Digital implementation of a wavelet-based event detector for cardiac pacemakers

This paper presents a digital hardware implementation of a novel wavelet-based event detector suitable for the next generation of cardiac pacemakers. Significant power savings are achieved by introducing a second operation mode that shuts down 2/3 of the hardware for long time periods when the pacemaker patient is not exposed to noise, while not degrading performance. Due to a 0.13-μm CMOS technology and the low clock frequency of 1 kHz, leakage power becomes the dominating power source. By introducing sleep transistors in the power-supply rails, leakage power of the hardware being shut off is reduced by 97%. Power estimation on RTL-level shows that the overall power consumption is reduced by 67% with a dual operation mode. Under these conditions, the detector is expected to operate in the sub-μW region. Detection performance is evaluated by means of databases containing electrograms to which five types of exogenic and endogenic interferences are added. The results show that reliable detection is obtained at moderate and low signal to noise-ratios (SNRs). Average detection performance in terms of detected events and false alarms for 25-dB SNR is P_D=0.98 and P_FA=0.014, respectively.