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Wireless TeleMedicine (Swiss Stock Exchange Zurich presentation)

Wireless technology revolutionizes the delivery of medical services. Japan is an early and intense adopter of wireless technologies and internet medical services. This presentation describes the impact of wireless technology development on tele-medicine from the Japan viewpoint. Presentation given at an investors event at the Zurich Stock Exchange.

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Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com
1
by
Gerhard Fasol PhD
Eurotechnology Japan K. K.
www.eurotechnology.com
Zurich, May 5, 2004
©2004 Eurotechnology Japan K. K. All Rights Reserved
Wireless TeleMedicine
Technology Trends
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com
2
Executive Summary
Broadband wireless communications (3G and beyond) are in rapid development and
promise great opportunities to improve health care. Integration of internet access, JAVA
programs, 3Mbyte cameras with autofocus and lighting, GPS (satellite global positioning
system), multi-application smartcards enable a great variety of innovative healthcare
applications. Generally mobile communications in Japan are 3-5 years in advance of
developments in Europe. Studying mobile communications in Japan today give a good
indication for which developments to expect in Europe about 3-5 years from now.
◆ Video telephony will allow delivery of generalist or specialist consultation at a distance, for
example at the location of an accident, in disaster area, in emergencies. A general practitioner can
conduct an emergency video conversation with an emergency patient arriving at his/her practice
room while he/she is out on a patient visit.
◆ Mobile phones with 3Mbyte cameras with autofocus and flashlight generate high quality images,
which can be transmitted from the scene of an accident to a waiting operating team, or
consultation of distant experts.
◆ Many mobile phones in Japan have integrated GPS (satellite position determination) services.
Integration of GPS into mobile phone handsets allow to monitor aged people and have many
applications in nursing care and emergency care.
◆ Internet access to remote data bases, and integration of JAVA programs, multi-application
smartcards and sensors, enable mobile phones to be key component of innovative illness
management programs, e.g. for diabetes, where a patient uses specialized mobile phones to
manage his/her illness continuously.
◆ Telemedicine applications are not only “high-end”, telemedicine also has important applications in
economically challenged situations, e.g. in developing countries.
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com
3
Issues
Technology state-of-the-art and trends
◆ Radio layer: 3G state-of-the-art and WiFi integration
◆ Imaging and video
◆ GPS integration
◆ Multi-application smart card integration
◆ Optical diagnostics, bio-chips
Imaging and video:
◆ projecting vision and expertise
Ubiquitous care and health management:
◆ ubiquitous care
◆ positioning systems
Telepresence
◆ Dr. Tachikawa: “what is the impact of SARS on telecommunications?”
◆ Deliver healthcare and consultations at a distance
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com
4
Technology:
State-of-the-Art and Trends
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com
5
3G State of the Art & Trends (Japan)
while 3G (UMTS) is in the introduction phase in Europe, 3G in Japan is already
mainstream and in the second or third stage of upgrades towards 4G
200,00012 million3G/FOMA: 3 million (2004)
(total subscr. 40 million)
Subscribers
384kbpsCDMA 20001x: 144 kbps
CDMA 2000 1xEV-DO: 2.4Mbps
384kbps
HSDPA from 2005:
handsets: 3.6 Mbps
network: 14 Mbps
Data rates
(downlink)
64 kbpsCDMA 20001x: 64 kbps
CDMA 2000 1xEV-DO: 144 kbps
64 kbpsData rates
(uplink)
tests: June 2002
commercial: Dec 20,
2002
wCDMA
Vodafone
April 1, 2002
CDMA 2000-1x
from 28 Nov 2003:
CDMA2000 1xEV-DO
KDDI/AU
tests: May 2001
commercial: Oct 2001
start date
wCDMA3G Network
NTT DoCoMo
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com
6
DoCoMo’s 3G FOMA900i series (2004)
CCD + AUTOFOCUS
camera 2.02 Mpixel
record: 2.0 Mpixel
262,144 colors
2.4 inch
240 x 320
13,000 dpi
300hrs
120mins
TV:80mins
130gSH900i
CCD + AUTOFOCUS
camera 1.28 Mpixel
record: 1.23 Mpixel
65,536 colors
2.4 inch
300hrs
140mins
TV:90mins
130gP900i
Super Honeycomb
camera 1.0 Mpixel
record: 2.0 Mpixel
65,536 colors
2.2 inch
300hrs
140mins
TV:90mins
115gN900i
camera 1.28 Mpixel
record: 1.23 Mpixel
(fingerprint recognition)
Super Honeycomb
camera 1.0 Mpixel
record: 1.92 Mpixel
Camera
(stills + video)
262,144 colors
2.2 inch
262,144 colors
2.2 inch
Main display
300hrs
140mins
TV:90mins
300hrs
140mins
TV:70mins
standby
talk
120gF900i
124gD900i
weight

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Wireless TeleMedicine (Swiss Stock Exchange Zurich presentation)

  • 1. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 1 by Gerhard Fasol PhD Eurotechnology Japan K. K. www.eurotechnology.com Zurich, May 5, 2004 ©2004 Eurotechnology Japan K. K. All Rights Reserved Wireless TeleMedicine Technology Trends
  • 2. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 2 Executive Summary Broadband wireless communications (3G and beyond) are in rapid development and promise great opportunities to improve health care. Integration of internet access, JAVA programs, 3Mbyte cameras with autofocus and lighting, GPS (satellite global positioning system), multi-application smartcards enable a great variety of innovative healthcare applications. Generally mobile communications in Japan are 3-5 years in advance of developments in Europe. Studying mobile communications in Japan today give a good indication for which developments to expect in Europe about 3-5 years from now. ◆ Video telephony will allow delivery of generalist or specialist consultation at a distance, for example at the location of an accident, in disaster area, in emergencies. A general practitioner can conduct an emergency video conversation with an emergency patient arriving at his/her practice room while he/she is out on a patient visit. ◆ Mobile phones with 3Mbyte cameras with autofocus and flashlight generate high quality images, which can be transmitted from the scene of an accident to a waiting operating team, or consultation of distant experts. ◆ Many mobile phones in Japan have integrated GPS (satellite position determination) services. Integration of GPS into mobile phone handsets allow to monitor aged people and have many applications in nursing care and emergency care. ◆ Internet access to remote data bases, and integration of JAVA programs, multi-application smartcards and sensors, enable mobile phones to be key component of innovative illness management programs, e.g. for diabetes, where a patient uses specialized mobile phones to manage his/her illness continuously. ◆ Telemedicine applications are not only “high-end”, telemedicine also has important applications in economically challenged situations, e.g. in developing countries.
  • 3. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 3 Issues Technology state-of-the-art and trends ◆ Radio layer: 3G state-of-the-art and WiFi integration ◆ Imaging and video ◆ GPS integration ◆ Multi-application smart card integration ◆ Optical diagnostics, bio-chips Imaging and video: ◆ projecting vision and expertise Ubiquitous care and health management: ◆ ubiquitous care ◆ positioning systems Telepresence ◆ Dr. Tachikawa: “what is the impact of SARS on telecommunications?” ◆ Deliver healthcare and consultations at a distance
  • 4. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 4 Technology: State-of-the-Art and Trends
  • 5. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 5 3G State of the Art & Trends (Japan) while 3G (UMTS) is in the introduction phase in Europe, 3G in Japan is already mainstream and in the second or third stage of upgrades towards 4G 200,00012 million3G/FOMA: 3 million (2004) (total subscr. 40 million) Subscribers 384kbpsCDMA 20001x: 144 kbps CDMA 2000 1xEV-DO: 2.4Mbps 384kbps HSDPA from 2005: handsets: 3.6 Mbps network: 14 Mbps Data rates (downlink) 64 kbpsCDMA 20001x: 64 kbps CDMA 2000 1xEV-DO: 144 kbps 64 kbpsData rates (uplink) tests: June 2002 commercial: Dec 20, 2002 wCDMA Vodafone April 1, 2002 CDMA 2000-1x from 28 Nov 2003: CDMA2000 1xEV-DO KDDI/AU tests: May 2001 commercial: Oct 2001 start date wCDMA3G Network NTT DoCoMo
  • 6. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 6 DoCoMo’s 3G FOMA900i series (2004) CCD + AUTOFOCUS camera 2.02 Mpixel record: 2.0 Mpixel 262,144 colors 2.4 inch 240 x 320 13,000 dpi 300hrs 120mins TV:80mins 130gSH900i CCD + AUTOFOCUS camera 1.28 Mpixel record: 1.23 Mpixel 65,536 colors 2.4 inch 300hrs 140mins TV:90mins 130gP900i Super Honeycomb camera 1.0 Mpixel record: 2.0 Mpixel 65,536 colors 2.2 inch 300hrs 140mins TV:90mins 115gN900i camera 1.28 Mpixel record: 1.23 Mpixel (fingerprint recognition) Super Honeycomb camera 1.0 Mpixel record: 1.92 Mpixel Camera (stills + video) 262,144 colors 2.2 inch 262,144 colors 2.2 inch Main display 300hrs 140mins TV:90mins 300hrs 140mins TV:70mins standby talk 120gF900i 124gD900i weight
  • 7. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 7 3G Imaging and Video Video telephony (32 or 64kbps digital data channel) ◆ Quality probably not sufficient for most medical applications, where tissue needs to be examined. Needs to be combined with still photograph transmission ◆ Maybe sufficient for general overview e.g. scene of an accident ◆ Remote observation, e.g. care of seniors, or ill people, or observation of children in care, nursing applications Imaging (upload: 64kbps - 144kbps) ◆ for DoCoMo’s FOMA-3G: maximum image size for sending over the wireless network: 480 x 640 = 0.3 Megapixel ◆ Applications: ◆ emergency care, remote consultations, consult distant specialist at scene of accident, … Imaging (download: 384kbps - 2.4Mbps) ◆ Applications: ◆ remote support at scene of accident ◆ remote consultation of patient data, remote consultation of supporting materials
  • 8. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 8 3G vs WiFi 3G (3G = third generation mobile communications) ◆ ubiquitous ◆ 99% coverage of the country in the future (now in Japan) ◆ towards flat data rate WiFi, wireless LAN (LAN = Local Area Network) ◆ Wireless LAN, local within one building ◆ at specific locations ◆ replaces ethernet Note, that there is some discussion that Wireless LAN (WiFi) could replace 3G communications. In my view this will not happen: 3G and WiFi will cooperate, not compete. 3G gives ubiquitous access, while WiFi only operates in certain locations as local networks. Some terminals will contain both 3G and WiFi radio access.
  • 9. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 9 Picture Mail and GPS (Global Positioning System) Applications ◆ Location of aged people or blind or handcapped people: the blind person who has lost his or her way takes an image, determines the position with GPS, sends this information to his friend, who can accurately locate the blind person using the photograph and the GPS data, and come to help. ◆ Police work: Japanese police in cooperation with the security firm SECOM has started to distribute GPS enabled security devices to victims of stalking or other suspected crime to protect the victim, enable the victim to call for help, and also to enable the victim to collect evidence for investigations. More about camera-phones: ◆ http://www.eurotechnology.com/store/camera-phone/
  • 10. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 1 0 GPS (Satellite Positioning) Integration KDDI/AU 3G “Infobar (November 2003) CCCD-Camera 0.31 Megapixel stillss & movies Lighht/Flash 2inch 132 x 176 pixel 65,536 color TFT display GPS 3G (144kbps) JAVA/Brew Battery: 200 hrs standby 150 mins talk
  • 11. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 1 1 KDDI/AU INFOBAR with GPS (Images are taken with a P2102V camera phone with 640 x 480 pixel resolution)
  • 12. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 1 2 Demonstration of Picture Mail & GPS by AU/KDDI recipient of the image finds the URL to the map below, which shows the location where the picture was taken (the map is interactive and enlarged map images zooming into the neighborhood can be selected) Image of a AU5302CA handset taken by a AU5302CA handset. 640 x 480 pixel (VGA format option for display on PC) 5302CA includes GPS satellite global positioning photograph can be sent with the URL leading to a map with the actual position where the picture was taken
  • 13. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 1 3 BioMetric Sensor (DoCoMo F505i by Fujitsu)
  • 14. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 1 4 Multi-Application Smart Cards integrated into Phones Concept: up to 40 applications stored in a secure Smartcard in the mobile phone with internet access Secure wireless access online or offline transactions JAVA applications have secure access to FeliCa smartcard allows health data, etc to be safely stored in the mobile phone with remote access to server More about wallet phones and multi-application smartcards: ◆http://www.eurotechnology.com/store/walletphone/ ◆http://www.eurotechnology.com/store/suica/
  • 15. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 1 5 Imaging and Video
  • 16. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 1 6 Imaging and Video Applications ■ Telepresence of experts in remote locations ■ Transmit images from the scene of an accident to the operation room to allow preparations ■ Remote viewing of patent data, images, background information, access to data base, consulting of back-up experts etc. ■ 3G phone can be linked to video-interphone at entrance of pharmacy, practitioners’ practice. Scenario: ◆ Country doctor is called to attend to a patient. While he is out attending a patient, an emergency case arrives at his practice. With the 3G phone the Doctor can answer the door video phone and interview the emergency patient who has arrived in his absence at the practice ■ Scenario (not so much talked about…): ◆ Deliver healthcare to prisons, difficult circumstances, economically challenged situations, disaster areas, emergency care, etc…
  • 17. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 1 7 Ubiquitious Care and Health Management
  • 18. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 1 8 Ubiquitious Health Care ■i-mode (mobile internet) based health management systems, e.g. implemented in the mass market in Japan ◆Diabetes management system ◆Conception/contraception (base temperature) management ■more about i-mode and mobile internet: ◆http://www.eurotechnology.com/store/imode/ ■Can be combined with: ◆Sensors ◆GPS ◆Smart cards ◆Remote data base ◆Video link to responsible doctor
  • 19. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 1 9 Some Characteristic Differences Between The Mobile Communications Industry in the “GSM World” and Japan
  • 20. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 2 0 Some Characteristic Differences Between Japan and the “GSM World” Nokia & VodafoneDoCoMoWho are the 5000 pound Gorillas? Equipment manufacturers (e.g. Nokia, Siemens, Ericsson…) Carriers (DoCoMo, J-Phone, AU/KDDI)Who is in the driving seat? Technology focus - brands are abbreviations: “GSM”, “GPRS”, “SIM”, “UMTS” Consumer focus: “I-mode”, “sha-mail”, “movie-mail”, FOMA, “H” Brands very high (around 20%-30%)very low (around 1% to 2%)Churn low - typically: subscriptions: US$ 30 prepay: US$ 10 high - typically: US$ 80/monthARPU Prepaid dominatesAlmost only monthly credit subscribers, almost no prepaid Prepaid vs. credit Corporate executives (“busy executive in the airport business class lounge”) Consumers (“young people having fun on the beach”) Marketing focus Nokia dominatesMany manufacturers competeHandsets Single Standardized radio networkMany competing radio networksNetworks GSM-WorldJapan
  • 21. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 2 1 ARPU (Average Revenue per User/Month) in Japan is a lot higher than in other countries Total US$ 29.3 6/month Credit: US$ 47.75 Prepay: US$ 12.2 9 Vodafone D2 (ex-Mannesmann) Total US$ 66.50/month voice: US$ 52.40 I-mode: US$ 14.10 Prepay: ? (very small number of users in Japan) DoCoMo ARPUCarrier
  • 22. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 2 2 Japan vs “GSM World” -> Trends SMS MMS, WAP i-mode (full mobile internet) + full emailwireless data yesyes, to be integrated with 3G, 4GWIFI - HotSpots… ?R&D, testing4G UMTS (=wCDMA) - 1. wCDMA (DoCoMo + J-Phone/Vodafone) 2. CDMA 2000-1X -> WIN (KDDI/AU) download:2.4Mb/s 3. Upgrades to 14Mb/s planned for 2005 3G does not exist in Europe full ubiquitous low-price wireless internet access (128 kb/s) + voice 2G - PHS GSM GRPS - PDC (DoCoMo + J-Phone) PDC-DoPa packet data service CDMA (AU) 2G GSM-WorldJapan
  • 23. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 2 3 Summary Third generation (3G) wireless communications already today allow transmission of data at up to 2.4 Mbps in Japan, and we expect that similar transition rates will become available in Europe in the future. Integration of internet access, JAVA programs, 3Mbyte cameras with autofocus and lighting, GPS (satellite global positioning system), multi-application smartcards enable a great variety of innovative healthcare applications. Generally mobile communications in Japan are 3-5 years in advance of developments in Europe. Studying mobile communications in Japan today give a good indication for which developments to expect in Europe about 3-5 years from now. We expect these new developments to enhance medical care. Some examples of new services are: ◆ Video telephony for remote consultation ◆ Transmission of high-quality photographs from scenes of accidents or for remote consultation ◆ Access to data base during a patient visit or from an emergency location ◆ Using mobile phones with bio-sensors, GPS, JAVA programs, multi-application smart cards by chronically ill patients for managing their illness on a continuous basis, e.g. diabetes or heart disease ◆ Telemedicine applications are not only “high-end”, telemedicine also has important applications in economically challenged situations, e.g. in developing countries.
  • 24. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 2 4 More information: We publish insights and market reports in our online store: ◆ http://www.eurotechnology.com/store/ i-mode ◆ “Understanding i-mode and how it drives the wireless internet industry” (version 5 of August 25, 2003) http://www.eurotechnology.com/store/imode/ Camera phones ◆ “Camera phones and wireless imaging: disruptive innovation for the photographic industry” (version 4 of January 14, 2004) http://www.eurotechnology.com/store/camera-phone/ Wallet Phones ◆ “Wallet phones - internet phones with smartcards” (version 3 of March 3, 2004) http://www.eurotechnology.com/store/walletphone/ Wireless Japan 2003 trade show ◆ “Wireless Japan 2003 trade show” (version 1 of July 23, 2003) http://www.eurotechnology.com/store/wirelessjapan2003/ Blue laser report ◆ “Blue and white GaN light emitters and lasers for lighting, displays, data storage, and traffic signals - background and implications” (version 6 of April 21, 2004) http://www.eurotechnology.com/store/bluelaser/
  • 25. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 2 5 about Eurotechnology Japan Corporation www.eurotechnology.com
  • 26. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 2 6 About Eurotechnology Japan Corporation We are the only European company in Tokyo 100% focused on developing high-tech business between Europe-Japan and US-Japan Projects: ◆ Market research, strategy development, business development ◆ Spin-outs, incubation of Japan-subsidiaries ◆ Restructuring, acquisitions, corporate finance, corporate transactions ◆ Technology business development, development of licensing business Customers: Siemens, NTT, Electronics for Imaging, Cubic, Deutsche Telekom, Asahi Glass, Schott Glass, UNAXIS, and many more large and small corporations from US, Europe and Japan More information: ◆ http://www.eurotechnology.com/ Contact us: ◆ info@eurotechnology.com ◆ Tel. +81-3-6717-4160
  • 27. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 2 7 Thank You We are looking forward to working with you
  • 28. Wireless telemedicine (technology trends) May 5, 2004 ©2004 Gerhard Fasol www.eurotechnology.com 2 8 Eurotechnology Japan K. K. Shinagawa Intercity Tower A 28F 2-15-1 Konan, Minato-ku Tokyo 108-6028, Japan Tel. +81-3-6717-4160 FAX +81-3-6717-4141 and +81-3-5477-7044 http://www.eurotechnology.com/ info@eurotechnology.com CEO: Gerhard Fasol, PhD fasol@eurotechnology.com Mobile: +81-90-8594-6291