Morning presentations

11 December 2015

Smart Wearables Information and

Stakeholders' Day

#InfoWearables

Your questions to:

@NetTechEU

@Electronics_EU

@PhotonicsEU

#H2020

#IoT Call

#AIOTI

Event life from: https://ec.europa.eu/digital-agenda/en/news/information-and-stakeholders-day-smart-wearables

Next event: Info day on IoT: 25 January 2016

1. Welcome and introduction – Khalil Rouhana, European Commission

2. Objectives for the day – Willy Van Puymbroeck, European Commission

Platforms for Wearables (Philippe Reynaert, Moderator)

2. Setting the scene: Chris Van Hoof, IMEC, BE

3. 2 HLY years: Dress to Live not Kill, Keith Baker, Philips, NL

4. DAQRI: An augmented perspective of Europe's future in smart wearables, Gaia Dempsey, Exodea Europe, IR

6. Wearables in Health and IoT (HIT), Cees J.M. Lanting, CSEM, CH

7. IBM wearable platform (workRight/LiveRight), Lior Limonad, IBM Reearch, IL

Technologies for Wearables (Francisco Ibanez, Moderator)

8. Setting the scene: Pierre-Damien Berger, CEA Tech, FR

9. Enabling technologies for economically sustainable industrialization of smart wearables, Hajnalka Vaagen, SINTEF, NO

10. Programmable wearables, Christophe Benoit, Erasmus University college Brussels, BE

11. Supplying technological development solution for MEMS, Giulio Urlini, STMicroelecrtonics, IT

12. Fibre and textile integration as key technology for smart wearables, Lutz Walter, EURATEX, BE

Coffee Break

Application Areas and Eco-systems (Andreas lymberis, Moderator)

13. Setting the scene, Markus Strecker, Teiimo, DE

14. Which wearables will have the biggest impact in our life? Antonio Paradell, Woldwide Iberia SA, ES

15. The construction sector as a smart wearables application area, Jose Luis Buron, Acciona, ES

16. A multilevel perspective on Connected Health Technologies, Roel Smolders, Vito, BE

17. The Swan-iCare wearable system for would monitoring, Dimitris Vassiliadis, Exodus SA, GR

18. Experience Real Time Intelligence with wearable IoT, Amir Taherkordi, Sonitor Technologies, NO

19. Regulation, Data Protection and user acceptance, Petra Wilson, International Diabetes Federation (IDF), BE

20. Smart Wearables and the second valley of death, Thomas Kallstenius, iMinds/AIOTI-WG7, BE

03

Information and

Stakeholders' Day on Smart

Wearables

SETTING THE SCENE ON PLATFORMS FOR

WEARABLES ACROSS THE ENTIRE CARE

CYCLE

CHRIS VAN HOOF - IMEC

WORLDWIDE TRENDS

Patients

are turning to

dr. Google

e-mail from patient:

“ Doctor, my smartphone says

I am in AFIB – what do I do

now ? ”

EACH YEAR THE NATIONAL HEALTHCARE

EXPENDITURES ARE RISING 2% FASTER THAN THE GDP

OECD Health Data 2012; Eurostat Statistics Database; WHO Global. Health Expenditure Database,

PWC

2119

1513

1513

107

0

5

10

15

20

25

2000 2005 2010 2015 2020

+2% NHE (%GDP)

NHE: other OECD

NHE: USA

CAGR

5 10

Life expectancy

30 50 70 90 0 110

Care

Treatment / Cure

“ A LONG SICK LIFE ? ” 2060 ?

5 10

Life expectancy

30 50 70 90 0 110

2060 ?

Care

Treatment / Cure

Prevention

“ A LONG HEALTHY LIFE ! ”

Wearable health devices

could contribute to the entire continuum

of care across the entire care cycle:

prevention – cure – care

AND THIS FUNCTIONALITY CAN BE INCORPORATED INTO

A DISPOSABLE HEALTH PATCH THIS IS OUR MOST ADVANCED MEDICAL

WEARABLE PLATFORM SOLUTION

THIS IS NOT A COMPLETE WEARABLE PLATFORM

SOLUTION

smart wristband

health patch

smart headsets

WEARABLE

TECHNOLOGY

PLATFORM

=

PART

OF THE

SOLUTION

smart garments

non-contact sensing

yosen

s

WEARABLE

DATA

ANALYTICS

=

PART

OF THE

SOLUTION

A NEED FOR PLATFORMS – A

MULTIDIMENSIONAL CHALLENGE

USER VS PROVIDER

THE ARCHITECTURE PERSPECTIVE

THE CONNECTIVITY PERSPECTIVE

THE DATA PERSPECTIVE

THE SERVICE PERSPECTIVE

THE LOGISTICS PERSPECTIVE

THE INTERNATIONAL PERSPECTIVE

PLATFORMS FROM

A PROVIDER PERSPECTIVE

SENSORS

Self-monitoring Tele-monitoring

SERVERS

GSM/GPRS/

3G/4G

Feedback

GATEWAY

Body Area Network

PA

TIE

NT

CALL CENTER

ALERTS

Website

E-mail

SMS

(Call Center)

CA

RE

SENSORS

Self-monitoring Tele-monitoring

SERVERS

GSM/GPRS/

3G/4G

Feedback

GATEWAY

Body Area Network

PA

TIE

NT

CALL CENTER

ALERTS

CA

RE

SCALABLE SCALABLE SCALABLE

SCALABLE

HARD TO SCALE

CURRENTLY NOT SCALABLE

THE DATA PERSPECTIVE: AI TO THE

RESCUE

THE PATIENT’S PERSPECTIVE

THE DOCTOR’S PERSPECTIVE

THE HOSPITAL’S PERSPECTIVE

THE CARETAKER’S PERSPECTIVE

THE PAYER’S PERSPECTIVE

THE SOCIETAL PERSPECTIVE

PLATFORMS FROM

A USER PERSPECTIVE

WHAT THE PATIENTS GETS

WHAT THE PATIENT WANTS

THE PATIENT

PERSPECTIVE

Belli

From Bloom.

A medical-grade smart device designed for women

THE PATIENT PERSPECTIVE

THE DOCTOR’s PERSPECTIVE



Spot-checks and their limitations


Continuous longitudinal recording

THE HOSPITAL’s PERSPECTIVE

THE PAYER’S PERSPECTIVE

THE SOCIETAL PERSPECTIVE

04

Wearables and Biological State

Keith Baker Philips

Nov, 2015

Platforms for Wearables and the hidden neurological pathways and conditions

Agenda • Europe Problems of Cognitive Decline in 2HLY and Independent living

• Wearables: beyond CAD CVD and metabolic syndrome – Assuming that IN, AR, BP and glucose can be measured continuously

– Population at risk of inflammation driven ageing can be aided

• Biological wearables: Direct or indirect measurement

2HLY challange

Watch

Philips: Health Care Suite Digital Platform

Personal Insight Clinical measurement

Watch

Clinical Patches Hand-held Implants CPAPs

4 Oct, 2015 Philips

CPAP for Sleep Disorders

• Less wearable

7 Oct, 2015 Philips

CPAP and Implants: Closing the Loop

6 Oct, 2015 Philips

Who will sleep with this on?

13 Oct, 2015 Philips

Sleep and Dementia: A model

Infection Hygiene process

5 Oct, 2015 Philips

Resmed : Market Leader Contact-less

Bluetooth The Terrorist

Friend

04

06

54 Wearables in Health and IoT (HIT) Cees J.M. Lanting - CSEM (CH) – ©2015

Wearables in Health and IoT (HIT)

e/mHealth is part of IoT, health will use e/mHealth in combination with other IoT.

Presented by Cees J.M. Lanting, CSEM (CH)

Co-chair EPoSS WG Smart Communications & IoT

Member of ETSI EP eHEALTH

Taking into account discussions in ETSI EP eHEALTH and EPoSS


A possible classification of wearables

Overall classification in which Wearables fit into:

• Implants

• On the body: wearables

• Near the body (touching from time to time, e.g. training machine)

• In the ecosystem

Wearables, per functional class

• Information display (e.g. virtual reality display)

• Identification (e.g. for new born identification)

• Localisation (e.g. for localisation of children, enforcing judicial restrictions)

• Condition / activity (e.g. fall detector, input devices)

• Performance indication / measurement (e.g. sports, professional activities)

• Sport (Professional, Training, Personal performance, Rehabilitation, Social)

• Industrial

• Health

• Health relevant indication / measurement

• Health monitoring

• Health treatment


Health relevant measurement, monitoring, treatment

Possible!

provided a number of requirements is met:

• Serious and Medical relevant Sensing

• Medical environment compatible and accepted

• ‘better than the doctor, accepted and used by the doctor’

• High quality, reliability and accurate sensing and data analysis

• Generate reliable alerts and alarms (low undetected problems, low false alarms)

• Data fusion, analysis and assessment: use the data effectively

• More sensors networked around the body: Body Area Network (BAN, SmartBAN)


Metrology, sensing and analysis

Sensing (and actuation)

• Metrology and sensing (and control and actuation) are sciences by themselves

• Interpreting and analysing sensing data requires metrology and sensing

knowledge

Sensors (and actuators) are not necessarily small and simple

• most measurements are ‘difficult’, only few are ‘simple’

• many measurements have to be made indirect

Analysis and interpretation of sensing data as important as sensing


Health Data Management

Protect the user’s privacy while providing efficient services

• Data access and ownership management

• Efficient patient data access

• Connections: reliability and resilient, available when needed

• Sufficient Security, built in

Protect user’s life

• A certain compromise is needed to save a life: ‘break glass’ procedures

Build large, anonymous data sets for use with Data Mining and Big Data

techniques


Smart System Integration as methodology for wearables

• Size, form factor, materials, operating conditions

• Autonomy: low power consumption, energy scavenging, energy management

• Combining different ‘KET’ technologies in hybrid integration

• Resulting in wearable (integrated) Smart Systems (and Cyber Physical Systems)

HETEROGENEUS INTEGRATION

MULTI -FUNCTIONS INTRODUCTION

COMMUNICATION AND ACTIONS (INTERACTION)

TO

BY

SSI

07

Information and Stakeholders' Day on Smart Wearables, 11 December 2015, Brussels

Stakeholder’s View

Smart Wearable and IoT Solutions,

IBM Research – Haifa,

Lior Limonad, Ph.D [email protected]

Our Views On Wearables (Challenges)

• C#1: Many business opportunities.

• C#2: Higher Levels of Situation Awareness.

• C#3: Blurred boundaries between the cloud and the edge.

• C#4: Building on solid grounds.

62


Stakeholder’s View – IBM Research - Haifa

Many Business Opportunities

63 63

Engaging Customers Transforming Professions

Field worker safety Emergenc

y response

Payments

Pay as you live

insurance

Customer service

Customer loyalty

Smart law enforcement

Smart care team

Amusement parks

Smart conference

Banking

Healthcare

Field worker effectiveness

Shopper analytics Home

caring

Wellness

Enable efficient development, deployment and operation of enterprise solutions that harness the potential of Wearable / Nearby IoT devices

Featured Capabilities: • Simplify on-boarding of wearable / IoT devices into

existing Business Applications • Boost better understanding of complex human behavior • Promote multi-modal / model-sensory rich user experience

Many Business Opportunities

C#1: How to build one platform 4 all?

Activity

Emotion

Stress

Pulse

Sleep quality

Sight

Excitement

Identity

Augmentation

Audio Visual Guidance

Recommendation

Correction of errors

Analytics Marketplace

NLP/Gesture

Affective Computing

Vision

Biometric authentication

Context

Augmented Reality

Speech/Activity

Privacy

MobileFirst Platform

System of Records

App

Server Storage

BlueMix IOT Foundation

http://www.businessinsider.com/flexible-thin-electronics-breakthrough-2013-7

Higher levels of Situation Awareness

65

Stressed Tired

Excited

Busy

Active

Walking

Commuting

Confused Thinking / Cognition

Emotion

Activity + physiological

Environment

Location

Identity

C#2: How to enable easy / rapid development of human-centric apps?

Make advanced analytics as re-usable assets, to be easily integrated with different business applications.

Wearable

Direct connection

Mobile Edge

Runtime Connectivity

Context (time/geo/situ

ation)

BlueMix IoT Foundation

3rd party vendor clouds

Apps

Runtimes Connectivity

Analytics Storage

Services

Smart Wearables

Runtime Connectivity

Context (time/geo/situ

ation) Apps

Edge Gateway

Ad-hoc interoperability

Federated Edge Computing

Cloud

Blurred Boundaries

C#3: How to leverage on the power of the entire echo-system?

• Performance

• Connectivity

• Reliability

• Efficiency

• Power consumption

• Privacy

67

Blurred Boundaries

C#3: How to leverage on the power of the entire echo-system?

• Make analytics portable across different front-end and back-end devices.

• Embed within the infrastructure the mechanisms to cope with the varying factors such as:

• Allow dynamic utilization of the various devices in the echo system, with resilience to different topologies.

• Facilitate a “write-once, deploy anywhere” model.

68

Building on solid grounds

C#4: How to validate the value of the platform?

• Focus the development around concrete application areas.

Employee Safety and

Wellness Cognitive Engagement

Mature-age Personal Wellness and Safety

08

Pierre-Damien Berger

CEA Tech

FROM RESEARCH TO INDUSTRY

CEA TECH

AT THE CORE OF IOT

Pierre-Damien Berger | CEA Tech 71

LETI : MICRO- AND NANOTECHNOLOGIES

and their integration

into systems

CEA TECH OFFERS ADVANCED R&D IN KEY

ENABLING TECHNOLOGIES

LITEN: NEW ENERGY

TECHNOLOGIES AND

NANOMATERIALS

LIST : SMART

DIGITAL SYSTEMS

• Annual operating budget of more than €600 million

• More than 50 HIGH-TECH START-UPS over the past 10 years

• 4,500 RESEARCHERS

• More than 600 PRIORITY PATENT applications per year


« IoT enables added value services

by Connecting Smart Objects in a secure way

in various application domains including

Transport, Health, Building & Energy, Ecology, Industry

through multiscale integration »

IOT DEFINITION


Cloud

GLOBAL IOT ARCHITECTURE

Heterogeneous

Network

Infrastructure

Cyberphysical

Systems

CyberPhysical

Components Local nervous

system

Central nervous

system

Senses / Muscles

Collective

Intelligence Data

Analytics


Cloud


Heterogeneous

Network

Infrastructure

Cyberphysical

Systems

CyberPhysical

Components

Data

Analytics

Global Web

Services / Apps: eHealth, eMedicine,

eWellness,

eEnvironment

ePublic.service /

eGovt,

eBanking,

eEducation,

eTransport,

eCommerce

Apps


Cloud


Heterogeneous

Network

Infrastructure

Cyberphysical

Systems

CyberPhysical

Components

Data

Analytics

Global Web

Services / Apps: eHealth, eMedicine,

eWellness,

eEnvironment

ePublic.service /

eGovt,

eBanking,

eEducation,

eTransport,

eCommerce

Apps



Data

Analytics

Local nervous

system

Central nervous

system

Sensors/Actuators

Heterogeneous

Network

Infrastructure

Networked

Cyberphysical

Systems

CyberPhysical

Systems Cloud

CyberPhysical

Components

Cyberphysical

Systems

Heterogeneous

Network

Infrastructure

Cloud


Productivity Reliabilty

Wellness

Time to Market

Smart Product /

Multi-functions

Autonomy

IOT CHALLENGES

DA

TA

Z

ER

O

TE

LC

O

Generation &

Management

Communication

Power Efficency

& Zero Power

Technical

Challenges

TR

US

T

Trustworthiness

& Dependability

Industrial Challenges


IOT CHALLENGES

DA

TA

Z

ER

O

TE

LC

O

Generation &

Management

Communication

Power Efficency

& Zero Power

Technical

Challenges

TR

US

T

Trustworthiness

& Dependability


IOT CHALLENGES D

ATA

Z

ER

O

TE

LC

O

Generation &

Management

Communication

Power Efficency

& Zero Power

•Sensors Actuators & Systems Integration

•Embedded computation

•Re-usability / Scalability

•Self-learning & Prediction

•Autonomous Systems

•Energy

• Interoperability

•Security

•Mastery of Network

Technical

Challenges Requirements

TR

US

T

Trustworthiness

& Dependability

•Safety

•Reliability

•Real Time

•Privacy


•Sensors Actuators & Systems Integration

•Embedded computation

•Re-usability / Scalability

•Self-learning & Prediction

•Autonomous Systems

•Energy

• Interoperability

•Security

•Mastery of Network

•Safety

•Reliability

•Real Time

•Privacy

Requirements

IOT CHALLENGES D

ATA

Z

ER

O

TE

LC

O

Generation &

Management

Communication

Power Efficency

& Zero Power

Technical

Challenges

TR

US

T

Trustworthiness

& Dependability

DA

TA

Z

ER

O

TE

LC

O

TR

US

T


IOT CHALLENGES AND NEEDS

CyberPhysical

Components

CyberPhysical

Systems

Heterogeneous

Network

Infrastructure

Cloud

DA

TA

Z

ER

O

TE

LC

O

TR

US

T


IOT SOLUTIONS DEVELOPPED AT CEA TECH

Heterogeneous

Network

Infrastructure

Networked

Cyberphysical

Systems

CyberPhysical

Systems Cloud

MEMS, M&NEMS, Piezo, Optomechanics…

Imaging : visible, IR, Thz...

Display : microOLED, GaN nanowire LED

Flexible and Printed electronics

Biosensors

Miniaturized & Integrated Antennas

• Sensors, Actuators & Systems Integration

PORTFOLIO OF PRINTED DEVICES AT CEA LITEN

Sensors/actuators and sensors/actuators arrays

Temperature Piezo Pressure Haptic devices Photodiode

Circuit and Logical fonctions

R,L C filtre RF OTFT Logical Circuit and Back planes Mémory - ferroelectrique

Signage

Printed OLED on thin glass

| PAGE 13

Energy

Flex Battery OPV

I Chartier EPoSS GA 26 sept 2013 Cork

Heterogeneous

Network

Infrastructure

CyberPhysical

Systems CyberPhysical

Components Cloud

DA

TA

Z

ER

O

TE

LC

O

TR

US

T


Strongly differentiated approach !!!

3-axis

Gyroscope

3-axis

Magneto

3-axis

Accelero

X

Z Y

Miniaturized sensors

Generic platform

8500m² Cleanroom

Sensor : M&NEMS Plaform

Pressure

sensor

High-SNR

Microphone

2 New Innovative Sensors under development

……


IOT SOLUTIONS

Algorithm for Data Fusion

Zero Power Architecture

ASIC, FPGA, 3D integration

Memories

Secured Real Time OS

Embedded computation

Credit photo : futur.A architectes

Heterogeneous

Network

Infrastructure

Networked

Cyberphysical

Systems

CyberPhysical

Systems Cloud

Heterogeneous

Network

Infrastructure

Cloud CyberPhysical

Systems

CyberPhysical

Component

DA

TA

Z

ER

O

TE

LC

O

TR

US

T


IOT SOLUTIONS

RFID

ZigBee, Bluetooth LE…

Ultra Wide Band

LPWA : Low Power Wide Area Network

5G…

Interoperability

Mid

dle

ware

Reso

urc

e a

gn

osti

c s

en

so

r

netw

ork

G

ate

wa

y

Heterogeneous

Network

Infrastructure

Networked

Cyberphysical

Systems

CyberPhysical

Systems Cloud

Heterogeneous

Network

Infrastructure

Cloud CyberPhysical

Systems

CyberPhysical

Component

DA

TA

Z

ER

O

TE

LC

O

TR

US

T


IOT SOLUTIONS

Energy Harvester : RF, Indoor light, Temperature, Vibration, Flow…

Storage : Rechargeable Micro Storage, Thin Film…

Ultra Low Power with FDSOI

Power management & Battery Monitoring System

Autonomous systems

Sels à

changement de

phase – Olivier

Flechon….

mobile mass silicon wafer

electrostatic converter

Heterogeneous

Network

Infrastructure

Networked

Cyberphysical

Systems

CyberPhysical

Systems Cloud

Heterogeneous

Network

Infrastructure

Cloud CyberPhysical

Systems

CyberPhysical

Component

DA

TA

Z

ER

O

TE

LC

O

TR

US

T


IOT SOLUTIONS

Device : RFID, WSN Privacy manager

Execution : Spatial & Temporal Security in Real Time OS and Hypervisor

Reliable Communication systems for M2M

- Ressources constrained wireless nodes

- Secured communication mechanismes (incl Secured SW update)

- Seamless routing (bandwith agregation)

- Intrusion Detection System

- Protocol Analysis

Cryptography

- Homomorphic Cryptography

- Lightweight Cryptography

Security evaluation of embedded systems / Certification ITSEF

Trustworthiness : components & Evaluation (test bench, tools…)

Heterogeneous

Network

Infrastructure

Networked

Cyberphysical

Systems

CyberPhysical

Systems Cloud

Heterogeneous

Network

Infrastructure

Cloud CyberPhysical

Systems

CyberPhysical

Component

DA

TA

Z

ER

O

TE

LC

O

TR

US

T


Force sensor technologies

Physiological sensor

technologies for health

patch

Low-power smart camera technologies

Advanced front-end

technologies

M&NEMS roadmap

User experience

qualification platform

L IoT platform

Always Responsive / On Demand

Wearable device

prototyping platform

Wearable device

benchmarking platform

Roadmap to always

responsive system

Low-power power

management technologies

Battery less

BlueTooth-LE

Low power ultra high data rate wireless

technologies

Low-power Wireless

Body Area Network

protocols

Medical device

platform

On-body energy

harvesting platform

Motion capture

magnetic technologies

Cooperative geo-

localization technologies

On-body & In-vivo

antenna platform

IoT middleware

technologies

Wireless Body Area Network platform

Wireless protocol

Roadmap to 5G digital networks

Secured wireless platform

Cryptography Secuirity &

Privacy Roadmap

Data Analytics

Big Data platform

Data Management

Roadmap Data Minnig

UNLOCKING WEARABLE IoT Brick Platform Roadmap


Force sensor technologies

Physiological sensor

technologies for health

patch

Low-power smart camera technologies

Advanced front-end

technologies

M&NEMS roadmap

User experience

qualification platform

L IoT platform

Always Responsive / On Demand

Wearable device


Wearable device

benchmarking platform

Roadmap to always

responsive system

Low-power power

management technologies

Battery less

BlueTooth-LE

Low power ultra high data rate wireless

technologies

Low-power Wireless

Body Area Network

protocols

Medical device

platform

On-body energy

harvesting platform

Motion capture

magnetic technologies

Cooperative geo-

localization technologies

On-body & In-vivo

antenna platform

IoT middleware

Techno


Wireless protocol


Secured wireless platform

Cryptography Secuirity &

Privacy Roadmap

Data Analytics

Big Data platform

Data Management

Roadmap Data Minnig



M&NEMS roadmap

Wearable device


Low-power Wireless

Body Area Network

protocols

IoT middleware

Techno




Integrating & Harmonising standards

Integration and Miniaturization

Scalability

New architecture for low power


Smart Home & Building

companies & Insurances

Industry 4.0

Police, Ambulance,

Firefighters

Lessor & Local authorities

Hospital & Medical actors

APPLICATION

CATEGORIES

TIMELINE AND ACTORS

MAIN ACTORS :

USERS & INDUSTRIALS

Interaction with Living environment wearable devices interacting with home/office objects

Interaction with Working environment wearable devices connected to robots, machines

Personal Safety wearable devices for the detection of external danger conditions

Social proximity

interaction wearable devices used for entertainment reasons

e-Health sensors and actuators implanted or on body, wearable devices

Tim

e to M

ark

et

THANKS FOR YOUR ATTENTION

Come to see us at CEA TECH

& Join - Unique Sensor platform

- The design IoT hub to access Silicon

proven design

- Worldwide Low Power SOI technologies

[email protected] / +33684208667

09

Technology for a better society 94

Information and Stakeholders' Day on Smart Wearables

11. Dec., Brussels Hajnalka Vaagen, Senior researcher, SINTEF, NORWAY

[email protected]

www.sintef.no

Enabling technologies for economically sustainable industrialization of smart wearables

Picture: PFI Germany, I-Shoe for self-management of health

mailto:[email protected]

http://www.sintef.no/

Technology for a better society 95

Paradigm shift from traditional 'unit-products' to smart wearables

• We deal with platform-based product-

service constructs

• Intelligent materials & sensors enable the introduction of an online domain with services and high frequency of renewal, without additional resource consumption.

• Great impact on the environment and

potential for cost efficiency

Dagens Næringsliv , 20.01.2014 by 2017 we wear the technology on the body

Technology for a better society

Key factors to enable economically sustainable industrialization

96

• Not limited to the technological developments; e.g. flexibility of the smart properties.

• One key issue is that the right conditions for operational capabilities, manufacturing- and service delivery processes are created to stimulate the technology to penetrate certain markets;

• with focus on economic indicators, i.e. added-value & monetary risk assessment, price and quality, delivery processes addressed through concurrency in design-manufacturing-service delivery, etc.

• This requires that the multidisciplinary complexity involved is correctly treated by the decision-support systems applied in these operations.


The complexity involved in the design-, manufacturing and service delivery processes of smart wearables:

97

1. Multiple information and phenomena • Technical information/engineering intelligence,

• Information related to sensory-enabled services,

• Network dimensions, connecting engineering &operations to the human &social elements

• Market intelligence, with scenario dimensions.

2. Multiple objectives • E.g. minimize monetary portfolio risk across different market segments, while maximizing the

environmental impact by manufacturing decisions of the physical elements.

Conventional technologies are not suited to correctly address this complexity, as these are developed in the context of traditional 'unit products'.


Future research needs to address enabling decision-support technologies for wearables

98

• Multi-objective risk-controlled modelling and simulation, from early design through manufacturing and service delivery, integrating multiple information, e.g.

•

1. Risk-controlled decision-support, using engineering and market intelligence, to quickly assess the added value &risk of sensory enabled services;

2. Predictive decision-support for self-management of health by connecting engineering and healthcare intelligence to dynamic user information (ref. I-Shoe for self-management of health, PFI Germany).

• Network- and behavioural analytics and dynamic visualisation, to explore and manage the multidisciplinary information involved in smart wearables.

10

Wearables are not new

We are building a monitoring paradigm for wearables -> Quantified Self

Problem: narrow scope & retention

Christophe Benoit – Erasmus University College Brussels

The ability to interact is the innovation

Network of wearables

centralisation of data

How is my stomach doing this morning?

We stay in the monitoring paradigm


Solving the retention problem


The real opportunities for wearables

Digital Me Digital It Interface


Wearable activities

Check in/out

Small payments

Personal contextual notifications

Identification (loyality cards)

Virtual assistance

Evolving to a necessity: context & experience


Contact information

Christophe Benoit

Erasmus University College Brussels

[email protected]

Steven Palmaers

PXL University College Hasselt

[email protected]



11

Making technology more

accessible for wearable developers

Giulio URLINI

Where You Find Us 108

Our automotive products

are making driving safer,

greener and more entertaining

Our smart power products

are making more of our energy

resources

Our MEMS & Sensors

are augmenting the consumer experience

Our Microcontrollers

are everywhere making

everything smarter and more

secure

Our digital consumer

products are powering the

augmented digital lifestyle

Fitness Watch Smart Tracker Pedometer Simple tracker Advanced tracker

Evolution of Wearable Devices – Fitness

Tracker 109

STEPS

CALORIE

S

DISTANC

E

FLOORS

CLIMBED

POSITIO

N

DISTANC

E

EXERCIS

E TYPE

MUSIC

CONTRO

L

HEART

RATE

?

?

STEPS

CALORIE

S

DISTANC

E

STEPS

SLEEP

QUALITY

CALL

NOTIF.

Self

Contained

Web connected

CALORIE

S

DISTANC

E

STEPS

CALORIE

S

DISTANC

E

Web/Smartpho

ne connected

SLEEP

QUALITY FLOORS

CLIMBED

+

Web/Smartpho

ne connected

Late 90’s 2012 2014 2015 2009

ST Offering for Wearable 110

MCU

Signal

transducer

s

Audio

amplifiers

Current

sensing

Battery

managem

ent &

monitoring

ICs

BlueNRG

Power

management

User

interface

Analog

front-end Connectivity

Analog

sensors

Digital

sensors

Microcontrolle

r

Switches

MEMS

microphon

es

Motion &

environme

ntal

sensors

Proximity

Sensors

Power

managem

ent ICs

32-bit ULP

MCUs

ESD

Protection

s

EMI

Filters &

RF-IPD

Display

Power

Supplies

and LED

Drivers

NFC &

RFID

Smart

reset

Protections

Wi-Fi

Modules

Sub-GHz

RF

Sensors

Ultra-low power

connectivity

ULP

Microcontrollers

& Memories

Analog and mixed

signal

components

Power and energy

management

Market

Lowering the Barriers for Developers 111

Device

Prototype Form factor

Device Final

Device

Idea Application

Test SW

Field

Test

Commercial

SW

Fast, affordable prototyping with development continuity to final devices

STM32 Open Development Environment 112

www.st.com/stm32ode

STM32 Open Development

Environment Fast, affordable Prototyping and Development

113

www.st.com/stm32ode

STM32 Nucleo

development

boards

STM32Cube

software

STM32Cube

expansion

software

STM32 Nucleo

expansion

boards

Developer community and support

Compatibility with free & commercial Development Environments

Sensors – motion,

environment, light

..

Ultra-low power

connectivity

ULP Memories

and NFC Tags

Analog and mixed

signal

components

Power and energy

management

STM32 Nucleo Development Boards

114

www.st.com/stm32nucleo

STM32 Nucleo complete product range

from ultra-low power to high-performance

Move Power Interact Connect

Sense

STM32 Nucleo Expansion Boards

115

LPS25H HTS221

www.st.com/x-nucleo

LIS3MD

L

LSM6D

S0

Example

X-NUCLEO-IKS01A1

STM32 Open Development Environment SW &

Tools For Wearable Technology Innovation World Cup

116

Open Software eXpansion (OpenSoftwareX) Environment

Middleware

open.MEMS open.AUDIO open.RF

open.FRAMEWORK

BlueMicrosystem

BlueVoiceLink

STM32 Open Development Environment

BlueVoice MotionFX / MotionAR BT Smart Profiles

Mesh / 6LoWPAN Gesture (3rd party) BeamForming / SSL

+ STM32

Nucleo

development

boards

STM32

Nucleo

expansion

boards

Hardware

STM32Cube

software

STM32Cube

expansion

software

Software drivers and

HAL

Op

en

So

urc

e &

co

mm

erc

ial ID

Es

12

Fibre and textile integration as key technology for smart wearables

Lutz Walter Secretary General, Textile ETP

Smart Wearables Infoday, 11 December 2015, Brussels

SMART TEXTILES (or TEXTILE-INTEGRATED ELECTRONICS)

A LONG HISTORY

Levis-Philips ICD Phone Jacket (2000) Vivometrics Lifeshirt (2002) Baby monitoring vest, ITV Denkendorf (2003)

Philips-Nike Sports HRM (2004)

Viking-Ohmatex Smart Fire Fighter Gear (2007) Zegna Sport Solar Ski & ICON Jackets (2008)

Bioserenity Neuronaute (2014)

TITV – Smart Car Seat (2010) FutureShape Sensory Floor Coverings (2012) PolytecT Smart Seismic Wallpaper (2012)

- High expectations & a lot of hype (in early 2000s)

- Significant research, knowledge creation, education & prototype testing

- Mostly commercial disappointments

- Persistent misunderstandings between the world of electronics & textiles

- No killer applications & no sound business models

- Some small players with critical competences have established themselves in niche markets

Summary

Smart Textiles 2000-2015

Key Future Success Drivers - Technical

Washability (for wearable applications)

Flexibility/stretch vs. reliable connectivity

Interconnectivity between textile & non-textile components

Scalable processing & assembly/integration technologies

Durability & system maintenance

Comfort (for products in touch with human body)

Recycling

Key Future Success Drivers – Non-Technical

Close collaboration between electronics, software, textile material experts & product designers (& end users)

Focus on unique value propositions and high end user value (mostly niche applications)

Sound business models for long-term business success (more product-service ecosystem concepts)

Suitable standards and test methods

Funding for further collaborative research

Conclusions

Developing & successfully bringing Smart Wearables to market is a multidisciplinary & multisectoral challenge

The main technological building blocks are in place

Functional integration, end user added value & business models are key

The European textile industry and researchers are open for these cross-sectroal collaborations Suitable standards and test methods

The Textile ETP can bring you in contact with the right textile expertise from across Europe

Textile ETP Contact

Contact

Lutz WALTER

Secretary General of the European Technology Platform

24, rue Montoyer - Box 10, B-1000 Brussels

Ph. +32-2-285.48.85

E-mail: [email protected]

www.textile-platform.eu

13

Application Areas and Eco-Systems

Information and Stakeholders‘ Day on Smart

Wearables

Brussels, December 11, 2015

15.12.2015 Copyright Teiimo GmbH 126


$70 billion by 2025 idtechex

Entering a Rapid Growth Phase


Experts agree, that the biggest potential lies in medicine, healthcare

and fitness.

addressing many of the biggest challenges in society today

largest number of big names behind the most promising

developments.

By the end of the coming decade, advanced informatics as wearable

electronics will match the healthcare market, with new healthcare

and informatics devices promising billion dollar sales potential.

Truly disruptive new technology, in the form of e-textiles, will also

begin to establish major sales in a few years' time .

Fashion, industrial, commercial and military applications will

burgeon as a consequence.

Revenues by Application


http://www.google.com/url?sa=i&rct=j&q=wearable+electronics+market&source=images&cd=&cad=rja&docid=tOhpjMzeipWaLM&tbnid=BzofafEf_JYU2M:&ved=0CAUQjRw&url=http://imsresearch.com/press-release/Wearable_Technology_Market_to_Exceed_6_Billion_by_2016&ei=HNT6UYmWPLSx4APit4EY&bvm=bv.50165853,d.dmg&psig=AFQjCNF_Ju26P6yh3z4Mz1QXnrWAs6jqtQ&ust=1375479193838451

Players by Industry


Main Types of Wearable Technology


Source: IDTechex


„Forget smartwatches,

smart clothes are the

future.“ (Gartner, 2014)


by 2016 shipments will increase to an estimated 26m – 7m more than smart wristbands

that same year. (5, Gardner)

to date the main drivers of e-textile-based wearables have been healthcare, sportswear,

and the military

will become a significant revenue generator for firms at all levels of the clothing supply

chain (1,researchandmarkets)

But so far: relatively few e-textile commercial successes; much of the sector remains

niche based and relatively low volume

What is needed? More collaborative thinking and development

Currently the domain of professional athletes, smart clothing will overtake the sale of

fitness trackers by the end of 2016 as consumer products become available. 5, Gardner

Powerful new sensor and smart materials technology is becoming commercially

available that provides for a seamless integration (1,researchandmarkets)

Global Smart Wearable Fitness and Sports Devices market and the Global Smart Wearable

Fitness and Sports Services market will grow at a CAGR of 25.38 percent and 29.90

percent, respectively, over the period 2015-2019 (forecast). (1,researchandmarkets)

Smart Clothing


market for smartwatches is witnessing a double-digit growth rate globally 1)

Smartwatches will increase in shipments from 10m in 2014 to 40m in 2015 and 60m in

2016. 5)

market is purely driven by the leading tech companies; in the near future, the entry of

watch companies is expected to increase the competition and dynamics of this market. 1)

smart watches will become the dominant wearable smart device in terms of worldwide

sales in early 2017, when Apple has cemented its hold on the market. But take-up is still

limited by consumer interest 8)

There is enough technological advancement today for these devices to gradually compete

with the more advanced smart gadgets such as smartphones and tablets. The fashion

quotient of these devices has the potential to give them an edge over the regular

smartphones and tablets. 1)

Smart bands will peak in 2016, driven by cannibalization from smart watches with greater

functionality, and new devices that serve niche use-cases more capably 8)

Smart Watches and Wrist Bands


Te c h n o l o g y a w a r e n e s s a n d

e d u c a t i n g p e o p l e o n t h e u s a g e

o f w e a r a b l e e l e c t r o n i c s a n d

a l s o r e d u c t i o n o f i n t e g r a t i o n

p r o b l e ms . 1)

Da t a p r i v a c y a n d d a t a t r a f f i c

ma n a g e me n t 1)

We a r a b l e d e v i c e s n e e d t o w o r k

h a r mo n i o u s l y a s t h e y a r e w o r n

o n t h e b o d y , i n a d d i t i o n t o

b e i n g l i g h t , c o mf o r t a b l e ,

u n o b t r u s i v e , a n d a t t r a c t i v e . 1)

Hi g h p o w e r c o n s u m p t i o n ,

i n i t i a l p r i c e a n d t h r e a t t o

p r i v a c y 1)

La c k o f c o l l a b o r a t i v e t h i n k i n g

a n d d e v e l o p me n t

Ch a l l e n g e s


Do mi n a n t s e c t o r : h e a l t h c a r e ; me r g i n g

me d i c a l , f i t n e s s a n d w e l l n e s s . 1)

La r g e o p p o r t u n i t i e s f o r o r g a n i c s ,

i n o r g a n i c s a n d c o m p o s i t e s 2)

On l y w a y f o r w a r d : a b a n d o n t h e 100 y e a r

o l d " c o mp o n e n t s i n a b o x " a p p r o a c h .

Us e s t r u c t u r a l e l e c t r o n i c s w h e r e

s m a r t m a t e r i a l s a r e k e y . 2)

To b e t r u l y u s e f u l , u s a b l e a n d

d e s i r a b l e f o r p e o p l e , w e a r a b l e t e c h

p r o d u c t s s h o u l d b e i n v i s i b l e ,

p e r s o n a l i z e d , e f f i c i e n t , a c c u r a t e ,

p e r mi s s i o n s -b a s e d , s e n t i e n t , mu l t i -

p o i n t , s e a ml e s s 4)

To d a y ' s d e v i c e s n e e d t o b e m a d e

s ma l l e r , f l e x i b l e , mo r e c o mf o r t a b l e ,

o f t e n i n v i s i b l y h i d d e n i n o r u n d e r

c l o t h i n g o r t r a n s p a r e n t . Ot h e r i t e m s

i n t h e w i s h l i s t w i l l s o m e t i m e s

i n c l u d e b e i n g i m p l a n t a b l e , d i s p o s a b l e

a n d a f r e q u e n t r e q u e s t i s t h a t t h e y

s h o u l d n e v e r b e s h o r t o f e l e c t r i c i t y . 2)

Ad v a n c e s w i t h w e a r a b l e s e n s o r s a r e a

v i t a l d r i v e r f o r t h e f u t u r e o f

w e a r a b l e t e c h n o l o g y .

Ot h e r d r i v e r s : n e w e n e r g y h a r v e s t i n g

a n d s t o r a g e t e c h n i q u e s , e f f i c i e n t

p o w e r ma n a g e me n t s y s t e ms a n d l o w

p o w e r c o mp u t i n g , i n f o r m f a c t o r s t h a t

w i l l b e i n c r e a s i n g l y f l e x i b l e ,

f a s h i o n a b l e a n d i n v i s i b l e 2)

Op p o r t u n i t i e s a n d Ke y

Su c c e s s Fa c t o r s

Today‘s Ke y En a b l e r s f o r

We a r a b l e s


Mi c r o El e c t r o Me c h a n i c

Se n s o r s ( MEMS)

Ac c e l e r o m e t e r , Gy r o s c o p e ,

Ma g n e t o m e t e r

Op t i c a l Se n s o r s a n d

Ac t u a t o r s

Sp O2, ...

Ra d i o Fr e q u e n c y Da t a

Tr a n s m i s s i o n

Wi Fi , Bl u e t o o t h , BLE, Zi g b e e

To u c h Sc r e e n s a n d e Pa p e r

To d a y t h e Sm a r t w a t c h i s t h e

n e w p h o n e

In t e r c o n n e c t s a n d Te x t i l e

Co m p o n e n t s

Strong research activities – w a s h a b i l i t y

s t i l l a c h a l l e n g e

Fl e x i b l e a n d St r e t c h a b l e

Ci r c u i t s

R&D shows promising results – a t l e a s t

f o r i n d u s t r i a l a p p l i c a t i o n s

Fr o m Ap p l i c a t i o n s t o

Ec o -s y s t e m s


Bu s i n e s s i s n o t i n HW

o r SW a n y m o r e

Ec o -s y s t e m s d o m i n a t e

t h e a p p l i c a t i o n s p a c e

f r o m i n n o v a t i o n t o

c o m m e r c i a l p r o d u c t s

Im p o r t a n t i s t h e u s e

c a s e a n d t h e v a l u e

c h a i n a l o n g t h e e c o -

s y s t e m

Mo n e y f l o w n e e d s t o b e

u n d e r s t o o d f o r a

s u c c e s s f u l p r o d u c t

Va l u e s a c r o s s t h e e c o -

s y s t e m s i n f l u e n c e

d e v e l o p m e n t s a n d s y s t e m

s p e c i f i c a t i o n s

ICT Ec o -s y s t e m


Simplified representation

4 Layers

Big value in layer 3

Content

Apps

Big Data as a value

Devices as enablers but not always the main revenue stream

Business symbiosis between device manufacturers and other partners is ideal

Symbiotic Relationships Are Key!


Complex interaction model

and relationships

– 6 relations to be understood

Win-win situations need to be addressed and can be achieved!

The Google Global Innovation Eco-System


Key to Success: Use Case + Eco System


There is value if the user perceives functions as

valuable

Business is consistent if product is desirable and

used on a regular basis

Symbiosis and win win situation within the

specific ecosystem grants for stability anf growth

We need to understand the use case, the money

flow and the eco-sytem

http://www.google.com/url?sa=i&rct=j&q=team+elite+adidas&source=images&cd=&cad=rja&docid=XP83jrOGfAWl8M&tbnid=Qpa8n3fvL7WnUM:&ved=0CAUQjRw&url=http://solecollector.com/news/adidas-launches-adidas-lab-unveils-99g-adizero-cleat-630g-kit/&ei=9jQBUoPhFJLc9QSItoH4Ag&bvm=bv.50310824,d.b2U&psig=AFQjCNEP5DJWi0-D-L68HgjX-TolPH-iJw&ust=1375897189962799


We d e v e l o p h i g h l y i n t e g r a t e d h i g h -

q u a l i t y p r o d u c t s a n d s o l u t i o n s i n t h e

f i e l d o f c o n f o r m a b l e a n d w e a r a b l e

e l e c t r o n i c s .

We w o r k w i t h r e s e a r c h o r g a n i z a t i o n s ,

m a n u f a c t u r e r s , a n d b r a n d s f r o m

v a r i o u s i n d u s t r i e s .

We o f f e r a f a s t r o u t e t o m a r k e t f o r

i n n o v a t i o n

We b r i d g e t h e g a p b e t w e e n r e s e a r c h

a n d i n d u s t r y

We i n v e n t a n d d e v e l o p m i s s i n g

c o m p o n e n t s

We c o n s u l t i n i n d u s t r i a l i z a t i o n o f

c o n f o r m a b l e e l e c t r o n i c s

Ou r motto: “t e c h n o l o g y f o l l o w s c o mf o r t ,

f o r m a n d f u n c t i o n “.

Teiimo at a Glance

Germany

Teiimo GmbH

Gilching (Munich)

Phone: +49 8152 9657047

E-Mail: [email protected]

www.teiimo.com

15.12.2015 © Copyright Teiimo GmbH 144

Contact


1) researchandmarkets.com 2) IDTechex.com 3) ISPO.com 4) Wired.com 5) The Guardian, Nov 18, 2014 6) Bezinga.com, Nov 20, 2014 7) Wearable Technology 2015-2025 by Dr Peter Harrop, James Hayward, Raghu Das

and Glyn Holland 8) Analysis Mason, 2014 9) E-textiles and the future of wearable technology by Cath Rogan, 2014

Sources

Copyright

©Markus Strecker, TeiimoTM, Markus Strecker. Die vorliegende Präsentation unterliegt den ausschließlichen Rechten von Markus Strecker, TeiimoTM. Ihr liegen eine Vielzahl

gewerblicher Schutzrechte, Urheber- und sonstiger Leistungsschutzrechte zugrunde. Die Überlassung dieser Konzeptbeschreibung erfolgt ausschließlich im Rahmen und zum

Zweck einer Auftragsvorbereitung und –durchführung, um die Leistungskomponenten anzudeuten bzw. zu beschreiben. Eine darüber hinausgehende Nutzung ist nicht

eingeräumt. Jegliche Rechte zur Nutzung dieses Konzeptes und den zugrunde liegenden strategischen und gestalterischen Leistungen bleiben ausdrücklich vorbehalten.

Insbesondere ist jegliche Eigen- und Drittverwertung ohne Zustimmung von Markus Strecker, TeiimoTM,untersagt und wird im Fall der Zuwiderhandlung sowohl zivil- als auch

strafrechtlich verfolgt.

Copyright

© Markus Strecker, TeiimoTM. This presentation and all material contained in it are the sole property of Markus Strecker, TeiimoTM and are given to you on the understanding

that such material and the ideas, concepts and proposals expressed in it are belonging to the intellectual property of Markus Strecker, TeiimoTM, and protected by German

and international copyright law. It is understood that you may not use this material or any part of it for any reason other than the evaluation of the document in respect of a

purchase order unless we have entered into a further agreement for its use. The document is provided to you in confidence and on the understanding that it is not disclosed

to third party or anyone other than your employees who need to evaluate it. Any violation of these restrictions may be prosecuted by civil or criminal law.

15.12.2015 © Copyright Teiimo GmbH 146

14


Views of stakeholders - Worldline

Which wearables will have the biggest impact on your life?

Wearable devices are not new, first wristwatches are dated in the early nineteenth century

Devices evolved with technology

and have now become SMART with SENSORS and ACTUATORS

Key aspects:

Usability

Technology

Design



Expected exponential growth (source: BI Intelligence)

… boosted by Smartwatches, but this is not only about smartwatches!!



Created the momentum for Smartbands and Smartwatches

Which are the most popular wearables today?

Google Glass discontinued at the beginning of this year… … but still a lot of potential for Smart Glasses!!

and future devices:

Smartrings?



Greatest potential for growth with high added value

Chip Implants

Smart Pills: ingestible tracking devices

Body Devices

what about Privacy?

Design and Fashion Professional

Smart Textiles



Interaction, Communication

Voice interaction…

… replacing smartphones?

aiming at

DIGITAL INCLUSION

and Accessibility



New services based on data generated by wearable devices

Toni Paradell

Worldline Iberia

[email protected]

[email protected]



15

Centro tecnológico I+D+i

THE CONSTRUCTION SECTOR AS A SMART WEARABLES APPLICATION

AREA

Information and Stakeholders’ Day on Smart Wearables

11 December 2015

José Luis Burón ([email protected])


Technology & Innovation Division. ACCIONA Infrastructure

What the construction industry needs

©2015 ACCIONA Infrastructure. All rights reserved

IoT Sensor networks

Ubiquitous communications Smart Wearables

Big Data

LOGISTICS

SAFETY

SECURITY QUALITY


Complex scenarios: underground construction…

TBM and other machinery

Working areas shared with humans

Manufacturing

Onsite temporary manufacturing facilities

Tunnel

Harsh conditions



…and simple scenarios: to be considered as well

Protective Equipment

Ensuring use

Event detection

Fall detection

Interactions

Construction processes



Wearables already in use…


…but we must move further

Identification • Access control Localization • Safety

More functionalities • More sensors (environment, event

detection) Communication capabilities • Alert triggering. Video transmission… Increasing computing requirements • Autonomy and cost implications


The challenge…


Temporary environments • Changing scenarios subject to

project timeline Adverse environments • Interferences, dust, extreme

weather… Low margins • Economic feasibility

Integrating functionalities • Safety and security, but also

logistics and quality management

16

A MULTILEVEL PERSPECTIVE ON

CONNECTED HEALTH

TECHNOLOGIES

Roel Smolders- VITO Health +32 14 335159 – [email protected]

THE CONNECTED HEALTH VALUE CHAIN

CONNECTED HEALTH’S DIRTY LITTLE SECRET…

A MULTILEVEL PERSPECTIVE ON CONNECTED HEALTH TECHNOLOGIES

Customer

Centered

Care

A MULTILEVEL PERSPECTIVE ON CONNECTED HEALTH TECHNOLOGIES

ICT & smart

solutions

Social

connectivity

Care pathway

connectivity

Ecological

connectivity

http://www.iconarchive.com/show/ivista-2-icons-by-gakuseisean/Misc-Web-Database-icon.html

http://www.iconarchive.com/show/medical-icons-by-icons-land/People-Doctor-Male-icon.html

THE CONNECTED HEALTH ECOSYSTEM – THE WAY FORWARD…

» “… not the development of novel technologies, but deep integration of

existing technology into innovative solutions and innovative business

models are needed to drive transition in healthcare; to engage,

motivate, and empower the different partners in the healthcare

continuum to accept the available technologies. What is most urgently

needed are technology-based platforms and business models that

address the needs of patients and medical professionals, rather than

continuously developing more complex and pervasive technologies

without addressing their implementation and valorisation targets”.

The way forward: noted at the mHealth Summit (Washington DC, December 2014)

Actionability

17

Who we are

Innovation Lab of EXUS

Enterprise software house since 1989

140 people

Vision

transform the costly and complex enterprise software industry – making it simple, accessible and exciting

Focus

Innovative data analytics applications for Security, IoT, Health/Bioinformatics and Creativity

Smart Wearables Day, Brussels, December 2015


SWAN-iCare

Smart wearable and autonomous negative pressure device

for wound monitoring and therapy

Project co-funded under FP7 (2012-2017)

Personalized management of chronic wounds (DFU/VLU)

Accurately monitor many wound parameters via non-invasive integrated

novel wearable micro-sensors (e.g. wound temperature, wound pH, MMP);

Identify infections early;

Provide remotely an innovative personalised therapy;


SWAN-iCare

Why?

Diabetic Foot Ulcers (DFU)

4-10% of diabetic patients,

70% of them are not healed at 20 weeks (hard to heal)

Venous Leg Ulcers (VLU)

1-3% of the adult western population.

Non-responding ulcers (hard to heal) ~75%.

400-600 Mio GBP in direct healthcare costs p.a. (UK)


SWAN-iCare

What?

A disruptive wound monitoring system for hard to heal DFU and VLU

Conceptually new wearable negative pressure medical device

Innovative in-wound biocompatible sensors for wound pH, wound

temperature & matrix metalloproteinase/MMP

ICT monitoring and analytics functions

Perform extended clinical feasibility

(Pisa, Grenoble University hospitals)


SWAN-iCare

Data Analytics for IoT

Enabling actionable insights for decision support

Patient empowerment and reassurance to stay-at-home

Predictive analytics to enable timely interventions

Stocking up on knowledge to enable seamless experience sharing

across regions, countries

Reducing operational costs

Better management of healthcare resources (including readmissions

and emergencies)


Re

fere

nce

EU

imp

lem

en

tatio

n

for p

atie

nt e

mp

ow

erm

en

t

Dimitris Vassiliadis [email protected]

www.exusinnovation.co.uk


http://www.exusinnovation.co.uk/

18

Experience Real Time Intelligence with Wearable IoT!

• Company locations: – US HQ in Stamford, CT (Market and Commercial)

– HQ in Oslo, Norway (R&D & Manufacturing)

• Triple digit growth since launch of Sonitor Sense™

• Technology leader in high definition RTLS – Recognized as “best technology” by partners and end users

• Strong IP base

• More than 200 customer installations since 2007

• ISO certified manufacturing

• Unique technology combining Wi-Fi, 802.15.4, LF, Ultrasound

• Joint R&D activities with the University of Oslo

Sonitor Profile

179

Real Time Tracking

• Real-time location of moveable equipment and people in complex indoor environments

• For example in hospitals: real time and accurate tracking (spatial and temporal)

• Main challenges:

- accuracy

- resource efficiency

- easy integration

• Sonitor’s Solution

- Ultrasound-based tracking

180

Ultrasound-based Asset Tracking

Ultrasound is superior to infrared and radio-based solutions because:

• Superior Accuracy: Ultrasound waves are confined by walls and windows: room-level localization.

• No interference risks: Ultrasound is not affected by bright lighting, has no line-of-sight limitations and doesn’t interfere with any other electronic equipment.

• Fully and easily scalable: extremely easy to scale (add locations) and adapt (changing locations) to changing end-user needs.

• Low lifetime cost and environmental friendly: The ultrasound transmitters use regular D-Cell Alkaline batteries.

Radio signals travel through building structures.

Ultrasound waves bounce off walls.

181

Wear tag to be tracked

• Wearable tags for patient and staff tracking

• Proprietary ultrasound positioning technology, with Wi-Fi, and LF technologies

• Communicate a change in position within 1-3 seconds over a facility's Wi-Fi network

• Two programmable buttons - pressed to initiate a variety of notifications, the tags' multi-colored

LED provides visual confirmation of button activation

• In Hospitals - Patient Wandering, Infant Protection, Theft Prevention

- for proximity applications including Hand Hygiene Compliance

182

Our View

• A key requirement for IoT systems: - Unprecedented visibility of all things

- Events, alarms, and alerts related to the indoor location context

- Wearable IoT devices for continuous monitoring and tracking

• IoT applications in healthcare - Nursing, outpatient, emergency, infection control, asset/patient

tracking, time management, purchasing, …

- Depend directly and indirectly to the location of IoT devices, including wearable ones

• Goal: fast adoption of location-aware wearable tags as IoT devices

• Challenges: - Resource efficiency (trade off between accuracy and battery lifetime)

- Protocols and APIs for seamless integration (plug and play)

- QoS requirements (timeliness)

- Faults and robustness

- Large-scale installations

• Sonitor’s extensive expertise on tag hardware design, 802.11, 802.15.4 and integration to back-end hospital systems

183

19

WEARABLE HEALTH TECHNOLOGY–

A LEGAL CASE STUDY

Dr Petra Wilson CEO, International Diabetes Federation

Anne’s Story

Anne has had some problems in the past with her cardiac and general health:

She is overweight (BMI 29)

She has mild hypertension (average BP 140/100)

She has a recent history atrial tachycardia

She has been diagnosed as at risk of recurrent tachycardia

Anne ’s Story After consultation with her cardiologist Anne has now

entered a ‘Supported Heart Health Programme’ which has the following components:

Implanted cardioverter defibrillator with data report and remote reset functionality

Personal use sphygmomanometer with wireless data report functionality

Web based PHR which obtains heart rhythm and BP data from devices wirelessly

Integration of PHR data into EHR

Automated physician alert tool in PHR activated when parameters are exceeded

Personalised dietary advice

Legal Issues in Anne’s Programme

Medical Devices

Dir 90/385/EC / 93/42/EC – Active implantable Medical Devices, amended by 2007/47/EC

Data Protection and Privacy

Dir 95/46/EC – Data Protection

pending new regulation

note no safe harbour

Liability for Goods and Services

Dir. 85/374/EC - Liability for Defective Products

Dir. 2001/95/EC - Product Safety

Dir. 1999/44/EC - Sale of Goods

Dir. 2000/31/EC - eCommerce

Medical Devices Implanted Cardioverter Defibrillator

Dir 90/385/EEC – Active implantable Medical Devices, amended by 2007/47/EC

Must be safe

Must be accredited with CE mark

Must be supplied with and used in accordance with manufacturer’s instructions

Manufacturer must foresee all reasonable uses

Includes any software intended by its manufacturer to be used specifically for diagnostic and/or therapeutic purposes

Generally manufacturer will be strictly liability

Medical Devices Home use Sphygmomanometer

Ensure that it is used within manufacturer’s guidelines

Ensure that any software used with it is duly accredited as a part of the device or as an accessory

Ensure the patient understands how to use the device - possible contributory liability of patient


• on-line PHR

• shared with cardiologist

• large amount of data collected

• potential secondary use


Directive 95/46 on Data Protection Objective: to facilitate internal market through free movement of data, through harmonized rules, within a framework of respect for privacy and personal life (ECHR – art 8) Provide special protection for sensitive data, including medical data (art 8) o informed consent o for medical treatment o by a healthcare professional

Directive 2002/58 Electronic Communications

• Security of networks and services

• Confidentiality of communications

Data Protection - the doctors’ and hospitals’ duties

Doctor must: Ensure consent is informed, specific and freely given. Ensure patient knows who has access to what data and for what purpose. ensure that nominative data is treated securely Ensure that ‘technical’ data is treated securely or anonymised Enure that specific consent is obtained for any research

Data Protection - the doctors’ and hospitals’ duties

Controller must: ensure secure storage, processing and transmission ensure that processors are fully under his control. provide access and rectifcation opportunity.

Information Society Services

Directive 2000/31 on Information Society Services and Electronic Commerce

• Applies to some medical services

• Country of origin principle applies

• For regulated professions - detail of local accreditation, and local applicable rules

• Special rules on contract formation – right to rescind

• Telecoms service provider is a ‘mere conduit’, not liable for the information transmitted

Telemedicine

• Remote Physician Alert

• Patient Advice

Legal Issues in Anne’s Programme

Liability for Goods and Services Dir. 85/374/EC - Liability for Defective Products

Dir. 2001/95/EC - Product Safety

Dir. 1999/44/EC - Sale of Goods

Dir. 2000/31/EC – eCommerce

• Duties of a manufacturer or vendor

• Rights of a purchaser

• Duties of an eServices suppliers

Telemedicine Service - Doctors’ and Hospitals’ Duties

Healthcare providers must:

Obtained informed consent of patient

Ensure patient understands limits of the services

Ensure adequate coverage

Ensure adequate training

Ensure adequate insurance

Professional Services

Directive 2005/36 on Mutual Recognition of Professional qualifications

• applies to doctors, nurses, midwives, dentists pharmacists …

Directive 1997/7 on distance contracts • right to restrict certain trade on basis of public safety

Directive 2001/83 on medicinal products for human use

• No direct to consumer advertising of POM On-line Pharmacy - Doc Morris Case

• Mail order sale of OTC may not be prohibited • Mail order sales of POM may be prohibited • Country of purchaser legislation applies

Why are these questions important?

Patient safety

Device safety remains key requirement

Compensation for injury/harm must be possible (liability)

Practice must be regulated

Data Proliferation

Is privacy still important?

Human nature is to share.

Data is the fuel of research

How real is health data privacy?

• Open Source

• Participant consent

• Mediated data sharing platforms

• Research lead

• Creative Commons licence

• Participant consent

• Aggregated & anonymized

• sold or donated

• Passive data collation from apps.

• Social media site mining

• profiles sold

Is health data privacy still a reality?

Public Trust is Key

20

Smart Wearables

and the Second Valley of Death Thomas Kallstenius,

Director Research & Innovation Strategy, iMinds

Vice-chair AIOTI WG7 Wearables

205

PollEv.com/wearables

206

IS THIS A MEDICAL DEVICE?


207

BRIDGING THE SECOND VALLEY

OF DEATH

Reference: http://www.ttopstart.com/ttopstart/news/blog-the-occurrence-of-a-

second-valley-of-death-during-medical-device-devel


208

5 important aspects of wearables

Data privacy

Information fusion

Eco-system, incl. MDs

Medical validation


209

ICT2015, Oct 21: "Avoiding a digital health divide with wearables"

210

211

5 important aspects of wearables

Data privacy

Information fusion

Eco-system, incl. MDs

Medical validation

Business model for

preventive care


THANK YOU FOR YOUR

TIME [email protected]

Documents

Morning presentations