Practical Biomonitoring using

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NAE / IOM Workshop Engineering and the Health
Care System Mar 11-12,, 2003
Practical Biomonitoring using Wireless Technology
Thomas F. Budinger M.D., Ph.D.
Department of Nuclear medicine and Functional
Imaging, Lawrence Berkeley National Laboratory
Departments of Bioengineering and Electrical
Engineering and Computer Science, UCB Department
of Radiology, UCSF.
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Concepts of This Presentation
Health care improvements which require better
engineering and in some cases new engineering in
the area of monitoring
How wireless interfaces can simplify hospital and
home care (e.g., pO2, apnea)
What current engineering can do to assist the
care-giver
What near future nano-technology might do
If we could do everything or anything, what would
we do -- for infants, for home care?
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Biomonitoring
Three areas of development
Medical Alert Network
(No reliable user-friendly system)
Falls Cardiac arrest Trauma Missing persons
Personal Health Status
(Innovations needed)
Bio MEMS Devices
Home Care System
(Major contemporary industry)
Medication and Physiologic Status
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Forces for Home Telecare
Patient-centered focus of eHealth Wellness
promotion as part of healthcare continuum which
includes illness treatment Aging population
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Development of a Home Telecare System
Laurie Wilson PhD Robert Gill PhD
CSIRO Telecommunications and Industrial Physics
Sydney, Australia
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Hospital Without Walls
Daily on-line measurements
Video-conferencing
Activity monitor
Visiting nurse
Alerts
On-line call centre
Vital signs monitoring
Distributed, electronic record
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Current Epidemic of RSV
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Wireless Technology
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Sleep Apnea Monitoring
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Sleep Apnea Monitoring Wireless Technology
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Wireless Breathing Sensor
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PROBLEM What Wireless Networks?
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Enabling Technologies
SWAP
30 meter range
2.4 GHz
Bluetooth
Your home computer to appliance network
2.4 GHz
HIPERLAN
5.15-5.25 GHz
Kilometer range power requirements
Europe
Ultra Wideband (UWB)
Kilometer range, low power, low cost. FCC is a
partial barrier
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Contemporary Activities by Others
DOD DARPA NSF Emil Jovanov (Univ of
Alabama) Laurie Wilson (CSIRO, Australia) Agilent
Technologies Siemens AG Ambulatory Monitoring
Inc. Digital Angel e Worldtrack
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Acknowledgements
Support by CITRIS (California) BER of DOE NIH Dr.
Kathleen Brennan Dr. Jonathan Maltz