ICUAS

Overview of ICU Automation ProjectIndustrial Training

Mini ProjectThesis Phase-1

Intensive Care Unit Automation

Joms Antony

Guided byMr.Santhosh GS, AP CSE Dept

AMAL JYOTHI COLLEGE OF ENGINEERING

March 8, 2013

MCSCS 301&302 REVIEW PHASE-2 1of 26



Timeline of eventsAutomation & Research PossibilitiesDevelopment Tools UsedNetwork Architecture

1 Overview of ICU Automation ProjectTimeline of eventsAutomation & Research PossibilitiesDevelopment Tools UsedNetwork Architecture

2 Industrial TrainingMobilexion TechnologiesProfileCore CompetenciesSupport & Training

3 Mini ProjectAndroid ImplementationsPatient Data-App Demonstration

4 Thesis Phase-1IntroductionLiterature SurveyScope of proposed workPreliminary Work





Timeline of events

The notification regarding MCSCS 301 was done on 21/11/2013.

With the consent of the Department and Project guides, our teamwas allotted to involve in the ICU-Automation Project from3/12/2013 onwards.

It was agreed that a part of our team will shift to JMMC Trichurafter the initial set-up.

Our team was expected to provide technical support for the projectfrom Mobilexion Technologies, Techno Park.

The first review of MCSCS 301 was done on 6/2/2013.

We had interactions with JMMC & ICFOSS during this period-12days.

Our primary focus was on Technical Implementation.





Intensive Care Unit

An Intensive Care Unit (ICU), also known as a Critical Care Unit (CCU)is a special department of a hospital that provides intensive-caremedicine. Intensive Care Units cater to patients with the most seriousinjuries and illnesses, most of which are life-threatening and needconstant, close monitoring and support from specialist equipment andmedication in order to maintain normal bodily functions





Automation & Research Possibilities

Generation of ElectronicMedical Records

Progress notesChartsDocumentsPatient Data

Automated Monitoring andAlert Generation.

Interfacing of Bed SideMonitors and Data Storage

Bar Code Integration

Lab Tests and Results

and many more...

Dynamic Decision SupportSystems Eg: Alert generation& recommendations.

Ubiquitous Computing Eg:Ubiquitous patient Monitoring.

Human Machine InterfaceSystems Eg: Touch userinterface, Intelligent userinteface(gestures)

Context Aware Computing Eg:Doctor/Patient context.





Development Tools Used

Programming Language:

IDE:

SERVER:

DBMS:

Java FrameWork:

Mobile/Tab Platform:

Server Machine OS:





Network Architecture




Mobilexion TechnologiesProfileCore CompetenciesSupport & Training

Mobilexion Technologies

Mobilexion Technologies is a start-up company located in Techno Parkwhich hosts over 270 IT and ITES companies employing over 40,000 ITprofessionals. Mobilexion Technologies incubated our team for theexecution of this project from 3/12/2013.





Mobilexion Technologies-Profile

Private Limited Company incorporated in July 2012.

Located at Amstor House, Technopark, Trivandrum.

Vision - Explore Areas Others Wont Venture.

Areas of interest Health Informatics, Biomedical, Acoustic, Sonar,Space, Astronomy, etc.





Mobilexion- Core Competencies

Mobilexion Technologies is a Science and Engineering Company aims toprovide Core Competencies in the following areas.

Ubiquitous Computing for Scientific and Engineering Applications

Image processing

Communications

Mathematical Modeling and Visualization

Healthcare Informatics

Contract R&D





Support & Training

The Company provided us with 24/7 working environment withinternet facility.

Provided and initiated Technical Training in different domains

Jboss Server Configuration(CDAC)WIFI Network Configuration in LinuxAakash Workshop(ICFOSS)Open Hardware Workshop(ICFOSS)Ubuntu Server Configuration(IIT-M)





Support & Training

Procured and provided the following for testing and implementation

Server MachineWIFI Modem & adapter.Local Network.

Provided directions for creation and maintenance of a publiclyaccessible protected wiki icuautomation.wikispaces.com

Provided assistance in preparing the research paper which gotaccepted in IEEE ICT-2013 Conference.

Discussion under progress with ICFOSS for training on WebServices, JSON parsing etc.




Android ImplementationsPatient Data-App Demonstration

Mini Project

Title:“Intensive Care Unit Automation-Android Implementations”This Mini-Project focusses on design& development AndroidImplementations for ICUAS.Some of the Apps under development is

1 Patient Data

2 Vitals Chart

3 ICU Direct Monitor

4 Lab Wizard





Android Implementation

Our requirement was to create a Android App which can send requestsand receive responses from a server. In that process the android clientneed to retrieve values from database located in a server. In our case theApplication Server was Jboss and the database was Postgres. So ourfocus was on Android Implementations that talks to a database locatedin a remote server.We were able to retrieve values from a database using the Android App.Writing to the Database requires the use of Web Services, JSONParsing/XML Parsing.





Patient Data Monitor

This App is used for the overall monitoring of an ICU patient. Thedoctors or the clinical staff can easily review a patient selected by his bednumber. The different review facets include charts, documents, images,lab results etc. The different iconic interfaces are carefully designedwhich will allow an end user to collect the required information within afew taps.





Vitals Chart

This App is used for hourly recording of vital signs and for providing achart view to the consulting clinicians. This App had a major impact bymaking life easier for ICU nursing staff. In the conventional system thenursing staff will have to run around different beds to collect the readingand again re-enter these to the system/forms.





ICU Direct Monitor

This App is used for live monitoring of vital signs without coming to thebedside. This is made possible by interfacing the patient monitoringdevices like multipara-monitors and other instruments to the central ICUserver. Most of the modern devices have common protocols and TCP/IPinterfaces and thus can be Hopefully interfaced.





Lab Wizard

This App is used to issue lab test request and retrieve the details ofinvestigation results. This App took away a lot of overhead involvedwhen it was done manually.The procedure for requesting for a lab testand retrieving results is as shown.





Patient Data-App Demonstration

This Android App retrieves the patient Demographics data from apostgres database running on a Jboss Server.




IntroductionLiterature SurveyScope of proposed workPreliminary Work

Introduction

Research Area: Ubiquitous Computing

Thesis title:“Bedside Monitoring Device Interface for Ubiquitouspatient monitoring using android applications”

The thesis is an extension to the IEEE paper accepted in ICT-2013 titledas “A Context Aware System for Generation and Propagation ofAutomated Alerts from an Intensive Care Unit”





Details of IEEE Conference

Conference: ICT 2013(IEEE Conference)

Paper submitted on: February 15

Paper accepted on: February 28

To be presented on: April 11 or 12

Venue :NIU Kanyakumari

Category :e-health

Authors : Joms Antony, Bichu Vijayan, Sudhin Joy, SanthoshkumarGS





Literature Survey

Thongpithoonrat, Pongnarin; McKneely, Paul K.; Gumudavelli, Suman; Gurkan, D.; Chapman, Frank M.

Networking and plug-and-play of bedside medical instruments. EMBS 2008; 1514 - 1517.

Insup Lee, Oleg Sokolsky, Sanjian Chen. Challenges and Research Directions in Medical Cyber-Physical

Systems. Invited Paper in Special Issue on Cyber-Physical Systems, Proceedings of the IEEE, vol.100, no.1,pp.75-90, Jan. 2.

Apkon M, Singhaviranon P. Impact of an electronic information system on physician workflow and data

collection in the intensive care unit. Intensive Care Med 2000; 27: 122130. 11.

Waylon Brunette, Rita Sodt, Rohit Chaudhri, Mayank Goel, Michael Falcone, Jaylen VanOrden, Gaetano

Borriello. Open Data Kit Sensors: A Sensor Integration Framework for Android at the Application-Level*

*An interesting paper shared by Dr.Beth Kolko, Washington University during the open hardware conference





Interfacing

Monitoring of Vital Parameters happen only at bedside monitors or atcentral station inside the ICU. The measurements from these instrumentsare stored using archaic methods such as a patient history record on apaper. The access to these records is cumbersome and not availableunless the medical personnel is present at the point of care.

Data Communication

RS232

RS422

Via network using TCP/IP





Issues in Interfacing

Unfortunately, each medical instrument has its unique proprietary API(application programming interface - if any) to provide automated andelectronic access to monitoring data.There are some IP addressable Multipara Monitoring devices. Our Effortis to interface these instruments to the Tablet PC. Hopefully we will beable provide the implementation for the same.

Our focus is to provide monitoring of Vitals using a Tablet PC andStorage of the Vital parameters(some if not all) by logging these valuesinto file or database.





Preliminary Work

Work done

Checked the different types of equipment in JMMC.

Studied about Starplus monitor(L & T).

Received the Starplus service manual from L & T.

Studied about Philips MP-20 monitor device which is IPaddressable.

Learned about Arduino/Raspberry Pi micro controller boards.





Preliminary Work

Was able to create a data logging application using arduino microcontroller board

Learned about different shields that can be connected to thearduino board like SDCard, Bluetooth, WIFI etc





Thank You


ICUAS

Documents

Transcript of ICUAS