Icuautomation

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Icuautomation

  1. 1. Introduction ICU Automation SystemMonitoring Instruments & Interfacing Application Development Sample Android Designs Intensive Care Unit Automation Joms Antony Bichu Vijayan Sudhin Joy Guided by Dr.George Varkey Mr.Santhosh GS, AP CSE Dept Ms.Anju S, AP CSE Dept AMAL JYOTHI COLLEGE OF ENGINEERING February 6, 2013 MINI PROJECT REVIEW PHASE-1 1of 22
  2. 2. Introduction ICU Automation System Intensive Care Unit Monitoring Instruments & Interfacing Automation Possibilities Application Development Possibilities for Research Sample Android Designs1 Introduction Intensive Care Unit Automation Possibilities Possibilities for Research2 ICU Automation System Top Level Architecture Network Architecture3 Monitoring Instruments & Interfacing Instruments Used Interfacing Issues in Interfacing4 Application Development Development Tools Used Work done So far5 Sample Android Designs MINI PROJECT REVIEW PHASE-1 2of 22
  3. 3. Introduction ICU Automation System Intensive Care Unit Monitoring Instruments & Interfacing Automation Possibilities Application Development Possibilities for Research Sample Android DesignsIntensive Care Unit An Intensive Care Unit (ICU), also known as a Critical Care Unit (CCU) is a special department of a hospital that provides intensive-care medicine. Intensive Care Units cater to patients with the most serious injuries and illnesses, most of which are life-threatening and need constant, close monitoring and support from specialist equipment and medication in order to maintain normal bodily functions MINI PROJECT REVIEW PHASE-1 2of 22
  4. 4. Introduction ICU Automation System Intensive Care Unit Monitoring Instruments & Interfacing Automation Possibilities Application Development Possibilities for Research Sample Android DesignsAutomation Possibilities Generation of Electronic Medical Records Progress notes Charts Documents Patient Data Automated Monitoring and Alert Generation. Interfacing of Bed Side Monitors and Data Storage Bar Code Integration Lab Tests and Results and many more... MINI PROJECT REVIEW PHASE-1 3of 22
  5. 5. Introduction ICU Automation System Intensive Care Unit Monitoring Instruments & Interfacing Automation Possibilities Application Development Possibilities for Research Sample Android DesignsPossibilities for Research Dynamic Decision Support Systems Eg: Alert generation & recommendations. Ubiquitous Computing Eg: Ubiquitous patient Monitoring. Human Machine Interface Systems Eg: Touch user interface, Intelligent user inteface(gestures) Context Aware Computing Eg: Doctor/Patient context. MINI PROJECT REVIEW PHASE-1 4of 22
  6. 6. Introduction ICU Automation System Top Level Architecture Monitoring Instruments & Interfacing Network Architecture Application Development Sample Android DesignsICU Automation System There is a central server where the database and applications are deployed. A client -server architecture allows a seamless flow of information to everyone in the clinical team. Organizes high volume device data, lab results, calculations, orders, medications etc The workflow can be made easier and informative. A web enabled application allows access to the system from a remote location. Clinical information is stored in the central server and is available everywhere MINI PROJECT REVIEW PHASE-1 5of 22
  7. 7. Introduction ICU Automation System Top Level Architecture Monitoring Instruments & Interfacing Network Architecture Application Development Sample Android DesignsTop Level Architecture MINI PROJECT REVIEW PHASE-1 6of 22
  8. 8. Introduction ICU Automation System Top Level Architecture Monitoring Instruments & Interfacing Network Architecture Application Development Sample Android DesignsNetwork Architecture MINI PROJECT REVIEW PHASE-1 7of 22
  9. 9. Introduction ICU Automation System Instruments Used Monitoring Instruments & Interfacing Interfacing Application Development Issues in Interfacing Sample Android DesignsInstruments Used Multipara Monitor:It is used to monitor the temperature, pulse,blood pressure and respiration of a patient. MINI PROJECT REVIEW PHASE-1 8of 22
  10. 10. Introduction ICU Automation System Instruments Used Monitoring Instruments & Interfacing Interfacing Application Development Issues in Interfacing Sample Android DesignsInstruments Used Pulse Oximeter Monitor:Monitors the arterial haemoglobin oxygen saturation (oxygen level) of the patient’s blood with a sensor clipped over the finger or toe. MINI PROJECT REVIEW PHASE-1 9of 22
  11. 11. Introduction ICU Automation System Instruments Used Monitoring Instruments & Interfacing Interfacing Application Development Issues in Interfacing Sample Android DesignsInstruments Used Ventilator:Ventilator, also called a respirator, assists with or controls pulmonary ventilation in patients who cannot breathe on their own. MINI PROJECT REVIEW PHASE-1 10of 22
  12. 12. Introduction ICU Automation System Instruments Used Monitoring Instruments & Interfacing Interfacing Application Development Issues in Interfacing Sample Android DesignsInterfacing The measurements from these instruments are stored using archaic methods such as a patient history record on a paper. The access to these records is cumbersome and not available unless the medical personnel is present at the point of care. Connecting bed side monitors and equipments to the server system can make this automated. Once this is done data can be collected and stored in realtime mode and can further be used for analysis. Data Communication RS232 RS422 via network using TCP/IP MINI PROJECT REVIEW PHASE-1 11of 22
  13. 13. Introduction ICU Automation System Instruments Used Monitoring Instruments & Interfacing Interfacing Application Development Issues in Interfacing Sample Android DesignsIssues in Interfacing Unfortunately, each medical instrument has its unique proprietary API (application programming interface - if any) to provide automated and electronic access to monitoring data. Integration of these APIs requires an agreement with the manufacturers towards realization of interoperable health care networking. As long as the interoperability of instruments with a network is not possible, ubiquitous access to patient status is limited only to manual entry based systems. Work done Checked the different types of equipment in JMMC Studied about starplus monitor(L & T) Able to receive the starplus service manual from L & T MINI PROJECT REVIEW PHASE-1 12of 22
  14. 14. Introduction ICU Automation System Development Tools Used Monitoring Instruments & Interfacing Work done So far Application Development Sample Android DesignsDevelopment Tools Used DBMS:Programming Language: Java FrameWork:IDE: Mobile/Tab Platform: Server Machine OS:SERVER: MINI PROJECT REVIEW PHASE-1 13of 22
  15. 15. Introduction ICU Automation System Development Tools Used Monitoring Instruments & Interfacing Work done So far Application Development Sample Android DesignsWork done So far Installed and configured JDK and Eclipse Created a wiki,icuautomation.wikispaces.com for better collaboration and information sharing Configured the JBOSS Server plugin and JBOSS runtime Installed Postgres and checked DB Connectivity using JDBC Hands on Web Application Development Hands on Android Development A part of the Team Went to JMMC & and learned the ICU Workflow by 3hr observation slots Prepared the As-IS Document Version1 MINI PROJECT REVIEW PHASE-1 14of 22
  16. 16. Introduction ICU Automation System Development Tools Used Monitoring Instruments & Interfacing Work done So far Application Development Sample Android DesignsWork done So far Visited JMMC and stayed there for 2 days Discussed AS-IS Document and modifications were recommended Met the Instrumentation Dept and made a pilot study with regard to equipment interfacing Met the IT incharge, Network Administrator and agreed upon setting of ICU Server and WIFI Connectivity Met the Medical legal Advisor to clarify on EMR Discussed about TO-BE document Discussed Sample designs for user interface and Input Methods MINI PROJECT REVIEW PHASE-1 15of 22
  17. 17. Introduction ICU Automation System Development Tools Used Monitoring Instruments & Interfacing Work done So far Application Development Sample Android DesignsWork done So far Discussion on using spring framework along with hybernate Recommended the use of MVC model Spring Framework was installed and tested Released the AS-IS Document version 2 Titles for research papers were finalised and worked for the same 3 IEEE format papers were made and the initial draft is submitted to different IEEE international conferences for acceptance MINI PROJECT REVIEW PHASE-1 16of 22
  18. 18. Introduction ICU Automation System Monitoring Instruments & Interfacing Application Development Sample Android DesignsSample Android Designs MINI PROJECT REVIEW PHASE-1 17of 22
  19. 19. Introduction ICU Automation System Monitoring Instruments & Interfacing Application Development Sample Android DesignsSample Android Designs MINI PROJECT REVIEW PHASE-1 18of 22
  20. 20. Introduction ICU Automation System Monitoring Instruments & Interfacing Application Development Sample Android DesignsSample Android Designs MINI PROJECT REVIEW PHASE-1 19of 22
  21. 21. Introduction ICU Automation System Monitoring Instruments & Interfacing Application Development Sample Android DesignsSample Android Designs MINI PROJECT REVIEW PHASE-1 20of 22
  22. 22. Introduction ICU Automation System Monitoring Instruments & Interfacing Application Development Sample Android DesignsReferences Thongpithoonrat, Pongnarin; McKneely, Paul K.; Gumudavelli, Suman; Gurkan, D.; Chapman, Frank M. Networking and plug-and-play of bedside medical instruments. EMBS 2008; 1514 - 1517 Nahm R, Poston I. Measurement of the effects of an integrated, point-of-care computer system on quality of nursing documentation and patient satisfaction. Comput Nurs 2000; 18:220229. Joon Lee; Scott, D.J.; Villarroel, M.; Clifford, G.D.; Saeed, M.; Mark, R.G. Open-access MIMIC-II database for intensive care research. EMBC 2011 : 8315 8318 Apkon M, Singhaviranon P. Impact of an electronic information system on physician workflow and data collection in the intensive care unit. Intensive Care Med 2000; 27: 122130. 11. Insup Lee, Oleg Sokolsky, Sanjian Chen. Challenges and Research Directions in Medical Cyber-Physical Systems. Invited Paper in Special Issue on Cyber-Physical Systems, Proceedings of the IEEE, vol.100, no.1, pp.75-90, Jan. 2012. Shashi Gunawardane, Ravindra Koggalage, Ranga Rodrigo, Senaka Rajapakse. A Computer-Based ICU Patient Alert And Decision Support System. SLJCC , 2009, vol 1, 35-41. Yi Mao; Yixin Chen; Hackmann, G.; Minmin Chen; Chenyang Lu; Kollef, M.; Bailey, T.C. Medical Data Mining for Early Deterioration Warning in General Hospital Wards. ICDMW,2011; 1042 - 1049 Nathalie Bricon-Soufa, Conrad R. Newmanb. Context awareness in health care: A review. International Journal of Medical Informatics 76 (2007)212 MINI PROJECT REVIEW PHASE-1 21of 22
  23. 23. Introduction ICU Automation System Monitoring Instruments & Interfacing Application Development Sample Android DesignsThank You MINI PROJECT REVIEW PHASE-1 22of 22

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