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Medical Connectivity

Healthcare Unbound Conference, 2009

© 2008 Wipro Ltd - Confidential

Problem Statement

Traditional healthcare systems are struggling to cope with the future - it needs a change

Increased

demand and cost

Public health issues

Decreased resources

Consumerism is on the

rise

Hospital

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Medical Connectivity

Networked medical device and systems supporting distributed sensing and control, helps to improve overall health care in multiple dimensions and enables the diffusion of medical services.

Critical engineering needs for connected medical devices are:

Security, Privacy, Robustness, Interoperability, Extensibility, Mobility & Safety

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R&D Priorities & Challenges

Embedded designForm factor,Low Power,

Smart SensorsSensing modalities,IT implications

System IntegrationStandards & architecture,Processes to be reengineered

Human FactorsErgonomics, human-machine interfaceControl over networks / human

Information & Algorithms

Patient specific learning / adaptivity,Augmenting situational awareness,Integration of EHR / Decision support systemsDistributed calibration and data validationSecurity, Privacy and Authentication

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Critical Application Areas

1. Medical Home

a) Chronic Careb) Health & Wellness

2. Healthcare Mobility

c) Patient Mobilityd) Point-of-care connectivitye) De-cluttering ORs and ICUs

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1. Medical Home

(A) Chronic Care (B) Health & Wellness

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Medical Home –Cardiac Telemetry Solution

Help Desk

Case Study

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PHR

Medical Home –Health & Wellness Solution

Case Study

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Healthcare Mobility –Patient Mobility in Rehab Monitoring

Case Study

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Case Study

Healthcare Mobility –Point-of-Care Connectivity

Filter

Device Observation Reporter (DOR)

Standard Translation

DataConsolidator

Device Manager

Configurator

SubscriberManager

EMR

Device Registry

Message Store

Web Services

Sockets/FTP

Active X

API

Serial/USB

Wi-Fi

BT

API (Gateway)

CSRegistry

CIS

ICU Systems

Patient Binder

InterfaceLibrary

CSInterfaceLibrary

HIS

EMR Gateway

© 2008 Wipro Ltd - ConfidentialJune 22, 2009 11

Case Study

Addition of dual Touch panel supportin Expansion card

IndependentSynchronous

Picture ‘in’ Picture Picture ‘out’ Picture

Rotation and Mirroring

Addition of Video Processingfunctionalities in Routing cards

Addition of Annotation over livevideo support in Expansion card

Healthcare Mobility –OR Connectivity Solution

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CONNECTIVITY

Ethernet

SENSORS AGGREGATIONCOMPUTATION SERVICES

WellnessServiceMICS / MEDS

DiseaseManagement

Service

PersonalHealth

RecordService

ImplantMonitoring

Service

Elderly CareService

PC

PersonalHealthSystem

CellPhone

Set Top Box

Aggregator

N E T W

O R

K (PO

TS, Cellular, B

B)

GlucoseMeter

Pedometer

Blood-pressure

MedicationTracking

Fitnessequipment

WeightScale

PulseOximeter

Spirometer

Bed / ChairSensors

ImplantMonitors

BabyMonitors

PERS

ConsumerElectronics

Homesensing &

control

Technology Enablers

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Key Industry Trends:• Demand for Wireless Medical devices is

set to grow at 58% per year for the next five years (Source: FDA News)

• Make patient feel at home – connection to internet

• Family Members can work from Hospital –cannot always take absence from work

• Increase Patient Compliance – Reminders (SMS)

• Wireless Nurse call alerts

• RFID tags to identify patients and track devices

Way Forward…

Medical device OEMs & hospitals will benefit significantly towards accelerating the adoption of connected medical devices by collaborating with a technology partner who can bring niche expertise on medical connectivity…

© 2008 Wipro Ltd - Confidential

About Wipro & Speaker

1. Leadership in wireless technologies Ranked #1 by market share for Bluetooth and Wireless LAN IPs Widest wireline and wireless IP portfolio – IEEE80211 a/b/g/n, UWB, Bluetooth & 1394 Expertise in solution development for ZigBee and Body Area Network (BAN) In-house WiFi Certification Lab Medical connectivity solutions – Continua x73 protocol stack, EMR gateway, Home monitor & PHRs

2. Deep domain expertise in remote care areas Wipro has expertise in sensor technologies across a range of vitals - ECG, SpO2, Pulse Rate, NIBP, Temperature,

Accelerometer, Impedance etc. from single parameter to multi-parameter monitors Expertise in medical implantable, adhesive devices, wearable sensors to home monitors and telemedicine data

acquisition systems Clinical applications expertise involving e-health, nursing systems, point-of-care applications and HIS (Hospital

Information Systems) implementations Widest remote patient monitoring expertise involving elderly care management, disease management for diabetes,

hemophilia, hyper tension, implant monitoring for cardiac telemetry to health & wellness applications

3. Technology breadth & depth: End-to-End IT Services Product engineering capabilities involving electrical, mechanical, software and medical regulatory from concepts

through prototype, product validation to volume manufacturing and regulatory submissions Systems Integrations from medical devices to computing systems & telecommunications IT Managed services for infrastructure management involving hosting & data & availability management IT application development for medical OEMs, hospitals and health insurers

www.wipro.com

Manimaran Rajakannu (manimaran.rajakannu@wipro.com)

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Thank You

June 22, 2009 15© 2008 Wipro Ltd - Confidential