Papers for
wearable device manufacturers
Papers whose findings have a practical use for this group, as judged from the abstract. Open a paper to read what it means in practice.
Earbud cardiac monitoring works best with left finger contact
Finger-to-Ear ECG: Systematic Evaluation of an Earbud-Based Cardiac Monitoring Approach
Abstract: Ear-ECG enables unobtrusive cardiac monitoring, but existing approaches often struggle with low signal amplitudes and limited morphology preservation. We evaluate a finger-to-ear ECG paradigm that combines an in-ear electrode with a rear housing finger-contact electrode in a speaker-equipped earbud. A study with 30 participants investigated four finger-to-ear electrode geometries against chest-reference ECG and additionally assessed robustness under music playback, talking, and walking disturbances. Left-finger configurations achieved R peak detection F1-scores >99% with high agreement of key ECG morphology features. In contrast, right finger configurations as well as walking led to severe signal degradation. The results reveal a trade-off: while cross-body setups provided the highest signal fidelity, users preferred same-side contacts for comfort reasons. This establishes finger-to-ear ECG as a robust, morphology-aware paradigm for opportunistic sensing in earables.
Smart insoles detect elderly activity and prevent falls
Smart Insole Human Activity Recognition for Continuous Monitoring in Elderly Care
Abstract: Falls in older adults are often preceded by changes in mobility, balance, and postural transitions. This paper presents a wireless smart insole platform and machine-learning workflow for recognizing sitting, standing, walking, and unstable walking from plantar-pressure and inertial signals. Each insole integrates 16 active pressure-sensing locations and a six-dimensional IMU stream consisting of tri-axial acceleration and angular velocity. Data were collected from 15 healthy adults at 80~Hz and segmented into overlapping windows. Window length and candidate model families were first screened with stratified 10-fold cross-validation; the primary performance estimate was then obtained with participant-independent 5-fold Stratified Group cross-validation, ensuring that all windows from a participant remained in a single fold. Under this protocol, Histogram-Based Gradient Boosting (HGB) achieved macro-F1 scores of 0.954 and 0.959 for the left and right feet, respectively, and 0.980 with bilateral sensing. A compact 1D-CNN evaluated with the same participant-independent folds did not significantly outperform HGB ($p=0.0625$). The results show that low-profile footwear sensing can infer activity state from pressure and IMU measurements for participants unseen during training, establishing a basis for activity monitoring and fall prevention in elderly care.
Technique for stitching functional threads on seamed fabrics without defects
StitchOver: Technical Embroidery on Seamed Fabrics
Abstract: Smart textiles embed interactivity into everyday garments, supporting use cases like always-available sensing for medical applications or sports. Machine embroidery allows integrating functionalities into existing textiles. However, embroidering onto real-world textile goods remains challenging. Textile goods are rarely made of a single homogeneous substrate of fabric, and embroidery with functional materials such as conductive threads requires machines to be more tightly calibrated than for decorative embroidery. In particular, seams, which bring together different substrates, along with machine variability, cause shifts in tension and friction between the functional thread and the textile substrate that frequently lead to defects (70% of samples in our evaluation). We present a technique to reliably embroider on seamed fabric even when using functional threads. Our software tool automatically digitizes user-defined stitch patterns by introducing what we call "JumpStitches" to bypass seam interference. We evaluated our approach under varying machine states (under-tensioned, well-calibrated, and over-tensioned), and across multiple seam and pattern configurations. Our results show that the JumpStitch mechanism eliminates defects, while maintaining conductivity compared to 70% defects without JumpStitches, and even in poorly calibrated machine states continues to work well.