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TRANSFORMING THE
HEALTHCARE DELIVERY
MODEL FOR GROWTH
Wipro enabled extensibility to new technology and mobility
making remote patient monitoring efficient and simple, and
delivered huge costs savings




INDUSTRY LANDSCAPE
One of the most important goals of managing chronic diseases is to detect new developments early
so that medical and lifestyle changes can be made before patients’ health worsen. Medical devices
have been developed which can detect these minor fluctuations in the patient and communicate this
information directly to healthcare providers who can take appropriate action. Creating this
seamless link between patients, their implants, and devices which relay patient data and physicians is
essential. Evolving technology in the telemetry space is making it possible to make smart, timely
healthcare decisions.

The evolution of cardiac devices has opened up new vistas in the health care industry. Global cardiac
monitoring and diagnostic devices market forecasts to reach at US $12.3 billion by 2015 at a
Compound Annual Growth Rate (CAGR) of 11% during the period 2009-2015. Reports published
predict that remote patient monitoring will continue to play a significant role in transforming
healthcare and the market for remote monitoring technology, especially for home healthcare and
disease management, will soar to US $ 294.9 million by 2015. The number of home monitoring
systems with integrated communication capabilities will jump to 4.9 million connections worldwide        Wipro took up product design
by 2016.                                                                                                 and development of a low-cost
                                                                                                         platform and technology
THE OPPORTUNITY                                                                                          independent product with
                                                                                                         wireless interfaces that could
Short-range device-to-device communications (telemetry) technology developments, which led to            work with implanted cardiac
frequent design and hardware changes and greater time to market were ailing the client. With
competition entering the market with next generation cardiac monitors by combining new design            devices. Wipro enabled the
initiatives, the client wanted to re-engineer their existing system to counter the new entrants.         client to showcase innovative
Wipro was engaged in architecture to prototype development and enabled customer to
demonstrate an innovative design to cut back on overheads. Monitoring of patient data, notifications     architecture by completing first
and alerts, and remote follow-ups with physicians on an integrated platform were also sought after.      prototype with working units
The engagement was to be an integrated project involving work in multiple areas like software,
                                                                                                         in just 3 months.
hardware, mechanical, and manufacturing.


CLIENT BACKGROUND
The client is one of the largest medical technology companies & is a Fortune 500 company. The
client has many business units which include cardiovascular, neuromodulation, and diabetes to name
a few.
SOLUTION                                                                        The client partnered with Wipro to design and develop a system,
                                                                                make it technology independent with use of freeware, and cut back
Today, comprehensive devices in the cardiovascular market are capable           on the tremendous overheads like frequent design, hardware
of real-time arrhythmia diagnosis and treatment.The growing demands             changes, and cost of maintenance. Here are some highlights from
for implantable device follow-up are pushing clinics to their maximum           the engagement:
capacity. The client’s solution reduces this bottleneck and significantly
impacts how care is delivered. Remote follow-up offers an alternative           • Wipro worked with the client’s team from ideation to
for overcrowded and overwhelmed clinics, and provide considerable                 prototype development. We also did product design &
convenience for patients.                                                         development, hardware design & enclosure of the device as well
                                                                                  as software design & development. Altogether building a
In the existing system, the physician recommends the client’s                     framework around the process for future changes.
implantable device for the patient which can be programmed by
external medical equipment called the programmer using                          • The solution has wireless capabilities which can be interfaced
radio telemetry.                                                                  over generations of implants, can be displayed on handheld
                                                                                  devices like smartphones & tablets, and is extensible to newer
Before               The medical equipment at the clinic can                      technologies. Embedded web server support was provided
                     be operated by the physician to                              which enables browser-based access from the physician’s side.
                     monitor performance of the implant
                                                                                • We were involved in supply chain and manufacturing activities
                                                                                  leveraging our partner eco-system of third-party manufacturers
                      Medical
                     Equipment              Implant
                                                                                • We also enabled the client to adhere to regulatory
                                                                                  requirements by assisting in pre-compliance activities like EMI
  Physician                                                  Patient
                                                                                  (Electromagnetic Interference), EMC (Electromagnetic
The equipment at the patient’s end collects all the data related to the           Compatibility), thermal shock, vibration, and humidity testing
implant and transfers data reports over the client’s proprietary                  through Tarang lab, Wipro’s world-class NABL (ISO/IEC 17025)
network, which can be retrieved by the physician to take necessary                accredited product qualification and compliance laboratory
actions. But these devices at the physician and patient’s end were built          offering consultancy, pre-compliance testing, and product
on platforms which made it difficult to make software and hardware                certification enabling services across geographies.
changes with new technological advancements.

After         The data collected on the server through                          BUSINESS IMPACT
              the enterprise network can be collated by
              the physician for evaluation and diagnosis
                                                                                • Cut back on overhead costs as low-cost platforms are employed
                                                                                  and is technology independent for extensibility – also achieving
                Enterprise
                                                                                  the form factor target of 4” x 2” x 1.5”
                Network
                                                               Physician        • Cost reduction of over 5 times for equipment at physician’s end
                                                                                  and 50% for equipment at patient’s end

   Client’s             Medical
   Network             Equipment              Implant

              Patient can monitor cardiac performance           Patient
              with the equipment and send collated data
              over the client’s network for diagnosis




About WiproTechnologies
Wipro Technologies, the global IT business of Wipro Limited (NYSE:WIT) is a leading Information Technology, Consulting and Outsourcing company,
that delivers solutions to enable its clients do business better. Wipro Technologies delivers winning business outcomes through its deep industry
experience and a 360 degree view of "Business through Technology"                   helping clients create successful and adaptive businesses.
A company recognized globally for its comprehensive portfolio of services, a practitioner s approach to delivering innovation and an organization
wide commitment to sustainability, Wipro Technologies has 135,000 employees and clients across 54 countries. For more information, please visit
www.wipro.com

For more information, please contact us at info@wipro.com

DO BUSINESS BETTER
NYSE:WIT | OVER 135,000 EMPLOYEES | 54 COUNTRIES                                CONSULTING | SYSTEM INTEGRATION | OUTSOURCING

Wipro Technologies, Doddakannelli, Sarjapur Road, Bangalore - 560 035, India Tel: +91 (80) 2844 0011, Fax: +91 (80) 2844 0256.

© WIPRO TECHNOLOGIES 2013
 No par t of this booklet may be reproduced in any form by any electronic or mechanical means (including photocopying, recording and printing)
without permission in writing from the publisher, except for reading and browsing via the world wide web. Users are not permitted to mount this
booklet on any network ser ver.
                                                                                                                                   IND/RB/JAN2013-DEC2014

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Medical Device remote patient monitoring

  • 1. TRANSFORMING THE HEALTHCARE DELIVERY MODEL FOR GROWTH Wipro enabled extensibility to new technology and mobility making remote patient monitoring efficient and simple, and delivered huge costs savings INDUSTRY LANDSCAPE One of the most important goals of managing chronic diseases is to detect new developments early so that medical and lifestyle changes can be made before patients’ health worsen. Medical devices have been developed which can detect these minor fluctuations in the patient and communicate this information directly to healthcare providers who can take appropriate action. Creating this seamless link between patients, their implants, and devices which relay patient data and physicians is essential. Evolving technology in the telemetry space is making it possible to make smart, timely healthcare decisions. The evolution of cardiac devices has opened up new vistas in the health care industry. Global cardiac monitoring and diagnostic devices market forecasts to reach at US $12.3 billion by 2015 at a Compound Annual Growth Rate (CAGR) of 11% during the period 2009-2015. Reports published predict that remote patient monitoring will continue to play a significant role in transforming healthcare and the market for remote monitoring technology, especially for home healthcare and disease management, will soar to US $ 294.9 million by 2015. The number of home monitoring systems with integrated communication capabilities will jump to 4.9 million connections worldwide Wipro took up product design by 2016. and development of a low-cost platform and technology THE OPPORTUNITY independent product with wireless interfaces that could Short-range device-to-device communications (telemetry) technology developments, which led to work with implanted cardiac frequent design and hardware changes and greater time to market were ailing the client. With competition entering the market with next generation cardiac monitors by combining new design devices. Wipro enabled the initiatives, the client wanted to re-engineer their existing system to counter the new entrants. client to showcase innovative Wipro was engaged in architecture to prototype development and enabled customer to demonstrate an innovative design to cut back on overheads. Monitoring of patient data, notifications architecture by completing first and alerts, and remote follow-ups with physicians on an integrated platform were also sought after. prototype with working units The engagement was to be an integrated project involving work in multiple areas like software, in just 3 months. hardware, mechanical, and manufacturing. CLIENT BACKGROUND The client is one of the largest medical technology companies & is a Fortune 500 company. The client has many business units which include cardiovascular, neuromodulation, and diabetes to name a few.
  • 2. SOLUTION The client partnered with Wipro to design and develop a system, make it technology independent with use of freeware, and cut back Today, comprehensive devices in the cardiovascular market are capable on the tremendous overheads like frequent design, hardware of real-time arrhythmia diagnosis and treatment.The growing demands changes, and cost of maintenance. Here are some highlights from for implantable device follow-up are pushing clinics to their maximum the engagement: capacity. The client’s solution reduces this bottleneck and significantly impacts how care is delivered. Remote follow-up offers an alternative • Wipro worked with the client’s team from ideation to for overcrowded and overwhelmed clinics, and provide considerable prototype development. We also did product design & convenience for patients. development, hardware design & enclosure of the device as well as software design & development. Altogether building a In the existing system, the physician recommends the client’s framework around the process for future changes. implantable device for the patient which can be programmed by external medical equipment called the programmer using • The solution has wireless capabilities which can be interfaced radio telemetry. over generations of implants, can be displayed on handheld devices like smartphones & tablets, and is extensible to newer Before The medical equipment at the clinic can technologies. Embedded web server support was provided be operated by the physician to which enables browser-based access from the physician’s side. monitor performance of the implant • We were involved in supply chain and manufacturing activities leveraging our partner eco-system of third-party manufacturers Medical Equipment Implant • We also enabled the client to adhere to regulatory requirements by assisting in pre-compliance activities like EMI Physician Patient (Electromagnetic Interference), EMC (Electromagnetic The equipment at the patient’s end collects all the data related to the Compatibility), thermal shock, vibration, and humidity testing implant and transfers data reports over the client’s proprietary through Tarang lab, Wipro’s world-class NABL (ISO/IEC 17025) network, which can be retrieved by the physician to take necessary accredited product qualification and compliance laboratory actions. But these devices at the physician and patient’s end were built offering consultancy, pre-compliance testing, and product on platforms which made it difficult to make software and hardware certification enabling services across geographies. changes with new technological advancements. After The data collected on the server through BUSINESS IMPACT the enterprise network can be collated by the physician for evaluation and diagnosis • Cut back on overhead costs as low-cost platforms are employed and is technology independent for extensibility – also achieving Enterprise the form factor target of 4” x 2” x 1.5” Network Physician • Cost reduction of over 5 times for equipment at physician’s end and 50% for equipment at patient’s end Client’s Medical Network Equipment Implant Patient can monitor cardiac performance Patient with the equipment and send collated data over the client’s network for diagnosis About WiproTechnologies Wipro Technologies, the global IT business of Wipro Limited (NYSE:WIT) is a leading Information Technology, Consulting and Outsourcing company, that delivers solutions to enable its clients do business better. Wipro Technologies delivers winning business outcomes through its deep industry experience and a 360 degree view of "Business through Technology" helping clients create successful and adaptive businesses. A company recognized globally for its comprehensive portfolio of services, a practitioner s approach to delivering innovation and an organization wide commitment to sustainability, Wipro Technologies has 135,000 employees and clients across 54 countries. For more information, please visit www.wipro.com For more information, please contact us at info@wipro.com DO BUSINESS BETTER NYSE:WIT | OVER 135,000 EMPLOYEES | 54 COUNTRIES CONSULTING | SYSTEM INTEGRATION | OUTSOURCING Wipro Technologies, Doddakannelli, Sarjapur Road, Bangalore - 560 035, India Tel: +91 (80) 2844 0011, Fax: +91 (80) 2844 0256. © WIPRO TECHNOLOGIES 2013 No par t of this booklet may be reproduced in any form by any electronic or mechanical means (including photocopying, recording and printing) without permission in writing from the publisher, except for reading and browsing via the world wide web. Users are not permitted to mount this booklet on any network ser ver. IND/RB/JAN2013-DEC2014