© roke manor research limited 2003 telemonitoring of haemo-oncology patients at risk from septic...

© Roke Manor Research Limited 2003

Telemonitoring of haemo-oncology patients at risk from septic

episodes

Chris Urry

Engineer


Who the hell are Roke Manor Research? A technical consultancy, providing

applied R&D solutions in communications and sensor systems


Oops…


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.


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?


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.


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


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


Feature summary

Real-time remote monitoring / recording of temp & pulse

Programmable anomaly detection SMS / pager alerts Anonymous data True mobility


Not only, but also…

Sleep apnoea SARS Athletics / swimming training Ocean-going racing (!)


Any questions?

© roke manor research limited 2003 telemonitoring of haemo-oncology patients at risk from septic...

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