Overview : Developed a wearable patch for EMI detection and shielding during electrocautery, specifically for patients with cardiac implanted devices
Tools/Skills : Project Management, CAD, Arduino, Soldering, Programming, Circuit Schematics, Prototyping, Machining
Team : Elena Piacentini, Julia Skultety, Reda Samari, Andrew Wang
Timeline : 12 weeks
Sequence diagram (click to view the full diagram)
Think of PulsePatch as a “radar” for electromagnetic interference in the operating room. Just like a radar detects invisible signals in the air, PulsePatch senses surrounding electromagnetic activity that surgeons normally can’t see. A loop antenna inside the device picks up these signals and converts them into an electrical reading that a small microcontroller processes in real time.
The device then translates this invisible information into a simple traffic-light LED display, allowing surgeons to instantly understand whether EMI levels are low, moderate, or high at a glance. PulsePatch is sealed in a sterile enclosure and includes built-in shielding materials that both reduce electromagnetic interference as well.
Some surgical tools, particularly those using high-frequency electrical currents, create electromagnetic interference (EMI) that can induce inappropriate shocks in patients with implanted cardiac devices.
Current standards of care include placing a magnet to disable device therapies or calling in a specialist to reprogram the device. These approaches take away valuable time and resources in an operating room setting.
To monitor and mitigate intraoperative EMI affecting implanted devices in cardiac surgery, minimizing innappropiate shocks and inhibitons.
“The magnet can fall… [and] reprogramming the device involves calling extra people to come do it. Smaller hospitals might not have as many of those people available.”
— Dr. Edward O’Leary, MD, Cardiologist and Electrophysiologist, BCH
“The biggest challenge is coordination and availability, not actual programming itself.”
— Dr. Mohammed Gabr, Cardiologist, BWH
All the electronics and shielding layers were assembled on Onshape. Both the enclosures were 3D printed where the shielding and electronics enclosure was printed in TPU (more flexible so it sits better on the patient’s body) and ABS respectively (rigidity needed for heavier weight of electronics).
The Engineering Drawings were created using ANSI standards
Killer experiments are quick, focused tests used to confirm or invalidate the core purpose of a prototype. For PulsePatch, the two critical functions EMI detection and attenuation were validated through targeted bench testing.
To simulate electrocautery-level EMI, a function generator was set to 300 kHz and 4 Vpp and connected to a 26-AWG wire loop, creating a controlled EMI source. PulsePatch’s antenna wire captured the radiated signal, passed it through a DC rectifier, and converted it into voltage values read by an Arduino ADC. Based on calibration testing, EMI levels were mapped to a traffic-light LED system:
Green (<300 ADC): Low EMI
Yellow (300–700 ADC): Moderate EMI
Red (>700 ADC): High EMI
This experiment confirmed that PulsePatch can reliably sense and visualize EMI levels in a form that is immediately understandable to users.
For detection, we placed the radiating loop at varying distances from the antenna, recording the ADC values and LED status, expecting to see an increase in ADC as distance decreased.
We built a tissue–pacemaker surrogate model to test the "attentuation" function. A silicone sponge soaked in PBS simulated the conductivity and dielectric properties of human skin/tissue. Copper mesh disperses electric fields & ferrite sheet above attenuates the magnetic fields. Lastly, an aluminum sheet beneath the sponge acted as a conductive pacemaker surrogate. Positioning the loop at varying distances we collected data for 3 trials with and without the shield, expecting to see a reduction in ADC values for the shielding.”
Averaging across our trials, we found that PulsePatch detects EMI very reliably. As distance decrease, our ADC values increase and LED status shifted from green to yellow to red at our expected thresholds.
We found that adding shielding resulted in a 29.7% reduction in detected EMI compared to without shielding. This confirms that PulsePatch not only detects EMI but attenuates it, thus increasing the safe operating distance from electrocautery tools.
We learnt about FMEA as a tool for proactively assessing design risks by analyzing potential failure modes, their effects, and causes, allowing us to make informed design trade-offs before physical testing.
Before we arrived at our final solution, we came up with multiple ideations based of our needs statement.
We then used a Pugh chart to systematically compare design concepts against weighted criteria, enabling an objective selection of the most promising solution.
Hazard Detection Sensitivity : Alerts to clinically relevant EMI at surgical frequency bands (300–500 kHz). Triggers at ≤ X cm from ESU at ≥ Y mV induced
Risk Mitigation Effectiveness : Actively reduces patient/device risk. % attenuation (dB), % reduction in false shocks, or improved ECG signal-to-noise ratio
Response Time : Time from EMI onset to alert or action. ≤ 0.5 s (maximum 1.0 s)
Indicator Clarity : Status remains unambiguous under operating room conditions. ≥ 90% correct interpretation in a 10-person mock use study
Compatibility / Integration : Integrates with existing workflow and equipment. ≤ 1 additional step introduced
Safety & Isolation : Meets electrical safety and insulation requirements. Passes IEC-style leakage and insulation proxy tests
Cost & Manufacturability : Feasible bill of materials and scalable build process. BOM ≤ $100; assembly time ≤ 3 hours
Reliability / Ergonomics : Durable through reprocessing and comfortable for users. ≥ 30 sterilization cycles; comfort rating ≥ 4/5
We prioritized detection sensitivity and risk mitigation effectiveness. Our ideas scored fairly even on detection sensitivity but the flat patch and cable clamp failed on risk mitigation. After adjusting the projected criteria with the weights, we chose the shield patch to be our prototype.