development of the medical internet of things · 2020. 7. 23. · § the internet of things (iot)...

© Hitachi Vantara Corporation 2018. All Rights Reserved

Hitachi’s Approach to Transformation Through IoT Innovation

Development of the Medical Internet of Things

Björn AnderssonSenior Director, IoT Marketing, Hitachi VantaraMarch 26, 2018

Richard RothDirector of Business Development and Medical MarketingHitachi Cable America


It’s a New World. Did You Expect to See These?(some news clips to start us off)

https://www.digitaltrends.com/outdoors/manta5-hydrofoiler-water-bike/

“Bike across the water’s surface on the Manta5 Hydrofoiler”

https://www.dezeen.com/2018/03/04/graphene-water-filter-produces-drinkable-water-in-just-one-step/

“Graphene-based water filter produces drinkable water in just one step”

“These sleek $250 earbuds can translate languages in real time”

http://www.businessinsider.com/waverly-labs-pilot-earbuds-translate-languages-in-real-time-2018-3

“Meet the selfie drone that lives in your phone case”

https://www.engadget.com/2018/01/09/selfly-selfie-drone-phone-case-ios-android/

“Scott White of PragmatIC Printing in Cambridge on the new electronics that will transform everyday items”

http://www.cambridgeindependent.co.uk/education/technology-2-25341/scott-white-of-pragmatic-printing-in-cambridge-on-the-new-electronics-that-will-transform-everyday-items-1-4938237

More in the news every day:Autonomic cars, DNA editing, …

“Our intuition about the future is linear. But the reality of information technology is exponential, and that makes a profound difference.“ - Ray Kurzweil

You need to plan for change to survive

“Intelligence is the ability to adapt to change.” - Stephen Hawking


§ The internet of things (IoT) is the network of physical devices, embedded with electronics, software, sensors, actuators and connectivity, which enables these objects to connect and exchange data.

§ The IoT allows objects to be sensed or controlled remotely across a network infrastructure, creating opportunities for more direct integration of the physical world into computer-based systems, and resulting in improved efficiency, accuracy and economic benefit in addition to reduced human intervention.

§ When IoT is augmented with sensors and actuators, the technology becomes an instance of the more general class of cyber-physical systems.

Before We Really Get Started: What Is IoT?

Source: Wikipedia

§ The internet of things (IoT) is the network of physical devices, embedded with electronics, software, sensors, actuators and connectivity, which enables these objects to connect and exchange data.

§ The IoT allows objects to be sensed or controlled remotely across a network infrastructure, creating opportunities for more direct integration of the physical world into computer-based systems, and resulting in improved efficiency, accuracy and economic benefit in addition to reduced human intervention.

§ When IoT is augmented with sensors and actuators, the technology becomes an instance of the more general class of cyber-physical systems.


IT

IT Systems

Artificial Intelligence

(AI)

Communications

Big Data Analytics

Cloud

59+YEARS

Hitachi in IoT

OT108+YEARS

Industrial

Consumer

Business

City

IoTHitachi

OT = operational technology


Hitachi’s End-to-End Experience in Healthcare

Devices HospitalsInformationTechnology

R&D, e.g. “Heathier You: The NHS Diabetes Prevention Programme”


Why Now? Advances in Technologies

Ubiquitous communication§ Optical and wireless§ Lower energy

Sensors everywhere§ Miniaturization → takes less space § Consumer space drives volume → lower cost

Moore’s Law Still Going Strong§ Driven by miniaturization at the core− More gates per area → more functionality− Shorter distances → faster signaling− Lower voltage → lower energy need− Lower cost → more use cases

Performance Cost


Why Now?Advances in AI and Robotics

Internet of Things § Not just machine to machine (M2M)§ Connecting the real and cyber worlds

AI is not new, but now it’s practical and affordable§ More compute power enables deep learning§ More data from sensors§ Intuitive interfaces: natural-language processing

(NLP) and facial expressions

Robotics§ Military and consumer interests § Higher volumes → lower cost


Why Now?New Ways To Innovate

Rapid prototyping§ 3-D printing: additive manufacturing§ Agile methodologies

Kickstarter and the Maker Movement§ Crowd funding§ Initial coin offerings

(ICOs)

Open Source§ Shared innovation§ Faster development§ Lower cost


§ And costs are going down‒ Cost for compute continues to drop

‒ Cloud, X as a Service (XaaS), graphics processing units (GPUs) and field programmable gate arrays ( FPGAs)

‒ Cost for communication is getting cheaper by the minute (everything wireless)

‒ Cost for sensors is negligible (almost)

‒ Cost for additional software functionality is already close to zero (in volume)

IoT Enables “Software-Defined Business Models”

Technologies

AI and Robotics

New Business Models With

Exponential Growth

Ways To Innovate

Lower Costs


Internet of Medical Devices

Complex machinery Thousands of devicesCritical care systems

Large staffEnforced compliance

In-home equipmentHigh quality wearablesGeographic distances

In-home equipmentConsumer level wearables

Mobile apps

Hospital Out-Patient andRemote Home Care

Wellness andPreventive


Cross-Industry Learning Is a Key Part of IoT

Operational Technology (OT)§ Physical-to-cyber mapping

‒ Represent the physical device in the computer

§ Remote monitoring‒ Instrumenting and collecting data, analyzing

§ Predictive maintenance‒ Strategies: Fix-after-the-fact, time based,

event-based, predictive, prescriptive

Information Technology (IT) § Designing and managing very complex

environments‒ Thousands of connected devices

§ Remote monitoring and management‒ Automatic deployment and configuration

‒ Role-based access and security and encryption at every level

§ Virtualization‒ Abstract details to enable flexibility


§ Avoid the “Alignment Trap”

The Role of a Platform and Framework

Governance Regulations

Security Interoperability

Alignment

Platform

Source: David Shpilberg and Forbes


Digital Transformation Enabled by IoT

VERTICALS

§ Maintenance optimization§ Asset intelligence§ Customer insights§ Operational insights

FOCUS ON OUTCOMES

§ Reduce costs of maintenance§ Reduce service and labor

costs§ Increase productivity§ Increase cross sell§ Reduce operating costs§ Reduce costs of capital assets§ Reduce churn

Energy Healthcare /Medical

Manufacturing

UtilitiesMining and

Construction

Transportation

HORIZONTAL USE CASES

EDGE OUTCOMES


Edge-to-Outcome Journey

FOLLOW THE DATA

EDGE IoT Gateway IoT Core IoT Data Center OUTCOMES

CONNECTED THINGS

AssetAvatar State

Operational Insights

Customer Insights

Asset Intelligence

Maintenance Optimization


5 Fundamental IoT Capabilities

1 Secure Connectivity and Communications

Asset Management and Data Services

Data Storage and Integration

Analytics Everywhere

Compute Location and Flexibility

2

3

4

5

TOEDGE OUTCOMES

CONNECTED THINGS


Customer Insights

Asset Intelligence



Map to an IoT Platform Architecture

CONNECTED THINGS

EDGE

AssetAvatar State

CORE ANALYTICS

FOUNDATIONAL TECHNOLOGY

APPLICATION LOGIC AND VISUALIZATION


Customer Insights

Asset Intelligence


© Hitachi Vantara Corporation 2018. All Rights Reserved© Hitachi Vantara Corporation 2018. All Rights Reserved

Some Key Concepts and Common Challenges


Digital Twins or Asset Avatars

Asset avatar type is a digital blueprint for a class of assets (for example: MRI scanner)

AssetAvatar

AssetAvatar

AssetAvatar

Asset avatar is digital representation of a physical asset. (for example: MRI #24, Model: 550)

Asset avatar provides current state of asset using sensor values to meet the needs of users.

Visualization

Applications

Data Query Service

Alerts

Analytics

Asset AvatarType

Physical Asset

Physical Asset

Physical Asset


Security Challenges

§ Hackers and sensitive data loss create risks and will interrupt operations.

§ An IoT platform needs to be secured at every tier using authentication, authorization, outbound-only connections, blacklisting and encryption of data at rest and data in transit.

TLSAsset Edge Core Analytics Studio

IPSecTLS TLS

VolumeEncryption

VolumeEncryption

VolumeEncryption

VolumeEncryption

AAA

AAA

AAA

AAA

UniquelyIdentified

Secure Access Token

Outb

ound

Only

OutboundOnlyTP

M

RBAC AD/LDAP


Additional Advice: Design for Flexibility

“The only constant is change”

– Heraclitus

“It’s not the strongest of the species that survives, nor the most intelligent. It is the one that is most adaptable to change”

– Charles Darwin

In IoT:

Deployment flexibility

Enabling new technologies

Expanding with new functionality

(or was it Leon C. Megginson in 1963?)


How Does This Affect Medical IoT?

§ Healthcare organizations are simply LARGE

§ Common considerations:‒ Complex and disparate systems,

buildings, machines,instruments, sensors, people

‒ Resource planning, logistics, maintenance, operations

§ Specific considerations:‒ Regulations and compliance

§ Further: Not all healthcare or wellness happens in hospitals

§ Key needs: Interoperability, standardization, security, mobility and flexibility


Recommendations for Successful IoT Projects

Treat AI as one of the tools Don’t get blinded by the hype,

but use it

Don’t bet against the proven market forces

Moore’s Law, connectivity, consumer buying strength

Architect for security from the start You can’t bolt it on after the fact

Plan for the unexpected Build in flexibility and openness

IoT is a cross-discipline areaYou will need to co-create with

multiple parties

“Good enough” today will be more than enough tomorrow

Don’t forget to keep an eye on the rearview mirror


Tracking Disposable Medical Catheters and Cables

A Practical IOT Example

Procedural catheters and devices are one of the larger costs within a catheterization lab


§ Desire to reduce patient infections from contaminated reusable devices.

§ Antibiotic resistant bacteria is harder to treat when a patient becomes infected.

§ Catheter device usage is on the rise, leading to more chances for infection.

§ Higher device volume drives down cost.

Why Is Disposable Usage Increasing?


The Benefit of Using IoT To Prevent Reuse

§ Better for the hospitals:‒ Reduced infections and

improved outcomes

‒ Insights gained from IoT can alert staff to eliminate the reuse of disposable items

‒ Eliminating reuse can save money and prevent litigation

§ Better for the original equipment manufacturers (OEMs):‒ Protects brand reputation

‒ Reduces litigation

‒ Improves product tracking and FDA reporting

‒ Improves forecasting: Insights gained from IoT will provide highly accurate and usage data


§ A couple of options exist:‒ Biocompatible Microtaggants (a traceable identification particle added to the

material used to prevent counterfeiting)

‒ Gamma-radiation-resistant RFID tags

How Can IoT Device Tracking Be Achieved?

Microtaggant (image

courtesy of Compounding

Solutions)

GammaTag®

sterilizable RFID tag (image courtesy of

Verigenics division of NewAge

Industries, Inc.)

Microtaggants and RFID tag

integrated into

catheter hub

Materials are then packaged

and sterilized


The Tracking Process

IoT Procedural Suite Tracking

Step 1: Supplier provides tagged devices to OEMs and distributors.

Step 2: The facility received materials are prechecked for compliance.

Step 3: The materials are then pulled for the procedure and they are flagged as USED.

Step 4: Real-time usage data is collected from the full procedural suite.

Step 5: Any items that are reused trigger an event and that data is sent to the appropriate parties.


This Can Be Extended Throughout the Facility

IoT Connected Facility(Capable of Full Remote Patient Monitoring, From Start to Finish)

Data Transported to Servers and Central Hub


In Summary

IoT can offer hospitals and OEMs alike a unique way to explore new cost reduction initiatives.

So how do we make this happen?

1. The key is to get started! Be open to co-create with a vendor or partner.2. Motivate the OEMs to provide integrated solutions for device tracking.

3. Implement internal tracking systems prior to an OEM rollout.

4. Spread awareness to combat illegally reused disposable products..

5. Finally, watch the competitive landscape. If you don’t participate others will

take the lead.


Thank You

development of the medical internet of things · 2020. 7. 23. · § the internet of things (iot)...

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