Biomonitoring Three areas of development: Medical Alert Network Falls Cardiac arrest Trauma Missing persons Bio MEMS Devices Personal Health Status Medication and Physiologic Status Home Care System (No reliable user-friendly system) (Innovations needed) (Major contemporary industry)

Contemporary Activities by Others DOD DARPA NSF Emil Jovanov ( Univ of Alabama ) Laurie Wilson ( CSIRO, Australia ) Agilent Technologies Siemens AG Ambulatory Monitoring Inc. Digital Angel e Worldtrack

Patient-centered focus of eHealth Wellness promotion as part of healthcare continuum which includes illness treatment Aging population Forces for Home Telecare

Development of a Home Telecare System CSIRO Telecommunications and Industrial Physics Laurie Wilson PhD Robert Gill PhD Sydney, Australia

Daily on-line measurements Hospital Without Walls Vital signs monitoring Alerts Activity monitor Video- conferencing Visiting nurse On-line call centre Distributed, electronic record

Biomonitoring Three areas of development: Medical Alert Network Falls Cardiac arrest Trauma Missing persons Bio MEMS Devices Personal Health Status Medication and Physiologic Status Home Care System (No reliable user-friendly system) (Innovations needed) (Major contemporary industry)

Current Medical Alert Progress “Fall Down” wireless experiment Accelerometer Device Research GPS Research Local Area Network Research Steering Group Proposed Professional Paramedic Research Assistant Hired First Human Experiment is Planned for this Fall Components have been identified and need to be purchased Costs will be $20K to Jan 1, 2002

CITRIS - Ambulatory Monitoring Inc Collaboration TASKS Characterize accelerometer signature of falls, sitting forcefully, accidental banging and exercise. These signatures have to be identified over a wide spectrum of activities and populations “Ballistocardiogram” – use the supersensitive accelerometer channel during rest periods with different ranges of filters to identify, heart rate, respiration pattern and absence of signal signifying no heat activity Design alarm cancellation method via shaking of the wrist or a signal button Berkeley AMI / PCD Provide platform of actigraph devices Modify current system for fall testing Work with Berkeley on LAN wireless communication between sensor and local CPU Assemble and prototype devices for miniaturization and chip design Sensors: Wrist worn 1-d accelerometer platform is the current Army prototype (“actigraph”). It is currently available through the PCD corporation in Florida. Design LAN for GPS and fall down signature integration Develop optimum long range communication paradigms (144 MHz GHz)

CITRIS Biomonitoring Consultants David Atkins ( Walter Reed Army Hospital ) Robert Pearce ( Fort Detrick Army Casualty Unit ) R. Arzbaecher ( University of Illinois ) A. Lee ( NCI - Cancer patient monitoring )

Current CITRIS Biomonitoring Team Thomas Budinger Timothy Davis ( LBNL ) Anthony Joseph Luke Lee Dorian Liepmann Jonathan Maltz ( LBNL ) Al Pisano Jan Rabaey Others Welcome