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FROM YOUR HOME TO THE WAITING ROOM
Technology’s New Role in Healthcare
Hello!

Melissa Tait | VP Technology

Better Health: Everyone’s Responsibility

Dagmara Scalise | AVP
Healthcare Practice ...
Who is Primacy?
 Full-service digital agency
 Interactive focus for 16+ years
Digital experts who help companies succeed...
Healthcare Experience and Expertise
Healthcare is a Key Practice Area

 Broad discipline: providers, insurers and
health ...
EMERGING TECHNOLOGIES
IN HEALTH CARE

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What’s Impacting Health Care?
Search

Wearable & Embedded Technologies

Big Data

Wellness Apps

Indoor Mapping

Mood Dete...
80 Million
Wearable wireless sensors for
fitness and wellbeing by 2016.

Adoption is driven by device availability & new s...
15 million

Today, there are
users of appenabled mHealth and mobile-fitness hardware
devices.

By 2018, it’ll be

96 milli...
23,728 HEALTHCARE & FITNESS APPS
19,484 MEDICAL APPS

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Connected Healthcare

60%
61

75

2011

Of users who own a tablet, smartphone,
and a desktop/laptop, access health
informa...
People use their mobile devices to
research hospitals while . . .

23%
16%

Doctor’s
office

61%

27%

20%

Out of
town

B...
It’s Not Just Consumers. Mobile is in the
Hospital
Hospitals are adopting mobile devices for a variety of reasons:

 Mean...
SEARCH & MOBILE SEARCH

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What is it?
User-directed research via
Google, Bing or other search engines

Search & Mobile
Search

Pros
Enhances learnin...
Search Has Been Game Changing

i’m looking for a doctor

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Not Only Is Frequency On The Rise
+20% y/y

2009

2011

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2013

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But Key Decisions Are Made Online
%

of online consumers say online information or tools have influenced their
choice of h...
Are People Really Using Their Phones
for Health Care?

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Health Care Is Top Mobile Category

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Smart Phones in the
Exam Room
80%
70%

Percentage of health care
providers who use smart
phones during patient
consultatio...
What Does This Mean?


Health care is no longer limited to the physician’s office – consumers are
connected nearly everyw...
Expect a Changing
Landscape.
Groundbreaking insights powered by big data.

Improved patient experiences using mobile
devic...
BIG DATA

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What is it?
Large-scale data collection and
analysis

Big Data

Pros
Patterns can provide insights about
health care consu...
TREATO

Treato is a consumeroriented website that
aggregates patient
experiences from the internet
and organizes them into...
HADOOP

Hadoop is a software that
makes large scale computing
and data analysis affordable.
In use by hospitals such as
Mo...
MOBILE DIAGNOSTICS

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What is it?
Mobile phones are enabling selfdiagnostics, enabling patients to
identify & manage health

Mobile Diagnostics
...
EYE EXAMS
Netra-G is a device
created by EyeNetra that
attaches to a smartphone
and enables patients to
perform their own ...
HEART MONITORING
The device snaps onto your iPhone and wirelessly communicates between the app
and your phone. Resting you...
EAR VIEW
Cellscope converts your
phone into a connected
digital otoscope. It
utilizes an attachment
and the phone camera t...
GLUCOSE MANAGEMENT
A blood glucose meter that can be
used on its own or connected to an
iPhone to manage and communicate
y...
VITAL STATISTICS & TESTING

Used in conjunction, the Scanadu Tricorder is a small, handheld device that can
measure vital ...
TERAHERTZ IMAGING
Researchers at UT Dallas
have designed an imager
chip that could turn mobile
phones into devices that
co...
NEAR FIELD COMMUNICATION (NFC)

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What is it?
Wireless communication between a
chip and devices that support NFC

Near Field
Communication
(NFC)

Pros
Utili...
PATIENT IDENTIFICATION VIA NFC
Merchant360, Health Portal
Solutions, & CliniCard
created a patient id &
payment system usi...
NFC HEART MONITORING
RhythmTrak is a handheld electrocardiogram device to track patients’
cardiovascular health at home an...
AMS NFC FOR MEDICAL IMPLANTS

AMS unveiled a sensor-enabled NFC tag that could be used in a sub-dermal
implant, enabling d...
INDOOR MAPPING

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Indoor Mapping

What is it?
Cartography of indoor institutions
using a variety of technologies
including
WiFi, Bluetooth/B...
GOOGLE INDOOR MAPS
Google uses WiFi and floor plans to create indoor mapping solutions for
Android and iOS apps. They now ...
HERE
Microsoft partnered with then
acquired Nokia to consolidate
the features and data of Bing
Maps with Nokia’s indoor
ma...
IBEACON

iBeacons is a Bluetooth-based location positioning system that can identify the general
area a user is in. iPhone...
ESTIMOTE
Estimote offers BLE beacons with an SDK for custom app development.
Apple, Google and Microsoft/Nokia have recent...
BYTELIGHT
A Boston startup that is harnessing LED lighting to detect location. LED lights
broadcast unique signals which c...
M2M: MACHINE TO MACHINE

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M2M:
Machine to
Machine

What is it?
M2M uses a device (sensor or meter)
to capture an event
(temperature, inventory), whi...
M2M: RFID IN HOSPITALS

Colchester General Hospital in Essex, England, announced it is using real time
location-tracking t...
M2M: DIGITAL X-RAYS IN THE ER

With digital radiology, X-rays can appear instantly on a computer
screen, resulting in staf...
CONNECTED FROM WITHIN
Novartis created "Smart Pills" that can wirelessly transmit data to a patch and from there
to a smar...
CONNECTED CARE SERVICE

CareLink Express Service is a new patient monitoring system which can communicate with
implanted c...
IKNIFE

Instead of sending tissue to a lab and waiting 30 minutes before resuming
surgery, surgeons hope the iKnife will l...
WEARABLE & EMBEDDED DEVICES

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Wearable &
Embedded
Devices

What is it?
A device that users wear to record
personal information and transmit it to
an app...
FITNESS BANDS
Jawbone Up, Fitbit Flex and Nike Fuelband all track your movement and sleep
patterns to promote a healthier ...
JAWBONE’S UP
Jawbone analyzes the data collected to provide predictive and
personalized recommendations for healthier livi...
GOOGLE GLASS
One doctor created a Google Glass CPR App. A user wearing the glasses
can initiate the app by saying, ―Ok Gla...
GOOGLE GLASS
Rafael Grossmann is a
surgeon and Google
Explorer. He streamed a
surgery in a real-time to
Google Hangout.
He...
AR CONTACT LENSES
Innovega prototyped and are
trialing their iOptik AR
contact lenses.
Pentagon officials have
reportedly ...
BIOSENSOR TATTOOS

MC10 designed a microchip that can now be printed directly on the skin. The bond to the
health sensor i...
WELLNESS APPS

MyNetDiary

MealSnap

MyPlate Livestrong

MyFitnessPal

Better Health: Everyone’s Responsibility

Nike+

th...
What is it?
A set of applications to enable users
to proactively track and manage
their health

Wellness Apps &
Digital Ex...
HUMAN

Aiming to make people ―healthier and happier,‖ Human launch iOS app to help users
track their outdoor activities an...
The Journal of Better
Medical Research ran a
study where adults used
Twitter to capture food
consumption & diet
behavior. ...
BEDDIT SLEEP TRACKER

The Beddit sleep and wellness device tracks your heart
rate, breathing, snoring, movements, environm...
FACIAL RECOGNITION & DIGITAL MOOD DETECTION

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Facial Recognition
& Digital Mood
Detection

What is it?
The study and development of systems
and devices that can
recogni...
MOOD DETECTION

Microsoft registered a patent for ―a computer-implemented method to determine
emotional states of users th...
GESTURE RECOGNITION

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Gesture
Recognition:
Kinect Effect

What is it?
Kinect is being used in creative new ways
– from using the skeletal sensor...
KINECT IN SURGERY

Sunnybrook Hospital utilizes Kinect cameras to control MRI, CAT & CT
scan imagery during surgery.
Tedes...
LEAP MOTION

Leap Motion’s gesture-tracking system is more powerful, more
accurate, smaller and cheaper than Kinect. It us...
3D PRINTING & BIO-PRINTING

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What is it?
Process of layering materials –
resin, glass, metals, cell tissue – into
objects defined by a digital model

3...
CHILDREN’S NATIONAL MEDICAL CENTER
A 3D printer uses data
from individual patients
to replicate the organs
of those
indivi...
3D BIO-PRINTING
Bioprinting technology will allow doctors and scientists to print synthetic tissue and
entire human organs...
3D BIO-PRINTING: KIDNEY

In China, researchers printed a miniature 3D kidney which can live up to
four months and can func...
QUESTIONS AND DISCUSSION

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THANK YOU

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Technology's New Role in Healthcare

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From your home to the waiting room, today’s patient experience is rapidly evolving and will continue changing into the future. We have more control and insight into healthcare than ever before, largely due to emerging and readily accessible technologies. This is impacting both the experience at the provider’s office and how patients research and address their own healthcare at home. A look at the technologies that are changing healthcare and practical applications for consumers to take charge of their health today. This presentation was originally given at the 2013 Better Health: Everyone's Responsibility Conference.

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  • Intro/Set-up to today’s environment/landscape/lay of the landtechnologies changing healthappswellness, medication management, chronic care mgmt (patient side), exercisewearable technologies (fitbit, watches) – Google glass (augmented CPR), eye testsremote care, robot docs, phone monitoringingested/embedded  information (tattoo, pills, stickers or tags)EHRs/patient portals (ability to email docs, ability see lab, radiology and other test results) mobile patients experiences (e.gwayfinding, others to improve the onsite experience; help care provders better coordinate care, etc.)connected devices (machine to machine)data collection??  - changing healthcare product marketing3d bioprintingscanadupractical applicationsFuture outlook/inspirations from other countriesmhealth initiatives (track, detect tests using mobile)textingGoogle flu trackeradvanced care planning websites (the conversationproject.org)find out if our doctor or hospitals an electronic health record, patient portals
  • http://www.fiercemobilehealthcare.com/story/fitness-mhealth-device-users-reach-nearly-100m-2018/2013-09-17A report from Juniper Research forecasts that over the next five years there will be 96 million users of app-enabled mHealth and mobile-fitness hardware devices, up from 15 million in 2013, according to an announcement from the research firm.The report projects that the mFitness sector, which will experience the strongest growth in the short and medium term, will lead the way "driven by a motivated target market, an increasing demand for lifestyle consumer applications and a diversifying array of attachments." Though app-enabled mFitness will "reach maturity much more quickly than smartphone-based mHealth," it represents a "much smaller market in terms of both users and revenues," states the announcement."As mobile fitness devices become more widespread, they will pave the way for more critical mHealth services delivered through the smartphone," the report's author Anthony Cox writes in a statement. "While mHealth and mobile fitness are two discrete markets--with divergent audiences--increased usage of the former will stimulate wider awareness of the latter."Read more: Fitness, mHealth device users to reach nearly 100M by 2018  - FierceMobileHealthcare http://www.fiercemobilehealthcare.com/story/fitness-mhealth-device-users-reach-nearly-100m-2018/2013-09-17#ixzz2fAxrnHOi Subscribe at FierceMobileHealthcare
  • http://www.connectedworldmag.com/latestNews.aspx?id=NEWS121003085552353&utm_medium=referral&utm_source=pulsenews
  • Source: Pew Internet Life: Health 2012. 2012 Google/Compete Hospital Study.; Google Presentation March 2013Increasingly use multiple devices Sequential (start activity on one device, complete on another)Simultaneous ( multi-tasking and complementary uses)
  •  Using time-motion analysis around clinical workflow tied roughly to various labor costs – our CIO arrived at an interesting dilemma. In fairness, the study was far from scientific, but the ROI was so low – 9 days – that it ran the very real risk of being unbelievable to the Board. Still, that was what the data showed so that is what the CIO presented. The risk was limited by the simple fact that even if he was wrong – by even a huge margin of 100%, 200% or 300% or more – it still made for a relatively easy and compelling business decision.
  • See more at: http://manhattanresearch.com/News-and-Events/Press-Releases/consumers-internet-health-services#sthash.K7uUOzdf.dpufchoicesSee more at: http://manhattanresearch.com/News-and-Events/Press-Releases/consumers-internet-health-services#sthash.K7uUOzdf.dpuf Top online condition groups said online health information and tools influence decision to select healthcare providers or services:Angina (72%)ADD/ADHD (70%)Crohn’s Disease (69%)Fibromyalgia (68%)Insomnia (68%)HIV/AIDS (68%)Rheumatoid Arthritis (68%)Acne (66%)Bipolar Disorder (66%)Epilepsy (66%)Skin Cancer (66%)Hepatitis C (66%)
  • 7 billion mobile searches in 2012
  • Leverage mobile more at point of care: PAs, APRNs and RNs use smartphones more often than physicians during patient consultations. o    Use smartphone during patient consultation: 1.    74% of PAs 2.    67% of RNs 3.    60% of APRNs 4.    40% of physicians* - See more at: http://manhattanresearch.com/News-and-Events/Press-Releases/key-differences-nurses-physicians#sthash.7MwXJkvn.dpufSource: Manhattan Research, “Taking the Pulse Nurses” as cited in press release, July 23, 2012.
  • Women have embraced mHealthSource: Kaiser Family Foundation report, 2012, Pew internet and American Life Project, Mobile Health 2012.44% of US women have a smartphone23% have downloaded a health app33%access health information by phone.Compared to 16% just two years earlier.Source: Kaiser Family Foundation report, 2012, Pew internet and American Life Project, Mobile Health 2012.
  • Cutting Regular Expenses – BillShrinkManaging Money – 22seven, mint.comLiving Healthier – Jawbone’s UP, LarklifeConsumers will increasingly come to expect a customized digital experience.
  • Treato.com is a consumer-oriented website that aggregates patient experiences from the internet and organizes them into usable insights for patients, physicians, and other healthcare professionals. This is a big deal because crawling the entire web for medicines, symptoms, side effects, and other health-related user generated content is difficult not only due to the sheer size of the web, but Treato also needs to process colloquial language combined with medical terminology and translate that into a “single version of truth.” Treato has aggregated and analyzed more than 1.1 billion online posts about over 11,000 medications and over 13,000 conditions from thousands of English language websites. The system can currently process 150-200 million user posts per day.with advanced Natural Language Processing (NLP), extracts relevant information, connects the dots and creates the big picture of what people say about their medications and conditions.Read more: http://www.crunchbase.com/company/treato#ixzz2ezNE351S Follow us: @crunchbase on Twitter | crunchbase on Facebook
  • http://siliconangle.com/blog/2013/06/27/leveraging-hadoop-to-advance-healthcare-research-childrens-hospital-use-case-hadoopsummit/http://www.cloudera.com/content/cloudera/en/about/press-center/press-releases/release.html?ReleaseID=1747809Mount Sinai School of Medicine has partnered with Cloudera’s own Jeff Hammerbacher to apply Big Data to better predict and understand disease processes and treatments. The Mount Sinai School of Medicine is a top medical school in the US, noted for innovation in biomedical research, clinical care delivery, and community services. With Cloudera’s Big Data technology and Jeff’s data science expertise, Mount Sinai is better equipped to develop solutions designed for high-performance, scalable data analysis and multi-scale measurements. For example, medical research and discovery areas in genotype, gene expression and organ health will benefit from these Big Data applications.The benefit to using Hadoop is scaling.  If you have a single data table containing many terabytes of data, Hadoop might be a good option for full table scans.  If you don’t have such a table, many developers suggest to avoid it as you can get results with less effort in less time with traditional methods.  It’s made for truly large datasets. http://www.chrisstucchio.com/blog/2013/hadoop_hatred.html
  • Euan Thomson, a partner at Khosla Ventures, says of all the challenges mobile-health companies must face, the most difficult “is going to be that act of diagnosis by the doc.” In the U.S., doctors usually don’t get paid unless they see a patient. “Payments are all based on patient visits,” he says. “Yet much of mobile health is around avoiding the need for patients to go in to the doctor.”“What’s at the center of all this is the information, not the device,” says Thomson. The debate will be over who gets to interpret that information.
  • http://eyenetra.com/EyeNetra, based outside Boston, has been testing its device in India, where it may prove easier to find a market. In India, about 133 million people are blind or can’t see well because they don’t have access to eye exams or glasses. What’s more, optometry isn’t regulated as heavily there as it is in the U.S.Pamplona invented the Netra while studying in an MIT lab specializing in computational photography. That technology uses computers to bend the limits of traditional photography—it’s led to cameras that that see around corners or that can focus at every distance, all at once (see “Light-Field Photography”).The prototype device he developed to measure how well your eye focuses light consists of a viewer that a user places against a smartphone screen. Spinning a dial yourself, you align green and red lines. From the difference between what you see and the actual location of the lines, an app calculates the focusing error of your eyes. It’s like a thermometer for vision.Using the device, a person might figure out his or her prescription and then, from the very same app, order glasses from an online store like Warby Parker. The price of an eye exam and a new prescription can run from $50 to $150. Optometrists also make money selling glasses.
  • http://www.alivecor.com/AliveCor.com provides you with anytime, anywhere, fully secure, HIPAA-compliant online access to all of your ECGs.In clinical trials, the AliveCor Heart Monitor demonstrated clinical efficacy. The Heart Monitor is an ideal tool for quick, accurate screening and recording.$199
  • https://www.cellscope.com/Clinicians use our system to capture and share images with patients and colleagues, enabling them access to a powerful engagement tool, and allowing them to track changes over time, integrate with their digital records, and better both the quality and consistency of care.This viewing tool that allows health professional students and residents to share diagnostic-quality images taken from the same perspective and collaborate in new ways
  • http://www.ibgstar.us/what-is-ibgstar.aspx
  • http://www.scanadu.com/
  • http://www.popsci.com/technology/article/2012-04/terahertz-band-cell-phones-could-send-faster-texts-and-see-through-wallshttp://www.laserfocusworld.com/articles/2012/04/thz-microchip-ut-dallas.html
  • WPG Americas and Identive Group have joined forces to develop an NFC solution that enables data from medical imaging devices, such as x-rays, to be transferred wirelessly to multiple exam room monitors throughout a health care provider’s office.
  • http://nfcme.com/patientid-speeds-up-medical-administration-process-with-nfc/Merchant360 formed an alliance with Health Portal Solutions/TPA Benefits and The CliniCard to develop PatientID+, which is designed to speed up patient identification and payment processing.  PatientID+ will use near-field communication technology to allow healthcare providers to verify a patient’s identity, check his or her health care eligibility, and process payments when he or she first arrives at a hospital or clinic.
  • http://www.impakhealth.com/cardiovascular-health
  • http://www.nfcworld.com/2013/09/03/325679/ams-develops-nfc-chip-medical-implants/Expect to see in a few months time
  • http://www.wifarer.com/http://www.micello.com/http://aisle411.com/http://mapeverywhere.com/
  • Google begun mappinghospitals.The following have Google’s indoor mapping: Georgetown Memorial HospitalMayo Clinic - ScottsdaleUniversity of Kansas Medical Centerhttps://support.google.com/gmm/answer/1685827?hl=en
  • Navteq Maps currently powers BMW, Ford and others.Also power Facebook & Amazon
  • http://estimote.com/
  • Video - http://youtu.be/Z3EnHi591Hs
  • IMS Research points out 75% of the devices forecast by 2012 are what it considers “existing connected devices,” meaning they are in categories such as fixed and mobile communications, computers, and consumer electronics. But the research firm also says these segments are projected to account for just half of the total installed base by 2020, predicting Internet connectivity will become more common in fields including medical, industrial, and automotive.
  • http://medcitynews.com/2012/07/fda-clears-first-smart-pill-that-senses-when-its-been-taken/
  • http://connectedworldmag.com/latestNews.aspx?id=NEWS120819210418523
  • http://news.cnet.com/8301-11386_3-57594417-76/intelligent-iknife-diagnoses-cancer-midsurgery/?part=rss&tag=feed&subj=News-CuttingEdge in the journal Science Translational Medicine, the researchers took the knife to the operating theater to perform actual analysis during surgery. In the 91 tests it underwent, the iKnife correctly identified the tissue type every single time."In cancer surgery, you want to take out as little healthy tissue as possible, but you have to ensure that you remove all of the cancer," added AraDarzi, professor of surgery and co-author of the study. "There is a real need for technology that can help the surgeon determine which tissue to cut out and which to leave in. This study shows that the iKnife has the potential to do this, and the impact on cancer surgery could be enormous."
  • http://mashable.com/2013/05/17/instabeat-google-glass-swimmers/
  • http://arstechnica.com/gadgets/2013/07/the-great-fitness-band-shootout/
  • https://jawbone.com/up**THIS ALSO FALLS UNDER WEARABLE DEVICES**
  • http://www.forbes.com/sites/johnnosta/2013/06/21/google-glass-in-the-operating-room/http://www.forbes.com/sites/johnnosta/2013/06/27/google-glass-teach-me-medicine-how-glass-is-helping-change-medical-education/http://geekdoctor.blogspot.com/2013/07/the-healthcare-it-applications-of.html
  • http://www.redorbit.com/news/technology/1112513735/darpa-orders-prototype-ar-contact-lenses/http://www.connectedworldmag.com/latestNews.aspx?id=NEWS130806121524480&utm_medium=referral&utm_source=pulsenewshttp://www.theverge.com/2013/1/10/3863550/innovega-augmented-reality-glasses-contacts-hands-on
  • http://mashable.com/2013/03/12/mc10-health-sensors-second-skin/http://gigaom.com/2013/07/16/biosensor-tattoo-monitors-sweat-to-gauge-physical-exertion/?utm_medium=referral&utm_source=pulsenews
  • http://haute31.com/2013/01/07/weight-loss-tool-box-top-food-journal-apps/
  • http://thenextweb.com/apps/2013/09/03/fitness-app-human-emerges-from-stealth-with-its-ios-app-to-get-you-moving-at-least-30-minutes-a-day/?utm_medium=referral&utm_source=pulsenews
  •  total of 773 tweets and 2,682 hashtags were recorded. The most frequently reported food groups were #grains (365 tweets), protein (307), and #dairy (221). The most frequently cited reasons for eating were #convenience (173), #taste (146), and #social (122). The journal intends to use this data in the designing of future studies. http://www.connectedworldmag.com/latestNews.aspx?id=NEWS130827130910540&utm_medium=referral&utm_source=pulsenews
  • http://mashable.com/2013/08/28/beddit-sleep-tracker/
  • Kinect was launched for video gaming. Now the world Tedesys is in SpainSunnybrook is in Toronto
  • KinectNuAds: http://www.nbcnews.com/technology/ingame/kinect-lets-you-interact-ads-may-spy-your-mood-828447Immersive Labs: http://www.immersivelabs.com/Intel & Microsoft: http://www.youtube.com/watch?v=8Fet9Dbcy7kIntel’s Prototype:Combines a translucent holographic overlay display next to a more traditional LCD screen, allowing for different types of interactive content to be delivered on the different screens. Demo shows contextual information on the holographic display, overlaid onto the physical items that are visible through the glassLCD screens on both sides, allowing the unit to support up to three simultaneous users Relies heavily on gesture more than on touch, allowing customers to use a swipe gesture to scroll through the available advertisements or digital media Use embedded cameras in order to both customize the experience and capture analytics for future analysis Cameras recognize gender and approximate age, so the content on the LCDs can be targeted to the customer
  • Kinect was launched for video gaming. Now the world Tedesys is in SpainSunnybrook is in Toronto
  • Sunnybrook video demo: http://www.youtube.com/watch?v=f5Ep3oqicVUTedesys video demo: http://www.youtube.com/watch?v=ZEQcOydY2k8
  • http://www.youtube.com/watch?v=N6hCwjwzUHgSimple patient portals and health records with easy to tap data reviewAccess to information while in sterile situations. Think the nurse who is completing a procedure and needs to view some quick information.Interactive educational games for students to teach anatomy (there already is one app for this in Airstrip)Educational games for patients and pediatric patients making learning new ways of caring for health fun3D interactions in teaching workflow and processSimulated health situations used to teach various techniques. Think about teaching how to place an IV in a simulated environment.
  • A cross-section of Organovo's 3D bio-printed liver tissue
  • http://arstechnica.com/science/2013/08/living-3d-printed-cyborg-ear-promising-but-eww/http://www.technologyreview.com/news/516861/a-manufacturing-tool-builds-3-d-heart-tissue/?ref=rss&utm_medium=referral&utm_source=pulsenews
  • http://www.smh.com.au/technology/sci-tech/lifesaving-heart-surgery-explores-a-new-dimension-20130515-2jltv.html"Congenital heart disease is so structural," Olivieri said. "On some level, you can predict what a physiology is by looking at [a patient's] anatomy. So a picture can predict how sick or how well a patient can be. That makes congenital heart disease one of the perfect applications for 3-D printing.“To help prep a surgeon who needed to close the hole in an infant's heart, Axel Krieger, a biomedical robotic expert at the centre, created a model that used a mix of hard and soft plastics so the replica would feel like a real heart.
  • Near-term usage could be for heart valves and cells applied directly to burn wounds.TED Talk – Anthony Atala: Printing a human kidney, http://www.ted.com/talks/anthony_atala_printing_a_human_kidney.html Skull Bio Printing: http://www.engadget.com/2013/03/08/75-percent-of-skull-replaced-3d-printed-prosthetic/http://www.fastcoexist.com/3016074/a-tiny-living-3-d-printed-kidney-is-growing-in-china?partner=rss&utm_medium=referral&utm_source=pulsenews3D printed lung splint saves baby: http://mashable.com/2013/09/05/3d-printing-healthcare/
  • http://www.fastcoexist.com/3016074/a-tiny-living-3-d-printed-kidney-is-growing-in-china?partner=rss&utm_medium=referral&utm_source=pulsenews
  • Transcript of "Technology's New Role in Healthcare"

    1. 1. FROM YOUR HOME TO THE WAITING ROOM Technology’s New Role in Healthcare
    2. 2. Hello! Melissa Tait | VP Technology Better Health: Everyone’s Responsibility Dagmara Scalise | AVP Healthcare Practice Lead theprimacy.com 2
    3. 3. Who is Primacy?  Full-service digital agency  Interactive focus for 16+ years Digital experts who help companies succeed online  Independently-owned  90+ employees in CT, Boston and NYC  Healthcare is a key practice area Better Health: Everyone’s Responsibility theprimacy.com 3
    4. 4. Healthcare Experience and Expertise Healthcare is a Key Practice Area  Broad discipline: providers, insurers and health & wellness organizations       Consumer-facing patient portals Website and intranet redesigns Custom mobile and responsive solutions Service line campaigns Digital marketing and analytics Cross industry know-how Better Health: Everyone’s Responsibility theprimacy.com 4
    5. 5. EMERGING TECHNOLOGIES IN HEALTH CARE Better Health: Everyone’s Responsibility theprimacy.com 5
    6. 6. What’s Impacting Health Care? Search Wearable & Embedded Technologies Big Data Wellness Apps Indoor Mapping Mood Detection Near Field Communication Gesture Recognition Mobile Diagnostics 3d Printing & Bio-printing Connected Devices/M2M Better Health: Everyone’s Responsibility theprimacy.com 6
    7. 7. 80 Million Wearable wireless sensors for fitness and wellbeing by 2016. Adoption is driven by device availability & new social patterns that encourage people to record and share fitness data Better Health: Everyone’s Responsibility theprimacy.com 7
    8. 8. 15 million Today, there are users of appenabled mHealth and mobile-fitness hardware devices. By 2018, it’ll be 96 million Better Health: Everyone’s Responsibility theprimacy.com 8
    9. 9. 23,728 HEALTHCARE & FITNESS APPS 19,484 MEDICAL APPS Better Health: Everyone’s Responsibility theprimacy.com 9
    10. 10. Connected Healthcare 60% 61 75 2011 Of users who own a tablet, smartphone, and a desktop/laptop, access health information on all three devices 2012 U.S. adults using mobile phones for health info & tools grew from 61 million in 2011 to 75 million in 2012 Patients and doctors are turning to a variety of products to aid in diagnosis, recovery, and preventive care Better Health: Everyone’s Responsibility theprimacy.com 10
    11. 11. People use their mobile devices to research hospitals while . . . 23% 16% Doctor’s office 61% 27% 20% Out of town Better Health: Everyone’s Responsibility Visiting friends/ family at home At work At home theprimacy.com 11
    12. 12. It’s Not Just Consumers. Mobile is in the Hospital Hospitals are adopting mobile devices for a variety of reasons:  Meaningful Use  Physician Appetite  Consumer/Patient Appetite  ROI potential Better Health: Everyone’s Responsibility theprimacy.com 12
    13. 13. SEARCH & MOBILE SEARCH Better Health: Everyone’s Responsibility theprimacy.com 13
    14. 14. What is it? User-directed research via Google, Bing or other search engines Search & Mobile Search Pros Enhances learning, engages users to take a more active role in their health Cons Information overload, inability to discern between reliable and unreliable information, data capture Inspiration Ubiquity of internet access; growing proliferation of smart phones and tablets Better Health: Everyone’s Responsibility theprimacy.com 14
    15. 15. Search Has Been Game Changing i’m looking for a doctor Better Health: Everyone’s Responsibility theprimacy.com 15
    16. 16. Not Only Is Frequency On The Rise +20% y/y 2009 2011 Better Health: Everyone’s Responsibility 2013 theprimacy.com 16
    17. 17. But Key Decisions Are Made Online % of online consumers say online information or tools have influenced their choice of healthcare providers, treatments, and services % percent of online patients diagnosed with a chronic condition within the past three months (Q3 2012) said the Internet influenced their health choices 54 79 Better Health: Everyone’s Responsibility theprimacy.com 17
    18. 18. Are People Really Using Their Phones for Health Care? Better Health: Everyone’s Responsibility theprimacy.com 18
    19. 19. Health Care Is Top Mobile Category Better Health: Everyone’s Responsibility theprimacy.com 19
    20. 20. Smart Phones in the Exam Room 80% 70% Percentage of health care providers who use smart phones during patient consultations: 60% 50% 40% 30% 20% 10% 0% Physicians RNs APRNs Physcian Assistants Source: Manhattan Research, ―Taking the Pulse Nurses‖ as cited in press release, July 23, 2012. Better Health: Everyone’s Responsibility theprimacy.com 20
    21. 21. What Does This Mean?  Health care is no longer limited to the physician’s office – consumers are connected nearly everywhere they go  Providers have many new avenues for communication – Inspire, innovate, communicate  Being visible in search is extremely important – Create consumer-friendly content (text, videos, images)  Driving consumers to your site should be a priority Better Health: Everyone’s Responsibility theprimacy.com 21
    22. 22. Expect a Changing Landscape. Groundbreaking insights powered by big data. Improved patient experiences using mobile devices. New medical devices, treatments & diagnostics. Better Health: Everyone’s Responsibility theprimacy.com 22
    23. 23. BIG DATA Better Health: Everyone’s Responsibility theprimacy.com 23
    24. 24. What is it? Large-scale data collection and analysis Big Data Pros Patterns can provide insights about health care consumption, treatments; help providers predict diseases and find new treatments Cons Consumers feel it invades their privacy, worry about the impact of information sharing with insurers, employers, government Inspiration Treato; Hadoop Better Health: Everyone’s Responsibility theprimacy.com 24
    25. 25. TREATO Treato is a consumeroriented website that aggregates patient experiences from the internet and organizes them into usable insights for patients, physicians, and other healthcare professionals Crawls the web for healthrelated content and has aggregated and analyzed 1.1 billion+ online posts about over 11,000 medications and over 13,000 conditions from thousands of English language websites. Can currently process 150-200 million user posts per day. Better Health: Everyone’s Responsibility theprimacy.com 25
    26. 26. HADOOP Hadoop is a software that makes large scale computing and data analysis affordable. In use by hospitals such as Mount Sinai and Los Angeles Children’s Hospital, it allows researchers to access large amounts of data, including hospital patient data and data from around the world. Also used by private companies that develop new search capabilities for health care data. Researchers use the data to find data sets on medication, trials, etc. The software also provides realtime feedback and guidance for treatment to improve patient outcomes. Better Health: Everyone’s Responsibility theprimacy.com 26
    27. 27. MOBILE DIAGNOSTICS Better Health: Everyone’s Responsibility theprimacy.com 27
    28. 28. What is it? Mobile phones are enabling selfdiagnostics, enabling patients to identify & manage health Mobile Diagnostics Pros Gives patients the tools they need to assess their health at a low cost Brings health diagnostics & management to poverty nations and low-income patients Cons Patients may use the tools in lieu of doctors, risking an inaccurate diagnosis Inspiration EyeNetra, Cellscope, AliveCor, Quant tus, Scanadu, iBGStar Better Health: Everyone’s Responsibility theprimacy.com 28
    29. 29. EYE EXAMS Netra-G is a device created by EyeNetra that attaches to a smartphone and enables patients to perform their own eye test by measuring the refractive error of the eye – essentially replacing the autorefractor. Individuals can then use those measurements to purchase glasses and contact lenses. Better Health: Everyone’s Responsibility theprimacy.com 29
    30. 30. HEART MONITORING The device snaps onto your iPhone and wirelessly communicates between the app and your phone. Resting your fingers from each hand on the electrodes, the app recognizes skin contact and performs the ECG. While it records, it displays and saves your heartbeat. Better Health: Everyone’s Responsibility theprimacy.com 30
    31. 31. EAR VIEW Cellscope converts your phone into a connected digital otoscope. It utilizes an attachment and the phone camera to view inside an individual’s ear. Parents can view their child’s ear canal and eardrum, then share images & symptoms with their physician remotely. Better Health: Everyone’s Responsibility theprimacy.com 31
    32. 32. GLUCOSE MANAGEMENT A blood glucose meter that can be used on its own or connected to an iPhone to manage and communicate your diabetes information. The meter will automatically sync data with the Diabetes Manager app – tracking glucose, insulin and carbs while also charting glucose patterns over time. Better Health: Everyone’s Responsibility theprimacy.com 32
    33. 33. VITAL STATISTICS & TESTING Used in conjunction, the Scanadu Tricorder is a small, handheld device that can measure vital statistics such as blood pressure, pulmonary function and body temperature. An onboard hyper-spectral camera and microfluidic lab-on-a-chip would also be able to analyze rashes and infections as well as process blood & saliva samples. Better Health: Everyone’s Responsibility theprimacy.com 33
    34. 34. TERAHERTZ IMAGING Researchers at UT Dallas have designed an imager chip that could turn mobile phones into devices that could see through walls, wood, plastics, paper, t he body & other objects. They tapped into an unused range in the electromagnetic spectrum which characterizes wavelengths of energy and are utilizing a new microchip technology. Better Health: Everyone’s Responsibility theprimacy.com 34
    35. 35. NEAR FIELD COMMUNICATION (NFC) Better Health: Everyone’s Responsibility theprimacy.com 35
    36. 36. What is it? Wireless communication between a chip and devices that support NFC Near Field Communication (NFC) Pros Utilized for secure communications Cons Penetration is low & requires a device with an NFC reader and a native app Inspiration PatientID+, IMPAK, Google Better Health: Everyone’s Responsibility theprimacy.com 36
    37. 37. PATIENT IDENTIFICATION VIA NFC Merchant360, Health Portal Solutions, & CliniCard created a patient id & payment system using NFC. PatientID+ enables health care providers to quickly perform identity verification, eligibility screening, and payment at intake via their NFC-enabled card or phone. The patient enters a PIN to access and transmit the information to the provider, who then authenticates to access the information. Better Health: Everyone’s Responsibility theprimacy.com 37
    38. 38. NFC HEART MONITORING RhythmTrak is a handheld electrocardiogram device to track patients’ cardiovascular health at home and transmit the data to doctors via NFC enabled smartphones. Better Health: Everyone’s Responsibility theprimacy.com 38
    39. 39. AMS NFC FOR MEDICAL IMPLANTS AMS unveiled a sensor-enabled NFC tag that could be used in a sub-dermal implant, enabling diabetes sufferers to read their glucose levels at any time by simply holding an NFC phone to a tiny device implanted under their skin — and replacing the need for finger pricking and dedicated glucose monitoring devices. Better Health: Everyone’s Responsibility theprimacy.com 39
    40. 40. INDOOR MAPPING Better Health: Everyone’s Responsibility theprimacy.com 40
    41. 41. Indoor Mapping What is it? Cartography of indoor institutions using a variety of technologies including WiFi, Bluetooth/BLE, magnetic fields, light wavelength. Pros Race to deliver implementation for navigation and contextually-relevant content. Cons Technology & solutions are varied Native apps are required Inspiration Here, ByteLight, Google, Apple iBeacon, ConnectQuest, Estimote Better Health: Everyone’s Responsibility theprimacy.com 41
    42. 42. GOOGLE INDOOR MAPS Google uses WiFi and floor plans to create indoor mapping solutions for Android and iOS apps. They now provide a SDK for integration with iOS & Android apps. Better Health: Everyone’s Responsibility theprimacy.com 42
    43. 43. HERE Microsoft partnered with then acquired Nokia to consolidate the features and data of Bing Maps with Nokia’s indoor mapping technology. It currently is supported by the Windows 8 Phone. Claim they’re ready to give Google a run for their money… Better Health: Everyone’s Responsibility theprimacy.com 43
    44. 44. IBEACON iBeacons is a Bluetooth-based location positioning system that can identify the general area a user is in. iPhone 4S+ along many newer non-Apple devices support BLE. BLE has the potential to replace NFC. BLE is more reliable, easier to use, and supported by iOS devices. Possible applications: monitoring, administration, prevention, data transfer between patients and care givers – pretty much anything NFC can do but better. Better Health: Everyone’s Responsibility theprimacy.com 44
    45. 45. ESTIMOTE Estimote offers BLE beacons with an SDK for custom app development. Apple, Google and Microsoft/Nokia have recently announced native support of BLE with their latest mobile operating systems. Better Health: Everyone’s Responsibility theprimacy.com 45
    46. 46. BYTELIGHT A Boston startup that is harnessing LED lighting to detect location. LED lights broadcast unique signals which can be received by mobile device cameras and compute positioning within one meter of accuracy in less than a second. They also offer real-time analytics of usage for optimization. Better Health: Everyone’s Responsibility theprimacy.com 46
    47. 47. M2M: MACHINE TO MACHINE Better Health: Everyone’s Responsibility theprimacy.com 47
    48. 48. M2M: Machine to Machine What is it? M2M uses a device (sensor or meter) to capture an event (temperature, inventory), which is relayed through a network (wired, wireless) to an application that translates the event into meaningful information. Pros Enables efficiencies across our daily lives and digital experiences Cons Depends on one’s perspective… more connectivity throughout life may deter those who fear technology Better Health: Everyone’s Responsibility Inspiration Healthcare, Fitness, Education theprimacy.com 48
    49. 49. M2M: RFID IN HOSPITALS Colchester General Hospital in Essex, England, announced it is using real time location-tracking technology. With RFID (radio-frequency identification) tags affixed to various items such as wheelchairs, beds, cardiac monitors, etc., the staff can very quickly locate an item. Better Health: Everyone’s Responsibility theprimacy.com 49
    50. 50. M2M: DIGITAL X-RAYS IN THE ER With digital radiology, X-rays can appear instantly on a computer screen, resulting in staff no longer needing to manually download the information which saves time and reduces the backlog of patients. Better Health: Everyone’s Responsibility theprimacy.com 50
    51. 51. CONNECTED FROM WITHIN Novartis created "Smart Pills" that can wirelessly transmit data to a patch and from there to a smartphone or a doctor's computer. Sensors send a signal that is activated when the minerals interact with stomach acids. The signal is picked up by a microelectronic receiver worn by the patient. Information relayed directly to physicians and caregivers via text message, app or email. The pills are now FDA approved. Better Health: Everyone’s Responsibility theprimacy.com 51
    52. 52. CONNECTED CARE SERVICE CareLink Express Service is a new patient monitoring system which can communicate with implanted cardiac devices and distribute data to doctors and hospital’s EHR system. In pilot programs, hospitals were able to reduce patient wait times, allowing for quicker care. Better Health: Everyone’s Responsibility theprimacy.com 52
    53. 53. IKNIFE Instead of sending tissue to a lab and waiting 30 minutes before resuming surgery, surgeons hope the iKnife will let them know instantly whether something is malignant. Better Health: Everyone’s Responsibility theprimacy.com 53
    54. 54. WEARABLE & EMBEDDED DEVICES Better Health: Everyone’s Responsibility theprimacy.com 54
    55. 55. Wearable & Embedded Devices What is it? A device that users wear to record personal information and transmit it to an app for data management Pros Provides users with an ability to visualize and manage personal activities that aren’t normally digital Cons Embedded devices are so new that the effects may not be defined Inspiration Fitbit Flex, Jawbone UP, Nike Fuelband, Google Glass, BioSensor Tattoos Better Health: Everyone’s Responsibility theprimacy.com 55
    56. 56. FITNESS BANDS Jawbone Up, Fitbit Flex and Nike Fuelband all track your movement and sleep patterns to promote a healthier lifestyle. Users contribute additional data such as meals & moods. Data is transmitted to an app which helps you visualize and adjust your lifestyle. Better Health: Everyone’s Responsibility theprimacy.com 56
    57. 57. JAWBONE’S UP Jawbone analyzes the data collected to provide predictive and personalized recommendations for healthier living. Better Health: Everyone’s Responsibility theprimacy.com 57
    58. 58. GOOGLE GLASS One doctor created a Google Glass CPR App. A user wearing the glasses can initiate the app by saying, ―Ok Glass, CPR Glass.‖ From there, the app will walk through user through steps to identify the status of the victim and administer CPR. Better Health: Everyone’s Responsibility theprimacy.com 58
    59. 59. GOOGLE GLASS Rafael Grossmann is a surgeon and Google Explorer. He streamed a surgery in a real-time to Google Hangout. He emphasized patient safety and the importance of confidentiality, informed consent and no transmission of any patient identifying information. ―The entire procedure was unremarkable and Google Glass was unobtrusive and second nature‖ Better Health: Everyone’s Responsibility theprimacy.com 59
    60. 60. AR CONTACT LENSES Innovega prototyped and are trialing their iOptik AR contact lenses. Pentagon officials have reportedly ordered prototypes that provide a wide field of vision while also allowing individuals to focus both on a specific image and on their environment at the same time. 2014 is the target date for consumers. Better Health: Everyone’s Responsibility theprimacy.com 60
    61. 61. BIOSENSOR TATTOOS MC10 designed a microchip that can now be printed directly on the skin. The bond to the health sensor is formed with spray-on bandage material you might find in stores. It can detect things like the temperature of the wearer and hydration levels and can withstand activities like showering and swimming. The tiny mesh of circuits lasts on your skin for two weeks, until it's naturally exfoliated. Better Health: Everyone’s Responsibility theprimacy.com 61
    62. 62. WELLNESS APPS MyNetDiary MealSnap MyPlate Livestrong MyFitnessPal Better Health: Everyone’s Responsibility Nike+ theprimacy.com 62
    63. 63. What is it? A set of applications to enable users to proactively track and manage their health Wellness Apps & Digital Experiences Pros Raises awareness and fosters better health habits Cons You’re connected more frequently Inspiration Jawbone, Human, Journal of Better Medical Research, Beddit Better Health: Everyone’s Responsibility theprimacy.com 63
    64. 64. HUMAN Aiming to make people ―healthier and happier,‖ Human launch iOS app to help users track their outdoor activities and ensure they’re moving for 30 minutes or more. Rather than using a wearable device, the app tracks your movements with your mobile phone. It also incorporates Gamification to keep users engaged. Better Health: Everyone’s Responsibility theprimacy.com 64
    65. 65. The Journal of Better Medical Research ran a study where adults used Twitter to capture food consumption & diet behavior. Participants tweeted food and drink intake over three days with hashtags -#mood, #protein, #conve nience -- to convey foods & context. TWEETING BETTER HEALTH Better Health: Everyone’s Responsibility theprimacy.com 65
    66. 66. BEDDIT SLEEP TRACKER The Beddit sleep and wellness device tracks your heart rate, breathing, snoring, movements, environment and sleep patterns. The sensor tracks all your sleep information and transmits that data via Bluetooth to an iOS or Android smartphone. The mobile app will show the stats and will provide personalized coaching tips for improving sleep. Better Health: Everyone’s Responsibility theprimacy.com 66
    67. 67. FACIAL RECOGNITION & DIGITAL MOOD DETECTION Better Health: Everyone’s Responsibility theprimacy.com 67
    68. 68. Facial Recognition & Digital Mood Detection What is it? The study and development of systems and devices that can recognize, interpret, process, and simulate human affects. Digital experiences could then leverage facial & gesture recognition to display relevant content. Pros Contextual digital experiences and ads for increased conversions Cons Big Brother or Minority Report? Google raises privacy concerns but warns regulators about stifling innovation Inspiration Microsoft (Kinect), Intel, Immersive Labs Better Health: Everyone’s Responsibility theprimacy.com 68
    69. 69. MOOD DETECTION Microsoft registered a patent for ―a computer-implemented method to determine emotional states of users that receive advertisements on client devices‖ through a monitoring of online activities. Kinect will have improved voice recognition and motion sensing – tracking facial expressions and the pitch of volume of voices to measure different emotional states. This fall they will release Kinect ―NuAds‖ which will leverage the new technology. Better Health: Everyone’s Responsibility theprimacy.com 69
    70. 70. GESTURE RECOGNITION Better Health: Everyone’s Responsibility theprimacy.com 70
    71. 71. Gesture Recognition: Kinect Effect What is it? Kinect is being used in creative new ways – from using the skeletal sensors for physical therapy to referencing patient information during surgery. Pros Utilizes motion sensors, skeletal tracking, facial recognition & voice recognition to deliver interactive experiences real-time USB connection & Microsoft code library opens the door to new, creative executions Cons Kinect technology is associated with XBOX and gaming Better Health: Everyone’s Responsibility Inspiration Tedesys & Sunnybrook Hospitals, Avatar theprimacy.com Patient Groups 71
    72. 72. KINECT IN SURGERY Sunnybrook Hospital utilizes Kinect cameras to control MRI, CAT & CT scan imagery during surgery. Tedesys, a hospital in Spain, utilizes motion sensors & voice detection in surgery. Better Health: Everyone’s Responsibility theprimacy.com 72
    73. 73. LEAP MOTION Leap Motion’s gesture-tracking system is more powerful, more accurate, smaller and cheaper than Kinect. It uses a number of camera sensors to map out a 3D and contains almost none of the Kinect's angle and distance restrictions. Better Health: Everyone’s Responsibility theprimacy.com 73
    74. 74. 3D PRINTING & BIO-PRINTING Better Health: Everyone’s Responsibility theprimacy.com 74
    75. 75. What is it? Process of layering materials – resin, glass, metals, cell tissue – into objects defined by a digital model 3D Printing & Bio-Printing Pros Enables rapid prototyping Opening the door for new research and opportunities in healthcare Cons Printers, particularly 3D bioprinters, are costly Inspiration Children’s National Medical Center, 3D Printed Kidneys Better Health: Everyone’s Responsibility theprimacy.com 75
    76. 76. CHILDREN’S NATIONAL MEDICAL CENTER A 3D printer uses data from individual patients to replicate the organs of those individuals, reflecting their particular intricacies and deformities. The device synthesizes images from CT scans or ultrasounds, translating that information into thin layers of plastic that are stacked until they form a threedimensional object. Better Health: Everyone’s Responsibility theprimacy.com 76
    77. 77. 3D BIO-PRINTING Bioprinting technology will allow doctors and scientists to print synthetic tissue and entire human organs. They’ll be loaded with cartridges of primary or other living human cells and move in three planes allowing it to fashion 3-D tissues and organs. Cells will be laid into a protective gel and objects built up one cell at a time. Earlier in March, a US man had 75% of his skull replaced with a 3D-printed plastic prosthetic, the first-known operation of it’s kind. Better Health: Everyone’s Responsibility theprimacy.com 77
    78. 78. 3D BIO-PRINTING: KIDNEY In China, researchers printed a miniature 3D kidney which can live up to four months and can function the same as human kidneys. One challenge for 3D bio-printing is leaving enough space for the cells to grow. Better Health: Everyone’s Responsibility theprimacy.com 78
    79. 79. QUESTIONS AND DISCUSSION Better Health: Everyone’s Responsibility theprimacy.com 79
    80. 80. THANK YOU Better Health: Everyone’s Responsibility theprimacy.com 80
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