Multi-purpose HealthCare Telemedicine Systems with mobile communication link support

BioMedical Engineering OnLine

E Kyriacou²  S Pavlopoulos³  A Berler³  M Neophytou³  A Bourka³  A Georgoulas³  A Anagnostaki³  D Karayiannis¹  C Schizas²  C Pattichis²  A Andreou²  D Koutsouris³ 

[1] Athens Medical Center (AMC), Athens, Greece

[2] Department of Computer Science, University of Cyprus (UCY), Nicosia, Cyprus

[3] Biomedical Engineering Laboratory, Department of Electrical and Computer Engineering, National Technical University of Athens (NTUA), Athens, Greece

关键词: Satellite;    GSM;    Telemedicine;    Emergency Health Care;   

Others  :  798902
DOI  :  10.1186/1475-925X-2-7

 received in 2002-11-30, accepted in 2003-03-24,  发布年份 2003

【 摘 要 】

The provision of effective emergency telemedicine and home monitoring solutions are the major fields of interest discussed in this study. Ambulances, Rural Health Centers (RHC) or other remote health location such as Ships navigating in wide seas are common examples of possible emergency sites, while critical care telemetry and telemedicine home follow-ups are important issues of telemonitoring. In order to support the above different growing application fields we created a combined real-time and store and forward facility that consists of a base unit and a telemedicine (mobile) unit. This integrated system: can be used when handling emergency cases in ambulances, RHC or ships by using a mobile telemedicine unit at the emergency site and a base unit at the hospital-expert's site, enhances intensive health care provision by giving a mobile base unit to the ICU doctor while the telemedicine unit remains at the ICU patient site and enables home telemonitoring, by installing the telemedicine unit at the patient's home while the base unit remains at the physician's office or hospital. The system allows the transmission of vital biosignals (3–12 lead ECG, SPO2, NIBP, IBP, Temp) and still images of the patient. The transmission is performed through GSM mobile telecommunication network, through satellite links (where GSM is not available) or through Plain Old Telephony Systems (POTS) where available. Using this device a specialist doctor can telematically "move" to the patient's site and instruct unspecialized personnel when handling an emergency or telemonitoring case. Due to the need of storing and archiving of all data interchanged during the telemedicine sessions, we have equipped the consultation site with a multimedia database able to store and manage the data collected by the system. The performance of the system has been technically tested over several telecommunication means; in addition the system has been clinically validated in three different countries using a standardized medical protocol.

【 授权许可】

   
2003 Kyriacou et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.

【 图 表 】

Figure 1.

Figure 2.

Figure 3.

Figure 4.

Figure 5.

Figure 6.

Figure 7.

Figure 8.

Figure 9.

Figure 10.

【 参考文献 】

• [1]Lin JC: Applying Telecommunication Technology to Healthcare Delivery. IEEE EMB Mag 1999, 18(4):28-31.
• [2]Guidelines For The Early Management Of Patient With Myocardial Infarction BMJ 1994, 308:767-771.
• [3]Cerreli Ezio C: 1997 Traffic Crashes Injuries And Fatalities, Preliminary Report. National Highway Traffic Safety Administration, U.S. Dept of transportation 1997.
• [4]Hellenic National Statistics Service, Report 1997.
• [5]Evans T: Cardiac Arrests Outside Hospital. BMJ 1998, 316:1031-1032.
• [6]David Sandler A: Call to Needle Times After Acute Myocardial Infarction. BMJ 1999, 318:1553.
• [7]Canto JG, Rogers WJ, Bowlby LJ, et al.: The Prehospital Electrocardiogram In Acute Myocardial Infarction: Is Its Full Potential Being Recognized? J Am College Cardiol 1997, 29:498-505.
• [8]Stults KR, Brown DD, Schug VL, Bean JA: Prehospital Defibrillation Performed By Emergency Medical Technicians In Rural Communities. NEJM 1984, 310:219-223.
• [9]Weaver WD, Copass MK, Hill DL, Fahrenbruch C, Hallstrom AP, Cobb LA: Cardiac Arrest Treated With A New Automatic External Defibrillator By Out-Of-Hospital First Responders. Am J Cardio 1986, 57:1017-1021.
• [10]Cummins RO, Eisenberg MS, Litwin PE, Graves JR, Hearne TR, Hallstrom AP: Automatic External Defibrillators Used By Emergency Medical Technicians: A Controlled Clinical Trial. JAMA 1987, 257(12):1605-1610.
• [11]Schrading WA, Stein S, Eitel DR, Grove L, Horner L, Stechkert G, Sabulsky NK, Ogden CS, Hess DR.: An Evaluation Of Automated Defibrillation And Manual Defibrillation By Emergency Medical Technicians In A Rural Setting. Am J Emerg Med 1993, 11(2):125-130.
• [12]Shuster M, Keller JL.: Effect Of Fire Department First-Responder Automated Defibrillation. Annals Emerg Med 1993, 22(4):721-727.
• [13]Sedgewick ML, Dalziel K, Watson J, Carrington DJ, Cobbe SM: Performance Of An Established System Of First Responder Out-Of-Hospital Defibrillation. The Results Of The Second Year Of The Heartstart Scotland Project In The "Utstein Style". Resuscitation 1993, 26:75-88.
• [14]Barro S, Presedo J, Castro D, Fernandez-Delgado M, Fraga S, Lama M, Vila J: Intelligent Telemonitoring of Critical Care Patients. IEEE EMB Mag 1999, 18(4):80-88.
• [15]Strode S, Gustke S, Allen A: Technical and Clinical Progress in Telemedicine. Journal of American Medical Association 1999, 281:1066-1068.
• [16]Wheeler T: Strategies for delivering tele-home care-provider profiles. Telemedicine Today 1998, 6:37-40.
• [17]Deborah Dakins R: Market Targets 1997. Telemedicine Magazine, Miller Freeman IncJune 1997
• [18]Bjorn Hofmann: General Purpose Telemetry for Analog Biomedical Signals. IEEE Engineering in Medicine and Biology Magazine772-775. Nov-Dec 1995
• [19]Murakami H, Shimizu K, Yamamoto K, Mikami T, Hishimiya N, Kondo K.: Telemedicine Using Mobile Satellite Communication. IEEE Trans on Biom Eng 1994, 41(5):488-497.
• [20]Pavlopoulos S, Dembeyiotis S, Konnis G, Koutsouris D: AMBULANCE – Mobile Unit for Health Care Provision via Telematics Support. Proceedings of the IEEE Engineering in Medicine & Biology, Amsterdam, The Netherlands343. October 1996
• [21]Pavlopoulos S, Dembeyiotis S, Koutsouris D: An Augmented Reality System for Health Care Provision via Telematics Support. MMVR-97 Conference, San Diego, USA 1997.
• [22]Pavlopoulos S, Kyriakou E, Berler A, Dembeyiotis S, Koutsouris D: A Novel Emergency Telemedicine System Based on Wireless Communication Technology – AMBULANCE. IEEE Trans. Inform. Tech. Biomed. – Special Issue on Emerging Health Telematics Applications in Europe 1998, 2(4):261-267.
• [23]Kyriacou Efthyvoulos, Pavlopoulos Sotiris, Dimitris Koutsouris, Andreas Andreou A, Pattichis Costas, Schizas Christos: MULTIPURPOSE HEALTH CARE TELEMEDICINE SYSTEM. Proceedings of the 23rd Annual International Conference of the IEEE/EMBS, Istanbul, Turkey 2001, 8.1:2-3.
• [24]Bai J, Zhang Y, Shen D, Wen L, Ding C, Cui Z, Tian F, Yu B, Dai B, Dang J: A Portable ECG and Blood Pressure Telemonitoring System. IEEE EMB Mag 1999, 18(4):63-70.
• [25]Morlion B, Verbandt Y, Paiva M, Estenne M, Michils A, Sandron P, Bawin C, Assis-Arantes P: A Telemanagement System for Home Follow-up of Respiratory Patients. IEEE EMB Mag 1999, 18(4):71-79.
• [26]Pattichis CS, Kyriacou E, Voskarides S, Pattichis MS, Istepanian R, Schizas CN: Wireless Telemedicine Systems: An Overview. IEEE Antennas & Propagation Magazine 2002, 44(2):143-153.
• [27]Gagliano D: Wireless Ambulance Telemedicine May Lessen Stroke Morbidity. Telemedicine Today 1998, 6(1):21.
• [28]Giovas P, Papadogiannis D, Thomakos D, et al.: Transmission Of Electrocardiograms From A Moving Ambulance. Journal of Telemedicine and Telecare 1998, 4(1):5-7.
• [29]Kontaxakis G, Walter S, Sakas G: EU-TeleInViVo: An integrated portable telemedicine workstation featuring acquisition, processing and transmission over low-bandwidth lines of 3D ultrasound volume images. Conf. Record, 2000 IEEE EMBS Intl Conf. Inf. Tech. Appl. Biomedicine (ITAB 2000), Arlington, VA, USA158-163. November 2000
• [30]Sachpazidis I: @Home: A modular telemedicine system. [http://www.mocomed.org/workshop2002/beitraege/Sachpazidis.pdf] webciteConf. Record, 2nd Workshop Mobile Computing in Medicine, Heidelberg, GermanyApril 2002
• [31][http://telecom.esa.int/telecom/www/object/index.cfm?fobjectid=750] webcite
• [32]Graschew G, Roelofs TA, Rakowsky S, Schlag PM: Interactive telemedical applications in OP 2000 via satellite. Biomed Tech, Berlin, Germany 2002, 47(1):330-3.
• [33][http://www.biomed.ntua.gr/emergency112] webciteEMERGENCY 112 project webpage.
• [34]Teixera S, Pacheco X: Borland Delphi 5 Developers Guide, Sams Publishing, USA. 1998.
• [35]Anagnostaki AP, Pavlopoulos S, Kyriacou E, Koutsouris D: A Novel Codification Scheme Based on the "VITAL" and "DICOM" Standards for Telemedicine. IEEE Transactions on Biomedical Engineering, December 2002, 49(12):399-1411.
• [36]DINAMAP PLUS monitor host communications, CRITIKON INC., 776591B, USA. 1994.
• [37]Propaq 1xx communications option data interface guide, PROTOCOL SYSTEMS INC., Revision A, 810-0547-00, USA. February 1994
• [38]Propaq Encore 2xx External developers guide, PROTOCOL SYSTEMS INC., Revision A, 810-0791-00, USA. July 1996
• [39]Pennebaker WB, Mitchell JL: JPEG Still Image Data Compression Standard, Van-Nostrand – Reinhold. 1993.
• [40]Sayood K: Introduction to Data Compression. Morgan Kaufmann Publishers, Inc 1996, 27-54.
• [41]Schneier B: Applied Cryptography. John Wiley & Sons 1996, 336-339.
• [42]Stevens R: TCP/IP Illustrated, Volume 1. Addison-Wesley, USA. 1994.
• [43]Michel Mouly, Marie Pautet B: The GSM System for Mobile Communications. France. published by the authors 1992.
• [44]Jay Jayapalan, Mike Burke: Cellular Data Services Architecture and Signalling. IEEE Personal Communications, 2nd Quarter 1994, 44-55.
• [45]Balston DM, Moffett RH: Data service handling in the GSM cellular radio system. Electronic Engineering79-84. June 1990
• [46]Reinaldo Perez: Wireless Communications Design Handbook, Volume I: Space (Interference: Aspects of Noise, Interference, and Environmental Concerns). In Spacecraft Design Jet Propulsion Laboratory, California Institute of Technology. Academic Press. San Diego, CA; 1998.