Wireless communication#
Overview#
Network Type |
Frequency (Hz) |
Bit rate (bit/s) |
Band |
Max. range (m) |
---|---|---|---|---|
Bluetooth |
2.4 G |
3 M |
Unlicensed ISM |
300 m |
IR |
100–200 T |
16 M |
IR-B |
5 m |
Wi-Fi |
2.4–5 G |
108 M |
ISM to U-NII |
100 m |
ZigBee |
900 M |
256 K |
- |
10 m |
Cellular Networks |
850–1900 M |
20 M |
- |
5 km |
WiMAX |
10–66 G |
75 M |
- |
40 km |
LMDS |
10–40 G |
512 M |
- |
5 km |
Exercise 34
You are a consulting engineer. A hospital is deploying a telemedicine system to improve patient care. The system includes:
Wearable Health Monitors: Patients wear sensors that track heart rate and oxygen levels, sending small data packets every 10 seconds to nearby nurse stations (max range 20 m).
Remote Patient Consultations: Doctors conduct live video calls with patients at home, requiring high-speed internet with a max range of 5 km.
Emergency Drones: Drones deliver medical supplies to accident sites and transmit real-time video to hospitals (max range 3 km).
Hospital Equipment Monitoring: Wireless sensors monitor critical hospital devices and send status updates to a central server every minute (max range 100 m).
For each case, select the most suitable wireless technology using the table above and explain the hospital management why.
Bluetooth#
A controller device can hold an active connection to up to seven devices
up to 255 further slave devices can be inactive
Uses adaptive frequency hopping between 79 frequencies to reduce EMI
low-cost and integrated in microcontrollers
e.g., TI CC2651R3
Three classes
3, 30, 300 m
Infrared (IR)#
Usually associated with heat
The sun emits both visible and IR
Our body emits IR
useful for search and rescue
Typically used in TV remotes
Three types:
Abbreviation |
Wavelength |
Freq. (THz) |
---|---|---|
IR-A |
780–1400 nm |
215–384 |
IR-B |
1400–3000 nm |
100–215 |
IR-C |
3–1000 µm |
0.3–100 |
IR-A
night vision
IR-B
long range optical communication
transmitter must be aligned close
dependent on the used LEDs
LED or laser diode goes on and off
mature tech
requires LOS, but no interference in return
standardized by the Infrared Data Association (IrDA)
bit rate from 8.6 kbit/s to 1 Gbit/s
I believe IR used to be popular, but Bluetooth replaces it on medical devices
Could not find significant amount of devices using IR
A ECG device mentions wireless options based on Bluetooth and IR
Wireless local area network (WLAN) and Wi-Fi#
More complex setup compared to IR
Nowadays popular Wi-Fi 6
probably you see its logo labeled with 6 on your smartphone’s screen
up to ~10 Gbit/s
Based on
access point (AP)
station
Supports roaming
station selects the AP with the strongest signal from the APs with the same name (SSID)
More APs or wireless relay (repeater) for extension
Availability and thus safety is an issue
uses unlicensed ISM radio band
makes jamming easier, because many easy to access
Wi-Fi is a WLAN tech, but WLAN is not necessarily Wi-Fi. WLAN can be any kind of wireless networking
Example details from my laptop connected to eduroam
:
$ iw dev wlp0s20f3 station dump
...
signal avg: -49 dBm
...
tx bitrate: 400.0 MBit/s VHT-MCS 9 40MHz short GI VHT-NSS 2
...
...
400 Mbit/s
data rate
VHT-MCS 9:
MCS index 9, which corresponds to 256-QAM. Very High Throughput (VHT), used in 802.11ac (Wi-Fi 5).
40 MHz
channel bandwidth
short GI (Guard Interval)
GI is the time period between transmitted symbols to prevent inter-symbol interference (ISI) caused by multipath propagation
Using a short guard interval (400 ns), which improves performance slightly over the default 800 ns.
VHT-NSS 2
number of spatial streams (NSS) 2
two independent antennas are used
ZigBee#
low-rate wireless personal area network (PAN)
used in home automation
supports star, tree, and mesh topologies
Three kinds of devices
full-function devices (FFD)
can do all the required functions
reduced-function devices (RFD)
less capabilities
cheaper
low energy

Fig. 11 Different kinds of nodes available in a ZigBee network. The violet coordinator maintains a table of all available nodes in a network and is an FFD. Yellow Router routes packets between nodes, but can have also additional sensor/actuator functionality. End devices are usually RFDs are sensor/actuators. (CC BY-NC-SA http://www.swappa.it/wiki/Uni/RW-13Aprile)#

Fig. 12 Star topology. Yellow routers do not have to route in this case. The coordinator can be a bottleneck, if more participants are added to the network. (CC BY-NC-SA http://www.swappa.it/wiki/Uni/RW-13Aprile)#

Fig. 13 Tree topology. Here the coordinator can become a bottleneck if sub-trees want to exchange data often. (CC BY-NC-SA http://www.swappa.it/wiki/Uni/RW-13Aprile)#

Fig. 14 Mesh topology. Often found in ad-hoc network scenarios, where nodes can come and go. (CC BY-NC-SA http://www.swappa.it/wiki/Uni/RW-13Aprile)#
- wireless ad-hoc network
a decentralized type of wireless network. Does not require pre-existing infrastructure like dedicated routers
- ad hoc
Latin phrase meaning for this. Signifies a solution designed for a specific purpose, which is typically provisional and temporary.
Exercise 35
Given above definitions, why do you think is ZigBee an ad-hoc network?
low-cost and integrated in microcontrollers
e.g., TI CC2651R3
also useful in body area networks
requires a coordinator and router
-
Receive sensitivity (lowest expected power received by the antenna): -90 dBm — -122 dBm.
Li-Fi#
optical wireless
alternative to Wi-Fi
compared to IR, additionally uses ultraviolet and visible light
IEEE 802.11bb introduced in 2023 motivates broader industry adoption
10 Mbit/s - 9.6 Gbit/s
less interference, because
most of the devices and communication protocols operate at lower frequencies
requires LoS, no penetration of walls
less interference means a higher communication density for a group of devices
can also penetrate the Faraday cage of an MRI room
security
data cannot be intercepted outside the room

Fig. 15 Working principle of Li-Fi
CC BY-SA 4.0. By Бумбаяр. Source: Wikimedia Commons#
Exercise 36
A website advertises that Li-Fi 100x faster than Wi-Fi. Can this be true? Explain.
Cellular networks#
current standard 5G with three application areas as separate networks
enhanced mobile broadband (eMBB)
higher bandwidth, more capacity, e.g., for stadiums
ultra-reliable low-latency communications (URLLC)
short packets for mission critical applications, e.g., telesurgery
massive machine type communications (mMTC)
low bandwidth with higher coverage, e.g., IoT devices in rural areas with bad connectivity
-
6 μW at 180 m
interesting for energy-harvesting by low power sensors
Illustration of 4G and 5G device types Source:Ericsson RedCap whitepaper
-
based on LTE but limits bandwidth to 180 kHz
for example LTE Cat NB2: ⬇️ 127 kbit/s, ⬆️ 159 kbit/s, ↔️ 180 kHz
-
5G can use up to 71 GHz
More details
WISP#
- Wireless Internet service provider (WISP)
an internet service provider with a network based on wireless networking
Can use:
Wi-Fi mesh networking
proprietary (non-standardized) protocols over unlicensed bands
licensed bands in ultra high frequency (UHF), 300 MHz to 3 GHz (according to ITU)
LMDS

Fig. 16 (2015) A CableFree point to multipoint radio base station installed for a WISP in Rotterdam, The Netherlands. The radio base station has 4 radio interfaces each connected to a separate sector antenna, each providing 90 degrees coverage of the city for a full 360 degrees coverage. Within 5-20km of this base station, Subscriber Units (CPEs) with high gain directional antennas are installed on sites which can then can connect to the Base Station to receive broadband data connections of typically 10-200 Mbps capacity.
CC BY-SA 4.0. By Millsbi. Source: Wikimedia Commons#
Fig. 17 A microwave radio relay dish for wireless networking
Public domain. By Unknown author. Source: Wikimedia Commons#
Wireless broadband#
also called broadband wireless access. An alternative to cellular networks. We only cover here:
LMDS
WiMAX
Local multipoint distribution service (LMDS)
proprietary (non-standardized)
originates from 90s, for TV broadcasting, but failed adoption. Nowadays used in Europe for backhaul (intermediate connections to the backbone network used to interconnect different local area networks (LAN)) between base stations.
Worldwide Interoperability for Microwave Access (WiMAX) additionally specifies physical and media access layer options
based on the IEEE 802.16 called WirelessMAN (metropolitan area network) standard.
conceived as a last-mile broadband access and as an alternative to cable broadband
used in many countries including Denmark), however the last one was launched in Bangladesh in 2014 according to Wikipedia and it was not successful also in Danmark.
lost against LTE in 4G according to this article.
Satellite networks#
point-to-point (PTP) link from a computer to a satellite
e.g., Starlink
used in underdeveloped areas for teleconsulting in medicine
Licensed and unlicensed frequency bands#
unlicensed: everyone can use it without getting permission from an authority
licensed: the opposite
guarantees more reliability, because it is more known who will use it compared to an unlicensed frequency band :
M-health and telemedicine applications#
mobile health
nowadays, chips allow integration of many components to a single chip
makes mobile compact applications possible
challenges of m-health, e.g., in context of an oxygen saturation meter
movement artifacts
sensor’s position may shift, which can affect readings
ambient light changes
may affect readings
The outdoor operating environment#
- attenuation
when a signal gets weaker as it travels through a material or space. Reduction in power density.
the more attenuation, the more the chances are for interference
- path loss
attenuation of an electromagnetic wave as it propagates.
Path loss causes a decrease in the usable signal energy by the receiver
- diffraction
deviation of waves from straight-line propagation through an obstacle or aperture

Fig. 18 Waves coming from the sea are diffracted and they become waves in form of an arc. additionally, reflection can be seen on the top left corner of the quarry.
CC BY-SA 4.0. By Verbcatcher. Source: Wikimedia Commons#
radio wave diffraction example
- reflection
change of direction so that the signal returns back to the origin. reflection happens:
when the wavelength is much smaller than the hit object
or if the hit object has holes much smaller than the wavelength
e.g., mesh filter on the door of a microwave oven. (~10cm wavelength)
- scattering
signal is forced to deviate from a straight trajectory scattering:
includes waves that do not follow the law of reflection
the hit object is much smaller than the wavelength (compared to diffraction)
e.g., rough surfaces, dust
may lead to more energy received by the receiver
diffraction, reflection, scattering
all the above phenomena cause multipath propagation
waves can interfere constructively or destructively
- fading
the variation of signal attenuation over variables like time, position, and frequency.
signal loss vs fading
signal loss is a baseline reduction in power, while fading refers to fluctuations around that baseline
both signal loss and fading affect signal quality
antenna diversity can help
even one antenna picks up a faded signal due to diffraction, other one can still receive a usable signal
LOS (line of sight) may not enough for an acceptable signal quality
Fresnel zone defines a space between two antennas which should be clear
if the signal direction is changed by an object outside the Fresnel zone, its impact is insignificant
rule of thumb: Fresnel zone must be at least 60% clear
Fig. 19 Fresnel zone
CC BY-SA 3.0. By Jcmcclurg. Source: Wikimedia Commons#
weather conditions can affect signal quality
rain-induced attenuation insignificant for systems operating under 10 GHz or rainfall rate below 20 mm/h
a higher frequency signal is attenuated more than a lower frequency signal
the attenuation increases linearly for increasing rainfall
-
an antenna diversity technique that uses antennas with orthogonal polarizations, e.g., vertical and horizontal
horizontal polarization
gets attenuated more by the rainfall
the attenuation difference increases linearly with rainfall rate
Exercise 37
You are designing a communication link from a remote medical facility to an ambulance for a tropical region. You know that usually more accidents happen during heavy rain. How would you cope with the problem of rain attenuation?
cross-polarization diversity
utilizes different polarizations (e.g., horizontal and vertical)
it may feel logical get rid of horizontally polarized antennas, but using diversity is better. We will see why in the next chapter
multipath fading
a signal interferes with the required signal in amplitude as well as phase due to indirect paths
generally an issue with signals below 10 GHz
issue for >10 GHz: attenuation by rain

Fig. 20 Multipath fading
Public domain. By wikipedia:en:user:Cadmium. Source: Wikimedia Commons#
Fig. 21 Ghost signal due to multipath propagation
Public domain. By Original image: Lithium57 / English translation: MichaelBillington. Source: Wikimedia Commons#
-
moving signals have a frequency shift called Doppler shift
the difference in Doppler shifts between different signal components contributing to a signal fading
issue in vehicular communication
RFID in telemedicine#
- RFID (radio-frequency identification)
tech for identifying something using radio frequency signals
like an invisible barcode
tag
object that is being identified
reader
object that identifies a tag
typically stationary
Fig. 22 An RFID tag
CC BY-SA 3.0. By derivative work: Sakurambo (talk)
EPC-RFID-TAG.jpg: SMARTCODE Corporation. Source: Wikimedia Commons#
A tag can be passive or active
if passive: needs a reader to be powered
if active: has a battery and can be read from a longer distance
Examples:
Student id
Bank card
RFID demo
Install the app NFSee
and read your student id
Exercise 38
Give three examples for RFID applications that you encountered.
Exercise 39
How can we utilize RFID in telemedicine? Provide at least two ideas.
-
low: ~130 kHz
high: ~13 MHz
ultra-high: ~900 MHz
security
ultra-high can be read from a larger distance
for telemedicine, low and high frequency may be better suitable
fading problems for body sensors
for low and high frequencies
multipath fading
for ultra-high
energy absorption by water in tissues
example: glucose meter for diabetes monitoring (Christiansen et al 2018)
not as critical as a pacemaker
glucose data read into the RFID tag and the tag transmits the data
data must be sent immediately due to low storage capacity
example: patient tracking (Cao et al. 2014)
real-time location information
integrated in wristband or clothing
problem: tag-collision (Xiao et al. 2018)
-
slotted Aloha
broadcasts an initialization command and a parameter that the tags individually use to pseudo-randomly delay their responses.
adaptive binary tree
the reader sends one bit at a time, until only a single tag responds
may not be suitable for clinic due to the need of simultaneous tagging of patients which may incur too much time

Fig. 23 How a device is searched for using adaptive binary tree
CC BY-SA 2.5 es. By Rob Blanco. Source: Wikimedia Commons#