2a - kurt boman.ppt
TRANSCRIPT
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Umeå
Skellefteå
Remote Controlled Robot to Perform Echocardiography on Distance
Luleå 21th September, 2005
K Boman, Professor of MedicineHeartNet, SkellefteåUmeå university, Sweden
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Umeå
Skellefteå
Remote Controlled Robot to Perform Echocardiography on Distance
Luleå 21th September, 2005
K Boman, Professor of MedicineHeartNet, SkellefteåUmeå university, Sweden
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HeartNet, Cardista (EU-projects)
Luleå University of Technology
Skeria, Skellefteå
Alkit Communications, Luleå
Mobile Robotics, Skellefteå
Partners in the Project:
Umeå
Skellefteå
Artic circle
Luleå
EU project since 2001
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Remote controlled echocardiography
”Second Generation” Telemedicine
• Support demanding distance investigations
• Achieve high communication quality
• Create a module based communication environment,
• Utilize the broadband potentials
• Utilize standard desktop computers
• Access patient information directly in the telemedicine situation
• Combine synchronous and asynchronous communication
• Support regional development:•- move knowledge to the patient•- “export” top expertise services to other regions
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The general background in Northern Sweden:
• Long distances.
• Expensive transports.
• Limited access to cardiac expertise
• More elderly people will need health care, nursing and rehabilitation.
• New kinds of hospitals, smaller but more specialized towards acute treatment.
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The general background in Northern Sweden:
• Increased preventive and knowledge-based health care.
• More physically and mentally active people in high age will be found among patients and their relatives.
• An increased usage of IT within health care itself.
• More treatment and rehabilitation of patients at their homes.
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Congestive Heart failure (CHF)Background:
• CHF is the only cardiovascular condition in which both the prevalence and the incidence continue to rise1
• CHF is the leading cause of hospitalisation amongst the >65 year age group3
• Annual inpatient and outpatient expenditure on CHF in Sweden has been estimated at SEK 2.6 billion2
1Yamani & Massie (1993); 1Yamani & Massie (1993); 2Rydén-Bergsten et al (1999); 2Rydén-Bergsten et al (1999); 3Graves & Bilium (1996); 3Graves & Bilium (1996);
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• Correct diagnosis.
• Early diagnosis
• Optimal treatment
• Managed care
• Follow-up of selected patients.
• Improved prognosis
• Lower cost
Clinical goals for patients in rural areas.
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Proposed projects from 2001-2005
• System for improved communication between primary System for improved communication between primary
health care centers and specialist. health care centers and specialist.
• Develop diagnostic algorithms for heart failure, focusing Develop diagnostic algorithms for heart failure, focusing
on echocardiography on distance.on echocardiography on distance.
• A system to improve quality in health care managing A system to improve quality in health care managing
process.process.
• Improved therapy by optimizing heart failure treatmentImproved therapy by optimizing heart failure treatment
• New products and servicesNew products and services
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Project developement
2001: Clinical and scientific cooperation with primary health care.
2002: Echocardiography with portable echomachine and consultation at the
primary
health care center.
2003: Echocardiography with portable echomachine and consultation through
telemedicine as a videoconference.
2004: Remoted-controlled echocardiography and consultation using broadband
and Internet
2005: Clinical tests in daily care at rural health care centers
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Echocardiography on distance
Interactivity on-line
Patient side Specialist side
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A Mobile, Remote Controlled,
Sonographer Support, that holds
the transducer during the
ultrasound examination of a
patient.
Components and technical specifications for Medirob
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Medirob holds the transducer
Ultrasonix
Ultrasound scanning system from any vendor on the market.
Ultrasound scanning system from any vendor on the market.
The transducer* is placed in the transducer holder on the Medirob.
The transducer* is placed in the transducer holder on the Medirob.
View of empty transducer holder.
View of empty transducer holder.
*A transducer is an electronic device that converts energy from one form to another. It is a small, hand-held device attached to the scanner by a cord. The sonographer presses the transducer firmly against the patients skin to obtain images.
*A transducer is an electronic device that converts energy from one form to another. It is a small, hand-held device attached to the scanner by a cord. The sonographer presses the transducer firmly against the patients skin to obtain images.
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The Goals:
• Shortening time to diagnosis
• Saving money for Health Care System
• Easing agony and suffering for patients
• Obtain technical clarification
• Diagnose 30 patients in daily care using standard level communication technology (H 323 platform 5-10 Mbit)
• Diagnose 30 patients in daily care using high level communication technology (Confero system 20-40 Mbit)
A Clinical Test in Northern Sweden
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Skellefteå
Gothenburg Nov 2004
Umeå Sept 2004
Norsjö 2005
Arvidsjaur 2006Tromsö May 2005
Performed and planned tests
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Possible applications of remote-controlled echocardiography :
-Clinical:
-Telemedical consultations in remote areas
- Ergonomy for sonographers
-Special areas- dangerous areas: war and emergency situations, - chemical and bacterilogical poisoned areas,- radiation poisoned areas
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Ready to go!!