A Low-Cost Breath Analyzer Module in Domiciliary Non-Invasive Mechanical Ventilation for Remote COPD Patient Monitoring

Sensors (Basel). 2020 Jan 24;20(3):653. doi: 10.3390/s20030653.

Abstract

Smart Breath Analyzers were developed as sensing terminals of a telemedicine architecture devoted to remote monitoring of patients suffering from Chronic Obstructive Pulmonary Disease (COPD) and home-assisted by non-invasive mechanical ventilation via respiratory face mask. The devices based on different sensors (CO2/O2 and Volatile Organic Compounds (VOCs), relative humidity and temperature (R.H. & T) sensors) monitor the breath air exhaled into the expiratory line of the bi-tube patient breathing circuit during a noninvasive ventilo-therapy session; the sensor raw signals are transmitted pseudonymized to National Health Service units by TCP/IP communication through a cloud remote platform. The work is a proof-of-concept of a sensors-based IoT system with the perspective to check continuously the effectiveness of therapy and/or any state of exacerbation of the disease requiring healthcare. Lab tests in controlled experimental conditions by a gas-mixing bench towards CO2/O2 concentrations and exhaled breath collected in a sampling bag were carried out to test the realized prototypes. The Smart Breath Analyzers were also tested in real conditions both on a healthy volunteer subject and a COPD suffering patient.

Keywords: COPD; exhaled breath; noninvasive ventilation; patient monitoring; sensors.

MeSH terms

  • Breath Tests / methods*
  • Carbon Dioxide / analysis
  • Cloud Computing
  • Equipment Design
  • Humans
  • Monitoring, Physiologic / economics
  • Monitoring, Physiologic / instrumentation*
  • Monitoring, Physiologic / methods*
  • Oxygen / analysis
  • Proof of Concept Study
  • Pulmonary Disease, Chronic Obstructive / therapy*

Substances

  • Carbon Dioxide
  • Oxygen