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Mobile Medical Devices. ACGNJ Main Meeting March 7, 2014. Uses for Mobile Medical Technology. Field medicine (military, remote areas,etc .) Low power requirements (no/low utility infrastructure) Out-of-office patient tracking Self tracking HCP tracking Quantified Self.
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Mobile Medical Devices ACGNJ Main Meeting March 7, 2014
Uses for Mobile Medical Technology • Field medicine (military, remote areas,etc.) • Low power requirements (no/low utility infrastructure) • Out-of-office patient tracking • Self tracking • HCP tracking • Quantified Self
Types of Mobile Medical Technology • Stand-Alone Devices • Mobile-Attached Devices • Wireless Devices • Implanted Devices • Smartphones as Medical Devices
Stand-alone devices • Reports downloaded via Bluetooth, USB or Medical Cellular • TelcareGlucometer • Insulin pumps • Continuous Glucose Monitors • TENS systems • Ambulatory Blood Pressure Monitors • e. g., SunTech Medical’s Oscar2 and Accu-Win
Mobile-attached devices • iBGStarglucometer • Withings scale, sphygmomanometer • Mobile-controlled EKG device • AliveCor mobile clip-on EKG device • SHL Smartheart 12-lead EKG • “Tricorder” apps and devices • Spectrum analysis and microbial analysis devices • BiosenseuChek urinalysis • Prototype environmental biosensor
Wireless Devices • Wirelessly-controlled sensors and devices • Insulin pumps • Animas Ping • InsuletOmnipod • Continuous Glucose Monitors • Dexcom • Holter monitors
Implanted devices • Cardiac defibrillator • Cardiac pacemaker Bluetooth-programmable in the cardiologist’s office Security provided via unique device numbers and proprietary data formats
Smartphone as medical device • Medical diagnostic and analytical apps • Epocrates and other diagnostic tools • Glooko software • iBGStar Diabetes Manager software
Issues With Mobile Medical Technology • Quality control • Data integrity of apps • Mobile system reliability • Android hacks and viruses • iOS not immune • In-app adware common in games, free apps • Device security (hacking vulnerability) • FDA regulations • Speed of technological progress • OS updates • Smartphone hardware evolution • Cables, connectors, etc.
Possible Evolutionary Paths • As expert systems improve, more use of smartphones’ built-in systems for mobile diagnostics • Share photos, videos with remote physician • Smarter apps may provide preliminary screenings • As mobile platforms stabilize, add-on devices will proliferate • Better monitors • Medication delivery systems • Specific security issues will change