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ADESTI: A portable open source instrument for air quality monitoring in surgical operating rooms


Citation

Megantoro, Prisma and Veterini, Anna Surgean and Ainarappan, Nagesparan and Hidayat, Nayu Nurrohma and Mujtahida, Fikarul and Septiadi Pratama, Mochammad Dava and Rahmat, Muhammad Aqil Afham (2026) ADESTI: A portable open source instrument for air quality monitoring in surgical operating rooms. HardwareX, 27. art. no. e00818. pp. 1-19. ISSN 2468-0672

Abstract

This paper presents the design and development of the Air Quality Detection and Safety-Targeted Instrument (ADESTI), a portable smart instrument for monitoring air quality in surgical operating rooms. The system is motivated by the need to detect deviations in oxygen concentration. Such deviations can indicate gas supply leakage or ventilation failure, which are safety concerns during surgical and anesthesia procedures. ADESTI integrates three gas sensors, namely an electrochemical oxygen sensor, a Non-Dispersive Infrared (NDIR) carbon dioxide sensor, and an electrochemical carbon monoxide sensor. It also includes an environmental sensor for temperature, humidity, barometric pressure, and light intensity. All sensors interface with an Arduino Mega 2560 R3 embedded system through the I2C and UART protocols for real-time data acquisition. The measured values are shown on an integrated Thin-Film Transistor (TFT) display. The enclosure is fabricated from Polylactic Acid Plus (PLA + ) by 3D printing to produce a compact and durable casing. The firmware, developed in the Arduino IDE, handles sensor initialization and real-time data acquisition and display. Characterization against reference instruments showed accuracies of 99.71% for O2, 98.84% for CO2, and 93.79% for CO, with precision above 99% for all three gas sensors. A key feature of ADESTI is that it combines the functions of four separate commercial instruments into a single low-cost and open-source device. It was field-validated across various surgical procedures at General Academic Hospital, Surabaya, Indonesia, at a total hardware cost of 355.10 USD. All design files, firmware, and the bill of materials are openly available at https://doi.org/10.17632/b6mgd6fgth.1.


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Additional Metadata

Item Type: Article
Subject: Civil and Structural Engineering
Subject: Biomedical Engineering
Subject: Instrumentation
Divisions: Faculty of Engineering
DOI Number: https://doi.org/10.1016/j.ohx.2026.e00818
Publisher: Elsevier Ltd
Keywords: Arduino embedded system; Environmental gas monitoring; Good health and well-being; Open-source hardware; Operating room air quality
Sustainable Development Goals (SDGs): SDG 3: Good Health and Well-being, SDG 9: Industry, Innovation and Infrastructure, SDG 6: Clean Water and Sanitation
Depositing User: Ms. Siti Radziah Mohamed@mahmod
Date Deposited: 20 Aug 2026 00:34
Last Modified: 20 Aug 2026 00:34
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.1016/j.ohx.2026.e00818
URI: http://psasir.upm.edu.my/id/eprint/127919
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