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1 Medical Informatics And Technology Application Consortium www.meditac.c om Telemedicine and Assistive Technolog Virginia Commonwealth University, MITAC Richmond Virginia Meditac.com Ronald Merrell, MD, FACS Azhar Rafiq, MD, MBA

1 Medical Informatics And Technology Application Consortium Telemedicine and Assistive Technology Virginia Commonwealth University, MITAC

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1

Medical Informatics

And TechnologyApplication Consortium

www.meditac.com

Telemedicine and Assistive Technology

Virginia Commonwealth University, MITACRichmond Virginia

Meditac.com

Ronald Merrell, MD, FACSAzhar Rafiq, MD, MBA

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Medical Informatics

And TechnologyApplication Consortium

www.meditac.com

The Astronaut in a Hostile and Remote Environment

Apprehend the physiologic status Collate the data Interpret the data locally Propose and realize a response Record the event and transmit to a distant management site Design, validate and implement sensor network for semi-

autonomous physiological monitoring system.

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Medical Informatics

And TechnologyApplication Consortium

www.meditac.com

Analogies for Assistive Technology Requirements

Medical situations or probabilities that require prompt response and might otherwise confine the individual to a strictly monitored environment

Desire for maximal independence of mobility and location

Need for local prompt alert and response while maintaining strong connection to a distant management site

Great technical solutions for sensing, data management and telecommunications awaiting application

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Medical Informatics

And TechnologyApplication Consortium

www.meditac.com

Program Description

Sensor network

Data sampling and conditioning

Data archive and analysis

Data communication

VPack

Data pre-processing

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Medical Informatics

And TechnologyApplication Consortium

www.meditac.com

Sensor network

Skin Surface Temperature Galvanic Skin conductance Pulse Oximeter - Heart Rate Pulse Oximeter - Oxygen Saturation (SpO2) Plethysmograph – Blood Volume (Perfusion)

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Medical Informatics

And TechnologyApplication Consortium

www.meditac.com Hab RV

SCOUTCAI-1

CAI-2

SCOUT Camp

Advanced EVA Desert RATS2005 CAIpack

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Medical Informatics

And TechnologyApplication Consortium

www.meditac.com

Liquid cooling garment(overlay)

Skin Temperature sensor

Pulse oximetry sensor

• Physiological sensor network in direct contact with skin• Integrate sensor signals into a single feed to computer with VPack• All wires from sensors embedded inside sock to prevent tear in suit bladder

Bio Sensor NetworkBio Sensor Network

Galvanic Skin Resistance

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Medical Informatics

And TechnologyApplication Consortium

www.meditac.com

Data archive and analysis

ASCII file format with fixed column format Date and time stamp Data analysis algorithm Alerts communication with text message to cell phone

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Medical Informatics

And TechnologyApplication Consortium

www.meditac.com

Data display interface

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Medical Informatics

And TechnologyApplication Consortium

www.meditac.com

Diabetes monitoring applications

Chronic care- Diabetes monitoring

Alarm - text message

Demonstration b/w San Francisco and Virginia – Diabetes technology conference

Software interface

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Medical Informatics

And TechnologyApplication Consortium

www.meditac.com

Passive Wireless Monitoring for Signs of Hypoglycemia

Ronald C. Merrell, MD, FACSVirginia Commonwealth University

Richmond, Virginia

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Medical Informatics

And TechnologyApplication Consortium

www.meditac.com

HYPOMON

MEASURES EKG ANDMEASURES EKG ANDSKIN IMPEDANCESKIN IMPEDANCE

HypoMon™

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Medical Informatics

And TechnologyApplication Consortium

www.meditac.com

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Medical Informatics

And TechnologyApplication Consortium

www.meditac.com

Assistive Living Applications

Activity Location Vital signs Acute change alarms Trending alerts Messaging to reconfirm regimen and refine

response to changes

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Medical Informatics

And TechnologyApplication Consortium

www.meditac.com

Assistive Living Applications

Alzheimer Syndrome Physical impairment due to neurological injury Congestive heart failure monitoring Diabetes mellitus monitoring Arrhythmia monitoring Sleep pathology Fall alerts Alerts for loss of consciousness Seizure alerts Monitoring for peripheral vascular disease Home or out of home

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Medical Informatics

And TechnologyApplication Consortium

www.meditac.com

Thank you

Our SBIR partners:Sleepmate IncCarillion Health SystemsAFrame IncVCU Health System

This presentation and a pertinent publication are available on our web site under presentations.

[email protected]