Multi-Modal Wearable Architectures

Integrated Multi-Sensor Systems for Medical & Professional Applications

Modern wearable products are no longer single-sensor devices. Real insight comes from combining multiple sensing modalities into one coherent, reliable and wearable system.

2M Engineering designs multi-modal wearable architectures that integrate electrical, optical, mechanical and physiological sensors into compact, low-power and certified products for medical, professional and industrial use.

CardioSense Multi-Sensor Wearable Devices - wearable ECG sensor

Why Multi-Modal Wearables Matter

Single sensors provide signals.
Multi-modal systems provide context, robustness and clinical relevance.

By combining complementary sensors, wearable devices can:

  • improve accuracy through sensor fusion
  • remain reliable during motion and daily life
  • detect complex physiological states instead of isolated metrics
  • enable advanced algorithms, decision support and AI

This is essential for applications such as:

  • cardiac and respiratory monitoring
  • rehabilitation and movement analysis
  • stress, workload and fatigue monitoring
  • home-based and decentralized care

From Sensors to Architecture

Building a multi-modal wearable is not about adding more sensors.

It requires architectural decisions around:

  • synchronization of heterogeneous data streams
  • power management across sensors and radios
  • placement and mechanical integration
  • signal interference and cross-talk
  • embedded processing vs cloud processing
  • certification and risk management

This is where 2M Engineering adds value.

Patient-Centric & User-Centric Design

Our multi-modal wearable architectures are designed around the end user, not the sensor stack.

We focus on:

  • comfort and long-term wearability
  • minimal user interaction
  • robust operation in daily life
  • reliable data capture outside the lab

This approach is essential for medical wearables, professional sports, defence and field use.

Core Modalities We Combine

2M Engineering integrates and synchronizes a wide range of sensing principles within a single wearable architecture.

Cardiac & Vascular

  • ECG (1–12 lead)
  • PPG
  • BCG
  • Impedance Cardiography (ICG)

Activity & Motion

  • Accelerometer, gyroscope, magnetometer
  • posture, fall and activity classification
  • motion capture and orientation tracking

Respiratory

  • Bioimpedance-based breathing rate
  • multi-sensor respiratory algorithms

Oxygenation

  • SpO₂ and optical PPG sensing

Thermal & Environmental

  • skin and core temperature
  • humidity and environmental context

Electrodermal & Stress

  • galvanic skin response (GSR)

Custom & Application-Specific Sensors

  • optical, acoustic, force or pressure sensors
  • application-specific biosensors

Both standard and custom sensors are supported.

Sensors + Algorithms = Meaningful Data

Multi-modal wearables only work when sensor data is fused intelligently.

2M Engineering specializes in:

  • embedded signal processing
  • time-aligned sensor fusion
  • feature extraction
  • power-efficient algorithms
  • validation for medical and professional use

This allows raw sensor data to be transformed into:

  • clinically relevant parameters
  • actionable feedback
  • reduced data volumes
  • longer battery life

Making Multi-Modal Wearables Work in Practice

How do you fit a world of technology into a patch, wristband, shirt or sticker?

This is where our experience matters.

We solve challenges in:

  • miniaturization and integration
  • ruggedization and waterproofing
  • flexible and textile electronics
  • low-power architectures
  • manufacturability and scalability

Our architectures are used as:

  • foundations for OEM products
  • research platforms evolving into products
  • dual-use systems (medical & professional / defence)

Platform Thinking, Not One-Off Products

2M Engineering develops reusable multi-modal building blocks that reduce:

  • development time
  • technical risk
  • certification effort

These architectures can be deployed across:

  • patches
  • textile wearables
  • wrist-based devices
  • clip-on and modular systems

Example Applications & Projects

Our multi-modal wearable architectures are used in a wide range of products and projects, including:

  • wireless ECG streamers for medical & professional sports
  • cardiac-respiratory home monitoring devices
  • waterproof multi-sensor athlete wearables
  • SpO₂ and PPG wrist devices
  • stethoscope add-ons combining ECG and acoustics
  • ambulatory multi-location monitoring systems
  • biofeedback and lifestyle monitoring devices

→ View selected multi-modal wearable projects

OEM & Custom Development

Multi-modal wearable architectures are rarely off-the-shelf.

We support:

  • system architecture design
  • sensor selection and placement
  • embedded software and APIs
  • certification strategy (CE, MDR, ATEX where applicable)
  • industrialisation and ISO13485 production

From first concept to scalable product.

Why 2M Engineering

  • deep expertise across multiple sensing domains
  • strong system-level thinking
  • proven medical and professional products
  • experience with certification and production
  • ability to bridge research and real-world use

Let’s Design the Right Architecture Together

If you are developing a multi-sensor wearable product and want to move beyond single-signal solutions, we are happy to explore how a multi-modal architecture can strengthen your application.

→ Contact 2M Engineering

Multi-Model Wearable Architectures – Projects

P-Cardio HP201 1-Lead Wearable ECG Monitor & Motion Sensor

1-Lead Wearable ECG Monitor + Respiration + Motion Sensor Main features The P-CARDIO HP201 1-Lead wearable ECG monitor provides high-resolution…

HeartGuard — AI-Enabled Home Monitoring for Heart Failure Patients

Background and urgency Heart failure is a major and growing burden on healthcare systems. In the Netherlands alone, around 250,000 people live…

P-CARDIO HP202 – 6-Lead Wearable ECG Recorder + Motion Sensor

The 6-Lead Wearable ECG Recorder + Motion Sensor represents a breakthrough in wearable technology, combining precise heart monitoring with motion…

Flight Sense System

What is the Flight Sense System? The Flight Sense System is a development for air force pilots enabling physiological monitoring…

Portable ECG Respiration Monitor

Portable ECG Respiration Monitor: A Comprehensive Solution for Health Monitoring The Portable ECG Respiration Monitor is a state-of-the-art device designed…

LODE Wireless BLE ECG Streamer & Logger

2M developed for LODE a wearable device for medical and professional sport applications. The wearable device is available as a…

CardioSense – Wireless ECG sensor with Atrial Fibrillation detection

Wearable ECG sensor with atrial fibrillation detection for home use CardioSense is about making cardiac rehabilitation possible at home. CardioSense…

SwimSensor for athletes – ECG & Motion Recognition

Wearable sensor for athletes for monitoring heart and detailed motion analysis The Swimsense is a waterproof, wearable device for professional…

SPO2 sensor watch with PPG HR detection

Accurate SPO2 sensor watch COSMET is a SPO2 sensor watch with PPG based HR detection that is worn on the…

CardioSleeve – ECG & heart sound stethoscope add-on

The world’s first stethoscope attachment to provide ECG, digital auscultation and instant analysis CardioSleeve ECG & heart sound stethoscope is…

Medical health scanner

Quick health scan combining temperature, ECG, SPO2 and heart sound 2M has created various prototype devices being designed for people to…

VitaMove – multi-sensor activity monitor with ECG

Synchronized recording of activity on multiple locations on the body VitaMove is an ambulatory monitoring system that measures and stores activity information…

Rejiva – Wireless biofeedback patch (ECG & Activity)

Consumer device that monitors lifestyle 2M did a number of projects for the Ruijven Rejiva. The Rejiva is the first…

Innovative Equine Sensor Solutions

Prevent & earlier detect horse health problems 2M has build up  experience in measuring various vital horse signs which can lead…