printed by BabyView: Real Time Monitoring of Neonatal Intensive Care Patients Erin L Scott *, Dr. Bill Walsh +, Dr. Paul King * *Department of Biomedical Engineering, Vanderbilt University + Division of Neonatology, Vanderbilt Children’s Hospital Vanderbilt Children’s Hospital New Hospital Opened February 8 th, ,000 Inpatients/year Neonatal Intensive Care Unit 42 Feeding Hospitals 500+ Transports a Year 100+ mile radius 44 Patient Beds Most in private rooms Average Cost is $2000/day Average Patient Stay is 17 days Estimated Project Deployment Costs   Internet Cameras (~$150/camera)   Server ($3000)   Computer ($500) Ray Erlandson Department of Biomedical Engineering Dr. Dan Lindstrom   Order Cameras for NICU   VEO Observer Network Camera   IP addressable, 0.56lbs, 1 Lux sensitivity, adjustable mount   On-off button with status indicator   Apply for static IP addresses in the NICU   Currently dynamic IP in the NICU   Does not allow for camera to be removed and returned easily   Install Cameras in each room   Develop interface between Program & Clinical Workstations Project Goals: Provide a way for the families of NICU patients to stay connected with their children Provide NICU staff another way to monitor patients Suggested Uses: Live Image fed to Nurse’s Station Doctor’s Office Home Computers of Family Paid for by Vanderbilt NICU Free service to the patient INTRODUCTION PROJECT OBJECTIVES MATERIALS AND METHODS FUTURE WORK & RECOMMENDATIONS Acknowledgements Dr. Bill Walsh Professor of Pediatrics Attending Neonatologist, Chief of Nurseries Dr. Paul King Associate Professor of Biomedical Engineering CONCLUSIONS The BabyView Program proves to be both technologically and economically feasible for the Vanderbilt NICU to continue to pursue. BabyView’s design would provide the family with more information and updates than conventional online programs that use a one time static image and limited patient information. In addition, the design can be integrated with the new NICU monitoring tools to allow doctors and nurses to have additional resources. BabyView also proves a much more economical choice over incumbent technologies, in part because it does not require a great deal of time for the hospital staff to run it. PATIENT PROTOCOL HTML PAGE JAVA Servlet Database Tomcat runs the JVM and outputs the results on the webpage Accesses Baby Info Logon Screen Admin Page Parent/Family Hospital Staff Administrator Website Structure To be eligible for the BabyView Program, the patient must:   Have been in the NICU for at least 3 days   Not currently be on a ventilator   Not undergoing invasive procedures Parent/Guardian consent is required Patient Health Team must give approval Project Constraints: Camera cannot interfere with medical equipment Project must meet HIPAA Regulations Limited Costs for development, deployment, and maintenance Program must be Secure Easy to use Hospital A Camera Hospital Server Baby Info Internet Family Home Mother’s Hospital Room NICU Hospital B Baby Info Mother’s Hospital Room SAFETY CONSIDERATIONS Many of the hazards associated with this design project stem from adding the camera into the patient’s room and mounting the camera on or near the bed. The electrical and Ethernet cords could prove to be a tripping hazard or could interfere with the hospital staff when they are caring for the patient. Physically, the camera could break or fall of its connection and damage medical equipment. Electrical surges or malfunctions caused by the camera, although unlikely, could switch a fuse that other medical equipment is connected and lead to other equipment failures. These project failures could be minimized by insuring proper testing and mounting of the equipment. Program Failures are also a concern. While program failures would not result in interference with traditional medical care, the family may mistake program failures as a sign the patient’s health has deteriorated. Program failures could result from innate flaws or “bugs” in the program or from temporary problems associated with the server and network connections. MARKET ANALYSIS Backend Technical Infrastructure Hardware/ Physical Structure