Development of Underwear with Integrated 12 Channel ECG for Men and Women

Stephanie Trummer 1 , Andrea Ehrmann 2  and Alexander Büsgen 1
  • 1 Niederrhein University of Applied Sciences, Faculty of Textile and Clothing Technology, , Mönchengladbach, Germany
  • 2 Bielefeld University of Applied Sciences, Faculty of Engineering and Mathematics, , Bielefeld, Germany


Cardiovascular diseases are the most frequent cause of death worldwide. Cases of cardiac arrest can often be attributed to undetected cardiac arrhythmia. Detecting rare episodes of arrhythmia necessitates long-term ECG measurements along days or weeks. However, due to the relatively small number of electrodes used for these ECGs, abnormal episodes can still go unrecognized. This article thus describes the development of underwear with ten inbuilt textile ECG electrodes, allowing for the measurement of long-term 12-lead ECG. As against the constructs of other research groups, the position of electrodes offers the same detection directions as the common 12-lead ECG equipment in hospitals or medical practices. Long-term tests have shown the suitability of the sensory underwear variants for men and women to detect reliable ECG signals without disturbing the patients’ comfort.

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  • [1] DPA. Todesursachen Herztod, Krebs und Suizid, Pharmazeutische Zeitung online, Govi-Verlag, 42/2010,

  • [2] Pruscha H, Ulm K, Schmidt G. Statistische Analyse des Einflusses von Herzrhythmusstörungen auf das Mortalitätsrisiko, Paper 56, Ludwig-Maximilians-Universität München, 1997

  • [3] Armstrong WF, Jordan JW. Prevalence and magnitude of ST-segment and T wave abnormalities in men during continuous ambulatory electrocardiography. Am. J. Cardiol., 1981; 49: 249-251.

  • [4] Deanfield J, Ribiero P. Analysis of ST segment changes in normal subjects. Implications for ambulatory monitoring in angina pectoris. Am. J. Cardiol., 1984; 54: 1321-1325.

  • [5] Kohli RS, Cashman PMM. The ST-segment of the ambulatory electrocardiogram in a normal population. Br. Heart J., 1988; 60: 4-16.

  • [6] Andresen D, Brüggemann Th, Völler H, Schroder R. Is Holter’s triple investigation desirable to avoid unnecessary coronary arteriography? In: Giuli R, McCallum RW, Skinner DB. Primary Motility Disorders of the Oesophagus, John Libbey & Co, 1991.

  • [7] Houghton AR, Gray D. EKG - Von der Kurve zur Diagnose, Urban & Fischer, München/Jena 2001

  • [8] TITV Greiz. Energie- und Informationsübertragung in smart textiles, project description,

  • [9] Institut für Textil- und Bekleidungstechnik of TU Dresden. Energie- und Informationsübertragung in Smart Textiles, project description,

  • [10] Ohmatex. Brochure,

  • [11] Novonic, R. Eine Marke der W. Zimmermann GmbH & Co. KG,

  • [12] Aumann S, Trummer S, Brücken A, Ehrmann A, Büsgen A. Conceptual design of a sensory shirt for fire-fighters. Text. Res. J., 2014; 84: 1661-1665.

  • [13] Canart V, Flacke E, Aumann S, Trummer S, Brücken A, Ehrmann A, Büsgen A. ECG sensor technology for fire fighters. Technical Textiles, 2014; 57: E61-E62

  • [14] Pola T, Vanhala J. Textile electrodes in ECG measurement. In: Proceedings of international conference on intelligent sensors, sensor networks and information, Melbourne, Australia, 3-6 December 2007, pp.635-639.

  • [15] FU Berlin. Project FeuerWhere,

  • [16] Slack G. Bringing firefighters back alive with smart technology. Research @ Berkeley Magazine,

  • [17] NASA Ames Astrobionics. LifeGuard - A wearable vital signs monitoring system,

  • [18] Scanlon MV. Unique gel-coupled acoustic sensor monitors human voice and physiology, ASA MEETING ARCHIVES, 144th Meeting, Cancun, Mexico, 2002.

  • [19] Oberleitner A. Feuer frei! Die intelligente Berufsbekleidung für die Feuerwehr. Press release 2008,

  • [20] Reischl U and Reischl P. A heat stress monitoring system for fire fighters. Fire Tech, 1977; 13: 121.

  • [21] Lemkin D, Plotnick G. Introduction to EKGs - Lead Placement, University of Maryland School of Medicine Emergency Medicine Interest Group, http://davidge2.\

  • [22] Montplaisir JF, 12 Lead ECG Fabric Electrode Belt System, patent application US 2008/0064970 A1, 2008

  • [23] NANOSONIC Inc.: EKGear™ Sensor Shirt,

  • [24] Dry Electrodes Facilitate Remote Health Monitoring, NASA Technology Transfer Program,

  • [25] Horter H, Gönner K, Linti C, Planck, H, Kotterba B, Fischer C, Schöller B, Placke V, Martin D, Heiser M, Blender J, Holzmeister G, Siegert K. Textilintegrierte Erfassung, Auswertung und Übertragung von Vital- und Aktivitätsparametern für Health Care und altersgerechte Unterstützung, Workshop Integrationsplattform SSI, Villingen-Schwenningen / Germany 2014


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