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The iPhone, Apps, & Medical Technology
The Computers Club Mac SIG
March 17th, 2014
Presented by:
Rebecca Nelson, RN and
Nancy Collins
Please note this presenta.on is informa.onal only.
Informa(on provided during this presenta(on is general informa(on for entertainment and educa(onal purposes only. Any informa(on given either printed or verbal is not designed to and does not provide medical advice, professional diagnosis, opinion, treatment or services to any individual. The informa(on provided is not a subs(tute for medical or professional care. If you believe that you have a medical emergency or any other health problems or concerns you need to contact 911 or your primary physician.
Can Telemedicine Save You a Trip to the Doctor? by Chris(na DesMarais on February 05, 2014
TeleCare In telecare, modern technology allows caregivers to remotely monitor people with chronic issues.
TeleMedicine Basic telemedicine, a type of telemedicine that's been going on for decades, uses video conferencing or telephone calls to connect pa(ents with one or more consul(ng physicians.
TeleCoaching Telecoaching is an interac.ve online pa.ent educa.on experience. “….. it’s a real educa(on-‐ and training-‐intensive thing to get a new pa(ent trained so they can stay on top of their own condi(on and do a really good job of self-‐management…”
Telehealth …..quality care outside of tradi.onal medical sePngs ….. remote care and disease management…..
Ø The doctor used to come to my house. Ø Then I used to go see him in his office. Ø Then I went to a medical office to see one of many doctors. Ø Soon I won’t “see” a doctor at all except REMOTELY!
But when it comes to health, good service and convenience can make all of the difference. There is a lot of innova(on in this area, none more so than new virtual medicine apps where people can get medical advice from doctors using their smartphones. Doctor on Demand connects people with physicians via smartphone video conference. Within seconds of downloading the app you can be talking to a cer(fied doctor, rather than dealing with the hassle of booking appointments and wai(ng to see a GP. You can ask the doctors for diagnoses, basic prescrip(on medica(ons and other non-‐emergency medical advice. They’ve even been offering free consulta.on for the past few weeks during flu season. It’s a great example of using technology to simplify an oYen difficult process and improve people’s lives.”
Virgin Airlines CEO Richard Branson:
“One of the things people care most about is gePng great customer service, regardless of what part of their life it applies to.
Medicine with a smile!
“…..the future of medicine may involve a virtual consult with your physician via a Skype-‐like or Google Glass connec(on, followed an hour later by an Amazon drone delivery of your drugs or tes(ng equipment.” The Coming Medical Revolu.on: Drones and Telemedicine? hJp://www.fool.com/inves.ng/general/2014/02/08/the-‐coming-‐medical-‐revolu.on-‐drones-‐and-‐telemedic.aspx
Amazon to
you!!
Guess which free Medical App was #1 this week?
March 1, 2014
Neurologist consulta(on in the hospital to diagnose and treat a stroke
A computer monitor with a camera is plugged in at the foot of the bed. The doctor and pa(ent can see each other while a nurse works with the pa(ent as the doctor observes the pa(ent’s movements.
Training future medical prac((oners with the use of virtual pa(ents
By asking ques(ons of a computer digi(zed virtual “pa(ent” and observing the “pa(ent,” nursing students learn the art of assessing real pa(ents for medical condi(ons.
The iPhone 5S introduces two key features relevant for doctors Sep 11, 2013 by David Ahn, MD Conclusion: “One-‐touch fingerprint access would be welcomed with open arms by health care workers who are juggling various logins and passwords — and has the poten(al to help us treat pa(ents faster, even if it’s by just a few seconds. With the M7 Ac(vity Sensor, we have a new method to track pa(ent data and health. Along with checking our pa(ent’s HbA1c, we might be checking their Nike+ app as well.”
hip://www.imedicalapps.com/2013/09/apples-‐september-‐iphone-‐event-‐relevance-‐medicine/
Dr. Eric Topal, the Editor in Chief of Medscape Medical News with
Brian Williams of NBC hips://www.youtube.com/watch?v=uBhIgR-‐W75I Using the iPhone to capture the heart bea(ng.
hip://profitable-‐prac(ce.soYwareadvice.com/5-‐medical-‐peripherals-‐for-‐the-‐ipad-‐or-‐iphone-‐1012612/
hip://www.medgadget.com/2011/10/iphone-‐transformed-‐into-‐microscope-‐and-‐spectrometer.html
hip://internetmedicine.com/2012/12/14/top-‐ten-‐medical-‐uses-‐of-‐the-‐iphone/
Another use of the iPhone -‐ used with a peripheral as a
breathalyzer, to detect alcholol levels, from your expira(on.
The system is a mobile, wireless, real-‐(me brain scanner, and the soYware allows for wireless transmission to the Smartphone program, which receives the EEG-‐like transmissions from the various electrodes on the head, and like anything recorded on the Smartphone, can be sent to a consul(ng physician, anywhere in the world.
CellScope Otos is another system to watch for. It’s an otoscope for the iPhone that collects high-‐quality images of the ear canal and eardrum to diagnose ear infec(ons and track them over (me. Currently in use by early adopter doctors, it will soon be sold to clinician users for around $200. A CellScope device for consumers to use at home — a boon for parents with young children — is planned for launch later this year. The idea is that home users could send images to their own doctors for diagnosis (or get connected to a different doctor if theirs doesn’t par(cipate in Cellscope’s program). The company says it’s also working on soYware tools that would give users an immediate analysis of what’s going on in their ears.
Building a smartphone-‐enabled diagnos.c toolkit to help pa.ents get beJer answers, faster.
hip://www.techlicious.com/blog/can-‐telemedicine-‐save-‐you-‐a-‐trip-‐to-‐the-‐doctor/
Welch Allyn hip://www.welchallyn.com/promo(ons/iExaminer/index.html
Check out this video from this Website: hips://www.youtube.com/watch?feature=player_embedded&v=QxuaKc6drIc
“The new Welch Allyn iExaminer turns the PanOp(c Ophthalmoscope into a mobile digital imaging device allowing you to view and take pictures of the eye like you've never done before. The adapter aligns the op(cal access of the PanOp(c Ophthalmoscope to the visual axis of the iPhone 4 or 4S camera to capture high resolu(on (5/ 8 megapixel*) pictures of the fundus and re(nal nerve. The iExaminer App then allows you to store the pictures to a pa(ent file or email and print them. And, because the PanOp(c Ophthalmoscope provides a 5x larger view of the fundus than a standard Welch Allyn ophthalmoscope and 25° field-‐of-‐view without having to dilate the pupil, the fundus imaging can happen any(me, anywhere. -‐ See more at: hip://www.welchallyn.com/promo(ons/iExaminer/index.html#sthash.DgNiWsvh.dpuf”
To get medical apps for your device: 1. Click on the app icon 3. Click on Medical 2. Click on Categories 4. Paid/Free/Top Grossing
Even MicrosoY has a medical app for the iPhone!
“Medical” and other apps available on the App Store…..
Some of our Club members use this app to access their medical informa(on from their medical facili(es and doctors.
Disclaimer on one app:
There’s even one for Fido and Kiiy!
Apps for emergencies -‐
Five signs that Apple is crea.ng a health product Malay Gandhi February 03, 2014 hip://rockhealth.com/2014/02/five-‐signs-‐apple-‐crea(ng-‐health-‐product/ Over the past year, Apple has been quietly building up the resources necessary to release a health product of their own. If the past con(nues to repeat itself, the digital health landscape could see a huge shiY as the standard seier works to create a product that consumers love and use. Culmina(ng in a mee(ng late last year between senior Apple execs and the FDA, here are five signs that a poten(ally game-‐changing digital health product is on the horizon. 1. “The whole sensor field is going to explode.” -‐Apple CEO Tim Cook 2. The M7 coprocessor Apple has already released dedicated hardware for tracking health. The M7 coprocessor is included in every iPhone 5s designed specifically to monitor physical ac.vity, using mo.on data from the phone’s embedded sensors. The chip has been engineered from the ground up to sip power, extending baiery life while allowing for high resolu(on capture of ac(vity data. Leading fitness apps including Moves, Nike+ Move and Fitbit’s MobileTrack feature take advantage of the new hardware.
3. They’re hiring medical device experts • Ravi Narasimhan, a Stanford PhD with exper(se in
“biomedical algorithms, data analysis and wireless technologies” and former VP of R&D in Biosensor Technologies at Vital Connect joined Apple in December 2013 (LinkedIn).
• Nancy Dougherty, who previously worked at digital health sensor startups Proteus and Sano Intelligence, was hired in December (LinkedIn).
• Michael O’Reilly, the former CMO of Masimo, developers of a pulse oximeter for the iPhone, joined Apple in July (LinkedIn).
• Dr. Todd Whitehurst, a self-‐proclaimed “medical device R&D professional” and former VP of Product Development of Senseonics, a developer of glucose sensors, joined Apple 8 months ago as a Director of Hardware Development (LinkedIn).
• Ueyn Block who was formerly with C8 MediSensors developing “non-‐invasive measurement of substances in the human body” joined 10 months ago as a Technical Lead for Op(cal Sensing (LinkedIn).
• Yuming Liu, who previously worked at O2MedTech and Accuvein, was hired as an Analog Engineer (LinkedIn).
• Bob Mansfield, Apple’s long(me lead for hardware engineering, was lured out of re(rement to develop unspecified “future products.” The New York Times reports that Mansfield has been exploring sensor technologies for health and is directly involved with the future smartwatch project
Five signs that Apple is crea.ng a health product (con.nued) Malay Gandhi 4. Intellectual property. In 2009, Apple filed a patent for a “seamlessly embedded heart rate monitor” and was ul(mately awarded the patent by the United States Patent and Trademark Office (USPTO) in late 2013. The patent covers the use of embedded sensors to measure a user’s heartbeat, heart rate, or other cardiac signals. The patent further covers loca(ng the leads in accessories, such as headphones (or perhaps a wearable device).
Most recently, Patently Apple has uncovered a patent applica(on for a medical app that can monitor physiological data (e.g., arrhythmias), and either store it on a device like an iPhone and/or transmit the data to health facili(es via a communica(on network. 5. Check-‐in with the Food and Drug Administra(on (FDA). Senior Apple execu.ves met with FDA leadership, including the Director of the Agency’s Center for Devices and Radiological Health, which has oversight of medical devices, and Bakul Patel, the author of the FDA’s guidance on mobile medical applica(ons
Some ar(cles and Websites to check out from other members of our Club who aiended the original presenta(on:
hip://www.wired.com/business/2014/03/apple-‐healthbook-‐is-‐just-‐the-‐beginning/?mbid=synd_yfinance “Apple is poised to launch a body-‐monitoring app known as Healthbook, tracking everything from sleep to nutri(on to exercise to vital signs.” Leeta Mackey hip://azlwi.org/its-‐here-‐introducing-‐my-‐ac(on-‐planner-‐for-‐apple-‐products.html Arizona Living Well Ins(tute – See the App Store for My Ac(on Planner (99¢), “a mobile implementa(on of the popular Ac(on Plans in the Self-‐Management programs developed at the Stanford Pa(ent Educa(on Research Center….” Reva Lii, MPH hip://www.nih.gov “The Na(onal Ins(tutes of Health (NIH), a part of the U.S. Department of Health and Human Services, is the na(on’s medical research agency—making important discoveries that improve health and save lives.” hip://www.nlm.nih.gov/medlineplus/ “Health informa(on from the Na(onal Library of Medicine. Easy access to Medline and Health topics, medical dic(onaries, directories and publica(ons.” hip://pa(enteduca(on.stanford.edu/internet/healthyliving.html “Beier Choices, Beier Health™, previously named Self-‐Management @ Stanford Healthier Living with Ongoing Health Problems, is an online workshop given on the Internet. Groups of about 25 people with a variety of ongoing health condi(ons par(cipate together. Workshops are facilitated by two trained facilitators…”