prof. s. k. mishra, ms, facssgpgitelemedicine.org/telemedicine/ppt/evolution_skm.pdf · 2019. 11....

Medetel, 10th Edition, Luxemburg, 18-20 April 2012

Evolution of Mobile eHealth Technology, Tools, Practices in India

Prof. S. K. Mishra, MS, FACS

Head, Dept. of Endocrine Surgery & Faculty I/C,

SGPGI Telemedicine Programme

Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS),

Lucknow, India

[email protected]

mailto:[email protected]


Agenda Origin of the Concept – Telemedicine Application in Festival with large gathering

First Prototype of Mobile eHealth System & Disaster Telemedicine

Mobile eHealth units for specific health conditions

Satcom Based

Shankar Nethralaya Tele-Opthalmology Unit

Aravind Mobile Eye Screening VAN

Madras Diabetic Research Foundation (MDRF) – A Tele-Diabetic Unit

Malabar Cancer Care Society, Kannur – Tele Oncology Unit

Terrestrial / Wireless Based

C-DAC Mohali : Tele-Ophthalmology Van

Regional Institute of Ophthalmology, A Tele-ophthalmology Unit

General Purpose Mobile Telemedicine Unit

Sri Ram Medical College, Chennai

Amrita Institute of Medical Sciences, Cochin

Apollo Telemedicine Network Foundation

3G enabled mHealth- Apollo Telemedicine Network Foundation

mHealth4U Portable Tool Kit

Case Study: “Telemedicine enabled specialty healthcare access for health emergencies

Conclusion


Application of Telemedicine Technology to provide

Tele-health care during mela/ festival and disaster

Maha Kumbh Mela

(Indian festival)

DIT Project

Jan-Feb 2011

Telecommunication Development Bureau ITU-D Study Groups RAPPORTEUR'S GROUP MEETING ON QUESTION 14- / - TOKYO, 10-11 MARCH 2011


Location of Telemedicine work station in Kumbh Mela


1st Mobile eHealth System 2001

Prototype of First Mobile eHealth System developed.

Suitcase and Mobile Van were developed and demonstrated.

ISDN as Communication Media


Disaster Telemedicine Kit 2002

Designed and Developed in Year 2002 as P.O.C. used in Gujarat Earthquake


Mobile eHealth units for specific health conditions


Shankar Nethralaya Tele-Opthalmology Unit

Vidarbha Mobile Unit at Maharastra

WDF Mobile Unit in Karnataka

ISRO Mobile Unit at Maharastra

http://www.sankaranethralaya.org/


Design of Mobile Unit


Mobile Refraction Unit


Aravind Mobile Eye Screening VAN

ISRO Connectivity

Known Diabetic Pts are collected by Physician

Recorded in a specialized software “EyeTalk” & transmitted to the reading grading center at Base Hospital

http://www.aravind.org/telemedicine/va.htm


Satellite Based Mobile Telemedicine Unit

Chitrakoot, MP Gangaram Hospital, New Delhi

Asia Heart Foundation, Kolkata

http://laico.org/v2020resource/files/remote_rural_population.htm


Tele-Ophthalmology Unit under ISRO Network

Location No. of Unit

Sankara Nethralaya, Chennai 02

Aravind Eye Hospital, Madurai 01

Agarwal Eye Hospital, Chennai 01

Chaitinaya Hospital, Cochin 01

Prabha Eye Clinic, Bangalore 01


Madras Diabetes Research Foundation (MDRF)

Collaboration between MDRF, World Diabetes Foundation and ISRO.

Serves 42 villages (in and round Chunmpet village) in Kancheepuram District, Tamilnadu, India.

The experts testing, diagnosis, medicines and even laser surgery are at door step


Internal view of MDRF Mobile System


Tele-Oncology Unit

Malabar Cancer Care Society, Kannur

Comprehensive Disease Control Activities Through Early Detection, Treatment & Awareness Building for Cancer Cancer, AIDS, TB, Cardiac diseases & Pre and post natal requirements.

‘Sanjeevani’ is a Mobile Tele Oncology unit with satellite communication link, advanced diagnostic and treatment equipments, telemedicine infrastructure, software for Electronic Health Record, e-Health Card for patients etc. aimed to provide telemedicine services for early cancer detection, follow up consultation, treatment of cervical cancers and awareness building to rural masses at five northern districts of Kerala.

http://cancercaremccskannur.org/


Exterior View


Interior View: Documentation & Videoconference Station,

Satellite Indoor unit


Interior view: Laboratory workstation


Interior view: Videoconference Station

(close up view during operation)


Interior view: Operation Table for Colposcopy and

cauterization for early cervical cancer


Equipment installed inside mobile van

Mobile Ultrasound and X-ray Unit Colposcopy Unit used for early detection

of Cervical Cancer & intervention


Patient Access Door and Satellite External Unit Housing

Patient Access Door

Satellite external Unit housing


C-DAC Mohali : Tele-Ophthalmology Van

Mobile Tele-Ophthalmology Van is equipped with various equipments like Slit lamp, auto-refractometer,

tonometer, ophthalmoscope, retinoscope and a wireless internet enabled computer with which the

user can connect to internet at anytime and anywhere in the field to transfer the captured images of

patient’s eyes and other related data through the software e-Sanjeevani

http://www.cdacmohali.in


Regional Institute of Ophthalmology “Sunayanam” – A Tele-ophthalmology Unit

Regional Institute of Ophthalmology (RIO), Trivendrum

Designed and implemented by C-DAC

Well-equipped to carry out complete ophthalmic examination.

Further assistance are met with by contacting the specialists at RIO by way of videoconferencing

Equipped with photo slit lamps.

http://www.yentha.com/news/view/1/2724


General Purpose Mobile Telemedicine Unit


Sri Ram Medical College, Chennai

ISRO Antenna & VSAT connectivity.

General Purpose Rural Tele-health Clinic

http://www.srmc.edu/telemedicine.htm


Amrita Institute of Medical Sciences, Cochin

AIMS Hospital’s Mobile Telemedicine Unit is the size of a city bus and includes X-ray facilities, ECG scanner, pathology-lab-work facility, specialty cardiac services and a telemedicine satellite link with AIMS Hospital.

First used in tsunami-relief work in Kerala and Tamil Nadu.

Direct Relief International ( a U.S based NGO) has supported in setting up of this van while Indian Space Research Organization ( ISRO) provides the satellite-technology and connectivity

http://www.aimshospital.org/hospital/cdh/facilities_telemedicine.php#8


Application of AIMS Telemedicine Van

Tele-health service in Koshi flood affected Area



• Jointly undertaken by ISRO, Philips

India, Apollo Telemedicine

Networking Foundation (ATNF) and

the Madurai based NGO,

Development of Human Action

(DHAN)

• A tele-clinical van, equipped with

diagnostic equipment provided by

Philips India. The van has an

ultrasound machine, an X-ray, a

defibrillator and an ECG machine

• ISRO is providing the connectivity

through VSAT

www.medetel.lu/download/2010/.../Growth_and_Development.pdf


Outside view and Internal view of “Telemedicine on Wheel”


Tele-consultation from VAN


Wireless Mobile Health System

Evolution of wireless communication technologies have enabled telemedicine systems to operate in the remotest place for rural health practices hence expanding telemedicine benefits, applications, and services.

In India majority of the people are living in the rural and remote locations where even the basic facilities are not available for the society.


3G enabled mHealth


http://www.medetel.lu/download/2010/parallel_sessions/presentation/day1/mHealth_Bridging.pdf


Telemedicine enabled Kit


Vital Parameters (12Lead ECG, BP, Stethoscope,PO2, Meter, Temperature Probe, and Glucometer)

3G Broadband


mHealth4u Suitcase and backpack model

School of Telemedicine & Biomedical Informatics, SGPGIMS


Integrated Medical Equipments

PC Interface:

USB & Bluetooth

Atom based Low Cost Laptop with

Integrated Telemedicine Software

Connectivity via High Speed Broadband (HSB)

Blood

Pressure

Digital

Glucometer

Common

Interface

Spirometer

Wrist Clinic

Weighing

Machine

SPO2

ECG


Screen Shot of Software based Video Conferencing


Screen Shot of Cure-Soft Software


Case Study: “Telemedicine enabled specialty healthcare access for health emergencies


2009 Puri Rath Yatra @ Orissa


Video Clip


Conclusion

Several prototypes and Mobile e-Health tools in India

Innovative applications – general & theme based

Indigenous satellite technology and support of ISRO

Very much relevant in health system in low resource countries

Current generation wireless broadband holds promise to develop low cost sustenance model of operation

Lack of healthcare infrastructure in village level and last mile connectivity problems are addressed in Indian model

High level of illiteracy in population is a barrier in developing mHealth applications on handsets

Empowering rural healthcare providers with suitcase / backpack model m-health tool kit may be considered by health policy makers


School of Telemedicine & Biomedical Informatics, SGPGI, Lucknow

Thank You

website

www.stbmi.ac.in

www.nrct.in

www.sgpgi-telemedicine.org

Mail

[email protected]

http://www.stbmi.ac.in/

http://www.nrct.in/

http://www.sgpgi-telemedicine.org/



prof. s. k. mishra, ms, facssgpgitelemedicine.org/telemedicine/ppt/evolution_skm.pdf · 2019. 11....

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