Design Evolution and Feature Enhancement Strategies for Advanced Digital Stethoscopes

Authors

  • Madeeha Akbar AI in Healthcare Lab, National Centre of Artificial Intelligence, University of Engineering and Technology, Peshawar, Pakistan
  • Sayed Shahid Hussain AI in Healthcare Lab, National Centre of Artificial Intelligence, University of Engineering and Technology, Peshawar, Pakistan
  • Shahzad Anwar Department of Mechatronics Engineering, University of Engineering and Technology, Peshawar, Pakistan
  • Sheeraz Ahmed Iqra National University, Peshawar

Keywords:

Artificial Intelligence, Auscultation, Cardiovascular Diseases, Digital Stethoscope, Telemedicine

Abstract

A stethoscope is a fundamental auscultation and diagnostic device that plays a major role in medication and assists in the identification of sounds inside the body to predict cardiovascular and respiratory diseases. The advent of electronic and artificial intelligence (AI)-enhanced digital stethoscopes is prompted by the limitations of traditional auscultation performance, such as the need for a clinician's experience, failure to detect the required sounds in noisy conditions, and the inability to store patient data. This study focuses on the evolution in the design, relative performance characteristics, and areas of future improvement of stethoscopes, including digital devices that incorporate AI. Several studies show the employment of advanced filters to acquire important auscultating frequency bands, a high-gain amplifier to boost low-frequency internal body sounds, a noise cancellation circuit to block out background noise, Bluetooth for data sharing in real-time signal processing, and syncing with other medical devices. Key features that could be introduced in future versions are adaptive frequency filters, AI-based clustering to classify the sound, remote diagnostic functionality, and an improved data storage system. Protection circuits that take the form of lithium-ion batteries, wireless modules, and processing based on a microcontroller are some of the resource components highlighted in terms of portability and efficiency. This research seeks to develop stethoscopes by incorporating innovations while managing limitations, ultimately enhancing tools for healthcare professionals.

References

Y. Torabi, S. Shirani, and J. P. Reilly, “Descriptor: Heart and Lung Sounds Dataset Recorded From a Clinical Manikin Using Digital Stethoscope (HLS-CMDS),” IEEE Data Descr., vol. 2, pp. 133–140, May 2025, doi: 10.1109/IEEEDATA.2025.3566012.

S. Ogawa, F. Namino, T. Mori, G. Sato, T. Yamakawa, and S. Saito, “AI diagnosis of heart sounds differentiated with super StethoScope,” J. Cardiol., vol. 83, no. 4, pp. 265–271, Apr. 2024, doi: 10.1016/j.jjcc.2023.09.007.

“Correction to: 2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association,” Circulation, vol. 149, no. 19, p. E1164, May 2024, doi: 10.1161/CIR.0000000000001247.

C. D. Mathers and D. Loncar, “Projections of Global Mortality and Burden of Disease from 2002 to 2030,” PLOS Med., vol. 3, no. 11, p. e442, Nov. 2006, doi: 10.1371/JOURNAL.PMED.0030442.

I. Topaloglu et al., “Explainable attention ResNet18-based model for asthma detection using stethoscope lung sounds,” Eng. Appl. Artif. Intell., vol. 126, p. 106887, Nov. 2023, doi: 10.1016/J.ENGAPPAI.2023.106887.

T. B. Dang et al., “Flexible, wearable mechano-acoustic sensors for body sound monitoring applications,” Nanoscale, vol. 17, no. 16, pp. 9652–9685, Apr. 2025, doi: 10.1039/D4NR05145A.

J. J. Seah, J. Zhao, D. Y. Wang, and H. P. Lee, “Review on the Advancements of Stethoscope Types in Chest Auscultation,” Diagnostics 2023, Vol. 13, Page 1545, vol. 13, no. 9, p. 1545, Apr. 2023, doi: 10.3390/DIAGNOSTICS13091545.

H. Perera, “Advancements of Electronic Stethoscope: A review,” KDU Int. Res. Conf., pp. 174–180, 2021, Accessed: Oct. 03, 2025. [Online]. Available: https://ir.kdu.ac.lk/handle/345/4811

M. Kalimuthu and C. Hemanth, “Preliminary Study on Real-Time Phonocardiogram Signal Acquisition and Analysis Using Machine Learning and IoMT for Digital Stethoscope,” IEEE Access, vol. 13, pp. 68682–68709, 2025, doi: 10.1109/ACCESS.2025.3560763.

“CardiovascularAISmart StethoscopeRemoteCardiacCarePediatrics.” Accessed: Oct. 03, 2025. [Online]. Available: https://minttihealth.com/enhancing-cardiovascular-healthcare-the-role-of-ai-in-smart-stethoscopes-and-remote-cardiac-care-for-pediatrics/

M. Cicogna, M. Rishniw, A. Gobbi, V. Calgaro, F. Porciello, and D. Caivano, “Evaluation of a new smartphone-based stethoscope with one‑lead electrocardiogram in healthy sheep,” Res. Vet. Sci., vol. 185, p. 105564, Mar. 2025, doi: 10.1016/J.RVSC.2025.105564.

M. Nussbaumer and A. Agarwal, “Stethoscope acoustics,” J. Sound Vib., vol. 539, p. 117194, Oct. 2022, doi: 10.1016/J.JSV.2022.117194.

K. Landge, B. Kidambi, A. Singhal, and A. Basha, “Electronic stethoscopes: Brief review of clinical utility, evidence, and future implications,” J. Pract. Cardiovasc. Sci., vol. 4, no. 2, p. 65, 2018, doi: 10.4103/JPCS.JPCS_47_18.

S. Leng, R. S. Tan, K. T. C. Chai, C. Wang, D. Ghista, and L. Zhong, “The electronic stethoscope,” Biomed. Eng. Online, vol. 14, no. 1, pp. 1–37, Jul. 2015, doi: 10.1186/S12938-015-0056-Y/TABLES/6.

B. Silverman and M. Balk, “Digital Stethoscope—Improved Auscultation at the Bedside,” Am. J. Cardiol., vol. 123, no. 6, pp. 984–985, Mar. 2019, doi: 10.1016/j.amjcard.2018.12.022.

B. Revanth Reddy, P. Ramakrishna, and S. Roji Marjorie, “Review of a low cost digital stethoscope,” Indian J. Public Heal. Res. Dev., vol. 8, no. 4, pp. 1259–1261, Oct. 2017, doi: 10.5958/0976-5506.2017.00508.3.

E. Andrès, S. Reichert, C. Brandt, N. Hill, and R. Gass, “Development and experimentation of a new digital communicating and intelligent stethoscope,” Eur. Res. Telemed. / La Rech. Eur. en Télémédecine, vol. 5, no. 4, pp. 145–155, Dec. 2016, doi: 10.1016/J.EURTEL.2016.09.003.

“Littmann Stethoscopes for medical professionals | Littmann®.” Accessed: Oct. 03, 2025. [Online]. Available: https://www.littmann.com/en-us/home/

H. Lee, G. Kim, and J. S. Bae, “Digital auscultation in clear and present threat of novel respiratory infectious disease: a narrative review,” J. Yeungnam Med. Sci., vol. 42, Dec. 2024, doi: 10.12701/JYMS.2025.42.19.

B. A. Reyes, N. Olvera-Montes, S. Charleston-Villalobos, R. González-Camarena, M. Mejía-ávila, and T. Aljama-Corrales, “A Smartphone-Based System for Automated Bedside Detection of Crackle Sounds in Diffuse Interstitial Pneumonia Patients,” Sensors 2018, Vol. 18, Page 3813, vol. 18, no. 11, p. 3813, Nov. 2018, doi: 10.3390/S18113813.

C. Yang et al., “A Low-Cost, Ear-Contactless Electronic Stethoscope Powered by Raspberry Pi for Auscultation of Patients With COVID-19: Prototype Development and Feasibility Study.,” JMIR Med. informatics, vol. 9, no. 1, p. e22753, Jan. 2021, doi: 10.2196/22753.

Y. Arjoune et al., “StethAid: A Digital Auscultation Platform for Pediatrics,” Sensors 2023, Vol. 23, Page 5750, vol. 23, no. 12, p. 5750, Jun. 2023, doi: 10.3390/S23125750.

Y. Arjoune et al., “STETHAID: AN ELECTRONIC STETHOSCOPE CONNECTED TO IOS MOBILE APPS FOR AI-ASSISTED AUSCULTATION,” Proc. 2023 Des. Med. Devices Conf. DMD 2023, Jun. 2023, doi: 10.1115/DMD2023-8881.

W. Qiu, A. Bouakaz, E. E. Konofagou, and H. Zheng, “Guest Editorial Introduction to the Special Issue on Recent Advances in Ultrasound Technology for Brain Imaging and Therapy,” IEEE Trans. Ultrason. Ferroelectr. Freq. Control, vol. 68, no. 1, pp. 3–5, Jan. 2021, doi: 10.1109/TUFFC.2020.3042349.

R. Chaban, A. Ghazy, E. Georgiade, N. Stumpf, and C. F. Vahl, “Negative effect of high-level infrasound on human myocardial contractility: In-vitro controlled experiment,” Noise Heal., vol. 23, no. 109, pp. 57–66, Apr. 2021, doi: 10.4103/NAH.NAH_28_19.

M. E. H. Chowdhury et al., “Real-Time Smart-Digital Stethoscope System for Heart Diseases Monitoring,” Sensors 2019, Vol. 19, Page 2781, vol. 19, no. 12, p. 2781, Jun. 2019, doi: 10.3390/S19122781.

J. P. Hlávka, “Security, privacy, and information-sharing aspects of healthcare artificial intelligence,” Artif. Intell. Healthc., pp. 235–270, Jan. 2020, doi: 10.1016/B978-0-12-818438-7.00010-1.

T. Vezzosi, L. Alibrandi, G. Grosso, and R. Tognetti, “Evaluation of a new smartphone-based digital stethoscope featuring phonocardiography and electrocardiography in dogs and cats,” Vet. J., vol. 295, p. 105987, May 2023, doi: 10.1016/J.TVJL.2023.105987.

M. S. Kamel, J. L. Davidson, and M. S. Verma, “Strategies for Bovine Respiratory Disease (BRD) Diagnosis and Prognosis: A Comprehensive Overview,” Anim. 2024, Vol. 14, Page 627, vol. 14, no. 4, p. 627, Feb. 2024, doi: 10.3390/ANI14040627.

C. Bozzola, A. Ortolina, I. Guffanti, E. Alberti, V. Bronzo, and E. Zucca, “Evaluation of a digital stethoscope for electrocardiographic recording in donkeys: Preliminary results,” J. Equine Vet. Sci., vol. 135, p. 105048, Apr. 2024, doi: 10.1016/J.JEVS.2024.105048.

“Mobile network subscriptions worldwide 2028| Statista.” Accessed: Oct. 03, 2025. [Online]. Available: https://www.statista.com/statistics/330695/number-of-smartphone-users-worldwide/

A. G. Taye, S. Yemane, E. Negash, Y. Minwuyelet, and N. Tofik, “Design of an AI-Enhanced Digital Stethoscope: Advancing Cardiovascular Diagnostics Through Smart Auscultation,” Dec. 2024, Accessed: Oct. 03, 2025. [Online]. Available: https://arxiv.org/pdf/2412.14206

M. Zauli et al., “Exploring Microphone Technologies for Digital Auscultation Devices,” Micromachines 2023, Vol. 14, Page 2092, vol. 14, no. 11, p. 2092, Nov. 2023, doi: 10.3390/MI14112092.

“Eko Health | CORE 500TM Digital Stethoscope.” Accessed: Oct. 03, 2025. [Online]. Available: https://www.ekohealth.com/products/core-500-digital-stethoscope?srsltid=AfmBOooeCWxLH0nw8zVewMFJ45_EmfgfkwJMC9x3OLmJu_mRQHKnnkis&variant=39999867879520

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Published

2025-10-15

How to Cite

Akbar, M., Sayed Shahid Hussain, Shahzad Anwar, & Sheeraz Ahmed. (2025). Design Evolution and Feature Enhancement Strategies for Advanced Digital Stethoscopes. International Journal of Innovations in Science & Technology, 7(4), 2429–2439. Retrieved from https://journal.50sea.com/index.php/IJIST/article/view/1590