A Novel Wearable Device for Continuous Blood Pressure Monitoring Utilizing Strain Gauge Technology.

Abstract

Cardiovascular disease (CVD) is the leading cause of global mortality, with hypertension affecting over one billion people. Current noninvasive blood pressure (BP) systems, like cuffs, suffer from discomfort and placement errors and lack continuous monitoring. Wearable solutions promise improvements, but technologies like photoplethysmography (PPG) and bioimpedance (BIOZ) face usability and clinical accuracy limitations. PPG is sensitive to skin tone and body mass index (BMI) variability, while BIOZ struggles with electrode contact and reusability. We present a novel, strain gauge-based wearable BP device that directly quantifies pressure via a dual transducer system, compensating for tissue deformation and external forces to enable continuous, accurate BP measurement. The reusable, energy-efficient, and compact design suits long-term daily use. A novel leg press protocol across 10 subjects (systolic: 71.04-241.42 mmHg, diastolic: 53.46-123.84 mmHg) validated its performance under dynamic conditions, achieving mean absolute errors of 2.45 ± 3.99 mmHg (systolic) and 1.59 ± 2.08 mmHg (diastolic). The device showed enhanced robustness compared to the Finapres, with less motion-induced noise. This technology significantly advances current methods by delivering continuous, real-time BP monitoring without reliance on electrodes, independent of skin tone, while maintaining a high accuracy and user comfort.