Jurnal Teknokes
Vol. 19 No. 2 (2026): June

Robust Real-Time SpO₂ Signal Enhancement Using Optimized IIR Filtering in a Web-Based Vital Sign Monitoring System

Indah Firdausi Nuzula (Departemen of Medical Electronics Technology, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia)
Priyambada Cahya Nugraha (Departemen of Medical Electronics Technology, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia)
Moch Prastawa Assalim Tetra Putra (Departemen of Medical Electronics Technology, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia)
I Dewa Gede Hari Wisana (Departemen of Medical Electronics Technology, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia)
Riqqah Dewiningrum (Departemen of Medical Electronics Technology, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia)
Alfi Nur Zeha (Departemen of Medical Electronics Technology, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia)
Syaifullah Yusuf (Departemen of Medical Electronics Technology, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia)



Article Info

Publish Date
18 Jun 2026

Abstract

SpO₂ is a critical physiological parameter in vital sign monitoring, particularly within Internet of Things (IoT) based healthcare systems that enable continuous and remote patient observation. However, the accuracy of SpO₂ measurements is often compromised by motion artifacts in photoplethysmograph (PPG) signals, which introduce amplitude distortion and frequency spreading that degrade oxygen saturation estimation. Although various signal processing approaches have been proposed, limited studies have evaluated digital filtering performance on real PPG signals using real-time embedded platforms with direct comparison of filter characteristics. This study aims to analyze the effectiveness of two Infinite Impulse Response (IIR) digital filters, Butterworth and Elliptic, in suppressing motion artifacts in SpO₂ signals processed on a microcontroller. Data were collected from ten healthy participants under three  conditions: baseline (no movement), induced finger motion, and filtered signals. Signal quality improvement was assessed using Fast Fourier Transform (FFT), Power Spectral Density (PSD), and Signal-to-Noise Ratio (SNR) analyses. Results indicate that motion artifacts increase high-frequency components above 3 Hz and disrupt the morphological integrity of the PPG waveform. Applying a low-pass IIR filter with a 3 Hz cutoff frequency successfully restored the principal periodic components. The Butterworth filter produced a smoother spectral response with minimal phase distortion, while the Elliptic filter achieved a sharper roll-off with slight passband ripple. Quantitative evaluation demonstrated average SNR improvements of +0.905 dB (Butterworth) and +0.899 dB (Elliptic) using FFT , and +0.98 dB and +0.66 dB, respectively, using PSD. These findings demonstrate that computationally efficient IIR filtering can be reliably implemented in resource-constrained embedded platforms without compromising signal integrity. This approach enhances signal stability, reduces false desaturation alarms, supports scalable deployment in wearable and telemedicine applications, improving patient safety and system robustness in continuous remote health monitoring.

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Journal Info

Abbrev

teknokes

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Computer Science & IT Electrical & Electronics Engineering Engineering Environmental Science

Description

Aims JURNAL TEKNOKES aims to become a forum for publicizing ideas and thoughts on health science and engineering in the form of research and review articles from academics, analysts, practitioners, and those interested in providing literature on biomedical engineering in all aspects. Scope: 1. ...