Mobile Medical Devices ACGNJ Main Meeting March 7, 2014

Uses for Mobile Medical Technology Field medicine (military, remote areas,etc.) Low power requirements (no/low utility infrastructure) Out-of-office patient tracking –Self tracking –HCP tracking Quantified Self

Types of Mobile Medical Technology –Stand-Alone Devices –Mobile-Attached Devices –Wireless Devices –Implanted Devices –Smartphones as Medical Devices

Stand-alone devices Reports downloaded via Bluetooth, USB or Medical Cellular Telcare Glucometer Insulin pumps Continuous Glucose Monitors TENS systems Ambulatory Blood Pressure Monitors –e. g., SunTech Medical’s Oscar2 and Accu-WinSunTech Medical

Mobile-attached devices iBGStar glucometeriBGStar Withings scale, sphygmomanometerWithings Mobile-controlled EKG device –AliveCor mobile clip-on EKG deviceAliveCor –SHL Smartheart 12-lead EKGSmartheart 12-lead EKG “Tricorder” apps and devices“Tricorder”devices Spectrum analysis and microbial analysis devices –Biosense uChek urinalysisuChek –Prototype environmental biosensorenvironmental biosensor

Wireless Devices Wirelessly-controlled sensors and devices –Insulin pumps Animas PingPing Insulet OmnipodOmnipod –Continuous Glucose Monitors Dexcom –Holter monitorsHolter monitors

Implanted devices Cardiac defibrillator Cardiac pacemaker Bluetooth-programmable in the cardiologist’s office Security provided via unique device numbers and proprietary data formats

Smartphone as medical device Medical diagnostic and analytical apps –Epocrates and other diagnostic toolsEpocrates –Glooko softwareGlooko –iBGStar Diabetes Manager softwareiBGStar Diabetes Manager

Issues With Mobile Medical Technology Quality control – Data integrity of apps Mobile system reliability –Android hacks and virusesAndroid hacks and viruses –iOS not immuneiOS not immune –In-app adware common in games, free apps Device security (hacking vulnerability)hacking vulnerability FDA regulations Speed of technological progress –OS updates –Smartphone hardware evolution –Cables, connectors, etc.

Possible Evolutionary Paths As expert systems improve, more use of smartphones’ built-in systems for mobile diagnostics –Share photos, videos with remote physician –Smarter apps may provide preliminary screenings As mobile platforms stabilize, add-on devices will proliferate –Better monitors –Medication delivery systems Specific security issues will change