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.

IDENTerminal

The Mobile Unit

Mobile ICUHome Care AmbulanceFamily doctor/nurse

Data CommVoice

FaxEKG

Cellular and Radio

Internet accessEMRDecision Support

Local applicationsLocal databases

Clinical DataClinical Data

Telemedicine Central

Telemedicine SuitcasePortable 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

12-leadEKG

DynamicEspirometry

Fetal EKG andUterine Contractions

Vital Signal Devices

Blood Pressure Monitor Electronic Stethoscope

Glucosimeter

Electronic Ear Thermometer

FingerOximeter

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 UnitsHome care unitsFamily health units in isolated or rural areasOccupational 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 componentsTesting of components with communication technologies: parameter optimization, range of applicationsSoftware developmentImplementation of a mobile unitPilot field testingAnalysis and reportingSeries head product specification and production

Partners

Motorola: telecommunications, fundingCard Guard: vital signal devices, telemedicine central software, fundingNEXTEL, TELEMAR, GlobalStar: telecom services providers, infrastructureCenter for Biomedical Informatics of UNICAMP: software development, evaluation Campinas and Sobral Secretaries of Health: field pilots, fundingEdumed 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