Zive ECG

Wearable Holter Monitor

7-day Continuous Cardiac Monitoring Device | CE Medical Certified | Mass Production

Project Overview

  • Wearable ECG monitoring device designed for continuous 7-day heart signal recording under real-world usage conditions.

  • My Role:

    • Mechanical enclosure and internal architecture design

    • PCB, battery, charging system, and electrode integration

    • Silicone protective sleeve and docking/charging station

    • Manufacturing drawings, tolerances, assembly instructions, and production tooling

    • Mechanical testing and iterative refinement

  • Key result:

    • Reliable 7-day battery life in a compact wearable form

    • Successfully passed CE medical certification

    • Transitioned from prototype to mass production

Design constraints and performance requirements

  • Compact and comfortable form factor with large battery capacity

  • Long-term skin contact

  • Sweat and splash resistance

  • Reliable ECG signal acquisition

  • Foolproof, user-friendly charging station

  • Compliance with CE medical requirements

device Breakdown

Engineering challanges

Compact size with larger battery capacity

Early concepts using dual CR2032 coin cells couldn’t deliver the required runtime. I redesigned the internal layout around a larger rechargeable battery while keeping the device compact and comfortable.

Multiple iterations optimized positioning of the PCB, WiFi module, SD card, and charging connector — improving space efficiency, reducing signal interference, and maintaining wearing comfort. The final architecture achieved stable 7-day operation.

Custom press-fit electrode inserts

Developed reliable press-fit electrodes for consistent electrical contact and repeatable assembly. Tested multiple geometries and tolerances to balance insertion force, retention strength, and manufacturability without damaging the enclosure.

Enclosure design iterations
Electrode insert iterations
Insert section cut
Sealing geometry and surfaces
Thickened walls and crush-zone tests
Mold for 5mm sleeve
Charging station section cut
Wire fixture / mass optimization plate

The Zive ECG is now in mass production and actively used for continuous heart monitoring.

This project deepened my experience in medical device development, precision tolerance management, press-fit assemblies, and balancing user comfort with strict certification and manufacturing requirements

Tools Used: SolidWorks (modeling & drawings) | Various manufacturing processes (CNC, FDM, SLA, silicone molding)

Sealing and durability for certification

The enclosure geometry was optimized to improve impact resistance and sealing reliability while maintaining compact wearable dimensions and user comfort.

Structural reinforcement features were integrated to reduce stress concentrations and protect internal electronics during repeated handling and drop events. Sealing interfaces were refined to improve resistance against sweat and splash exposure during prolonged real-world use.

Final durability performance was enhanced through a custom silicone protective sleeve that improved impact absorption and overall device protection.

Protective silicone case

Final Outcome & Takeaways

A custom silicone sleeve was developed to improve impact resistance during durability and certification testing without significantly increasing enclosure size or wall thickness.

The solution improved protection of critical enclosure regions during drop events while maintaining charging accessibility and compact wearable dimensions.

Silicone molding and assembly integration considerations were incorporated during development.

Docking - Charging station

Designed a reliable charging station

Key issues solved:

  • Tight tolerances → difficult insertion and pin stress

  • Loose tolerances → risk of reverse (backwards) insertion damaging electronics

  • Low mass → unstable during one-handed use

Final solution: Optimized tolerances + asymmetric geometry to prevent reverse insertion + internal steel mass plate for better stability and easier one-handed operation.

Production line tooling

Custom tooling was developed for repeatable press-fit electrode insertion during production assembly.

The fixture design improved alignment consistency, reduced assembly variation, and minimized risk of enclosure damage during installation.

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