IET Annual Healthcare Awards and Lecture

The IET is kindly offering places at the above to all TTA readers.  The event is happening in London on the 21st November 2013. Mr Douglas Anderson OBE FRSE FRSA, Founder and VP of Global Advocacy, Optos Plc is the keynote speaker for the event, and his talk will focus on that company.  Optos’s ultra-widefield retinal imaging system products are apparently the world’s first capable of detecting a large range of sight and life threatening diseases. The talk will also discuss wider issues of technology development and the need to keep focused on the inherent value proposition.

Book here.

Health tech enthusiasm ≠ implementation and scale

Laurie Orlov’s impressions of this year’s Connected Health Symposium, hosted as usual by Partners HealthCare in Boston, presents the conundrum that telehealth and health tech faces beyond the consumer segment, booming fitness trackers and the apps bought one day, discarded the next. How do you get telehealth beyond the pilot to a permanent program in a health system? Do these systems really want to move healthcare to the home? According to Ms. Orlov, there’s amazingly no change from last year on these questions. They are still testing, not broadly deploying (how do companies like Ideal Life and Care Innovations [ever-funded? really?] which aren’t near substantial adoption continue?); and health systems are moving care from brick-and-mortar to the home but slowly, still. Continuing too is the lack of focus on how technology can work best with older adults.  (more…)

Engaging with aging tech

LeadingAge, the main association for non-profit ‘aging services’ providers, hosted a ‘hackathon’ of sorts called HackFest at its annual convention last week. Eight international teams of students were given a 24 hour challenge to come up with an idea and create a prototype application, device or website. The winner was Team Global EngAge who developed a platform for retirement communities to offer their activities–book clubs, religious services and clubs–online so that home-bound elderly can participate via video conferencing. The purpose of the hackathon was to focus on technology needs in senior services and was sponsored by investor Ziegler and Asbury Communities. Unfortunately neither McKnights or LeadingAge list or explore the seven other concepts, which would have been interesting as all these teams can look to further develop and fund their ideas.

Quick Tuesday takes on health tech

Long-term sensors, smart thermometers and the Scanadu Nirvana

The first study of long term use of carbon nanotubes as implanted sensors has been published in Nature Nanotechnology. The nanotubes were implanted for a year in animals to track nitrous oxide (NO), an indicator of inflammation which is important in and of itself, but the level of NO is also not understood long term in cancer. To detect NO, the tubes are wrapped in DNA with a particular sequence and wrapped in an alginate gel to stay in place for a recorded 400 days. The MIT team working on this is also working on nanotubes for real-time detection of glucose levels, towards an accurate insulin pump that would end the diabetic’s perpetual Battle of Stalingrad. MIT News and FierceHealthIT.

The Kinsa smart thermometer for iPhone and Android received a glowing article in Fast Company Design. (more…)

Evaluating your company’s potential investors

While this Xconomy article focuses on biotech, the pointers for health tech companies starting to engage with investors are equally applicable to developers and partners in any country. It’s also helpfully divided into ‘red’ and ‘green flags’–red flags being signs that the investor is not ‘aligned’ with the company’s interests. And disrespectful or an overly short-term focus also tells you to walk away, even if bags of money are in the balance. You ideally want engaged, respectful, successful and informed investors. The writer has been there, done that. Red (and Green) Flags To Look for With Biotech’s Buyside Investors

Due diligence: the importance of the internal IP audit

This is the fourth article of an occasional series on law and intellectual property (IP) as it affects software and systems used in health technology. The topic is the importance on implementing your own audit of your company’s IP and why you should enlist an outside company to do it. More than a list of your copyrights and patents, an independently conducted internal audit will prepare your company for the external due diligence expected when a bank wants to vet a loan or an investor knocks on the door–and it includes things like your website and IT. While Mr. Grossman is writing in the context of US law, our UK and international readers will find his pointers applicable both locally and in dealing with the US. What’s refreshing is his plain writing and lack of ‘legalese’. 

Mark Grossman, JD, has nearly 30 years’ experience in business law and began focusing his practice on technology over 20 years ago. He is an attorney with Tannenbaum Helpern Syracuse & Hirschtritt in New York City and has for ten years been listed in Best Lawyers in America. Mr. Grossman has been Special Counsel for the X-Prize Foundation and SME (subject matter expert) for Florida’s Internet Task Force. More information on Mr. Grossman here and at his blog.

INTELLECTUAL PROPERTY DUE DILIGENCE

Intellectual property may be among the most valuable assets your company owns. The problem with intellectual property (IP) is that by its nature its intangible. You can’t touch it or see it. So how do you know what you have and own?

The starting point is to look to any registrations you may have with the government. For example, you may have registered a copyright or trademark and have paperwork to prove it. However, the registrations are just the starting point. It turns out that getting a handle on your company’s IP assets can be a complex process.  (more…)

Changes at the top at Tunstall

EXCLUSIVE

A reliable and informed source has told this Editor (1 Nov) that Gil Baldwin, Group CEO of Tunstall Healthcare Group Ltd. will be stepping down, to be replaced by Paul Stobart, the former CEO of CPPGroup plc. Mr. Baldwin joined Tunstall in March 2010 from major insurer Aviva, where he headed Aviva Health. Prior to CPP, Mr. Stobart held various positions over 15 years at global enterprise software giant Sage Group, concluding as their CEO for Northern Europe.

Charterhouse Capital Partners acquired Tunstall in 2008, with former owner Bridgepoint Capital retaining a minority share. However, a sale/VC exit has long been rumored. The company recently received some unflattering attention on its (fully legal) usage of the Quoted Eurobond Exemption in The Independent [TTA 25 Oct].

This Editor notes that Mr. Stobart became CPPGroup’s CEO to manage the fallout after it was revealed in March 2011 that the FSA (Financial Services Authority) was investigating the company for mis-selling their bank card protection and identity theft products. After two years of struggle and a record £10.5 million FSA fine, four major banks dramatically rescued the company in July with an eleventh-hour £38 million refinancing, but the consequence of restructuring was that Mr. Stobart and the CFO both stepped down in August. [Guardian, Sky News via Orange, CreditToday] This was certainly a trial by fire. It should also be noted that to this Editor’s knowledge, Mr. Stobart has no specific healthcare, telecare/telehealth or health insurance experience, which is unusual for a position of this type.

Update 4 November: Tunstall’s release at 2:20 PM UK time, making this official. Our source indicates that Mr. Stobart’s start date is today (Monday) and it transpired quickly with business staff only being notified internally last Wednesday, which makes this an exceedingly quick change.

Free Medical Apps Event

For the past few weeks I have been commissioned by the i3i project, part of the dallas programme, to examine what is necessary to improve clinical and patient confidence in the efficacy of medical apps.  I will shortly publicise my initial draft recommendations to seek reader feedback.

In the meantime, readers might be interested in a free event (more…)

Brief report on the European Telemedicine Conference, Edinburgh 29-30 October 2013

The European Telemedicine Conference held in Edinburgh’s historic Assembly Rooms this week exceeded my expectations in many ways.

A vital requirement of all such events is good networking, which Edinburgh promoted most effectively. There was plenty of break time and lots of opportunity to see and meet people. There was a goodly number of stands too, where like-minded people could coalesce. For some there were personalised itineraries that helped as well. Then on the second day, a very deliberate effort was made (more…)

Dick Cheney’s defibrillator and medical device hacking

The news this week that former US Vice President Dick Cheney and his cardiologist decided to turn off wireless access to his implanted defibrillator (ICD) in 2007 based on fears of radio-based attacks underlines the increased awareness of security threats to wireless interfacing or programmable devices. The fear of ‘death by malicious hacking’ could very well lessen the sales and acceptance of new wireless-dependent designs in pacemakers, diabetes management/artificial pancreas and even medication ingestion tracking (Proteus). One proposal outlined in medical device supplier blog Qmed is interesting: “Since most proposed attacks would take place from a distance, researchers believe that using a patient’s heartbeat signature as a password could offer an adequate level of security. Using a heartbeat signature password, pacemakers and other devices would only unlock when “fed back” an individual’s heartbeat in real time.”  Yet beyond that, an advanced ‘white hat’ hacker like the late Barnaby Jack envisioned bugs in programming which could negate this to create murdering pacemakers as well as killer insulin pumps. (A look back at Barnaby and his still mysterious death in the Daily MailDick Cheney: Heart implant attack was credible (BBC News) Hat tip to TANN Ireland’s Toni Bunting. Previously in TTA: A ‘mobilized’ artificial pancreas breakthrough included the increased awareness of hack attacks in the medical mainstream and Contributing Editor Charles on compromised smartphone apps.

A real, beneficial, current use for 3D printing in medicine (Belgium)

Following our recent Blue Blazes award, along now comes a practical use for 3D printing, to help surgeons reduce theatre time, which both reduces health risk when areas such as the brain are exposed and reduces theatre costs which apparently in round numbers are some $100/minute.   This interesting item from On 3D Printing explains how by making an exact model of a patient’s bone structure, surgeons can prepare beforehand precisely-shaped metal bone inserts that will fit perfectly, so avoiding time-consuming metal shaping when the patient is in theatre.

Patient groups most likely to use mobile phones for health: study

A new Manhattan Research study, which starts off rather pedestrian, contains a surprise. The trend of increased used of smartphones for health is not it, as it follows online use: 95 million Americans now use their mobile phones for health information or tools, up 27 percent from 75 million a year ago, and the Cybercitizen Health US 2013 study of over 8,600 Americans found that 38 percent of online smartphone users consider it “essential”. What sets the study apart from the usual enumeration and semi-puffery is the discovery of which patient groups find smartphones most useful and are most likely to use their phones for health reasons. It is closely linked to medical chronic conditions, but not the ones you think. (more…)

Wellocracy launched to explain fitness tracking, apps

Partners HealthCare’s Center for Connected Health has launched Wellocracy, to explain to consumers how you can get the most out of their fitness trackers, health apps and related devices. It won’t be a ‘Consumer Reports’ of devices or apps (though provides a comparison chart), ‘curate’ them as the now seemingly dormant Happtique once intended to do or screech at you on your ‘issues’ as Cigna’s Go You does, but offers sensible advice on how to get the most out of the kit you just bought and the information it provides. Also it addresses the ‘stickiness factor’–staying with a regimen–connects to outside news and adds a large dollop of social engagement with sharing ‘The New Fit Revolution.’ Coincidentally, The Center’s Joseph Kvedar, M.D. just co-authored a book, Wellocracy: Move to a Great Body, with Carol Colman and Justin Mager, MD. Release includes a useful Harris Interactive survey that indicates that fitness and sleep tracking are seen favorably and perceived as valuable but is still large on potential, short on customers.

Luxe workchair becomes telehealth chair

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/10/Sharp_Telehealth_Chair.jpg” thumb_width=”175″ /]Sit down, relax and let Sharp Electronics‘ Health Care Support Chair do the telehealth work. It will, once you arrange yourself comfortably on the proper sensors, take your body temperature, heart rate, weight, and blood pressure, and put it up there on the big three-part screen to tell you if you’ve been good or bad. The cloud service behind it presumably will store and analyze your information, then send to your doctor if you choose.

Here’s the ‘wow’ view from the chair.[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/10/sharp-health-chair-6.jpg” thumb_width=”175″ /] Telepresence Options noted that Ubergizmo tracked down the chair to the super-luxe MWE Labs‘ Emperor 1510 workstation–an interesting repurposing which demonstrates that health sensors can be incorporated into furniture. It was unveiled at the September CEATEC Japan show and is perhaps designed to address the needs of the rapidly aging but affluent populations of Japan, Taiwan and South Korea who do not want to mess with mobile devices or apps. Also SlashGear.

Fashion? Can wearables simply…work?

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/02/gimlet-eye.jpg” thumb_width=”150″ /]Apple’s hiring of Burberry’s CEO Angela Ahrendts as Senior Vice President of Retail and Online Stores to start in spring 2014 may well be indicative of the importance that Apple is putting on 1) smartwatches (she was honcho of a Burberry watch intro) and 2) wearables (she refreshed and upscaled an iconic brand from stores to merchandise). Chris Matyszczyk in Cnet points out that she is the second hire from the fashion industry (the other’s from YSL). On one hand this seems to reinforce that Apple’s strong suit is design; on the other hand it implies that their retail and online stores need to evolve after some recent missteps–and that they may not feel as confident as in the past of their internal capabilities. However this all seems too haute for the simple everyday buyer who wants stuff that helps you live your life better and more conveniently, and who may find it much easier to go to Verizon or Vodaphone for their mobile needs and that Jawbone UP band to wear. And where are the other wearables, say in a Burberry scarf? The Gimlet Eye is blinking in impatience, and it had better be elegant, or Gloria and Babe’s ghosts will be haunting Cupertino. [TTA 25 Oct]  Apple and the emperor’s new wearable tech (Cnet) Hat tip to TANN Ireland Editor Toni BuntingNew Apple Retail Chief Hired Over SummerApple to Hire Burberry CEO (MacRumors).