Tele Pulse Taker

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    Project Proposal 

    Division of Biomedical Engineering,

    Department of Electronic Engineering,

    The Chinese University of Hong Kong

    Fung King Lok Ronald 1155016356

    Ho Lok Wai Cola 1155016113

    Wong Siu Yee Suye 1155016039

    ELTU1111Technical Communications (2012-13)

    7th December, 2012 

    An innovative product for the Creative Design Contest

    Tele-Pulse Taker Prevention Prevails over Cure 

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    Table of Contents

    ACKNOWLEDGEMENT ...................................................................................................................... 4 

    ABSTRACT ......................................................................................................................................... 5 LIST OF TABLES ................................................................................................................................ 6 

    LIST OF FIGURES ............................................................................................................................... 7 

    TERMINOLOGY ................................................................................................................................. 8 

    1. BACKGROUND............................................................................................................................... 9 

    1.1 PROBLEM IDENTIFIED ................................................................................................................... 9 1.2 TARGET USERS ......................................................................................................................... 10 1.3 OUR DESIGN ............................................................................................................................. 10 

    1.3.1 Basic Concepts of Chinese Medicine Pulse-Taking Techniques ................................... 10 1.3.2 The Relation between th e Pulse Waveform and Possible Diseases  ............................ 10 1.3.3 Operation of Our Design  ............................................................................................... 11 

    1.4 CURRENT STATE OF ART ............................................................................................................. 11 1.4.1 Mobile Monitoring System Based on Tradition Chinese Medicine  .............................. 11 1.4.2 Developing Classification Indices for Chinese Pulse Diagnosis ................................... 12 1.4.3 eZ430-Chronos Development Tool  ............................................................................... 12 

    2. PROJECT OBJECTIVES ................................................................................................................. 13 

    2.1  IN THE SHORT RUN .................................................................................................................... 13 2.2  IN THE LONG RUN ..................................................................................................................... 13 

    3. DESCRIPTION OF PRODUCT ....................................................................................................... 14 

    3.1  OVERVIEW OF DESIGN ................................................................................................................ 14 

    3.2  PART-BY-PART DESCRIPTION ....................................................................................................... 15 3.2.1 Cuffs .............................................................................................................................. 15 3.2.2 Sensors .......................................................................................................................... 15 3.2.3 LEDs ............................................................................................................................... 15 3.2.4 Microprocessor ............................................................................................................. 15 3.2.5 Wireless Module  ........................................................................................................... 16 

    4. BENEFITS OF PRODUCT .............................................................................................................. 17 

    4.1  INDIVIDUAL .............................................................................................................................. 17 4.2  SOCIETY ................................................................................................................................... 17 4.3  WORLDWIDE ............................................................................................................................ 18 

    5. FEASIBILITY STUDY ..................................................................................................................... 19 

    5.1  NEEDS ANALYSIS ....................................................................................................................... 19 5.1.1 Survey ........................................................................................................................... 19 

    5.1.1.1 Survey Design   ...................................................................................................................... 19 5.1.1.2 Analysis of the Results ........................................................................................................ 20 

    5.1.2 Research by Other parties  ............................................................................................ 21 5.1.2.1 World Health Organization (WHO)  ...................................................................................... 21 5.1.2.2 Hong Kong Ideas Centre   ...................................................................................................... 21 

    6. LIFE SPAN .................................................................................................................................... 23 

    6.1 LIFE SPAN OF CUFF AND NATURAL RUBBER ................................................................................... 23 6.2 LIFE SPAN OF MICROPROCESSOR ................................................................................................. 23 6.3 LIFE SPAN OF PIEZOELECTRICSENSOR .......................................................................................... 23 6.4 LIFE SPAN OF BATTERY .............................................................................................................. 23 6.5 LIFE SPAN OF LEDS ................................................................................................................... 23 

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    7. FINANCIAL CONSIDERATION ...................................................................................................... 24 

    7.1 MATERIAL COST ........................................................................................................................ 24 7.2 MISCELLANEOUS COST ............................................................................................................... 24 

    8.  IMPLEMENTATION PLAN ...................................................................................................... 25 

    8.1 TESTING ................................................................................................................................... 25 8.1.1 Steps .............................................................................................................................. 25 8.1.2 Collaboration .................................................................................................................. 26 

    8.2 ESTABLISHMENT ....................................................................................................................... 26 8.2.1 Target Group .................................................................................................................. 26 8.2.2 Promotion ...................................................................................................................... 27 

    8.2.2.1 Commercial Advertisement ................................................................................................... 27 8.2.2.2 Institute of Higher Education ................................................................................................. 27 

    8.2.3 Sales Channel ................................................................................................................. 27 8.2.4 Cooperation ................................................................................................................... 27 

    8.3 EVALUATION ............................................................................................................................ 28 8.4 FUTURE PLAN AND STEPPING FURTHER ........................................................................................ 28 

    8.4.1 Expectation Adjustment ................................................................................................. 28 8.4.2 Perfection of Product ..................................................................................................... 28 8.4.3 Enlarging market size ..................................................................................................... 28 8.4.4 Inspiration ...................................................................................................................... 29 

    9. CONCLUSION .............................................................................................................................. 30 

    10. REFERENCE ............................................................................................................................... 31 

    11. APPENDICES .............................................................................................................................. 32 

    11.1 THE 13 CHINESE PULSE WAVEFORMS AND THEIR DESCRIPTION ....................................................... 33 11.2 QUESTIONNAIRE DESIGNED FOR NEEDS ANALYSIS ........................................................................ 35 11.3 RESULTS OF THE QUESTIONNAIRE............................................................................................... 36 

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    Abstract

    Despite the common consent that “Prevention prevails over cure”, littlereally take action. The working force, especially, often attribute their lack of

    personal health awareness to everyday heavy workload. It is often too late for

    remedy when certain health problems deteriorate to a degree that would finally

    catches the patient’s attention. 

    In view of this, our project aims at designing a convenient health-

    monitoring portable device that combines advance medical technology and the

    pulse-taking techniques of Chinese medicine to improve the health of today’s

    busy Hong Kong people.

    The scoop of this proposal consists of the description; feasibility study

    and the implementation plan of the product.

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    List of Tables

    Pg. 24Table 1. A table showing the material cost per set of Tele-Pulse Taker

    Pg. 24

    Table 2. A table showing the miscellaneous cost per annum

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    List of Figures

    Pg. 9Fig. 1 Pie Chart Showing the Projected Main Causes of Death, Worldwide, All Ages,

    2005

    Pg. 14

    Fig. 2 Flow Diagram of the Tele-Pulse Taking System

    Pg. 25

    Fig 3. A flow chart showing the stages in implementation

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    Terminology

    ADC: Analog to Digital ConverterLED: Light Emitting Diode

    NCD: Non-communicable Disease

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    1. Background

    Well-educated citizens may all be aware of the importance of their personal

    health but often reason their low regard to healthcare to lack of time and purenegligence. A portable healthcare product that serves to regularly monitor a

    person’s body condition even at work would benefit today’s workforce.

    1.1 Problem Identified

    Hong Kong people, though well-educated, are usually ignorant and

    unconscious about maintaining or protecting one’s health. This could be verified

    by the survey conducted by the Centre for Health Protection which showed that

    only a minority of Hong Kong citizens (17%) took medical checkup regularly. In

    addition to the westernizing lifestyle of Hong Kong people, it is predictable itwould cause a menace to the health of Hong Kong people and result in a higher

    mortality rate of chronic diseases in the future. Studies showed that by 2020, the

    rank order of major disease burden would be dominated by chronic diseases in HK[1]

    .

    The financial burden was estimated to be around US$250 million. 

    More importantly, it is not a localized problem. According to the World

    Health Organization (WHO), there is an increasing trend for non-communicable

    diseases (NCDs) in the world [2]. As shown in Fig. 1, the estimated percentage of

    death caused by NCDs (including cardiovascular diseases; cancer; chronic

    respiratory diseases and diabetes) is about 61%. NCDs are often chronic diseaseswhich could be effectively cured if discovered early implying that they are all

    preventable.

    Fig. 1

    Pie Chart Showing the Projected Main Causes of Death, Worldwide, All Ages, 2005 [3] 

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    Meanwhile, Western medical field focuses mainly on curing but provides

    rather few resorts to prevention. In contrast, Chinese medicine, advocating “To

    prevent illness from arising instead of curing the sick” since 2000 years ago,

    would be the solution to the problem identified.

    A portable device which monitors one’s health condition on a daily basisbasing on principles of Chinese medicine would be a perfect resort for people

    who claim that they are too busy to take good care of their health.

    1.2 Target Users

    We target the age group of the users of our design from 20 to 60 years

    old as most of them will reach or are at a working stage. They are those who are

    most likely to neglect their body status due to their extraordinarily heavy

    workload.

    1.3 Our Design

    The main focus of the Tele-Pulse Taker would be the combination of

    principles of pulse-taking technique of Chinese medicine with advance medical

    technology.

    1.3.1 Basic Concepts of Chinese Medicine Pulse-Taking Techniques

    Different from usual simple pulse rate measurement, Chinese medicine

    practitioner would apply 3 levels of pressure using the ring, middle and index

    finger on the radial artery at the wrist for pulse-taking. The 3 levels of pressure

    are light force, moderate force and sufficient force which could sense the pulse

    at different levels.

    Our product would mimic this technique by varying the pressure of the

    cuff and measure the pulse waveform using force sensors lining on the inner

    surface of the cuff.

    1.3.2 The Relation between the Pulse Waveform and Possible Diseases

    The longstanding diagnostic method employed by Chinese medicine

    practitioner suggests that different characteristics of the pulse waveforms

    correlate to their corresponding clinical significance.

    Appendix 11.1, adopted from a research which tried to develop

    classification indices for Chinese pulses diagnosis[4]

    , shows the 13 Chinesepulse waveforms and their descriptions.

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    The pulse waveform is intimately related to health condition.

    Possible chronic diseases could be diagnosed by the similar theory too. As

    mentioned in a paper investigating the Chinese pulses , “Pathologic changes

    of a person’s body condition are reflected in the wrist -pulse pictures. Clinical

    studies demonstrate that patients with hypertension, cardiovascular disease,

    and diabetes, exhibit premature loss of arterial …... The wrist-pulse shape,amplitude, and rhythm are also altered in correspondence with the

    hemodynamic characteristics of blood flow” [4].

    To be precise, for instance, if a patient got both surging and rapid pulse

    waveform, he is likely to possess heart problem.

    1.3.3 Operation of Our Design

    Our product is designed for detecting, storing and preliminarily analysingpulse patterns for healthcare purposes on a regular basis.

    Operation of the machine comprises 3 stages, namely pulse taking,

    preliminary analysis of result and result delivery. Pulse is signified by its cyclic

    change in pressure. These pressure signals are sensed by the arrays of pressure

    sensors in the cuffs and then digitalized. Digitalization refers to conversion of

    the tactile pulsation into binary numbers that computer understands.

    Since characteristic pulse pattern correlates to health condition, the

    digitalized pulse pattern would be preliminarily analyzed and analogized tocommon pathological patterns based on its depth, strength, smoothness and

    rhythm. The results can be sent to physician through wireless module whenever

    necessary.

    1.4 Current State of Art

    There is no specially designed pulse taker for Chinese medicine in the

    market for medical use yet. However, some similar researches of the related

    topic are going on.

    1.4.1 Mobile Monitoring System Based on Tradition Chinese Medicine[5]

     

    The South China University of Technology is investigating on a

    design of mobile monitoring system based on traditional Chinese medicine.

    The scheme is set up by 5 sub-systems, namely, tele-video camera system,

    tele-ausculating system, IP-phone system, tele-pulse-taking system and

    Chinese medicine assistant diagnosis system. It is a complicated system and

    is still in development and under research.

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    1.4.2 Developing Classification Indices for Chinese Pulse Diagnosis[4]

     

    A databank consisting of comprehensive pulse waveform patterns for

    pulse diagnosis is required to assist and accomplish our design theory.

    Related research about automated interpretation of Chinese pulse

    waveform pattern has been going on. It is foreseeable that an extensivedatabank with fine classification indices could be introduced in the coming

    years.

    1.4.3 eZ430-Chronos Development Tool[6]

     

    This is an integrated and wireless system which provides a platform

    for the user to create wireless smart watch applications. It offers pulse rate;

    temperature; battery voltage measurements as its fundamental features.

    Furthermore, it has reprogrammable characteristics for custom wirelessapplications. Portable pulse rate measurement device has been highly

    developed. Such technology would be applicable for the development of the

    Tele-Pulse Taker.

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    2. Project Objectives

    2.1 In the Short Run

    Our design would help to improve the health of the user and cure the

    foreseeable disease as early as possible as it allows early diagnosis. It also helps to

    enhance physician-patient relationship.

    2.2 In the Long Run

    A comprehensive medical history for individuals could be achieved. It is

    hoped that the Tele-Pulse Taker would help to uphold Chinese Medicine’s standingin the international medical field.

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    3. Description of Product

    The Tele-Pulse Taker comprises only 1 main unit: the cuff. The detailoperation and principle of the system would be illustrated below.

    3.1 Overview of Design

    Fig. 2

    Flow Diagram of the Tele-Pulse Taking System

    A brief flow of the operating system is shown in Fig. 2.

    The Tele-Pulse Taker measures the pulse with reference to Chinese medicine

    pulse-taking methods. It applies 3 levels of pressure: light force; moderate force and

    sufficient force on the radial artery at the wrist. The pulse taker would mimic the

    technique by varying the pressure of the cuff and measure the pulse waveform using

    piezoelectric sensors lining on the inner surface of the cuff.

    The Tele-Pulse Taker also analyses some common pulse waveforms and then

    determines the body condition of the user. Once abnormal waveform is identified,

    the LED would light up and a brief health report on the possible health problem

    would be sent to the user’s computer. The user shall then choose whether to

    forward the waveform to the simulator of the doctor for further professional

    analysis. Every record of the pulse pattern would be kept as reference for further

    diagnosis in the future if necessary.

    Microprocessor

    ADCSensors

    Wireless

    module

    LEDs

    Tele-Pulse-taker’s cuff

    Sever with

    databank

    Computer of

    user

    Simulator of

    doctor

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    3.2 Part-by-Part Description

    3.2.1 Cuffs

    Two cuffs are provided for pulse taking on both hands at the same time

    on a regular basis. Pressure is applied by the cuff on the user’s wrists to detectpulse pattern once per 3 hours. Additional measurement would be taken 15

    minutes after initial measurement should abnormal pattern denoting abnormal

    body condition be detected, this is to double check the result and hence to

    minimise diagnostic error.

    The cuffs are made of natural rubber which is a water-proof material. It

    protects the inner structure from mechanical damage and also prevents the

    user from getting electric shock.

    3.2.2 Sensors

    Piezoelectric sensors are used to detect the pulse waveform. When

    stress is applied on the crystal inside the sensors, electrical signals would be

    produced. The electric signals generated would be proportional to the amount

    of pressure sensed.

    3.2.3 LEDs

    When the pulse detected is abnormal, the red LED would light up to

    remind the user to check the health report being sent to his/her computer.

    The green LED would light after the user has correctly wears the cuff in

    position to indicate the system has detected the pulse.

    3.2.4 Microprocessor

    The microprocessor regulates the magnetic field generated to give 3different degrees of hold-down pressure during pulse taking.

    After the signals from the sensors are inputted into ADC, the

    microprocessor would transfer the signals to the wireless module.

    The microprocessor also lights up the LED under two conditions mentioned

    above

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    3.2.5 Wireless Module

    The wireless module helps to transmit the data through a wireless network.

    Data would be compared with that stored in the databank developed by the

    Institute of Computing Technology of Chinese Academy of Sciences and

    experimental research centre of Chinese Academy of Chinese Medical Sciencein Beijing in 2011 [5]. Possible illness or disease would be analyzed.

    After the data is being analyzed, the module would receive feedback from

    the server if the pulse wave analyzed is abnormal.

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    4. Benefits of Product

    4.1 Individual

    Customers would be benefited in 3 ways from the Tele-Pulse Taker:

    The user would be benefited from short-term and long-term

    improvement of health. In the short run, since the customer’s pulse waveforms

    are monitored regularly, minor diseases could be detected once triggered. In the

    long run, the user would be reminded of his health condition once possible

    problems are identified. Therefore, his health could be maintained with constant

    monitoring.

    The user would be able to understand their health condition better with a

    comprehensive health record once they start utilizing the Tele-Pulse Taker. The

    customer could suggest the physician to refer back to the pulse waveform

    patterns to fuller interpret their present health condition and advise them

    correspondingly to better their lifestyle.

    The patient-physician relationship could be enhanced. Given a more

    efficient way of communication and convenient means of health information

    sharing, physician can grasp the patient’s condition better and patient can hence

    rely more on physician, thereby establishing a closer linkage between the two

    parties.

    4.2 Society

    Society would be benefited in 5 ways once the Tele-Pulse Taker is

    extensively used by Hong Kong people:

    The medical resources spent initiated by chronic diseases in Hong Kong is

    estimated to be around US$250 million [1]. It also creates a huge medical burden to

    society. Given the preventable property of chronic disease, if prevention strategies

    such as constant monitoring and screening are well performed, such heavy burden

    on society could be relieved. This result could be achieved if the Tele-Pulse Taker is

    widely used among the Hong Kong population as it emphasizes on constant health

    monitoring and prevention.

    The mortality rate of chronic disease could be reduced for the same

    reason.

    Comprehensive medical record of the user could be achieved, which

    could further provide citizens with better health care services as they are invaluableresources for public health analysis. Such information also enables economic

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    5. Feasibility Study

    5.1 Needs Analysis

    Needs analysis is needed to determine how the design of our product

    could fulfill the requirements of the current situation. It also further

    demonstrates the feasibility of the product.

    Surveys were designed and research papers regarding related topics were

    studied.

    5.1.1 Survey

    The survey was conducted from 26th

     October to 9th

     November, 2012,

    which lasted for 2 weeks in total. 47 people were interviewed. We targeted

    the interviewee to potential consumers of age between 20 and 60.

    30 questionnaires were surveyed in the Chinese University of Hong

    Kong. The remaining 17 were distributed to random individuals within the

    age range in the Sha Tin Park.

    5.1.1.1 Survey Design (Please refer to appendix-2 for the questionnaire) 

    Questions would be set mainly in the following 3 categories:

    1. The degree of awareness of personal health

    2. The attitude towards Chinese medicine and Western medicine

    3. The attitude towards mobile healthcare product

    The survey takes about 2 to 3 minutes to complete. 10 questions

    were set. The first 2 questions belong to the first category; the third and

    fourth belong to the second category and the remaining belong to

    category 3. 5 of the questions were yes-no questions, 4 have multiple

    answers for the interviewee to choose from. The remaining one asks the

    interviewee to rank the choices.

    The questionnaire was specially designed to make it easily

    understandable. Some terms were further elaborated for clarity. For

    instance, in question 5, examples for “healthcare products”  were given for

    the respondents as blood pressure taker; digital thermometer and blood

    glucose meter. It helps to ensure that the interviewees are on the right

    track and the reliability of the result could be enhanced.

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    Besides, the sequence of the questions was planned in a way that

    some easy and factual questions were offered first. After that, more

    complicated questions that require the interviewee’s opinion were asked.

    This gradual change of questioning style allows the interviewee to follow

    easily.

    5.1.1.2 Analysis of the Results (Please refer to appendix-3 for the detail

    results) 

    Degree of awareness towards personal health

    More than half of the respondents said that they would see a

    doctor if they find themselves ill. Meanwhile, only 7% of them have

    regular body checkups.

    This result indicates that people often seek help only when

    problems occurred but they seldom take preventive measures such as

    having regular body checkup which could effectively reduce the chance

    of catching chronic diseases.

     Attitude towards Chinese medicine and Western medicine

    A majority of interviewees (91%) preferred Western medicine to

    Chinese medicine. However, 98% of them agreed on the credibility of

    diagnosis using pulse-taking principles.

    Majority people do not opt for resorting to Chinese medicine

    completely but there is a trend that they would gradually accept

    Chinese medicine’s standing in medical field. 

     Attitude towards mobile healthcare product

    Slightly more than half of the respondents had at least 1 or

    more healthcare products with them. 83% of them claimed that they

    are willing to wear a portable, light and convenient health monitoringproduct every day. Less than half (44%) of the interviewees had bought

    any healthcare products before. For those who said they had never

    bought any such products, 71% thought that they were necessary; 17%

    though that they were not attractive enough because they were not

    portable. 48% of the answerers were willing to pay $100 or more for a

    device that monitors daily health signals. When people were asked to

    rank different items according to their effectiveness in helping them to

    stay away from diseases, “healthcare products” had a higher order

    than “nutritional supplement”. 

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    Generally, interviewees had a positive response towards mobile

    healthcare products.

    A particular point to note is that many of the respondents

    thought that “not necessary” or “not portable” are reasons that

    prevent them from buying healthcare products. The result of thisquestion does not apply to the Tele-Pulse Taker. It is believed that

    what they refer to as health products in their mind were only those on

    the shelf nowadays. However, our innovative product is not only

    portable but also necessary for the workforce to maintain their health

    condition.

    Moreover, results to question 6 and 9, which has been designed

    to diffuse in the features of the Tele-Pulse taker, are very promising. A

    majority of the interviewees were willing to wear and buy our product

    for $100 or more.

    5.1.2 Research by Other parties

    To consolidate the needs analysis, further investigation on the public

    health needs is required.

    5.1.2.1 World Health Organization (WHO)

    The WHO suggests that there is a worldwide increasing trend for

    non-communicable diseases (NCDs). More importantly, all NCDs are

    preventable. Therefore, the WHO announces an advice to the medical

    field: the needs in the coming years should be focused on prevention;

    diagnostic and screening at early stage. [7] The Tele-Pulse Taker fulfills

    the mentioned 3 criteria.

    5.1.2.2 Hong Kong Ideas Centre

    The Hong Kong Ideas Centre did a background report on the

    development of Chinese medicine in Hong Kong in 2010. “……Hong

    Kong’s potential to become an international centre for Chinese

    medicine and medical practitioners. This is another industry which,

    through the application of   innovation and technology, can enhance

    Hong Kong’s economic growth and give us a competitive edge on

    global scale.”[8] 

    Technology and innovations of Chinese medicine need to be

    strengthened to assist Hong Kong stands as the international centre ofChinese medicine in the world. The Tele-Pulse Taker would, at best,

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    help to promote Hong Kong’s status. The government is also providing

    subsidies for Chinese medicine related innovations to pursue her

    objective. It is hope that our team could successfully compete for the

    government subsidies to further reduce the possible expense on the

    Tele-Pulse Taker development.

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    6. Life Span

    Under normal working condition, the Tele-Pulse Taker can stand for morethan 3 years. The life span of the product hinges on the durability of the

    fundamental parts, the detailed life spans of which are shown below.

    6.1 Life Span of Cuff and Natural Rubber

    The cuff can stand for more than 15 years. It is made of plastic and is

    wrapped with natural rubber. The natural rubber chosen has great hardness (40A)

    and high tensile strength (2500psi) that can protect the cuff from wear and tear

    during pulse-taking process, making the cuff overall wear-resistant, tensile, tough,

    and waterproof.

    6.2 Life Span of Microprocessor

    The microprocessor can stand for more than 5 years. The life span of a

    microprocessor depends most on power output. The computational power required

    is moderate as compared to ordinary microprocessor used in blood pressure sensor

    and blood glucose level monitor.

    6.3 Life Span of Piezoelectric Sensor

    The piezoelectric sensor can stand for 3 years. The piezoelectric sensor is

    subjected to mechanical shock, making it the most fragile part. Exaggerated motion

    of user may cause loosening of sensors’ internal parts.. 

    6.4 Life Span of Battery

    Estimate the battery life. The unit cannot work if the battery level falls below10%. Under normal condition, i.e. taking 5 pulses per day (at a 3-hour interval), the

    battery can stand for 3 years.

    6.5 Life Span of LEDs

    The power output of LED as low as 1.5W and the parts involved is minimal. It

    can stand for more than 20 years.

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    7. Financial Consideration

    The price of Tele-Pulse Taker would be set at HKD 450. The earning is aroundHKD 70 per set of Tele-Pulse Taker sold. The estimated sales volume is 800 sets in

    the first year, so a revenue of HKD56,000 is expected, the earning less miscellaneous

    cost per annum is HKD11,000. As the Tele-Pulse Taker gains in popularity and

    maturity, the cost for promotion and research would be reduced and the net profit

    will increase significantly.

    The prices are quoted from online catalogue  [9][10]  and wholesale prices are

    chosen for estimation.

    7.1 Material Cost

    It should be noted that since each set of Tele-Pulse Taker includes 2 cuffs (one

    for left wrist and one for right wrist), so the quantities of all parts of the main unit

    are doubled. The estimated material cost per set of Tele-Pulse Taker is shown below.

    Item (Quantity) Estimated Cost (HKD)

    Natural Rubber x2 8

    Cuff - Plastic x2 5

    - Velcro hooks and loops x2 1

    Piezoelectric Sensor x 6 90Microprocessor x2 180

    Wireless Module x 2 90

    LED x 4 0.12

    Battery x2 7

    Total 381.12

    Table 1. A table showing the material cost per set of Tele-Pulse Taker

    7.2 Miscellaneous Cost

    The cost here is just a rough estimation. The maintenance is mainly for

    replacement of battery since replacement of battery by users is not recommended

    lest the internal subtle parts be damaged.Promotion and research content can be

    found in Implement Plan (Pg. 25-29) in greater detail.

    Item Estimated Cost (HKD)

    Maintenance & After-sale service 15,000

    Promotion 20,000

    Research 10,000

    Total 45,000Table 2. A table showing the miscellaneous cost per annum.

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    8. Implementation Plan

    The implementation of Tele-Pulse Taker comprises 3 stages, namely testing,establishment, and evaluation. The focuses and strategies employed in each stage

    are different in order to perfect and justify the product promptly and accordingly.

    Fig 3. A flow chart showing the stages in implementation

    8.1 Testing

    Before releasing the product into the market, thorough tests would be

    conducted. The aim of this stage is to ensure the reliability and effectiveness of the

    product.

    8.1.1 Steps

    There are 3 main steps involved.

    1.  Ensuring the reliability and accuracy of microprocessor

    The microprocessor would be set to generate different level of

    pressure to check whether a constant and steady pressure can be

    maintained during pulse-taking process.

    2. 

    Ensuring accuracy of piezoelectric sensor

    Piezoelectric sensors would be applied accordingly to ensure its

    measurement accuracy. The results would be checked against that

    obtained by standard mercury pressure gauge.

    3.  Improving pulse pattern identification

    The pulse pattern obtained by the Tele-Pulse Taker and from well-

    established data bank would be compared. This is to ensure that the

    pulse patterns we obtained are smooth and can be easily identified by the

    product. Advice and guidance would be sought from the School of

    Testing-Quality

    Control

    Establishment-Setting Target Group

    -Promotion

    -Ready on Shelf

    -Cooperation

    Evaluation-Perfection

    -Improving Sales

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    8.2.2 Promotion 

    8.2.2.1 Commercial Advertisement

    Advertisement will be placed in various magazines that

    are read by our target group at a frequency of around twice amonth for 3 months.

    1.  Business Magazine

    This is the magazine our target group commonly

    prescribes and reads, eg. Business Weekly and Economists.

    It is the most direct way to reach them and convey the

    product.

    2. 

    Healthcare Magazine

    By placing advertisement in healthcare magazine,

    interest form healthcare lovers can be aroused and thereby

    increasing the target group size.

    8.2.2.2 Institute of Higher Education

    Talks would be organized with a view to promote

    Chinese long-standing diagnostic methods as well as

    publicizing our innovative product to students. This group ofaudience is our potential customers who will enter the

    workforce in near future.

    8.2.3 Sales Channel

    Our product would be available in exclusive shops and online. We

    would also bargain with chained shops like The Watson’s to make the Tele-

    Pulse Taker easily available.

    8.2.4 Cooperation

    We would cooperate with education institute and clinical authority

    to promote our product.

    1.  Education Institute

    Educational talks and events would be co-organized with

    education institutes in order to publicize the product throughpromoting Chinese diagnostic methods.

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    This can help increase the recognition and credibility of

    Chinese remedying method in the younger generation and promote

    the idea of natural remedy as a bonus.

    2. 

    Clinical Authority

    Rental services would be rendered to high-risk patients

    recommended by physicians. This is to get more feedbacks.

    8.3 Evaluation

    Survey and interviews would be conducted to our customers to evaluate

    their level of satisfaction and rooms for improvement. The Tele-Pulse Taker would

    be modified and justified accordingly to perfect the product.

    8.4 Future Plan and Stepping Further

    And in the future, we want to step further to convey our mindset, perfect the

    product and improve sales.

    8.4.1 Expectation Adjustment

    It is expected that in the beginning stage, people would place their

    emphasis on diagnostic part rather than the prevention of disease part. Yet,

    we want to switch back the focus on prevention rather than diagnosis, in

    order to achieve our ultimate goal that is to make health as an accessible

    asset for everyone.

    8.4.2 Perfection of Product 

    Through cooperation with clinical parties, more sample pulse pattern

    waveforms could be collected in order to enrich the databank and thereby

    making the product more widely applicable.

    8.4.3 Enlarging market size

    In the meantime, the reasons for limiting the target group to

    workforce aged 20 to 60 is that pulse pattern waveforms vary with ages,

    consolidation of product is required before implementing to a greater

    population.

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    But with continuous research, the above problem can be solved and the

    target group size can be possibly extended.

    8.4.4 Inspiration 

    It is our ultimate goal to convey the message that prevention prevails

    over cure and make health as an accessible asset for everyone.

    Enhancing the recognition of Chinese remedying method internationally

    would be a bonus in acknowledging the Chinese long-standing wisdom. In later-

    stage promotion when Tele-Pulse Taker has gained popularity, focus would be

    placed on these areas so that the public would correlate the Tele-Pulse Taker

    with prevention of disease, convenience and innovation with long-standing

    wisdom.

    It is also our dream to establish a comprehensive medical history for

    every individual in order to increase diagnostic efficiency and reduce medical

    burden in the long run. This can be accomplished by recoding the user’s pulse

    pattern waveform on a regular basis.

    To summarize the implementation plan in one sentence, we want to

    make health as an accessible asset for everyone.

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    9. Conclusion

    To conclude, the Tele-Pulse Taker is a portable, convenient and reasonablypriced health-monitoring device. It is beneficial in many aspects and its

    marketability is well supported by the feasibility study.

    We strongly believe that with the implementation of our product, health

    IS accessible.

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    10. Reference

    [1] G. Leung, “The challenge of chronic conditions in Hong Kong,”  Hong KongMedical J., vol. 8, no. 5, pp. 376-378, 1 Oct. 2002. [PDF]. Available:

    http://www.hkmj.org/article_pdfs/hkm0210p376.pdf. [Accessed 16 Nov. 2012]

    [2] 1st Initial. World health organization, “Needs assessment for medical devices,” 

    WHO Medical device technical series, vol. , no. , p. 3, Jun. 2001. [PDF]. Available:

    http://apps.who.int/bookorders/anglais/detart1.jsp?codlan=1&codcol=93&codcch=

    258. [Accessed 16 Nov. 2012]

    [3] J. Zhang and R. Wang, S. Lu, “EasiCPRS: Design and Implementation of a Portable

    Chinese Pulse-wave Retrieval System,”  Proc. of the 9th ACM Conference onEmbedded Networked Sensor Syst.  , p. 149, 1 Nov. 2011. [PDF]. Available:

    http://dl.acm.org/citation.cfm?id=2070958. [Accessed 15 Oct. 2012]

    [4] J. Shu, Y. Sun, 1st Initial. , “Developing classification indices for Chinese pulse

    diagnosis,” Complementary Therapies in Medicine, vol. 15, pp. 190-198, 21 Aug. 2006.

    [PDF]. Available: http://www.ncbi.nlm.nih.gov/pubmed/17709064. [Accessed 15 Oct.

    2012]

    [5] Z. Chao and Q. Lui, X. Wu, “A Design of Mobile Monitoring System Based on

    Tradition Chinese Medicine,”  IFMBE Proc., vol. 1, pp. 571 –573, Apr. 2008. [PDF].

    Available: http://www.hljbme.cn/editor/UploadFile/T18S000005.PDF. [Accessed 15

    Oct. 2012]

    [6] Texas Instrument. “EZ430-Chronos”. Wkipedia. [Online]. Available:

    http://processors.wiki.ti.com/index.php/EZ430-Chronos. [Accessed: Dec. 6, 2012].

    [7] 1st Initial. World Health Organization, “Health care technology diffusion: case

    medical devices,” Technology Diffusion, vol., pp. 10-12, 24 Jan. 2012. [PDF]. Available:

    http://www.who.int/medical_devices/technology_diffusion_24Jan12.pdf. [Accessed

    16 Nov. 2012]

    [8] C. Leong et al., “Development of Chinese Medicine in Hong Kong”,  Hong Kong

    Ideas Centre, Hong Kong, Rep., Mar.2010. [PDF]. Available:

    http://www.ideascentre.hk/wordpress/wp-content/uploads/2009/02/development-

    of-chinese-medicine-background-report1.pdf. [Accessed 15 Oct. 2012]

    [9] “Element 14| Electronic Components Distributor”  Internet:

    http://hk.element14.com/, [Accessed Dec. 7, 2012].

    [10] “Stk Shop Homepage”  Internet: http://www.stkshop.com/, [Accessed Dec. 7,

    2012].

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    11. Appendices

    11.1 The 13 Chinese Pulse Waveforms and Their Description

    11.2 Questionnaire Designed for Needs Analysis

    11.3 Results of the Questionnaire

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    11.2 Questionnaire Designed for Needs Analysis

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    11.3 Results of the Questionnaire

    1. Would you see a doctor if you find yourself ill?

    □ Yes □ No 

    2. Do you have regular body checkups?

    □ Yes □ No 

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    7. Have you ever buy any healthcare products for yourself, your family members,

    friends or colleagues?

    □ Yes  □ No 

    (If the answer is “Yes”, please jump to question 9.)

    8. What prevents you from buying any of such health products?

    □ not necessary □ too expensive □ products too complicated to use 

    □ not portable □ others ____________ 

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    9. How much would you prefer to pay for a device that helps the monitoring of daily

    health signals?

    □ $500

    10. Which of the following ways are more effective in helping us to stay away fromdiseases? Please rank the following (4: most effective; 1: least effective)

    □ Health care products □ Nutrition supplement □ Diets □ Exercise 

    Items to choose from Average scores

    Nutrition supplement 0.2

    Health care products 2.8

    Diets 3.2

    Exercise 3.8