© roke manor research limited 2003 telemonitoring of haemo-oncology patients at risk from septic...
TRANSCRIPT
© Roke Manor Research Limited 2003
Telemonitoring of haemo-oncology patients at risk from septic
episodes
Chris Urry
Engineer
© Roke Manor Research Limited 2003
Who the hell are Roke Manor Research? A technical consultancy, providing
applied R&D solutions in communications and sensor systems
© Roke Manor Research Limited 2003
Oops…
© Roke Manor Research Limited 2003
History
In conjunction with leading UK teaching hospital (see me afterwards for details!) and EFMI-Information Planning & Modelling in Healthcare working group.
Extension of a project funded by UK Treasury Capital Modernisation fund.
Our contribution unfunded. Focus on telemonitoring of haemo-oncology
patients.
© Roke Manor Research Limited 2003
The problem
Treatment typically involves several cycles of chemo/radio therapy with intervening periods to allow the patient’s immune system to recover.
During these periods, the patient is strongly at risk from viral, fungal or bacterial infection. Therefore…
It would be better for the patient to spend this period in the comfort of their own home. But…
The need to continually monitor patients and to take rapid action in the case of septicaemic shock is vital.
So, how can current ‘tele’ technology help?
© Roke Manor Research Limited 2003
Requirements
Needs to monitor temperature and pulse rate.
Reliable, with backup mechanisms. Protects privacy of patient. Preferably ambulatory. Preferably (very) cheap. Preferably autonomous, with minimal (no)
extra load on clinicians.
© Roke Manor Research Limited 2003
Proposed solution
DataProcessor
GPRS
Database
GPRS/Internet
GSMNetwork
PagerNetwork
Web Server
Web Application
SMSGateway
PagerGateway
Mobile Phone Pager
Temp.
Pulse
Hospital Server
Patient
Clinician
Panic Button
Link to EHR via firewall
© Roke Manor Research Limited 2003
Demonstrator
Data for patient ID 5555Doctor ID 123
Time Temp Pulse Flags
15:40
15:39
15:38
15:37
15:36
15:35
15:34
15:33
37.2
37.3
37.2
37.2
37.3
37.2
37.2
37.2
76
78
77
77
77
76
78
76
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
37.0
75
temp pulse
15:3015:00 16:00
Time
© Roke Manor Research Limited 2003
Feature summary
Real-time remote monitoring / recording of temp & pulse
Programmable anomaly detection SMS / pager alerts Anonymous data True mobility
© Roke Manor Research Limited 2003
Not only, but also…
Sleep apnoea SARS Athletics / swimming training Ocean-going racing (!)
© Roke Manor Research Limited 2003
Any questions?