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Home care and remote monitoring system for the population with special needs allowing expert advice to be generated ex situ based on the collected data.

Deliverables

Know-how and specific applications for hypertension using remote home monitoring equipment is unique throughout the world. The knowledge of methods improving treatment effectiveness, bettering drug compliance and enhancing treatment related information exchange allows us to foster collaboration with other centres of hypertension research. Furthermore, the know-how of remote home monitoring of patients with hypertension straightforwardly expandable to related areas of cardiovascular disease. The above results allow us to gain collaborative advantage in future research project as well as allowing us to increase treatment quality of current patients. Example of such collaboration is within the frameworks of FP5 project REALITY for the study of representative valuation of evolving remote home-based patient monitoring delivery for patients with diabetes, heart failure, COPD, asthma or hypertension. KINDHOME is a proposed IST Framework VI project, the formation of which has been lead by Philips Research. The proposed project is concerned with the delivery of health advice to home-based patients and the monitoring of home-based chronic disease sufferers using wireless sensor technology.
For rapid system development in embedded devices and applications market we have designs, moulds and testing tools for industrialized production of MIPs CPU based embedded data collection equipment. The small footprint, multilayered PCB main board and power supply designs, CE certified communication electronics layout and testing tools are readily available for further embedded hardware development and preparation for industrialized production. Additionally the know-how of miniaturized ECG analogue front-end with corresponding power supply design for medical device manufacturing is available for collaboration and product development in medical area. All the above allows our company to cut costs and provide competitively responsive service in a complex and capital-intensive embedded system development process allowing to proceed without delay to manufacturing stage.
EC certificate and associated Technical File confirming that the Docobo DCU classifies as a class IIa medical device as defined in the Medical Devices Directive (93/42 EEC) and the Telecommunications Directive (1999/5/EC). Certification provides competitive advantage both in time and excellence compared to competing system developers approaching the market.
Unique hardware of combined ECG and bio-impedance analogue front-end for registration of bioelectrical signals of the body using the palms of the hands of the patient. The industrialized unit provides unique features for remote patient monitoring previously available in hospital settings (ECG with matching-beat hemodynamic data: volume/pressure curve in aortic arch, stroke volume, diastolic decay profile in aortic arch, reflecting pressure wave position etc). Bio-impedance feature provides also for body composition measurements including body fat and water content. The measurement of water content can be utilized for cases of COPD or heart failure patients where small changes in body weight as a result of dehydration carry valuable information. The unique technological solution is specially suited for remote patient monitoring applications, allowing for registrations conducted by patient at the time and place when need dictates or heart related complication occurs. Small footprint combined ECG and bio-impedance analogue front-end is available as manufactured PCB for OEM deployment.
The method and corresponding working system doc@HOME (TM) is for remotely monitoring the health of a patient. The unique system consists of portable and remotely manageable Data Collection Units, secure communications environment, Data Warehouse and specialized software applications, has several advanced features compared to current state of the art: - secure access to the system services via public low-cost communication channe; - allows highly individualized and concurrent use of different care protocols - user-specific data visualization and informational feedback to patients and doctors both on paper and screen - individualized and/or coordinated messages to be sent from medical staff to the remote patient(s) - remote configurability of the DCU for straightforward and effective deployment in changing care environment - automation tools with customisation for individual patients for long-term trouble-free operation Doc@Home service is provided in a manner that avoids risk for the client for up-front investment and later component redundancy. Doc@Home system is commercially available and readily scalable providing services for concurrent, medically specific patient care areas like cardiovascular diseases, diabetes, post-hospitalisation monitoring, elderly care etc. The system and corresponding manuals are in English, German, Finnish, Swedish and Estonian languages.
Medically certified class IIa manufactured Data Collection Units (DCU) and associated software are available for a co-operative research and/or further specific service development. The hand-held portable DCU's with 320*240 pixel b/w LCD screen can serve as remote patient monitoring units with keyboard enabled input, built-in standard ECG with combined bio-impedance measurement (cardiac and body composition), secure data storing and forwarding capability. Devices can sustain service capacity for a week without charging. Devices are provided with charger for long-term use. The system employs common telephone line for fully automatic and transparent communication with a central doc@Home server. Devices come with full documentation and packaging for immediate deployment in area of remote monitoring and care for patients with chronic condition. Research projects with long-term monitoring needs in out-patient settings can both gain in measures of efficient information handling (practically real-time overview and analysis, detection of developing trends, collection of more data points etc), statistically representative study population engagement and shorter study periods without increasing the cost of the study to a prohibitive level. Number of DCU's are currently taken up by a FP5 Quality of Life programme REALITY for the study of patients with diabetes, COPD, asthma, heart failure and hypertension.
Tools and know-how of communication security, medical data warehouse development and management embrace Medical Data Warehouse (incl. data parser, database and doctor user interface); Intelligent data parsing components (incl. transport (data receiving and operating) layer and business logic (specific medical data operating) layer); Security and encryption components. Doctor user interface is usable as a stand-alone product for different medical data visualisation projects. Medical Data Warehouse is offered as a complete solution or integrated as part in existing hospital systems. With intelligent data parsing components a wide range of applications can be designed and developed to receive data from different platforms and then proceed to any application on Windows platform. Business logic layer that contains specific medical business logic can be used as stand alone product for medical data transferring from electronic devices or manual input to Medical Data Warehouse. It is unique module that can be integrated and used in other medical applications. Security and encryption components were designed and developed for purpose of transferring sensitive medical data and will be used in future projects (including data protection with digital signature). Overall, the results of the project allow our company to expand into healthcare market and provide services in a rapidly developing area of business.
MIPs CPU based hardware prototyping and deployment platform and software toolset for the royalty free, NetBSD embedded operating system allows us to increase relative efficiency and effectiveness of embedded systems development. A new hardware platform provides a common environment that can be widely deployed and serviced. The MIP's CPU development platform will focus specifically on supporting the complex hardware environment not the least of which is dealing with memory-constrained devices. The system is particularly suited for embedded medical device development, prototyping and testing for network oriented and portable applications where full control of audiovisual feedback and multiple of inputs are necessary. The peripheral architecture includes modularised display and keyboard interfaces, a V34 hardware modem, 10BaseT Ethernet interface, BluetoothTM module interface and RS232 serial interface. NetBSD provides a small footprint high performance and highly portable OS platform. Code that runs under the Linux core will run, unmodified, under NetBSD. We can deliver this platform to customers, with all the software development tools and support that one could expect from a platform provider.

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