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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

  • Can both fixed and mobile telecommunication networks be used
  • Is it compatible with the majority of new devices introduced in the last 12 months

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.)

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eMedi@te: Description | Products | Applicability