1
Trends in Sensors,
Wearable Devices and
Internet of Things
Walt Maclay
President,
Voler Systems – Product Development
www.volersystems.com 408-245-9844
2www.volersystems.com 408-245-9844
•  Trends
•  Examples of Sensors and
Applications
•  Sensor Innovation
•  Current Challenges
Agenda
3
Growing Markets
1.  Wearable Devices
2.  Internet of Things (IoT)
3.  Digital & Home Health
•  This Talk: My Perspectives from What People
are Designing and Investing In
•  Many Devices Not Medical (FDA Regulated)
•  Low Investment in Medical Devices for
Healthcare Providers
www.volersystems.com 408-245-9844
4
Huge Market Potential
•  Market for Wearable Devices = 300 million
People over 5 Years Old in U.S.
•  Market for Home Health = 115 million
Households in U.S.
•  Market for the Aging = 40 million Over 65 in
U.S.
www.volersystems.com 408-245-9844
5
Future of Wearable Devices
•  It’s Just a Fad
w  No One in Kansas will Ever use this Stuff
•  Explosive Growth is Almost Here
w  A Killer App will make Wearables Mainstream
•  Evolutionary Change
w  Wearables are Well Adopted
§  Jewelry, Watches, Eyeglasses, Hearing Aides,
Smart Phones
w  Changes Will Make Them Better
w  Interconnected Data Will Make Them Smarter
www.volersystems.com 408-245-9844
6
Home Health and
Wearable Device Innovation
www.volersystems.com 408-245-9844
Scanadu
Tricorder
Fit Bit
Activity Monitor
Pebble
Smart Watch
Google
Smart Glasses
Sonitus
in the Mouth
Hearing Aid
DetectionActivity TrackerWatch Eyeglasses Hearing Aid
7
Evolutionary Change in
Wearable Devices
•  Successful Wearable Devices Now
w  Jewelry
w  Wrist Watches – 1 Billion Sold Each Year Worldwide
w  Eyeglasses
w  Hearing Aides
w  Smart Phones (Wearable?)
•  What Makes These Successful?
w  Beautiful or Inobtrusive
w  Functional
www.volersystems.com 408-245-9844
8
Future Wearable Devices
•  Will There be a New Class of Device?
•  Will Google Glass Succeed?
www.volersystems.com 408-245-9844
9
Future Of Home Health
•  Device For The Aging
w  Aging Population
w  Desire to Age In Place
w  Baby Boomers Familiar with Electronics
•  Lower Cost Distribution - Hearing Aids in Walmart
•  Better Ways Of Doing Things - Tricorder
•  Many Devices Will Not Be Medical Devices
•  Remote Monitoring To Healthcare Provider
w  Proven To Lower Cost and Improve Outcomes By
Veterans Administration
www.volersystems.com 408-245-9844
10
Home Health Monitoring
•  Huge Potential Benefit
•  Worldwide in 2025*
•  $15 Trillion cost of treating chronic disease
w  10% to 20% cost reduction in 2025 through remote
health monitoring
•  50 million nurses for inpatient monitoring
w  ½ to 1 hour per day saved for each nurse through
remote health monitoring
*McKinsey Global Institute analysis, May 2013
www.volersystems.com 408-245-9844
11
Existing Home Health
www.volersystems.com 408-245-9844
Live!y – elder monitor
12
Future Home Health
•  Better Function
w  Smart Fall Monitors for Elderly
w  Better Passive Activity Tracking – Is Mom OK?
§  Alzheimer’s Tracking
w  Better Medication Adherence Monitoring
•  Medical Sensors in Smart Phones Will Lead to:
w  More Medical Apps
•  Remote Health Monitoring – Growing
•  Implanted Sensors – for Hearing, Now Available
www.volersystems.com 408-245-9844
13www.volersystems.com 408-245-9844
•  Trends
•  Examples of Sensors and
Applications
•  Sensor Innovation
•  Current Challenges
Agenda
14
Sensor and Device Examples
www.volersystems.com 408-245-9844
Scanadu
Tricorder
PuraCath
Catheter Serilizer
Active Mind
Golf Game Tracker
Fit Bit
Activity Monitor
15
Example: Activity Monitor
•  Sensor: Accelerometer
•  Senses Each Step
•  App Converts Steps into
Calories Burned
•  Tracks Quality of Sleep
www.volersystems.com 408-245-9844
Fit Bit
16
Example: “Tricoder”
•  Temperature Sensing
•  Heart Rate Sensing
•  ECG
w Heart Rate Variability
w Pulse Wave Transit Time (Blood Pressure)
•  Oximetry (Blood Oxygen Level)
•  Urine Analysis
•  Stress
www.volersystems.com 408-245-9844
Scanadu
17
Example: Home Dialysis
•  Ultraviolet Light Sterilization of
Connections
•  Connects Implanted Peritoneal Dialysis
Tube to Dialysate Bag and Drain Bag
•  Sensors
w UV Light
w Enclosure Open
www.volersystems.com 408-245-9844
PuraCath
18
Example: Golf Game Tracking
•  Sensors
w GPS
w Accelerometer
w NFC
•  Records Swings
•  Records Travel of Ball
•  Complete Record of Game on
Map of Golf Course
www.volersystems.com 408-245-9844
Active Mind
19www.volersystems.com 408-245-9844
•  Trends
•  Examples of Sensors and
Applications
•  Sensor Innovation
•  Current Challenges
Agenda
20
Sensors Critical To Advances
www.volersystems.com 408-245-9844
21
•  Growth Of Sensors And Electronics
w Miniaturization
w Lower Cost
w Smarter Systems
•  Advances Create New Markets Which
Drives More Sensor Innovation
Rapid Innovation In Sensors
www.volersystems.com 408-245-9844
22
•  Automobiles
w  Since 1980s
w  Cars Are Now Full of Sensors
•  Smart Phones
w  Last Few Years
w  Smart Phones Make Sensors Wearable
•  Future Market Driver For Sensors
w  Home Health
w  Wearable Devices
w  Internet of Things
Market Drivers for Sensors
www.volersystems.com 408-245-9844
23
Common Sensors Now
•  Temperature
•  Pressure
•  Vibration / Acceleration
•  Gyroscope
•  Magnetometer
•  Flow
•  Vision, Microphones, Photodetectors
•  Combination: Accelerometer, Gyroscope, and
Magnetometer On A Chip
www.volersystems.com 408-245-9844
24
Future Of Sensors
www.volersystems.com 408-245-9844
•  Chemical Sensors
•  Gene Detection Chips – Getting Better
•  Lab on a Chip – for Fluids
•  Paper Based - Disposable
•  Fiber Optic Sensors
•  Pressure, Temperature, Strain, Force, Displacement
•  Non-contact Glucose Sensor?
•  Big Data to Analyze Sensor Data
•  Make Sensors Smarter with Software
25
Fiber Optic Sensors
•  Advantages
w  Safe – No Wires to Sensor
w  Small – 0.25 mm Diameter
w  Operate in Harsh Environments, No EMI
w  Multiplex Sensors on One Fiber
•  Disadvantages
w  Support Electronics still Expensive
w  Electronics Can Get Cheap in Volume
www.volersystems.com 408-245-9844
26www.volersystems.com 408-245-9844
•  Trends
•  Examples of Sensors and
Applications
•  Sensor Innovation
•  Current Challenges
Agenda
27
Current Challenges
•  Wearables – Batteries a Major Limitation
•  Limitations in Sensors
•  Complex Needs of the Elderly
•  Adoption by Healthcare Providers
•  Islands of Data
•  Are You Making a Medical Device?
•  Regulations Don’t Keep Up with Technology
www.volersystems.com 408-245-9844
28
Battery Limitations in Wearables
•  Slow Pace of Improvement
If Improved Like Semiconductors:
Size of a Pin Head, Could Power Your Car, Cost 1 Cent
•  Must Always Work Around Limitations
w  Short Time Between Charging vs Small Size
w  Limited Wireless Transmission Range
§  ie Bluetooth instead of WiFi or Cellular
w  Wireless Transmission in Short Bursts
§  Devices Slow When Listening for Transmission
w  Use of Accelerometers Instead of GPS
www.volersystems.com 408-245-9844
29
Limitations In Sensors
•  Low Cost Devices are Not as Accurate
w Non-linearity and Offset Errors
w Calibration or Auto-calibration
•  Challenging to Get Good Data
w Need Well Designed Data Acquisition
Electronics
w Software Can Make Data Better
•  Cameras – Lighting Often a Problem
www.volersystems.com 408-245-9844
30
Complex Needs of the Elderly
•  Who Will Pay? - Often the Children
•  Stigma - I’m Not Sick –Make It Pretty or Cool
•  Must Be Incredibly Easy to Use
w  Decline in Ability of Users
•  Many Products Don’t Solve a Problem
w  No Medication Adherence Device Works for
Everyone.
•  Biggest Issues Of The Elderly Not Addressed
w  Isolation, Loneliness, No Sense Of Purpose
www.volersystems.com 408-245-9844
31
Adoption by Healthcare Providers
•  What is the Standard of Care?
•  How Do We Change It?
•  How to Avoid Adoption of Technology That
Costs More and Is Not Efficacious?
www.volersystems.com 408-245-9844
32
Adoption by Doctors
•  Must Improve Outcomes and/or Make Doctors’
Lives Easier
•  Consider Two Medical Innovations of 1846
w  Anesthesia
w  Hand Washing
•  Why Was Anesthesia Adopted Within Months?
•  Hand Washing Still Not Fully Adopted
www.volersystems.com 408-245-9844
33
Islands of Data
•  Devices Collect Isolated Data
•  How to get it to the Doctor?
•  How to Collect from Many Devices?
•  Will The Solution Create Electronic Health
Records (EHR)?
w Highly Regulated
•  HIPAA is a Problem - Patient Confidentiality
w Severe Penalties for Violations
www.volersystems.com 408-245-9844
34
Are You Making a Medical Device?
•  Cell Phone App Can Be A Medical Device
w FDA Issued Guidelines for Mobile Apps in
October 2013.
w FDA Can Force A Company Out of Business
for Violating Regulations
•  Changing the “Instructions For Use” May
Make It Not a Medical Device
w Pulse Oximeter Example
www.volersystems.com 408-245-9844
35
Are These Medical Devices?
www.volersystems.com 408-245-9844
Nike Fuelband
NO
Live!y – elder monitor
NO
Scanadu
YES
Thermometer
YES
Zosano YES Azumio ?
36
Regulations are Out of Date
•  HIPAA
w Is There a Legal Way to Solve Islands of Data?
•  What Is a Medical Device?
w Does the Definition Need to Change?
•  Example: Tricorder was Science Fiction
w Technology Has Advanced Since Regulations
Were Written
w Regulations Need to Catch Up
www.volersystems.com 408-245-9844
37
Home Health and
Wearable Device Innovation
www.volersystems.com 408-245-9844
Scanadu
Tricorder
Fit Bit
Activity Monitor
Pebble
Smart Watch
Google
Smart Glasses
Sonitus
in the Mouth
Hearing Aid
DetectionActivity TrackerWatch Eyeglasses Hearing Aid
38www.volersystems.com 408-245-9844
Walt Maclay, Voler Systems
Walt@volersystems.com
Quality Electronic Design & Software
Sensor Interfaces
Wireless
Motion Control
Medical Devices
Slides Are Available at www.volersystems.com

Trends in Sensors, Wearable Devices and IoT

  • 1.
    1 Trends in Sensors, WearableDevices and Internet of Things Walt Maclay President, Voler Systems – Product Development www.volersystems.com 408-245-9844
  • 2.
    2www.volersystems.com 408-245-9844 •  Trends • Examples of Sensors and Applications •  Sensor Innovation •  Current Challenges Agenda
  • 3.
    3 Growing Markets 1.  WearableDevices 2.  Internet of Things (IoT) 3.  Digital & Home Health •  This Talk: My Perspectives from What People are Designing and Investing In •  Many Devices Not Medical (FDA Regulated) •  Low Investment in Medical Devices for Healthcare Providers www.volersystems.com 408-245-9844
  • 4.
    4 Huge Market Potential • Market for Wearable Devices = 300 million People over 5 Years Old in U.S. •  Market for Home Health = 115 million Households in U.S. •  Market for the Aging = 40 million Over 65 in U.S. www.volersystems.com 408-245-9844
  • 5.
    5 Future of WearableDevices •  It’s Just a Fad w  No One in Kansas will Ever use this Stuff •  Explosive Growth is Almost Here w  A Killer App will make Wearables Mainstream •  Evolutionary Change w  Wearables are Well Adopted §  Jewelry, Watches, Eyeglasses, Hearing Aides, Smart Phones w  Changes Will Make Them Better w  Interconnected Data Will Make Them Smarter www.volersystems.com 408-245-9844
  • 6.
    6 Home Health and WearableDevice Innovation www.volersystems.com 408-245-9844 Scanadu Tricorder Fit Bit Activity Monitor Pebble Smart Watch Google Smart Glasses Sonitus in the Mouth Hearing Aid DetectionActivity TrackerWatch Eyeglasses Hearing Aid
  • 7.
    7 Evolutionary Change in WearableDevices •  Successful Wearable Devices Now w  Jewelry w  Wrist Watches – 1 Billion Sold Each Year Worldwide w  Eyeglasses w  Hearing Aides w  Smart Phones (Wearable?) •  What Makes These Successful? w  Beautiful or Inobtrusive w  Functional www.volersystems.com 408-245-9844
  • 8.
    8 Future Wearable Devices • Will There be a New Class of Device? •  Will Google Glass Succeed? www.volersystems.com 408-245-9844
  • 9.
    9 Future Of HomeHealth •  Device For The Aging w  Aging Population w  Desire to Age In Place w  Baby Boomers Familiar with Electronics •  Lower Cost Distribution - Hearing Aids in Walmart •  Better Ways Of Doing Things - Tricorder •  Many Devices Will Not Be Medical Devices •  Remote Monitoring To Healthcare Provider w  Proven To Lower Cost and Improve Outcomes By Veterans Administration www.volersystems.com 408-245-9844
  • 10.
    10 Home Health Monitoring • Huge Potential Benefit •  Worldwide in 2025* •  $15 Trillion cost of treating chronic disease w  10% to 20% cost reduction in 2025 through remote health monitoring •  50 million nurses for inpatient monitoring w  ½ to 1 hour per day saved for each nurse through remote health monitoring *McKinsey Global Institute analysis, May 2013 www.volersystems.com 408-245-9844
  • 11.
    11 Existing Home Health www.volersystems.com408-245-9844 Live!y – elder monitor
  • 12.
    12 Future Home Health • Better Function w  Smart Fall Monitors for Elderly w  Better Passive Activity Tracking – Is Mom OK? §  Alzheimer’s Tracking w  Better Medication Adherence Monitoring •  Medical Sensors in Smart Phones Will Lead to: w  More Medical Apps •  Remote Health Monitoring – Growing •  Implanted Sensors – for Hearing, Now Available www.volersystems.com 408-245-9844
  • 13.
    13www.volersystems.com 408-245-9844 •  Trends • Examples of Sensors and Applications •  Sensor Innovation •  Current Challenges Agenda
  • 14.
    14 Sensor and DeviceExamples www.volersystems.com 408-245-9844 Scanadu Tricorder PuraCath Catheter Serilizer Active Mind Golf Game Tracker Fit Bit Activity Monitor
  • 15.
    15 Example: Activity Monitor • Sensor: Accelerometer •  Senses Each Step •  App Converts Steps into Calories Burned •  Tracks Quality of Sleep www.volersystems.com 408-245-9844 Fit Bit
  • 16.
    16 Example: “Tricoder” •  TemperatureSensing •  Heart Rate Sensing •  ECG w Heart Rate Variability w Pulse Wave Transit Time (Blood Pressure) •  Oximetry (Blood Oxygen Level) •  Urine Analysis •  Stress www.volersystems.com 408-245-9844 Scanadu
  • 17.
    17 Example: Home Dialysis • Ultraviolet Light Sterilization of Connections •  Connects Implanted Peritoneal Dialysis Tube to Dialysate Bag and Drain Bag •  Sensors w UV Light w Enclosure Open www.volersystems.com 408-245-9844 PuraCath
  • 18.
    18 Example: Golf GameTracking •  Sensors w GPS w Accelerometer w NFC •  Records Swings •  Records Travel of Ball •  Complete Record of Game on Map of Golf Course www.volersystems.com 408-245-9844 Active Mind
  • 19.
    19www.volersystems.com 408-245-9844 •  Trends • Examples of Sensors and Applications •  Sensor Innovation •  Current Challenges Agenda
  • 20.
    20 Sensors Critical ToAdvances www.volersystems.com 408-245-9844
  • 21.
    21 •  Growth OfSensors And Electronics w Miniaturization w Lower Cost w Smarter Systems •  Advances Create New Markets Which Drives More Sensor Innovation Rapid Innovation In Sensors www.volersystems.com 408-245-9844
  • 22.
    22 •  Automobiles w  Since1980s w  Cars Are Now Full of Sensors •  Smart Phones w  Last Few Years w  Smart Phones Make Sensors Wearable •  Future Market Driver For Sensors w  Home Health w  Wearable Devices w  Internet of Things Market Drivers for Sensors www.volersystems.com 408-245-9844
  • 23.
    23 Common Sensors Now • Temperature •  Pressure •  Vibration / Acceleration •  Gyroscope •  Magnetometer •  Flow •  Vision, Microphones, Photodetectors •  Combination: Accelerometer, Gyroscope, and Magnetometer On A Chip www.volersystems.com 408-245-9844
  • 24.
    24 Future Of Sensors www.volersystems.com408-245-9844 •  Chemical Sensors •  Gene Detection Chips – Getting Better •  Lab on a Chip – for Fluids •  Paper Based - Disposable •  Fiber Optic Sensors •  Pressure, Temperature, Strain, Force, Displacement •  Non-contact Glucose Sensor? •  Big Data to Analyze Sensor Data •  Make Sensors Smarter with Software
  • 25.
    25 Fiber Optic Sensors • Advantages w  Safe – No Wires to Sensor w  Small – 0.25 mm Diameter w  Operate in Harsh Environments, No EMI w  Multiplex Sensors on One Fiber •  Disadvantages w  Support Electronics still Expensive w  Electronics Can Get Cheap in Volume www.volersystems.com 408-245-9844
  • 26.
    26www.volersystems.com 408-245-9844 •  Trends • Examples of Sensors and Applications •  Sensor Innovation •  Current Challenges Agenda
  • 27.
    27 Current Challenges •  Wearables– Batteries a Major Limitation •  Limitations in Sensors •  Complex Needs of the Elderly •  Adoption by Healthcare Providers •  Islands of Data •  Are You Making a Medical Device? •  Regulations Don’t Keep Up with Technology www.volersystems.com 408-245-9844
  • 28.
    28 Battery Limitations inWearables •  Slow Pace of Improvement If Improved Like Semiconductors: Size of a Pin Head, Could Power Your Car, Cost 1 Cent •  Must Always Work Around Limitations w  Short Time Between Charging vs Small Size w  Limited Wireless Transmission Range §  ie Bluetooth instead of WiFi or Cellular w  Wireless Transmission in Short Bursts §  Devices Slow When Listening for Transmission w  Use of Accelerometers Instead of GPS www.volersystems.com 408-245-9844
  • 29.
    29 Limitations In Sensors • Low Cost Devices are Not as Accurate w Non-linearity and Offset Errors w Calibration or Auto-calibration •  Challenging to Get Good Data w Need Well Designed Data Acquisition Electronics w Software Can Make Data Better •  Cameras – Lighting Often a Problem www.volersystems.com 408-245-9844
  • 30.
    30 Complex Needs ofthe Elderly •  Who Will Pay? - Often the Children •  Stigma - I’m Not Sick –Make It Pretty or Cool •  Must Be Incredibly Easy to Use w  Decline in Ability of Users •  Many Products Don’t Solve a Problem w  No Medication Adherence Device Works for Everyone. •  Biggest Issues Of The Elderly Not Addressed w  Isolation, Loneliness, No Sense Of Purpose www.volersystems.com 408-245-9844
  • 31.
    31 Adoption by HealthcareProviders •  What is the Standard of Care? •  How Do We Change It? •  How to Avoid Adoption of Technology That Costs More and Is Not Efficacious? www.volersystems.com 408-245-9844
  • 32.
    32 Adoption by Doctors • Must Improve Outcomes and/or Make Doctors’ Lives Easier •  Consider Two Medical Innovations of 1846 w  Anesthesia w  Hand Washing •  Why Was Anesthesia Adopted Within Months? •  Hand Washing Still Not Fully Adopted www.volersystems.com 408-245-9844
  • 33.
    33 Islands of Data • Devices Collect Isolated Data •  How to get it to the Doctor? •  How to Collect from Many Devices? •  Will The Solution Create Electronic Health Records (EHR)? w Highly Regulated •  HIPAA is a Problem - Patient Confidentiality w Severe Penalties for Violations www.volersystems.com 408-245-9844
  • 34.
    34 Are You Makinga Medical Device? •  Cell Phone App Can Be A Medical Device w FDA Issued Guidelines for Mobile Apps in October 2013. w FDA Can Force A Company Out of Business for Violating Regulations •  Changing the “Instructions For Use” May Make It Not a Medical Device w Pulse Oximeter Example www.volersystems.com 408-245-9844
  • 35.
    35 Are These MedicalDevices? www.volersystems.com 408-245-9844 Nike Fuelband NO Live!y – elder monitor NO Scanadu YES Thermometer YES Zosano YES Azumio ?
  • 36.
    36 Regulations are Outof Date •  HIPAA w Is There a Legal Way to Solve Islands of Data? •  What Is a Medical Device? w Does the Definition Need to Change? •  Example: Tricorder was Science Fiction w Technology Has Advanced Since Regulations Were Written w Regulations Need to Catch Up www.volersystems.com 408-245-9844
  • 37.
    37 Home Health and WearableDevice Innovation www.volersystems.com 408-245-9844 Scanadu Tricorder Fit Bit Activity Monitor Pebble Smart Watch Google Smart Glasses Sonitus in the Mouth Hearing Aid DetectionActivity TrackerWatch Eyeglasses Hearing Aid
  • 38.
    38www.volersystems.com 408-245-9844 Walt Maclay,Voler Systems Walt@volersystems.com Quality Electronic Design & Software Sensor Interfaces Wireless Motion Control Medical Devices Slides Are Available at www.volersystems.com