Hand Held Computers New Developments Paul St. Jacques, M.D. Assoc. Director Perioperative Informatics Department of Anesthesiology, Vanderbilt University Medical Center Nashville, TN

Features Palm OS or PocketPC 2002 (Windows CE) Palm OS or PocketPC 2002 (Windows CE) Processors to 400mhz Processors to 400mhz Built in RAM – up to 128MB Built in RAM – up to 128MB Secure digital memory card Secure digital memory card Compact flash memory card Compact flash memory card

Hardware Many Devices Many Devices Windows Mobile 2003 Windows Mobile 2003 Compaq – Ipaq series Compaq – Ipaq series b b bluetooth bluetooth Toshiba – ‘e’ series Toshiba – ‘e’ series b b PalmOS PalmOS b b Palm TungstenC Palm TungstenC Sony Clie Sony Clie

HP (Compaq) –Ipaq series

Toshiba e800/Dell Axim

PalmOS SONY CLIE PEG-UX50 - $ Built-in Wireless(802.11b)5 Built-in Bluetooth™5 High-resolution Color Display (480x320) Built-in Digital Camera Built-in MP3 Player and Voice Recorder2 Built-in QWERTY Layout Keyboard Video recording and playback Compatible with Memory Stick PRO 6.2 oz. TUNGSTEN C – $ ,000 Transflective Color Display NEW! 2Web3Emai 5-Way Navigator Address Book6Date Book7Integrated Thumb-Size Keyboard8Rechargeable Battery9Embedded Antenna for Integrated Wi-Fi (802.11b) NEW!

Future? Sharp Zaurus Linux based PDA 640*480 Samsung Nexio Windows Mobile 800*480 screen

Modems Compact Flash Compact Flash Proprietary cradles (palmOS) Proprietary cradles (palmOS) Springboard modules (palmOS) Springboard modules (palmOS)

Network Cards Compact Flash Compact Flash Standard 10/100 ethernet Standard 10/100 ethernet

Pocket Sized Keyboards Many kinds Many kinds Foldable Foldable thumboards thumboards IR connection IR connection Multiple devices (upgrade) Multiple devices (upgrade) ~$ ~$80-100

Add-on units Barcode readers to GPS receivers Various manufacturers Compact flash or Proprietary cradle Handheld wands Possibilities include inventory or patient identification

MobileMemory Multiple Formats Adapters to fit USB/PCCard slots Transfer through handheld using cradle or direct to USB SD Currently up to 512MB $225 or $80 for 256MB

SD b Card Retrofit older or less expensive PDAs to WiFi – List Retrofit older or less expensive PDAs to WiFi – List

Video Output Margi “Presenter to Go” Available as Compact flash, PC Card, SD card, memory stick – About $199 list

Applications “Organizer” functions “Organizer” functions Wireless web access Wireless web access Data collection Data collection PowerPoint presentations PowerPoint presentations Medical Reference Medical Reference Organizer functions Organizer functions

“Organizer” functions Link to Outlook/Exchange server Link to Outlook/Exchange server (Send/receive): (Send/receive): Calendar / appointments Calendar / appointments Tasks, Notes, Contacts Tasks, Notes, Contacts Starmobile Starmobile Multimedia MP3 playback, streaming video Multimedia MP3 playback, streaming video Sync. at desktop or via wireless (802.11b) Sync. at desktop or via wireless (802.11b)

Internet Connectivity Wireless access b Wireless access b WWW WWW Desktop Synchronization Desktop Synchronization Data Review Data Review Intranet web server Intranet web server Data Collection Data Collection Web applications Web applications Terminal/Server Terminal/Server Must be within range of access point Must be within range of access point

Phone Edition Cellular service area Similar to traditional ISP Per MB billing or unlimited ($100/month Sprint) Future generations to increase speed / lower cost Add in card needed for b

Web Access MS Internet Explorer MS Internet Explorer Standard http or https Standard http or https Small screen Small screen Web sites may recognize and auto/configure Web sites may recognize and auto/configure

Data Collection - Excel Look and feel of Excel Look and feel of Excel Spreadsheet on Handheld Spreadsheet on Handheld No network connection needed No network connection needed Data subject to loss / insecure Data subject to loss / insecure Synchronize to desktop database Synchronize to desktop database Multistep process Multistep process Copy data Copy data Incorporate to database Incorporate to database

Data Collection Web interface Web interface VPIMS Patient Tracker VPIMS Patient Tracker Greeter at front door VUH Greeter at front door VUH Wireless ipaq Wireless ipaq Sturdy, good battery life, easy to use Sturdy, good battery life, easy to use Checks patients in on arrival Checks patients in on arrival OR notified of pt arrival OR notified of pt arrival No patient data stored on PDA No patient data stored on PDA

Data Collection Terminal Server applications Terminal Server applications “Log in” to remote server “Log in” to remote server eDataTracker MOBILE eDataTracker MOBILE IES (eDataTracker) IES (eDataTracker) Password protected Password protected Server level Server level Application level Application level No data stored on PDA No data stored on PDA

MS Access--Live connection “server” runs on desktop PC “Client” runs on PocketPC open/edit databases on server using wireless/wired connection

“Video Applications” Video projection of images/graphics/documents from handheld device Video projection of images/graphics/documents from handheld device Enable powerpoint presentations from handheld device Enable powerpoint presentations from handheld device Image capture to handheld device (flyjacket) Image capture to handheld device (flyjacket) Lifeview “Flyjacket” Lifeview “Flyjacket” Margi – “Presenter to go” Margi – “Presenter to go”

PDA --PowerPoint Margi - Presenter to go Margi - Presenter to go Presentations created in powerpoint Presentations created in powerpoint Saved to device via automatic link Saved to device via automatic link Converted to compressed format Converted to compressed format Slides not editable on PDA Slides not editable on PDA IA Presenter allows sequence change IA Presenter allows sequence change Both support remote control Both support remote control Presenter to go – on screen writing ability and transitions Presenter to go – on screen writing ability and transitions

Voice over IP running voice IP running voice IP

Medical Reference Numerous Software titles Numerous Software titles Varying costs Varying costs EpocratesRx (free) – palm OS only EpocratesRx (free) – palm OS only

Product Reference Margi Systems Presenter to go Margi Systems Presenter to go ~$180 - $200 ~$180 - $200 Multiple formats Multiple formats Network cards/modems ~$50-70 Network cards/modems ~$50-70

“URL Bibliography” – PDA and accessories – PDA and accessories – CF Video output – CF Video output – PDA and accessories – PDA and accessories – PDA software (also shareware) – PDA software (also shareware) PDAs and accessories PDAs and accessories – Palm Home Base – Palm Home Base – memory / SD card – memory / SD card