Biocompatible batteries for ‘sensors of the future’

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/03/Dissolving-Battery.jpg” thumb_width=”300″ /] Pointer to the Future. Implantable medical sensors and devices have a main drawback–their power source. Current batteries are bulky and must be manually removed. External power transference means fairly bulky outside and inside devices.

What if the sensor and batteries could simply dissolve harmlessly in the body when no longer needed?

Research from John Rogers at the University of Illinois at Urbana-Champaign and his team first led to biodegradable (in the body) electronics in 2012, and now dissolving batteries (above). (more…)

Pacifying baby, taking temperature

UK developer BlueMaestro has announced a temperature-sensing baby pacifier with the somewhat obvious name Pacifi. According to Mobihealthnews (but frustratingly not on their website), the pacifier sends temperature data via Bluetooth Smart to an iPhone or Android app. Parents can record medication dosing and reminders, track temperature and medication over time, and set up an alarm when baby runs a high predetermined temperature. It’s also dishwasher safe. Pacifi joins Raiing Wireless‘ body thermometer FDA cleared in 2012 (now iThermometer) and Kinsa’s plug-in smart thermometer which took a crowdsourcing approach to local public health. It is not cleared for sale yet in the UK or US, but was shown at last month’s Mobile World Congress Barcelona and the Smart UK Project in London. Unfortunately, it may be a while before Quantified Self Moms can put it on the list for their baby showers, along with the Owlet monitoring sock, Mimo onesie and iTeddy [TTA 10 Sept]. Related: MedCityNews compares Mimo to adult sleep monitor Lark, awarding the matchup to Mimo. The real matchup is Owlet versus Mimo (see this Editor’s comment). (Also see our comments here discussing the safety of RF monitoring around babies.)

NHS futures: Personalised and Preventative Care presentation

Courtesy of Accenture, we now have (perhaps exclusively?) Aimie Chapple’s full presentation delivered at the NHS Futures Summit in November. The link is contained at the end of Editor Charles’ article on ‘NHS futures – more encouraging signs of change‘ which puts it into context and is definitely worth your reading time. Hat tip to Mark Radvanyi of Accenture for providing Personalised and Preventative Care: Technology Trends and Disruptors that will Shape the Healthcare Transformation.

DARPA’s brain injury ‘blast gauge’

This Editor, as our long-term readers know, has been following the issue and the dangers of soldier TBI and PTSD for several years. One of the problems with TBI is measuring the amount of blast a soldier has actually sustained in battle–and thus the medical danger. A cheering development is the further development of the ‘blast gauge’ developed by DARPA and the Rochester Institute of Technology (RIT), the testing of which we noted in mid-2012 [TTA 12 June 12]. It is now smaller than a wristwatch (now thumb-sized) and worn in three positions attached to a soldier’s body armor: chest, shoulder and back of helmet. As in the wristwatch model, there’s a red-yellow-green light for an instant read, in addition to the downloadable data which a medic can interpret on a laptop using a USB cable. It is now being worn by 11,000 US troops and 1000 Australian soldiers in Afghanistan. (more…)

Music, art app for Alzheimer’s patients; diagnosing brain performance

GE Healthcare has developed an iPad app, MIND, for patients with Alzheimer’s and other neurological disorders which presents favorite music, music videos and a virtual art gallery. The aim is to stimulate the brain, evoke emotions and promote social interaction.  This extends the pioneering research from New York City’s Institute for Music and Neurologic Function‘s Music and Memory program, which provides personalized music on iPods for those with both cognitive and physical challenges in long-term care to improve quality of life and reduce anti-psychotic drug use. GE release. Website.

Another approach to brain diagnosis and therapy for Alzheimer’s, stroke and brain hemorrhage may be pioneered by Multineurons. This startup has developed a head-worn sensor device that works with an iPad app, WakeUp, for non-invasive brain diagnosis and therapy. It measures speed (connectivity of neurons), fitness (neuroplasticity) and robustness – at 10 different points in the brain. Testing is planned to start in a Swiss rehabilitation facility this summer. MedCityNews

Augmenting human performance in the USAF

A pointer to the future is how the US Air Force is taking a new look at what we call telehealth and they call Human Performance Monitoring. Current sensors are large and complex in measuring heart rate, blood pressure, blood oxygenation and skin temperature–critical data for pilots and other airmen. For instance, the USAF measures O2 in F-22 pilots to determine effects and compensate to keep both man and machine safe. Not only do they want to make sensors smaller–like skin patches–but also these are key to a new concept in aviation medicine called Human Performance Augmentation, which will measure human health status in real time. And both play into Human Systems Integration, which integrates man and machine. The implications here for civilian use are many: miniaturization of sensors into wearables, real time telehealth and machine assistance for human tasks. Performance-detecting Biosensors (Armed With Science)

CVS Caremark’s employee wellness ‘stick’ revisited–in court (US)

Exactly a year ago, retail drug store/onsite clinic/PBM giant CVS Caremark unveiled its ‘big stick’ approach to employee wellness–if you are in their health plan, you must participate in their ‘voluntary’ health screenings and management program or be charged $50 per month. One employee is now suing about this in Alameda County (Oakland/San Francisco, California area) Court.

According to the Courthouse News Service, the complaint states that “During the ‘Wellness Exam,’ a doctor performs blood work, which, upon information and belief, is utilized by defendants to ‘flag’ employees who are at risk for a variety of medical conditions.” Also from CNS, “In addition to the exam, which Watterson says she had to pay for, CVS made her fill out a survey that asked personal questions such as weight, body fat percentage, whether she drinks or smokes and is sexually active. The survey was “required in lieu of a $600 fine,” according to the lawsuit.” (Editor’s emphasis) If she had the exam in-house–at a CVS MinuteClinic–it also would have cost her $125 out of pocket, so she went to a private physician who charged her the co-pay, $25. She’s seeking compensation for “class certification and damages for failure to pay hourly and overtime wages, failure to indemnify, illegal wage deductions, failure to provide accurate wage statements and unfair competition.” 

All of which was easily predictable that CVS Caremark would be asking these questions, as they are fairly standard in a health workup –but is the ‘cross the line’ part (and what most of the dither may be about) the last item noted?  (more…)

Pilot testing of telehealth service in Philippines

Filipino company Metro Pacific Investments Corporation (MPIC) plans to offer telehealth services in its hospitals allowing Filipinos in remote areas to avail themselves of healthcare services, reports Interaksyon, the online news portal of the Philippines TV network TV5.

In a briefing last week MPIC Hospital Group president Augusto Palisoc has said it is piloting a telehealth service involving two machines located in company-owned Asian Hospital and another in a government hospital in Batangas. This will allow patients in remote areas — with the assistance of a professional with medical training — to seek diagnosis or the advice of doctors in a base hospital, the article says.

Metro Pacific’s planned venture into telehealth is part of its efforts to look at other healthcare delivery processes in addition to its regular hospital investments. MPIC operates the largest private hospital group in the country with approximately 2,150 beds. Its network includes the Makati Medical Center, Cardinal Santos Medical Center, Our Lady of Lourdes Hospital, Asian Hospital & Medical Center, De Los Santos Medical Center, Central Luzon Doctors’ Hospital in Tarlac, Riverside Medical Center in the Visayas and Davao Doctors Hospital in Mindanao.

Health Technology Forum – evening of 26th March – free to attend (UK)

The next meeting of the Health Technology Forum will take place on 26th March. There no charge for attendance; Baker Botts has kindly confirmed their agreement to be long term sponsors.  This meeting will be in their premises close to Bank Tube so easily accessible.

Speakers will be:

  • Neil Daly, founder of Skin Analytics on “Our story – how we got started”
  • James Semple from Appcelerator on how to get apps to market quickly
  • Rupert Tebb from Paper on “MeHab – how we developed an alcohol reduction programme for the under 30s”
  • Neil Foster, Partner, Baker Botts on “the IPO of Cambridge Cognition, the leading British developer of computerised neuropsychological tests”

As this is our first meetup at Baker Botts, attendance by as many as possible would be greatly appreciated, to show our sponsors how much their generosity is appreciated. Your views on who you’d most like to get to speak at future events would be greatly welcome, too. The format of the evening will be as previously, with doors open at 6.30, aiming to start at 6.45 with four 15-20 minute presentations followed by questions ending in time to begin networking drinks (which will be a very high standard) at 8pm.

For security reasons only those who have indicated in advance that they will be attending will be able to attend – more details, and how to book are here.

NHS futures – more encouraging signs of change (UK)

Monitor has now released the output from the NHS Futures summit held on 21 November 2013, hosted by NHS England, Monitor and the NHS Trust Development Authority. The summit was designed to spark debate about how the landscape of health and care providers could evolve over the next decade to better meet the challenges outlined in the Call to Action. Over 100 senior health leaders took part including commissioners, providers (including GPs), health policy experts, and patient and charity representatives.

The summary Call to Action document makes encouraging reading for those who believe technology can help the NHS to improve patient outcomes at lower cost.  Contrary to the consultation exercise held by NHS England last August when we pointed out that remote consultation was not even mentioned, this features prominently in the Monitor summary (see especially Appendix 3, on pages 19-21), together with many other uses of technology such as smart homes, encouraging self-care, telemedicine, single patient record, interoperability, etc.

There are also some great videos – in particular (more…)

Apple-ologizing Healthbook

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/03/healthbook-book.jpg” thumb_width=”300″ /]With the same obsession that Kremlinologists had during the Cold War, the Apple-ologists at 9to5Mac observe emanations and permutations emitting from Cupertino. Based on their inside sources, they have the lowdown on how Apple will Go Big into healthcare monitoring and fitness tracking.

  • ‘Cards’ in the Healthbook allowing entry for vital signs such as blood pressure, blood glucose, breathing rate, weight, hydration and oxygen saturation (O2). (photo at left above a ‘recreation of screenshots’ by 9to5Mac)
  • Sleep tracking. Apple in February hired Roy J.E.M. Raymannone of the world’s experts in sleep tracking including wearables and sensors, out of Philips.
  • Emergency Card with customer’s name, birthdate, medication information, weight, eye color, blood type, organ donor status, and location.

The rumors tie it to the introduction of iOS 8, the iWatch or both. But beyond the sensors on the phone and/or the iWatch–there’s no information on how telehealth apps, devices or sensors would wirelessly transmit the information. “While Healthbook is capable of tracking, sorting, and managing various types of health and fitness-related data, it is currently uncertain where this data will actually be sourced from.” But Editor Toni noted in February (link below) that Apple just patented headphones which are capable of monitoring temperature, heart rate and perspiration levels. This is Healthbook, Apple’s major first step into health & fitness tracking (9to5Mac). And Wired thinks Apple’s Upcoming Health App Is the Start of Something Huge (Wonder if South Korea’s Ministry of Food and Drug Safety will impound it as an unapproved medical device!)

Previously in TTA: Apple-ologists discern ‘new’ interest in health tech and telehealth [20 July 13], Apple’s tarnished luster, Round 2 [29 July 13], Apple purchasing 3D gesture control developer PrimeSense [19 Nov 13]Apple patents health monitoring headphones with ‘head gesture’ control [19 Feb]

Vodafone and AstraZeneca sign global m-health partnership

Vodafone has signed a global partnership with AstraZeneca in order to develop m-health services to improve the outcome for patients with cardiovascular conditions. The collaboration will create new mobile and internet-based services to support patients through their treatment journey, improving medication adherence and giving patients confidence to manage their condition more effectively, according to the press release.

AstraZeneca’s Intelligent Pharmaceutical Group will lead the project with Vodafone charged with providing the technology, infrastructure and expertise for the new services.

The UK-based operator said it will also look to capture data from a variety of sources to improve overall engagement between patients and healthcare professionals. All the new services will be designed to work across geographies.

“Bringing together the best in connectivity with the best in treatment and education will create powerful and compelling outcomes for patients,” according to a comment attributed to Vodafone M2M Director Erik Brennais. But there is little in the way of details of what the two companies may develop or the timescales.

University of Mississippi awarded telemedicine Emergency and Specialty Care grant

More details have emerged of one of the projects funded by the $16 million USDA investment announced in February (see TTA 7 February 2014).

The United States Department of Agriculture grant of $378,360 to the University of Mississippi Medical Center will be enhanced by $200,000 from Appalachian Regional Commission [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/03/TESCAN_map.jpg” thumb_width=”150″ /] providing $578,360 for a three-year distance-learning and telemedicine service project  “Telemedicine Emergency and Specialty Care for Appalachia in North Mississippi (TESCAN)”, according to UMMC. UMMC is also the primary site for the Diabetes Telehealth Network we reported in January.

The sites, considered “medically underserved areas” and “health-professional-shortage areas” by the U.S. Department of Health and Human Services, include:

• Calhoun County Medical Clinic, Calhoun City;
• Trace Regional Hospital, Houston;
• Kemper County Medical Center, De Kalb;
• Tishomingo Health Services, Inc., Iuka;
• Webster General Hospital, Eupora;
• Yalobusha General Hospital, Water Valley;
• North Mississippi Medical Center-Pontotoc, Pontotoc;
• Kilmichael Hospital, Kilmichael; and
• Holmes County Hospital, Lexington.

Representatives from the USDA and UMMC announced the grant agreement at a joint press conference at the UBS Building in Jackson.

The grant will expand the number of (more…)

Sony to launch new telehealth camera at Australian Healthcare Week

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/03/Sony-telehealth-camera.jpg” thumb_width=”150″ /]

Sony Australia and New Zealand today announced it will officially launch its new Patient Monitor telehealth camera system at Australian Healthcare Week. Sony’s IP Patient Monitor,  NCSRS46P, has been developed in Australia to meet the specific needs of regional healthcare, according to Sony.

The solution enables two-way audio and one-way video communication over IP, typically a broadband internet connection. It has been created in an environment where privacy, ease of installation, simplicity of use and reliability are key concerns. The camera has a powerful 36x optical zoom that allows the healthcare professional or specialist to easily and efficiently view the area of interest and effectively assist with diagnosis.

Although the official launch is next week, there are over 200 IP Patient Monitors in use across Australia, say Sony, including in New South Wales where they are used as part of the Greater Western Clinical Outreach Project.

The Australian Healthcare Week will be from 25-27 March at the Australian Technology Park in Eveleigh, New South Wales.

The King’s Fund: Self-Care in the Digital Age

24 June 2014, 11 – 13 Cavendish Square, London

Morning session: 9.00am – 12.30pm
Afternoon session: 1.00pm – 4.30pm

How can the UK manage its health and social care needs, now and in the future? How can new technology aid in the evolution of our perceptions of health and care? And how is self-care being adopted across the UK? Sponsors dallas (Delivering Assisted Living Lifestyles At Scale) and The King’s Fund will explore and expand that debate with an audience including government ministers, health care practitioners and patients themselves. This free half-day conference is running twice on the same day; once you register on Eventbrite,  you will be asked whether you want to attend either the morning or the afternoon session. The organizers will then contact you to confirm your place (subject to availability). Registration, information.

Short, ‘springy’ takes for Friday

IBM Watson crunches the genomics for glioblastoma. A clinical trial at seven locations is being developed in partnership with the NY Genome Center to identify potential treatment options for the most common type of brain tumor–one where diagnosis and treatment time is of the essence.  iHealthBeat, Modern Healthcare….Also in NY, Montefiore Medical Center in The Bronx is evaluating several mobile initiatives including a current pilot for texts/care management to support diabetic teenagers, as well as evaluating interacting with diabetics on fitness and  biosensor monitoring. FierceMobileHealthcare….Yecco’s social media platform for families caring for older adults [TTA 13 Mar] adds insurance. Allianz Global Assistance UK announced Yecco Home Care insurance, providing up to six weeks of assistance at home following an accident, injury or hospitalization. Release….Six US Senators seek clarification on FDA mobile health regulations. The letter to FDA Commissioner Margaret Hamburg inquired on FDA plans and asked if legislative assistance might be required. The FDA/ONC-HIT framework report originally due in January now has a deadline of 31 March. iHealthBeat. The Hill ‘Healthwatch’….The Samsung Galaxy S5 won’t be considered a medical device by South Korea’s Ministry of Food and Drug Safety. According to Engadget, it was the heart-rate sensor that subjected it to stricter regulations under current South Korean laws. Oy….And it took a while, but finally the Tunstall Americas management page lists new CEO Casey Pittock at the top! (No release yet though.)