Mobile ECG. A new ehealth solution for telecardiology based on ehit Health Gateway platform. Kalevi Voutilainen, March 2008

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2 A new ehealth solution for telecardiology based on ehit Health Gateway platform Kalevi Voutilainen, March 2008

3 Fact sheet Founded 1995 Location Kuopio, Finland Ownership 100 % privately owned Employees (as of March 2008) 14 people Turnover M Kuopio

4 Health Gateway Telemedicine platform for healthcare and wellbeing solutions

5 Health Gateway Coagulation EMG Blood Glucose Blood Pressure Body Weight SpO2 Spirometry ECG wireless data transfer secure connection ehit s Health Gateway is a vital signs monitoring system, which transfers the measured data to the health care provider in a fast, secure and reliable way

6 Virtual link between patient and health care professionals

7 Electrocardiography 100 years ago

8 Electrocardiography today 36 mm 36 mm precision bioamplifier support for integrated or external electrodes resolution of 12 bits adjustable sampling rate ( samples/sec) li-ion rechargeable battery Bluetooth microprocessor 1 MB flash memory signal preprocessing programmable digital filter

9 Application case erescue

10 erescue Telespro Rescue Covering GORE TM Rescue Blanket laminate protects patients against severe weather conditions, cold, moisture and wind, and bacteria penetration simplifies rescue process improves the patient s safety Typical applications emergency ambulance rescue helicopter coast guard rescue ski centres

11 erescue SpO2 sensor ECG connectors Blood pressure cuff PDA device displaying vital signs

12 erescue The mobile device collects data directly from the measurement devices ECG HR 70 %SpO2 98 SYS/DIAS 140/90 GSM/GPRS Secure communication Clinic platform The Health Gateway Mobile Platform collects the measured data wirelessly and displays the data in a clear format 3-lead ECG Measured data are immediately available for analysis Blood Oxygen saturation Feedback and/or further instruction can be quickly sent directly to the mobile device of the paramedics Blood pressure

13 Application case HRV monitoring and interpretation

14 HRV monitoring and interpretation The wireless sensor continuously registers the ECG signal without interfering with patient s everyday life The mobile phone wirelessly collects the ECG data and forwards them to the health care professional for analysis The health care professional can view the ECG data in real time regardless of patient s location and send and immediate feedback

15 HRV monitoring and interpretation The mobile application logs in to the server by following an authentication procedure Data are safely stored into a centralised server HTTPS TCP/IP SSL GPRS/GSM/3G Internet Bluetooth The ECG device wirelessly sends the ECG signal to the paired mobile phone The remote workstation also follows an authentication procedure and makes use session keys for ensuring data protection

16 HRV monitoring and interpretation Healthy subject 30 years old µ: 13.6 Scattered dots in a homogeneous area

17 HRV monitoring and interpretation Healthy subject 75 years old ST depression(+) R-R interval too regular µ: Dots concentrate in a very small area

18 HRV monitoring and interpretation Subject with breast cancer 60 years old ST depression(+) µ: 0.36 Scattered dots in a narrow and tall area

19 HRV monitoring and interpretation Apparently healthy subject 70 years old arrhythmias atrial fibrillations µ: 10.6 Scattered dots in a wide and low area

20 Conclusions

21 Conclusions Compact sized, easy to be carried along capture important information that would otherwise be missed Dual operating mode online transmission of real time ECG data batch transmission of all or part of the registered data Local data processing only relevant data need to be transferred Bidirectional communication feedback from professionals Based on standard technologies easy integration with existing systems

22 Thank you! Please visit our stand B-20 in hall 8 for more information and live demonstrations ehit Ltd, P.O. Box 1199, Microkatu 1, FIN Kuopio, Finland sales@ehit.fi