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Abstract— This paper presents a wireless on-lens intraocular IOP Readout System On-Lens System
pressure monitoring system, comprising a capacitance-to-digital TX antenna Power
Signal
converter and a wirelessly powered RFID-compatible Command Sensor
communication system, for sensor control and data Data
communication. The capacitive sensor was embedded on a soft
contact lens of 200 µm thickness using commercially available
bio-compatible lens material, to improve compliance and reduce
user discomfort. The sensor chip was shown to achieve effective Tag IC Rx Antenna
number of bits greater than 10 over a capacitance range up to 50 RFID Reader
Components
pF while consuming only 64 µW power. The on-lens capacitive
Fig. 1. Proposed IOP monitoring system.
sensor could detect dielectric variation caused by changes in water
content from a distance of 2 cm by using incident power from an the sensor system usually consumes maximum power. To
RFID reader at 20 dBm. The maximum detectable distance was 11 reduce the power required for wireless communication, load
cm with 30 dBm incident RF power. The rise in eye tissue
temperature under 30 dBm RF exposure over an interval of one modulation techniques are used, since they do not require a
second was simulated and found to be less than 0.01 °C. power-hungry local oscillator or power amplifier.
This paper presents an integrated wireless on-lens IOP
Index Terms— Capacitance-to-digital converter, capacitive monitoring system, as shown in Fig. 1, comprising an on-lens
sensor, UHF RFID Class1 Gen2, soft contact lens integrated capacitive sensor, a readout circuitry, and an
RFID-compatible communication system. The proposed sensor
I. INTRODUCTION tag can communicate with an on-glass reader and measure the
on-lens capacitance changes through the
G laucoma is one of the major causes of blindness [1]. Most
glaucoma cases in North America and Europe are
associated with a rise in the intraocular pressure (IOP). Clinical
microelectromechanical system (MEMS) capacitive sensor.
In our previous work, we demonstrated an MEMS capacitive
studies have suggested that a 1 mmHg increase in IOP increases pressure sensor on a contact lens for long-term IOP monitoring
the risk of glaucoma by 11% [1]. Therefore, long-term [10][11]. A lens center thickness of 200 µm was used in this
monitoring of IOP has become a focus of research recently [2]. study to improve patient comfort and compliance [12]. After
The Goldmann method is the standard procedure used for modification, the chip could achieve an effective number of bits
measuring IOP in clinics; however, it is not portable and is (ENOB) greater than 10 over a capacitor range up to 50 pF.
uncomfortable for the patient [3]. Conventional IOP In this paper, we describe the design methodology for the
measurements using contact or non-contact methods have on-lens receiving antenna and the on-glass transmitting antenna
failed to provide reliable and repeatable measurements for and demonstrate a wirelessly powered on-lens IOP monitoring
prompt detection and daily tracking. Therefore, a continuous system using fabricated antennas. We discuss the relevant
IOP monitoring method for glaucoma patients that offers high safety regulations and the impacts on eye tissues of
accuracy and reliability is desirable [4]. Some methods have electromagnetic (EM) wave exposure. The rest of the paper is
been proposed for continuous and long-term IOP monitoring organized as follows. Section II reviews the basic power
using implantable pressure sensors [5][6][7] or eye curvature transfer concepts and antenna design of our on-lens IOP
monitoring [8][9]. Pressure sensor implants are invasive and monitoring system. Section III describes the sensor readout
require surgery, and this reduces patients’ compliance. Such circuitry of the on-lens sensing devices. Section IV presents the
implants usually require high incident wireless power, which results of experimental investigations of the monitoring system.
may increase the temperature of the eye tissues. The power Finally, conclusions are drawn in Section V.
consumption of all active implantable IOP monitoring devices
[5][6][7] exceeds 1 mW. These systems require higher incident II. ANTENNA DESIGN
RF power, therefore potentially giving rise to excessive heating One of the most critical challenges facing an on-lens IOP
of the eye tissue under RF exposure. The wireless transmitter in monitoring device is limiting the energy source needed to
sustain long-term sensing. Supplying the on-lens device with
sufficient energy over a long lifetime is challenging [13]. To
avoid the need for batteries on the lens, the sensor tag is
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D Γreader
Coupling
Coefficient C Γchip
r
Reader Port 1 Port 2 Tag Chip
Near Field ρreader ρchip
Path Gain PG (S21)
Far Field
(a) (b)
Fig. 2. (a) Diagram of the near-field and far-field regions (r =λ/2π), (b) Coupling model of a general RFID system.
wirelessly powered by an external EM energy source. With the especially for highly oriented small-size antennas. The
help of wireless monitoring, several physiological parameters, variation in energy transmission gain due to misalignment
such as blood pressure, body temperature, respiration rate, and between the receiving and transmitting antennas should also be
blood oxygen saturation, can be wirelessly recorded [14][15]. investigated.
Besides in-hospital use, wireless monitoring is applicable for
A. Antenna Coupling and Power Scheme Optimization
use in home care or remote care monitoring wherein recorded
health data can be transmitted using telecommunication The basic antenna design theory is reviewed before
technology [16][17]. With these advanced technologies, introducing our antenna design and power optimization scheme.
medical monitoring can improve patient care, improve According to [26], the power absorbed by an RFID tag chip
understanding of disease process and decrease care cost. RFID (Pchip) from the power transmitted by the reader (Preader) can be
sensor networks (RSNs), powered by an RFID reader and expressed as
communicating via the RFID protocol, provide an attractive Pchip Preader PG (1)
approach to wireless environmental monitoring. The major PG C reader chip (2)
challenges in RSNs application are the intermittent power when
where PG is the energy transmission gain from a reader to a tag,
sensing and the asymmetric sensing protocols [18]. In this
C is the antenna coupling coefficient. ρreader and ρchip are the
study, the EPCGlobal C1G2 protocol with user command was
impedance matching coefficients at the reader and the tag,
used for RSNs at the cost of communication efficiency to
respectively.
overcome the intermittent power during sensing. Current
For an antenna with a size comparable to the wavelength of
commercially available reader hardware and equipment can be
the transmitting/receiving signals, the approximate boundary (r)
used with this topology.
between the far-field and the near-field region is given by 2D2/λ,
Due to the need to restrict the area of the components to
where D is the maximum transmitting antenna dimension and
avoid vision blockage, a ring-type geometry was used in the
λ is the wavelength [26]. A conceptual diagram of the near and
sensor and antenna design. To reduce contact lens discomfort,
the lens thickness should be close to that of commercial far fields is shown in Fig. 2(a). In our approach, the distance
products. This makes it difficult to locate the matching and between the glass and the contact lens is about 2 cm, which is
tuning components on the lens. A single-turn loop antenna for much smaller than the 860–960 MHz wavelength (λ) of the
UHF operation can be implemented on the contact lens under ultra-high-frequency RFID signal. The communication region
these constraints. is therefore in the near field. The energy transfer between the
Previous research has suggested that the implant loss inside reader and the tag antennas can be modeled using the two-port
the eyes is about 30 dB [19][20][21]. The energy needed for network shown in Fig. 2(b). |S21| represents the path gain
sensing is only 0 dBm at the receiving side using an implanted between the transmitting and receiving antennas. The coupling
antenna if the maximum regulated RF power is 30 dBm [22]. between the antennas in the near-field region affects not only
Some studies [23][24] have demonstrated the fabrication of an antenna impedance but also electrical or magnetic field
antenna onto contact lenses and the harvesting of RF energy. In distribution. Thus, the antenna performance becomes position-
addition, the safety of long-term RF exposure is addressed in and orientation-dependent. In the near field, antennas are
IEEE Std C95.1-2005 [25], which regulates the power exposure magnetically inductive coupled or electrically capacitive
of human organs. To meet the regulations, the eye temperature coupled by the tangential and radial magnetic or electric field
must be kept below the temperature threshold of 41°C and the created between them [26]. In the case of a small receiving
temperature difference should be less than 1°C under RF antenna, the magnetic field created by the reader antenna is not
exposure to prevent cataract formation [25]. perturbed by the tag. The coupling behavior between the reader
To sustain long-term bio-signal acquisition using low RF and the tag antenna is similar to that of an inductively coupled
power, the power consumption of the wireless monitoring transformer, and C can be modeled as
system should be minimized. Alongside path and tissue losses, C f 2 N 2 S 2 B 2 (3)
the relative location of the power transmitter (on the glasses)
where f is the frequency, N is the number of coil turns, S is the
and receiver (on the lens) affects the amount of power received,
overlapped cross-section area of the coils, B is the magnetic
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S11 (dB)
500
Impedance
-10
S11 (dB)
Inner Loop : 49mm
0 -15
-20
-500
-25
800 900 1000 1100 1200 800 900 1000 1100 1200
frequency (MHz) frequency (MHz)
Frequency (MHz) Frequency (MHz)
(a) (b) (c)
Fig. 3. (a) Structure of the transmitting antenna, (b) simulated antenna impedance, (c) simulated return loss.
2 cm 2 cm
8 cm 8 cm
6.8 cm 6.8 cm
(a) (b)
Fig. 4. (a) Simulated transmitting magnetic field of a simple loop antenna, (b) improved uniformity of transmitting magnetic field with the segmented loop
technique.
field at the tag location created by the reader antenna, and α is hence, our system operates mainly in the near field.
the misalignment loss [26]. To further improve power transfer, a uniform magnetic
While the magnetic field becomes strong in the near zone, distribution is required between the transmitting and receiving
the transmitting and receiving antennas in an inductively antennas. A segmented antenna with a gap between the two
coupled system are designed in the form of a loop to maximize loops was used to create a uniform magnetic field distribution
the energy transferred through magnetic coupling [27]. Due to [28], and an additional parallel capacitor was added to shift the
the areal constraints on a contact lens, the degrees of freedom of resonant frequency to within the desired band (centered at 925
C are limited. To maximize the energy received at the tag side, MHz). In addition, to reduce the power reflection between the
the impedance matching coefficients, ρreader and ρchip, should be RFID reader and the antenna, the output impedance of the
improved. This paper presents an optimization procedure for a transmitting antenna was matched to the 50 Ω impedance of the
TX-RX antenna co-design under this size constraint. test instrument.
A prototype of the transmitting antenna is shown in Fig. 3(a),
B. Transmitting Antenna Design
and the simulation results are shown in Figs. 3(b) and 3(c). At
To match the geometries of the glass and contact lenses, loop 925 MHz, the antenna impedance was 46 - j3.7 Ω; the return
antennas were adopted on both receiving and transmitting sides. loss (|S11|) was -21 dB and its -10 dB bandwidth was 21 MHz.
If the loop perimeter is comparable to the wavelength of the The antenna coupling coefficient is proportional to the
operating frequency, the current distribution shifts to produce a magnetic field. The uniform field distribution enhances energy
change in the sign of the current flow, and the antennas produce transmission and provides robust operation against shifts in the
a relatively small magnetic field on the vertical axis [28]. In our relative location and alignment of the contact lens and the glass
design, the antenna perimeter was approximately 78.5 mm and caused by eye movement and blinking. Figs. 4(a) and 4(b) show
the wavelength was approximately 324 mm at 925 MHz. Thus, the simulated magnetic field distribution of a single-loop
the transmitting antenna can be considered a small loop antenna. antenna and the proposed segmented loop antenna. The field
The constant current phase along the loop creates a strong magnitude at a distance of 2 cm was approximately 3.52 A/m.
near-field magnetic field, increasing the energy transmission in The magnetic field strength and uniformity were improved by
a focused direction. Using λ/2π to derive the boundary gives a around 34 dB compared with a simple-loop antenna under the
boundary of between 5.5 and 4.9 cm at 860–960 MHz, and same size constraints.
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Antenna
Antenna Impedance
Impedance Return Loss
Lens 150 0
Return Loss
Re(Z) S11
Im(Z)
(Ω)
Impedance (Ohm)
100 -5
(dB)
Impedance
12.1mm
S11 (dB)
S11
50 -10
0 -15
Sensor 0.8 0.9 1 1.1 1.2 0.8 0.9 1 1.1 1.2
Antenna frequency (GHz)
Frequency (GHz) frequency (GHz)
Frequency (GHz)
(a) (b) (c)
Fig. 5. (a) Geometry of the receiving antenna; (b) simulated results of the antenna impedance; and (c) simulated results of |S11|.
(dB)
Gain(dB)
Ciliary Distance between 30mm
Sclera Muscle Power Tx and Rx -25
Path Gain
Input
-30
Path
Vitreous
Eye
Humor -35
Model
-40
0.8 0.9 1 1.1 1.2
Frequency (GHz)
(a) (b) (c)
Fig. 6. (a) Eye model for SAR simulation; (b) configuration of simulation; and (c) simulated |S21| at different distances.
Rectifier
Bandgap Sensor
Limiter
Bias Readout
Regulator Circuitry
Digital
Processor
Modulator
CMOD
DOUT Power-On
OSC
Reset
d=30 mm d=40 mm
Fig. 7. Simulated SAR under 30 dBm RF power.
Fig. 8. Proposed sensor chip architecture.
summarizes the electrical and thermal characteristics of the
VREF CFB
tissues [29]. Fig. 6(b) shows the configuration for antenna +
- +
coupling and SAR simulation. CSENOR
Φ1 - Φ2
From (2), the power transmission between the transmitting VP(n)
antenna and the receiving antenna is determined by C, ρchip and VREF D Q Q
obtained by linear approximation of the bio-heat equation [29]: Fig. 9. Capacitance-to-digital converter.
T
SAR c (4) information. In this design, a capacitive sensor is employed for
t detecting the eye curvature changes due to IOP deviations. Fig.
where c is the heat capacity of the tissue, ΔT is the temperature 9 shows a schematic of the capacitance-to-digital converter
change, and Δt is the exposure time. Fig. 7 shows the simulated
(CDC), which is modified from that reported in a previous
1g-SAR of the proposed IOP monitoring system at different
study [11]. The recorded bit density of the CDC output bit
distances when using 30 dBm RF power. The maximum RF
stream represents the ratio between the sensing capacitor and
power level needed to meet 1.6 Kg/W FCC regulations are 18
dBm at a distance of 10 mm and 24 dBm at 20 mm. The the on-chip reference capacitor. To improve the linearity and
maximum temperature increases after one second of 30 dBm sensitivity of the readout circuitry, the configurations of the
EM exposure were only 0.008°C at 10 mm and 0.002°C at 20 on-chip reference capacitor and the off-chip sensor capacitor
mm. The locations on the lens model are shown in Fig. 6(a). were exchanged. Using the on-chip 50 pF reference capacitor,
The simulation results suggest that the proposed system can the detectable sensor capacitance range was between 1 pF and
meet the safety regulations with a variable operating distance 50 pF. Detailed descriptions of the other blocks can be found in
and at different RF power levels. our previous work [11].
III. DESIGN OF THE ON-LENS SENSOR SYSTEM IV. EXPERIMENTS AND RESULTS
The sensor was placed on the inner area of the contact lens The experimental results for the IOP monitoring system,
and the antenna on the outside to maximize the effective area including the sensor IC and the path gain between the
and efficiency. The capacitance change due to dielectric transmitting and receiving antennas, are discussed in this
variation caused by differences in water content was used to section.
verify the functionality of the sensor readout circuitry. Detailed A. RFID Front End Performance
descriptions of sensor fabrication can be found in our previous
Fig. 10 shows the chip micrograph of the proposed sensor IC.
work [10].
The chip was implemented using 0.18 μm CMOS technology.
Fig. 8 shows the architecture of the proposed sensor chip.
The chip size with I/O pads was 1 mm × 1.58 mm.
The sensor chip includes the analog front-end circuits for power
The chip was measured using standard RFID testing
scavenging and data demodulation, a digital processor for
equipment (CISC Xplorer) [30], which allows programming
RFID-protocol format generation and sensing information
instructions to be sent to the RFID tags using standard RFID
processing, and a sensor readout circuitry to acquire the sensor
commands or user-defined commands, following the protocol
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1580um RF to Wireless
DC Conversion
Harvesting
RF-
5
12%
0.12
1000um
Circuit
PCE (%)
Analog/RF 3
PCE (%)
8%
0.08
Front End
6%
0.06
2
Digital 4%
0.04
Processor RF+ 1
2%
0.02
-6 -4 -2
Fig. 10. Die photo of the proposed sensor IC. -6 -5 -4 -2 00 22 44 5 66 88 10
10
10 12
12
RF Input Power (dBm)
RF Input Power (dBm)
Fig. 12. Measured power conversion efficiency
-6
Rx
(dBm)
Power(dBm)
-7
Turn-on Power
Distance
-8
Turn-on
-9
Measured
after S11 calibration Fig. 13. Path gain experimental setup.
-10
800 850 900 950 1000 conversion efficiency measurement. The measurement results
Frequency
Frequency(MHz)
(MHz)
shown in Fig. 12 suggest that the rectifier with a RF input level
Fig. 11. Measured turn-on power of the proposed IOP sensor system.
of 1.74 mW (2.4 dBm) has power conversion efficiency (PCE)
definition. of 11.2% and produces 3.13 V across a 50-kΩ load, which is
To eliminate reflection losses from impedance mismatches sufficient for circuit operations of proposed sensor IC.
and to estimate the minimum input power needed to activate the
sensor IC, the correction technique described in [31] was used. B. Antenna Coupling and Path Gain Performance
The turn-on power can be calculated as To verify the functionality and flexibility of the overall
P system, the receiving antenna, shown in Fig. 11, was first
Pturnon Pchip measured2 (5)
implemented on a PCB. Because the dielectric constants of
1 S11 tissues and lens materials are much higher than those of a PCB,
With the aid of CISC Xplorer calibration, the turn-on power water was dropped onto the PCB to emulate the dielectric
characteristics can be measured and exported through CISC constant in the real operating environment.
Xplorer GUI interfaces [30]. In the frequency range of 800 Fig. 13 shows a photograph of the experimental setup for
MHz to 1 GHz, the measured average turn-on power of the measuring path gain. Measurement of an on-board antenna was
sensor IC was -9.6 dBm at 820 MHz and -8.7 dBm at 925 MHz. performed to first verify the design and then to extract the
Fig. 11 shows the measured sensitivity before and after design parameters for calibration and comparison with the
calibration, which is equivalent to Pchip in (1). Verification by a on-lens antenna. To study the magnetic field distribution in the
Cyclic Redundancy Check (CRC-16) including the tag horizontal direction and understand the energy transmission
response to acknowledge (ACK) and read command was used margin when misalignment between the receiving and
as the command sequence for turn-on power measurement [30]. transmitting antennas occurred, the transmitting antenna was
The power consumption of the proposed sensor IC with CDC partitioned into a 5×5 matrix. In the first measurement, the
activated was around 64 µW, and the chip sensitivity with CDC distance between the receiving antenna and the center of the
activated was close to 0 dBm at 925 MHz. transmitting antenna was 2 cm. The minimum turn-on power
Continuous wave (CW) signal from CISC RFID Xplorer was (the minimum reader power to communicate successfully with
directly connected to RF input of the proposed sensor IC for the sensor tag), as measured by CISC RFID Explorer, is
measurement purposes. The voltage measured at limiter’s equivalent to Preader in (1). The path gain, defined as |S21|
output was used as DC voltage generated, and the RF input between the receiving and transmitting antennas, can be
power level between −5 dBm to 10 dBm was chosen for calculated from (1) with the available Preader and Pchip. Fig. 14
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-40 Readout
Readoutcircuitry measurements
Circuitry Measurement
20 40 60 80 100
0.6 12
12
Distance (mm)
distance (mm)
Bit Density
11.5
11.5
0.4
0.4
ENOB
RecordedDOUT
ENOB
1111
0.2
0.2
10.5
10.5
00 10
10
55 10 15 20 25 30 35 40 45 50
00 10
10 15 20
20 25 30
30 35 40
40 45 50
50
capacitance (pF)
Capacitance (pF)
(a) (b) Fig. 16. Measured readout circuitry characteristics.
TABLE III
PERFORMANCE COMPARISON OF IOP MONITORING SYSTEMS
CISC RFID Xplorer Syringe Pump
[5] [6] [7] This work
Type Implantable Implantable Implantable Wearable
Capacitive Comm. Load Load
Sensor Active Active
Sensor Tag Tech Modulation Modulation
System 570–590
Freq. 2.5 GHz 13.56 MHz 860 MHz
Reader MHz
Antenna Capacitor Power 1.4 mW 45.7 mW 1.2 mW 64 μW
Input
Comm.
N/A 10 cm 4 cm 2 cm
Distance
Sensor
Temperature Capacitive Capacitive Resistive Capacitive
Type
Display
Sensor
5.3–5.75 pF N/A 5–50 KΩ 2.5–50 pF
Range
ENOBs N/A N/A 8 10
Fig. 17. Photograph of the RFID sensor system testing with the on-lens
capacitive sensor. Area 0.5 mm 2
3 mm 2
2 mm 2
1.58 mm2
Comm.
Cpacitance vs Time N/A N/A ISO-15693 EPC C1G2
Capacitance vs Time Protocol
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