1. Wireless Mobile Application for Intensive Care in Emergencies and Home Care The Edumed Institute Center for Information Technology in Health and Telemedicine

2. Project Aims To develop a portable, battery-operated telemedicine unit using voice and data communication over wireless links; To test its feasibility and usage model in emergency care, home care and family health programs; To integrate and put to market a viable product with significant volumes.

3. Telemedicine Central IDEN Terminal The Mobile Unit Mobile ICU Home Care Ambulance Family doctor/nurse Data Comm Voice Fax EKG Cellular and Radio Internet access EMR Decision Support Local applications Local databases Clinical Data

4. Telemedicine Suitcase Portable aluminium attaché case Battery-operated biosignal monitoring devices (EKG, SpiroPhone, stethoscope) Glucosimeter, thermometer, etc. Handheld computer Wireless iDEN/mobile unit Consummables Easy to carry and operate, anywhere Simulated product

5. Vital Signal Devices 12-lead EKG Dynamic Espirometry Fetal EKG and Uterine Contractions

6. Vital Signal Devices Blood Pressure MonitorElectronic Stethoscope Glucosimeter Electronic Ear Thermometer Finger Oximeter

7. Imaging Devices Portable Patient Camera

8. System Functions Vital signal transmission/monitoring EKG, temperature, pulse, blood pressure, glucose level, heart, lung and abdomen sounds, pCO2, pO2, uterine contractions, respiration, weight, height Via datacomm or FM modulated voice channel Patient image transmission Skin, face, eyes, mouth, trauma events Teleconsultation and second opinion Voice via cellular or mobile radio (IDEN) Text via SMS, WAP and Internet

9. System Functions Local Decision Support Searchable electronic books with emergency procedures, diagnosis, patient management, drugs directory Software for medical calculations Software for decision support (AI expert systems) Web-based Decision Support Access to Electronic Medical Record (reading & updating) Access to medical web encyclopaedias and literature Internet based telemedicine (store & forward)

13. Communication Devices Land based cellular telephony Satellite telephony Digital radio Wireless data communications

14. Applications Emergency ambulances and mobile Intensive Care Units Home care units Family health units in isolated or rural areas Occupational health units in isolated areas (eg., oil platforms, mineral exploration, construction sites) Home monitoring of chronic and post-surgical patients

15. Market (Brazil) 4,000 mobile ICUs 4,500 family health units: 9,5 million inhabitants 62,000 ambulatory units 82,500 emergency care units 7,000 hospitals

16. R&D Project Identification of technologies, procurement of components Testing of components with communication technologies: parameter optimization, range of applications Software development Implementation of a mobile unit Pilot field testing Analysis and reporting Series head product specification and production

17. Partners Motorola: telecommunications, funding Card Guard: vital signal devices, telemedicine central software, funding NEXTEL, TELEMAR, GlobalStar: telecom services providers, infrastructure Center for Biomedical Informatics of UNICAMP: software development, evaluation Campinas and Sobral Secretaries of Health: field pilots, funding Edumed Institute: management, integration, operation of central, web development, reporting, grant development, infrastructure

18. Advantages for Motorola Developing know-how, market savvy and brand identification on telemedicine applications; meeting future competition from other manufacturers (Ericsson, Nokia, etc.) Expanding sales of all product lines into the health care area; Cornering the market on wireless, portable telemedicine; Positive social action, company image, media exposure; alliance with R&D and government

19. Next Steps Project writing, budgeting MOU, agreements Initial funding for planning and feasibility study Project development

20. Contacts Project Leader Prof.Dr. Renato M.E. Sabbatini, PhD Director, Center for Biomedical Informatics, UNICAMP President, The Edumed Institute Project Coordinator Liliane Queiroz Antonio Address R. Mogi Guaçu 1452, Campinas Tel. (19) 3295-8191 Fax (19) 32876768 sabbatini@edumed.net