Abstract
                                                                        Increasing demands of wearable health monitoring  seek dedicated spectrum for short range wireless communication  of biosignals, for which frequency band near 400 MHz has been  utilized recently. While using the dedicated spectrum, biosignal  communication must not cause any out of band radiations and  interference, for which there is a strong need to develop spur-  free, low phase noise and energy efficient wireless transmitters  (TX). In this research, for the first time we present design  and implementation of a reference-spur-free, low phase noise,  sub-mW dual modulation mode (frequency shift keying (FSK)  and on-off keying (OOK)) 400 MHz TX for wearable health  monitoring, where RF synthesis depends solely on an extremely  low phase noise oscillator, which uses a 400 MHz surface acoustic  wave resonator and does not include any power hungry, spur-  generating frequency multiplier or phase/frequency lock loop.  The proposed TX has been designed and fabricated in 180 nm  CMOS technology. Measurement results show that the energy  efficiencies of the proposed TX in FSK and OOK mode are 1.8  nJ/bit at 250 kb/s and 0.23 nJ/bit at 2 Mb/s, respectively. To  prove the utility of the proposed TX, biosignal communication  is also demonstrated with the help of a commercial receiver in  actual operating scenarios, where the measured bit error rate in  FSK mode was < 10−5 for range of 2 m.  Index Terms—Health-monitoring, wearable, spur-free, trans-  mitter, FSK, OOK, 400 MHz, MedRadio