mHealth

non-invasive
monitoring
Trends + Examples
december 2009 - @bart
 Trend 1

NO
SCIENCE
FICTION
 Trend 2

Mhealth medical apps = SMS

AND
Development happens in developing world

episurveyor (datadyne.org)
texttochange
hopephones
vodaphoneproject
...
 Trend 3
ultra portable
ultra small
ultra low power
recharging
 Trend 4

thin line between fitness & healthcare

lowcost & hitech

scale/mass production
consumerisation of medtech
personalisation
disposable?
 Trend 5

specialisation
device
hub/platform
service

interoperability = key
everyone does it with everyone
 Trend 6

health feedback/
support services
+
share health data
with peers
=
interaction galore

everyone does it with everyone

 Trend 7

Mobile carriers opportunities

services
speed
video
data
connectivity + coverage
mobile payment
 Trend 8
home-gateways
mobile-gateways
medical-body-gateways

Every body on the net

(Donald Jones VP Lifescience - Qualcomm )
company url top-left
 http://www.mobih.org

What is mHealth?

mHealth, enabled by mobile phones and other

wireless computing devices (mDevices), is the
revolutionary adoption of new communication
patterns in healthcare that is stimulating the
introduction of Participatory Health. Enabled by
mHealth, Participatory Health is transforming
healthcare from a physician- and hospital-centric
system to one that seeks to connect and
coordinate the roles of all health participants,
including patients, the wide range of healthcare
providers, payers, pharma, wellness providers,
and more.

mDevices enable healthcare professionals to

communicate better with their colleagues,
patients, and others such as payers.
Continua Health Alliance

To establish a system of interoperable

personal telehealth solutions that fosters
independence and empowers people and
organizations to better manage health and
wellness.
Mhealth Alliance

At the GSM Mobile World Congress in February 2009, the

Rockefeller Foundation, United Nations Foundation, and
Vodafone Foundation announced an agreement to form the
mHealth Alliance to facilitate global innovation and ensure
maximum impact in the field of mobile health (mHealth).
 Brian Dolan

David Doherty

Creative Connectivity - Nick Hunn

http://www.nickhunn.com/

Medical Smartphones Dr. Joseph Kim

http://twitter.com/bart/mhealth
http://friendfeed.com/telemedicine
EXAMPLES
DEVICE - HUB - SERVICE
MedApps
CardioNet

CardioNet is the world's leading supplier of

mobile cardiac outpatient telemetry.
CardioNet provides the next-generation
ambulatory cardiac monitoring service with
beat-to-beat, real time analysis, automatic
arrhythmia detection and wireless ECG
transmission.
Sensor -> wireless monitor
CardioNet provides a comprehensive suite of
post-symptom, looping, and auto trigger event
monitors as part of its turn-key cardiac event
monitoring service.
Vitaphone
Dyna-Vision Telemedicine

Offering
World's First Mobile Real-Time Remote Patient Monitor

Featuring Continuous Monitoring of Vital Signs

3, 5 and 12 lead ECG
Heart Rate
Plethysmogram
SpO2
Pulse Rate
NIBP

No Peripherals Required for Transmission

Internal GSM, Bluetooth Class I and USB connection
Dyna-Vision© support all country mobile networks
No infrastructure needed
The GPRS SIM card built-in the unit
Corscience
As a manufacturer of innovative telemedical sensors,
Corscience offers research, development and
production at the highest scientific and technological
level.

All sensors are equipped with a Bluetooth interface for

wireless measurement transmission.

Corscience offers sensors for the following illnesses:

Chronic obstructive pulmonary disease
Bronchial asthma
Cardiac insufficiency
Cardiac dysrhythmia

A further sensor application is emergency medicine.

ECG data can be transmitted “live” from the scene to a
clinic with the BT 12 PC ECG device.

For the easy integration in existing external systems

Corscience offers development kits for most of the
sensors.
LifeWatch

The small and lightweight LifeStar™ ACT Sensor

and electrodes are worn on your chest to record
your heart's rhythm. Each heartbeat is transmitted
wirelessly to the ACT Cellular Phone Monitor where
it is analyzed. If an arrhythmia is detected, the
Cellular Phone Monitor automatically sends it to
one of three LifeWatch Monitoring Centers for
review and MD notification, if required.
Intelesens
Intelesens is an innovator in targeted non-invasive wireless vital sign monitor
development who has developed the world’s first intelligent, wearable ,non-
invasive, wireless vital signs monitoring device for use primarily in remote
patient monitoring and personal telehealth applications.
Intelesens is developing a portfolio of products which will deliver improved
quality-of-care to patients and significantly reduce healthcare costs by
reducing the need for hospitalizations and outpatient visits.
Intelesens develops and manufactures its own products and also products
for other original equipment manufacturers (OEMs). Our VS100, patch
based Bluetooth Vital Signs Monitor will be CE Marked and begin shipping in
December 2009.
Corventis
Corventis develops wireless cardiovascular solutions that offer unprecedented visibility into a patients
health status
PiiX™: An unobtrusive, water-resistant, patient-worn device that adheres to the skin and
automatically collects and transmits physiological information
zLink™: A small portable device (similar to a cell phone) that wirelessly transmits information received
from PiiX to Corventis
Corventis Web Services: A hosted application for data analysis and storage that also includes the
Corventis website (www.corventis.com), which enables secure access to physiological trends and
clinical event information for interpretation and diagnosis
Toumaz

The Toumaz Sensium™ provides the complete technology platform to allow healthcare providers to
monitor the human body continuously, wirelessly, intelligently and at low-cost – with the robustness and
medical compliance associated with considerably more expensive capital equipment.
Sensium enables the development of a new generation of non-intrusive body-worn wireless devices that
can continuously monitor multiple vital signs in real-time, and feed back high-quality information to health
professionals via PCs, PDAs and cell phones.

Sensium: low power sensor -> plug into PDA/smartphone (where data can be filtered)
System diagram: Wearable sensor nodes -> basestation -> linked to target stations
Sensium life pebble: ultra small size vital signs monitor -> Sensium USB adapter or data logger
STMicroelectronics

Geneva, November 05,2009 - STMicroelectronics (NYSE: STM),

one of the world’s leading semiconductor companies, and Mayo
Clinic, a premier health-care organization, are collaborating on a
novel platform for remotely monitoring patients with chronic
cardiovascular disease. The platform will provide a comprehensive
and unobtrusive solution that monitors person-specific data and
physiological parameters and influences lifestyle and treatment
choices.

Telemedicine, which allows medical professionals to monitor or treat

patients even when they are not in the same location, is widely
recognized as an essential step in reducing the escalating cost of
healthcare. Instead of entering a hospital or visiting a doctor for
check-ups, the patient wears a small device that continually
monitors a number of relevant physiological parameters. This
approach has many potential benefits, including maintaining
wellness, earlier detection of developing health conditions,
improving lifestyle, and lowering healthcare costs.
GE Healthcare

I am a member of the Radio Frequency and Photonics

Laboratory at GE Global Research. We develop a variety of
RF sensing and wireless communications technologies.
Most recently, my colleagues and I have been working with
GE Healthcare to change the game for ambulatory patient
monitoring with Medical Body Sensor Networks.

You might ask, what are body sensor networks (or BSNs, as
they are known in my world)? Well, they are basically a
collection of non-invasive and body-worn devices that are
capable of collecting a variety of real-time information about
a patient’s medical condition inside or outside a hospital or
assisted living facility. The great thing about this data is that
it can be collected and then processed locally at the patient
or transmitted electronically to a centralized monitoring
station, so that a doctor can monitor how a patient is doing YouTube
whether they are checking them at the hospital or from their
office and even home.

Interference :(
Intelligent clothing

Intelligent Clothing was founded ten years ago to

pursue an idea that ordinary washable
undergarments could provide an intensive care
standard of wireless health monitoring. At the time
neither electronic components, battery power,
digital signal processing techniques or the internet
existed with sufficient sophistication to realise the
idea. However, continuous evolution of both the
industry and the company's research has
produced a manufacturable SmartPatch™ with
internet connectivity, suitable for Special Care
Baby Units and the home.
24eight
Proteus Biomedical

Proteus ingestible event markers (IEMs) are tiny, digestible

sensors made from food ingredients, which are activated by
stomach fluids after swallowing. Once activated, the IEM
sends an ultra low-power, private, digital signal through the
body to a microelectronic receiver that is either a small
bandage style skin patch or a tiny device insert under the skin.
The receiver date- and time-stamps, decodes, and records
information such as the type of drug, the dose, and the place
of manufacture, as well as measures and reports physiologic
measures such as heart rate, activity, and respiratory rate.

Invasive?
It's a thin line between
fitness and
healthcare,

between consumer-
and medical- devices
Garmin

GPS-enabled
heart rate-based calorie computation
automatic sync
multisport
high-sensitivity receiver
courses feature
rechargeable lithium-ion battery
wireless data sharing
gym equipment compatible
wireless heart rate monitor + foot pod
virtual partner
Nike+ Apple

With Nike+ running shoes and a Nike + iPod

Sport Kit or Sensor, your iPod nano, iPod touch,
or iPhone 3GS will motivate you mile after mile.

Connect your iPod to a Nike + iPod compatible

cardio machine at the gym and track your
progress from one workout to the next.
MIO

MIO is the world’s first watch to offer ECG accurate heart rate without a chest strap, which
means you can get your heart rate whenever and wherever you want it. It’s heart rate on
demand!
Experts agree, anyone trying to achieve a lifestyle or fitness goal, such as finding the best
way to lose weight and get in shape, or just monitoring their stress, will benefit from
knowing their heart rate. All exercisers, from beginners to advanced alike, can use the
valuable feedback of a strapless heart rate monitor to improve their work out routine so
that they exercise smarter and see results faster. With MIO, heart rate monitoring has
never been easier.
 Fitbit

The Fitbit accurately tracks your calories burned,

steps taken, distance traveled and sleep quality. The
Fitbit contains a 3D motion sensor like the one found
in the Nintendo Wii. The Fitbit tracks your motion in
three dimensions and converts this into useful
information about your daily activities.
You can wear the Fitbit on your waist, in your pocket
or on undergarments. At night, you can wear the Fitbit
clipped to the included wristband in order to track your
sleep. Anytime you walk by the included wireless
base station, data from your Fitbit is silently uploaded
in the background to Fitbit.com
Tanita

The new, BC-590BT Bluetooth Wireless Body

Composition Monitor is a revolution in personal health
maintenance. The BC-590 brings state-of-the-art
technology to the health monitoring industry, as it is
designed to transmit multiple readings, wirelessly, to a
personal computer within seconds for an easy way to
view and record fitness trends over time. The BC-590BT
measures weight, body fat, body water, daily caloric
intake, bone mass, muscle mass, and so much more,
and is the first consumer scale to utilize Bluetooth
technology!
myzeo

Zeo is a new kind of educational tool and motivational

program that helps you understand how you are
sleeping, reveals habits and behaviors that may be
helping or hindering your sleep, and teaches new ways
that may help you get a better night's rest.
Glucotel

Features
Bluetooth wireless technology enabled blood glucose meter
Real-time, accurate transmission of blood glucose results
Immediate availability of results via online database
24/7, worldwide access to secure online database
Add optional values such as medication, food and activity
easily to database via cell phone
Benefits
Eliminates manual log books
Helps improve quality of life
Peace of mind for patients and family
Easy to comply to physicians’ orders
Improved diabetes management
Bayer

Blood glucose monitoring system,

that doesn't look like a medical device
Living Tomorrow

Brushing
&
monitoring
AGING AND
MONITORING
 CAALYX
Complete Ambient Assisted Living Experiment
Recent advances in mobile positioning Roaming Monitoring system
systems and telecommunications are Home Monitoring System
providing the technology needed for the Central Care Service & Monitoring
development of location-aware tele-
care applications. CAALYX an EU-
funded project that aims at increasing
older people's autonomy and self-
confidence by developing a wearable
light device capable of measuring
specific vital signs of the elderly,
detecting falls and location, and
communicating automatically in real-
time with his/her care provider in case
of an emergency, wherever the older
person happens to be, at home or
outside.
STT Condigi
WellAware
Healthsense
eNeighbor® Wi-Fi Personal Emergency Response
Pendant, pull cord, call button
Used in private residenceeNeighbor® Wi-Fi Wireless Nurse Call
Pendant, pull cord, call button
Used in congregate living
Wi-Fi based location tracking
Comprehensive reportseNeighbor® Wi-Fi Remote Monitoring
Automatic call for help using sensor technology
Health status changes
Personal Safety Monitors and ReminderseNeighbor® Wi-Fi Telehealth
Blood pressure, weight, pulse oximetry, cameras
Mobile kiosk or private residence
Grandcare systems
The GrandCare system supports standard protocols which means that the list of supported sensors will
continue to grow. Depending on the situation, we will provide sensors based on wireless X10, powerline
X10, Zwave, or Zigbee standards. You can always start small and add new sensors as the situation
requires.

Motion: Motion can tell a lot about daily activities. Monitor movement throughout the home, bedside,
medications, fridge, bathroom etc. The system can detect excessive wandering.
Door: Be alerted if door opens at wrong time, or the door isn't opened
Action Button: Perform assigned action when the button is pressed - make a phone call, restart
Communication slideshow on TV, I'm OK button, etc.
Bed/Chair: Send alerts if a person does not go to bed, or doesn't get out of chair.
Temperature: Monitor inside temperature and send alerts if out of range.
Weight Scale: Measure, monitor & graph weight.
Blood Pressure Cuff: Measure, monitor & graph blood pressure - print out graphs for your doctor.
Glucometer: Measure, monitor & graph glucose readings
Reminder Chime: Ring an alert or reminder chime in the loved one's home.
Caller ID: Prevent tele-scams from afar, photo of known callers appears on GC TV Station.
Lights: Turns lights on/off at dusk or dawn. Light can automatically turn on if a loved one gets up during
the night.
Quietcare

The QuietCare system transforms eldercare with

advanced motion sensor technology that learns the daily
living patterns of senior community residents and sends
alerts when certain out-of-the-ordinary events occur.
The system provides care staff with information that
facilitates the delivery of personalized care to help
improve response times and identify potential problems
before they become emergencies.
MyHalo

MyHalo is a step ahead for you and your caregivers and

it brings the future home. This is the only system
offering automatic 24/7 vital signs and activity
monitoring, including advanced fall detection. That
means, you don’t have to push a panic button, because
the system already knows when you have fallen.
Platforms / hubs
Cambridge Consultants

Cambridge Consultants, a leading technology

product design and development firm, has today
unveiled VenaHub, a data collection and
aggregation system that promises to simplify
personal health management in a connected health
environment. VenaHub employs a small pocket
device to capture data from a user's ecosystem of
wireless medical devices, which it then integrates
into a customizable online health information portal.
inprimo

The technological basis of Inprimo consists of the development provides non-invasive, miniaturized
sensors and an open software platform, standardized interfaces to integrate third-party.

Another aspect of the research work concerns the development of non-proprietary interfaces for
communication between the sensor systems and the platform. Vital signs are wirelessly from the
sensors on a mobile device (smartphone) and transferred from there via the mobile network for
storage and analysis transferred to the platform.

Inprimo offers service providers a flexible platform that allows their own services in the areas of
prevention, fitness & lifestyle, diagnosis and treatment implement comfortable addressing a wide
range of users and individualized.

Users are offered a secure data management with high usability and the design of their individual
access through web-based and mobile user interfaces.

The Inprimo Platform acts as a (data) center between end users, service providers and institutions.
Geriatric Assistant (Bug Labs)

This application is the combination of various geriatric assistance ideas (two

to be exact). The first function of the application is a more modern “I’ve fallen
and I can’t get up” device which actually attempts to detect when a fall has
occurred using the Motion/Accelerometer module. If a fall is detected, a log
is posted to a tumblr account (http://www.tumblr.com) complete with an
image (generated using the Yahoo! Maps API) which pin-points the location
of the fall based on the GPS coordinates retrieved from the GPS module.
The second function of the application is used to help people with memory
issues (Alzheimer's patients, etc.) by recording images throughout the day
and allowing them to review those images in rapid succession before they
go to bed, which has been proven to help increase their recollection of
events.

The GeriatricAssistant employs the following BUG modules:

Camera (used to take images every 30 seconds to be played back in
the evening before the user goes to bed)
Motion/Accelerometer (used to determine when a �free fall� has
occurred)
GPS (used to pin-point the exact location of a fall)
LCD (used to allow interaction with the user, including the playback of
recorded images)
Sotera

(formerly known as Triage)

Sotera Wireless is developing ViSi MobileTM, a wireless platform for
continuous vital signs monitoring that keeps clinicians connected to their
patients, whether in transport, in the emergency room or in general
inpatient units. Featuring comfortable body-worn sensors that allow for
freedom of movement and multiple vital-sign capture, the technology also
enables continuous accurate blood pressure measurement for ambulatory
patients without the need for frequent cuff inflation.

With Sotera Wireless’ breakthrough technology nurses can efficiently

?
monitor a full range of vital signs continuously and remotely throughout the
hospital, extending the reach of patient safety and enhancing overall care.
This technology is driven by a custom software application package
developed by Sotera Wireless, that is compatible with standard Windows-
based operating systems.
 BiancaMed

For BiancaMed, huge potential lies in the fact that our platform
can be readily integrated into a cell phone handset and enable
it to carry out the following unique functions:
On-the-spot measurement of heart rate and respiration
Portable fitness monitoring
Activity measurement and calorie counter - link with your
diet plan
A night-time sleep monitor
Remote health monitoring at home - providing
reassurance that you are maintaining health and, when
necessary alert a monitoring centre Non-contact sensors
Shimmer

Shimmer™ is a small wireless sensor platform that can record

and transmit physiological and kinematic data in real-time.
Designed as a wearable sensor, Shimmer™ incorporates:
wireless ECG, EMG, GSR,
Accelerometer,
Gyro,
PIR,
Tilt and Vibration sensors.
Shimmer™ is an extremely extensible platform that enables
researchers and industry to be at the leading edge of sensing
technology.
Zyxel

ZyXEL Introduces State-Of-Art Smart Home Gateway For Health Monitoring Applications

ZyXEL Communications Inc., a leading provider of secure broadband networking, Internet

connectivity and routing products, today announced the Smart Home Gateway (SHG), a
rugged, pocket-sized, battery powered wireless router. In addition to providing wireless
Internet connectivity through fixed broadband (ADSL/Cable) and 3G / 4G broadband, it also
enables multiple applications including state-of-the-art, real-time health monitoring through
home networks.

The SHG series is a breakthrough device for health monitoring applications. Via one of its
two USB ports, it can connect to IEEE11073 USB, Bluetooth and Zigbee-compliant medical
sensors to send real-time data from heath monitoring devices or smart home sensors such
as blood-sugar or heart rate readings to remote healthcare providers. Health care providers
are under regulatory pressure to reduce costs through early detection and prevention and
millions of baby boomers are entering the phase that requires greater healthcare support.
This has opened up immense market potential and new revenue opportunities for Value
Added Resellers (VARs) and solutions providers who can use the SHG to offer remote health
monitoring services to healthcare providers. Health monitoring services are grouped into
three main types – vital sign monitoring like blood pressure etc., disease management like
diabetes and hypertension and Aging independently that includes bed pressure and other
emergency sensors.
 HEALTHY SERVICES
Personalised feedback
mhealthshakes
device
platform
personal feedback
sharing
+ ...
The Carrot

Track
Monitor anything using the trackers—diet, exercise,
medicines, your kid’s height, and more. Enter data on
the iPhone or snap a pic with your cell phone.

Report
Once you’ve gathered data, you can create a report.
View your data with one of our standard reports, or
customize your own report.

Share
Our reports are formatted for easy printing and emailing.
When working with a professional, a clear,
comprehensive report makes his/her job much easier.
VitaMotionSun

VitaMotionSun works like this

You will receive a support services that will improve your well-being measured under the
guidance of a personal health coach, and under medical supervision.
Simply enter your activity sensor, the intensity of your exercise activity and record within the
day, and visualized.
You will receive software-analysis and timely feedback from evaluations by our experts, you
are athletic, medical and health care.
Philips directlife

If swimming laps or jogging is not your idea of fun,

take a good look at DirectLife.

Based on your profile (age, gender, height and

weight), DirectLife helps you set balanced and
achievable goals. Add activities you enjoy to reach
your weekly target.
Withings

The first WiFi body scale connected to the internet.

It automatically records your weight, fat mass and BMI, which
you can view from your computer or iPhone
Polka

Polka delivers a secure, mobile-enabled personal health

platform that empowers you to manage your health, wellness,
and fitness on your own terms.

Polka provides a free user-centric secure web site service with

paid, synchronized mobile smartphone applications for the
iPhone and Twitter. Polka has innovated a new market
surrounding personal responsibility and utilizing personal
observations to chart and improve your health and the health
of those close to you. Polka provides the tools and reminders
for you to log and achieve your goals, as well as more detailed
information exchanges with your physicians and support
network to improve diagnoses and treatment options.
THE BEGINNING made as preparation for
MoMoAMS #14 mHealth
on Jan 25th 2010

@bart
http://zorgbeheer.blogspot.com/