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Wireless Mobile Application for Intensive Care in Emergencies and Home Care. The Edumed Institute Center for Information Technology in Health and Telemedicine. Project Aims. To develop a portable, battery-operated telemedicine unit using voice and data communication over wireless links;
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Wireless Mobile Application for Intensive Care in Emergencies and Home Care The Edumed InstituteCenter for Information Technology in Health and Telemedicine
Project Aims • To develop a portable, battery-operated telemedicine unit using voice and data communication over wireless links; • To test its feasibility and usage model in emergency care, home care and family health programs; • To integrate and put to market a viable product with significant volumes.
Clinical Data IDENTerminal Data Comm Cellular and Radio Telemedicine Central The Mobile Unit Local applications Local databases Internet access EMR Decision Support Voice Fax EKG Mobile ICU Home Care Ambulance Family doctor/nurse
Telemedicine Suitcase • Portable aluminium attaché case • Battery-operated biosignal monitoring devices (EKG, SpiroPhone, stethoscope) • Glucosimeter, thermometer, etc. • Handheld computer • Wireless iDEN/mobile unit • Consummables • Easy to carry and operate, anywhere Simulated product
Vital Signal Devices Fetal EKG andUterine Contractions Dynamic Espirometry 12-lead EKG
Vital Signal Devices Blood Pressure Monitor Electronic Stethoscope Electronic Ear Thermometer FingerOximeter Glucosimeter
System Functions • Vital signal transmission/monitoring • EKG, temperature, pulse, blood pressure, glucose level, heart, lung and abdomen sounds, pCO2, pO2, uterine contractions, respiration, weight, height • Via datacomm or FM modulated voice channel • Patient image transmission • Skin, face, eyes, mouth, trauma events • Teleconsultation and second opinion • Voice via cellular or mobile radio (IDEN) • Text via SMS, WAP and Internet
System Functions • Local Decision Support • Searchable electronic books with emergency procedures, diagnosis, patient management, drugs directory • Software for medical calculations • Software for decision support (AI expert systems) • Web-based Decision Support • Access to Electronic Medical Record (reading & updating) • Access to medical web encyclopaedias and literature • Internet based telemedicine (store & forward)
Communication Devices • Land based cellular telephony • Satellite telephony • Digital radio • Wireless data communications
Applications • Emergency ambulances and mobile Intensive Care Units • Home care units • Family health units in isolated or rural areas • Occupational health units in isolated areas (eg., oil platforms, mineral exploration, construction sites) • Home monitoring of chronic and post-surgical patients
Market (Brazil) • 4,000 mobile ICUs • 4,500 family health units: 9,5 million inhabitants • 62,000 ambulatory units • 82,500 emergency care units • 7,000 hospitals
R&D Project • Identification of technologies, procurement of components • Testing of components with communication technologies: parameter optimization, range of applications • Software development • Implementation of a mobile unit • Pilot field testing • Analysis and reporting • Series head product specification and production
Partners • Motorola: telecommunications, funding • Card Guard: vital signal devices, telemedicine central software, funding • NEXTEL, TELEMAR, GlobalStar: telecom services providers, infrastructure • Center for Biomedical Informatics of UNICAMP: software development, evaluation • Campinas and Sobral Secretaries of Health: field pilots, funding • Edumed Institute: management, integration, operation of central, web development, reporting, grant development, infrastructure
Advantages for Motorola • Developing know-how, market savvy and brand identification on telemedicine applications; meeting future competition from other manufacturers (Ericsson, Nokia, etc.) • Expanding sales of all product lines into the health care area; • Cornering the market on wireless, portable telemedicine; • Positive social action, company image, media exposure; alliance with R&D and government
Next Steps • Project writing, budgeting • MOU, agreements • Initial funding for planning and feasibility study • Project development
Contacts • Project Leader • Prof.Dr. Renato M.E. Sabbatini, PhD • Director, Center for Biomedical Informatics, UNICAMP • President, The Edumed Institute • Project Coordinator • Liliane Queiroz Antonio • AddressR. Mogi Guaçu 1452, CampinasTel. (19) 3295-8191 Fax (19) 32876768sabbatini@edumed.net