2nd wireless asia summit
TRANSCRIPT
Wireless Technology inRemote Monitoring of Cardiology, Diabetes
and NeuroModulation Care
MANOSH KUMAR BOSECHIEF OPERATING OFFICERRGSSH, APOLLO GROUP OF HOSPITALS
Mobile Medical Imaging X Ray, CT, MRI
Mobile MIM, will allow physicians to view CT (computerized tomography), MRI and nuclear imaging scans that have been taken elsewhere, compressed, then sent on a secure network to the mobile device.
The app is not intended for diagnostic viewing of traditional X-rays or mammograms, which require a much higher resolution.
Images can now be pulled from a server based storage and shown on iPad2 or iPhone4. It can pull images from a variety of medical image storage formats.
MIM workstation can be used at a facility to transmit the images to Mobile MIM.
MIM Cloud TM (www..mimcloud.com) is an internet based service which allows upload/download of images.
Mobile MIM features data set interaction using standard tools, such as zoom, pan, window and level, and it displays volumetric
data with multi-planar reconstruction.
Mobile Medical Imaging X Ray, CT, MRI
XRAY
Mobile MIM allows the physician to measure distance and intensity values, annotate, and display regions of interest.
MIM Software Inc (www. mimsoftware.com) provides practical imaging solutions in the fields of radiation oncology, radiology, nuclear medicine, neuro imaging, and cardiac imaging
MIM viewer software readily integrates with MIM cloud to view uploaded studies
Mobile MIM provides portable access to the same core functionality as MIM viewer
Multi-modality image fusion
Multi –planar reconstruction.
Data streaming for quick display
MIM is diagnostic imaging app for use by the doctors when they are away from their workstations .
Mobile Medical Imaging Ultra Sound
Mobisante’s Smartphone-Powered Ultrasound
Computer Engg’rs at Washington University, St. Louis have coupled the USB based Ultrasound probe technology with a smartphone
USB Ultrasound probes compatible with Microsoft Windows mobile based smartphones
Researchers optimised every aspect of probe design and operation : from power consumption and data transfer rate to image formation algorithms.
Smartphone compatible USB ultrasound probes for imaging the
kidney, liver, bladder and eyes,
endocavity probes for prostate and uterine screening and biopsy; and
Vascular probes for imaging veins and arteries for starting IV’s and Central Line
US
Cardio Vascular Applications Medtronic CareLink Monitor
Medical management of cardiovascular disease has become increasingly reliant upon the use of implanted electronic devices for management of bradycardia, tachycardia and congestive heart failure.
Medtronic CareLink Monitor & Medtronic CareLink Network are indicated for use in the transfer of patient data from some Medtronic ICD.
Sends data from cardiac device over a standard phone line for the doctor or clinic to review Enables the doctors to have access to the most current information from patient device to ensure that it continues
to provide the best treatment for patient heart condition.
How does it work? Connect the Medtronic CareLink Monitor to a standard telephone line and press the power button.
The monitor antenna is placed over the implanted device, to read & store information. for transmission.
The monitor automatically dials a toll-free, pre-programmed telephone number & sends the data to a secure server
The clinic will use the internet to view & analyse the from the patient’s device.
Sending Information from Your Heart Device
Sending Information from a Heart Device with
Conexus Automatic Monitoring
Cardio Vascular Applications Applications
MED
ECG
HRM
Cardio Vascular Applications Medtronic CareLink Monitor
On average, Medtronic CareLink remote follow-ups took 7.8 minutes versus 22.2 minutes for in-office visits, an average efficiency increase of 65% for all sites. The efficiency increases ranged from 44% to 80%,
Diabetes The Beginning
Glucose Monitoring
First Glucose Meter
Diabetes The Growth
Glucose Monitoring – The Changes
Diabetes Glucose Meter - iPhone
Connecting Blood Glucose Meter to an Iphone
Data Collection & Transfer
Testing of Blood Sugar with iPhone
Multinational pharmaceutical giant Sanofi Aventis just unveiled it’s latest diabetes technology: a standalone blood glucose monitor that can plug directly into the iPhone and iPod Touch. The device, known as the iBGStar, would allow diabetics to test their blood sugar levels on the go, record notes, and send information to their healthcare providers via a free iPhone App.
The innovative iBGStar is the first available blood glucose meter that seamlessly connects to the Apple iPhone and iPod touch for the flexibility to manage your diabetes whenever, wherever.
Diabetes iBGStar Blood Glucose Meter
Innovative Technology Samples are analyzed using Dynamic
Electrochemistry
Meets today’s stringent industry standards for accuracy and features plasma equivalent calibration for assurance with each and every reading.
An innovative blood glucose meter with a compact, stylish body that can be used on its own or connected to an Apple iPhone or iPod touch to easily display, manage and communicate your diabetes information.
Connectivity The App provides you with the ability to record, track and manage your information in an intuitive
format.
Data can be printed or emailed to share with your healthcare professional for greater flexibility in managing your diabetes together.
Single-point support services* for all your diabetes questions IBG-STAR
Diabetes Injectable Sensor
Injectable Continuous Osmotic Glucose Sensor- LIFECARE A.S. Ltd – Bergen, Norway
The SENCELL technology will provide persons with diabetes with continuous, accurate glucose data.
A size of approximately 2x7mm allows to be injected under the skin of the wrist through a pre filled syringe and operate independently to provide continuous glycemic information.
Subcutaneous location. No need for surgery – when injecting or removing of sensor
The alarm functions of the SENCELL will warn of high and low glucose levels.
The wrist watch displays the glucose information and operates the alarm functions.
Wireless transferring of glucose data from the injected sensor to the wrist watch & to the cell phone and further on to doctors, hospitals or next of kin
Read the glucose data as often as you want –
The SENCELL is reading the osmotic pressure caused by variation in the glucose levels.
A long life span of the SENCELL will provide additional comfort.
Self sustained with energy, working on energy pulses received from the reader.
The SENCELL is reading the fluctuations in the interstitial fluids, not in the blood.
Neuro Wireless Sensors in Neuro-Modulation Care(Parkinson’s Tremors & Epilepsy
Kinesia Home View Device Kinesia HomeView is intended to monitor physical motion
and muscle activity to quantify kinematics of movement disorder symptoms
Kinesia HomeView is a data acquisition system capable of recording, analyzing, and displaying kinematic and diary data from movement disorder patients
The purpose of this system is to provide clinicians with a detailed report of motor symptom fluctuations and patient diary information throughout the day.
Kinesia HomeView consists of three hardware components: A) a tablet PC, B) a docking station, & C) a finger sensor
The two software components are the patient application and the web application
The pre-installed software on the tablet PC allows patients to enter diary information and perform video-guided motor tasks.
The web application is used by the clinician to create study definitions, upload patient data, and view patient reports.
Neuro Wireless Sensors in Neuro-Modulation Care(Parkinson’s Tremors & Epilepsy
Patient Application
The patient application is the primary interface that patients interact with while using Kinesia HomeView. This application has three main features:
1) ‘my Symptoms’ allows the patient to choose from two options: various symptoms (i.e. tremor, rigidity, and slowed movements) as well as various activities (i.e. getting dressed, sleeping, and walking)
Red and green ratings correspond to high and low impairment, respectively.
2) ‘my Meds’ contains a list of the patient medications the clinician is interested in evaluating. Patients can select medication type and time of use.
3) ‘my Tests’ allows patients to perform a motor test session at any time or in order to make up a missed or cancelled test session.
KINESIA
Neuro Wireless EEG Sensor
Wireless Full-Brain Electroencepaphalography (EEG) Sensor
Neuro Focus’ aptly named Mynd, a full-brain wireless EEG sensor headset
Records your thoughts whilst gazing at logos and lusting after products
Captures brain activity 2000 times per second and a Bluetooth radio to transmit the thoughts to the smartphone or PC of choice. Full brain coverage with dense array EEG sensors
Tools for Brain –Computer Interaction (TOBI) consortium will utilise Mynd as their core platform for dev’ng med tech. technology.
Within sec’s of wearing the head set, a consumers brain activity is captured across the full cortex
Wireless Tx of brain wave signals capable of interfacing with any Bluetooth-enabled mobile communications device.
Headset made of dry electrodes eliminating the use of any Gel, enhancing.
Researchers will be able to capture highest quality data on consumers’ deep subconscious responses in real time wirelessly
Remote Health Monitoring CJPS Medical Systems
VitalPoint® HOME Monitor is a revolutionary remote patient monitoring system that connects patients in the comfort of their own homes to their health care provider's office.
It is not an emergency response system.
Does not analyse patient information nor does it offer medical advice.
A clinical tool for remotely monitoring a patient’s health status at home.
Single unit device measures
Blood Pressure
Blood oxygen saturation
Pulse rate
Weight, Glucose level, Temperature
Collects ECG data
Helps manage post-acute care patients, as well as patients with chronic illnesses, such as diabetes, congestive heart failure, hypertension, and chronic obstructive pulmonary disease.
Main Menu Screen displays a personal greeting and lets you know if there are activities to do right away. Activities are programmed by the clinician and they include:
1. Taking Measurements 2. Medication Reminders 3. Nurse’s Instructions
Main Menu Screen Includes Options to:
1. Report Symptoms. 2. Take Measurements 3. See Nurse’s Instructions 4. Adjust Speaker Vol
Remote Health Monitoring CJPS – VitalPoint Home Monitor
CJPS
VitalPoint® HOME Peripheral AccessoriesSelf Applying Non-invasive BP Cuffs
Pulse Oximetry Meter
Weight Scale
Temperature Probe
ECG Leads
Glucose Meter
Prothrombin Meter
Fluid Status Meter
‘Reporting Symptoms’
Breathing Swelling Heart Stomach/bowel Urine Wound Pain General
For each problem you choose to report, the monitor will display a series of questions. Answer each to move on to the next screen.
‘Taking Measurements’
Blood Pressure Pulse Oximetry Temperature Prothrombin Time Fluid Status Blood Glucose Weight ECG
Remote Health Monitoring RHF for Congestive Heart Failure
WANDA B-Weight & Activity with BP Monitoring System
WANDA has four Objectives:
1) Improve a physician’s ability to monitor daily progress of a patient.
2) Provide a pervasive monitoring solution that easily integrates into the lifestyles of patients.
3) Improve a physician’s ability to make decisions making through automated data analysis of patient data.
4) Provide a modular and customizable mobile monitoring platform to meet the specific needs of patients.
WANDA Monitors the following four health related measurements:
i) Weight, ii) Blood Pressure, iii) Physical Activity, iv) Heart Failure Somatic Awareness Scale (HFSAS).
Devices used in WANDA B
Remote Health Monitoring WANDA B
System Architecture
WANDA is built upon a three-tier architecture.
1. The First Tier is composed of sensors for monitoring patients’ health related measurements. These readings are wirelessly transmitted to the second tier.
2. The Second Tier consists of web servers that store sensed data and maintain its integrity.
3. The Third Tier is a back-end database server that performs backup and recovery jobs.
Study shows WANDA to be an effective platform for reducing the number of notable trends in CHF risk factors.
Personal Activity Monitor (PAM)
In-Car Health and Wellness Apps Ford In-car Wellness Project
Ongoing Health & Wellness Research Projects
Ford SYNC offers three unique ways to bring health and wellness connected services into the car:
Device connectivity via Bluetooth - medical devices can be connected to the car to share information through SYNC,
Cloud-based services - Ford created an off-board network of location-based traffic, directions and information providers that drivers can simply access via their cellphone
AppLink - latest SYNC innovation allows smartphone apps to be accessed by drivers via voice control
The ongoing Ford health and wellness research projects encompassing these needs include
Glucose monitoring – developed a prototype system that allows Ford SYNC to connect via Bluetooth to a Medtronic continuous glucose monitoring device
WAllergy alerts – working with SDI Health and http://www.pollen.com/ to SYNC-enable its smartphone Allergy Alert app through AppLink,
WellDoc - Ford and WellDoc, a recognized leader in the emerging field of mHealth integrated services, have joined forces to integrate in-car accessibility to WellDoc’s comprehensive cloud-based personalized solutions for those with asthma and diabetes through SYNC Services
In-Car Health & Wellness Apps Ford Research Project
Heart Rate Monitoring Seat
Ford engineers have developed a car seat that can monitor a driver’s heartbeat
The seat uses six special embedded sensors to detect electrical impulses generated by the heart.
The six-sensor system positioned on the surface of the seat backrest. The unobtrusive electrodes have been specially designed to be able to detect the electronic signature of the heart through clothing.
Data collected by the sensors, for example, could be analyzed by medical experts or onboard computer software.
A joint project undertaken by experts from Ford’s European Research and Innovation Centre in Aachen, Germany and Rheinisch-Westfälische Technische Hochschule (RWTH) Aachen University
“This technology even has the potential to be instrumental in diagnosing conditions drivers were previously unaware they had”. Dr. Achim Lindner, MO, Ford
Latest addition in the Ford research portfolio of possible in-car health and wellness solutions aimed at helping people with chronic illnesses or medical disorders, manage their condition while on the go.
IN-CAR
Conclusion
"One doesn't discover new lands without
consenting to lose sight of the shore
for a very long time."
- Andre Gide
