1. 22 March 2011WBUM101-P-069 v0.2 Silicon South West “i-Med” Tim Phipps Paste an image over the circle and use ‘Send Backward’ tool 3 times OR delete the picture frame and the white square if no image is required. Paste an image over the circle and use ‘Send Backward’ tool 3 times OR delete the picture frame and the white square if no image is required. New Wireless in Healthcare Presented by Tim Phipps

2. 222 March 2011WBUM101-P-069 v0.2 Who am I? Who are Cambridge Consultants?  Champion for Cambridge Wireless Healthcare SIG –Next event is “Telehealth & Telecare” on 19 May at Addenbrookes Hospital in Cambridge  Wireless Medical Business Development at Cambridge Consultants...  … who create breakthrough products in a variety of sectors New Wireless in Healthcare

3. 322 March 2011WBUM101-P-069 v0.2 Introduction  How can I make a difference?  A quick bit of history about how technology evolves... –“What if a phone could be a computer too?” New Wireless in Healthcare

4. 422 March 2011WBUM101-P-069 v0.2 “What if a phone could be a computer too?”  1996 - launch of Nokia Communicator New Wireless in Healthcare

5. 522 March 2011WBUM101-P-069 v0.2 Lots of people had a go at evolving the concept 2005 - Motorola Q 2006 – Sony Ericsson P990 2007 – Nokia E90 2003 – Siemens SX1 New Wireless in Healthcare

6. 622 March 2011WBUM101-P-069 v0.2 Until finally… 2007 – Apple iPhone New Wireless in Healthcare

7. 722 March 2011WBUM101-P-069 v0.2 After which there were lots of imitators New Wireless in Healthcare

8. 822 March 2011WBUM101-P-069 v0.2 But where did the value go? …and who got to change the world? $3.1B $1.2B Apple Nokia Profits in Q4 2010 New Wireless in Healthcare

9. 922 March 2011WBUM101-P-069 v0.2 The Escalating Presence of Wireless within Healthcare The Benefits of Wireless  Enhanced ease-of-use and everyday efficiency  Offers new methods of communication, monitoring and control –Delivers new ways of working  Removal of restrictive and unreliable wiring  “Mobility” - Ease of moving patient between one location and another New Wireless in Healthcare

10. 1022 March 2011WBUM101-P-069 v0.2 The Escalating Presence of Wireless within Healthcare The uses of Wireless  Access control and identification –RFID  Communications –Mobile phones –Tetra for mission critical communications –WiFi for mobile access to records  Patient monitoring in hospital –Mobile monitoring without being tied to one place –Remote alerts  Implantable communications –Control and monitoring of implantable devices  Asset management –Where is my equipment?  Wireless imaging –Flexibility in the operating room  Patient monitoring at home –Wellness coaching –Adherence to a prescribed treatment  … and more and more… New Wireless in Healthcare

11. 1122 March 2011WBUM101-P-069 v0.2 Medical telemetry terminal, infrastructure and access points  State-of-the-art wireless ECG telemetry system, scalable to 1000+ patients  12 person team for very rapid 18 month development  CCL customised its DECT IP and expertise –Modified frequency band to make use of newly allocated spectrum –Modified spectral mask to meet demanding traffic density and spectral emissions requirements –Full cellular infrastructure automates frequency management  Ultra-low power consumption through advanced power management techniques  Enabled customer to be first to market in new WMTS frequency band New Wireless in Healthcare

12. 1222 March 2011WBUM101-P-069 v0.2 Wireless Imaging – Digital Radiography WiFi - 802.11nUltra-Wide Band New Wireless in Healthcare

13. 1322 March 2011WBUM101-P-069 v0.2 Wireless Imaging – Laparoscopic surgery Wireless HDI™ New Wireless in Healthcare

14. 1422 March 2011WBUM101-P-069 v0.2 Wireless Imaging  Opportunity for more flexible visualisation of video in the operating room, whilst also reducing the clutter –Better ways of working should lead to better patient outcomes  Challenges –Industry players are used to offering integrated solutions. –The wireless environment is inherently shared, will they rise to the challenge of coexistence, or even interoperability  WiFi 802.11 & Wireless HDI both share spectrum with WiFi infrastructure  UWB has independent use of spectrum within each room, but limited transmit power New Wireless in Healthcare

15. 1522 March 2011WBUM101-P-069 v0.2 There is a significant health problem; patients are under-served by the current system; money is left on the table 45% of total costs may be due to poor adherence >50% chronic asthma patients are non- adherent 1 in 10 Americans may have COPD. 1 in 15 have Asthma 3 rd leading cause of death in 2020 will be COPD is non-adherence cost $290B New Wireless in Healthcare

16. 1622 March 2011WBUM101-P-069 v0.2 Product Concept - Vena™ Inhaler Standard cartridge Circuit Board  Cambridge Consultants has added low cost communications technology to a drug delivery device  Bluetooth low energy offers long lifetime communications –“One year from a coin cell” New Wireless in Healthcare

17. 1722 March 2011WBUM101-P-069 v0.2 Product Concept - Minder by Vena TM  Connected wellness device  Wireless GPRS for connectivity to internet for secure HL7 messaging  In the example shown, the device synchronizes to a personal organizer and displays reminders about taking pills  Continua Compliant Bluetooth communications –Could link to pill bottles, asthma inhalers or insulin pens New Wireless in Healthcare

18. 1822 March 2011WBUM101-P-069 v0.2 So, why isn’t my inhaler on the Internet?  Technology exists to connect inhalers, pill bottles and insulin pens to medical records servers – so why don’t we see these devices on the market?  Some are coming,… but also think about the requirements  Clinical reliability –What happens if the wireless device fails to connect to the server? Does the therapy fail?  Clinical decision making –Does the device lead the patient to make clinical decisions about the level of dose required? If so, this will need serious regulation and approval.  Business case –Who stands to benefit?... New Wireless in Healthcare

19. 1922 March 2011WBUM101-P-069 v0.2 Conclusions  Plenty of issues to be resolved –In the past, our first concern with wireless was mobile phones interfering with medical equipment –Today, we are approaching the maximum capacity for WiFi –A diverse array of new wireless medical devices are being proposed – the winning solutions will emerge and change our world –But remember that we are still talking about medical products which will need adequate safe-guards and approvals New Wireless in Healthcare

20. 2022 March 2011WBUM101-P-069 v0.2 Contact details: Cambridge Consultants LtdCambridge Consultants Inc Science Park, Milton Road 101 Main Street Cambridge, CB4 0DWCambridge MA 02142 EnglandUSA Tel: +44(0)1223 420024Tel: +1 617 532 4700 Fax: +44(0)1223 423373Fax: +1 617 532 4747 Registered No. 1036298 England Tim.Phipps@CambridgeConsultants.com www.CambridgeConsultants.com © 2011 Cambridge Consultants Ltd, Cambridge Consultants Inc. All rights reserved. Cambridge Consultants is part of the Altran group, the European leader in Innovation Consulting. www.Altran.com