1. Current Wireless Technology  Closed Circuit Television (CCTV) in Intensive Care Units  Remote Alarms

2. Implanted Wireless Devices  Couple the sensor to the actuator  Ex. Diabetic patients Glucose meter – implanted insulin pump  Wireless Microchips Epilepsy Parkinson’s disease

3. Homecare  Continuous Monitoring of Physiologic Parameters ECG NIBP SpO 2  Pill Boxes

4. “SmartShirt” Georgia Tech Wearable Motherboard™  Georgia Tech  Funded by U.S. military  Plastic optical fiber  T-connectors form flexible bus  ECG, RR, temperature  Ex. Geriatric / mentally ill / SIDS  Ex. Firefighting

5. Plug-and-Play Interoperability WHY IT IS NEEDED:  Specialized applications / multiple vendors  Medical devices and clinical information systems  No time for configuration or set-up programs

6. Plug-and-Play Interoperability FACTORS TO CONSIDER:  Safety  Unambiguous association  Reliability  HL7 Interoperability  Security  Scalability

7. IEEE 1073 IEEE P1073.0.1.1/D01E Draft Guide for Health informatics – Point-of- care medical device communication – Technical report – Guidelines for the use of RF wireless technology (Unpublished)

8. IEEE 1073 Summary  QoS Components Reliability Latency Priority Bandwidth (Subject to Change)  Medical Device Data Categorization Alert notifications Real-time waveforms Real-time parameters Non-real-time parameters Non-real-time events Device control

9. IEEE 1073 QoS Requirements EXAMPLE: Real-time Alarm  Very high reliability (100%)  < 10 second latency  Very high priority  Low, intermittent bandwidth Real-time Waveform  High reliability (10 s/day)  Latency (?)  High priority  High, predictable bandwidth

10. IEEE 1073 EDITORIAL PLAN (v21) DEVICE SPECIALIZATION  Infusion Pump  Vital Signs Monitor  Ventilator  Pulse Oximeter  Defibrillator  ECG  Blood Pressure  Temperature  Dialysis Device  Airway Flowmeter  Cardiac Output  Capnometer  Hemodynamic Calculator  Pulmonary Calculator  Respirator  Weighing Scale www.ieee1073.org

11. The Road Ahead?  Bluetooth – Coexistence research (ISM band)  Wireless Policy State internal body for resolution of wireless issues Procedure for inclusion of additional wireless networks

12. References darbelofflab.mit.edu www.welchallyn.com/medical/ www.stryker.com www.ortivus.com www.flicscanner.com www.baxter.com www.emergin.com www.minimed.com www.freep.com www.research.ibm.com www.smartshirt.gatech.edu www.codebluecommunications.com www.ieee1073.org

13. References (con’t) R. Schrenker and T. Cooper, “Building the Foundation for Medical Device Plug-and-Play Interoperability”, Available @ www.ieee1073.org IEEE P1073.0.1.1/D01E Draft Guide for Health informatics – Point-of-care medical device communication – Technical report – Guidelines for the use of RF wireless technology (Unpublished)

14. Questions