Non-invasive Blood Glucose Monitoring

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Capability study Mobile Health at NIBEC

• Philip Catherwood (B.Eng.(Hons), MSc, PGCFHE).

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• m-Health has the potential to revolutionise
  affordable healthcare delivery by alleviating the
  systemic pressures on the healthcare industry
• http//connectedplanetonline.com

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Why m-health promises to be a winning solution

• Low network maintenance
• Remote monitoring in rural areas
• Phones are always on, computers are not
• Carrying a Phone/Tablet is part of a modern
  lifestyle
• Using a small portable multi-communication
  computing device is convenient, economical,
  practical and personal

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m-health as a developing world solution

• Examples of m-health initiatives Argentina,
  Botswana, China, Guatemala, India, Indonesia,
  Kenya, Mozambique, Nigeria, Pakistan, Peru,
  Philippines, Rwanda, South Africa, Tanzania,
  Uganda, Zambia
• Issues include
• Dealing with epidemics and a shortage of
  healthcare workers
• Largest killer diseases - malaria and AIDS
• Opportunities
• explosive growth of mobile communications over
  the past decade offers a new hope for the
  promotion of quality healthcare
• Phones offer a management platform for
  administration and monitoring of anti-retroviral
  treatment programs
• Foundations to address the developing worlds
  health crisis set up by such philanthropists as
  Bill Gates

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m-health goals

• Develop patient-centered healthcare delivery
• Increased self-management of illness
• Alleviate the systemic pressures on the
  healthcare industry
• Reduced number of hospital beds occupied
• Remote monitoring and smart diagnosis
• Improved disease management
• Improved compliance with treatment regimes

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m-health at NIBEC

• Path of development includes
• Select the wireless technology (e.g. Bluetooth,
  Wi-Fi, ZigBee).
• For telemetry solutions, connect Bluetooth (e.g.
  EBWT12-A), Wi-Fi (e.g. WiFly GSX 802.11b/g), ANT
  Ultra Low Power Wireless (e.g. Nordic
  Semiconductors) and/or ZigBee (e.g. CC2530ZDK) to
  microcontroller evaluation board or prototype
  device.
• For stand-alone solutions, choose suitable target
  smartphone and install necessary memory storage
  to meet the needs of the activity.
• Develop specification for the data capture,
  graphical user interface, plug-in hardware and
  back-end network topology.
• Design and test software to meet the
  specification.
• Trial m-health solution based on quality of
  service requirements, customer specification and
  end-user ergonomics.

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Phones

• We use a number of development phones
• Those running Microsoft Windows Mobile for Pocket
  PC 2003
• T-mobile MDA PH20B PocketPC
• HP iPAQ H5550 PocketPC
• Dell Axim X50 PocketPC
• -The above have SD slots, Bluetooth, IEEE802.11b,
  CPU Intel PXA263 400MHz, RAM 128MB.
• Those running Microsoft Windows Mobile for 6.5
  Professional
• HTC HD2 T8585 Smartphone
• -The above has SD slots, Bluetooth,
  IEEE802.11b/g, GPS, CPU Qualcomm QSD8250 GHz,
  RAM 578MB.

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Tablet PCs

• Latest developments in computing technology have
  allowed clinicians to have the processing power
  of a desktop PC in a handheld mobile device.
• Platform boasts Bluetooth, Wi-Fi LAN
  connectivity. Next generation will include 4G
  networking for synchronised rural roaming.

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Available wireless technology for m-health
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Bluetooth mobile Labview
Bluetooth mobile Labview
Protocol stack design
Bluetooth
Radio module telemetry solution
Wi-Fi mobile Labview
Wi-Fi
TCP/IP connectivity design
Wi-Fi mobile Labview
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Programming GUI

• There are a number of ways to program phones
  Tablets
• Windows mobile SDK (.NET using Visual C)
  professional programming activities for Windows
  mobile suite to generate commercial products
• Java mobile SDK (Java code, converted to JVM
  sitting on Linux kernel) professional
  programming activities for Android mobile OS to
  generate commercial products
• Labview (G-programming) rapid prototyping of
  concepts

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Develop GUI in National Instruments LabVIEW
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Examples of past,current and future projects
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Past ECG onto portable device

• Modify and test embedded software on the hardware
  platform (add communication protocol).
• Alter the LabVIEW code (serial port information
  and wireless technology-specific protocols).
• Re-configure the LabVIEW code for the
  implementation of National Instruments LabVIEW
  Mobile 2009.
• Execute new software on mobile device and test
  functional operation.

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Current Smartphone Point of care device
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Current Smartphone/Ambulatory patient
monitoring device integration
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Future Many projects planned. A small selection
include

• Developing world solutions
• (HIV testing, data collection, mobile medical
  centre devices, etc).

• Future Point of Care devices (Glucose monitoring,
  Asthma monitoring, etc).

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Continua Certification

• Growing Continua Alliance membership, with a
  focus on mobile communication for medicine.
• Increased integration due to wireless medical
  standardisation.

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Quality of Service and network integration(clinic
al trials)

• m-health solutions must provide a robust
  always-up service. When the wireless connection
  is not available, the onboard memory must record
  and store the vital medical data and forward it
  at a time when connectivity is restored.
• m-health solutions must be suitably flexible to
  be integrate with current hospital technologies.