1. Practical Biomonitoring using Wireless Technology
NAE / IOM Workshop
“Engineering and the Health Care System” Mar 11-12,, 2003
Practical Biomonitoring using
Wireless Technology
Thomas F. Budinger M.D., Ph.D.
Department of Nuclear medicine and Functional Imaging, Lawrence Berkeley National Laboratory; Departments of Bioengineering and Electrical Engineering and Computer Science, UCB; Department of Radiology, UCSF.

2. Concepts of This Presentation
Health care improvements which require better engineering and in some cases new engineering in the area of monitoring
How wireless interfaces can simplify hospital and home care (e.g., pO2, apnea)
What current engineering can do to assist the care-giver
What near future nano-technology might do
If we could do everything or anything, what would we do -- for infants, for home care?

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

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

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

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

9. Current Epidemic of RSV

10. Wireless
Technology

11. Sleep Apnea Monitoring

12. Sleep Apnea Monitoring
Wireless Technology

14. Wireless Breathing Sensor

20. What Wireless Networks?
PROBLEM
What Wireless Networks?

21. Enabling Technologies
SWAP
2.4 GHz
30 meter range
Bluetooth
2.4 GHz
Your home computer to appliance network
HIPERLAN
GHz
Kilometer range power requirements
Europe
Ultra Wideband (UWB)
Kilometer range, low power, low cost. FCC is a partial barrier

23. 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

24. Acknowledgements Support by CITRIS (California) BER of DOE NIH
Dr. Kathleen Brennan
Dr. Jonathan Maltz