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Energy Harvesting For Wearable Devices: A


Review
Yung-Wey Chong, Widad Ismail, Kwangman Ko, and Chen-Yi Lee

devices by 2021 [3]. Wearable devices are targeting personal


Abstract— In recent years, wearable devices have attracted health sector [4] as well as the military sector for assessing the
attention because of their ability to enhance the quality of life. This physical and mental health of soldiers in combat [5].
disruptive technology has helped healthcare professionals with Many researchers have worked towards developing wearable
intervening early in chronic diseases, especially amongst devices that are small and unobtrusive and can improve users’
independently living patients, and has facilitated real-time
quality of life. Sonoda [6] and Poh [7] presented wearable
monitoring of patients’ vital signs remotely. One of the major
bottlenecks that hampers the adoption of wearable device is
photoplethysmography (PPG) sensors that can be used at the
continuous power supply. Most wearable devices solely depend on earlobe for heartbeat measurement. These optical techniques
battery supply. When the energy stored in the battery is depleted, contain sensor to measure the blood volume pulse that
the operation of wearable devices is affected. To overcome this propagates throughout the body to provide information about
limitation, efficient energy harvesters for wearable devices are the cardiovascular system. Vogt [8] acknowledged that
crucial. The paper primarily aims to present a comprehensive wearable devices must be developed for attracting fashionistas
classification of different energy sources that can be capitalised to and must be able to be used during magnetic resonance imaging
power wearable devices. In addition, this research paper deals (MRI). As such, a Bluetooth Low Energy (BLE) wearable
with the key challenges that must be considered in the device that can measure vital signs, e.g. heart rate, peripheral
development of autonomous wearable devices for telemedicine
applications with a proposed system design for wearable device
capillary oxygen saturation and temperature, was conceived. In
that uses energy harvesting technology. addition to being used as standalone devices, sensors can be
embedded into garment to measure electrocardiogram (ECG),
Index Terms—Energy harvesting, wearable device, Internet of e.g. MagIC [9], LifeShirt [10] and MAIN shirt [11]. Sensor
Things, Telemedicine, Wireless Sensor Network, Energy Resource integration into garments helps prevent scenarios in which users
forget to put on wearable devices. This is crucial, especially if
caregivers/medical practitioners are monitoring elderly patients
I. INTRODUCTION or in the case of patients with critical illnesses. While garments
provide mobility for users, different factors, e.g. size of the
The ageing population has been growing at an unprecedented
electronic component, power consumption and electrode
rate worldwide owing to the improvements in quality of life.
position, must be considered to ensure uninterrupted sensing.
United Nations estimated that by 2017, over 962 million people
Unlike wireless sensor networks, timely delivery of data
worldwide would be over the age of 60 years. The number of
from a device to the cloud server is crucial because several
elderly people will further increase to 1.4 billion by 2030 as
wearable devices are used in emergencies, such as detecting
fertility declines and life expectancy rises [1]. Many publicly
falls and heart attack. Any delay may potentially cost a person
funded healthcare systems are facing massive increases in costs
their life. Therefore, a continuous source of electrical power is
and crowdedness in medical institutions owing to the need for
crucial to prevent interruption of the operation of wearable
nursing care. Many of these patients are diagnosed with obesity
devices [12]. However, energy limitations remain a critical
and diabetes, chronic diseases that can be prevented with
constraint because many wearable devices are powered solely
appropriate diet and sufficient physical activity [2]. Wearable
by battery energy. When battery energy is depleted, health
devices constitute a new technological paradigm for
monitoring will be interrupted until the battery is charged or
encouraging physical activity. In addition, they can be used for
changed. Wearable devices should be easy to use and require
early detection of medical illnesses, emergency notification and
low levels of maintenance. These devices should be able to
computer-assisted rehabilitation. The unprecedented growth in
operate continuously with minimal human intervention [13].
wearable devices has attracted significant interest from the
The use of large-capacity batteries in wearable devices
commercial and research communities. ABI Research
increases the size and weight of these devices, making them
forecasted that the market for wearable devices will increase
unattractive for use and causing discomfort to users [14]. An
from 202 million devices in 2016 to more than 501 million

The research project is funded by USM RUI Grant under grant number Kwangman Ko is with School of Computer Engineering, Sangji University,
1001/PNAV/8014078 (Corresponding author: Widad Ismail) Republic of South Korea (e-mail: kkman@sangji.ac.kr)
Yung-Wey Chong is with National Advanced IPv6 Centre, Universiti Sains Chen-Yi Lee is with the Department of Electronics Engineering, National
Malaysia, Penang 18000, Malaysia (e-mail: chong@usm.my). Chiao Tung University, Hsinchu, Taiwan (e-mail: cylee@si2lab.org).
Widad Ismail is with School of Electrical and Electronic Engineering,
Universiti Sains Malaysia, Nibong Tebal 14300, Malaysia (e-mail:
eewidad@usm.my)

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Fig. 1. Typical architecture of a wireless body area network

ideal wearable device should be invisible or resemble a fashion promising sources of energy for wearable devices can be
item. classified into two broad categories: ambient sources and
To ensure user adoption, it is crucial that next-generation external sources, as shown in Fig. 2. Ambient sources such as
power sources provide greater functional capabilities, as well as solar power, thermoelectric power and radio frequency (RF) are
improve device comfort and lifetime. Scavenging energy from available in the surroundings at almost no cost. The
the environment is important from the viewpoint of wearable characteristics of ambient sources are unique in terms of
devices. Doing so can reduce dependency on battery energy and predictability, controllability and conversion efficiency [20].
provide unique features that are not provided by conventional This is because these sources may be affected by time, location
batteries [15, 16]. The combination of wearable devices and and weather conditions. In contrast, external sources are
energy-harvesting technology has created fantastic
predictable and controllable because they are deployed
opportunities in wearable devices. IDTechEx reported that the
explicitly in the environment.
energy-harvesting market grew from $0.7 billion in 2012 to $
22.6 billion in 2014 [17]. The combination of low power A. Solar energy
requirements, tiny devices that blend into the body and the need For several decades, solar power has been used to power
to eliminate maintenance ensures that energy harvesting is consumer products such as calculators and wristwatches. It is
suitable for use in wearable devices. amongst the most widespread energy sources owing to the
magnitude of energy harvested. Photovoltaic (PV) cells, which
are nonlinear semiconductor devices, generate electricity when
II. ENERGY HARVESTING TECHNIQUES IN WEARABLE
the chemicals in them are exposed to solar radiation or light.
DEVICES
The efficiency of solar cells depends on the material used in
Generally, wearable devices are composed of sensors for them. Three materials are typically used in PV cells:
monitoring vital signs; they have low-power processing amorphous, monocrystalline and polycrystalline silicon.
capabilities to process the vital sign signals so that they can be Amorphous silicon cells can be manufactured on flexible
visualised by healthcare providers. Such devices perform tasks surfaces, making them suitable for wearable devices. Although
such as collecting signals from sensors, processing them and the efficiency of the cells based on this material is the lowest
storing and transmitting the processed information wirelessly. (around 10%), it is widely used to manufacture cells for use in
They comprise sensors, a radio frequency (RF) transceiver and indoor applications because it is cheap and sensitive to low
a processing unit and are integrated into wearable structures
such as shoes, clothes, badges and bracelets, as shown in Fig. 1.
These devices can be categorised as invasive or non-invasive
depending on their placement in the human body. They are
usually small and thin, capable of wireless communication and
are characterised by low power consumption. Data from these
devices are sent to a data center through wireless
communication media so that the user can be monitored
regularly either by healthcare service providers or caregivers.
Energy harvesting can be performed sporadically to provide
continuous power to wearable devices [18, 19]. The most Fig. 2. Energy sources for wearable devices

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to 100 mW/cm2 of energy can be harvested with conversion


efficiency between 15% and 20% [23]. The light density is
lower when PV cells are exposed to indoor lighting, and the
corresponding energy density is between 10 µW/cm2 and 100
µW/cm2, with a conversion efficiency of 8% [24].
The high conversion efficiency and long-term availability of
solar energy over extended duration makes it attractive for
wearable devices that need continuous monitoring. One
Fig. 3. Equivalent circuit of solar cell [22] example is Soliband [25], a wearable device that can operate
levels of natural light. By contrast, crystalline silicon is more uninterrupted so long as a light source is available. Soliband
appropriate for outdoor applications because the cells based on consists of monocrystalline silicon solar cells, a lithium
this material can achieve conversion efficiencies as high as polymer (LiPo) battery, supercapacitor, power management
15%–20% under strong lighting [21]. unit and photoplethysmogram (PPG) sensor that monitors heart
Solar cells can be simplified into an equivalent circuitry, as rate and blood oxygenation, as shown in Fig. 4. When a light
shown in Fig. 3 [22]. source is not available, the device draws power from the
The current–voltage (I–V) characteristic of a solar panel can onboard 20 mAh LiPo battery and supercapacitors. The battery
be expressed as follows: can service the device’s power demand of 13.7 mW for 4 h in
+,+ - .,+ /0 the absence of a light source.
#,+ 67,+ 80
𝐼"# = 𝐼"% − 𝐼( )𝑒 12 +3 − 1 5 − 809
(1) Flexible PV cells fabricated from amorphous silicon have
been employed to promote the use of solar energy in wearable
Vt, the junction thermal voltage can be calculated as follows: devices [26, 27, 29, 30]. Toh [26] developed an autonomous
<=>
𝑉; = ?
(2) wearable device powered by a flexible energy-harvesting
where IO is the dark saturation current of diode, IPH is the photo- mechanism in conjunction with an ultra-low-power-
generated current, RSH is the panel parallel shunt resistance, RS management circuit (PMC) on a flexible PCB to continuously
is the panel series resistance, A is the diode quality factor, k is monitor body temperature and transmit the signal of this vital
the Boltzmann constant, q is the electron charge, nS represents sign to a base node. Excess solar energy is stored in the
the number of cells in the panel connected in series and T is the supercapacitor. The device can operate for more than 15 h
temperature in Kelvin. without drawing power from the battery under indoor
Equations (1) and (2) prove that the power generated by a conditions with light intensity of 320 lux. The use of flexible
solar panel depends on environmental conditions. The PV cells has reduced the weight of wearable devices. Wu et al.
magnitude of electricity generated is directly proportional to the [30] further enhanced flexible wearable device by including a
size of PV cells and level of illumination. During daytime, up heartbeat monitor and accelerometer to measure heartbeat and
detect falls. Unlike Toh [26], who used proprietary 2.4 GHz

Fig. 4. (a) Integrated PV cell in Soliband [25], (b) components of device for heartbeat monitoring using integrated PV cells [25], (c) use of flexible PV cells for
distributed biometric monitoring [26] and (d) flexible PV system [28]

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Fig. 5. (a) Thermoelectric circuitry [33], (b) typical TEG [34] and (c) TEG arrangement on a wearable device [35]

frequency for wireless transmission, Wu [30] transmitted data The voltage characteristics of a TEG are as follows:
from the device to a mobile phone via standard Bluetooth low DV = −aDT (3)
energy (BLE). where a is the Seebeck coefficient.
Although solar/light energy sources are free, they are As shown in Fig. 5, a TEG consists of n-type material placed
uncontrollable and only partially predictable. The magnitude of in series with a p-type material. When temperature difference
energy harvested is influenced by weather patterns and time of across these materials occured, heat electrons move from the
the day. Because PV cells are non-linear devices, they have an hotter thermoelectric material towards the cooler material. In
optimal operating point at which maximum power output is the process, electric potential is formed, causing current to flow
generated. Hence, solar energy is usually employed in in a closed circuit. A good thermoelectric material is usually
conjunction with the maximum power point tracking (MPPT) characterised by low thermal conductivity and high electrical
technology to maximise conversion efficiency. One of the conductivity. Commonly used thermoelectric materials include
challenges associated with using MPPT in wearable devices is bismuth telluride, lead telluride and calcium manganese oxide.
ensuring that the power management unit consumes very little To boost voltage output, multiple n-type and p-type
power. Wu et al. [31] enhanced conventional MPPT by using semiconductors can be connected in series to create a
the output current to extract the maximum power to power pulse thermopile by alternating the metal contact pads [36]. A DC-
sensors used in wearables. The proposed solar energy harvester DC converter with high conversion efficiency may be necessary
provided an efficiency of 66.5%, which is sufficient energy to if the voltage output is too low [35], as shown in Fig. 6.
be supplied to pulse sensor and transmit data via BLE. TEG is suitable for wearable device because the human body
converts energy into thermal energy that is dissipated to the
B. Thermoelectric energy environment. A temperature difference of 5 °C to 10 °C
between the human body and the surrounding environment
The concept of using thermoelectric to power wearables is
makes TEGs suitable for wearable devices [37]. To convert
not new. Back in 1999, Seiko developed a thermoelectrically
powered wrist watch that used body heat [32]. Energy can be
harvested from thermal sources through the thermoelectric
effect by exploiting the Seebeck effect. According to the
Seebeck effect, thermoelectric energy generators (TEGs), a
property of thermoelectric materials, can be positioned on a
body to convert the temperature differential DT between the
body skin and the ambient environment into voltage. Fig. 6. System overview of a TEG-harvesting-driven wearable device [35]

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Fig. 7. General RF energy-harvesting system


energy from body heat into electrical energy, thermopiles can while the secondary resonator is connected to the implanted
be integrated into clothing materials. Leonov [38] developed an device. Energy can be transferred via magnetic coupling
experimental shirt containing thermopiles by placing a round between the two resonators. The magnitude of energy harvested
hot plate measuring 3 cm in diameter in direct contact with skin. is predictable and controllable, and the energy efficiency is 80%
A larger cold plate measuring 4 cm in diameter was glued to [40]. Although the energy efficiency is higher compared to that
carbon fabric. The system could generate approximately 5 mW of ambient RF energy sources, external RF energy sources can
at ambient temperatures of 15 °C–27 °C. Because the thickness operate only at small distances because the output power of RF
of these materials was only 4 mm, the developed shirt was sources is limited by government regulations [41].
comfortable for users. The authors highlighted that the To harvest RF energy, radiated electromagnetic waves are
magnitude of energy harvested was unrelated to the user’s collected using antennas and RF is converted into electric
metabolic rate but rather depended on the overall body heat energy by using rectifier circuits [42]. To achieve high
content and wind speed. Hoang [39] developed a thermal- rectification efficiency, silicon Schottky barrier diodes are
powered wearable device that included an accelerometer to widely used in RF energy harvesters. Although this diode has a
detect falls. Because the energy generated by the device was low built-in voltage, it is suitable for this application because a
520 µW at 15 °C, the produced voltage was used to charge a greater number of harmonic signals is generated at higher
capacitor and a power management unit was included to serve voltages owing to the nonlinear characteristics of the diode,
as a bridge between the thermal source and sensor node. which decreases rectification efficiency [43]. RF energy-
harvesting performance is defined in terms of sensitivity and
conversion efficiency [44]. Conversion efficiency, ηRF, is the
C. Radio frequency energy
ratio of output power that can be supplied to the sensor, Pout, to
Harvesting energy from radio frequency (RF) is gaining the input power received by the RF energy harvester, Pin. A low
popularity because of the broad deployment of wireless energy conversion efficiency is often caused by impedance
technologies. Unlike other energy sources in ambient mismatch, parasitic effect and harmonic generation. In perfectly
environment, RF energy can be harvested from both external matched antennas, ηRF can be expressed as
and ambient sources, as shown in Fig. 7. Ambient RF energy is "BC3 G
#BC3EF / 8I
harvested from the electromagnetic waves generated by from η8A = "D1
= "/J
, (4)
broadcasting and wireless communication infrastructure. The
power level the RF waves used for harvesting energy depends where VoutDC is the output power and RL is the resistive load
on the distance between the transmitter and the receiver. of the energy harvester. In non-linear circuitry, a RF energy
Because the distance between infrastructure units is large in harvester will reflect a part of the power, which leads to
rural areas compared to that in urban areas, the power level in reduction of 𝑃LM . Sensitivity is the minimum power needed to
rural area can be as low as –40 dBm. power the integrated circuit (IC). Sensitivity is a function of the
As external RF energy sources, electromagnetic radiation IC technology used in wearable devices.
and magnetic resonance are used to generate electric power and In the past, many researchers have developed wearable
wirelessly transfer it from the source to the receiver within a devices powered by RF energy. Mandal [45] designed a battery-
predefined wavelength margin. Resonant coupling using two less wearable tag that could monitor users’ vital signs, such as
planar resonators can be performed in the case of implanted respiratory sounds, PPG, blood pressure and body temperature.
devices. The primary resonator is placed outside the body, The wearable tag was powered by harvesting external RF

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Fig. 9. (a) Simple show-mounted rotary magnetic generator [61] and (b)
piezoelectric energy scavenging in shoes [62]
Fig. 8. (a) Noninvasive tattoo-based biofuel cell that harvests biochemical
energy from lactate [54] and (b) implantable glucose fuel cell [92] generate electrical energy. Up to 100 µW/cm2 of electrical
energy by using a two-stage complementary metal-oxide energy can be harvested using an enzymatic glucose fuel [52,
semiconductor (CMOS) rectifier. An output power of 15 µW 92]. While enzymatic glucose fuel cells can provide energy
was generated at a distance of 3.1 m from the transmitter continuously, changes in temperature and pH conditions may
operating at 800 mW. Zhang [46] used a multistage rectifier to disrupt or destruct the enzyme structure. A microbial glucose
convert 915 MHz RF energy to power 0.18-µm CMOS fuel cell uses living microorganisms to oxidise glucose. It can
technology. A similar implementation of the use of RF energy generate up to 1000 µW/cm2 of energy. One of the challenges
harvesters in wearable devices can be found in Xia [47] and linked with the adoption of microbial glucose fuel cells is
Dini [48]. stabilising the microbe population and preventing bacteria from
escaping the cell, which may cause infection in users [53].
Owing to safety issues, microbial glucose fuel cells have not
D. Human-powered energy been adopted in implants. Abiotic glucose fuel cells oxidise
In addition to ambient energy or external RF energy source, glucose by using a solid-state anode catalyst. Although this type
human-powered energy harvesting has attracted attention in of catalyst is the least efficient amongst various catalysts,
recent years [12, 49]. The idea was conceived because human producing less than 10 µW/cm2, it is reliable and biocompatible.
energy, which originates from food consumption, can be Lactate can be harvested from human bodily fluids, such as
transformed into chemical, thermoelectric and kinetic energy. saliva or sweat. Jia [54] designed a temporary transfer tattoo
There is large potential for the use of human energy in wearable that harvests biochemical energy from the lactate in the
devices considering that human energy can provide 35–100 perspiration generated during physical activity. The power
times more energy than a battery [50]. In addition, the holy grail densities of this type of cell can be as high as 70 µW/cm2, which
of wearable devices is to develop biological implantable shows the amount of energy released by the human body during
devices that can monitor a user’s health without being intrusive. physical activity. Energy can be harvested from differences in
This can be achieved using human-powered energy harvesters potential hydrogen (pH) levels using metal pH electrodes
or microgenerators that convert body motions, heat, or chemical (Au/IrO2) against reference electrodes (Ag/AgCl) [55]. Low
reactions into useful energy sources for wearable devices. power voltage, which is proportional to the pH level, is input to
Energy harvesting from humans can be classified broadly into an electrostatic energy harvester to amplify the voltage.
two categories, namely, biochemical and biomechanical. Another energy source from the human body is endocochlear
Biofluids inside the human body contain a variety of potential (EP), an electrochemical gradient available in the
substances and active enzymes [51]. Under certain conditions, inner ear of mammals. Mercier [56] demonstrated that EP can
when chemical bonds are broken, energy is released. power an ultra-low-power implant inside the ear for up to 5 h.
Biochemical energy can be scavenged to provide the electrical However, owing to anatomical constraints, the amount of
energy needed by ultra-low-power implantable sensors, as energy that can be extracted ranges between 1.1 and 6.3 nW
shown in Fig. 8. The availability of harvestable chemical only.
sources depends on human age and human health and food Another way in which the human body can be used as a
intake. A key biochemical energy source is biofuel cells. In primary generator is through human movement. Biomechanical
biofuel cells, power is generated via chemical reactions activities such as heartbeats and foot strikes can be converted
between the anode and the cathode and a catalyst is used to into electrical energy to power low-energy wearable devices
accelerate these chemical reactions. The anode oxidises a
chemical compound and reduce it to the cathode. An infinite
amount of energy can be harvested via this route so long as the
specific chemical substances exist in the body.
Glucose is one of the most common chemical substances that
can be extracted from body to generate electrical energy for
wearable devices. Glucose fuel cells can be classified based on
the catalytic schemes used in them, namely, enzymatic,
microbial and abiotic. Each of these catalytic schemes provides Fig. 10. (a) Energy-harvesting generator installed on sheep’s heart [64] and
different efficiency and robustness. An enzymatic glucose fuel (b) electromagnetic energy from breathing [65]
cell metabolises glucose into acid and releases electrons that

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[57, 58]. Body muscles can generate motions and stop motions
[59]. When an energy-harvesting device is placed on the body,
energy lost to body motions can be absorbed and electrical
energy can be generated without interfering natural motions
[60]. Energy generation can be triggered by either voluntary or
involuntary. There are two types of biomechanical
microgenerators, namely, inertial (vibration-driven) generators
and force-driven generators.
In force-driven generators, electrical energy is generated by
converting mechanical energy by using direct force. At MIT
Media Lab, researchers developed running shoes that can Fig. 11. Typical block diagram of energy-harvesting-enabled wearable
generate power by using a piezoelectric sole, heel generator and device
electromagnetic generator as the shoes are pressed on the floor, electronic masks [65].
as shown in Fig. 9 [61, 62]. The results showed that the
piezoelectric sole can generate 2 mW of power, heel generators
can produce 8 mW and electromagnetic generator can produce III. DESIGN CHALLENGES AND CONSIDERATIONS
250 mW. Inertia-driven generators generate electrical energy
by using the inertia of a moving object within the generator The data rates of wearable devices are usually low [66]. For
coupled with electromagnetic, electrostatic, or piezoelectric example, the highest data rate required for heartbeat monitoring
mechanisms. The electromagnetic method was derived from is 100 samples/s. At a resolution of 10 bits, the data rate would
Faraday’s law of induction, which defines how changes in the be as low as 1 kbps, consuming only 0.65 µW of transmitter
magnetic environment inside a wire coil induce voltage. The power [67]. With the unique requirements of wearables, one can
electrostatic method results from the conservative Coulomb estimate their minimum power requirements based on the
force, according to which electrical energy is generated when power requirements of each module, namely, sensor,
the distance between two charges in a capacitor changes, transmitter and processing unit. This information can be used in
leading to the generation of current in a circuit. Voltage is the design of energy-harvesting systems. Owing to the unstable
produced by a piezoelectric generator when certain materials flow of harvested energy [20, 68], the converted energy may be
are stressed. stored in an energy storage device such as a supercapacitor or a
Generator placement is an important factor for motion- battery, as shown in Fig. 11. By storing the energy in a storage
powered energy harvesters. Büren [63] compared the device, power can be supplied to the processing unit,
performance of three different generators, namely, Coulomb- transceiver and other modules in a constant and stable manner.
damped resonant generator (CDRG), velocity-damped resonant Nevertheless, harvested energy may be used directly by the
generator (VDRG) and Coulomb-force parametric generator microcontroller (MCU) in battery-less wearable devices.
(CFPG), at nine positions on the body of a person walking on a In energy-harvesting-enabled wearables, the power
treadmill. The results of the experiment showed that the amount management unit (PMU) plays an important role in regulating
of energy generated at lower body locations (hip, knee and and maximising the power level. An efficient recharging
ankle) is four times higher than that generated at upper body mechanism is required so that the lifetime of the energy storage
locations. Merrett [49] further investigated the effect of device can be extended. The PMU can opportunistically use the
harvestable energy from a human’s inertia by considering the period in which maximum energy is available and function
effects of additional parameters, such as generator orientation. minimally when the ambient energy is the least. When
The results showed that the factors of rotation and misalignment sufficient energy is available to drive the entire system, the
can significantly affect the amount of energy that can be dependency on battery power will be reduced. Many studies
harvested. have been conducted to optimise the use of energy harvesting
Involuntary actions such as cardiac motion, blood pressure in wearable devices. While this market vertical shares many
and breathing can generate biomechanical energy, as shown in challenges with the more general market vertical of wireless
Fig. 10. Unlike voluntary actions that are non-periodic, sensor networks (WSNs), there are many differences between
involuntary actions can provide regular energy to wearable the two technologies. When designing and implementing
devices, especially implants. Zurbuchen [64] used cardiac energy harvesting into wearable devices, several factors must
contractions as a reliable and continuous source of energy to be considered, namely, the amount of energy that can be
power low-power pacemakers. Their energy harvester was harvested to make the system autonomous, efficiency of energy
based on the mechanism of automatic watches, and it could storage device, choice of communication protocols and cost.
harvest 11.1 µJ of electrical energy when powered by constant
90 bpm heartbeat. Energy can be harvested from the breathing
process as well. The flow of wind from inhalation and
exhalation generates differences in air pressure, which in turn
can be scavenged to produce electrical energy by using small Fig. 12. Design challenges
wind turbines. This method is suitable for use in wearable

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TABLE I
POWER DENSITY OF VARIOUS ENERGY SOURCES

Energy sources Power density Advantages Disadvantages


2
Ambient light 100 mW/cm (direct sun High power density; Non-continuous;
100 µW/cm2 (indoor illumination) mature technology dependent on weather/lighting conditions
Thermoelectric 60 µW/cm2 Widely available Low power density
Radio frequency 1 µW/cm2 (ambient) Widely available Power output depends on distance between harvester and
15 µW (external) RF energy source
Human 1000 µW/cm2 (biochemical) Light weight Power output varies;
4 µW/cm3 (biomechanical - microgenerator) depends on activity
200 µW/cm3 (biomechanical - piezoelectric)

While energy-harvesting techniques have been studied semi-MPPT design with two voltage comparators to control the
extensively, open design challenges and considerations for power usage of sensor nodes. One of the drawbacks of this
energy harvesting in wearable devices must be reflected upon. design is its dependency on a light source. When input power is
These challenges include power density and management, not available and capacitor voltage drops below the threshold
energy storage and network-based design, as shown in Fig. 12. voltage, the MCU cannot operate. Fractional open circuit
voltage (FVOC)–based MPPT that uses small PV cells was
adopted by Jafer [70] and Toh [26]. In this method, fewer and
A. Power density and management
smaller components are used, thus reducing power
One of the major issues when designing energy-harvesting consumption and making its integrated with wearable devices
systems is achieving adequate energy efficiency for minimum easier. This method can provide stable power supply with
power consumption overhead and for providing regular energy MPPT efficiency of 81% at 0.5 mW, even under low light
flow. Although various energy sources are available, the intensity. Therefore, it is important to consider efficiencies
characteristics of each energy source are different, as when MPPT is used in wearable devices.
summarised in Table 1. Ambient sources may be affected by Similar to solar energy, wearable devices powered by
time, location and weather conditions, leading to uncertainties thermoelectric energy require a certain threshold voltage for
in terms of Quality of Service (QoS). To maximise the start-up. This challenge can be overcome by deploying a
advantages of energy harvesters, efficient power management transformer in the system. Damschke [71] used a transformer to
is crucial. During the design process, the weaknesses and provide start-up voltages of 20 mV to a system that uses thermal
strengths of available energy sources must be considered. energy. This is because temperature gradients may be
Maximum power point tracking (MPPT) is a technique used inadequate from the viewpoint of operating CMOS switches for
in solar-powered systems to maximise power extraction under conventional boosting without battery. Nevertheless, the
all conditions. The technique is often used for output power transformer design was bulky and unsuitable for wearable
higher than 100 mW. One of the challenges associated with devices. Another method is the use of motion-activated
power management circuits for solar energy harvesters is switches to assist the start-up circuit. Ramadass [36] proposed
designing a MPPT circuit with minimum power consumption a mechanically assisted start-up circuit by using a motion-
overhead. Conventional MPPT methods cannot be applied activated switch, as shown in Fig. 13. Small vibration from
directly to solar energy harvesters in wearable devices because human motion turns on the switch and powers the start-up
the energy harvested from small PV cells is often lower than the block.
energy consumed by the power management unit. Instead, of In addition to circuit design, physical integration of energy-
using MPPT, Brunelli [69] stated that an alternative simple and harvesting wearable devices affects their efficiency. For
low-cost method should be adopted. The authors proposed a example, flexible PV cells that bend according to the contour
shape of the human body provide better efficiency than non-
flexible PV cells. The bending angle exerted on the PV cells

Fig. 13. Mechanically assisted start-up circuit to kickstart electrical energy Fig. 14. Illustration of a PV panel bent by 30° [26]
extraction from TEG [36]

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affects the electrical power harvested from a light source owing harvested from the environment, device operation will be
to differences in light intensity, as shown in Fig. 14 [26]. For discontinuous and the time between periods of operation will
TEG-powered wearable devices, researchers must consider be determined by the energy stored in the device [77].
device structure, body heat, air speed surrounding the person, Therefore, device voltage level must be adjusted to replenish
human anatomy and device placement on the human body [38]. the energy for ensuring continuous device operation.
This is because the thermal interfaces between skin and the
TEG influence power density [35]. To obtain the maximum
B. Power consumption
power for wearable devices, TEG interfaces should be large
enough for better thermal matching without obstructing the Power consumption of the wearable device can influence the
human’s movement. The use of heat sinks can help dissipate the design decision of the energy harvesters. Besides exploring
heat traversing the thermal harvester into ambient air, creating power density and management of energy harvesters, it is
necessary to minimise total power consumption in wearable
a steeper temperature gradient. Nevertheless, the choice of heat
device in order to achieve energy-neutral operation [100]. This
sink must match the ambient temperature of the wearable
is to ensure that the power output from energy source are
device to avoid cooling of the skin [72]. In addition, the
sufficient to support power consumption as shown Fig. 15. The
materials used to fabricate TEGs must be able to withstand power output from energy source Ps must be greater than power
continuous thermally induced stresses. consumption by embedded device Pc to ensure the operation of
Although energy can be harvested from the human body, the wearable device. One method to address power consumption
magnitude of this energy is very low. In addition, there are issue in wearable device is using software. Park et al. [98]
tradeoffs between biomechanical energy and thermoelectric created a low-power ECG monitoring system that consume
energy sources. For a certain condition, thermoelectric devices maximum 30 mW while in operation. Marzencki et al. [99]
are effective in converting 70% of their energy to electrical reduced the energy consumption to 16.6 mW by optimization
energy, whereas biomechanical devices can only convert 1% of of data processing algorithm. To reduce the energy
their energy to electrical energy [73]. The techniques for consumption of the processing unit, ECG data is obtained after
exploiting biochemical energy are limited and immature. The applying low- and high-pass filters to eliminate noise, muscle
magnitude of energy harvested is very small, and in cases artifacts and interference.
wherein enzymatic compounds are used, the lifespan of the Another method to conserve the energy in wearable device is
energy harvester is limited [51]. Chemical compounds degrade reducing radio transceiver’s power consumption since radio
with age and health, which may have adverse effects on human transceiver is the most power-hungry block. Numerous
health. approaches have been proposed such as duty cycle optimisation
Nevertheless, the challenges associated with biochemical [95, 96, 97, 102] and ultra-low-power wake-up radios [94]. In
energy harvesting can be eliminated by using RF energy duty cycling approaches, energy consumed by data
transmission and processing circuitry are reduced by optimising
harvesters. Wirelessly powered implants can safely provide
the active periods of wearable devices. Wearable device can
power to implants that help mitigate peripheral artery disease
switch to sleep mode when it is not sensing health data to
(PAD) restenosis [74]. One of the factors that can influence the
overcome energy limitations [101]. Hsu [97] developed an
power density of RF energy harvesters is the choice of antenna adaptive duty cycling algorithm that change the duty cycle
and frequency band [75]. Wearable devices based on RF energy based on predicted availability of solar energy. The prediction
harvesters can be designed with either one or two radios. In dual model is based on Exponentially Weighted Moving Average
radio designs, the RF harvester is separated from the module for (EWMA) that exploit diurnal cycle in solar energy for energy-
wireless communication with other nodes. Alternatively, single neutral operation. Shigeta et al. [102] implemented duty cycle
radio designs can be used in wearable device to reduce device control through adaptive optimal operation point tracking. The
footprint. Multi-band or wideband rectennas (rectifying proposed approach considers risk of energy shortage and
antenna) can be used to enhance the energy conversion capacitor leakage when calculating the optimal stored energy
efficiency. Dini [48] developed a battery-less tri-band textile- level so that it can be used when energy source is unstable. The
based wearable rectenna that harvests energy from the GSM
900 and 1800 bands, as well as the WiFi band. Because the
system is battery-less, a start-up circuit containing an external
inductor and an input capacitor is required. Kuhn [76]
introduced a wideband RF energy harvester for outdoor
wearable devices that operates between 900 MHz to 2.45 GHz.
The relationship between output voltage (VoutDC) and
conversion efficiency (ηRF) was investigated considering
several rectifier topologies. An interesting finding was that the
output voltage of double rectenna was 20% higher than that of
a single frequency system.
Energy harvested from ambient environment may be Fig. 15. Power output from harvested energy versus power consumption for
discontinuous, thus impacting the operation of wearables. If the wearable device (a) without storage device and (b) with storage device [68]
power consumption of wearables is more than the power

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TABLE II
COMPARISON AMONGST DIFFERENT ENERGY STORAGE MECHANISMS FOR ENERGY HARVESTERS IN WEARABLE DEVICES [87]

Battery-less Battery Supercapacitor

Storage mechanism Direct connection with energy Chemical Physical


harvester without storage mechanism
Power limitation Limited by amount of energy Reaction kinetics and mass transport Electrolyte conductivity
harvested
Energy storage None High Limited
Charge rate Not affected Kinetically limited High; same as discharge
Cycle lifetime limitations Not affected Mechanical stability and chemical Side reactions
reversibility

proposed adaptive duty cycle control reduced the energy implant


leakage by 5.56%. 2) Type of energy source
Pattern of active and sleep mode has to be designed carefully 3) Usage of wearable device: either it is a critical
so that delivery of health information will not be affected. In application that requires continuous power supply or a
addition, energy savings may not be optimal if wearable device non-critical healthcare application that does not require
need to wake up regularly because transition from sleep to such a power supply, such as a fitness tracker.
active state requires energy as well. Jelicic [94] proposed a two- Although battery-less wearable devices are ideal, any
tier architecture with wake-up radio to reduce response latency. disruption in the source from which energy is harvested will
The wake-up radio consists of low-power transmitting and interrupt the service provided by the wearable device. In
receiving circuitry with event-driven wake-up rules. Since the
addition, energy conversion may not be optimised and high
choice of microcontroller/microprocessor, sensors and radio
energy reliability of the device cannot be ensured without
transceiver may affect the power consumption, wearable device
designers need to tune their application based on power suitable power conditioning. As such, energy storage is
consumption information so that it can operate on limited power important to ensure smooth power supplied to the load and to
reserves [93]. serve as a reserve during periods in which ambient/external
energy is unavailable. Unlike other electronic devices, energy
storage for wearable devices must meet several requirements.
C. Energy storage First, the energy storage device much be rechargeable because
Harvested energy can either stored to energy storage devices replacing batteries can be problematic. For example, medical
based on the magnitude of output power and impedance before professionals are required to perform surgery every 8 years to
being supplied to the MCU or used directly to power the MCU, replace the lithium battery in pacemakers [78]. Second, the
as shown in Fig. 16. The choice of whether to use a storage energy storage mechanism must be able to support long-lasting
device in wearable devices is influenced by several factors, applications with minimal effect on battery parameters, such as
which are as follows: round-trip efficiency and self-discharge. Two major choices are
1) Location of wearable device: either outside body or available for energy storage, namely, batteries and
supercapacitors. The criteria for selecting the type of energy
storage depend on device lifetime and recharge cycles.
Batteries modify energy from electrochemical cells into
electrical energy, whereas capacitors store energy in the form
of an electric field. Rechargeable nickel-cadmium batteries
were first used in pacemaker implants in 1958. The battery cell
was charged inductively and wirelessly. Since then, battery
technology has evolved, and the use of implanted pacemakers
has increased. In the mid 1970s, lithium ion batteries greatly

Fig. 16. Design of wearable devices with and without energy storage device Fig. 17. Electric double-layer capacitors

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extended the pacemaker battery life owing to the high energy supercapacitors offer the features of EDLC and
and power density of these batteries. Typically, the maximum pseudocapacitors by combining the electrodes of EDLC and
number of recharge cycles of Li-ion batteries is 1000 over 7 pseudocapacitors.
years [79]. Unlike other compounds, the lithium metal surface Similar to battery technology, supercapacitor technology has
is passivated by reaction with an electrolyte. In lithium-ion evolved tremendously owing to the use of carbon materials such
batteries, the anode and the cathode are stacked together with a as graphene to provide flexibility. Various electrode materials
polymer separator and the entire assembly is rolled and and supercapacitor configurations can increase their energy
encapsulated within metal-laminated pouches or rigid plastic density to same level as that of a battery. For example, graphene
containers under compression. is a better conductor of electricity than copper and 200 times
To cater to wearable devices, flexible batteries have been stronger than steel. Flexible graphene-based supercapacitors
developed for the storage of smaller amounts of energy. Single can be easily woven into textiles providing more promising
layers of anode, separator and cathode are piled together and solutions for wearable devices [86]. Supercapacitors can
sealed using flexible encapsulation. Such flexible batteries maintain a long cycle lifetime with minimal change in
coupled with energy harvesters can eliminate the need for performance. The lifetime of a supercapacitor is 10–20 years,
frequent charging using a bulky battery charger [80]. Owing to and its capacity might reduce from 100% to 80% after 10 years,
the proliferation of wearable devices, reinforcement, especially making it suitable for use in implants. The low equivalent series
current collectors, are used to increase battery capacity and resistance (ESR) allows supercapacitors to provide high power
mechanical flexibility. Materials such as carbon nanotubes [81], density and high load currents, which means they can be
conductive fabrics [82] and graphene foams [83] have been charged within a few seconds. Comparison amongst different
used as current collectors to improve the flexibility of entire energy storage mechanisms for energy harvesters in wearable
cells. In addition, the mechanical integrity of active layers has devices is shown in Table 2.
been improved by deploying supporting active particles within
porous membranes, carbon nanotubes and graphene networks
D. Network design
or by synthesising active materials directly on conductive
supports. While such designs provide the flexibility that is The network design of wearable devices is important because
much needed in wearable devices, the conductivity of flexible some designs can exploit the presence of harvestable energy
current collectors is very low, which limits the maximum sources and improve performance parameters. Several aspects
operating discharge rate [27]. Another disadvantage of using can be considered in network design, namely, wireless
battery technology is the possibility of leakage, leading to communication technology, network protocols and network
chemical poisoning, especially when used in implants. architecture. Because the mobility requirement is important for
Repeated overcharging and high temperatures (above 60 °C) wearables, wireless communication technology is crucial to
may damage the batteries, resulting in chemical leakage. The ensure energy efficiency at the device level. To ensure mobility,
leaked chemicals may cause chemical burns or other health transmitters such as Ultra-Wide Band (UWB), ZigBee, cellular
issues in the human body. and BLE are frequently used in wearables. The choice of
The limitations of batteries make supercapacitors an wireless communication protocol depends on the
attractive alternative as energy storage mechanism. A interoperability offered by the standards. Although these
supercapacitor is an energy storage device that employs thin transmitters operate at a low duty cycle, it is vital that the
dielectric layers and electrodes with large surface area. It stores wireless connection between wearable devices and the
electrical energy at an electrode-electrolyte interface, as shown gateway/smartphone is stable so that data can be transmitted to
in Fig. 17. It has high pulse power capability, which means it cloud servers for further processing. In a few 5G wearables, the
can handle short duration power surges. If a wearable device mmW band is used to direct a narrow beam to ensure energy
must have a small form factor and function for extended efficiency at the device level. Massive Multiple Input/Multiple
durations without failure, a battery may not be a suitable Output (MIMO) has been used to preserve Quality of Service
economic choice. Supercapacitors are classified broadly into (QoS). The human body has a relatively large area, enabling the
three categories based on the energy storage mechanism: deployment of a large number of wearable antenna elements
electrical double layer capacitors (EDLCs), hybrid [88]. The spectral efficiency of wearables is critical owing to
supercapacitors and pseudo-supercapacitors [84]. In EDLC, the the limited power resources available in wearables.
energy storage and release mechanism is based on nanoscale
charge separation at the electrochemical interface between an
electrolyte and an electrode [85]. It contains nanoporous
materials as active electrode materials with huge capacitance
and relatively long cycle lifetimes. Pseudocapacitors are based
on Faradaic redox reactions involving high-energy electrode
materials such as metal oxides, metal-doped carbons and
conductive polymers (Stoller et al. 2008). These electrode
materials have much higher energy density at the price of
shorter cycle lifetime compared to EDLCs. Hybrid

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At the network protocol level, specialised protocols for


transmitting the data inherent to medical sensing may help
reduce energy costs. This is because MAC is responsible for
improving the reliability and performance of network
communication, as well as maximising its energy efficiency. In
a few wearables, data may be sent to an intermediary node
before reaching the cloud servers. During the transit, multi-hop
routing occurs. The challenge is to design an energy-aware
routing that can compute an optimal routing based on the
available energy. The routing protocol must consider the
mobility challenge that causes channel fading and increases the
bit error rate (BER) owing to interference with other wearables.
Zeng [89] proposed the GREES protocols in which the routing
decisions are made locally at each node by considering wireless
link quality, residual battery energy level of the node, energy
consumption and energy-harvesting rate. Voigt [90] modified
directed diffusion to incorporate information about the energy
source for wireless sensor nodes, i.e. whether they are running
on ambient energy or battery. The results showed that solar-
aware sensor nodes can provide significant energy saving.
Time synchronisation plays an important role in ensuring that
there is no time discrepancy between sensors. To synchronise
data, the energy cost of time synchronisation must be Fig. 19. Voltage obtained from (a) RF harvester and (b) solar energy
considered. Because the heartbeat rhythm is available in every harvester
living human, the rhythm can be used to perform time • How to provide regular energy flow without affected
synchronisation [91]. Biosensors in a body area network (BAN) by environment condition
can extract a heartbeat rhythm by detecting waveform peaks.
• How to minimise total power consumption
The peak sequences of the heartbeat are naturally synchronised
• How to ensure user’s mobility especially in hospital
between sensors because they are attached to the same source,
condition.
which is the heartbeat. When using the rhythm of a heartbeat,
As shown in Fig. 18, eMeD architecture is separated into four
biosensors do not need additional energy to receive periodic
subsystems namely; low-power microcontroller, multi-sensor
timing information from a central controller. As such, the
subsystem with event-driven sensor management scheme,
lifetime of wearables can be prolonged.
ZigBee-based communication module and hybrid energy
harvester. To achieve perpetual operation, hybrid energy
IV. SYSTEM DESIGN
harvesting module is used to collect and store the maximum
Although wearable devices have been widely amount of energy from the environment without affected by
commercialised, research and development are still ongoing environment condition. When solar energy is sufficient, it will
due to power management issue. The design of wearable device be used to charge supercapacitor. However, when solar energy
needs to be optimised in order to motivate people to use supply is unavailable during the night, RF energy is used to
wearable device to regularly monitor their vital sign. Based on operate the wearable device. Such design can reduce the
the design challenges and consideration, eMeD is introduced as dependency on single energy source and the needs to manually
self-sustainable wearable device that sense, process and recharge the storage device. ADP5090, an ultra-low power
transmit vital sign data via ZigBee. eMeD is proposed to boost converter, is used as power management unit. The
respond to related questions when designing an energy internal cold-start circuit in ADP5090 allows the PMU to
harvesting wearable device such as: operate at an input voltage as low as 380 mV. Ambient RF
energy converted to DC using Powercast P2110. The RF energy
harvester has very high conversion efficiency and can generate
charging voltage of 3.3V. The RF energy harvester enable
wearable device to be charged even when user is inside the
building. When user is outside the building, solar energy will
be used. MPPT algorithm is implemented in ADP5090 to
optimise charging process by sensing open circuit voltage from
the solar panel, calculating optimized charging voltage and uses
boost converter to generate the necessary charging voltage. The
charging voltage for RF and solar energy harvester is shown in
Fig. 18. Hybrid energy harvester
Fig. 19.

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optimal wearables with a long lifespan. Apart from selecting a


suitable energy source, power and communication
requirements, routing protocols and energy storage must be
considered when designing wearable devices. Wearable devices
that offers a seamless experience to users will drive the adoption
of wearable devices, hence improving wellness, especially in
ageing populations. In this paper, eMeD is proposed to provide
an autonomous wearable device that can be used in IoMT
application. The system is designed to minimise power
consumption and maximise energy that can be harvested from
ambient environment.

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16

Widad Ismail received the bachelor’s Award from Ministry of Economic Affairs and Outstanding
(Hons.) degree in electronics and Research Award from National Science Council in 2009.
communication engineering from the
University of Huddersfield, U.K., in 1999,
and Ph.D. degree (Active Integrated
Antenna with Image Rejection) in
electronics and communication
engineering from the University of
Birmingham, U.K., in 2004. She is currently a Professor and a
Project Coordinator with the Auto-ID Laboratory, Universiti
Sains Malaysia. Her main areas of research are wireless system
design, RFID, active integrated antennas, and RF and
microwave systems engineering. She is a member of the
Wireless World Research Forum.

Kwangman Ko is a Professor at the School


of Computer and Information Engineering,
Sangji University, South Korea. Currently
his research focuses on the retargetable tool
suite (low power/energy optimized compiler,
simulator, debugger) for the embedded
systems, Virtual Machines and the Energy-
oriented Architecture Description Language
(EoADL). He is a member of IEEE and committee member for
the various Korea Information and Multimedia Societies.

Chen-Yi Lee received the B.S. degree from


National Chiao Tung University (NCTU),
Hsinchu, Taiwan, in 1982, and the M.S. and
Ph.D. degrees from Katholieke University
Leuven (KUL), Leuven, Belgium, in 1986
and 1990, respectively, all in electrical
engineering. From 1986 to 1990, he was
with IMEC/VSDM, Belgium, working in
the area of architecture synthesis for DSP. In February 1991, he
joined the department of electronics engineering and from
2003-2006, he was the chairman. During 2000-2003, he was the
director of National CHIP Implementation Center (CIC) and the
coordinator of Microelectronics Program of Engineering
Division, NSC, Taiwan. He was the dean of office of research
and development in 2007-2010, National Chiao Tung
University (NCTU). Currently, he serves as Co-Program
Director of National Program of Intelligent Electronics (NPIE)
and professor of the department of electronics engineering,
NCTU. His research interests mainly include VLSI algorithms
and architectures for high-throughput DSP applications. He is
also active in various aspects of micro sensing, low-power
system-on-chip, and deep learning. Dr. Lee served as the
program committee member of IEEE ISSCC in 2004-2006,
DATE TPC member in 2006-2007, IEEE ASSCC TPC member
in 2006-2014, IEEE VLSI Symposium JFE Program
Committee member in 2010-2014, IEEE TCAS-II Associate
Editor in 2010-2011, and the Past-Chair of Taipei Chapter of
IEEE Circuits and Systems (CAS) Society. He received the
Outstanding Technology Licensing Award from National
Science Council in 2007-2008, and Industry Contribution

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