1. doc.: IEEE 802. 15-08-0363-02-0006 Submission May 2008 Gu Youn Kim, InfopiaSlide 1 Project: IEEE P802.15 Working Group for Wireless Personal Area Networks (WPANs) Submission Title: BAN applications of u-health and glucose monitoring system Date Submitted: [14 May, 2008] Source: Gu Youn Kim, Sung Dong Lee[Infopia], Yoon Seok Nam, Hyung Soo Lee[ETRI] Contact: Gu Youn Kim, Infopia, Korea Voice: :+82-31-423 6170, E-mail:gykim@infopia21.com Re: [n/a] Abstract: Introducing glucose monitoring systems using WBAN Purpose: To introduce commercial glucose monitoring systems and provide the concept of continuous glucose monitoring system using WBAN for healthcare Notice:This document has been prepared to assist the IEEE P802.15. It is offered as a basis for discussion and is not binding on the contributing individual's or organization's. The material in this document is subject to change in form and content after further study. The contributor's reserves the right to add, amend or withdraw material contained herein. Release:The contributor acknowledges and accepts that this contribution becomes the property of IEEE and maybe made publicly available by P802.15.

2. doc.: IEEE 802. 15-08-0363-02-0006 Submission May 2008 Gu Youn Kim, InfopiaSlide 2 Overview of presentation u-Healthcare Systems Glucose Monitoring Systems Continuous Glucose Monitoring System Conclusion

3. doc.: IEEE 802. 15-08-0363-02-0006 Submission May 2008 Gu Youn Kim, InfopiaSlide 3 WBAN u-Healthcare Systems VITAL SIGNS MEASUREMENT DATA COLLECTIONCARE TEAM FOR PATIENT Healthcare systems measure –Blood pressure and pulse, ECG, Glucose WBAN is a part of Healthcare

4. doc.: IEEE 802. 15-08-0363-02-0006 Submission May 2008 Gu Youn Kim, InfopiaSlide 4 WBAN devices Blood pressure - Patient monitoring and automatic emergency response, sport apps Glucose meter - Diabetic patient monitoring Weight scale – patient’s weight monitoring Body temperature – patient’s body temperature monitoring ECG - Remote patient monitoring, Sporadic Heart abnormalities identification

5. doc.: IEEE 802. 15-08-0363-02-0006 Submission May 2008 Gu Youn Kim, InfopiaSlide 5 Glucose Monitoring Systems

6. doc.: IEEE 802. 15-08-0363-02-0006 Submission May 2008 Gu Youn Kim, InfopiaSlide 6 WPAN In Door Indoor/Outdoor Glucose Monitoring Systems Categories –Indoor : potable system with networking capabilities –Indoor/outdoor : cellphone with glucose module GlucoMeter GlucoCellphone

7. doc.: IEEE 802. 15-08-0363-02-0006 Submission May 2008 Gu Youn Kim, InfopiaSlide 7 A patient tests the blood glucose level with GlucoMeter. GlucoMeter sends the results by using Bluetooth. Bluetooth gateway(PC or cellphone) relays the results to destination. 1.Insert test strip. The code number is automatically entered. 2.Select activities related to the test result by press button. 3.Apply sample until confirmation window is comple -tely filled before the meter begins to count down. 4.Test results in 3 seconds. 5. Pressing send button, the results are transmitted to PC or cellphone. Bluetooth GlucoMeter

8. doc.: IEEE 802. 15-08-0363-02-0006 Submission May 2008 Gu Youn Kim, InfopiaSlide 8 Cellphone with glucose module The cellphone identifies the module and executes diabetes program. It sends the results to destination. 1.Insert glucose check module to mobile phone. 2. Diabetes program is automatically executed. 3.Insert test strip. 4.Test results in 9 seconds. 5. Send the results to destination GlucoCellphone

9. doc.: IEEE 802. 15-08-0363-02-0006 Submission May 2008 Gu Youn Kim, InfopiaSlide 9 Doctors review, chart and consults online. –Trend graph, Graph by hour, Prescription Analysis of Medical data

10. doc.: IEEE 802. 15-08-0363-02-0006 Submission May 2008 Gu Youn Kim, InfopiaSlide 10 ItemsContents CommunicationBluetooth 2.0 Data Rate9600 bps InterfaceUSB Test range10 ~ 600 mg/dL (0.5~33.3mmol/L) Test Latency3 seconds Sample Blood Volume0.3uL Open use time (Strip)3 months Strip storage temperature2 ~ 30 o C CodingAuto Coding Memory capability7, 14, 21-day average and 250 tests in the memory Power3V(1.5V AAA size Alkaline Battery X 2) Power consumptionStandby Mode: <1mA, TX/RX Mode: < 50mA Battery life200 days Size: LxWxH (mm)52.2×98.5×23.4 Weight74.5g( including battery) System Specifications of GlucoMeter

11. doc.: IEEE 802. 15-08-0363-02-0006 Submission May 2008 Gu Youn Kim, InfopiaSlide 11 Continuous Glucose Monitoring System

12. doc.: IEEE 802. 15-08-0363-02-0006 Submission May 2008 Slide 12 Increasing number of people with diabetes To improve therapy and hypoglycemia awareness; –Continuous glucose monitoring can reduce hemoglobin A1C levels when compared with fingersticks alone, which in turn can reduce the risk of longterm health complications. To improve the REAL-life decisions through new insights on the impact of daily activities on the glucose control. Needs of Continuous Glucose Monitoring Gu Youn Kim, Infopia

13. doc.: IEEE 802. 15-08-0363-02-0006 Submission May 2008 Slide 13 Continuous Glucose Monitoring System Glucose sensor Insulin pump may be a transmitter of the implantable glucose monitoring system. The insulin pump transmits data wirelessly to a dongle connected to a computer. Data from sensor and insulin pump can be utilized by Diabetes' therapy management software solutions. Insulin pump (Medtronic) Gu Youn Kim, Infopia

14. doc.: IEEE 802. 15-08-0363-02-0006 Submission May 2008 Slide 14 The sensor is placed on the back of upper arm or abdomen, and is held there with a special adhesive. –A tiny filament 5mm long (as thin as several strands of hair) goes just under the skin. The transmitter attached with the sensor sends glucose readings to the wireless receiver. The receiver stores all glucose readings, and it gives an accurate changes of the glucose. Working procedure Gu Youn Kim, Infopia

15. doc.: IEEE 802. 15-08-0363-02-0006 Submission May 2008 Slide 15 Networking Scenarios Scenario-1 : Point-to-point –Sensor  Monitoring system –Sensor  Monitoring system  Gateway  Internet Scenario-2 : Point-to-Multipoint –Assume environment of in-body and on-body sensors/actuators –Sensors & Actuators  Gateway  Internet –Sensors & Actuators  WBAN coordinator  Gateway  Internet Gu Youn Kim, Infopia

16. doc.: IEEE 802. 15-08-0363-02-0006 Submission May 2008 Gu Youn Kim, InfopiaSlide 16 Networking –Automatic node detection, network configuration and service discovery –We need point-to-multipoint control. Medical devices under regulatory : Point-to-point control How to solve ? –How to grantee the integrated controller ? System reliability may be related to safety. Low Power –Extremely low power consumption –Duty cycling  Flexible & efficient sleep modes  Fast set-up time –Battery  Long standby times for portable device  Very small size Issues

17. doc.: IEEE 802. 15-08-0363-02-0006 Submission May 2008 Gu Youn Kim, InfopiaSlide 17 Thank You ! Questions ?