The document discusses Check Point, a company that provides telemonitoring platforms and solutions. It offers two main platforms - one involving a partnership with Vital Connect that allows for ECG, temperature, and other vital sign monitoring using wearable devices. The other involves a partnership with Techmedic International and provides more advanced real-time monitoring and analysis of vital signs like ECG, oxygen levels, and heart rate. Check Point also operates a telemedicine center that provides 24/7 monitoring of patient data and emergency response services for up to 15,000 patients simultaneously.
The document describes TeleMaster, a telemedicine platform that provides remote diagnostic services. It can be used to create centralized medical call centers or allow physicians to provide remote diagnostic services from their clinics. TeleMaster securely transfers medical data, manages diagnostic workflows and queues, and allows remote diagnosis using various medical devices. Case studies demonstrate how it has been used in Israel to reduce costs and improve efficiency at a cardiology call center processing over 18,000 Holter readings per year and to remotely monitor over 2,000 congestive heart failure patients through home monitoring devices. It has also been used in India on a project with over 51,000 medical kiosks enabling virtual patient-physician encounters.
TT electronics is a global electronics company that supplies medical device manufacturers with electronic components and complete solutions. They provide passive components, optoelectronics, and semiconductors that are used in diagnostic imaging equipment, patient care devices, pharmaceutical delivery systems, patient monitoring, and more. TT electronics works closely with customers to develop custom, high-reliability solutions and has manufacturing sites worldwide certified to ISO 13485 medical device standards.
In accordance with the overall Elliot Project spirit, the Bulgarian Internet of Things eHealth case will also apply the Living Lab methodology, will use some elements of Cloud Computing, and will rely on a Web Intelligence system, which will consist of 7 parts: medical algorithms; expert systems; BI (Business Intelligent) system; databases; notification system; doctors’ Operational Advisory Portal and Patients’ Prevention Advisory Portal.
Tele-Cardiology in Finland - Med-e-Tel Luxembourg (April 2009)Ofer Atzmon
This document describes a tele-cardiology pilot project in Finland that used Aerotel Medical Systems' remote monitoring devices and software. The pilot aimed to evaluate ease of use, satisfaction, and efficiency for doctors, nurses, administrators, and patients. Preliminary results found that the Aerotel HeartView devices and receiving software were easy to use for nurses, doctors, and patients. The pilot showed potential for cost savings compared to traditional in-person care and high satisfaction among stakeholders. Overall, the telemedicine solutions enabled new efficient ways to perform cardiology diagnostics remotely.
Innovative gadgets in anesthesia and medicine ikramdr01
This document provides information on various innovative medical gadgets classified into different categories such as para operative monitors, anesthesia related gadgets, and operation theatre related gadgets. It describes gadgets such as blood pressure monitors, thermometers, weighing scales, pulse oximeters, stethoscopes, ECG machines, glucometers, spirometers, and telehealth solutions. It also discusses smart contact lenses, insulin pens, adhesive bandages, ventilators and other anesthesia equipment that have been developed with new technologies.
Final Project Slides Buchheit Harings HusseinScott Buchheit
The document describes a cardiovascular monitoring system (CMS) that measures blood pressure, heart rate, and blood oxygen levels. It operates by using light sensors on the finger to non-invasively measure these vital signs. The data is wirelessly transmitted to a base monitor and can be viewed or programmed by a physician using software. The CMS is intended for at-home patient monitoring under a doctor's supervision. It functions similarly to previously cleared predicate devices and a comparison table shows the CMS has substantially equivalent intended use, technological characteristics, and accuracy to predicates.
SAFETY CONSIDERATIONS FOR RFID IN HEALTHCARE MEDICAL DEVICES by FEIG ELECTRONICSKelly Stark
This document discusses safety considerations for embedding RFID in medical devices. It begins with examples of how RFID is used in various medical applications like medical waste tracking, ventilator component identification, and patient tracking. It then covers pertinent facts about RFID technology, primary safety concerns regarding human and medical device exposure to electromagnetic radiation, and FDA actions to study RFID effects. Finally, it discusses applicable testing standards like IEC 60601 and publications by AIM to ensure RFID systems meet compliance requirements.
IRJET- An IoT Driven Healthcare System for Remote MonitoringIRJET Journal
The document describes a proposed IoT-based remote health monitoring system for hypertensive patients. The system continuously monitors health parameters like heart rate variability (HRV), pulse oximetry, and body temperature using sensors. An Arduino uploads the patient data to a server. In emergency situations, the system sends alert SMS messages to caretakers and doctors and activates a buzzer for nearby assistance. Doctors can also send messages to patients through the system. The goal is to remotely monitor patients and alert medical help during critical situations in a low-cost and easy-to-use manner for improved management of hypertension.
The document describes TeleMaster, a telemedicine platform that provides remote diagnostic services. It can be used to create centralized medical call centers or allow physicians to provide remote diagnostic services from their clinics. TeleMaster securely transfers medical data, manages diagnostic workflows and queues, and allows remote diagnosis using various medical devices. Case studies demonstrate how it has been used in Israel to reduce costs and improve efficiency at a cardiology call center processing over 18,000 Holter readings per year and to remotely monitor over 2,000 congestive heart failure patients through home monitoring devices. It has also been used in India on a project with over 51,000 medical kiosks enabling virtual patient-physician encounters.
TT electronics is a global electronics company that supplies medical device manufacturers with electronic components and complete solutions. They provide passive components, optoelectronics, and semiconductors that are used in diagnostic imaging equipment, patient care devices, pharmaceutical delivery systems, patient monitoring, and more. TT electronics works closely with customers to develop custom, high-reliability solutions and has manufacturing sites worldwide certified to ISO 13485 medical device standards.
In accordance with the overall Elliot Project spirit, the Bulgarian Internet of Things eHealth case will also apply the Living Lab methodology, will use some elements of Cloud Computing, and will rely on a Web Intelligence system, which will consist of 7 parts: medical algorithms; expert systems; BI (Business Intelligent) system; databases; notification system; doctors’ Operational Advisory Portal and Patients’ Prevention Advisory Portal.
Tele-Cardiology in Finland - Med-e-Tel Luxembourg (April 2009)Ofer Atzmon
This document describes a tele-cardiology pilot project in Finland that used Aerotel Medical Systems' remote monitoring devices and software. The pilot aimed to evaluate ease of use, satisfaction, and efficiency for doctors, nurses, administrators, and patients. Preliminary results found that the Aerotel HeartView devices and receiving software were easy to use for nurses, doctors, and patients. The pilot showed potential for cost savings compared to traditional in-person care and high satisfaction among stakeholders. Overall, the telemedicine solutions enabled new efficient ways to perform cardiology diagnostics remotely.
Innovative gadgets in anesthesia and medicine ikramdr01
This document provides information on various innovative medical gadgets classified into different categories such as para operative monitors, anesthesia related gadgets, and operation theatre related gadgets. It describes gadgets such as blood pressure monitors, thermometers, weighing scales, pulse oximeters, stethoscopes, ECG machines, glucometers, spirometers, and telehealth solutions. It also discusses smart contact lenses, insulin pens, adhesive bandages, ventilators and other anesthesia equipment that have been developed with new technologies.
Final Project Slides Buchheit Harings HusseinScott Buchheit
The document describes a cardiovascular monitoring system (CMS) that measures blood pressure, heart rate, and blood oxygen levels. It operates by using light sensors on the finger to non-invasively measure these vital signs. The data is wirelessly transmitted to a base monitor and can be viewed or programmed by a physician using software. The CMS is intended for at-home patient monitoring under a doctor's supervision. It functions similarly to previously cleared predicate devices and a comparison table shows the CMS has substantially equivalent intended use, technological characteristics, and accuracy to predicates.
SAFETY CONSIDERATIONS FOR RFID IN HEALTHCARE MEDICAL DEVICES by FEIG ELECTRONICSKelly Stark
This document discusses safety considerations for embedding RFID in medical devices. It begins with examples of how RFID is used in various medical applications like medical waste tracking, ventilator component identification, and patient tracking. It then covers pertinent facts about RFID technology, primary safety concerns regarding human and medical device exposure to electromagnetic radiation, and FDA actions to study RFID effects. Finally, it discusses applicable testing standards like IEC 60601 and publications by AIM to ensure RFID systems meet compliance requirements.
IRJET- An IoT Driven Healthcare System for Remote MonitoringIRJET Journal
The document describes a proposed IoT-based remote health monitoring system for hypertensive patients. The system continuously monitors health parameters like heart rate variability (HRV), pulse oximetry, and body temperature using sensors. An Arduino uploads the patient data to a server. In emergency situations, the system sends alert SMS messages to caretakers and doctors and activates a buzzer for nearby assistance. Doctors can also send messages to patients through the system. The goal is to remotely monitor patients and alert medical help during critical situations in a low-cost and easy-to-use manner for improved management of hypertension.
Telehealth involves the delivery of health-related services and information using telecommunications technologies. It can be used for clinical purposes like transmitting medical images for diagnosis, video conferences for health services/education, and remote patient monitoring. Non-clinical uses include continuing education, online health information/data management, and remote patient education. Telehealth provides benefits like early illness detection, lower costs, early patient discharge, and increased access and control over care. It requires appropriate technologies, policies to protect patient privacy and consent, and is best suited for people with ongoing health needs or limited access to care. Ethical and legal issues around its use also need consideration.
Now-a-days, a growing number of people in a developing countries like India forces to look for new solutions for the continuous monitoring of health check-up. It has become a necessity to visit hospitals frequently for doctor’s consultation, which has become financially related and a time consuming process. To overcome this situation, we propose a design to monitor the patient’s health conditions such as heart beat, temperature, ECG and BP and send the message to guardian using GSM. In the recent development of internet of things(IoT) makes all objects interconnected and been recognized as the next technical revolution. Patient monitoring is one of the IoT application to monitor the patient health status. Internet of things makes medical equipments more efficient by allowing real time monitoring of health. Using IoT doctor can continuously monitor the patient’s on his smart phone and also the patient history will be stored on the web server and doctor can access the information whenever needed from anywhere.
BPL LifePhone Plus is a mobile health monitoring device that allows users to record an ECG and monitor vital signs like heart rate and activity level. The data is transmitted via Bluetooth to a smartphone app where it can be shared with doctors for remote consultation. Specialists can provide instant feedback and advice through the app. The device aims to make quality healthcare more accessible and convenient for users by allowing remote patient monitoring and consultations from anywhere at any time.
How COVID-19 is changing urban infrastructure planningNUS-ISS
This document discusses how technology can help transform cities and enable safer living in a post-COVID world. It describes Singapore's experience with COVID-19 and the economic impacts. It then outlines technologies like AI, IoT, and robotics that can help with contact tracing, social distancing monitoring, disinfection, and remote healthcare access. These include wearable trackers, temperature screening robots and drones, and an integrated digital health platform for virtual consultations and care coordination. The goal is to create safer public spaces and support vulnerable groups through smarter urban planning and use of data analytics.
Founded in 2003, Nortec Software has established itself as a pioneer in Healthcare Information Technology. Since its inception, Nortec has kept abreast of the dynamic environment of the healthcare sector, providing quality and innovative solutions to its customers. After several years of consumer-conscious software development and testing, Nortec is proud to announce the availability of Nortec’s Electronic Health Record software to all practicing medical providers.
Portable Real Time Cardiac Activity Monitoring SystemIRJET Journal
This document describes a portable real-time cardiac activity monitoring system. The system collects electrocardiogram (ECG) signals to examine heartbeats and detect abnormalities. It uses a sensor to detect heart activity signals, sends them wirelessly to a smartphone via Bluetooth, and stores the signals in a network. The system analyzes heart rate and variability in real-time on the sensor to conserve power by only sending a few parameters. It is intended to remotely monitor patients' cardiac health over long periods by continuously collecting and analyzing ECG signals.
The Orissa Telemedicine Project provides 24/7 access to doctors for remote areas of Orissa, India using mobile and fixed telemedicine kiosks staffed by local personnel. The kiosks are connected to doctors across India via an eHealth system for voice/video consultations and can perform basic medical tests. The system aims to expand access to healthcare while reducing costs through standardized billing and centralized technical support.
Coding for Subcutaneous Cardiac Rhythm MonitorsJessica Parker
On Nov. 2, 2020, the American Medical Association (AMA) CPT® Editorial Panel announced the approval of a new Category III CPT® code to describe remote programming of subcutaneous cardiac rhythm monitors.
Recently, in many cases, the reason for a patient staying in the hospital is not that he or she actually needs active medical care. Often, the principal reason for a lengthy stay in the hospital is simply continual observation. Therefore, efforts have been made to avoid acute admissions and long lengths of stay in the hospital. In recent years, emergency admissions and long lengths of stay have become extremely costly. So the focus of health policy has shifted away from the provision of reactive, acute care toward preventive care outside the hospital. As models of care are redesigned, health economies are seeking to provide more care outside large acute centers. The drivers for this shift are two-fold; first, there is a quality-of-care issue and second, there is a resource allocation issue. Being cared for in a patient’s own home is a key aim of current U.K. government health policy and that is driven by an imperative to provide better quality care to people without the need to disrupt their lives. Investment in technologies that enable remote monitoring would lead to long-term gains in terms of hospital finances and patient care.
This document discusses how new sensor and intelligent device technologies have the potential to transform healthcare delivery by bringing care closer to patients' homes. It describes how these non-intrusive technologies could enable patients to recover more quickly after surgery and benefit from virtual reality applications. The document also examines how wearable devices and sensors that can monitor vital signs could support more integrated, patient-centered care models by reducing dependence on providers and facilitating remote care, monitoring and early detection of health issues. Machine learning and big data analytics are discussed as ways to generate insights from the large and growing volumes of patient data that these new digital devices and sensors are capturing.
In motion vitals proactive-monitoring and diagnostics supportAnton Panfilov
The document discusses a company that develops non-invasive biosensors for monitoring vital signs during physical activity. The company's products are aimed at rehabilitation, fitness, sports and home telemedicine. The company is developing a portable smart biosensor platform that integrates data from multiple sensors and monitors vital signs like ECG, blood pressure, and lactic acid levels during physical activity. The company is also developing a wireless, highly selective lactic acid biosensor and a noise-free blood pressure sensor for sports medicine and rehabilitation applications. Funding of $1 million is required for further development and clinical trials of their multi-sensor wearable platform.
With rapid development of economies, growth of aging population and the prevalence of chronic diseases across the world, there is an urgent need to find new ways to improve patient outcomes, increase access to care, and reduce the cost of medical care. A health care monitoring system is necessary to constantly monitor patient’s physiological parameters. The tele-medical system focuses on the measurement and evaluation of vital parameters e.g. temperature, electrocardiogram (ECG), heart rate variability, fall detection etc. This will enable doctors and care givers to observe patients without having to be physically present at their bedside, be it in the hospital or in their home.
hospital at home is a telemedicine system that aims to improve patient care and quality of life by allowing constant monitoring of vital signs and video communication between patients and caregivers directly in the home. The system includes a touchscreen device placed at the patient's home that monitors parameters like oxygen saturation, ECG, temperature, and blood pressure and transmits the data in real time to caregivers. This allows for round-the-clock care of patients without the need for hospitalization or frequent visits, reducing costs for the healthcare system while improving patient comfort and outcomes.
This document outlines a project to monitor ECG signals on an Android smartphone. It includes an introduction, sections on what an ECG is and why Android was chosen, a block diagram of the system components, and a conclusion. The system will use an ECG sensor, amplifier, ADC, heart rate sensor, microcontroller, serial interface, and Bluetooth module to monitor and analyze a patient's heart condition through ECG electrodes and display a graph on an Android phone. The goals are to implement ECG monitoring outside of a hospital setting using wearable, robust hardware that can be used in remote areas.
The document discusses two case studies that evaluated adopting pervasive computing systems for routine use in healthcare. The first case study involved a mobile stroke diagnosis tool for emergency services aimed at shortening diagnosis time. User feedback highlighted benefits like improved medical assessment but also challenges regarding usability, privacy, and integration into clinical workflows. The second case study of a system for multiple sclerosis patients identified benefits for remote patient monitoring and care coordination, though users also voiced concerns about technical reliability, data protection, and organizational adoption issues that need to be addressed for full integration into healthcare.
U-healthcare monitoring and reporting using smartphoneRajeev Piyare
This document describes a smartphone-based system for remote patient monitoring. The system collects biometric data like ECG, blood pressure, and oxygen levels from wireless sensors and sends it to a central server via the phone. An Android app processes the ECG data in real-time to detect abnormalities. The system aims to improve healthcare access in developing areas by allowing continuous remote monitoring with fewer medical resources.
ECG Interoperability and Industry Trends, Dr Justin Mortara, Mortara InstrumentSteffan Stringer
This document discusses ECG interoperability and industry trends. It describes Mortara Instrument as a leading provider of diagnostic cardiology and monitoring devices, as well as ECG algorithms. The document outlines the path from proprietary to fully interoperable ECG systems, including a case study of an HL7 standard. It also looks ahead at trends like increased connectivity, data collection, and focus on security and standards. The future of Phase 1 eSource integration is presented as leveraging open architecture and standards to connect diverse ECG devices.
The document discusses how the Data Distribution Service (DDS) middleware standard can enable integration of medical devices and systems. DDS allows devices and applications to share information through a global data space and supports real-time performance, reliability, and interoperability across platforms. Examples shown include using DDS for integrated control of medical imaging devices like CT and MRI scanners, particle therapy systems, surgical robotics, and connecting monitoring devices at the hospital, ambulance, and clinical levels. DDS provides a common information model and quality of service policies to ensure safe and effective data sharing across disconnected medical systems.
The document outlines an 8-week workplace wellness campaign called Eat Well Live Well that includes weekly events like fruit and vegetable distributions, drawings for prizes, and activities to encourage healthy eating and exercise. It provides details on registration for the campaign website, tracking steps and fruit/veggie intake for weekly entries into prize drawings. Upcoming events are announced like a kick-off breakfast, "junk food" day, and a Wii sports tournament with a $25 gift card for the winner. The campaign culminates with a salad bar celebration where participants bring toppings to recognize their healthy efforts over the past 7 weeks.
The document is a mathematical formula handbook containing formulas and concepts related to series, vector algebra, matrix algebra, vector calculus, complex variables, trigonometric functions, hyperbolic functions, limits, differentiation, integration, differential equations, calculus of variations, functions of several variables, Fourier series and transforms, Laplace transforms, numerical analysis, treatment of random errors, and statistics. It provides an introduction and bibliography, as well as physical constants. The handbook is intended as a reference for students studying physics.
The document is a collection of disjointed phrases and sentences about moving or traveling to new places and making memories. It encourages the recipient to go where their heart leads them and see the world in new ways, and says goodbye and be safe as they embark on their journey.
Telehealth involves the delivery of health-related services and information using telecommunications technologies. It can be used for clinical purposes like transmitting medical images for diagnosis, video conferences for health services/education, and remote patient monitoring. Non-clinical uses include continuing education, online health information/data management, and remote patient education. Telehealth provides benefits like early illness detection, lower costs, early patient discharge, and increased access and control over care. It requires appropriate technologies, policies to protect patient privacy and consent, and is best suited for people with ongoing health needs or limited access to care. Ethical and legal issues around its use also need consideration.
Now-a-days, a growing number of people in a developing countries like India forces to look for new solutions for the continuous monitoring of health check-up. It has become a necessity to visit hospitals frequently for doctor’s consultation, which has become financially related and a time consuming process. To overcome this situation, we propose a design to monitor the patient’s health conditions such as heart beat, temperature, ECG and BP and send the message to guardian using GSM. In the recent development of internet of things(IoT) makes all objects interconnected and been recognized as the next technical revolution. Patient monitoring is one of the IoT application to monitor the patient health status. Internet of things makes medical equipments more efficient by allowing real time monitoring of health. Using IoT doctor can continuously monitor the patient’s on his smart phone and also the patient history will be stored on the web server and doctor can access the information whenever needed from anywhere.
BPL LifePhone Plus is a mobile health monitoring device that allows users to record an ECG and monitor vital signs like heart rate and activity level. The data is transmitted via Bluetooth to a smartphone app where it can be shared with doctors for remote consultation. Specialists can provide instant feedback and advice through the app. The device aims to make quality healthcare more accessible and convenient for users by allowing remote patient monitoring and consultations from anywhere at any time.
How COVID-19 is changing urban infrastructure planningNUS-ISS
This document discusses how technology can help transform cities and enable safer living in a post-COVID world. It describes Singapore's experience with COVID-19 and the economic impacts. It then outlines technologies like AI, IoT, and robotics that can help with contact tracing, social distancing monitoring, disinfection, and remote healthcare access. These include wearable trackers, temperature screening robots and drones, and an integrated digital health platform for virtual consultations and care coordination. The goal is to create safer public spaces and support vulnerable groups through smarter urban planning and use of data analytics.
Founded in 2003, Nortec Software has established itself as a pioneer in Healthcare Information Technology. Since its inception, Nortec has kept abreast of the dynamic environment of the healthcare sector, providing quality and innovative solutions to its customers. After several years of consumer-conscious software development and testing, Nortec is proud to announce the availability of Nortec’s Electronic Health Record software to all practicing medical providers.
Portable Real Time Cardiac Activity Monitoring SystemIRJET Journal
This document describes a portable real-time cardiac activity monitoring system. The system collects electrocardiogram (ECG) signals to examine heartbeats and detect abnormalities. It uses a sensor to detect heart activity signals, sends them wirelessly to a smartphone via Bluetooth, and stores the signals in a network. The system analyzes heart rate and variability in real-time on the sensor to conserve power by only sending a few parameters. It is intended to remotely monitor patients' cardiac health over long periods by continuously collecting and analyzing ECG signals.
The Orissa Telemedicine Project provides 24/7 access to doctors for remote areas of Orissa, India using mobile and fixed telemedicine kiosks staffed by local personnel. The kiosks are connected to doctors across India via an eHealth system for voice/video consultations and can perform basic medical tests. The system aims to expand access to healthcare while reducing costs through standardized billing and centralized technical support.
Coding for Subcutaneous Cardiac Rhythm MonitorsJessica Parker
On Nov. 2, 2020, the American Medical Association (AMA) CPT® Editorial Panel announced the approval of a new Category III CPT® code to describe remote programming of subcutaneous cardiac rhythm monitors.
Recently, in many cases, the reason for a patient staying in the hospital is not that he or she actually needs active medical care. Often, the principal reason for a lengthy stay in the hospital is simply continual observation. Therefore, efforts have been made to avoid acute admissions and long lengths of stay in the hospital. In recent years, emergency admissions and long lengths of stay have become extremely costly. So the focus of health policy has shifted away from the provision of reactive, acute care toward preventive care outside the hospital. As models of care are redesigned, health economies are seeking to provide more care outside large acute centers. The drivers for this shift are two-fold; first, there is a quality-of-care issue and second, there is a resource allocation issue. Being cared for in a patient’s own home is a key aim of current U.K. government health policy and that is driven by an imperative to provide better quality care to people without the need to disrupt their lives. Investment in technologies that enable remote monitoring would lead to long-term gains in terms of hospital finances and patient care.
This document discusses how new sensor and intelligent device technologies have the potential to transform healthcare delivery by bringing care closer to patients' homes. It describes how these non-intrusive technologies could enable patients to recover more quickly after surgery and benefit from virtual reality applications. The document also examines how wearable devices and sensors that can monitor vital signs could support more integrated, patient-centered care models by reducing dependence on providers and facilitating remote care, monitoring and early detection of health issues. Machine learning and big data analytics are discussed as ways to generate insights from the large and growing volumes of patient data that these new digital devices and sensors are capturing.
In motion vitals proactive-monitoring and diagnostics supportAnton Panfilov
The document discusses a company that develops non-invasive biosensors for monitoring vital signs during physical activity. The company's products are aimed at rehabilitation, fitness, sports and home telemedicine. The company is developing a portable smart biosensor platform that integrates data from multiple sensors and monitors vital signs like ECG, blood pressure, and lactic acid levels during physical activity. The company is also developing a wireless, highly selective lactic acid biosensor and a noise-free blood pressure sensor for sports medicine and rehabilitation applications. Funding of $1 million is required for further development and clinical trials of their multi-sensor wearable platform.
With rapid development of economies, growth of aging population and the prevalence of chronic diseases across the world, there is an urgent need to find new ways to improve patient outcomes, increase access to care, and reduce the cost of medical care. A health care monitoring system is necessary to constantly monitor patient’s physiological parameters. The tele-medical system focuses on the measurement and evaluation of vital parameters e.g. temperature, electrocardiogram (ECG), heart rate variability, fall detection etc. This will enable doctors and care givers to observe patients without having to be physically present at their bedside, be it in the hospital or in their home.
hospital at home is a telemedicine system that aims to improve patient care and quality of life by allowing constant monitoring of vital signs and video communication between patients and caregivers directly in the home. The system includes a touchscreen device placed at the patient's home that monitors parameters like oxygen saturation, ECG, temperature, and blood pressure and transmits the data in real time to caregivers. This allows for round-the-clock care of patients without the need for hospitalization or frequent visits, reducing costs for the healthcare system while improving patient comfort and outcomes.
This document outlines a project to monitor ECG signals on an Android smartphone. It includes an introduction, sections on what an ECG is and why Android was chosen, a block diagram of the system components, and a conclusion. The system will use an ECG sensor, amplifier, ADC, heart rate sensor, microcontroller, serial interface, and Bluetooth module to monitor and analyze a patient's heart condition through ECG electrodes and display a graph on an Android phone. The goals are to implement ECG monitoring outside of a hospital setting using wearable, robust hardware that can be used in remote areas.
The document discusses two case studies that evaluated adopting pervasive computing systems for routine use in healthcare. The first case study involved a mobile stroke diagnosis tool for emergency services aimed at shortening diagnosis time. User feedback highlighted benefits like improved medical assessment but also challenges regarding usability, privacy, and integration into clinical workflows. The second case study of a system for multiple sclerosis patients identified benefits for remote patient monitoring and care coordination, though users also voiced concerns about technical reliability, data protection, and organizational adoption issues that need to be addressed for full integration into healthcare.
U-healthcare monitoring and reporting using smartphoneRajeev Piyare
This document describes a smartphone-based system for remote patient monitoring. The system collects biometric data like ECG, blood pressure, and oxygen levels from wireless sensors and sends it to a central server via the phone. An Android app processes the ECG data in real-time to detect abnormalities. The system aims to improve healthcare access in developing areas by allowing continuous remote monitoring with fewer medical resources.
ECG Interoperability and Industry Trends, Dr Justin Mortara, Mortara InstrumentSteffan Stringer
This document discusses ECG interoperability and industry trends. It describes Mortara Instrument as a leading provider of diagnostic cardiology and monitoring devices, as well as ECG algorithms. The document outlines the path from proprietary to fully interoperable ECG systems, including a case study of an HL7 standard. It also looks ahead at trends like increased connectivity, data collection, and focus on security and standards. The future of Phase 1 eSource integration is presented as leveraging open architecture and standards to connect diverse ECG devices.
The document discusses how the Data Distribution Service (DDS) middleware standard can enable integration of medical devices and systems. DDS allows devices and applications to share information through a global data space and supports real-time performance, reliability, and interoperability across platforms. Examples shown include using DDS for integrated control of medical imaging devices like CT and MRI scanners, particle therapy systems, surgical robotics, and connecting monitoring devices at the hospital, ambulance, and clinical levels. DDS provides a common information model and quality of service policies to ensure safe and effective data sharing across disconnected medical systems.
The document outlines an 8-week workplace wellness campaign called Eat Well Live Well that includes weekly events like fruit and vegetable distributions, drawings for prizes, and activities to encourage healthy eating and exercise. It provides details on registration for the campaign website, tracking steps and fruit/veggie intake for weekly entries into prize drawings. Upcoming events are announced like a kick-off breakfast, "junk food" day, and a Wii sports tournament with a $25 gift card for the winner. The campaign culminates with a salad bar celebration where participants bring toppings to recognize their healthy efforts over the past 7 weeks.
The document is a mathematical formula handbook containing formulas and concepts related to series, vector algebra, matrix algebra, vector calculus, complex variables, trigonometric functions, hyperbolic functions, limits, differentiation, integration, differential equations, calculus of variations, functions of several variables, Fourier series and transforms, Laplace transforms, numerical analysis, treatment of random errors, and statistics. It provides an introduction and bibliography, as well as physical constants. The handbook is intended as a reference for students studying physics.
The document is a collection of disjointed phrases and sentences about moving or traveling to new places and making memories. It encourages the recipient to go where their heart leads them and see the world in new ways, and says goodbye and be safe as they embark on their journey.
This document contains flashcards for vocabulary words from Chapter 2 of an intermediate Chinese textbook. The flashcards provide the Chinese characters, pinyin romanization, and English translation for 16 vocabulary words, including terms like "elective course", "department", "lecture", and "overweight".
Ragupathi Jayaraman is a Microsoft SharePoint architect and developer with over 10 years of experience in full life cycle software development, requirements analysis, design, testing, and project management. He has extensive experience designing and developing enterprise-scale SharePoint implementations, including migrations from SharePoint 2007 to 2013. He is proficient in technologies like C#, ASP.NET, JavaScript, SQL Server, and has led teams on projects for clients in various industries and locations around the world.
1) Eles assaltaram o banco ontem pela manhã. Eu esqueci de realizar as atividades do projeto da Sacola Literária. Eu e Ana brincamos muito. Você vem de que lugar? Nós realizamos muitas atividades de matemática ontem na escola.
2) Júlio não quer mais um irmão. Eu e Lúcia temos quatro irmãos. Eles foram ao parque. Elas vieram ver o bebê.
3) O diretor recebeu os alunos. Eu entreguei a programação das solenidades fest
Atividades de matematica para imprimir 3º ano atividade 7Rute Simão
Esta atividade de matemática para 3o ano pede aos alunos para adicionar 8 e depois 98 a uma série de números usando cálculo mental, observando os resultados para resolver problemas matemáticos.
O documento discute diferentes aspectos da língua portuguesa como:
1. Dígrafos, encontros consonantais, substantivos próprios e comuns, coletivos, sílabas tônicas e classes de palavras;
2. Pontuação, acentos, cedilha, singular e plural, operações matemáticas;
3. Classes de palavras como pronomes, artigos, verbos e seus tempos.
This document discusses the Return of Title IV Funds (R2T4) process when a student withdraws from school. It covers:
- R2T4 applies when a Title IV eligible student withdraws or stops attending before completing more than 60% of a payment period.
- The school must determine the student's withdrawal date and perform the R2T4 calculation within 30 days. Any unearned aid must be returned within 45 days.
- The student is considered to have "earned" Title IV funds in proportion to the time enrolled up until withdrawal. If they complete over 60% of the period, they earn all funds.
- The school must notify students of any grant overpayment or post-
The Vitaphone Telemedical Service Center in Germany has successfully received certification for its quality management system according to the "VDE Recommendations of Application for Telemonitoring" standards. The certification was conducted by the independent VDE Testing and Certification Institute and confirms that Vitaphone has implemented a quality management system for its services as a telemedical center, including patient monitoring, emergency coordination and reporting to clients. Vitaphone's CEO stated that this important quality certification provides assurance of their quality, especially with the current focus on handling sensitive patient data in healthcare.
REPORT: Competitive Intelligence Analysis on “Noninvasive Diabetes Monitoring...Caroline Charumathy
This Competitive Intelligence Report by DexPatent gives you a thorough and comprehensive analysis of all patents published, granted or expired by companies, start-ups, inventors or universities across the world during 01 - 15 Jan 2019. This Exclusive report provides you patent and technology insights which help you to take direct decisions relating to R&D alignment, licensing or acquisition and saves a lot of time of your in-house IP and R&D team
To get in-depth analysis of innovations and opportunities relating to Fingerprint detection in portable devices, Please contact us at caro@dexpatent.info
The report helps you to understand the gist of each important patent just by a glance.
Trapollo is a managed service company that focuses on building and maintaining large-scale remote health monitoring programs across the United States. It partners with payers, providers, manufacturers and other organizations to design and implement remote patient monitoring programs. Trapollo's services include program design, device management, clinical monitoring, data analytics and technical support. It utilizes its proprietary Trapollo Management Console software to integrate technologies, manage patient data and run all aspects of remote monitoring programs. Trapollo aims to help healthcare organizations improve outcomes and lower costs through remote patient monitoring.
ForaCare, Inc. produces products for chronic disease management including diabetes, hypertension, and COPD. Their product catalog includes multi-functional monitoring devices that measure blood glucose and ketone levels, blood pressure monitors, blood glucose meters, professional devices for healthcare providers, and software solutions. ForaCare aims to improve health outcomes for patients through accurate, reliable monitoring devices and data management platforms.
I9 is a brazilan company focused on healthcare and tele-health and provides software solution that integrated medical devices to the Hospital Information System (HIS) and Electronic Health Record (EMR)
I was coordinator of the software development of a project in the European Commission’ Telematic Applications Programme, DG XIII entitled “The Black Sea Tele Diab System (BSTD)”. The project was the result of a collaboration between members of the BSTD consortium, made up of the following partners: University of Sheffield (project coordinator) and University of Hull, UK; Research Institute and Diabetes Center, Greece; Institute of Diabetes, Nutrition and Metabolic Diseases, “N. Paulescu” and the Romanian Society Clinical Engineering and Medical Computing, Bucharest, Romania; Gorky State Medical University, Ukraine; Centre for Pathology, Chisinau, Moldova.
This system was carefully constructed and developed to meet the requirements to encourage clinicians to abandon paper records in favor of a fully-computerized healthcare record system and to promote the electronic exchange of healthcare information between clinicians and scientists in countries of the Black Sea area. The system was developed using a modular design and object oriented method approach. It was developped based on the Good European Health Record (GEHR) Architecture that faithfully preserving the data as originally intended, as well as permitting analysis of the data, which can come from many sources using an XML exchange method.
The GEHR structure is very comprehensive, data items being stored in a number of related tables that are held in a MS Access database. The software for the system has been developed in Microsoft Visual C++ and when combined with the database, it provides an application that is fast and well integrated with the Windows environment. Development of the system has followed a stepwise approach with validation of the architecture and the incorporation of feedback from users at each key stage.
There are five major work areas: patient records, reports, graphs, Diabetes Aggregated Data (DAD) and administration. Each of these contains a number of individual application/functions which are serviced by the relational tables that store the patient details, clinical measurements, doctors and user information. The Patient Records Function offers options for the management of the EHCRs (creation/correction/visualisation), such as: registration of a new patient and entry of the first record or sheet; the recording of a new sheet; the correction/visualisation of the sheet; the recording of data about the patient’s death, etc. The System Administration Function allows: Definition of the health care facility; definition of persons as users or system managers; management of passwords and access rights for the users; definition of measurement units; limited customisation of the user interface.
Siemens Healthcare Diagnostics is committed to providing clinicians with vital diagnostic information through its comprehensive portfolio of clinical diagnostics systems and solutions. This includes the CLINITEK Status family of urinalysis analyzers which feature automated and reliable testing, optional connectivity capabilities, and a broad test menu to support patient care. The new CLINITEK Status+ Analyzer offers additional enhancements like automated quality checks and printed records for accurate results.
This document discusses the process for bringing a mobile health application to market as a medical device in the European Union. It covers determining if the app meets the definition of a medical device, classifying the device, complying with applicable directives and standards, establishing a quality management system, and obtaining CE marking. The challenges of navigating this regulatory process for an existing app already in app stores are also addressed.
The document describes Telecom Italia's Nuvola IT - Home Doctor telemedicine service. The service enables remote patient monitoring through collection of medical data from devices and transmission to Telecom Italia's secure telemonitoring platform. The platform allows for three service models: autonomous patient monitoring, caregiver-assisted monitoring, and surgery telemonitoring. The service provides benefits like cost savings, increased access to care, and improved patient well-being through continuous remote monitoring. Telecom Italia's solution integrates multiple medical devices and offers functionality like electronic health record integration and digital reporting of results.
ETIAM_One-click_Telemedicine long versionElisa Auci
ETIAM provides a comprehensive and integrated telemedicine solution called One-Click Telemedicine. It offers various image sharing, capture, and communication solutions that allow doctors and patients to connect in real-time. Key features include a web-based zero footprint interface, secure exam sharing and distribution through multiple devices, and integration with hospital systems through standards like DICOM and HL7. The platform provides telemedicine applications for specialties like tele-radiology, tele-dermatology, and tele-neurology to facilitate remote consultations and second opinions.
REPORT: Competitive Intelligence Analysis on “Noninvasive Diabetes Monitoring...Caroline Charumathy
This Competitive Intelligence Report by DexPatent gives you a thorough and comprehensive analysis of all patents published, granted or expired by companies, start-ups, inventors or universities across the world during 01 - 15 December 2018. This Exclusive report provides you patent and technology insights which help you to take direct decisions relating to R&D alignment, licensing or acquisition and saves a lot of time of your in-house IP and R&D team
To get in-depth analysis of innovations and opportunities relating to Non-invasive Diabetes Monitoring, Please contact us at mano@dexpatent.com.
The report helps you to understand the gist of each important patent just by a glance.
This document discusses a health platform that aims to overcome problems patients with chronic diseases face in reaching hospitals by enabling continuous remote patient monitoring. The platform utilizes wearable devices, mobile applications, and a web portal to allow patients to have their health monitored anywhere through data transmission and remote medical control. It focuses on ensuring patient mobility, autonomy, and continuous care while keeping them out of hospitals. The system is designed with a user-friendly Android mobile app and a HIPAA compliant architecture to securely transmit patient data from wearable sensors to doctors for remote oversight of at-risk patients.
IoT Medical Devices | Topic #3 of PharmaLedger's 2nd Open Webinar PharmaLedger
In this IoT Medical Device Use Case presentation, you will find:
An introduction to IoT Medical Device use case presented by : Disa Lee Choun (UCB) and Francesca Rocchi (Bambino Gesù Children Hospital)
The current state and challenges of data collection from medical devices
The advantages of IoT in Clinical Trials
PharmaLedger’s blockchain solution for the future state
Value added by PharmaLedger per actor involved
This project has received funding from the Innovative Medicines Initiative 2 Joint Undertaking under grant agreement No 853992. This Joint Undertaking receives support from the European Union’s Horizon 2020 research and innovation programme and EFPIA.
Disclaimer: Any information on this presentation solely reflects the author’s view and neither IMI nor the European Union or EFPIA are responsible for any use that may be made of the information contained herein.
The document describes OpenTele, an open source home health monitoring platform developed by Silverbullet for the Danish healthcare system. It addresses existing problems with remote monitoring systems by keeping things simple, scalable, and affordable. OpenTele uses workflows and questionnaires to collect both automatic and manual patient measurements. It has a web portal for clinicians and an app for patients. The platform is designed to support large-scale deployments and integrate with other systems. Over 2000 Danish patients currently use OpenTele, and the company aims to achieve CE medical device certification by mid-2015.
The document describes OpenTele, an open source home health monitoring platform developed by Silverbullet for the Danish healthcare system. It addresses existing problems with remote monitoring systems by keeping things simple, scalable, and affordable. OpenTele uses workflows and questionnaires to collect both automatic and manual patient measurements. It has a web portal for clinicians and an app for patients. The platform is live in Denmark with over 2000 users and aims to achieve CE medical device certification in 2015.
Allscripts Open App Challenge PresentationBrock Heinz
The webECG solution is a complete cardiac monitoring system that uses data mining and analytics of EHR data to identify high-risk patients and allows providers to remotely monitor those patients. It integrates ECG acquisition, data storage, and risk scoring directly into the EHR to streamline cardiac care management. The solution aims to reduce costs and improve outcomes for conditions like heart disease through population health analytics and reduced readmissions enabled by remote patient monitoring.
eWave MD is an international healthcare software company that provides secure, web-based medical platforms and solutions like electronic medical records, telemedicine, patient portals, and disease management tools. Their products have been implemented in national health plans and hospitals in Israel, the US, and other countries to improve care quality, reduce costs, and support remote diagnostics. Case studies demonstrate how their platforms have benefited organizations by streamlining workflows, centralizing medical records, and enabling telehealth services.
medIT is an IT company that provides digital health solutions to improve access to universal healthcare. Their mission is to drive digital transformation in the health sector. Some of their key products and services include:
- ePrescription, the national e-prescription system in Serbia with over 450 million prescriptions processed.
- NMPP&D, the national medical platform for prevention and diagnostics in Serbia with over 180 integrated institutions.
- A patient portal implemented in Serbia with around 1.5 million active users that provides access to medical records and test results.
- Electronic health records systems implemented in over 300 institutions in Serbia.
- Other solutions like digital death certificates and sick leave tracking.
QualiMedd is an independent UK-based consultancy established in 1990 that specializes in providing quality and regulatory services to medical device and in vitro diagnostic companies. They offer assistance with ISO certification, implementing quality systems, technical files, design dossiers, FDA and EU requirements. Their managing director Jim Mackenzie has over 35 years of experience in the medical industry. QualiMedd works with companies of all sizes to help ensure they meet international standards and directives.
2. Telemonitoring today
• Cardiovascular disease causes 47% of all deaths in Europe
• Each year cardiovascular disease causes over 4 million deaths in Europe
• In the same time biometric monitoring in cardiology, surgery, gynecology , etc, is still:
2
big
static
offline
3. • Multinational medical technology developent project
• With mission to identify and integrate the best practices in world telemonitoring
• Own telemonitoring centre with capacity of 15 000 patients simultaneously monitored
• Proven track record since 2000
• Specialised in innovative telemonitoring applications
• Primarily focussed on telemonitoring of vital-signs
• Key applications are telemonitoring of:
- ECG
- SpO2
- Temperature
- Cardiac Events
- Early Warning Score (Visensia Index)
- Fetal Heart Rate
- Ventilation parameters
- Health and fitness testing (Vital-Vision)
• Distribution network in Europe, Asia and United States of America
• Product solution comprises monitoring equipement, servers, software and Smartphone applications
• Product suite certified by CE, FDA, FCC and PTCRB
What is Check Point Cardio
• Multinational medical technology developent project
• With mission to identify and integrate the best practices in world telemonitoring
• Own telemonitoring centre with capacity of 15 000 patients simultaneously monitored
• Proven track record since 2000
• Specialised in innovative telemonitoring applications
• Primarily focussed on telemonitoring of vital-signs
• Key applications are telemonitoring of:
- ECG
- SpO2
- Temperature
- Cardiac Events
- Early Warning Score (Visensia Index)
- Fetal Heart Rate
- Ventilation parameters
- Health and fitness testing (Vital-Vision)
• Distribution network in Europe, Asia and United States of America
• Product solution comprises monitoring equipement, servers, software and Smartphone applications
• Product suite certified by CE, FDA, FCC and PTCRB
4. We offer healthcare providers an all-encompassing solution for remote monitoring and diagnostics of
their patients to:
• Improve patient comfort by keeping them in their home environment longer without risk
• Reduce number of complication events in post-operative and post-clinical stage
• Reduce the workload and increase cost efficiency of telemonitoring services by remote monitoring
• Contribute to improving overall health by offering health and fitness testing services
• Increase self-confidence in patients, reduce stress
• Reduce expences for logistics, hospital stay, surgery invasions , of the state or private health systems
Proposition
We offer healthcare providers an all-encompassing solution for remote monitoring and diagnostics of
their patients to:
• Improve patient comfort by keeping them in their home environment longer without risk
• Reduce number of complication events in post-operative and post-clinical stage
• Reduce the workload and increase cost efficiency of telemonitoring services by remote monitoring
• Contribute to improving overall health by offering health and fitness testing services
• Increase self-confidence in patients, reduce stress
• Reduce expences for logistics, hospital stay, surgery invasions , of the state or private health systems
5. Solutions and application
TelemonitoringVital-Signs Telemonitoring Fetal Heart Rate Telemonitoring 12-lead ECGTelemonitoringVital-Signs Telemonitoring Fetal Heart Rate Telemonitoring 12-lead ECG
Telemonitoring Ventilation Heart attack Index Score Health & Fitness testing
6. Technical overview PC software
Telemonitoring
Configuration and
data download
Alerts
WEB portal
File Server
Hardware unit
With built-in modem
and SIM card *
Telemonitoring
All data available online
Patient Server
Alerts
own monitoringown monitoring
centrecentre
8. Partnership Check Point – Vital Connect
USA
• One of the most fast developing telemedicine R&D companies in US
• Company is developing basic, but affordable system enabling a remote
transmission of ECG from patients to doctors
• Simple, easy-to wear, working with a Android smartphone
• Extremely long batery life – up to 7 days without a re-charge!
• Company is developing basic, but affordable system enabling a remote
transmission of ECG from patients to doctors
• Simple, easy-to wear, working with a Android smartphone
• Extremely long batery life – up to 7 days without a re-charge!
• Only 85 g. weight
•Together with Check Point, in 2015 is developed a complete system for cardiac
telemonitoring, including
- 1-lead lifestream ECG
- Temperature
- Respiration
- Body posture
- Pulse
- Heart rate and variability
- Cardiac Events
- GPS
11. Vital connect is certified as a complete solution, including data transmission, server system, software and
Smartphone applications for real-time monitoring of patient’s vital signs and ECG waveforms.
Vital connect is a IIb medical device and is allowed for use in the Intensive Care Unit and Operating Theater.
The products are allowed for sale in Europe, USA, Asia, EMEA and Africa.
The products are designed and manufactured by ISO standards for medical products (ISO 9001 and ISO 13485).
Vital Connect comes with the following certificates:
CE-mark (0344)
FDA 510(k) approval for the Americas
CAMDCAS approval for Canada
FCC approval for the radio transmission for USA and Canada
PTCRB approval for the cellular transmission
SAR approval for body worn telecom units
Certifications
Vital connect is certified as a complete solution, including data transmission, server system, software and
Smartphone applications for real-time monitoring of patient’s vital signs and ECG waveforms.
Vital connect is a IIb medical device and is allowed for use in the Intensive Care Unit and Operating Theater.
The products are allowed for sale in Europe, USA, Asia, EMEA and Africa.
The products are designed and manufactured by ISO standards for medical products (ISO 9001 and ISO 13485).
Vital Connect comes with the following certificates:
CE-mark (0344)
FDA 510(k) approval for the Americas
CAMDCAS approval for Canada
FCC approval for the radio transmission for USA and Canada
PTCRB approval for the cellular transmission
SAR approval for body worn telecom units
13. Partnership with Techmedic International - Nederlands
• Dutch based medical technology development company
• Operating since 2000-Th
• Specialised in innovative telemonitoring applications
• Primarily focussed on telemonitoring of vital-signs
• Carrier of all world standards for telemedicine and a lot of patents
• The only system, ensuring real time data
• Profound automatical analyses of vital signs, when the doctor can program the allert,
individually for each patient
• Key applications are telemonitoring of:
- ECG
- SpO2
- Temperature
- Cardiac Events
- Early Warning Score (Visensia Index)
- Fetal Heart Rate
• Dutch based medical technology development company
• Operating since 2000-Th
• Specialised in innovative telemonitoring applications
• Primarily focussed on telemonitoring of vital-signs
• Carrier of all world standards for telemedicine and a lot of patents
• The only system, ensuring real time data
• Profound automatical analyses of vital signs, when the doctor can program the allert,
individually for each patient
• Key applications are telemonitoring of:
- ECG
- SpO2
- Temperature
- Cardiac Events
- Early Warning Score (Visensia Index)
- Fetal Heart Rate
13
14. Dyna-Vision™ Applications
Telemonitoring
System
Resting ECG
Cardiac
Events
SpO2 and
Pulse Rate
Dyna-Vision™ Telemonitoring System is used for a
variety of applications in the medical and
paramedic environment.
The core application is the Dyna-Vision™
Telemonitoring system.
Simple add the plug-in(s) for the application(s)
of choice;
DV-REST-ECG
DV-VIS-MON
DV-RTP-MON
DV-EVENT-MON
DV-FHR-MON
DV-HVM-MON
DV-SPO2-MON
Telemonitoring
System Real-time
Patient
Monitoring
Continuous
Early
Warning
Score
Fetal Heart
Rate /
Uterine
Contractions
Home
Ventilated
Patients
Dyna-Vision™ Telemonitoring System is used for a
variety of applications in the medical and
paramedic environment.
The core application is the Dyna-Vision™
Telemonitoring system.
Simple add the plug-in(s) for the application(s)
of choice;
DV-REST-ECG
DV-VIS-MON
DV-RTP-MON
DV-EVENT-MON
DV-FHR-MON
DV-HVM-MON
DV-SPO2-MON
16. Resting ECG – Telemedicine System
Dyna-Vision™ unit with
built-in SIM card and
internal modem
connected to the patient
Dyna-Vision™
secured
telemedicine
server
PC with Dyna-Vision™ software
connects to the telemedicine server PDF reports and online
storage in Electronic
Health Record
18. All data collected by Dyna-Vision™ is used in high-level reports
Reports are stored in PDF or FDA-XML format
The reports can be send to others by secured connection via the server
Dyna-Vision™ applications can output data to EHR
The reports present high-resolution medical data in superb quality graphs
Interconnectivity of data with other software / systems (XML/PDF/others)
Reporting
Example of reports
21. Dyna-Vision™ Telemedicine System is certified as a complete solution, including data transmission, server system,
software and Smartphone applications for real-time monitoring of patient’s vital signs and ECG waveforms.
Dyna-Vision™ Unit is a IIb medical device and is allowed for use in the Intensive Care Unit and Operating Theater.
Techmedic International is audited annually by a notified body. The products are allowed for sale in Europe, USA,
Asia, EMEA and Africa.
The products are designed and manufactured by ISO standards for medical products (ISO 9001 and ISO 13485).
Dyna-Vision™ comes with the following certificates:
CE-mark (0344)
FDA 510(k) approval for the Americas
CAMDCAS approval for Canada
FCC approval for the radio transmission for USA and Canada
PTCRB approval for the cellular transmission
SAR approval for body worn telecom units
Certifications
Dyna-Vision™ Telemedicine System is certified as a complete solution, including data transmission, server system,
software and Smartphone applications for real-time monitoring of patient’s vital signs and ECG waveforms.
Dyna-Vision™ Unit is a IIb medical device and is allowed for use in the Intensive Care Unit and Operating Theater.
Techmedic International is audited annually by a notified body. The products are allowed for sale in Europe, USA,
Asia, EMEA and Africa.
The products are designed and manufactured by ISO standards for medical products (ISO 9001 and ISO 13485).
Dyna-Vision™ comes with the following certificates:
CE-mark (0344)
FDA 510(k) approval for the Americas
CAMDCAS approval for Canada
FCC approval for the radio transmission for USA and Canada
PTCRB approval for the cellular transmission
SAR approval for body worn telecom units
22. 2002: Herman Wijffels Innovation Award for new Heart-Lung Machine design
2004: Patent granted for “Emergency Warning System”
2005: Patent granted for “New Method for Respiration Monitoring”
2006: Patent granted for “New Clamping Method for Mounting Equipment”
2007: Patent granted for “Work-of-Breathing Detection Method”
2009: Patents filed for “Real-time Remote Patient Monitoring using Integrated Cellular Technology”
2010: Nominated for the “Global GSMA m-Health Award – due February 2011
2010: Finalists for the “International Business Award – due April 2011
2011: Received the “Frost & Sullivan Excellence Award for Remote Patient Monitoring”
Awards and Patents
2002: Herman Wijffels Innovation Award for new Heart-Lung Machine design
2004: Patent granted for “Emergency Warning System”
2005: Patent granted for “New Method for Respiration Monitoring”
2006: Patent granted for “New Clamping Method for Mounting Equipment”
2007: Patent granted for “Work-of-Breathing Detection Method”
2009: Patents filed for “Real-time Remote Patient Monitoring using Integrated Cellular Technology”
2010: Nominated for the “Global GSMA m-Health Award – due February 2011
2010: Finalists for the “International Business Award – due April 2011
2011: Received the “Frost & Sullivan Excellence Award for Remote Patient Monitoring”
International Business Award 2010
24. What is Medical center Check Point?
• Created 2010
• Over 9500 patients files with different telemedicine systems
• 24/7 monitoring of cardiac and gynecology data
• 6 doctors, 10 nurses
• With automatic data analyses , up to 15 000 patients capacity for
simultaneously monitoring
• Own ERP for management, first reaction within 2 minutes standard
• Certified by suppliers for 13 485 and ISO 9001 standards
• Know-how for spreading design and structure in other countries
• Created 2010
• Over 9500 patients files with different telemedicine systems
• 24/7 monitoring of cardiac and gynecology data
• 6 doctors, 10 nurses
• With automatic data analyses , up to 15 000 patients capacity for
simultaneously monitoring
• Own ERP for management, first reaction within 2 minutes standard
• Certified by suppliers for 13 485 and ISO 9001 standards
• Know-how for spreading design and structure in other countries
24
25. CP center
• Telemedical centre has emergency operators,
administration operator and call operator for
registration, observation and contact with the
patient, physicians and emergency centers
• This is the place where heart rate and its
variability, rhythm and conduction disorders are
analyzed, together with physical activity of the
patient, allowing some conclusions about
his/her current cardiovascular condition and
risk.
• In case a predefined critical condition is met,
short messages (SMS) are generated and sent to
the medical specialist, or/and call to the patient,
his physician or emergency centre are initiated.
• Telemedical centre has emergency operators,
administration operator and call operator for
registration, observation and contact with the
patient, physicians and emergency centers
• This is the place where heart rate and its
variability, rhythm and conduction disorders are
analyzed, together with physical activity of the
patient, allowing some conclusions about
his/her current cardiovascular condition and
risk.
• In case a predefined critical condition is met,
short messages (SMS) are generated and sent to
the medical specialist, or/and call to the patient,
his physician or emergency centre are initiated.
www.checkpointcardio.com
26. General statistics 2010-2014
• Total number of patients telemonitored with diferent checkpoint cardio systems =
9500
• Mean period for telemonitoring – 5.34 days
• Indications:
– Rhythm disorders – 74%
– Ischemia detection – 26%
• Detection of a new condition during telemonitoring (undocumented rhythm disorder,
evidence of ischemia) – 76.7%
• Telemonitoring resulting in therapy modification / change (either because of a new
diagnosis or because telemonitoring revealed that previous therapy was inappropriate
/ ineffective for the present patient condition) – 84.6%
• Urgent hospitalization for a condition detected during telemonitoring – 33.6%; mean
time from detection to hospitalization – 2 hours;
• Patient driven telemonitoring discontinuation due to side effects – 0.6%
• Total number of patients telemonitored with diferent checkpoint cardio systems =
9500
• Mean period for telemonitoring – 5.34 days
• Indications:
– Rhythm disorders – 74%
– Ischemia detection – 26%
• Detection of a new condition during telemonitoring (undocumented rhythm disorder,
evidence of ischemia) – 76.7%
• Telemonitoring resulting in therapy modification / change (either because of a new
diagnosis or because telemonitoring revealed that previous therapy was inappropriate
/ ineffective for the present patient condition) – 84.6%
• Urgent hospitalization for a condition detected during telemonitoring – 33.6%; mean
time from detection to hospitalization – 2 hours;
• Patient driven telemonitoring discontinuation due to side effects – 0.6%
27. Indications. Atrial fibrillation.
• Patients with suspected but undiagnosed atrial fibrillation:
– Clinical symptoms such as palpitations or dyspnoea should trigger ECG
monitoring to demonstrate AF, or to correlate symptoms with the underlying
rhythm - IIaB.
– Additional ECG monitoring should be considered for detection of ‘silent’ AF in
patients who may have sustained an AF-related complication - IIaB.
– It has been estimated that 7 day Holter ECG recording or daily and symptom-
activated event recordings may document the arrhythmia in around 70% of AF
patients, and that their negative predictive value for the absence of AF is
between 30 and 50%.
• Patients with known atrial fibrillation:
– When arrhythmia or therapy-related symptoms are suspected, ECG monitoring
should be considered - IIaC.
• Patients with suspected but undiagnosed atrial fibrillation:
– Clinical symptoms such as palpitations or dyspnoea should trigger ECG
monitoring to demonstrate AF, or to correlate symptoms with the underlying
rhythm - IIaB.
– Additional ECG monitoring should be considered for detection of ‘silent’ AF in
patients who may have sustained an AF-related complication - IIaB.
– It has been estimated that 7 day Holter ECG recording or daily and symptom-
activated event recordings may document the arrhythmia in around 70% of AF
patients, and that their negative predictive value for the absence of AF is
between 30 and 50%.
• Patients with known atrial fibrillation:
– When arrhythmia or therapy-related symptoms are suspected, ECG monitoring
should be considered - IIaC.
Management of Atrial Fibrillation, ESC, Focused Update from 2012; Guidelines for the
management of atrial fibrillation, 2010
28. Indications. Sudden cardiac death.
• Patients with primary risk factors of SCD :
– Patients experienced cardiac arrest and/or hemodynamically significant sustained ventricular tachycardia;
– Patients experienced myocardial infarction;
– Patients with syncope episodes ;
– Patients with systolic left ventricular dysfunction (ejection fraction of less than 40%) and/or episodes of unstable
ventricular tachycardia, established by instrumental examinations;
With patients with the above listed high risk factors, there is high possibility of recurrence of fatal ventricular rhythm
disorders with the development of acute heart failure and sudden cardiac death.
Recommended monitoring period : 7-10 days, four times a year.
• Patients with secondary risk factors of SCD :
– Patients with left ventricular hypertrophy;
– Patients with hypertension;
– Patients with hyperlipidemia;
– Patients with diabetes;
– Patients with hyper sympathicotonia;
– Patients with obesity;
– Smokers;
– Patients regularly using alcohol.
Recommended monitoring period : 7-10 days, two times a year.
• Patients with primary risk factors of SCD :
– Patients experienced cardiac arrest and/or hemodynamically significant sustained ventricular tachycardia;
– Patients experienced myocardial infarction;
– Patients with syncope episodes ;
– Patients with systolic left ventricular dysfunction (ejection fraction of less than 40%) and/or episodes of unstable
ventricular tachycardia, established by instrumental examinations;
With patients with the above listed high risk factors, there is high possibility of recurrence of fatal ventricular rhythm
disorders with the development of acute heart failure and sudden cardiac death.
Recommended monitoring period : 7-10 days, four times a year.
• Patients with secondary risk factors of SCD :
– Patients with left ventricular hypertrophy;
– Patients with hypertension;
– Patients with hyperlipidemia;
– Patients with diabetes;
– Patients with hyper sympathicotonia;
– Patients with obesity;
– Smokers;
– Patients regularly using alcohol.
Recommended monitoring period : 7-10 days, two times a year.
29. Indications. Bradyarrhythmia and syncope.
• When an intermittent bradyarrhythmia is suspected but not proven, the suspicion should be
corroborated by an ECG documentation of bradyarrhythmia or, alternatively, by laboratory
testing.
• Since most patients with syncope have infrequent symptoms, recurring over months or years,
long-term ECG monitoring is often necessary to establish a diagnosis
• When an intermittent bradyarrhythmia is suspected but not proven, the suspicion should be
corroborated by an ECG documentation of bradyarrhythmia or, alternatively, by laboratory
testing.
• Since most patients with syncope have infrequent symptoms, recurring over months or years,
long-term ECG monitoring is often necessary to establish a diagnosis
2013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy
30. Other telemonitoring Indication Recommended
time period
History of undocumented arrhythmia 7-14 days
Suspected but undiagnosed AF 5-7 days
Rhythm disturbances in mitral valve prolapse patients 5-7 days
Rhythm evaluation after antiarrhythmic therapy initiation 5 days
Evaluation of heart rate in patients with permanent AF or bradyarryhtmia 3 days
Heart rate control after cardiac surgery 15 days
Heart rate and rhythm evaluation after ablation therapy 7 -15 days
Detection of “silent” AF in stroke patients or after peripheral embolic event 7 - 14 days
High risk patients for ventricular arrhythmia or sudden cardiac death (long QT syndrome, ARVD,
Brugada syndrome, ventricular preexcitation, MI patients with LV dysfunction etc)
14 - 28 days
First degree relatives of patients with congenital heart diseases associated with high risk for SCD 10-14 days
Syncope / presyncope, dizziness 7 days
Active / elite sport with extreme physical stress 3 days
High risk professional occupation 5 days
31. Verification
• Validation of the system was performed at National Cardiology institute in WARSAW,
Poland and National cardiological hospital, Sofia Bulgaria.
• We evaluated 60 patients, 22 (37%) of them female, mean age – 58 ± 8 y, applying
simultaneously standard Holter ECG and Checkpoint system.
• Two different comparisons were performed:
– ECG with standard 12-lead ECG
– Checkpoint Holter with standard ECG Holter
• The design of the study included simultaneous Holter ECG and Checkpoint system
monitoring for at least 20 hours.
• The protocol of the study included also 5 simultaneous ECG recordings (Checkpoint
and standard ECG) at baseline, 1st, 2nd, 6th hour and at the end of the monitoring
period.
• Patient compliance during the monitoring period was excellent.
• Validation of the system was performed at National Cardiology institute in WARSAW,
Poland and National cardiological hospital, Sofia Bulgaria.
• We evaluated 60 patients, 22 (37%) of them female, mean age – 58 ± 8 y, applying
simultaneously standard Holter ECG and Checkpoint system.
• Two different comparisons were performed:
– ECG with standard 12-lead ECG
– Checkpoint Holter with standard ECG Holter
• The design of the study included simultaneous Holter ECG and Checkpoint system
monitoring for at least 20 hours.
• The protocol of the study included also 5 simultaneous ECG recordings (Checkpoint
and standard ECG) at baseline, 1st, 2nd, 6th hour and at the end of the monitoring
period.
• Patient compliance during the monitoring period was excellent.
Mateev H, Simova I, Katova T, Dimitrov N. ISRN Cardiology 2012; article ID 192670, 8 pages
32. Verification – ECG comparison
• We analyzed ECG recordings considering 5 parameters: heart rhythm
(sinus rhythm, atrial fibrillation, atrial flutter), HR, SVEB, VEB and significant
pauses (> 2500 ms).
• For these parameters we have reported the percentage of coincidence
(accordance) between Checkpoint ECG and standard ECG.
• We have performed 297 standard ECG recordings and 297 Checkpoint
ECGs (mean number of ECGs per patient – 4.95 for each mode of
recording).
• We found a very high coincidence rate of 99.3% when Checkpoint derived
ECGs were compared with standard ECGs.
• We analyzed ECG recordings considering 5 parameters: heart rhythm
(sinus rhythm, atrial fibrillation, atrial flutter), HR, SVEB, VEB and significant
pauses (> 2500 ms).
• For these parameters we have reported the percentage of coincidence
(accordance) between Checkpoint ECG and standard ECG.
• We have performed 297 standard ECG recordings and 297 Checkpoint
ECGs (mean number of ECGs per patient – 4.95 for each mode of
recording).
• We found a very high coincidence rate of 99.3% when Checkpoint derived
ECGs were compared with standard ECGs.
Mateev H, Simova I, Katova T, Dimitrov N. ISRN Cardiology 2012; article ID 192670, 8 pages
45. CASE 1: Patient with AVNRT detected during the telemedical
observation
46. •
Case 4 : 55 years old patient
• Hospitalized with an ischemic stroke, embolic etiology was sugessted, but an embolic source was
not found during diagnostic work out.
• In order to detect asymptomatic episodes of AF telemedical device was installed
Just on the 4th supervision day an asymptomatic AF episode was detected.
• Telemonitoring was ended – diagnosis secured;
• Anticoagulation therapy was initiated for secondary prophylaxis – prevention of stroke and
systemic embolism.
47. • Admitted at hospital with inferior STEMI
• SCAG revealed RCA occlusion and pPCI was performed
Case 6: 72-year-old man
48. • At discharge a Telemedical device was installed.
• Sinus rhythm with supraventricular ectopic beats.
49. • On the 1st day of observation a long-lasting (3 and a half hours) episode of
tachyarrhythmia – AF was registered.
• That required initiation of antiarrhythmic therapy and triple antithrombotic
therapy (anticoagulation included).
50. • Admitted at hospital with initial diagnosis Unstable Angina;
• During hospital stay no objective evidence of myocardial necrosis or inducible ischemia
was found
• At discharge Telemedical device was installed; telemonitoring revealed multiple
prolonged episodes of significant ST segment depression in modified V5 lead.
Case 7: 77-year-old man
51. • A decision was made for SCAG
• Single-vessel CAD with a significant LCx lesion
• PCI with LCx stenting was performed