1. Next Generation Wireless Broadband for Emergency Medical and Healthcare Facilities Scott Landau Motorola Government and Public Safety Solutions Mobile phones : 25 sold per second World population : 4 births per second

2. Significant Enabling Technology Trends… Broadband goes wireless Everything goes digital Everything goes mobile

3. Fixed Broadband Mobile Broadband Metro Wi-FiMesh NetworksWireless Backhaul WIRELESS BROADBAND Rural EnterpriseResidential Metro Point to Point Towards a Wireless Broadband Revolution… The most significant shift in communication since cellular networks

4. Agenda What’s Important for Emergency Medical Services? Wide-Area Wireless Technologies Spectrum Example: LTE for 700 MHz Public Safety Example: WiMAX for 2.5 and 3.5 GHz Summary

5. WiMAX, LTE, MESH Wireless Network Vehicle Accident Doctors at the emergency room can see the vehicle and get an understanding of the mechanism of injury to guide their treatment of the victim. Portable or fixed mounted cameras can be used to capture video or still images of a vehicle accident to send to emergency room doctors. Video increases emergency room doctor’s knowledge of the mechanism of injury, enabling quicker and possibly more accurate treatment Biometry data from Incident Scenes enable real time monitoring of Patients on the way to the Hospitals

6. WiMAX, LTE, MESH Wireless Network Remote Medical Diagnosis Doctors at the emergency room can help guide treatment of the victim, especially important for time critical treatment. Cameras inside ambulances can capture video of patients to send to emergency room doctors for consultation. Remote diagnosis can shorten the time before treatment which can potentially save lives and shorten recovery time

7. Wireless Network Design Variables: 5 C’s COVERAGE CONTROL COST CAPABILITY Citywide, Statewide, Rural, Custom, In-building, Tunnels, etc… Priority Access, Speed, Customization, Reliability, Multiple Vendors TCO, Own vs. Lease Spectrum, Commercial vs. Mission Critical, Services Voice, Video and Data Interoperability, Security, Encryption, QOS, Priority Access, Ad-hoc, Tactically deployable, High Availability, 24/7 support CAPACITY Everyday Needs, Time of Disaster, Point of Disaster, Spectrum, Bandwidth, Scalability

8. Wireless Technology Solutions Vary from One County to the Next COVERAGE CONTROL COST CAPABILITY CAPACITY Specific Applications Operating and Governance Procedures Hybrid Network Multiple Reqs Single Network YES NO

9. Solutions Enabling Emergency Medical Applications Tier 1 – 9.6 kbps P25 IV&D Tier 1 – 9.6 kbps P25 IV&D Tier 2 - 96 kbps 2G, HPD Tier 2 - 96 kbps 2G, HPD Text Based Browser Messaging –Dispatch –Text messaging Query Databases –Driver’s License –License Plates –Patient Data Lookup AVL (constrained) Meter Reading Messaging –Dispatch –Text messaging Query Databases –Driver’s License –License Plates –Patient Data Lookup AVL (constrained) Meter Reading Includes Tier 1 Biometric data (constrained) Mug Shots (Tx/Rx) Reports (Tx) Intranet (constrained) Internet (constrained) AVL Includes Tier 1 Biometric data (constrained) Mug Shots (Tx/Rx) Reports (Tx) Intranet (constrained) Internet (constrained) AVL Basic Video Tier 3 – 100 to 500 kbps 3G, HSD Tier 4 - Megabits 4G - WiMAX, LTE, MESH Tier 4 - Megabits 4G - WiMAX, LTE, MESH Multimedia Includes Tier 1&2 Intranet Access Internet Access Images (Tx/Rx) Video (buffered) Remote Camera Includes Tier 1&2 Intranet Access Internet Access Images (Tx/Rx) Video (buffered) Remote Camera Includes Tier 1-3 Biometric Data Video (full motion) Video (buffered) Multimedia Remote camera viewing / control OTAP (reflash mobile radios) Video archiving Includes Tier 1-3 Biometric Data Video (full motion) Video (buffered) Multimedia Remote camera viewing / control OTAP (reflash mobile radios) Video archiving 4G Networks Enable the Next Gen Applications

10. Wide Area Broadband Technologies

11. Wireless Broadband Wide Area Standards Landscape 2009+ 200820062004200220001998 2007 19941992 2G3G 4G IS95A1XEVDOEVDO Rev AEVDO Rev B GSMUMTSHSDPAHSUPA 3GPP IEEE 802.11 b/g802.16d LTE (E-UTRAN) 802.16e WiMAX 3GPP2 CDMA WiFi/WiMAX UMB 802.16m WiMAX

12. Average data transfer rates* WiMAX HSDPA EV-DO UMTS EDGE CDMA 1X GPRS 60 kbps 115 kbps 256 kbps 400 kbps 1.0 Mbps 4.0 Mbps 35 kbps aacPlus v2 32 kbps aacPlus 64 kbps AAC/WMA 128 kbps MP3 160 kbps LTE 802.11g 4.0 Mbps 14.4 Mbps MP3 song 11 mins 6 mins 3 mins 2 mins 38 secs 10 secs 18mins 10 secs 3 sec 0.0 0.51.01.52.02.53.03.54.04.55.0 (MB) MOTOROLA, the Stylized M Logo, and MOTOWI4 are registered in the US Patent & Trademark Office. All other product or service names are the property of their respective owners. © Motorola, Inc. 2006 Mobile broadband is getting faster, but a lack of ubiquitous coverage hampers mobile internet….multiple network access is required

13. Enabling 3G-4G Speeds: OFDMA Orthogonal Frequency Division Multiple Access (OFDMA) –Is a digital modulation technology, like CDMA, –Uses a large number of orthogonal (non-interfering) overlapping sub- carriers that are assigned to different users, leading to: –Improved spectral efficiency (throughput per Spectrum used) –Better performance under non-line-of-sight, multipath interference, or faded conditions Networks: –LTE (E-UTRAN) –WiMAX (802.16e – 802.16m) –UMB –WiFi –Flash OFDM

14. Spectrum and Technologies FDD Spectrum 700 MHz for Public Safety (5, 10 MHz channels) –Possible solutions: LTE, FDD WiMAX TDD Spectrum 2.5 GHz or 3.5 GHz (5, 7, 10 MHz channels) –Possible solutions: WiMAX 4.9 GHz (5, 10, 20 MHz channels) –Possible solutions: 802.11, PTP, WiMAX Spectrum Availability is Key Enabler of Next Generation Solutions

15. Example Spectrum and Solution: 700 MHz LTE Spectrum  1.4/3.0/5.0/10 MHz, 2 paired FDD channels fits 700MHz PS spectrum plan  Single frequency re-use Throughput  Peak Throughput (5 MHz channels): 2-4 Mbps UL and 4-8 Mbps DL  Average throughput for 3 users/sector: 500-850 kbps UL and 1.2-2.4 Mbps DL Coverage (for 100 kbps uplink edge, 90% contour reliability, 200 ft antenna height, 3-sectored)  Portable: 4 urban,15 suburban,75 rural sq. miles/site  High Power Mobile: 20 urban, 75 suburban, 400 rural sq. miles/site  Some In-building penetration Devices  PCMCIA for laptop  Mini-card for handheld  Commercial handsets (PDAs, Laptops, Cell phones) Provides High Speed Motion OFDMA technology is the cost-effective, next generation broadband solution with Public Safety features and in-building coverage

16. Example Spectrum and Solution: 2.5 GHz WiMAX Spectrum  5.0/7.0 /10 MHz, TDD channels for 2.5 and 3.5 GHz  Three frequency re-use Throughput  Average Throughput (5 MHz channels): 2-4 Mbps UL and 4-8 Mbps DL  Average throughput for 3 users/sector: 500-850 kbps UL and 1.2-2.4 Mbps DL Coverage (for 100 kbps uplink edge, 90% contour reliability, 200 ft antenna height, 3-sectored)  Portable: 1-2 urban,6-8 suburban,20-30 rural sq. miles/site  Some In-building penetration Devices  PCMCIA for laptop  Mini-card for handheld  Vehicular Modems  Commercial handsets Provides High Speed Motion OFDMA technology is the cost-effective, next generation broadband solution with Public Safety features and in-building coverage

17. SUMMARY Key 4G technologies: OFDMA based WiMAX & LTE, MESH Peer-to-peer communication is fundamental - Meshing part of many wireless standards Key Benefits for Emergency Medical: - Mobile Internet - Next Gen Multimedia Applications - Faster Response Times - Leverage commercial solutions customized for Mission Critical applications - Wide variety of Commercial and Public Safety devices

18. Questions??