Robin A. Felder, PhD - MATRC

healthyapricotΜηχανική

5 Νοε 2013 (πριν από 3 χρόνια και 9 μήνες)

65 εμφανίσεις

TRANSFORMING HEALTHCARE
THROUGH INNOVATION

Robin A. Felder, PhD

The University of Virginia

Department of Pathology



Disclosures


University of Virginia


Department of
Pathology



Medical Robotics


Medical Automation


Hypogen


WellAWARE Systems


MeyeChem


Proteus Bio


Global Cell Solutions


Monte
Piccolo Farm




Pursuit of Wellness


State of complete
physical, mental and
social well
-
being


Health results from
primarily positive
perspectives and choices
by which to live


Technology can provide
information that facilitates
positive choices


© Felder, 2011

Social



Physical



Cognitive


8.0


6.2


9.1

Wellness Balance

Wellness Support


Growing need for new sources of
data, and data interpretation


Integration of multiple diagnostic
sources (lifestyle, self testing)


Integrated wellness and health
record


Ongoing information support for
maintaining healthy lifestyles

Wellness Technologies Monitor


Nutrition


Exercise


Biometrics


Pain
reduction


Stress
reduction


Sleep improvement


Mood enhancement


Health and wellness

Wellness Support


Food coaching


Rewards


Exercise


Nutrition


Therapeutic compliance


Consequence reporting


Consequence forecasting

Overcome vicarious
goal fulfillment or,
“exhaustion of self
-
control”

Home Health IT


New revenue sources:
Medical Cloud
coaching and
Interpretations

Cloud
Interpretations

Proliferation
of Wellness
Tools


Accelerometer
based


Various models
for data delivery


Basic
physiologic
measurements

Information Week

BodyMedia

FitBit

Nike
Feulband

Zephyr

Basis

Striiv

BodyMedia

Scanadu

Tricorder

Shine Misfit

SENSING

Local content

& services discovery

SEEING

Augmented reality UI:

Map, 3D, in building
navigation

INTERACTING

Connection manager

(WAN, Wi
-
Fi)

KNOWS

You and what is
around you

LEARNS

What you like

DISCOVERS

Things relevant

to you

FILTERS

Out the irrelevant

Source: Jarrin (Qualcomm)

SENSING

Local content

& services discovery

SEEING

Augmented reality UI:

Map, 3D, in building
navigation

INTERACTING

Connection manager

(WAN, Wi
-
Fi)

KNOWS

You and what is
around you

LEARNS

What you like

DISCOVERS

Things relevant

to you

FILTERS

Out the irrelevant

Source: Jarrin (Qualcomm)

new
ipad

mini

Lifewatch

AG

Portable Diagnostics


iPhone based
portable ultrasound


EKG


Otoscope


Dermatoscope


Microscope

Cell Scope ™


Dermatoscope



iPhone clip
-
on


Transmits high quality
magified

pictures of skin blemishes


“Smart
Otoscope



iPhone
ear drum microscope


Transmits pictures of videos of
the ear canal and ear drum


Looks at progression or
regression of disease

Otoscope

Images

Normal Ear Drum

Ear Infection

Ruptured ear drum

Cloud Based Diagnosis of
Parkinsons


Non
-
invasive phone
based


Accurate (98%)


Remote, non
-
expert


Low Cost


Rapid diagnosis


Scalable to large
populations

Max
Little
-

Parkinson’s
Voice
Initiative

TED Conference 2012

iPhone Body Fluid Diagnostics


Biosense

Technologies


uCheck


Touc
Hb

Continuous Glucose Monitoring


Dexcom

Embedded Wellness Sensors


Instrument common
fixtures


Wireless
transmission of data


Web based
aggregation and
interpretation

Action Inspired Instruction


Real time coaching


Medically approved
content


Tailored for individual


Body temperature


Pulse


Blood Pressure


Body fat percentage

Vital Sensor

Data management PC


Urine protein


Urine glucose

Urine analyzer

Healthcare providers

Passive Wellness Monitoring

The M.A.R.C. In
-
Home

Health Monitoring Project


Create a model where the impact of chronic
disease is delayed or avoided


Provide opportunity for medical intervention
before a crisis occurs


Minimize impact of chronic disease on the
healthcare system

Passive Remote Sensing


Wireless Sensor Array (WSA)


gathers data on daily
activities


Data Manager (DM)

transmits data to data analysis
servers


Capture Analysis & Reporting Engine (CARE)


captures
potential problems and alerts caregiver

Passive Gait Sensors

Vibration
sensors placed
in the house
detect occupant
gait

Passive Physiologic Sensors

Physiologic
sensors
embedded in
common
household
furniture and
fixtures

Sleep Monitoring


Sleep apnea affects more
than 40 million people in the
United States alone of which
85% are currently
undiagnosed


sleep apnea testing and
therapy market that is
expected to reach more that
$4 billion by 2012

Passive Vital Sign Bed Monitor

Mattress pad to measure:


Sleep quality


Pulse (and HRV)


Breathing


Movement/
restlessness


Bed exit


Subject position/
turning


Body temperature


Blood Pressure

Polysomnography

Passive Sensing

Restless Resident

Restful Resident

Sleep Quality Graphs

Remote Automated Triage


Real time assessment of participant health
status/well being


Ability to drill down to specifics


Built in automated optimized dispatching


Manual override of dispatch event or
downstream processes

30

One Click Trending


Health


Socialization


System
utilization

Telehome

Monitoring Decreases
Costs by 74%

N=21 in each group, P<0.05;

Telemed

J E Health,

2007 13(3):279
-
85


Overall Cost of Care Comparison
$67,757.88
$17,407.02
0
10000
20000
30000
40000
50000
60000
70000
80000
Dollars $
Unmonitored

Monitored

FUTURE WELLNESS
TECHNOLOGIES

3D Manufacturing



36

4
cm

1
cm

0.2
cm


First Warning Systems™ heat distribution sensing
sports bra

Wearable Cancer Detection

Underwear That Measures Blood
Pressure


Pulse wave velocity
correlates with blood
pressure


Pulse wave velocity
correlates with blood
pressure


Tissue impedance shows
passing pulses


Pulse timing correlated
with relative pressure


Continuous blood
pressure monitoring

Automated Pharmaceuticals



Automated Pill


iPill (Philips)



Magnatrace™ System looks for pill
ingestion



Networked pills (Proteus
Biomedical)


Instrumented Pills


Cost < $0.01


Measure and send physiologic signals
through body electrically


Receiver is a patch worn on the body
that also logs respiration, heart rate and
body movement, sleep patterns

Automated Intestinal Biopsies


Intestinal diagnostic
imaging coupled with
miniaturized biopsies


Pillcams with
intestinal “Velcro” to
arrest the camera at
a selective location


Continuous
monitoring

MIT Technology Lab

The Eye as the Window to Health

Univ. of MD, Baltimore

UCSD

Medical Robotics

Preventive Science Inc.

MeyeChem
, LLC


Real time glucose
monitoring


Alerts for low or high
glucose concentrations


Trending analysis


Food coaching via
telenutritionalmentoring

Virtual Reality


Image enhancement,
correction, zoom


Correction currently
limited to 0.2
logMAR
, 20/32


Full view software
modulated images


Superimposed
augmented reality

Gas
-
permeable
nanopolarizer

(
iOptik

contact
lens)

O
ff
axis projection with
transflective

diffuser 90
°

field
eyewear
iOptik

Zoom lens (3X)
UCSD

Diopter adjustable
mini
-
scleral lens
and wearable
computer (
iOptik
)

Augmented Reality


Projection of
underlying anatomy
on living tissue


Relies on
superimposition of
reality and
previously scanned
animated image/data

Not for the Faint Hearted

Receptivity


Presenting health vs
wellness to a patient


Determining what
information is TMI


Optimizing the time
for the presentation
of wellness strategies
“Wellformation”

A non
-
profit
educational
organization
improving
healthcare quality

and efficiency
through teaching
automation
principles and
their application in
health systems

Medical Automation.org

http://medicalautomation.org

TagLine

-

Medical reality

http://medicalautomation.org



Robotic Reality

HRP
-
4C National Institute of
Advanced Industrial Science and
Technology