contemplations address these worries by giving minimal effort clinical gadgets associated with
an ease wellbeing stage, alongside customized direction dependent on tolerant physiological parameters
in nearby dialects, and cautions to clinical professionals if there should arise an occurrence of crises.
This patient-driven coordinated social insurance framework is intended to deal with the general
strength of residents with continuous wellbeing observing of patients, to offer direction on preventive
consideration, and to expand wellbeing mindfulness and self-checking at a moderate cost. Chao[26],
Here creator present a framework is fundamentally made out of two sections: the information obtaining
part and the information transmission part. The observing plan (checking parameters and
recurrence for every parameter) is the key purpose of the information securing part, and we structured it
dependent on meetings to clinical specialists. Numerous physical signs (circulatory strain, ECG, SpO2,
pulse, beat rate, blood fat and blood glucose) just as a natural marker (patients' area) are intended to be
inspected at various rates consistently. Four information transmission modes are introduced facing
patients' challenge, clinical investigation needs, requests for correspondence and registering assets into
thought. At last, an example model is actualized to introduce a diagram of the framework. Prabal[27], In
this structure figures the understudy ailments seriousness by foreseeing the potential ailment with its
level by transiently mining the wellbeing estimations gathered from clinical and other IoT gadgets. To
successfully examine the understudy human services information, a compositional model for savvy
understudy medicinal services framework has been structured. For our situation study, wellbeing dataset
of 182 presumed understudies are reenacted to create applicable waterborne diseses cases. This
information is additionally examined to approve our model by utilizing k-cross approval approach.
Example based determination conspire is applied utilizing different characterization calculations and
afterward results are processed dependent on exactness, affectability, explicitness and reaction time.
Naser[28], Here creator present the constant remote checking of patients is a significant issue in
telemedicine. In the arrangement of social insurance administrations, quiet prioritization represents a
huge test as a result of the mind boggling dynamic procedure it includes when patients are considered
'huge information'. As far as anyone is concerned, no investigation has featured the connection between
'large information' qualities and constant remote medicinal services checking in the patient prioritization
process, just as the intrinsic difficulties included. Therefore, we present extensive bits of knowledge into
the components of large information qualities as indicated by the six 'Versus': volume, speed,
assortment, veracity, worth and changeability. Every one of these components is introduced and
associated with a related part in the investigation of the association between quiet prioritization and
realtime remote medicinal services checking frameworks.

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ISSN : 0025-0422
Ananm[30], This paper centers around the improvement of a novel, fast and financially savvy tele-
observing engineering dependent on an Arduino gadget equipment framework. The prime objective was
to structure a model that could fill in as a solid patient observing framework, with the goal that
social insurance experts can screen their patients continuously, who are either hospitalized in basic
conditions or unfit to play out their ordinary day by day life exercises. In this work we have introduced
an Arduino based financially savvy Tele-checking framework that can give continuous data about
physiological states of a patient. Karthik[31], Here creator examine about the expanded
utilization of Mobile Technologies and Smart Devices in the zone of wellbeing has caused
incredible effect on the world. Wellbeing specialists are progressively exploiting the advantages these
advancements bring, in this way producing a huge improvement in human services in clinical settings
and out of them. In like manner, endless common clients are being served from the benefits of the M-
Health (Mobile Health) applications and EHealth (social insurance bolstered by ICT) to improve, help
and help their wellbeing. The point of this paper is to build up an engineering dependent on a philosophy
equipped for checking the wellbeing and exercise routine suggestions to patients with incessant
maladies. Priyan[32], Here creator proposed design comprises of two primary sub models, to be
specific, Meta Fog-Redirection (MF-R) and Grouping and Choosing (GC) engineering. MF-R
engineering utilizes large information innovations, for example, Apache Pig and Apache HBase for
assortment and capacity of the sensor information (huge information) produced from various sensor
gadgets. The proposed GC engineering is utilized for protecting reconciliation of haze processing
with distributed computing. This design likewise utilizes key administration and information
classification work (Sensitive, Critical and Normal) for giving security administrations.
III. RESEARCH ISSUE & FUTURE SCOPE
In this section basically we talk about research gap which need to be solved, As per the current era every
things is smart but still our medical domain is not smart in terms of real time patient tracking system in
terms of parameters like ECG, SPO2, temp, blood Oxidation %. In this field many research work on this
but there is lots of research gap which needs to be solved , those research gap are followings:

• Connectivity issue due to use of GPRS technology as GPRS is work on 2G which is not good for
this kind of application
• In Existing system, there is need of GPRS based connectivity.
• Mistake on hardware selection
• Heavy hardware:
• Cost is very high
• Accuracy is very poor
• Proper live tracking facility is not available
• No any emergency alert message send to doctor

As per the previous research there is lots of research gap which need to be solved in near future.

Future Scope on Remote monitoring Emergency Medical System

As per the previous research there is lots of research gap which need to be solved so in this work these
are our objects which we will solve:

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ISSN : 0025-0422
1. Reduction in Device Cost
2. Reduction in Hardware complexity
3. Reduction in Device Form factor complexity
4. Improvement in patient monitoring parameters through calculation of other parameters by
using of real parameters.
5. Fast data transfer rate
6. We will use web platform
7. Our system will not face the connectivity issue.
8. Emergency alert message send to doctor
9. We will use WiFi Connectivity so power consumption will be less and it can work on the 4G
technology
10. Blood pressure measurement through SPO2 parameters

So this is the future scope of this Remote monitoring Emergency Medical System which will give a new
direction to the researchers.

IV. METHADOLOGY
In this section we talk about the basic Remote monitoring Emergency Medical System, what kind of
basic algorithm was used and what are the advance research is there. Here we did the complete
comparative study and implementation of those approaches.

4.1 Tushar [23]:

As per this paper author proposed an approach for remote monitoring of some medical parameters which
are:

1. SPO2
2. Blood Pressure
3. ECG
4. Heart Beat

Fig. 4.1 Block Diagram

In this approach for communication point of view author use the zigbee and GSM technology. Here
author create two section which are receiver & transmission , using zigbee they receive data and through
GSM they send data to web server.

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ISSN : 0025-0422

4.2 Chao [26]:

In this paper, author proposed an IoT-based coronary illness observing framework for
unavoidable medicinal services administration. This framework screens the patients' physical signs,
for example, pulse, ECG, SpO2, just as applicable natural markers consistently, and gives four
unique information transmission modes that balance the medicinal services need and interest for
correspondence and processing assets. We additionally executed a model to introduce a review of the
framework.

Fig. 4.2 Prototype System

4.3 Arman [29]: In this paper author create a system which is based on early stage wiring system, and
alert will send to direct hospital. As we can see in fig. 4.3 it shows the architecture of there system.

Fig. 4.3 IoT Architecture

4.4 Anam [30]:

In this paper author proposed a state-of-the-art, solid and savvy ongoing tele-checking framework for
remote territory patient's utilizing Arduino UNO r3 equipment framework. they structured our own
equipment circuits for getting the physiological boundaries (ECG, SPO2 and temperature) from home-
site. These equipment circuits were interfaced with Arduino UNO r3 based equipment framework for
transmitting the obtained information to remote human services area.
V. RESULT & ANALYSIS
In this section we introduce the relative investigation of all with past existing methodology. Here we did
the analysis of followings approaches:
1. Cost
2. Features
a. SPO2
b. Blood Pressure
c. ECG
d. Heart Rate
3. Size

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ISSN : 0025-0422

4. Efficiency

Table 5.1 Error Analysis

Proce Cost Size Feature Efficie

As we can see in table 5.1 we did the ss ncy
comparative analysis based on some of the Tusha High Big SPO2,ECG,He High
parameters as per the comparison we found that r art Rate
Arman approach is far better than in comparison Chao Low Me SPO2 High
of all others but still there is lots of improvement diu
is require which research can target in future. m
Arma Very Big SPO2,ECG,He Very
n High art Rate, High
VI. CONCLUSION Blood
These days, heart maladies cause in excess of 17 Pressure
Million death in worldwide every year and are Anam Very Me ECG, SPO2, Low
currently the main source of demise in the nation. Low diu Temprature
For the most part, patients with heart infections m
live at home and request social insurance administration when they feel wiped out. Be that as it may, for
the most part they won't feel wiped out until the late phase of the ailment, and it is late to the point that
the harms have just turned irreversible. What's more, a large portion of the patients bite the dust before
they get any treatment. In this manner, the way to improve heart ailments medicinal services execution
and diminish the demise rate is transforming the uninvolved social insurance mode into an inescapable
way. In this paper we did the comparative analysis based on the different parameter and as per the
analysis we found there is lots of improvement is require in current existing system.
REFERENCES
1. Janakiram, C., Rudrappa, R.B., Taha, F., Ramanarayanan, V., Akalgud, H.G., and Kadanakuppe,
S. Equity in oral healthcare in India: A review on health system analysis. Econ. Polit. Wkly.
52(9): 82–89, 2017.
2. S. Udayan, Lekha Viswanath, and Linda Varghese, “Awareness regarding Antenatal
Investigations among Antenatal Mothers attending Selected Tertiary Hospital, Kochi, Kerala.”,
Journal of South Asian Federation of Obstetrics & Gynecology, 6(3):129– 132, 2014.
3. James, P.T., Kunoor, A., and Rakesh, P.S., Awareness of health care workers, patients and visitors
regarding air borne infection control - a descriptive study from a Tertiary Care Centre in Kerala,
southern India. Indian J. Tuberc. 2017. https://doi.org/10.1016/j.ijtb.2017. 08.028.
4. Otto, C., Milenković, A., Sanders, C., and Jovanov, E., System architecture of a wireless body
area sensor network for ubiquitous health monitoring. J. Mob. Multimed. 1(4):307–326, 2005.

Volume-50, No.1 (II) 2020 352

Journal of the Maharaja Sayajirao University of Baroda
ISSN : 0025-0422
5. Megalingam, R.K., Pocklassery, G., Thulasi, A.A., Jayakrishnan, V., Mourya, G., and Nair, M.S.,
Integrated embedded system for pre-natal health care. Procedia Computer Science 57:313–322,
2015.
6. Lan, M., Samy, L., Alshurafa, N., Suh, M.-K., Ghasemzadeh, H., Macabasco-O’Connell, A., and
Sarrafzadeh, M., Wanda: An endto- end remote health monitoring and analytics system for heart
failure patients. In: Proc. of the Conf. on Wireless Health, ser. WH ‘12. New York, NY, USA:
ACM, pp. 9:1–9:8, 2012.
7. Bui, N., and Zorzi, M., BHealth care applications: A solution based on the internet of things. In:
Proc. of the 4th Int. Symposium on Applied Sciences in Biomed. and Com. Tech., ser. ISABEL
‘11. New York, NY, USA: ACM, pp. 131:1–131:5, 2011.
8. Hii, P.C., Lee, S.C., Kwon, T.H., and Chung, W.Y., Smart Phone Based Patient-Centred Remote
Healthcare Monitoring Application in WSN. Sens. Lett. 9:791–796, 2011.
9. Hu, F., Xie, D., and Shen, S., On the application of the internet of things in the field of medical
and health care. In: IEEE Int. Conf. on and IEEE Cyber, Physical and Social Computing Green
Computing and Communications (GreenCom),(iThings/CPSCom), pp. 2053– 2058, Aug 2013.
10. Megalingam, R.K., Unnikrishnan, U., Subash, A., Pocklassery, G., Thulasi, A. A., Mourya,G.,
and Jayakrishnan,V.,Wearablemedical devices in preventive health care: Cuffless blood pressure
measurement. Adv. Intell. Syst. Comput. 308:745–752, 2015.
11. Jersak, L. C., da Costa, A. C., Callegari, D. A., A Systematic Review on Mobile Health Care.
Tech. Report 073, Faculdade de Informática PUCRS – Brazil, May 2013.
12. Mao, Y., Chen, Y., Hackmann, G., Chen, M., Lu, C., Kollef, M., and Bailey, T., Medical data
mining for early deterioration warning in general hospital wards. In: IEEE 11th Int. Conf. on Data
Mining Workshops (ICDMW), pp. 1042–1049, Dec 2011.
13. Benharref, A., and Serhani, M., Novel cloud and SOA-based framework for E-Health monitoring
using wireless biosensors. IEEE J. Biomed. Health Inf. 18(1):46–55, 2014.
14. Paradiso, R., Loriga, G., and Taccini, N., A wearable health care system based on knitted
integrated sensors. IEEE Trans. Inf. Technol. Biomed. 9(3):337–344, 2005.
15. Pantelopoulos, A., and Bourbakis, N., A survey on wearable sensor-based systems for health
monitoring and prognosis. IEEE Trans. Syst. Man Cybern. Part C Appl. Rev. 40(1):1–12, 2010.
16. Dilraj, N., K, R., R. Krishnan P. P, andV Maneesha, R., BA low cost remote cardiac monitoring
framework for rural regions. In: MobiHealth 2015: 5th EAI International Conference on Wireless
Mobile Communication and Healthcare – B Transforming healthcare through innovations in
mobile and wireless technologies^, London, Great Britain, 2015.
17. Babu, S., Chandini, M., Lavanya, P., Ganapathy, K., and Vaidehi, V., Cloud-enabled remote
health monitoring system. In: Int. Conf. on Recent Trends in Inform. Tech. (ICRTIT), pp. 702–
707, July 2013.
18. Rolim, C., Koch, F., Westphall, C., Werner, J., Fracalossi, A., and Salvador, G., A cloud
computing solution for patient’s data collection in health care institutions. In: Second Int. Conf. on
eHealth, Telemedicine, and Social Medicine, ETELEMED ‘10., pp. 95–99, Feb 2010.
19. Zhao, W., Wang, C., and Nakahira, Y., Medical application on internet of things. In: IET Int.
Conf. on Com. Tech. and Application (ICCTA 2011), pp. 660–665, Oct 2011.

Volume-50, No.1 (II) 2020 353

Journal of the Maharaja Sayajirao University of Baroda
ISSN : 0025-0422
20. Lee, B.G., and Chung, W.Y., A Smartphone-based Driver Safety Monitoring System Using Data
Fusion. Sensors. 12:17536–17552, 2012.
21. Darrel, Andrea, Margee Hume, Timothy Hardie, and Jeffery Soar. "The benefits of big data
analytics in the healthcare sector: What are they and who benefits?." Big Data Analytics in
Bioinformatics and Healthcare (2014): 406-439.
22. Fong, E.-M., and Chung, W.-Y., Mobile Cloud-Computing-Based Healthcare Service by
Noncontact ECG Monitoring. Sensors. 13(12):16451–16473, 2013.
23. Shah, Tushar A., Sunil A. Bakhru, and Prashant B. Swadas. "Early Warning System for Possible
Heart Failures using IOT." IJIACS ISSN (2017): 2347-8616.
24. Yang, Yang, Ximeng Liu, and Robert H. Deng. "Lightweight break-glass access control system
for healthcare Internet-of-Things." IEEE Transactions on Industrial Informatics 14.8 (2018):
3610-3617.
25. Nedungadi, Prema, Akshay Jayakumar, and Raghu Raman. "Personalized health monitoring
system for managing well-being in rural areas." Journal of medical systems 42.1 (2018): 22.
26. Li, Chao, Xiangpei Hu, and Lili Zhang. "The IoT-based heart disease monitoring system for
pervasive healthcare service." Procedia Computer Science 112 (2017): 2328-2334.
27. Verma, Prabal, Sandeep K. Sood, and Sheetal Kalra. "Cloud-centric IoT based student healthcare
monitoring framework." Journal of Ambient Intelligence and Humanized Computing9.5 (2018):
1293-1309.
28. Kalid, Naser, et al. "Based Real Time Remote Health Monitoring Systems: A Review on Patients
Prioritization and Related" Big Data" Using Body Sensors information and Communication
Technology." Journal of medical systems 42.2 (2018): 30.
29. Anzanpour, Arman, et al. "Internet of things enabled in-home health monitoring system using
early warning score." Proceedings of the 5th EAI International Conference on Wireless Mobile
Communication and Healthcare. ICST (Institute for Computer Sciences, Social-Informatics and
Telecommunications Engineering), 2015.
30. Bhatti, Anam, et al. "Development of cost-effective tele-monitoring system for remote area
patients." Engineering and Emerging Technologies (ICEET), 2018 International Conference on.
IEEE, 2018.
31. Karthik, B. N., et al. "Survey on IOT & Arduino Based Patient Health Monitoring System."
(2018).
32. Manogaran, Gunasekaran, et al. "A new architecture of Internet of Things and big data ecosystem
for secured smart healthcare monitoring and alerting system." Future Generation Computer
Systems 82 (2018): 375-387.

Volume-50, No.1 (II) 2020 354

A Comparative Paper on Remote monitoring Emergency
Medical System

Shikha Singh

50 1(II)
 ISSN:1007-6735

This is to certify that

Shikha Singh, Research Scholar

Department of Electronics & Communication, Dr. C. V. Raman University, Kargi Road, Kota, Bilaspur, C.G.

Published a paper entitled

“IOT Enabled Smart ECG System for the Remote Monitoring”

Volume 23 - Issue 6 - 2021

Paper ID: JUSST/21/05-382

D.O.I - 10.51201/JUSST/21/05382

Dr. Xuhui Feng

Editor in chief
 Shobhit
Institute of Engineering & Technology
Deemel! o be• Un've�ity International e-Conference
UCATION EMPOWER.S
on

"Bio-Electronics & Informatics in Present Scenario"

June 26-27, 2020
Organized by
Department of Electronics & Communication Engineering
Shobhit Institute of Engineering and Technology (Deemed-to-be-University), Meerut, India

CERTIFICATE OF ACHIEVEMENT
This is to certify that SHIKHA SINGH has digitally participated in scientific sessions of International e-Conference
on "Bio-Electronics & Informatics in Present Scenario" held during June 26-27, 2020 p resented a presented e -
Manuscript on the t opic entitled "IoT Enabled Smart Pulse Oxidation and Heart Rate System for Remote
Analysis "

Rf>�
Convener
(Chair-Person)
REFERENCES

➢ A. hsan Blbl and S. Kk, (2016), “Pulse oximeter manufacturing and wireless
telemetry for ventilation oxygen support,” International Journal of Applied
Mathematics, Electronics and Computers, vol. 4, p. 211-215.
➢ Anzanpour, Arman, (2015),"Internet of things enabled in-home health
monitoring system using early warning score." Proceedings of the 5th EAI
International Conference on Wireless Mobile Communication and Healthcare.
ICST (Institute for Computer Sciences, Social-Informatics and
Telecommunications Engineering).
➢ Ashisha, G. R., (2019), "IoT-Based Continuous Bedside Monitoring
Systems." Advances in Big Data and Cloud Computing. Springer, Singapore,.
401-410.

➢ Benharref, A., and Serhani, M., (2014), Novel cloud and SOA-based framework
for E-Health monitoring using wireless biosensors. IEEE J. Biomed. Health Inf.
18(1):46–55.
➢ Bhatti, Anam, (2018),"Development of cost-effective tele-monitoring system for
remote area patients." Engineering and Emerging Technologies (ICEET), 2018
International Conference on. IEEE.
➢ Bui, N., and Zorzi, M.,B.,(2011),Health care applications: A solution based on
the internet of things. In: Proc. of the 4th Int. Symposium on Applied Sciences in
Biomed. and Com. Tech., ser. ISABEL ‘11. New York, NY, USA: ACM, pp.
131:1–131:5.
➢ C. A. Ericson, (2010), “Wireless wearable pulse oximeter for health monitoring
using zigbee wireless sensor network,” in Proceedings of the 2010 International
Conference on Electrical Engineering/Electronics Computer
Telecommunications and Information Technology (ECTI-CON).IEEE,pp. 575–
579.
➢ F. Coetzee and Z. Elghazzawi,(2000), “Noise-resistant pulse oximetry using a
synthetic reference signal,” IEEE Transactions on Biomedical Engineering, vol.
47, no. 8, pp. 1018–1026.

107
➢ Feng, L., Po, L.M., Xu, X.L.Y., Ma, R, (2015), Motion-resistant remote
imaging photo plethysmography based on the optical properties of skin. IEEE
Trans. Circuits Syst. Video Technol. 25(5), 879–891
➢ Fu, Yu., Jian, Liu,(2015), System design for wearable blood oxygen saturation
and pulse measurement device. Procedia Manuf. 3, 1187–1194
➢ Gao, F., Peng, Q., Feng, X., Gao, B., Zheng, Y,(2016), Single-wavelength
blood oxygen saturation sensing with combined optical absorption and
scattering. IEEE Sens. J. 16(7), 1943–1948.
➢ H. Subramanian, B. Ibey, W. Xu, M. Wilson, M. Ericson, and G. Cote, (2005),
“Real-time separation of perfusion and oxygenation signals for an implantable
sensor using adaptive filtering,” IEEE Transactions on Biomedical Engineering,
vol. 52, no. 12, pp. 2016–2023,.
➢ Hii, P.C., Lee, S.C., Kwon, T.H., and Chung, W.Y.,( 2011) ,Smart Phone Based
Patient-Centred Remote Healthcare Monitoring Application in WSN. Sens. Lett.
9:791–796,.
➢ http://janeshealthykitchen.com/24-ways-increase-blood-oxygenation/
➢ Hu, F., Xie, D., and Shen, S., (2013), On the application of the internet of things
in the field of medical and health care. In: IEEE Int. Conf. on and IEEE Cyber,
Physical and Social Computing Green Computing and Communications
(GreenCom),(iThings/CPSCom), pp. 2053– 2058.
➢ J. Xue, Y. Huang, X. Du, X. Wu, W. Zeng, Y. Xi, Y. Chen, Y. Zhao, and K.
Wu, (2015), “Design of a wearable device for spo2 monitoring using ble,”
Chinese Journal of Biomedical Engineering, vol. 34, no. 6, pp. 701–707,.
➢ James, P.T., Kunoor, A., and Rakesh, P.S., (2017), Awareness of health care
workers, patients and visitors regarding air borne infection control - a descriptive
study from a Tertiary Care Centre in Kerala, southern India. Indian J. Tuberc.
https://doi.org/10.1016/j.ijtb.2017. 08.028.
➢ Janakiram, C., Rudrappa, R.B., Taha, F., Ramanarayanan, V., Akalgud, H.G.,
and Kadanakuppe, S. (2017), Equity in oral healthcare in India: A review on
health system analysis. Econ. Polit. Wkly. 52(9): 82–89.

108
➢ Jarosz, A., Kolacinski, C., Wasowski, J., Szymanski, A., Kurjata-Pfitzner, E.,
Obrebski, D., Pleskacz, W.A.,(2017), Design and measurements of the
specialized VLSI circuit for blood oxygen saturation monitoring. In: 14th
International Conference the Experience of Designing and Application of CAD
Systems in Microelectronics (CADSM), pp. 448–451. IEEE
➢ Jersak, L. C., da Costa, A. C., Callegari, D. A., (2013), A Systematic Review on
Mobile Health Care. Tech. Report 073, Faculdade de Informática PUCRS –
Brazil, May
➢ Kadarina, T. M., and R. Priambodo,(2018) "Monitoring heart rate and spo2
using thingsboard iot platform for mother and child preventive healthcare." IOP
Conference Series: Materials Science and Engineering. Vol. 453. No. 1. IOP
Publishing,.
➢ Kalid, Naser, (2018), "Based Real Time Remote Health Monitoring Systems: A
Review on Patients Prioritization and Related" Big Data" Using Body Sensors
information and Communication Technology." Journal of medical systems 42.2:
30.
➢ Karthik, B. N.,(2018),"Survey on IOT & Arduino Based Patient Health
Monitoring System."
➢ Kraitl, J., Klinger, D., Fricke, D., Timm, U., Ewald, H.,(2013), Non-invasive
measurement of blood components. In: Advancement in Sensing Technology,
pp. 237–262. Springer, Berlin, Heidelberg.
➢ Lan, M., Samy, L., Alshurafa, N., Suh, M.-K., Ghasemzadeh, H., Macabasco-
O’Connell, A., and Sarrafzadeh, M., Wanda, (2012), An endto- end remote
health monitoring and analytics system for heart failure patients. In: Proc. of the
Conf. on Wireless Health, ser. WH ‘12. New York, NY, USA: ACM, pp. 9:1–
9:8.
➢ M. Krehel, M. Wolf, L. F. Boesel, R. M. Rossi, G.-L. Bona, and L. J. Scherer,
(2014) “Development of a luminous textile for reflective pulse oximetry
measurements,” Biomedical Optics Express, vol. 5, no. 8, pp. 2537–2547.

109
➢ Manogaran, Gunasekaran, (2018), "A new architecture of Internet of Things and
big data ecosystem for secured smart healthcare monitoring and alerting
system." Future Generation Computer Systems 82: 375-387.
➢ Mao, Y., Chen, Y., Hackmann, G., Chen, M., Lu, C., Kollef, M., and Bailey, T.,
(2011), Medical data mining for early deterioration warning in general hospital
wards. In: IEEE 11th Int. Conf. on Data Mining Workshops (ICDMW), pp.
1042–1049.
➢ Martinez, L. (2002),A non-invasive spectral reflectance method for mapping
blood oxygen saturation in wounds. In: Proceedings of 31st Applied Imagery
Pattern Recognition Workshop. IEEE
➢ Maziar, T., Turicchia, L., Sarpeshkar, R.,(2010),An ultra-low-power pulse
oximeter implemented with an energy-efficient Trans impedance amplifier.
IEEE Trans. Biomed. Circuits Syst. 4(1), 27–38
➢ Megalingam, R.K., Pocklassery, G., Thulasi, A.A., Jayakrishnan, V., Mourya,
G., and Nair, M.S., (2015),Integrated embedded system for pre-natal health care.
Procedia Computer Science 57:313–322.
➢ Megalingam, R.K., Unnikrishnan, U., Subash, A., Pocklassery, G., Thulasi, A.
A., Mourya,G., and Jayakrishnan,V.,(2015),Wearablemedical devices in
preventive health care: Cuffless blood pressure measurement. Adv. Intell. Syst.
Comput. 308:745–752.
➢ Mishra, D., Priyadarshini, N., Chakraborty, S., Sarkar, M., (2017),Blood
oxygen saturation measurement using polarization-dependent optical
sectioning. IEEE Sens. J. 17(12), 3900–3908.
➢ Mohan, P.M., Nisha, A.A., Nagarajan, V., Jothi, E.S.J.,(2016), Measurement of
arterial oxygen saturation (SpO2) using PPG optical sensor. In: International
Conference on Communication and Signal Processing (ICCSP), pp. 1136–1140,
IEEE.
➢ N. Oliver and F. Flores-Mangas, (2006), “Healthgear: a real-time wearable
system for monitoring and analyzing physiological signals,” in Proceedings of
the 2006 International Workshop on Wearable and Implantable Body Sensor
Networks (BSN 2006), pp. 61–64. 253.

110
➢ Ogunduyile, O.O., Oludayo, O.O., Lall, M.,(2013),Development of wearable
systems for ubiquitous healthcare service provisioning. APCBEE Procedia 7,
163–168.
➢ Otto, C., Milenković, A., Sanders, C., and Jovanov, E.,(2005), System
architecture of a wireless body area sensor network for ubiquitous health
monitoring. J. Mob. Multimed. 1(4):307–326.
➢ Peng, Q., Gao, F., Feng, X., Zheng, Y.,(2015), Continuous Blood Oxygen
Saturation Detection with Single-Wavelength Photoacoustics.
➢ Reddy, K.A., George, B., Mohan, N.M., Kumar, V.J.,(2011), A novel method
for the measurement of oxygen saturation in arterial blood. In: Instrumentation
and Measurement Technology Conference (I2MTC), pp. 1–5, IEEE.
➢ S. Udayan, Lekha Viswanath, and Linda Varghese, (2014), “Awareness
regarding Antenatal Investigations among Antenatal Mothers attending Selected
Tertiary Hospital, Kochi, Kerala.”, Journal of South Asian Federation of
Obstetrics & Gynecology, 6(3),129– 132.
➢ Shao, D., Liu, C., Tsow, F., Yang, Y., Du, Z., Iriya, R., Tao, N.,
(2016),Noncontact monitoring of blood oxygen saturation using camera and
dual-wavelength imaging system,IEEE Trans. Biomed. Eng,63(6).
➢ Verma, Prabal, Sandeep K. Sood, and Sheetal Kalra,(2018),"Cloud-centric IoT
based student healthcare monitoring framework." Journal of Ambient
Intelligence and Humanized Computing 9.5, 1293-1309.
➢ W. Chen, I. Ayoola, S. B. Oetomo, and L. Feijs, (2010), “Noninvasive blood
oxygen saturation monitoring for neonates using reflectance pulse oximeter,” in
Proceedings of the 2010 Design, Automation & Test in Europe Conference &
Exhibition (DATE). IEEE, pp. 1530–1535.
➢ W. Guo, (2004), “Research and implementation of of wearable system for
physiological parameters monitoring,” Ph.D. dissertation, Jilin University,.
➢ Xie, Yuyang,(2017),"Development of wearable pulse oximeter based on
internet of things and signal processing techniques." 2017 European Modelling
Symposium (EMS),IEEE.

111
➢ Y. Li, (2015), “Design and research for wearable smart oximetry sport ring,”
Master’s thesis, South China University of Technology.
➢ Zijlstra WG, A Buursma., WP Meeuwsen-Van der Roest (1991) Absorption
spectra of human fetal and adult oxyhemoglobin,de-oxyhemoglobin,
carboxyhemoglobin, and methemoglobin. Clinical chemistry 37.9: 1633–1638.

112
LIST OF RESEARCH PAPER PUBLISHED

1. Shikha Singh, Dr. Shanti Rathore, “Emergency Patient Remote Monitoring System
For Application Of Emergency medical services”, in Review Of Research.
ISSN:2249-894X Vol-08-Issue-9-June-2019

2. Shikha Singh, Dr. Shanti Rathore, “A Comparative Paper on Remote monitoring

Emergency Medical System” Journal of the Maharaja Sayajirao University of Baroda
ISSN : 0025-0422 Volume-50, No.1 (II) 2020

3. Shikha Singh, Dr. Shanti Rathore, Department of Electronics & Communication, “IOT
Enabled Smart ECG System for the Remote Monitoring” Journal of University of
Shanghai for Science and Technology ISSN:1007-6735 Volume 23, Issue 6, June -
2021
LIST OF CONFERENCE

1. Shikha Singh, Dr. Shanti Rathore, “IoT Enabled Smart Pulse Oxidation and Heart
Rate System for the Remote Monitoring”, International Conference on Artificial
Intelligent, Block chain & Data Science (ICAIBDS-2019). ISSN: 0971-1260 Vol-22-
Issue-41-December-2019.

2. Shikha Singh, Dr Shanti Rathore, “IoT Enabled Smart Pulse Oxidation and Heart Rate
System for the Remote Monitoring”, in THINK INDIA JOURNAL. ISSN:0971-1260
Vol-22-Issue-41-December-2019

3. Shikha Singh, Dr. Shanti Rathore, “IoT Enabled Smart Pulse Oxidation and Heart
Rate System for Remote Analysis”. International e-Conference on “Bio-Electronics &
Informatics in Present Scenario” held during June 26-27, 2020 presented a presented
e - Manuscript.