Crew Health Monitoring Systems

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Project Dissemination Athens 24-11-2015 Advanced Cockpit for Reduction Of Stress and Workload Presented by Aristeidis Nikologiannis Prepared by Aristeidis Nikologiannis Security & Safety Systems Department Hellenic Aerospace Industry S.A. (EAB) Systems A European Commission Seventh Framework Programme This document is produced by the ACROSS consortium and the research leading to these results has received funding from the European Community s Seventh Framework programme (FP7/2012-2016) under grant agreement no ACP2-GA-2012-314501

General Information The ACROSS is an EC project aims to: Develop new cockpit applications and human-machine interfaces, with the overall goal of reducing crew workload and supporting crew in dealing with difficult situations, thus enhancing flight safety and performance ACROSS stands for: Advanced Cockpit for Reduction of StreSs and workload. The use of the adjective advanced reveals the innovative nature of the project and its fundamental aim to develop technologies that do not exist today rather than to improve the existing ones Across focuses on advancing: cockpit systems regarding aviate, navigate, communicate and management systems monitoring systems that evaluate the crew s status and performance during flight 2

Contents ACROSS Project Overview System 3

Advanced Cockpit for Reduction of Stress and Workload ACROSS Overview Aristeidis Nikologiannis Hellenic Aerospace Industry (HAI) 4

ACROSS Context Improve Flight Safety A large percentage of recent accidents can be linked to human factors Crew has non-complete situational awareness difficulties in perception of the environment crew does not understand what is happening what the system does what the consequences of an action bad crew coordination with the Air Traffic Controller (ATC) omission of actions or inappropriate decision-reactions to events These human factors have common roots: Pilots fatigue, stress, abnormal health conditions and training Crew performance (especially in peak workload conditions) is one of the major remaining limitations to Air Transport safety. 5

ACROSS Context What high workload means The amount of information and actions to process may exceed the reasonably acceptable workload of the crew What causes high workload in the cockpit Certain combinations of unpredictable situations, such as Increased air traffic, new flight routes, busier airports difficult meteorological conditions multiple system failures cockpit crew incapacitation When is high workload caused in the cockpit? Take-off, Initial Climb, Final approach Landing phase Improving crew performance in peak workload conditions is critical to enhance flight safety 6

ACROSS Objective 1 Design cockpit solutions alleviating crew workload in current two-pilot operations Fully capacitated crew under peak workload High density traffic Bad weather Emergencies Improve safety and reduce accident risks through the reduction of stress 7

ACROSS Objective 2 Address incidents where one of the pilots is incapacitated Intentionally reduced crew Long haul flights Pilot break during cruise phase Unintentionally reduced crew 1 or 2 pilots incapacitated Short, medium and long haul flights Land in safe condition 8

ACROSS Objective 3 Identify where possible some open issues for the implementation of single-pilot operations, taking into account first learning about evaluations done on workload reduction (objective 1) and reduced crew operations (objective 2) Future single pilot operations 9

CREW MONITORING CREW INCAPACITATION ACROSS Pillars of improve ACROSS will provide useful tools, technologies and guidelines to improve crew performance focusing on 6 pillars Aviate, Navigate, Communicate Manage Systems Crew monitoring Crew incapacitation tasks which determine the crew s workload at any time technologies which can evaluate the crew s performance and support them Focus on Crew Monitoring 10

ACROSS consortium: 35 partners Category Airframers ACROSS partners Large Industrial Companies Avionics Training & Simulation National Research Centers Research Centers inside large Industrial Groups Universities Innovation Works Nederland BV Small and Medium Enterprises 11

ACROSS consortium: 12 countries United Kingdom Netherland Poland Germany Ireland France Portugal Spain Italy Malta Greece Turkey 12

Advanced Cockpit for Reduction of Stress and Workload Crew Heath Monitoring Aristeidis Nikologiannis Hellenic Aerospace Industry (HAI) 13

Systems The System is a new integrated set of crew monitoring technologies addressing: Presence of the crew inside the cockpit Total incapacitation (strokes, hypoxia ) Sleepiness / Drowsiness Distraction / Inattention to cockpit instruments Stress / Mental workload Situational Awareness (SA) / Relevance of crew activity 14

Candidate Technologies for 15

Functionality The system (in critical situations) triggers: on-board and ground-based support systems which ensure that the plane lands safely functions helping the crew to focus on essentials tasks (and automating others) HAI s work focuses on body worn (wearable) devices, which can: monitor crew health status through biosignals make diagnosis among three health states: normal Abnormal due to Stress Abnormal due to Life-threatening conditions, Incapacitation Dominant biosignals for detecting health status Electrocardiogram Electromyogram Electro Dermal Activity Oximetry 16

Why Electrocardiogram (ECG)? ECG signal was chosen because: ECG is an indicator that effectively identifies health status Disease, stress, fatigue, sleepiness and hypovigilance influence heart rate the pattern and the range of heart rate variability would contain important information for the crew health status ECG probes are non-invasive, can be easily incorporated into the pilot's suit 17

ECG body worn device architecture Data acquisition Real time ECG signals from ECG sensors Non-real time ECG signals from published Databases (Massachusetts Institute of Technology Beth Israel Hospital (MIT-BIH) Database) Preprocessing: remove the noises and detect critical points from the ECG signal Feature extraction: extract critical features from ECG to identify abnormalities Classification: Classify the ECG signal beats into Normal Rhythm beats Abnormal Rhythm beats Life threatening - cardiac arrhythmia Stress arrhythmia 18

Preprocessing The ECG signals are overlapped with noises and artefacts which lead to inaccurate diagnosis. The common sources of ECG noise are: Power line interference Baseline wandering due to: Crew movements Electrode motion artefact Respiration Muscle contraction noise Instrumentation noise generated by cockpit electronic devices Remove noise with 3 FIR filters remove DC and baseline wandering (high pass filter: stop frequency range [0-0.5Hz]) remove power line noise (band stop filter: stop frequency range [50-70Hz]) remove high frequency noise (low pass filter: cutoff frequency 100Hz) 19

ECG Critical Point Detection and Feature Extraction The critical points P,Q,R,S,T were identified using MATLAB A time window of 25s used for processing ECG samples and extracting the ECG features Time domain features Define: RR interval, QRS interval, QT interval, ST segment/interval, T-wave duration, PR interval/segment Estimate: Average value (AV), maximum value (MAX), standard deviation (SD) of the above features Frequency domain features Estimate the Power Spectral Density (PSD) for normalized (f/fs) frequencies in the following ranges [0-0.04] (VLF), [0.04 0.15] (LF), [0.15 0.4] (HF) Estimate the parameters SVI: Symphatovagal balance index SVI= LF/HF nlf: normalized low frequency spectrum nlf = LF x 100 /(VLF+LF+HF) dlfhf: difference of normalized low frequency spectrum and high frequency spectrum dlfhf= nlf nhf Select the features with the most efficient classification results as input vector to classifier ( > 75% classification accuracy gray shaded parameters in the right table) 20

Analysis of Features Extraction Annotated ECG signals are obtained from published databases Digital ECG samples are integrated into 25s time windows and features extracted Depiction of the features into diagrams depending on their annotation Green line: normal heart beats, Blue line: abnormal (stress arrhythmias), Red line: abnormal (cardiac arrhythmia) Classification problem is non-linear: not clear linear threshold to differentiate the normal abnormal and life-threatening states. 21

Classification Artificial Neural Networks The Classification of an Electrocardiogram (ECG) is a complex pattern recognition task Large variation in the morphologies of ECG waveforms of different individuals as well as in the same person Artificial Neural Network (ANN) is an efficient non-linear processing tool that provides excellent classification at respectively low complexity ANNs can be viewed as mathematical models of brain like systems ANNs are composed of simple elements (neurons) operating in parallel. Neurons are organized into layers and layers interconnect to form a network Each neuron computes the transfer function f of the weighted sum of its inputs: O i = f( j (W ij I ij )) ANNs classify input data into categories, provided they are previously trained to do so The knowledge gained by the learning process is stored in the form of connection weights, used to classify the real time input data Fig 1. The Structure of the neural network (feed-forward) Fig 2. The structure of a neuron 22

Neural Network Training and Testing Supervised, Back Propagation Training 1. Input target Output vector pairs required 2. Propagate the input vector through the feedforward network 3. Compute the output vector 4. Compare the output vector with its desired value, resulting in an error vector 5. This error vector is propagated backwards to modify the weights of the neurons 6. This process (steps 1 to 4) is being repeated until the system error reaches an acceptable limit Train & Test the ANN classifier using data from the ECG database for: Normal ECG Rhythm Abnormal (Stress Arrhythmia) ECG Rhythm Abnormal (Life-Threatening Arrhythmia) ECG Rhythm 23

The Artificial Neural Network Classifier Results We defined the optimal ANN for classifier with the following attributes Multi element input vector-ecg features Multi-layer feed forward structure Output vector with 3 elements Back-propagation learning algorithm ANN Training performance ANN Classification performance Sensitivity (%) Specificity (%) Accuracy (%) MSE (%) Normal State 95.3278 96.8773 96.0777 3.2070 Abnormal State 95.5634 97.2760 96.5815 2.9606 Life threatening State 85.7798 98.9067 97.8769 1.9675 24

Development The Equivital TM LifeMonitor multi-parameter body worn sensor system used as the development platform Supported sensors: ECG, Heart rate, Respiratory rate, Skin temperature, Accelerometer X,Y,Z Oxygen, Galvanic skin response It senses, processes, stores and transmits human biophysical data SDK software package helps to integrate the development platform into across health monitoring platform 25

Exploitation Modify the body worn sensor system to a wearable sensor array, fitted in uniform for monitoring the health of workers employed in hazardous activities Firefighters Rescuers Cleaning of fuel/chemical tanks Mining workers 26

Conclusion ACROSS overview New technologies and novel Avionic architectures in cockpit to improve safety, reduce accident risk through the reduction of workload and stress Crew health monitoring system Candidate sensor technologies to future cockpit Body worn devices with biosensors (ECG) Architecture of an ECG body worn device ECG features extraction Crew health status classification Neural Network Overview Development Platform (Equivital TM LifeMonitor) System exploitation 27

Advanced Cockpit for Reduction Of Stress and Workload ACROSS (314501) This document and the information contained are ACROSS Contractors property and shall not be copied or disclosed to any third party without ACROSS Contractors prior written authorization. Project co-funded by the European Commission within the Seventh Framework Programme (2012-2016) 28