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FUTURE TRENDS

FUTURE TRENDS. WIRELESS TECHNOLOGY IN THE HEALTHCARE ENVIRONMENT Presented by: Barbara Majchrowski Candidate M.H.Sc. Clinical Engineering. Current Wireless Technology. COMMUNICATIONS. Communications (con’t). Current PDA  Future PDA . Current Wireless Technology.

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FUTURE TRENDS

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  1. FUTURE TRENDS WIRELESS TECHNOLOGY IN THE HEALTHCARE ENVIRONMENT Presented by: Barbara Majchrowski Candidate M.H.Sc. Clinical Engineering

  2. Current Wireless Technology COMMUNICATIONS

  3. Communications (con’t) • Current PDA  Future PDA

  4. Current Wireless Technology MEDICAL USES • Medical Telemetry  Operating Suites SIDNE™ (Stryker)

  5. Current Wireless Technology MEDICAL USES • Bar Code  Wireless Infusion Scanner Pump

  6. Current Wireless Technology EMERGENCY MEDICINE

  7. Current Wireless Technology • Closed Circuit Television (CCTV) in Intensive Care Units • Remote Alarms

  8. Implanted Wireless Devices • Couple the sensor to the actuator • Ex. Diabetic patients • Glucose meter – implanted insulin pump • Wireless Microchips • Epilepsy • Parkinson’s disease

  9. Homecare • Continuous Monitoring of Physiologic Parameters • ECG • NIBP • SpO2 • Pill Boxes

  10. “SmartShirt” Georgia Tech Wearable Motherboard™ • Georgia Tech • Funded by U.S. military • Plastic optical fiber • T-connectors form flexible bus • ECG, RR, temperature • Ex. Geriatric / mentally ill / SIDS • Ex. Firefighting

  11. Plug-and-Play Interoperability WHY IT IS NEEDED: • Specialized applications / multiple vendors • Medical devices and clinical information systems • No time for configuration or set-up programs

  12. Plug-and-Play Interoperability FACTORS TO CONSIDER: • Safety • Unambiguous association • Reliability • HL7 Interoperability • Security • Scalability

  13. IEEE 1073 IEEE P1073.0.1.1/D01E Draft Guide for Health informatics – Point-of-care medical device communication – Technical report – Guidelines for the use of RF wireless technology (Unpublished)

  14. QoS Components Reliability Latency Priority Bandwidth (Subject to Change) Medical Device Data Categorization Alert notifications Real-time waveforms Real-time parameters Non-real-time parameters Non-real-time events Device control IEEE 1073Summary

  15. EXAMPLE: Real-time Alarm Very high reliability (100%) < 10 second latency Very high priority Low, intermittent bandwidth Real-time Waveform High reliability (10 s/day) Latency (?) High priority High, predictable bandwidth IEEE 1073QoS Requirements

  16. DEVICE SPECIALIZATION Infusion Pump Vital Signs Monitor Ventilator Pulse Oximeter Defibrillator ECG Blood Pressure Temperature Dialysis Device Airway Flowmeter Cardiac Output Capnometer Hemodynamic Calculator Pulmonary Calculator Respirator Weighing Scale www.ieee1073.org IEEE 1073EDITORIAL PLAN (v21)

  17. The Road Ahead? • Bluetooth – Coexistence research (ISM band) • Wireless Policy • State internal body for resolution of wireless issues • Procedure for inclusion of additional wireless networks

  18. References darbelofflab.mit.edu www.welchallyn.com/medical/ www.stryker.com www.ortivus.com www.flicscanner.com www.baxter.com www.emergin.com www.minimed.com www.freep.com www.research.ibm.com www.smartshirt.gatech.edu www.codebluecommunications.com www.ieee1073.org

  19. References (con’t) R. Schrenker and T. Cooper, “Building the Foundation for Medical Device Plug-and-Play Interoperability”, Available @ www.ieee1073.org IEEE P1073.0.1.1/D01E Draft Guide for Health informatics – Point-of-care medical device communication – Technical report – Guidelines for the use of RF wireless technology (Unpublished)

  20. Questions

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