WirelessWearables and Implants:ADosimetry Review

Wireless wearable and implantable devices are continuing to grow in popularity, and as this growth occurs, so too does the need to consider the safety of such devices. Wearable and implantable devices require the transmitting and receiving of electromagnetic waves near and through the body, which at high enough exposure levels may damage proximate tissues. The specific absorption rate (SAR) is the quantity commonly used to enumerate exposure levels, and various national and international organizations have defined regulations limiting exposure to ensure safe operation. In this paper, we comprehensively review dosimetric studies reported in the literature up to the year 2019 for wearables and implants. We discuss antenna designs for wearables and implants as they relate to SAR values and field and thermal distributions in tissue, present designs that have made steps to reduce SAR, and then review SAR considerations as they relate to applied devices. As compared with previous review papers, this paper is the first review to focus on dosimetry aspects relative to wearable and implantable devices. Bioelectromagnetics. 2020;41:3–20. © 2019 The Authors. Bioelectromagnetics published by Wiley Periodicals, Inc.

[1]  Ieee Standards Board IEEE standard for safety levels with respect to human exposure to radio frequency electromagnetic fields, 3kHz to 300 GHz , 1992 .

[2]  Laxmaiah Manchikanti,et al.  An Invited Review , 1995 .

[3]  James C. Lin,et al.  Radio frequency electromagnetic exposure: tutorial review on experimental dosimetry. , 1996, Bioelectromagnetics.

[4]  M. Birch,et al.  Investigation into the thermal distribution of microwave helical antennas designed for the treatment of Barrett's oesophagus. , 2002, Physics in medicine and biology.

[5]  J. A. D'Andrea,et al.  Reviews of effects of RF fields on various aspects of human health: Introduction† , 2003 .

[6]  Hank Grant,et al.  In vitro study of the electromagnetic interaction between wireless phones and an implantable neural stimulator , 2004, Bioelectromagnetics.

[7]  James D. Weiland,et al.  Thermal elevation in the human eye and head due to the operation of a retinal prosthesis , 2004, IEEE Transactions on Biomedical Engineering.

[8]  Sandeep K. S. Gupta,et al.  Communication scheduling to minimize thermal effects of implanted biosensor networks in homogeneous tissue , 2005, IEEE Transactions on Biomedical Engineering.

[9]  P. Tresco,et al.  Response of brain tissue to chronically implanted neural electrodes , 2005, Journal of Neuroscience Methods.

[10]  Gernot Schmid,et al.  Interference of programmed electromagnetic stimulation with pacemakers and automatic implantable cardioverter defibrillators. , 2006, Bioelectromagnetics.

[11]  M. Klemm,et al.  EM ENERGY ABSORPTION IN THE HUMAN BODY TISSUES DUE TO UWB ANTENNAS , 2006 .

[12]  R. Langley,et al.  Dual-Band Wearable Textile Antenna on an EBG Substrate , 2009, IEEE Transactions on Antennas and Propagation.

[13]  M Martínez-Búrdalo,et al.  FDTD assessment of human exposure to electromagnetic fields from WiFi and bluetooth devices in some operating situations. , 2009, Bioelectromagnetics.

[14]  T. Cho,et al.  An Electronic Device for Accelerating Bone Formation Intissues Surrounding a Dental Implant , 2022 .

[15]  Robin Augustine,et al.  Polymeric ferrite sheets for SAR reduction of wearable antennas , 2010 .

[16]  J. Vanfleteren,et al.  Design of an Implantable Slot Dipole Conformal Flexible Antenna for Biomedical Applications , 2011, IEEE Transactions on Antennas and Propagation.

[17]  A. Kiourti,et al.  A Review of Implantable Patch Antennas for Biomedical Telemetry: Challenges and Solutions [Wireless Corner] , 2012, IEEE Antennas and Propagation Magazine.

[18]  Niels Kuster,et al.  Local tissue temperature increase of a generic implant compared to the basic restrictions defined in safety guidelines , 2012, Bioelectromagnetics.

[19]  Dries Vande Ginste,et al.  Stability and Efficiency of Screen-Printed Wearable and Washable Antennas , 2012, IEEE Antennas and Wireless Propagation Letters.

[20]  Jeroen H. M. Bergmann,et al.  Wearable and Implantable Sensors: The Patient’s Perspective , 2012, Italian National Conference on Sensors.

[21]  Sungtek Kahng,et al.  Behavior of several antenna topologies near the human head at the 2.4–2.5 GHz band , 2012 .

[22]  A. Kiourti,et al.  Miniature Scalp-Implantable Antennas for Telemetry in the MICS and ISM Bands: Design, Safety Considerations and Link Budget Analysis , 2012, IEEE Transactions on Antennas and Propagation.

[23]  K. Nikita,et al.  Numerical assessment of the performance of a scalp‐implantable antenna: Effects of head anatomy and dielectric parameters , 2013, Bioelectromagnetics.

[24]  Zhijun Zhang,et al.  A Dual-Resonant Shorted Patch Antenna for Wearable Application in 430 MHz Band , 2013, IEEE Transactions on Antennas and Propagation.

[25]  M. Manteghi,et al.  On the Study of the Near-Fields of Electric and Magnetic Small Antennas in Lossy Media , 2014, IEEE Transactions on Antennas and Propagation.

[26]  Zoya Popovic,et al.  Toward wearable wireless thermometers for internal body temperature measurements , 2014, IEEE Communications Magazine.

[27]  Shaoqiu Xiao,et al.  Design and Safety Considerations of an Implantable Rectenna for Far-Field Wireless Power Transfer , 2014, IEEE Transactions on Antennas and Propagation.

[28]  Rongqiang Li,et al.  Compact slotted semi-circular antenna for implantable medical devices , 2014 .

[29]  Minkyu Je,et al.  Design and in Vitro Test of a Differentially Fed Dual-Band Implantable Antenna Operating at MICS and ISM Bands , 2014, IEEE Transactions on Antennas and Propagation.

[30]  Asimina Kiourti,et al.  Implantable and ingestible medical devices with wireless telemetry functionalities: A review of current status and challenges , 2014, Bioelectromagnetics.

[31]  Douglas H. Werner,et al.  A Compact, Low-Profile Metasurface-Enabled Antenna for Wearable Medical Body-Area Network Devices , 2014, IEEE Transactions on Antennas and Propagation.

[32]  Malathi Kanagasabai,et al.  Polygon-Shaped Slotted Dual-Band Antenna for Wearable Applications , 2014, IEEE Antennas and Wireless Propagation Letters.

[33]  Paolo Cunzolo,et al.  A Circadian and Cardiac Intraocular Pressure Sensor for Smart Implantable Lens , 2015, IEEE Transactions on Biomedical Circuits and Systems.

[34]  Guy A. E. Vandenbosch,et al.  Wearable Dual-Band Magneto-Electric Dipole Antenna for WBAN/WLAN Applications , 2015, IEEE Transactions on Antennas and Propagation.

[35]  Ronan Hinchet,et al.  Wearable and Implantable Mechanical Energy Harvesters for Self-Powered Biomedical Systems. , 2015, ACS nano.

[36]  Sam Lemey,et al.  Wearable, Small, and Robust: The Circular Quarter-Mode Textile Antenna , 2015, IEEE Antennas and Wireless Propagation Letters.

[37]  Xianming Qing,et al.  A Wideband Ultra-Thin Differential Loop-Fed Patch Antenna for Head Implants , 2015, IEEE Transactions on Antennas and Propagation.

[38]  Yi Huang,et al.  A Broadband Flexible Implantable Loop Antenna With Complementary Split Ring Resonators , 2015, IEEE Antennas and Wireless Propagation Letters.

[39]  Hung Cao,et al.  Power Approaches for Implantable Medical Devices , 2015, Sensors.

[40]  G. Vandenbosch,et al.  Compact All-Textile Dual-Band Antenna Loaded With Metamaterial-Inspired Structure , 2015, IEEE Antennas and Wireless Propagation Letters.

[41]  Leslie A. Rusch,et al.  Biological Channel Modeling and Implantable UWB Antenna Design for Neural Recording Systems , 2015, IEEE Transactions on Biomedical Engineering.

[42]  Lin Li,et al.  A Miniature-Implantable Antenna for MedRadio-Band Biomedical Telemetry , 2015, IEEE Antennas and Wireless Propagation Letters.

[43]  Malathi Kanagasabai,et al.  Dual-Band EBG Integrated Monopole Antenna Deploying Fractal Geometry for Wearable Applications , 2015, IEEE Antennas and Wireless Propagation Letters.

[44]  Chang Won Jung,et al.  Radiation-Pattern-Reconfigurable Antenna Using Monopole-Loop for Fitbit Flex Wristband , 2015, IEEE Antennas and Wireless Propagation Letters.

[45]  Anja K. Skrivervik,et al.  Diminishing SAR for Wearable UHF Antennas , 2015, IEEE Antennas and Wireless Propagation Letters.

[46]  Stavros Koulouridis,et al.  An Implantable Planar Dipole Antenna for Wireless MedRadio-Band Biotelemetry Devices , 2016, IEEE Antennas and Wireless Propagation Letters.

[47]  Andrea Ruaro,et al.  Wearable Shell Antenna for 2.4 GHz Hearing Instruments , 2016, IEEE Transactions on Antennas and Propagation.

[48]  Carlos A. Fernandes,et al.  Wideband Implantable Antenna for Body-Area High Data Rate Impulse Radio Communication , 2016, IEEE Transactions on Antennas and Propagation.

[49]  Chang Won Jung,et al.  Transparent and Flexible Antenna for Wearable Glasses Applications , 2016, IEEE Transactions on Antennas and Propagation.

[50]  Yu-Te Liao,et al.  Toward a Wirelessly Powered On-Lens Intraocular Pressure Monitoring System , 2016, IEEE Journal of Biomedical and Health Informatics.

[51]  Guy A. E. Vandenbosch,et al.  Radiation Pattern-Reconfigurable Wearable Antenna Based on Metamaterial Structure , 2016, IEEE Antennas and Wireless Propagation Letters.

[52]  Yen-Sheng Chen,et al.  A Low-Profile Wearable Antenna Using a Miniature High Impedance Surface for Smartwatch Applications , 2016, IEEE Antennas and Wireless Propagation Letters.

[53]  Yong-Xin Guo,et al.  Wearable AMC Backed Near-Endfire Antenna for On-Body Communications on Latex Substrate , 2016, IEEE Transactions on Components, Packaging and Manufacturing Technology.

[54]  Ae‐Kyoung Lee,et al.  Numerical compliance testing of human exposure to electromagnetic radiation from smart-watches. , 2016, Physics in medicine and biology.

[55]  Chin-Lung Yang,et al.  Implantable Wideband Low-Specific-Absorption-Rate Antenna on a Thin Flexible Substrate , 2016, IEEE Antennas and Wireless Propagation Letters.

[56]  Douglas H. Werner,et al.  Design and Experimental Investigation of a Compact Circularly Polarized Integrated Filtering Antenna for Wearable Biotelemetric Devices , 2016, IEEE Transactions on Biomedical Circuits and Systems.

[57]  Muhammad Ramlee Kamarudin,et al.  Compact and Low-Profile Textile EBG-Based Antenna for Wearable Medical Applications , 2017, IEEE Antennas and Wireless Propagation Letters.

[58]  Guy A. E. Vandenbosch,et al.  Wearable Button Antenna for Dual-Band WLAN Applications With Combined on and off-Body Radiation Patterns , 2017, IEEE Transactions on Antennas and Propagation.

[59]  Amay J. Bandodkar,et al.  Review—Wearable Biofuel Cells: Past, Present and Future , 2017 .

[60]  Purva Shrivastava,et al.  INVESTIGATIONS OF SAR DISTRIBUTIONS AND TEMPERATURE ELEVATION ON HUMAN BODY AT 60 GHZ WITH CORRUGATED ANTIPODAL LINEAR TAPERED SLOT ANTENNA , 2017 .

[61]  Hyoungsuk Yoo,et al.  A Multiband Antenna Associating Wireless Monitoring and Nonleaky Wireless Power Transfer System for Biomedical Implants , 2017, IEEE Transactions on Microwave Theory and Techniques.

[62]  Hang Wong,et al.  Dual-Band Dual-Mode Button Antenna for On-Body and Off-Body Communications , 2017, IEEE Transactions on Biomedical Circuits and Systems.

[63]  Heather Song,et al.  Global positioning system and distress signal frequency wrist wearable dual‐band antenna , 2017 .

[64]  Yi Fan,et al.  A Miniaturized CSRR Loaded Wide-Beamwidth Circularly Polarized Implantable Antenna for Subcutaneous Real-Time Glucose Monitoring , 2017, IEEE Antennas and Wireless Propagation Letters.

[65]  Yahya Rahmat-Samii,et al.  An End-to-End Implanted Brain–Machine Interface Antenna System Performance Characterizations and Development , 2017, IEEE Transactions on Antennas and Propagation.

[66]  Sekhar Ranjan Bhadra Chaudhuri,et al.  AN EFFECTIVE SAR REDUCTION TECHNIQUE OF A COMPACT MEANDER LINE ANTENNA FOR WEARABLE APPLICATIONS , 2017 .

[67]  A. Wood,et al.  Non-ionizing Radiation Protection: Summary of Research and Policy Options , 2017 .

[68]  T. Rama Rao,et al.  Investigations on SAR and Thermal Effects of a Body Wearable Microstrip Antenna , 2017, Wirel. Pers. Commun..

[69]  Ivan Luigi Spano,et al.  SAR evaluation of wireless antenna on implanted cardiac pacemaker , 2017 .

[70]  Esther Florence Sundarsingh,et al.  EBG-Backed Flexible Printed Yagi–Uda Antenna for On-Body Communication , 2017, IEEE Transactions on Antennas and Propagation.

[71]  Constantine A. Balanis,et al.  Wearable Flexible Reconfigurable Antenna Integrated With Artificial Magnetic Conductor , 2017, IEEE Antennas and Wireless Propagation Letters.

[72]  John L. Volakis,et al.  Miniaturized Fully Passive Brain Implant for Wireless Neuropotential Acquisition , 2017, IEEE Antennas and Wireless Propagation Letters.

[73]  Ignacio Gil,et al.  An Alternative Wearable Tracking System Based on a Low-Power Wide-Area Network , 2017, Sensors.

[74]  F Schaumburg,et al.  Assessment of thermal effects in a model of the human head implanted with a wireless active microvalve for the treatment of glaucoma creating a filtering bleb. , 2017, Physics in medicine and biology.

[75]  Young Joong Yoon,et al.  Design of PIFA With Metamaterials for Body-SAR Reduction in Wearable Applications , 2017, IEEE Transactions on Electromagnetic Compatibility.

[76]  Bing Zhang,et al.  A Miniaturized Circularly Polarized Implantable Annular-Ring Antenna , 2017, IEEE Antennas and Wireless Propagation Letters.

[77]  Guy A. E. Vandenbosch,et al.  A Miniature Feeding Network for Aperture-Coupled Wearable Antennas , 2017, IEEE Transactions on Antennas and Propagation.

[78]  Varshini Karthik,et al.  SAR investigations on the exposure compliance of wearable wireless devices using infrared thermography , 2018, Bioelectromagnetics.

[79]  Guoping Gao,et al.  Wearable planar inverted‐F antenna with stable characteristic and low specific absorption rate , 2018 .

[80]  Aydogan Ozcan,et al.  Wearable and Implantable Sensors for Biomedical Applications. , 2018, Annual review of analytical chemistry.

[81]  R. Harne,et al.  E-Textile Origami Dipole Antennas With Graded Embroidery for Adaptive RF Performance , 2018, IEEE Antennas and Wireless Propagation Letters.

[82]  Guy A. E. Vandenbosch,et al.  Design of Wideband Button Antenna Based on Characteristic Mode Theory , 2018, IEEE Transactions on Biomedical Circuits and Systems.

[83]  Asimina Kiourti RFID Antennas for Body-Area Applications: From Wearables to Implants , 2018, IEEE Antennas and Propagation Magazine.

[84]  Benny Milgrom,et al.  Gain Enhancement of a Compact Implantable Dipole for Biomedical Applications , 2018, IEEE Antennas and Wireless Propagation Letters.

[85]  Xueguan Liu,et al.  Switchable ON-/OFF-Body Antenna for 2.45 GHz WBAN Applications , 2018, IEEE Transactions on Antennas and Propagation.

[86]  H. G. Espinosa,et al.  Wearable slot antenna at 2.45 GHz for off‐body radiation: Analysis of efficiency, frequency shift, and body absorption , 2018, Bioelectromagnetics.

[87]  Shyam S. Pattnaik,et al.  Quad-Band Wearable Slot Antenna with Low SAR Values for 1.8 GHz DCS, 2.4 GHz WLAN and 3.6/5.5 GHz WiMAX Applications , 2018 .

[88]  J. Blauert,et al.  In Vivo Testing of a Miniature 2.4/4.8 GHz Implantable Antenna in Postmortem Human Subject , 2018, IEEE Antennas and Wireless Propagation Letters.

[89]  Jaehoon Choi,et al.  60 GHz Patch Antenna Array With Parasitic Elements for Smart Glasses , 2018, IEEE Antennas and Wireless Propagation Letters.

[90]  Amin Abbosh,et al.  Near-Field Inductive-Coupling Link to Power a Three-Dimensional Millimeter-Size Antenna for Brain Implantable Medical Devices , 2018, IEEE Transactions on Biomedical Engineering.

[91]  J. Blauert,et al.  Bio-Matched Horn: A Novel 1–9 GHz On-Body Antenna for Low-Loss Biomedical Telemetry With Implants , 2019, IEEE Transactions on Antennas and Propagation.