Before the 19th century, care for premature newborns who presented problems at birth was non-existent, they were left to their spontaneous evolution, and many of them died as a result. The first to make technological discoveries for better care in the field of neonatology were the French, and at the beginning of the 20th century, they began to study thermal models related to the human body in order to know how it behaved in the face of thermal changes and how to treat these phenomena [
1]. Mathematical modelling of the human thermoregulatory system dates back to 1930. The pioneers in developing a thermal model were Burton, Aschoff and Wever, who created a simple model of the human body from simple energy balance equations [
2,
3]. It was not until 1970 that more sophisticated models of the human body were developed (Stolwijk 1971), as opposed to the simpler multi-node models, which simulated a human body in more detail (thermoregulatory system) and more accurately predicted global and local physiological responses. Studies were also done in the field of humidity in neonatal incubators and the relationship with environmental humidity and the place of measurement and estimation of total transepidermal water loss in premature infants [
4]. It was in 1970, at a University in Venezuela, where engineers developed a thermodynamic mathematical model of premature newborns placed in an incubator to improve the control algorithm [
5]. Neonates have significant physiological and anatomical differences from adult models studied to date, and only a few groups have explored this field, such as [
6,
7]. In 2001, Reference [
8] conducted a study comparing temperature control in neonates less than 29 weeks gestation, using air mode control, in which nurses decided the incubator air temperature. A computer program, “Heat Balance”, was developed to calculate heat production and heat losses and estimate optimal environmental, humidity and temperature settings to maintain thermal equilibrium. In the same year, a US patent was published by Poole et al. [
9] showing the configuration of a neonatal incubator provided with a thermoelectric heating system; however, no mathematical calculation model and experimental results were shown. In 2014, Reference [
10] presented an article with theoretical models working on the thermal behaviour of the premature. This study aimed to develop a useful model for the prediction and design of the appropriate controller with the objective of reducing evaporative heat loss. A calculation code was developed to simulate the thermal response of a premature infant to the climatic demand within the incubator system. The model allowed for radiological, conductive, convective, convective and evaporative heat transfers within the incubator system. The environmental conditions (temperature and humidity) inside the incubator were controlled with a classical proportional integral differential (PID). In this work, they proposed a generalised predictive controller coupling (DGPC) to achieve optimal thermal conditions (36.5–37.5) for immature newborns (birth weight < 1000 g). In 2015, a group of researchers from the Complutense University of Madrid, in collaboration with other institutions, designed an algorithm that controls and maintains stable temperature inside a neonatal incubator depending on the parameters of the newborn and the device. The model calculates how the temperature of the air inside the incubator should vary [
11]. In 2016, a multi-node mathematical model for the thermoregulatory system of newborns was presented [
1]. It comprised seven compartments, one spherical and six cylindrical, representing the head, thorax, abdomen, arms and legs, respectively, and aimed to model the heat transfer processes occurring in the tissues and on the body surface. The model was customisable, i.e., it complied with the individual characteristics of the neonate (e.g., gestational age, postnatal age, weight and length). In addition to thermal neutrality, transient thermal conditions can be taken into consideration. This small pilot study showed good agreement between the model and measured data, as well as the ability of the model to simulate dynamic/thermoregulatory responses. In 2018, a low-cost automatic neonatal incubator equipped with a neonatal weight monitor was designed and implemented to remedy the difficulties encountered in incubator maintenance in developing countries [
12]. The device was implemented by interconnecting three modules. The first was the acquisition module that senses temperature and humidity, the second was the control module responsible for monitoring and controlling the operation of the system and the third was the human machine interface through which a user can configure the operating parameters of the system. Mathematical modelling of the proportional-integral-derivative (PID) controller and heat transfer allowed the minimisation of heat loss through the enclosure wall. The results of the numerical simulation performed with the same test condition showed a good agreement between simulation and experimental results. In recent years, cooling and heating technology is increasingly being used in applications where vapour compression systems cannot be used due to their size and noise. For example, the model developed by [
13], where a peltier cell cooling system is developed for inclusion in a mattress to cool or heat the user while they sleep. Developing a nodal thermal model and validating the system experimentally. Furthermore, noteworthy is the one developed by [
14], where a complex detailed model of the n-p semiconductor pairs inside the Peltier cells coupled to a small cooler is developed and an experimental validation is carried out.
The aim of this work is to include the Peltier effect heating technology in a neonatal incubator, developing a nodal numerical model with the purpose of dimensioning the system according to the size of the incubator and experimentally validating the theoretical model. This technology improves the temperature control of the system by knowing at all times the temperature at each point, allowing precise correction of deviations, and also improves the thermal performance compared to the traditional thermal resistance system. The mathematical model used is easy to replicate by other researchers, as the nodal model used is explained in detail. Another advantage of the thermoelectric system is the reduction of noise and vibrations inside the incubator compared to the traditional system.
The paper is structured as follows: in
Section 2, materials and methods, the prototype incubator, the thermoelectric device used, and the computational model of the complete system are described, as well as the equations used for the model. In
Section 3, results and discussion, a comparison between the computational and experimental models is made, and the performance of the system under different operating conditions is calculated. Finally,
Section 4 shows the main conclusions obtained from the work carried out.