IoT in Healthcare - Industrial Internet Consortium€¦ · IoT in Healthcare Stan Schneider, PhD...
Transcript of IoT in Healthcare - Industrial Internet Consortium€¦ · IoT in Healthcare Stan Schneider, PhD...
IoT in Healthcare
Stan Schneider, PhD
RTI CEO
IIC Vice Chair
©2018 Real-Time Innovations, Inc. Confidential.
Where is the Innovation Happening?
COMPLEX MEDICAL PRODUCTS/SYSTEMS
Medical Imaging Proton Beam Therapy
INTERNET OF MEDICAL THINGS
Patient Monitoring Infusion Pump Cardiac Monitoring Data Aggregation Other Clinical
MEDICAL ROBOTICS
©2019 Real-Time Innovations, Inc. & General Electric. Permission to distribute pdf unmodified granted.
RTI lives at the intersection of functional artificial intelligence and pervasive networkingSM
Syntactic Interoperability
Standards Based
Ease of Development
Regulatory Standards
Finely Grained
Plug In Architecture
Databus
No Single Point of Failure
QoS
IIoT Connectivity Value to the Healthcare/Medical Market
Interoperability Security Reliability
A data centric architecture securely allows data to be shared across multiple devices and multiple networks. Data availability provides the foundation for
AI optimization.
Latency
Throughput
Discovery
Performance
Medical Robotics
©2018 Real-Time Innovations, Inc. Confidential.
The Future of Healthcare is Robotic (Autonomous)
Trends Driving Innovation in Medical Robotics
Haptic FeedbackTeleoperation
Plug and Play Integration Enterprise Connectivity
©2017 Real-Time Innovations, Inc.
A Case Study - MiroSurge
Medical Imaging
©2018 Real-Time Innovations, Inc. Confidential.
Radiology Techniques and Equipment
Computed Tomography (CT) Magnetic Resonance Imaging (MRI)
X-RayUltrasoundPositron Emmission Tomography (PET)
Trends Driving Innovation in Medical Imaging
Real Time Diagnosis using AIHigher Resolution / 3D Images
Plug and Play Integration with Medical Devices Platform Approach / Enterprise Connectivity
Revolution®
"GE Healthcare chose RTI DDS because it can handle many classes of intelligent machines. DDS satisfies the demanding requirements of our devices and supports standardization on a single communications platform across product lines."
-- J Gustavo Perez, General Manager for MI&CT Engineering
©2019 Real-Time Innovations, Inc.
©2019 Real-Time Innovations, Inc.
CT Scanners Mix Processors, Networks, Intelligence
©2019 Real-Time Innovations, Inc.
Image Store
Machine Domain
Scanner HMI
Machine Net
GantryServo
Machine Control (SRIO)
EmitterControl
DosageMonitor
ECG Sync
ScannerControl
PowerSystem
Patient Status
Image Domain
Image Databus
Image Generation
Scanner Data Acquisition
Databus
Disruption: Distributed Medical Imaging
©2018 Real-Time Innovations, Inc.
Private cloud
Public cloud
Ensure Reliability for Complex Systems
©2018 Real-Time Innovations, Inc.
• Mevion’s Proton-Beam Radiation Therapy system zaps tumors with accelerated protons
• The treatment must be continuous for 30-40 days; downtime endangers treatment success
• With RTI Connext DDS, Mevion’s PBRT delivers dependable treatment at low cost
First patient treated Dec 2013, Siteman Cancer Center, St. Louis
Internet of Medical Things
©2018 Real-Time Innovations, Inc. Confidential.
17.8%
25%
37%
The Current State of HealthcareIn the US today:
• Preventable medical errors in
hospitals are the 3rd highest
cause of death behind cancer
and heart disease.
• 200,000 – 400,000 deaths
• Lack of medical device
interoperability costs >$30B
to the healthcare system.
• 900 million elders age 60+
• 1.2 billion by 2025
• Estimated physician shortage
of >50,000 by 2025
US HEALTHCARE
SPENDINGAS SHARE OF GDP
ACTUAL 2018
PROJECTED 2050
PROJECTED 2025
Source: World Health Organization – McKinsey, Continua Alliance, AEI
http://journals.lww.com/journalpatientsafety/Fulltext/2013/09000/A_New,_Evidence_based_Estimate_of_Patient_Harms.2.aspx
Problem: Mistakes Kill
©2019 Real-Time Innovations, Inc.
Hospital error is the 3rd leading cause of death in the US
“… the anesthesiologist forgot to resume ventilation after separation from cardiopulmonary bypass…
Every surgical team surveyed has experienced this error!
Solution: Smart Connected Patient Care
©2019 Real-Time Innovations, Inc.
Databus
Supervisory Services
Patient MgmtDevice Mgmt
Systems HealthInteraction CheckingLogging
CDS Algorithm
#1
Lab Data
SPO2 CO2
PatientHx
Infusion Pump Settings
IV Pump Control
Infusion Pump Measured
Values
The Importance of Monitoring
©2019 Real-Time Innovations, Inc. & General Electric. Permission to distribute pdf unmodified granted.
Systems are About the Data
Intelligent Systems Need an Architecture that Effectively Shares Data
©2019 Real-Time Innovations, Inc.
DDS is the standard that defines the data-centric databus
Design the System Around the Data
©2019 Real-Time Innovations, Inc.
Application
Data
Application
Application
Application
MessagingRemote ObjectsClient/serverSOAs
Database
Data-centric storage and search of old data
Data-centric sharing and filtering
of future data
Databus
Why Does Data Centricity Matter?
©2019 Real-Time Innovations, Inc.
Shared Global Data Space
DDS DataBus
“Data Everywhere” Sharing
“Data Any Place/Time/Flow” Decoupling
Application
Data
• Logically puts all data “inside” every application
• Apps read or write like local memory
• With full control over timing, reliability, filtering, security
Hospitals are dynamic
©2019 Real-Time Innovations, Inc. & General Electric. Permission to distribute pdf unmodified granted.
Shared Global Data Space
Data Centricity Makes Mobility Transparent
©2019 Real-Time Innovations, Inc.
Application
Data
Application
Monitoring
DataDevice
Data
Algorithm
DataError Check
Data
Storage
Data
Hospital Networks Are Growing
©2019 Real-Time Innovations, Inc. & General Electric. Permission to distribute pdf unmodified granted.
Data Centricity Scales
©2019 Real-Time Innovations, Inc.
Fog
Edge
IT/C
lou
d
vMobile
HIS PACS LIS
GATEWAY to Ward DatabusRoom Systems Apps
Database
Ward
Medical Device
System Apps
Clinical Apps
Medical Device
Imaging Device
Imaging Device
GATEWAY to Enterprise Databus
GATEWAY to Cloud
IT Systems/Enterprise Databus (DDS)
ADTEMR
Clinical Apps
Database
Patient Room, Operating Room or ICU Databus (DDS)
Data LakeSystems Apps
Ward Databus (DDS)
Un
ifie
d D
ata
Mo
del
Cloud Server
Redundant data routers connect data spaces
reliably & transparently
Perfect match to architecture: no code!
Important, “bolted on”, not enough
Data Centricity Allows Data Defense
• System edge• Host
– Machine/OS/Applications/Files
• Network transport– Layer 2-3 “pipe” security– Layer 4-5 “session” security
©2019 Real-Time Innovations, Inc.
• DDS: Dataflow Security– Control application interaction– Secures the data itself; no API!– Independent of transport, OS, chip
Smart Machines Join the Care Team
©2019 Real-Time Innovations, Inc.
http://www.rti.com/mk/webinars.html#GEHEALTHCARE
GE Healthcare’s smart distributed architecture will connect 300 types of devices with RTI software.
The Medical Industry Now Competes on Networking
MD PnP (OpenICE Platform)
Example of collaborators
http://mdpnp.mgh.harvard.edu/
• Program established 2004 at Mass General
Hospital
• 3200 Sq. Ft Lab vendor-neutral for research on
achieving safe, secure interoperable medical
systems (standards, technologies, products).
• Clinical, biomed, computer science, and IT subject
matter experts
• Publish research to enable safe interoperability
• Research grants from DOD, NIH, NSF, DHS,
FDA/MITRE
• Multiple collaborative lab prototyping and public
demonstrations with industry, academia, and
government
• Developed OpenICE open-source interoperability
research platform www.openice.info
DocBox Platform
• Vision - Create an infrastructure to leverage data at motion and at
rest to improve, safety, efficiency and efficacy of care
• Simplified Infrastructure – Aggregate data in real-time; store,
analyze, and provide in standard format
• Enable Key Apps - Applications connect any time. Enables
visualization, automation, and real-time decision support
• Framework for Safety and Security - Shared infrastructure
enhances patient safety and cybersecurity
Clinicians Interact
via Apps
Connects and
Standardizes
Device Data
Data is sent to Big
Data Respository
Medical
Device 3
ADT
EHR
Lab
Pharmacy
DocBox
Medical
Device 2
Medical
Device 1
3rd Party
AppApp 1 App 2 New
App
The Future of Medicine