Introduction
The goal of modern technology is to reduce the size and weight of electronic devices, not only for ease of daily use but also to enable integration with the human body as part of a body area network through wearable sensors. Wearable sensors face several challenges, including the need for robustness, high sensing quality, a high level of integration, and cost-effectiveness. To address these challenges, careful consideration must be given during the design process. Among all components, the antenna is a critical element in ensuring the effectiveness of wearable technology. Wearable applications require antennas that are flexible, compact, and lightweight to ensure wearer comfort, allow seamless integration into clothing, and deliver high efficiency. They must also feature directional radiation patterns, low specific absorption rate (SAR), and high gain to reduce power consumption and extend battery life [Reference Giftsy, Kommuri and Dwivedi1–Reference Kareem, Ibrahim and Abdalla7].
Devices capable of operating at multiple frequencies are increasingly in demand due to the rapid advancement of wireless technologies. This trend also ties into the goal of reducing the number of passive components, leading to low-power solutions that are well-suited for medical applications across various fields. These considerations have driven the development of multiband printed antennas, which are preferred for supporting multiple functions within a single design. The antenna’s dual-band capability can be achieved by manipulating the current distribution on the radiating element in several ways – for example, by incorporating multiple L-shaped slots into the patch [Reference Ahmad, Ghaffar, Husain and Kim8], introducing fractal methodologies [Reference Satpathy, Ramesh, Alzubaidi, Chanti, Hussein and Theja9], modifying the patch shape with features such as dual C-shaped resonators or U-shaped chamfered edges [Reference Ahmad, Paracha, Sheikh and Ghaffar10], or by employing artificial composite right/left-handed materials [Reference Youssef, Atrash and Abdalla11].
Due to the operation of wearable antennas on the human body, it is essential to consider the electromagnetic interaction between the body and the antenna, especially at lower microwave frequencies where the signal wavelengths are longer. This issue is addressed by two standardization guidelines: one proposed by the International Commission on Non-Ionizing Radiation Protection (ICNIRP), which serves as the basis for the European standard, and the other by the Institute of Electrical and Electronics Engineers (IEEE). SAR distribution is tested using a simplified physical model of a person exposed to the field generated by wearable antennas, both with and without body-antenna isolation. Various methodologies have been explored in the literature to reduce SAR levels and comply with both European and American standards, primarily by incorporating a periodic isolating structure between the antenna and the human body [Reference Xiao, Zu, Song, Xin, Xi, Huang, Wu and He4–Reference Ramasamy, Sapna and Jayasheela6, Reference Ahmad, Paracha, Sheikh and Ghaffar10–Reference Chaturvedi, Kumar and Althuway19].
This study examines the design and performance of a compact and highly flexible antenna for off-body wireless communications and medical applications, operating close to the human body. It transmits radio waves at two separate frequencies: 2.45 GHz, which covers the Industrial, Scientific, and Medical (ISM) band for medical applications, and 5.2 GHz, which is suitable for wireless communication applications. With the incorporation of highly flexible dielectric material, the antenna is designed to be worn and can withstand various bending scenarios. Most importantly, the proposed antenna exhibits low SAR levels, demonstrating its ability to operate safely close to the human body.
Given its low SAR, high flexibility, and ultra-compact design, the proposed antenna is highly suitable for integration into next-generation wearable biomedical systems. Typical applications include continuous health monitoring devices such as wearable ECG/EEG sensors, wireless body temperature monitors, and respiration or motion tracking systems. Its dual-band capability (ISM and wireless local area network [WLAN]) ensures compatibility with existing wireless communication protocols, making it ideal for use in healthcare internet of things (IoT) platforms, remote patient monitoring, and smart rehabilitation systems.
Both bands of the proposed dual-band antenna are globally accepted for short-range wireless communication. There are several applications for 2.45 GHz (ISM band): wearable biomedical sensors (e.g., ECG, EMG, SpO2, body temperature), Wireless body area networks, remote health monitoring systems, medical telemetry devices, and smart bandages and e-health patches. Where 5.2 GHz (WLAN band) has other applications, like: high-data-rate health monitoring systems (e.g., streaming EEG), real-time rehabilitation or motion tracking with video feedback, secure data transmission in hospital IoT networks, and Integration with Wi-Fi-enabled mobile devices for patient tracking.
The combination of these two bands in a single flexible and low-SAR antenna makes it particularly suitable for continuous, on-body wireless biomedical applications that require both reliable communication and patient safety.
Dual-band integrated antenna design
A quarter-wavelength square monopole antenna was initially designed to operate at 2.45 GHz, which was then modified into an inverted triangular-shaped monopole to achieve dual-band resonance. Subsequently, two opposite L-shaped slots were etched into the radiator to introduce a second resonance at 5.2 GHz by effectively increasing the electrical path length of the radiating element. Figure 1(a) shows the 2D layout of the proposed dual-band antenna, which was designed using the 3D full-wave Computer Simulation Technology Microwave Studio® simulation tool. The corresponding design dimensions are listed in Table 1.
The top view of: (a) the proposed dual-band antenna; (b) the fabricated layout size compared to an Egyptian pound; (c) highly bendable with a gentle finger press.

The dimensions of the proposed dual-band flexible antenna

The antenna is excited using coplanar waveguide feeding, with a feedline width of 3.4 mm, a length of 10 mm, and a gap of 0.2 mm, achieving an input impedance of 50 Ω (matched to a standard 50 Ω sub-miniature version A [SMA] connector). The substrate used is Rogers ULTRALAM 3850, composed of highly flexible liquid crystalline polymer, with a very thin thickness of 0.1 mm, a dielectric constant of 2.9, and a loss tangent of 0.0025.
The design of the proposed antenna is based on fundamental principles of monopole radiation, slot-loaded resonators, and artificial magnetic conductor (AMC)-backed patch behavior. The initial structure is derived from a triangular monopole, known for its broadband characteristics due to the gradual current tapering. The triangle monopole itself is designed as a λ/4 resonator (with a virtual λ/4 image in the ground plane, making it equivalent to a λ/2 dipole). Therefore, the initial dimensions of the triangle were calculated so that the triangle monopole length is a quarter-wavelength at f1 = 2.4 GHz as in (1):
\begin{equation}{f_1} = \frac{c}{{4\,{L_{eff}}\sqrt {{\varepsilon _{eff}}} }}\end{equation} where
${L_{eff}}$ is the effective length from the feed point to the apex, and
${\varepsilon _{eff}}$ is the effective permittivity of the substrate.
To achieve dual-band functionality, two inverted L-shaped slots (the large length [Lc] is four times the small length) were introduced. These two slots introduce additional current paths, thus generating a second resonant mode. Due to the finite limit of the monopole metal structure, the slot was designed as a parallel resonator at 5.2 GHz. Therefore, the initial slots length was designed to be a quarter wavelength length at 5.2 GHz as in (2):
\begin{equation}{f_2} = \frac{c}{{4\,(1.25*\,{L_c})\,\sqrt {{\varepsilon _{eff}}} }}\end{equation}Finally, the position and length of each slot were optimized using parametric analysis to shift the secondary resonance to 5.2 GHz, while maintaining the primary mode at 2.45 GHz.
Next, the antenna was fabricated using delicate lithographic technology and the SMA connector was soldered to the prototype using silver conductive epoxy adhesive. The antenna is highly compact in comparison to one Egyptian pound, as depicted in Fig. 1(b). As a test of how flexible it is, illustrated in Fig. 1(c) is the antenna bent by a slight finger press.
The antenna reflection coefficient was measured by the means of Rohde & Schwarz ZVB20 vector network analyzer, where the testing setup is displayable in the inset of Fig. 2. The measured result (dotted-red) is compared against the simulated one (solid-black) in Fig. 2. As observed, the measured outcome verifies and agrees with the simulated one concerning dual-band resonance at 2.45 and 5.2 GHz. The −10 dB impedance matching is similar at 2.45 GHz at a level of −22 dB. On the contrary, the measured −10 dB impedance matching at 5.2 GHz is at a level of −16 dB, while that of the simulated is −22 dB. The measured lower band extends from 2.3 to 2.9 GHz with the center frequency at 2.45 GHz; thus, a fractional bandwidth of 24.5%. The simulated one is slightly wider and extends from 2.2 to 2.9 GHz with the center frequency at 2.45 GHz; thus, a fractional bandwidth of 28.6%. Coming to the measured higher band, it ranges from 4.9 to 5.4 GHz with the center frequency at 5.2 GHz; hence, a fractional bandwidth of 9.6%. Whereas, the simulated higher band exhibits a slightly wider bandwidth, which ranges from 4.9 to 5.5 GHz with the center frequency at 5.2 GHz; hence, a fractional bandwidth of 11.5%. The slight discrepancies in both bands are due to the non‐clean measuring environment associated with the presence of the different subjects and objects that affect the outcomes.
Comparison between the proposed dual-band antenna simulated and measured S11, in free space, with inset of testing setup.

Benchmarked in Fig. 3 is the simulated (solid-black) and tested (dotted-red) gain radiation patterns in normalized polar plot representation in the X–Z and Y–Z planes. The testing setup inside the anechoic chamber is perceived in the inset of Fig. 3. At 2.45 GHz, the antenna exhibits an isotropic pattern in the H-plane (Y–Z plane), and a figure-of-eight pattern in the E-plane (X–Z plane), where both the simulated and measured outcomes agree, as shown in Fig. 3(a) and Fig. 3(b), respectively. Both patterns establish the omni-directional radiation pattern nature of the monopole antenna. The same can be said at 5.2 GHz, as highlighted in Fig. 3(c) and Fig. 3(d) for the H-plane and E-plane, correspondingly. Finally, the antenna exhibits simulated realized gains of 2.1 and 4.5 dBi at 2.45 and 5.2 GHz, respectively, which are quite good considering the compactness of the antenna. Furthermore, it possesses simulated total efficiencies of 99%, at 2.45 GHz, and 97%, at 5.2 GHz. It is worth noting that the achieved measured total efficiencies were 90% at both resonant frequencies.
Comparison between the proposed antenna simulated and measured radiation pattern, in free space, with inset of testing setup at: (a) 2.45 GHz (H-plane); (b) 2.45 GHz (E-plane); (c) 5.2 GHz (H-plane); (d) 5.2 GHz (E-plane).

Since the antenna is intended to operate within the vicinity of the human body, radiations towards the human body should be kept at a minimum. To convert the antenna’s omni-directional radiation pattern type to a unidirectional one opposite to the human body, an AMC array reflector is placed in between the antenna and the human body. This also aids in enhancing the antenna realized gain.
Demonstrated in Fig. 4(a) is the AMC unit-cell 2D layout, where Rogers RO3003 was incorporated for the substrate material with a thickness of 1.52 mm and a loss tangent of 0.001. Since the antenna resonates at two distinct frequencies, the AMC structure has to display dual-band operation. This was realized by etching a diamond-shaped inner ring of the patch and loading the corners with slits. The design can be summarized by achieving a 0° reflection phase, which was achieved at 2.45 and 5.2 GHz. To reach the optimum AMC array size, a study was conducted in terms of antenna gain and total efficiency taking into consideration overall size, which led to the fact that the 3 × 3 array size was the most favorable one. Illustrated in Fig. 4(b) is the fabricated integrated prototype comprising the dual-band antenna and dual-band 3 × 3 AMC array reflector separated by an 8 mm thick foam.
The top view of: (a) the AMC unit-cell top view with dimensions of L = 25 mm, Lp = 24 mm, R out = 10 mm, R in = 9.5 mm, Lc = 5 mm; (b) The fabricated integrated design layout with a foam separation.

Subsequently, the fabricated integrated design reflection coefficient was tested (dotted-red) and benchmarked against its simulated (solid-black) counterpart, as highlighted in Fig. 5. This was applied in free space, where both sets of results highly match, as dual-band resonance is preserved at the desired center frequencies. At 2.45 GHz, the measured −10 dB impedance matching is −20 dB, while that of the simulated is −27 dB. Whereas, at 5.2 GHz, the measured −10 dB impedance matching is −15 dB, while that of the simulated is −22 dB.
Comparison between the integrated design simulated and measured S11 in free space.

In free space (off-body), benchmarked in Fig. 6 are the simulated (solid-black) and tested (dotted-red) integrated design gain radiation patterns in normalized polar plot representation in the X–Z and Y–Z planes. The testing setup inside the anechoic chamber is observed in the inset of Fig. 6. As anticipated, the antenna exhibits a unidirectional radiation pattern type, courtesy of the AMC array reflector at both resonant frequencies and in both planes. The measured outcomes highly agree with the simulated ones.
Comparison between the integrated design simulated and measured radiation pattern, in free space, with inset of testing setup inside the anechoic chamber at: (a) 2.45 GHz (E-plane); (b) 2.45 GHz (H-plane); (c) 5.2 GHz (E-plane); (d) 5.2 GHz (H-plane).

Tabulated in Table 2 is the gain enhancement feature associated with the AMC array reflector compared to the antenna without it. At 2.45 GHz, the gain increased from 2.1 to 8.1 dBi, and at 5.2 GHz, it improved from 4.5 to 9.4 GHz. It is worth mentioning that the integrated design total efficiency is higher than 90% at both resonant frequencies.
Gain enhancement feature associated with the AMC array structure

Loaded human body scenario integrated antenna
Since the antenna should operate within the vicinity of the human body, then its performance, in terms of reflection coefficient and SAR levels, should be evaluated in human loading. The possible operation position is plotted in Fig. 7(a) and the body-loading testing setup can be witnessed in Fig. 7(b).
Body-loading reflection coefficient evaluation: (a) Computer Simulation Technology environment and (b) testing setup.

Starting with the reflection coefficient parameter, many case studies were practiced that involved evaluating the integrated antenna on the human arm and human chest, as well as, in the absence of the AMC reflector. These outcomes were compared with the simulated outcome, as portrayed in Fig. 8. Inspecting Fig. 8, dual-band resonances were attained and preserved at the desired center frequencies of 2.45 and 5.2 GHz for the on arm case (dashed green curve) and on chest case (dashed red curve). However, without the AMC reflector and despite the 8 mm separation, dual-band resonances were lost (dotted brown curve). This highlights the significance of the AMC array structure in decoupling and isolating the antenna from the lossy nature of the human body.
Comparison between the integrated design simulated and measured S11 for body-loading scenarios, with and without the AMC.

To evaluate the SAR values, averaged over 1 g of tissue, a three-layered human tissue model was built, where the characteristics of each tissue layer at each resonant frequency are tabulated in Table 3 [20]. With an input power of 100 mW, the SAR was studied in two cases. The first was the scenario of the integrated antenna with a separation distance of 1 mm from the human phantom, while the second was the antenna, in the absence of the AMC reflector, at a distance of 8 mm from the human phantom. Demonstrated in Fig. 9 and tabulated in Table 4 are the peak SAR outcomes at each resonant frequency. Due to the incorporation of the AMC reflector, the SAR levels dropped drastically from 11.35 to 0.39 W/kg at 2.45 GHz, and from 7.52 to 0.074 W/kg at 5.2 GHz. As such, the proposed dual-band and highly flexible integrated antenna design can be used for off-body wireless communication and low SAR medical applications, since it is not harmful to the human body.
The integrated design peak SAR, averaged over 1 g of tissue, at: (a) 2.45 GHz and (b) 5.2 GHz.

Human tissue layers’ properties at 2.45 and 5.2 GHz [20]

Comparison between the peak SAR values, averaged over 1 g of tissue, of the proposed antenna with and without the proposed AMC

Compared to existing designs, the proposed antenna offers significant improvements in terms of SAR performance, compactness, and mechanical flexibility. It achieves ultra-low SAR values of 0.39 and 0.07 W/kg at 2.45 and 5.2 GHz, respectively. Well below the safety thresholds recommended by ICNIRP and IEEE. Unlike previous designs, it incorporates a highly flexible substrate and a dual-band AMC to enhance gain while maintaining low body exposure. These combined features make it one of the most suitable candidates for safe, reliable, and compact wearable biomedical applications.
Finally, tabulated in Table 5 is the assessment of the proposed work against similar published work in the literature. The comparison parameters include the antenna electrical size, the decoupling structure physical size, the integrated design realized gain, the integrated design total efficiency, and peak SAR levels, averaged over 1 g of tissue. As tabulated, the proposed antenna electrical size is smaller than [Reference Khan, Sethi, Malik, Jabbar, Khalid, Almuhlafi and Himdi2] and [Reference Ahmad, Ghaffar, Husain and Kim8], but slightly bigger than [Reference Ramasamy, Sapna and Jayasheela6] and [Reference Ahmad, Paracha, Sheikh and Ghaffar10] at 2.45 GHz. However, a larger array size was used for the suggested decoupling structure in comparison with [Reference Ramasamy, Sapna and Jayasheela6, Reference Ahmad, Ghaffar, Husain and Kim8] and [Reference Ahmad, Paracha, Sheikh and Ghaffar10]. Yet, this aided in achieving higher gain values and lower SAR outcomes, at closer distances from the human body, than the compared against references. Finally, the efficiency of the integrated design is much better than [Reference Ahmad, Paracha, Sheikh and Ghaffar10].
Comparison between the proposed work and recently published work in the literature

Conclusion
A low profile and greatly bendable inverted triangular-slotted monopole antenna was proposed for off-body wireless and low SAR medical applications. It operated at 2.45 and 5.2 GHz, where decent impedance matching levels were attained at both resonant frequencies. A 3 × 3 dual-band AMC array was designed to act as a reflecting structure that was placed between the antenna and the human body. While maintaining the functionality, the integrated structure, comprised of the antenna and the periodic AMC structure, experienced substantial enhancements in gain and reductions in SAR. These outcomes were accomplished at both operating frequencies during assessments in the free space and when loaded with the human body scenarios. Finally, the integrated design was fabricated and measured, where the measured results of the performance parameters matched with their simulated counterparts. Meanwhile, due to its compact form factor, mechanical flexibility, and low SAR performance, the proposed antenna holds significant promise for real-world deployment in wearable healthcare applications. It is particularly well-suited for use in biomedical monitoring systems, on-body wireless sensor networks, and remote patient diagnostics. Its dual-band operation further supports seamless communication over both ISM and WLAN frequency bands, ensuring reliable data transmission within medical IoT frameworks.
Competing interests
The authors report no conflict of interest.

Mohamed El Atrash received the B.Sc. degree in electrical engineering from the Electrical Systems Engineering Department, October University for Modern Sciences and Arts, Egypt, in 2011, the M.Sc. degree in wireless mobile communications systems engineering from the University of Greenwich, UK, in 2014 and the Ph.D. degree in electrical engineering from Ain Shams University, Egypt, 2021. His research interests include wearable, multiband, wideband, low-profile and MIMO antennas.

Farah Raad Kareem received the B.Sc. in electrical engineering from the Electrical Systems Engineering Department, MSA University, Egypt in 2014, the M.Sc. degree in electrical engineering from the Electronic and Communication Engineering Department, Arab Academy for science, Technology and Maritime Transport, Cairo, Egypt in 2018 and the Ph.D. degree in Electrical Engineering from the Electronic and Communication Engineering Department, Minia University, Elminia, Egypt in 2022.

Mahmoud A. Abdalla was born in 1973, received the B.Sc. and M.Sc. degrees in electrical engineering from the Electronic Engineering Department, Military Technical College (MTC), Egypt, in 1995 and 2000 and the Ph.D. degree from the Microwave and Communication Group, Manchester University, U.K., in 2009. He is currently a Professor with the Electronic Engineering Department, MTC. He has authored over 280 peer-reviewed journal and conference papers. His research interests include metasurface/metamaterial applications multiband components and antennas, and MIMO antennas.