Embedded systems in Medical Applications Opportunities & Challenges

Dr.Shyam VasudevaraoDirector TechnologyPhilips Health Care

Medical embedded systems

Growth of embedded systems

Opportunities

What are the challenges

Motivation• Advances in Semiconductor technology

• Higher functionality with smaller chips• Higher performance at lower cost• Portability

• New portable compute-intensive applications possibility• Multi-media• Video display and capture• Audio reproduction & capture• Handwriting recognition• Notebook computer• Personal data assistant• Implantable medical electronics• Home monitoring and telemetry applications

• Developments in battery life span3

Medical embedded systems• Pocket calculators• Hearing aids• Implantable pacemakers and cardiac defibrillators• Portable equipment for physically challenged• Wristwatches• Wireless computing

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Portable defibrillatorFrom Philips

Pacemaker fromMedtronic inc.

Power needs are very different – one of the challenge

Power range portability Re charge Life of device

10 micro watts Light weight and wearable

Possible but preferred not

3-10 yrs

10’s of watts Light weight and portable

Yes once in 24 hrs

10 yrs

100’s of watts yes Yes once in 24 hrs

10 yrs

50 nano – 50 watts

Yes during use

Once after usage

25 yrs

50 nano to 10 mili watts

no no Min 10 years

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Technology Innovation for better leaving

Sensors & On-body ElectronicsIntegration of sensors into clothing,appliances, home and body

User Interface & Design A universal and ergonomic approach to how people use and respond to technology

Temperature

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Innovative Service Delivery Models Customized clinical interface enabling extended reach-of-care

Information & Computation Wireless personal emergency responsesystems, case management, speech recogn.

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Connected Healthcare a huge opportunity

•Revolutionary monitoring, early detection, and communication systems Revolutionary monitoring, early detection, and communication systems •Seek endorsed by clinicians Seek endorsed by clinicians •Enable effective therapy at the right time and placeEnable effective therapy at the right time and place

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Motiva – Remote Patient Management

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Standards in Healthcare - Enabler

Instruments

In-House Services

Clinical

DICOMHL7

HL7

Administrative

Admissions,Discharges,

Transfers (ADT)

Billing

HL7

PhysioMonitors

EKGs,Pumps, Vents

BedsideMonitor

IEEE1073"MIB"

E1467

Radiology

Echo Lab

Gen/MedOrders

LaboratoryResults

HL7 HL7

DICOMHL7

C/N/ICUCharting

Hospital LabsHL7

X12N

Payers

Clinical DataRepository (CDR)

Master PersonIndex (MPI)

HL7

Scheduling

HL7

HL7 Enterprise InformationSystem "Backbone"

LabInstruments

"MIB"

HL7

HL7 and ASTM E-1394 over E-1381

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SW/ HW LowLevel Design

After Market Condition

Monitoring & support

Material & component Sourcing

Packaging

Distribution

Production Reviews of requirement design

& code

SW Modeling/Simulation

Coding & Development

SW Unit Testing

Emulation /Debugging

HW Modeling/Simulation

Component Engg.

Logic, Layout & Circuit design

SW/ HW integration & testing

HW Unit Testing

System Architecture analysis

Product viability study

Business case preparation

Gather high level requirements

Design review plan

Capability analysis - FDA

SW / HW Verification Plan

SW / HW Development plan

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Requirement analysis & conceptualization Planning Detailed design

SWdevelopment Verification and

Validation

Production/ Service/Support

Feedback Loop

Matured Emerging Future potential Insignificant/ No presence

FDA verification

HWdevelopment

V &V plans

RoHS standard compliance

Sustenance & obsolescence management

Effort20% Effort30% Effort 50%

Compliance/ Certification

Traceability Matrix

Design Documents(SDD and HDD)

Reliability, functional and application test

http://www.grassrootinnovations.org

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Fever

Blood P ressure

Diabetes

Abdominal P ain

Asthma

Anaemia

P regnancy Related

Tuberculosis

Skin disease

Cold & Cough

Others

P ercentage

Pain Relieving Instrument

MediChairSmart shoe

Ideation Workshops

Avishkara - Process

Student exchange programDesign of a Portable Screening Device for Early Detection of Oral Cancer in Rural Areas of India

Market Survey

BoP Program at Manipal University

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e-RMCWH e-RMCWH Background:Background: Manipal Rural Health Care Delivery System : Filed Practice

Area (FPA) connecting 7 Rural health care centers covering 56,000 population.

E-RMCWH Project

This software is designed & developed for field and center ANM [ Auxiliary Nurse Midwife ] activities of Rural Maternity and Child Welfare Homes [ RMCWH ] of Dept. of Community Medicine, Manipal. e-RMCWH software includes many modules like Registration for Family Folder, Milestone Master, Grade Master, Vaccine Master, RMCWH Master, Village Master, etc..

Medical embedded systems

Growth of embedded systems

Opportunities

What are the challenges