eMediate™ devices
allows the mobile recording of a patient’s physiological
signs, the digital compression of that data if needed
and its secure transmission in real time to a distant
server,
facilitating immediate assessment, and where necessary,
action, by a health care expert who is not co-located
with the patient.
Currently, the personal health server
transmits
the data stream to a PDA or to a smartphone via Bluetooth
wireless technology. The PDA can then be used to
display, store and/or transmit the data. Using wireless
telecommunications
standards (GSM GPRS or CDMA), the data is transmitted
via the Internet to a server where the data can be
analyzed either automatically or by a health professional
who
can then decide on a particular course of action.
Our solution can also send an SMS message to a health
care provider informing them that a data file is available
for downloading. Using their PDA or PC, the health care
provider can download, display and interpret the data
in real time.
By using PDAs or smartphones, we enable bi-directional
communication between healthcare personnel and patients.
Providers can reinforce a patient’s progress by
sending messages (either as e mail or SMS), such as “Congratulations
Mr Wilson, your systolic blood pressure decreased 5 points
over the last 2 weeks” or “ Jessica, as your
glucose level is now back to normal decrease GlucoStim
dosage to 20 mg”. These exchanges not only allow
better disease management, but they can also be a first
step to proactive healthcare as healthcare professionals
will now have the means to keep patients healthy rather
than always function in a crisis/hospitalisation mode.
The PDA interface also helps healthcare professionals
manage medication intake. A practitioner can modify the
patient’s dosage based on the quantitative physiological
data received, or indicate better timing for drug intake.
Patients can also be reminded about taking their medication
and can very simply indicate the time at which they have
taken it, which is then recorded and stored on the server.
In order to improve diagnostic, complementary data can
be sent to the server (e.g. images taken with a digital
camera on a PDA - application in dermatology or traumatology),
X ray images, sounds from digital stethoscope, etc).
eMediate™ is
unique from other remote patient monitoring solutions
in that:
-
It has the ability of pre-processing and
storing large amounts of data,
-
It is usable for spot
checks or for long term monitoring (generates revenues
for telecommunications operators
during night recordings),
-
The data can be multiplexed
and combined with other information sources such
as audio or images.
Cyberfab has developed one of the largest portfolios
of wireless enabled medical devices (Electrocardiogram,
Blood pressure, Oxygen saturation, Glucometer).
Check list about Mobile Health
solutions. (view
pdf version)
Here are some of the questions needing to be addressed
prior to defining and deploying mobile and wireless solutions.
If you need help getting to a fully designed solution
faster and would like to have answered “Yes” to
all these questions, contact us.
Deployment
-
Is the system simple enough to allow rapid
deployment and top notch support
-
Can it be implemented
using today’s infrastructure
and technologies
-
Are there possibilities for remote
support
-
Is it possible to not have a user
manual (as people rarely read them)
Maintenance/evolution:
-
Can new functions be added
quickly by a wide variety of
IT professionals and programmers (in-house or outsourced)
-
Is
there a common
basic framework that can be tailored
to fit evolving needs
-
Will future versions of hardware
allow either more functionality at the same cost
or
same functionality
at lower costs
Security
-
Does it conform to legal requirements
-
Has testing
been performed to check intrusion robustness
-
Are
the necessary security
levels present
(Avoid
overkill e.g.. Fingerprint
ID prior to transmitting blood pressure
data)
-
Have future standards be already taken
into account (example:
Point of Care barcode identification).
Design and functionality
-
Is the system suited for
both discreet (e.g. weight,
blood pressure, glucose values) and continuous signals
(ECG, pulse waveform, EEG etc.)
-
Have both consumers
and healthcare professionals
participated in the design and pilot phases
-
Does the technology
benefit different population
segments in terms of age, geography, income
-
Can both real time
store and forward method used for data transmission
-
Is
data compression an available option
Compatibility
Interference
- Does the system design offer intrinsic
resistance to interference
- Has the compatibility
with sensitive medical
devices been shown for this protocol (example in Intensive
Care Unit or Operating Room)
Environment
- Is the product compatible with noisy
environments
- Can a mixed solution (example: 802.11
and GPRS) be supported
- Are power requirements
(battery lifetime,
size etc……)
addressed in a flexible and economical
way
- Can different
ranges of
communication be simultaneously covered (e.g. operating
room ,
ambulance, Field point
of care, etc.)

|