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Cyber-Physical Intensive Care Medical System for Covid-19

Periodic Reporting for period 1 - ICU4Covid (Cyber-Physical Intensive Care Medical System for Covid-19)

Período documentado: 2021-01-01 hasta 2021-12-31

ICU4Covid provides the Cyber-Physical System for Telemedicine and Intensive Care (CPS4TIC) ecosystem for Telehealth Europe. It aims to create the sense of be part of the European telemedicine network and gain access to future capabilities, knowledge, expertise, and clinical operating procedures. It will be a game changer in providing Telehealth and health services.

ICU4Covid Hubs with central and peripheral hospitals in Europe improve the medical treatment in intensive care for critical illnesses, such as COVID-19, providing screening diagnosis, and treatment in Intensive Care Unit (ICU), while protecting the healthcare workforce against infection.

An innovative work environment that combines cutting-edge digital technology, state-of-the-art Artificial Intelligence (AI) models, and fast and secure communication, will create the Telehealth Europe network enabling to share knowledge, resources, and provide efficient treatment across Europe.

Under crisis conditions and beyond, the ecosystem will provide key functionalities for the provision of health and care, supporting the healthcare practitioners and patients with enhanced collaboration and learning capabilities, advanced monitoring, capacity boosting, and self-feedback for the health care staff.

The bedside telehealth system MONA is equipped with high sensitivity sensors, a telemedicine camera with a 180-degree field of view and 4k, 60 gigahertz radar, and high-speed chipsets for AI. In addition, the CPS4TIC comprises a robotic arm that will be installed at bedside and will assist the clinical team in the day-to-day treatment of the patient.

The system integrates seamlessly with the existing infrastructure and includes audio video functions as well as a variety of other features including quality management reporting tools and document management. Through the B-Health ICU IoT Box using IoT technology, data from devices will be integrated and transferred to the Telehealth system. Visualization may occur at the bedside on the Mona, anywhere remotely using the app, or in the cockpit for monitoring purposes. Using mobile apps, tablets, and PCs, authorized users can use the cockpit to access individual or group beds, replacing traditional consoles. Using AI healthcare, professionals can receive further medical, economic and organizational data-driven prediction models, and evidence-based decision support.

The occupational health condition of the medical team is also addressed by using sensors and wearable devices to monitor their physical condition and provide them with direct feedback. Utilizing the latest advances in technology, ICU4Covid enhances the working set of the European healthcare practitioners through an advanced telemedicine solution that combines IoT and wearable technology. The ICU4Covid will be a better, safer, and smarter work environment, tailored to the needs of healthcare professionals, ensuring optimal support with minimal intrusiveness.

Specific applications within the telehealth system provide for secure peer-to-peer connection between hospitals and ICU Hubs enabling real-time continuous monitoring of patients and telemedicine consultation based on synoptic data from multiple sources.

CPS4TIC enables quick and effective creation of an ICU collaborative network throughout Europe, enabled by a dynamic response and cross-border knowledge exchange of medical insights.

ICU4Covid enables enhanced data and information analytics for the support of medical decision making or development of tailored treatment schemes for patients suffering from critical illnesses such as COVID-19.
During the first reporting period, the ICU4Covid consortium was deeply involved in the technology deployment of the CPS4TIC in each ICU Hub, while coordinating with clinical integration, and developing the co-creation environment, to establish a European cluster network of ICU Hubs.

In what regards the technology deployment, three ICU Hubs were established, namely Germany, Madeira, and Latvia. The needs and technical infrastructure from the hospitals to install the CPS4TIC were identified, and the CPS4TIC technical handbook is available.

Regarding the clinical integration, it was defined the blueprint to maintain an effective day-to-day use in clinical operations and key processes in the ICU Hubs. An initial version of the master template to establish ICU Hubs was developed, addressing a multi-actor audience aiming to establish a new ICU Hub. This template supports the smooth integration of hospitals and deployment of new technology.

In what regards the Social Science and Humanities (SSH) dimension, it was outlined a detailed SSH framework that informs a successful, sustainable, and responsible implementation of CPS4TIC during the ICU4Covid project and beyond. In addition, a methodological approach for designing the co-creation environments was developed., presenting a set of modular social science methods. These methods will allow to gain the necessary insights to understand how the implementation process transforms the ICUs and how to best integrate the technological means into existing ICU processes to improve patient care.

Lastly, regarding communication and dissemination, special attention was given to communication campaign, targeting the project identified audience, namely healthcare professionals, healthcare administration, policy makers and regulators, ICT providers, and general audience.
ICU4Covid has been especially progressing towards a human-centred innovation, through an interdisciplinary integration of the SSH perspectives all along the technical deployment and clinical integration in the ICU Hubs.

ICU4Covid has been deploying CPS4TIC at large-scale pilot in 10 ICU Hubs in Europe to bring capacity boost to Intensive Care Medicine for COVID-19 to EU citizens and protect the healthcare workforce from infections. ICU4Covid complies with relevant ethics, security requirements and data protection legislation and promotes good practices of security and privacy.

By the end of the project, a master template to establish ICU Hubs will be available, and it will be a blueprint for use and roll-out the CPS4TIC rapidly scalable and ready for knowledge transfer and cooperation.
The ICU4Covid solution - CPS4TIC