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Roadmap for
Healthcare Robotics
1
4th March, 2014 Management Consulting Practice
Table of Contents
What is healthcare robotics?
Who are the stakeholders?
Industry roadmap
– Next 5 years
– Next 10 years
– Next 30 years…
Recommendations
2
What is Healthcare Robotics
FP7 (European Commission) Definition
– Robotics for Medicine and Healthcare is considered the
domain of systems able to perform coordinated
mechatronic actions (force or movement exertions) on
the basis of processing of information acquired through
sensor technology, with the aim to support the
functioning of impaired individuals, medical interventions,
care and rehabilitation of patients and also to support
individuals in prevention programs
Innovation areas
– Monitoring/therapy robots
– Medical capsules
– Intelligent prosthetics
– Robotised surgery
3
Our focus
Existing Medical
Robots & TechnologyVasteras Giraff
iRobot’s AVA Tele-presence Tech.
Hector Eldercare Robot
Tokyo Partner Robot
InTouch Health’s RP-VITA
Mobile Robot
Hocoma AG’s Lokomat
Who are the Stakeholders
Manufacturers/Suppliers
– : big market opportunity
– : regarded as high risk/cost
 Research organizations
– : research area getting importance
– : not clear who should take initiative, researcher or company?
 Healthcare providers/institutions
– : possibility for more qualitative and more effective care with less man power
– : lack of personnel dealing with new technologies
 Professional users
– : increase efficiency
– : personal contacts with patient is still an important part of professional ethic
 Patients
– : provided more choices for care and lifestyle
– : emotional barrier against robotics healthcare
 Informal caregivers
– : more choices
– : reliability and usability concern
 Government
– : reducing healthcare expenses, solution for lack of care personnel
– : requires lot of regulation changes and promoting actions
5
Our focus
Roadmap for Healthcare Robotics
6
7
2010-2014 2015-2020 2021-2030
Driver
Barrier
Products
Services
Technology
Capability
Aging in developed
countries/Lack of
medical professionals
People are familiar
with IT/ Quality of life
gain more importance
Aging in developing
countries/Co-exist of
robots & human
Monitoring
Individual
Monitoring + Therapy
Interactive
Diagnosis + Care plan
Proactive
• Aging society
• Lack of doctors/nurses
• Increased expense for
healthcare
• More people live alone
• Depopulation of rural area
• People care quality of life
more
• Get used to IT
• WW Aging society
• Acceptance for robotics
increase
• Limited landscape
• Cost/Regulation
• Reliability/acceptance
• Advanced technology
• Usability
• Quality
• Resistance
Market needs
Challenges
• Security cameras for
nursing
• Wearable monitoring
• Therapy robots
(pets, partners)
• Tele-medicine
• Tele-diagnosis
• Proactive Diagnosis
robots (doctors, nurses)
• Autonomous devices
• Sensors (wearable)
• Actuators
• Monitoring camera
• Pattern recognition
• High speed network
• Sensor feedback
• Soft Actuators
• Intention recognition
• Advanced Human
machine interface
• Natural language
processing
• Autonomous navigation
system
• Machine learning &
statistical analysis
8
2010-2014 2015-2020 2021-2030
Driver
Barrier
Aging in developed
countries/Lack of
medical professionals
People are familiar
with IT/ Quality of life
gain more importance
Aging in developing
countries/Co-exist of
robots & human
• In 2011, 6% of less developed total 
15% by 2050
• By 2050, 15b or 16% of global total
• Projected 115m worldwide living with
AD/ dementia in 2050
1. Aging society
& increasing
burden of
Dementia
• In 2011, 16% of developed total
 26% by 2050
• Recent estimate 27-36m living
with AD/dementia
• Worldwide cost of dementia
exceeded US$600b in 2010
9
2010-2014 2015-2020 2021-2030
Driver
Barrier
Aging in developed
countries/Lack of
medical professionals
People are familiar
with IT/ Quality of life
gain more importance
Aging in developing
countries/Co-exist of
robots & human
2. Increased
healthcare
spending &
workers shortage
Global increase in healthcare spending (2001-2011):
• In USA, 26%
• In Costa Rica, 156%
• In China, 266%
• In Japan, 50%
• In Singapore, 234%
• In UK, 66%
• In Poland, 122%
• In Russia, 215%
• In Iran, 162%
• In S Africa, 59% • Global shortage of 12.9m
healthcare workers by 2035
• Global home healthcare:
US$306b by 2020
• Global medical device:
US$228b by 2015
10
2010-2014 2015-2020 2021-2030
Driver
Barrier
Aging in developed
countries/Lack of
medical professionals
People are familiar
with IT/ Quality of life
gain more importance
Aging in developing
countries/Co-exist of
robots & human
• In Europe, more than 40% of women
elderly live alone
• In Japan, elderly living alone
increased from 28% to 32% from
2001 to 2011
3. Changing
family
structure
• “Beanpole family” in more
developed countries
• Fewer children & smaller
generations
• Number of elderly living alone is
rising in most countries
11
2010-2014 2015-2020 2021-2030
Driver
Barrier
Aging in developed
countries/Lack of
medical professionals
People are familiar
with IT/ Quality of life
gain more importance
Aging in developing
countries/Co-exist of
robots & human
4. Increased
acceptance of
technology &
QOL
Global mature consumer study in 2011:
• 3,000 interviews in 23 countries including
BRIC, USA, Britain
• Technology use is extensive
• 69% have both fixed-line and mobile phones; 50%
use the internet
• Socio-
demographics, educati
on, experience with
technology will differ
Products/Services (2010-2014)
12http://wirelesswire.jp/Watching_World/201208101922.html
Wearable monitoring systemSecurity cameras for nursing
Monitoring
Individual
Network Camera Network
Wi-Fi
Smartphone
Apps
Tremor and Movement
Inertial Sensors
Positioning, localization and
pattern recognition
Electronic
Actuator
Haptic Sensors
Adaptive auditory
Cueing system
User friendly
Interfacing
13
Products/Services (2015-2020)
Monitoring + Therapy
Interactive
Tele-consultation, tele-diagnosisTherapeutic Interactive
Robot
Paro
Tactile, Light, Audition, Posture
and temperature Sensors
http://www.parorobots.com/index.asp
Speech and Vision
Pattern recognition
Advanced Human
machine Interface
Better understanding of
the effectiveness of therapies
Ambient
Intelligence
New materials, Artificial
skins and Soft actuators
Sensory feedback
http://teledoctors.wordpress.com/2012/10/02/telemedicine/
14
Products/Services (2020-2030)
Diagnosis + Care plan
Proactive
14
Access to EMR and PHR
Natural language
processing
autonomous navigation
technology
 Detection of vital data
• patient's blood pressure and pulse
 Conversation capability
• Live conversation with doctors in hospitals
• Extracting the meaning from human or natural
language input
 Autonomous navigation system
 Access to Personal health record (PHR)
 Suggest an appropriate diagnosis and a care plan to
patients/doctors by referring to previous cases
(Machine Learning & Big data)
Statistical analysis
AI : Machine Learning
Intelligent Robot
Platform ED-7270
Proactive diagnosis robot
Recommendations
Healthcare Robotics industry has the three steps
to the future growth
– Monitoring
– Monitoring + Therapy
– Diagnosis + Care plan
15
Products
Services
Monitoring
Individual
Monitoring + Therapy
Interactive
Diagnosis + Care plan
Proactive
• Security cameras for
nursing
• Wearable monitoring
• Therapy robots
(pets, partners)
• Tele-medicine
• Proactive Diagnosis
robots (doctors, nurses)
• Autonomous devices
Recommendations
Recommendations to manufacturers for
monitoring as a first step
16
Monitoring
Individual
• Manufacturers have to focus on these
technologies
• Sensors, Actuators and network
• Monitoring camera
• Pattern recognition
• Collaborative research with in-company
institutions and independent research firms
such as IT startups in Silicon Valley must be the
best choice for a quick attempt to get dynamic
information
• A collaboration can be the solution to improve
current technology for aging society and lack of
medical professionals in the developed
countries
Aging in developed
countries/Lack of
medical professionals
Solution
Recommendations
Second step is to add the improvement of
interactive functions to monitoring system
17
Monitoring + Therapy
Interactive
• Manufacturers have to focus on these
technologies
• Therapy robots (pets, partners)
• Self learning system
• Research and development has to focus on soft
technology such as how to heal and improve
the comfort to patients, that is, communication
skills
• Knowledge from psychological counselors
should be implemented to robots in this stage
• Robots will not be robots gradually, more
partners
Solution
People are familiar
with IT/ Quality of life
gain more importance
Recommendations
Finally Robots can make the decision
18
Diagnosis + Care plan
Proactive
• Manufacturers have to focus on these
technologies
• Diagnosis robots (doctors, nurses)
• Autonomous devices
• AI technology will be getting more important
• Also doctors can still play an important role as
final decision makers for caring plan, therefore
manufacturers can provide devices, which can
show how to understand and interpret
information from robots to real cares
• Technology transfer could be another issue in
order to apply advanced technology to
developing countries
Solution
Aging in developing
countries/Co-exist of
robots & human
For the healthy society achieved with the
coexistence of human and robots
Q&A
Appendices
21
Speed of Population Aging
22
References
 http://www.prb.org/Publications/Articles/2011/agingpopulationclocks.aspx
 http://www.emergogroup.com/resources/worldwide-health-expenditures
 http://www.medscape.com/viewarticle/814221
 http://www.nia.nih.gov/sites/default/files/nia-who_report_booklet_oct-2011_a4__1-12-12_5.pdf
 http://www.atkearney.at/consumer-products-retail/maturing-consumer/report
 http://wirelesswire.jp/Watching_World/201208101922.html
 http://www.parorobots.com/index.asp
 http://teledoctors.wordpress.com/2012/10/02/telemedicine/
23

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Strategic Roadmapping for healthcare robotics

  • 1. Roadmap for Healthcare Robotics 1 4th March, 2014 Management Consulting Practice
  • 2. Table of Contents What is healthcare robotics? Who are the stakeholders? Industry roadmap – Next 5 years – Next 10 years – Next 30 years… Recommendations 2
  • 3. What is Healthcare Robotics FP7 (European Commission) Definition – Robotics for Medicine and Healthcare is considered the domain of systems able to perform coordinated mechatronic actions (force or movement exertions) on the basis of processing of information acquired through sensor technology, with the aim to support the functioning of impaired individuals, medical interventions, care and rehabilitation of patients and also to support individuals in prevention programs Innovation areas – Monitoring/therapy robots – Medical capsules – Intelligent prosthetics – Robotised surgery 3 Our focus
  • 4. Existing Medical Robots & TechnologyVasteras Giraff iRobot’s AVA Tele-presence Tech. Hector Eldercare Robot Tokyo Partner Robot InTouch Health’s RP-VITA Mobile Robot Hocoma AG’s Lokomat
  • 5. Who are the Stakeholders Manufacturers/Suppliers – : big market opportunity – : regarded as high risk/cost  Research organizations – : research area getting importance – : not clear who should take initiative, researcher or company?  Healthcare providers/institutions – : possibility for more qualitative and more effective care with less man power – : lack of personnel dealing with new technologies  Professional users – : increase efficiency – : personal contacts with patient is still an important part of professional ethic  Patients – : provided more choices for care and lifestyle – : emotional barrier against robotics healthcare  Informal caregivers – : more choices – : reliability and usability concern  Government – : reducing healthcare expenses, solution for lack of care personnel – : requires lot of regulation changes and promoting actions 5 Our focus
  • 7. 7 2010-2014 2015-2020 2021-2030 Driver Barrier Products Services Technology Capability Aging in developed countries/Lack of medical professionals People are familiar with IT/ Quality of life gain more importance Aging in developing countries/Co-exist of robots & human Monitoring Individual Monitoring + Therapy Interactive Diagnosis + Care plan Proactive • Aging society • Lack of doctors/nurses • Increased expense for healthcare • More people live alone • Depopulation of rural area • People care quality of life more • Get used to IT • WW Aging society • Acceptance for robotics increase • Limited landscape • Cost/Regulation • Reliability/acceptance • Advanced technology • Usability • Quality • Resistance Market needs Challenges • Security cameras for nursing • Wearable monitoring • Therapy robots (pets, partners) • Tele-medicine • Tele-diagnosis • Proactive Diagnosis robots (doctors, nurses) • Autonomous devices • Sensors (wearable) • Actuators • Monitoring camera • Pattern recognition • High speed network • Sensor feedback • Soft Actuators • Intention recognition • Advanced Human machine interface • Natural language processing • Autonomous navigation system • Machine learning & statistical analysis
  • 8. 8 2010-2014 2015-2020 2021-2030 Driver Barrier Aging in developed countries/Lack of medical professionals People are familiar with IT/ Quality of life gain more importance Aging in developing countries/Co-exist of robots & human • In 2011, 6% of less developed total  15% by 2050 • By 2050, 15b or 16% of global total • Projected 115m worldwide living with AD/ dementia in 2050 1. Aging society & increasing burden of Dementia • In 2011, 16% of developed total  26% by 2050 • Recent estimate 27-36m living with AD/dementia • Worldwide cost of dementia exceeded US$600b in 2010
  • 9. 9 2010-2014 2015-2020 2021-2030 Driver Barrier Aging in developed countries/Lack of medical professionals People are familiar with IT/ Quality of life gain more importance Aging in developing countries/Co-exist of robots & human 2. Increased healthcare spending & workers shortage Global increase in healthcare spending (2001-2011): • In USA, 26% • In Costa Rica, 156% • In China, 266% • In Japan, 50% • In Singapore, 234% • In UK, 66% • In Poland, 122% • In Russia, 215% • In Iran, 162% • In S Africa, 59% • Global shortage of 12.9m healthcare workers by 2035 • Global home healthcare: US$306b by 2020 • Global medical device: US$228b by 2015
  • 10. 10 2010-2014 2015-2020 2021-2030 Driver Barrier Aging in developed countries/Lack of medical professionals People are familiar with IT/ Quality of life gain more importance Aging in developing countries/Co-exist of robots & human • In Europe, more than 40% of women elderly live alone • In Japan, elderly living alone increased from 28% to 32% from 2001 to 2011 3. Changing family structure • “Beanpole family” in more developed countries • Fewer children & smaller generations • Number of elderly living alone is rising in most countries
  • 11. 11 2010-2014 2015-2020 2021-2030 Driver Barrier Aging in developed countries/Lack of medical professionals People are familiar with IT/ Quality of life gain more importance Aging in developing countries/Co-exist of robots & human 4. Increased acceptance of technology & QOL Global mature consumer study in 2011: • 3,000 interviews in 23 countries including BRIC, USA, Britain • Technology use is extensive • 69% have both fixed-line and mobile phones; 50% use the internet • Socio- demographics, educati on, experience with technology will differ
  • 12. Products/Services (2010-2014) 12http://wirelesswire.jp/Watching_World/201208101922.html Wearable monitoring systemSecurity cameras for nursing Monitoring Individual Network Camera Network Wi-Fi Smartphone Apps Tremor and Movement Inertial Sensors Positioning, localization and pattern recognition Electronic Actuator Haptic Sensors Adaptive auditory Cueing system User friendly Interfacing
  • 13. 13 Products/Services (2015-2020) Monitoring + Therapy Interactive Tele-consultation, tele-diagnosisTherapeutic Interactive Robot Paro Tactile, Light, Audition, Posture and temperature Sensors http://www.parorobots.com/index.asp Speech and Vision Pattern recognition Advanced Human machine Interface Better understanding of the effectiveness of therapies Ambient Intelligence New materials, Artificial skins and Soft actuators Sensory feedback http://teledoctors.wordpress.com/2012/10/02/telemedicine/
  • 14. 14 Products/Services (2020-2030) Diagnosis + Care plan Proactive 14 Access to EMR and PHR Natural language processing autonomous navigation technology  Detection of vital data • patient's blood pressure and pulse  Conversation capability • Live conversation with doctors in hospitals • Extracting the meaning from human or natural language input  Autonomous navigation system  Access to Personal health record (PHR)  Suggest an appropriate diagnosis and a care plan to patients/doctors by referring to previous cases (Machine Learning & Big data) Statistical analysis AI : Machine Learning Intelligent Robot Platform ED-7270 Proactive diagnosis robot
  • 15. Recommendations Healthcare Robotics industry has the three steps to the future growth – Monitoring – Monitoring + Therapy – Diagnosis + Care plan 15 Products Services Monitoring Individual Monitoring + Therapy Interactive Diagnosis + Care plan Proactive • Security cameras for nursing • Wearable monitoring • Therapy robots (pets, partners) • Tele-medicine • Proactive Diagnosis robots (doctors, nurses) • Autonomous devices
  • 16. Recommendations Recommendations to manufacturers for monitoring as a first step 16 Monitoring Individual • Manufacturers have to focus on these technologies • Sensors, Actuators and network • Monitoring camera • Pattern recognition • Collaborative research with in-company institutions and independent research firms such as IT startups in Silicon Valley must be the best choice for a quick attempt to get dynamic information • A collaboration can be the solution to improve current technology for aging society and lack of medical professionals in the developed countries Aging in developed countries/Lack of medical professionals Solution
  • 17. Recommendations Second step is to add the improvement of interactive functions to monitoring system 17 Monitoring + Therapy Interactive • Manufacturers have to focus on these technologies • Therapy robots (pets, partners) • Self learning system • Research and development has to focus on soft technology such as how to heal and improve the comfort to patients, that is, communication skills • Knowledge from psychological counselors should be implemented to robots in this stage • Robots will not be robots gradually, more partners Solution People are familiar with IT/ Quality of life gain more importance
  • 18. Recommendations Finally Robots can make the decision 18 Diagnosis + Care plan Proactive • Manufacturers have to focus on these technologies • Diagnosis robots (doctors, nurses) • Autonomous devices • AI technology will be getting more important • Also doctors can still play an important role as final decision makers for caring plan, therefore manufacturers can provide devices, which can show how to understand and interpret information from robots to real cares • Technology transfer could be another issue in order to apply advanced technology to developing countries Solution Aging in developing countries/Co-exist of robots & human
  • 19. For the healthy society achieved with the coexistence of human and robots
  • 20. Q&A
  • 23. References  http://www.prb.org/Publications/Articles/2011/agingpopulationclocks.aspx  http://www.emergogroup.com/resources/worldwide-health-expenditures  http://www.medscape.com/viewarticle/814221  http://www.nia.nih.gov/sites/default/files/nia-who_report_booklet_oct-2011_a4__1-12-12_5.pdf  http://www.atkearney.at/consumer-products-retail/maturing-consumer/report  http://wirelesswire.jp/Watching_World/201208101922.html  http://www.parorobots.com/index.asp  http://teledoctors.wordpress.com/2012/10/02/telemedicine/ 23