Bespoke Co-processor for Energy-Efficient Health Monitoring on RISC-V-based Flexible Wearables

Abstract

Flexible electronics offer unique advantages for conformable, lightweight, and disposable healthcare wearables. However, their limited gate count, large feature sizes, and high static power consumption make on-body machine learning classification highly challenging. While existing bendable RISC-V systems provide compact solutions, they lack the energy efficiency required. We present a mechanically flexible RISC-V that integrates a bespoke multiply-accumulate co-processor with fixed coefficients to maximize energy efficiency and minimize latency. Our approach formulates a constrained programming problem to jointly determine co-processor constants and optimally map Multi-Layer Perceptron (MLP) inference operations, enabling compact, model-specific hardware by leveraging the low fabrication and non-recurring engineering costs of flexible technologies. Post-layout results demonstrate near-real-time performance across several healthcare datasets, with our circuits operating within the power budget of existing flexible batteries and occupying only 2.42 mm^2, offering a promising path toward accessible, sustainable, and conformable healthcare wearables. Our microprocessors achieve an average 2.35x speedup and 2.15x lower energy consumption compared to the state of the art.