Dr.Shyam Vasudevarao Director Technology Philips Health Care

 Medical embedded systems  Growth of embedded systems  Opportunities  What are the challenges

Motivation Advances in Semiconductor technology Higher functionality with smaller chips Higher performance at lower cost Portability New portable compute-intensive applications possibility Multi-media Video display and capture Audio reproduction & capture Handwriting recognition Notebook computer Personal data assistant Implantable medical electronics Home monitoring and telemetry applications Developments in battery life span 3

Medical embedded systems Pocket calculators Hearing aids Implantable pacemakers and cardiac defibrillators Portable equipment for physically challenged Wristwatches Wireless computing 4 Portable defibrillator From Philips Pacemaker from Medtronic inc.

Power needs are very different – one of the challenge Power rangeportabilityRe chargeLife of device 10 micro watts Light weight and wearable Possible but preferred not 3-10 yrs 10’s of watts Light weight and portable Yes once in 24 hrs 10 yrs 100’s of wattsyes Yes once in 24 hrs 10 yrs 50 nano – 50 watts Yes during use Once after usage 25 yrs 50 nano to 10 mili watts no Min 10 years 5

6 Technology Innovation for better leaving Sensors & On-body Electronics Integration of sensors into clothing, appliances, home and body User Interface & Design A universal and ergonomic approach to how people use and respond to technology Innovative Service Delivery Models Customized clinical interface enabling extended reach-of-care Information & Computation Wireless personal emergency response systems, case management, speech recogn.

7 Connected Healthcare a huge opportunity Revolutionary monitoring, early detection, and communication systemsRevolutionary monitoring, early detection, and communication systems Seek endorsed by cliniciansSeek endorsed by clinicians Enable effective therapy at the right time and placeEnable effective therapy at the right time and place

8 Motiva – Remote Patient Management

9 Standards in Healthcare - Enabler Instruments In-House Services Clinical DICOM HL7 Administrative Admissions, Discharges, Transfers (ADT) Billing HL7 Physio Monitors EKGs, Pumps, Vents Bedside Monitor IEEE1073 "MIB" E1467 Radiology Echo Lab Gen/Med Orders Laboratory Results HL7 DICOM HL7 C/N/ICU Charting Hospital Labs HL7 X12N Payers Clinical Data Repository (CDR) Master Person Index (MPI) HL7 Scheduling HL7 Enterprise Information System "Backbone" Lab Instruments "MIB" HL7 HL7 and ASTM E-1394 over E-1381

10 SW/ HW Low Level Design SW/ HW Low Level Design After Market Condition Monitoring & support After Market Condition Monitoring & support Material & component Sourcing Packaging Distribution Production Reviews of requirement design & code Reviews of requirement design & code SW Modeling/ Simulation SW Modeling/ Simulation Coding & Development Coding & Development SW Unit Testing Emulation / Debugging Emulation / Debugging HW Modeling/ Simulation HW Modeling/ Simulation Component Engg. Component Engg. Logic, Layout & Circuit design SW/ HW integration & testing HW Unit Testing HW Unit Testing System Architecture analysis System Architecture analysis Product viability study Business case preparation Gather high level requirements Design review plan Capability analysis - FDA SW / HW Verification Plan SW / HW Verification Plan SW / HW Development plan SW / HW Development plan Pre production pilot review and production readiness review Requirement analysis & conceptualization Planning Detailed design SW development Verification and Validation Production/ Service/ Support Feed back Loop MaturedEmergingFuture potentialInsignificant/ No presence FDA verification HW development V &V plans RoHS standard compliance Sustenance & obsolescence management Effort20% Effort30% Effort 50% Compliance/ Certification Traceability Matrix Design Documents (SDD and HDD) Design Documents (SDD and HDD) Reliability, functional and application test

Pain Relieving Instrument MediChair Smart shoe Ideation Workshops Avishkara - Process Student exchange program Design of a Portable Screening Device for Early Detection of Oral Cancer in Rural Areas of India Market Survey BoP Program at Manipal University

SensorConnectivity Optics Rapid Prototyping Microprocessor Lab Power Electronics Remote guided Systems Calibration Instruments Software Tools

13 13 e-RMCWH Background: Background: Manipal Rural Health Care Delivery System : Filed Practice Area (FPA) connecting 7 Rural health care centers covering 56,000 population. E-RMCWH Project This software is designed & developed for field and center ANM [ Auxiliary Nurse Midwife ] activities of Rural Maternity and Child Welfare Homes [ RMCWH ] of Dept. of Community Medicine, Manipal. e-RMCWH software includes many modules like Registration for Family Folder, Milestone Master, Grade Master, Vaccine Master, RMCWH Master, Village Master, etc..

Medical embedded systems Growth of embedded systems Opportunities What are the challenges