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Smart Medical Home Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, Assist. Prof. Dr. Chuchart Pintavirooj, et. al. et. al. Department of Electronics Department of Electronics Faculty of Engineering Faculty of Engineering King Mongkut’s Institute of King Mongkut’s Institute of Technology Ladkrabang (KMITL Technology Ladkrabang (KMITL ) )

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Page 1: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Smart Medical Smart Medical HomeHome

Assist. Prof. Dr. Chuchart Pintavirooj, Assist. Prof. Dr. Chuchart Pintavirooj, et. al.et. al.

Department of ElectronicsDepartment of ElectronicsFaculty of Engineering Faculty of Engineering

King Mongkut’s Institute of King Mongkut’s Institute of Technology Ladkrabang (KMITLTechnology Ladkrabang (KMITL))

Page 2: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

ConceptConcept

The concept of Health Smart House aims at gThe concept of Health Smart House aims at giving an autonomous life, in their own home, tiving an autonomous life, in their own home, to people who would normally be placed in inso people who would normally be placed in institutions: patients suffering from a chronic distitutions: patients suffering from a chronic disease, handicapped people, and also fragiie elease, handicapped people, and also fragiie elderly.derly.

Page 3: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

IntroductionIntroduction Rapid growth of the elderly population and Rapid growth of the elderly population and

increase in life expectancy increase in life expectancy

By the year 2035, one third of the American and European By the year 2035, one third of the American and European population will be more than 65 years old.population will be more than 65 years old.

The elderly person became increasingly isolated The elderly person became increasingly isolated in institution or even in residence. More fragile, it in institution or even in residence. More fragile, it can be the subject of ill treatmentscan be the subject of ill treatments A Canadian study undertaken on 2000 elder points out a rate of A Canadian study undertaken on 2000 elder points out a rate of

4% of subjects having been victims of these violence.4% of subjects having been victims of these violence. World Health Organization which points out the figure of 6% of World Health Organization which points out the figure of 6% of

the old people concerned with such ill treatments.the old people concerned with such ill treatments. Almost 3,000 people of more than 65 years old committed Almost 3,000 people of more than 65 years old committed

suicide in 1998 in France suicide in 1998 in France ..

Page 4: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

ObjectiveObjective

Older adults are being empowered to lead Older adults are being empowered to lead fulfilling lives and adapt to degenerative changes fulfilling lives and adapt to degenerative changes to maintain functionality, autonomy and quality of to maintain functionality, autonomy and quality of lifelife continue living in their own homescontinue living in their own homes

Page 5: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Evolving Locations of Evolving Locations of Health CareHealth Care

HomeHome

Hospital/InstitutionHospital/Institution

Decentralized CareDecentralized Care

HomeHome

Page 6: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Activity in the community

Activity in the household

Activity related to body

•Proactive health involves maintaining the three rings of social Proactive health involves maintaining the three rings of social

performanceperformance

•The problem involves The problem involves more than the health of more than the health of the body alone.the body alone.

Adapted from Larson MIT

Page 7: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

The NeedThe Need

Economical reasonsEconomical reasons Medical reasons (the most Medical reasons (the most

important)important) Personal reasonsPersonal reasons

Page 8: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

The economical The economical importanceimportance

Earlier detection and treatment Earlier detection and treatment of diseases can be the solution of diseases can be the solution to decrease the high coststo decrease the high costs

Early detection can be achieved Early detection can be achieved by monitoring the health status at by monitoring the health status at homehome

Page 9: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

The medical importanceThe medical importance

Fall detectionsFall detections detections of poor medication treatmentsdetections of poor medication treatments changes in sleep patternschanges in sleep patterns changes in physiological parameters, or changes in physiological parameters, or

even in cognitive abilitieseven in cognitive abilities

Page 10: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

The personal importanceThe personal importance

Independent living Independent living become become depressed because of their lack depressed because of their lack of independence and tendency of independence and tendency to give up on life.to give up on life.

Smart Home makes it possible to Smart Home makes it possible to lengthen the independent living at lengthen the independent living at home.home.

Page 11: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Access: Patients with a Medical Home Less Likely to Report Difficulty Getting Care on Nights, Weekends and Holidays Without Going to the

ER

57 57

41 41 42 43

616472

495858

7374

0

25

50

75

100

AUS CAN GER NETH NZ UK US

Has medical home No medical home

Percent reporting very/somewhat difficult:Percent reporting very/somewhat difficult:

Note: Medical home includes having a regular provider that knows you, is easy to contact, and coordinates your care.Source: 2007 Commonwealth Fund International Health Policy Survey.Data collection: Harris Interactive, Inc.

Page 12: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

2007 Commonwealth Fund 2007 Commonwealth Fund International Survey ResultsInternational Survey Results

In each of 7 countries, having a In each of 7 countries, having a “Medical Home”* improves patient “Medical Home”* improves patient experiences:experiences: AccessAccess CommunicationCommunication Patient safetyPatient safety Care coordinationCare coordination Reduced duplication and delaysReduced duplication and delays Preventive carePreventive care Chronic care managementChronic care management Patient satisfactionPatient satisfaction

But many in each country do not But many in each country do not have a medical home.have a medical home.

Adults with a Medical Home*

*Medical home = Regular provider; knows you; easy to contact; coordinates your care

Available at: www.commonwealthfund.org

88 8492

100

89 8980

5047

61

474548

59

0

25

50

75

100

AUS CAN GER NET NZ UK US

Regular doctor/place Medical home

Page 13: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Medical Home CanMedical Home CanReduce DisparitiesReduce Disparities

65 66 64 64

52 5448 49

21252322

0

25

50

75

100

Total White AfricanAmerican

Hispanic

Medical home

Regular source of care, not a medical home

No regular source of care/ER

Percent of adults 18–64 receiving a reminderto schedule a preventive visit by doctors’ office:

* Compared with reminders, differences statistically significant after adjusting for income or insurance.Source: 2006 Commonwealth Fund Health Care Quality Survey (Beal et al., “Closing the Divide: How Medical Homes Promote Equity in Health Care,” The Commonwealth Fund, June 2007).

Minorities with a medical home are just as likely to

- Receive reminders for preventive care visits.

- Report always getting the care they need when they need it.

Minorities with a medical home are less likely to feel treated with disrespect.

Page 14: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Current solution:Current solution:Assisted living Assisted living environmentsenvironments

Page 15: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Telehealth Resource Centers Funded by Office for the Advancement of Telehealth in 2006

Page 16: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Natural living habitatNatural living habitat

Page 17: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

State of Art Smart Home State of Art Smart Home ProjectProject

In 1988, In 1988, Togawa Togawa etet.. a al.l. [12][12] monitormonitoreded the daily acti the daily activities vities

Inada Inada et al.et al. [14][14] monitored monitored the physiological variabthe physiological variables and physical activitiesles and physical activities for rescue squadfor rescue squad

NouryNoury, 1992, 1992 [15][15] collect at home the physiological collect at home the physiological variables variables and and some textual information concerning some textual information concerning

the patientthe patient through networkthrough network.. Richardson [16,17] creates, in the "Adaptable Richardson [16,17] creates, in the "Adaptable Smart Home (ASH)", a common network to control Smart Home (ASH)", a common network to control and to monitor the devices from inside and outside and to monitor the devices from inside and outside

the house.the house. Celler et al. [19] measures the behavior and the Celler et al. [19] measures the behavior and the

health of the person starting from 18 sensors:health of the person starting from 18 sensors:

Page 18: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

State of Art Smart Home State of Art Smart Home ProjectProject

Roth et al. [24] remotely monitored cardiac patients at Roth et al. [24] remotely monitored cardiac patients at home. home.

Leikas et al. [ 25 ] monitoring of the lunatic people in Leikas et al. [ 25 ] monitoring of the lunatic people in residence by using simple contact switches on doors.residence by using simple contact switches on doors.

Elger [30] works more on the technical aid to the Elger [30] works more on the technical aid to the people with reduced mobility, or having visual, people with reduced mobility, or having visual, auditive or cognitive deficiencies.auditive or cognitive deficiencies.

Van Berlo [32] introduced Smart Model House for Van Berlo [32] introduced Smart Model House for Senior Citizen" while insisting on safety on the one Senior Citizen" while insisting on safety on the one hand and the comfort and energy saving on the other hand and the comfort and energy saving on the other hand.hand.

Page 19: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

State of Art Smart Home State of Art Smart Home ProjectProject

In 2002, In 2002, Georgia Tech Institute (AwGeorgia Tech Institute (Aware House [are House [39]39]), the MIT ("MIT' S H), the MIT ("MIT' S House of the future" [ 40ouse of the future" [ 40]]), the Unive), the University of Whashington ("Assistive Crsity of Whashington ("Assistive Cognition" [ 41 ognition" [ 41 ]]), the Honeywell co), the Honeywell company ("Independent Lifestyle Assmpany ("Independent Lifestyle Assisting (ILSA)"), the University of Roisting (ILSA)"), the University of Rochester-NY chester-NY co-research co-research within the within the project "project "Center for future Health"Center for future Health" [ [42] 42] which which has networked video cahas networked video cameras and PDA in all the parts of a meras and PDA in all the parts of a housing to interact ubiquitously wihousing to interact ubiquitously with the occupantsth the occupants

Page 20: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Multi-level health Multi-level health monitoring systemmonitoring system

soun

d visual

motion

Info-Sensors

networks

interoperability

stan

dar

ds w

ireless

Information models

User Interface

Infe

ren

ceIn

tegratio

n

TraditionalVital Signs

TraditionalVital Signs

From Pentland (Rochester)

Page 21: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Health & Wellness in the Health & Wellness in the Smart HomeSmart Home

Pedo-meter

HomeSensor

Health Coach

Health Information

Monitoring

Home PC

Home Server

Tablet PCWorkstation

SecureStorage

Privacy Filter/Firewall

AP

Blood-pressure

Cuff

EGCSmartShirt

WearableData

Collector

Bro

adba

ndEnterprise PC

Home PC

GlucoseSensor

Internet

Doctor Nurse Researcher Caregiver Support Community

DiagnosisDiscovery Support

SmartFitnessEquip.

Home, Sweet Digital Home

Home PC

Coach

Training

Page 22: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

SensorsSensors

Data acquisition from elderly without the Data acquisition from elderly without the awareness of the person.awareness of the person.

The detectors will be placed in the house The detectors will be placed in the house in many different places, and the person in many different places, and the person will continue his regular life without will continue his regular life without wearing anything special on her (him) wearing anything special on her (him) self (except of a wrist watch).self (except of a wrist watch).

Page 23: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

hinged panels to micro-controllers

speakers

air quality sensors

IR illuminators

hinged panels to sensor bus

cabinet door switches

countertop activity cameras

refrigerator use sensors

microwave use sensors

oven & range use sensors

cabinet drawer sensors

hot water use sensor

cold water use sensor

hinged panels to sensor bus

cabinet door switches

sensor network connections

internet connections

temperature sensors

Power integrated into cabinetry

hinged panels to subwoofers

From Larson, MIT – n_House

Page 24: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Physiological SensorsPhysiological Sensors

Page 25: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

More basic More basic ideas/assumptionsideas/assumptions

NoninvasiveNoninvasive Minimally-wearableMinimally-wearable Convenient to install and use, without Convenient to install and use, without

restrictions on the person’s movements without restrictions on the person’s movements without vibrations, without noise and light signalingvibrations, without noise and light signaling

High reliability and a long lifeHigh reliability and a long life Wireless or with minimally amount of wires Wireless or with minimally amount of wires

signal transmissionsignal transmission WaterproofWaterproof

Page 26: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Middleware comprises both hardware Middleware comprises both hardware and software – and it’s aim is to and software – and it’s aim is to provide a platform to which the provide a platform to which the sensors send their data, and where sensors send their data, and where the data is processed, stored, the data is processed, stored, presented, and transmitted.presented, and transmitted.

The Computer systemThe Computer systemMiddlewareMiddleware

Page 27: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Health content as the new media Health content as the new media type?type?

ContentContentChronic Disease MgmtChronic Disease Mgmt

Acute CareAcute Care

WellnessWellness

FitnessFitness

RelaxationRelaxation

Baby ultrasoundBaby ultrasound

CAT scan / MRICAT scan / MRI

Patient’s Health PortalPatient’s Health Portal

Personal health data miningPersonal health data mining

Health educationHealth education

Doctor conferencingDoctor conferencing

Staying in touchStaying in touch

On the PCOn the PC

Around the HomeAround the HomeCell Phone / PDACell Phone / PDA

Personal Fitness / Wellness CoachPersonal Fitness / Wellness Coach

Portable data collector / transmitterPortable data collector / transmitter

Smart watchSmart watch

On the GoOn the GoMedical devices / peripheralsMedical devices / peripherals

Digital Health ApplianceDigital Health Appliance

Sensor networkSensor network

Set-top boxSet-top box

Kitchen applianceKitchen appliance

Ambient interface deviceAmbient interface device

PEDIATRICS

E ar Infectio ns

NEW SLETTER

C hild S afety

E ar in fec t ions oc c ur in the m iddle ear b ehind the eardrum .T hey of ten develop as a s ide ef fec t o f a c o ld or f lu . Childrenhave a hard t im e dra in ing s ub s tanc es f rom their earsand thes e t rapped s ub s tanc es c an prom ote the growthof b ac teria . Children who have an ear in fec t ion wills eem irritab le and they m ay a ls o have t roub le s leeping.T he in fec ted f lu id puts pres s ure on the eardrum s c aus ingc ons iderab le pain and d is c om fort .

T o treat ear in fec t ions , pediatric ians will pres c rib e ant ib io t ic sto k ill the b ac teria and pain m edic at ion to help re lieve anypain or fever. E ven with an ear in fec t ion, c h ildren c anplay outs ide and even s wim (as long as the eardrum s arenot torn). I f you t ravel b y p lane, have the c h ild s wallow f lu idsor c hew gum during tak e-of f and landing.

Child safety tips:Loc k away a ll hous ehold c leaners and m edic at ions .P lac e a pet 's food and water out o f the reac h of c h ildren.W hen rid ing in a c ar, a lways s ec ure your c h ild in a c ar s eat .Never leave a hot s tove or B B Q unattended.B olt b ook s helves to the wall.K eep s om e Ipec ac S yrup handy for po is oning em ergenc ies .L im it d irec t and lengthy s un expos ure and us e h igh S P F s unb loc k .Have f ire drills and d is c us s f ire s afety with your c h ildren.B uy only age-appropria te toys .Us e s afety gates near s ta irs .Cover a ll unus ed e lec tric a l out le ts .

Page 28: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Internet ConnectionInternet Connection

All the sensor devices will be connected to a All the sensor devices will be connected to a special home network under which each device special home network under which each device interacts with others in a “plug and play” mannerinteracts with others in a “plug and play” manner A home installed computer performs routine data A home installed computer performs routine data processing. The information will be transmitted processing. The information will be transmitted through the internet to a medical center, and through the internet to a medical center, and

some information can be transferred to the some information can be transferred to the relatives. relatives.

Page 29: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Internet ConnectionInternet Connection

Page 30: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Healthcare Devices and ApplicationsHealthcare Devices and Applications

Page 31: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Physiological parametersPhysiological parameters

a wrist-worn device that can measure the a wrist-worn device that can measure the heart rate and the body temperature.heart rate and the body temperature.

connected to the home network connected to the home network wirelessly by radio frequency protocolwirelessly by radio frequency protocol..

RFID tag which enables the system to RFID tag which enables the system to recognize the person and follow recognize the person and follow movements.movements.

Page 32: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Physiological parametersPhysiological parameters

Page 33: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Smart alarmsSmart alarms

Decision making from data collected from Decision making from data collected from multiple sensors.multiple sensors.

Looking at trendsLooking at trends Multi Parameter Algorithms.Multi Parameter Algorithms. Linkage to other clinical resources.Linkage to other clinical resources. Decision Support.Decision Support.

Page 34: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

The Smart FloorThe Smart Floor

Fall Detections:Fall Detections: Falls are the second leading Falls are the second leading cause of unintentional-injury death for people cause of unintentional-injury death for people of all ages and the leading cause of death for of all ages and the leading cause of death for elders 79 years and older.elders 79 years and older.

Studies have shown that the medical Studies have shown that the medical outcome of a fall is largely dependent upon outcome of a fall is largely dependent upon the response and rescue time. the response and rescue time.

Page 35: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

The Smart FloorThe Smart Floor

Measure the pressure signals on the Measure the pressure signals on the floor’s cellfloor’s cell

A special piezoelectric sensor A special piezoelectric sensor coupled to the floor surface. coupled to the floor surface.

Page 36: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Mobility assessmentMobility assessment Changes in some aspects of mobility Changes in some aspects of mobility

correlate with changes in cognitive function correlate with changes in cognitive function and can perhaps predict future cognitive and can perhaps predict future cognitive decline .decline .

Use the Smart Floor to determine typical Use the Smart Floor to determine typical walking speeds by special algorithms.walking speeds by special algorithms.

The value of the speed is less critical The value of the speed is less critical than its relative value, which allows than its relative value, which allows assessment of changes.assessment of changes.

Page 37: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Smart ToiletSmart Toilet

Analyze of urinary salts and sends Analyze of urinary salts and sends the results to the computer through the results to the computer through the local network.the local network.

Able to know for example how Able to know for example how many times during the night the many times during the night the person visited the toilet.person visited the toilet.

Page 38: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Smart ToiletSmart Toilet

to analyze blood sugar levels, body weight and to analyze blood sugar levels, body weight and fat percentage, and there's even a blood fat percentage, and there's even a blood pressure cuff pressure cuff

Page 39: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Ball Body CheckBall Body Check

it sends a weak current through you, it sends a weak current through you, measuring body fat, bone density and measuring body fat, bone density and percentage of muscle.percentage of muscle.

Page 40: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Full Body Sensor Full Body Sensor

Compute weight, body fat, BMI, visceral fat, Compute weight, body fat, BMI, visceral fat, skeletal muscle, resting metabolism, and skeletal muscle, resting metabolism, and physical age. physical age.

Page 41: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

ECG on a chair and in bedECG on a chair and in bed

ECG waveforms can be obtained using ECG waveforms can be obtained using electrodes fixed on a chair or in the bed, electrodes fixed on a chair or in the bed, and measurements obtained without and measurements obtained without direct contact with the skin.direct contact with the skin.

The signal will be sent to the home The signal will be sent to the home central computer via Bluetooth signals.central computer via Bluetooth signals.

Page 42: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Sleeping DisordersSleeping Disorders

Recording of an EEG, EMG, measurements of Recording of an EEG, EMG, measurements of brain waves, and muscles activities. That brain waves, and muscles activities. That electrodes can assess the sleep quality, but their electrodes can assess the sleep quality, but their attachment the patient’s body affects sleep.attachment the patient’s body affects sleep.

Sleep disorders measurements can be made the Sleep disorders measurements can be made the analysis of physiological characteristics such as analysis of physiological characteristics such as body temperature, movement in bed, breathing body temperature, movement in bed, breathing rate heart rate, and snoring analysis.rate heart rate, and snoring analysis.

Page 43: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Piezoelectric transducerPiezoelectric transducer that will provide information about that will provide information about heart rate and breathing rate.heart rate and breathing rate.

Temperature sensorsTemperature sensors attached to the mattress, that can attached to the mattress, that can measure the temperature changes of the person.measure the temperature changes of the person.

Pressure sensorsPressure sensors to detect the movements of the person to detect the movements of the person while he sleeping and when he is out of bed.while he sleeping and when he is out of bed.

Sound recorderSound recorder for the detection of snoring. for the detection of snoring. DetectionDetection of bacterial infection developed in bed sores of bacterial infection developed in bed sores

All the sensors above allow the subject to sleep All the sensors above allow the subject to sleep comfortably without having to wear electrodes or comfortably without having to wear electrodes or be hooked up to a machine. be hooked up to a machine.

Sleeping DisordersSleeping Disorders

Page 44: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Sleep studiesSleep studies

From Goubran Carleton university

Page 45: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Medication Reminders Medication Reminders

Patient with chronic disease do not Patient with chronic disease do not follow their physician’s medication and follow their physician’s medication and lifestyle guidance, and nine out of ten lifestyle guidance, and nine out of ten make mistakes taking their medication.make mistakes taking their medication.

The No.1 problem in treating The No.1 problem in treating illness today is patients' failure to take illness today is patients' failure to take prescription medications correctly, prescription medications correctly, regardless of patient age .regardless of patient age .

Page 46: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

A smart pillbox count the medications, and A smart pillbox count the medications, and communicate with the central computer by communicate with the central computer by RF medium in real time (for instance: RF medium in real time (for instance: Bluetooth).Bluetooth).

The computer program will know the The computer program will know the treatment schedule, and will be able to alert treatment schedule, and will be able to alert the person by a human voice message when the person by a human voice message when a mistake has occurred. That way all the a mistake has occurred. That way all the mistakes will be prevented.mistakes will be prevented.

Medication Reminders Medication Reminders

Page 47: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Voice AnalysisVoice AnalysisMagnitude

Time

Fre

quency(H

z)

0 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.80

500

1000

1500

2000

2500

3000

3500

4000

Directly measure pitch vs. time …Directly measure pitch vs. time …Contains a wealth of information! Contains a wealth of information!

Spectrogram

Page 48: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Image acquiring and Image acquiring and processingprocessing

Detect changes in skin temperature or Detect changes in skin temperature or condition (pale, red,…).condition (pale, red,…).

Detection of changes in nevi (color, size, Detection of changes in nevi (color, size, structure).structure).

Page 49: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

TELECARETELECARE Tele-Home Care allows to offer medical Tele-Home Care allows to offer medical

assistance to the patients directly to their assistance to the patients directly to their homehome

Tele-Home Care may improve the quality Tele-Home Care may improve the quality of life of patientsof life of patients

Home-care and community based health Home-care and community based health service are becoming an increasingly service are becoming an increasingly important part of the healthcare services, important part of the healthcare services, allowing the so called “Continuity of care”allowing the so called “Continuity of care”

Page 50: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Telemedicine DevicesTelemedicine Devices

The new generation of such devices, The new generation of such devices, deliver the measured information over deliver the measured information over the internet, usually by RF protocol the internet, usually by RF protocol connection to the local computer.connection to the local computer.

Easy to connect such devices to our Easy to connect such devices to our smart home system.smart home system.

It completes the whole picture of the It completes the whole picture of the person’s health status.person’s health status.

Page 51: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Telemedicine Telemedicine ApplicationsApplications

1. Remote Consultation

2. Remote Monitoring

3. Remote Education

4. Telementoring

Page 52: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Tele ConsulationTele Consulation

Page 53: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Tele - MonitoringTele - Monitoring

Page 54: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Examples of the CardGuard company: Examples of the CardGuard company:

Wireless 12 lead ECG - SelfCheck™ Wireless 12 lead ECG - SelfCheck™ ECG Cardiac Monitor ECG Cardiac Monitor

SelfCheck™ BP  Wireless non-invasive SelfCheck™ BP  Wireless non-invasive blood pressure and pulse rate monitor.blood pressure and pulse rate monitor.

Oxy Pro Wireless OximeterOxy Pro Wireless Oximeter

Telemedicine DevicesTelemedicine Devices

Page 55: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Lifeguard SystemLifeguard System

Page 56: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Lifeguard SystemLifeguard System

Sensor PadSensor Pad

Page 57: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

CPOD– CPOD– Crew Physiological Observation Crew Physiological Observation DeviceDevice

Page 58: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Base StationBase Station

Page 59: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Base StationBase Station

Page 60: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Radio Frequency Identification Radio Frequency Identification Device (RFID)Device (RFID) The technology used in RFID has been around The technology used in RFID has been around

since the early 1920ssince the early 1920s British used RFID sensors to distinguish British used RFID sensors to distinguish

between friendly and enemy aircraft during between friendly and enemy aircraft during World War IIWorld War IIToday, Wal-Mart is requesting its top 100 suppliers to Today, Wal-Mart is requesting its top 100 suppliers to

put RFID tags on all cases and pallets by 2005put RFID tags on all cases and pallets by 2005

Page 61: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

RFID Physics – RFID Physics – InductiveInductive CouplingCoupling (3/4) (3/4)

Page 62: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Similar Products Using RFID Similar Products Using RFID (1/2)(1/2)

HomeSeer / iAutomateHomeSeer / iAutomate

Simple turn-key systemSimple turn-key system Only compatible with Only compatible with

proprietary tagsproprietary tags

Page 63: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Animal trackingAnimal tracking

Airline baggage trackingAirline baggage tracking

Commercial inventory controlCommercial inventory control

Medical recordsMedical records

Common Uses for RFIDCommon Uses for RFID

Page 64: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

RFID ApplicationRFID Application

Page 65: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

RFID ApplicationRFID Application

Page 66: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

RFID ApplicationRFID Application

Wrist bandWrist band

Page 67: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

RFID for EldelyRFID for Eldely

The idea behind this The idea behind this tablettablet//pdapda--ish device is to ish device is to track every movement of the track every movement of the elderly people, Nokia believe elderly people, Nokia believe this is the best way to keep this is the best way to keep them aroundthem around. . By monitoring By monitoring ((via RFID tagsvia RFID tags) ) what they what they consume; from expired foods, consume; from expired foods, medicine, possible allergens medicine, possible allergens and nutritional infoand nutritional info. . This easy This easy to read and use information to read and use information pad hopes to be a vital tool pad hopes to be a vital tool for the upcoming explosion of for the upcoming explosion of elderly Baby Boomerselderly Baby Boomers

Page 68: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

RFID HomeRFID Home

Page 69: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Smart (Intelligence) Smart (Intelligence) Home Home

Smart Home is a home Smart Home is a home environment that adapts to the environment that adapts to the inhabitantsinhabitants

It has to sense the state of the It has to sense the state of the home and the presence of home and the presence of peoplepeople

It has to predict their behaviorIt has to predict their behavior It has to make decisions in It has to make decisions in

order to automate the homeorder to automate the home

Page 70: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Smart HouseSmart House

Face recognition, automated door entry

Smart sprinklers

Lighting control

Door/lock controllers,Surveillance system

Robot vacuum cleaner

Robot lawnmower

Intelligent appliancesClimate control

Intelligent Entertainment

Automated blinds

Remote site monitoring and control

Page 71: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Wiring

Page 72: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Progression Towards the Intelligent HomeProgression Towards the Intelligent Home

Domestic Robots:Domestic Robots: Assistance for the disabledAssistance for the disabled Entertainment - Sony’s AIBO that Entertainment - Sony’s AIBO that

can learn through experience, as well can learn through experience, as well as read emails and take photographs as read emails and take photographs with its onboard camera)with its onboard camera)

Household maintenance - Dyson Household maintenance - Dyson (DC06 – still on home trial - below), (DC06 – still on home trial - below), Electrolux (‘Trilobite’ - below), iRobot Electrolux (‘Trilobite’ - below), iRobot (‘Roomba’ - below) and Probotics (‘Roomba’ - below) and Probotics (‘Cye’ - next) (‘Cye’ - next)

Page 73: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

Progression Towards the Intelligent HomeProgression Towards the Intelligent Home

Challenges:Challenges: household environment is a complex household environment is a complex

mass of wires (resolved by wireless mass of wires (resolved by wireless network), confined spaces and uneven network), confined spaces and uneven floors floors

Uncontrolled environment with humans Uncontrolled environment with humans interacting in the spaceinteracting in the space

A safe, powerful, portable power supply is A safe, powerful, portable power supply is neededneeded

Robots with AI or other behavioural Robots with AI or other behavioural complexities still have technical complexities still have technical difficultiesdifficulties

Economic concerns mean that design, Economic concerns mean that design, functionality and materials can be functionality and materials can be compromisedcompromised

Page 74: Smart Medical Home Assist. Prof. Dr. Chuchart Pintavirooj, et. al. Department of Electronics Faculty of Engineering King Mongkut’s Institute of Technology

SummarySummary

Health monitoring devices are of great Health monitoring devices are of great importance for the design of smart importance for the design of smart homes for older persons. homes for older persons.

Continues monitoring of the health Continues monitoring of the health condition of the person may contribute to condition of the person may contribute to the extension of life expectancy and to a the extension of life expectancy and to a better quality of life.better quality of life.