BiomonitoringThree areas of development:

Medical Alert NetworkFallsCardiac arrest Trauma Missing persons

Bio MEMS Devices

Personal Health Status

Medication and Physiologic Status

Home Care System

(No reliable user-friendly system)

(Innovations needed)

(Major contemporary industry)

Contemporary Activities by OthersDODDARPANSFEmil Jovanov (Univ of Alabama)Laurie Wilson (CSIRO, Australia)Agilent TechnologiesSiemens AGAmbulatory Monitoring Inc.Digital Angele Worldtrack

Patient-centered focus of eHealth

Wellness promotion as part of healthcare continuum which includes illness treatment

Aging population

Forces for Home Telecare

Development of a Home Telecare System

CSIRO Telecommunications and Industrial Physics

Laurie Wilson PhDRobert Gill PhD

Sydney, Australia

Daily on-line measurements

Hospital Without Walls

Vital signs monitoring

Alerts

Activity monitor

Video-conferencing

Visiting nurse

On-line call centre

Distributed, electronic

record

BiomonitoringThree areas of development:

Medical Alert NetworkFallsCardiac arrest Trauma Missing persons

Bio MEMS Devices

Personal Health Status

Medication and Physiologic Status

Home Care System

(No reliable user-friendly system)

(Innovations needed)

(Major contemporary industry)

Biomonitoring Benificial to

High Risk Health Patients & Search and Rescue

Personnel

Wrist Worn Accelerometer

Integrated Activity

Fall

Heart Rate + Waveform

Wireless Breathing

Sensor

Current Medical Alert Progress

“Fall Down” wireless experimentAccelerometer Device Research

GPS Research

Local Area Network Research

Steering Group Proposed

Professional Paramedic Research Assistant Hired

First Human Experiment is Planned for this Fall

Components have been identified and need to be purchased

Costs will be $20K to Jan 1, 2002

CITRIS - Ambulatory Monitoring Inc Collaboration

TASKS

Characterize accelerometer signature of falls, sitting forcefully, accidental banging and exercise. These signatures have to be identified over a wide spectrum of activities and populations

“Ballistocardiogram” – use the supersensitive accelerometer channel during rest periods with different ranges of filters to identify, heart rate, respiration pattern and absence of signal signifying no heat activity

Design alarm cancellation method via shaking of the wrist or a signal button

Berkeley

AMI / PCDProvide platform of actigraph devices

Modify current system for fall testing

Work with Berkeley on LAN wireless communication between sensor and local CPU

Assemble and prototype devices for miniaturization and chip design

Sensors: Wrist worn 1-d accelerometer platform is the current Army prototype (“actigraph”). It is currently available through the PCD corporation in Florida.

Design LAN for GPS and fall down signature integration

Develop optimum long range communication paradigms (144 MHz - 2.4 GHz)

What Wireless Network(s) ?

CITRIS Biomonitoring Consultants

David Atkins (Walter Reed Army Hospital)

Robert Pearce (Fort Detrick Army Casualty Unit)

R. Arzbaecher (University of Illinois)

A. Lee (NCI - Cancer patient monitoring)

Current CITRIS Biomonitoring Team

Thomas BudingerTimothy Davis (LBNL)Anthony Joseph Luke LeeDorian LiepmannJonathan Maltz (LBNL)Al PisanoJan RabaeyOthers Welcome