Archive for the 'Technology' Category

Guest Article: RFID Systems in Healthcare Institutions

Patient, medication, and equipment asset tracking are critical functions for any healthcare organization.  Yedidia Blonder of Vizbee RFID Solutions, a company providing RFID solutions for healthcare applications and other industries, provides an introduction to RFID technology and its benefits.

What healthcare executive wouldn’t want a system that:

  • Helps nurses locate necessary equipment in seconds?
  • Ensures that only the mother of a newborn or a nurse could remove that baby from the nursery?
  • Makes sure patients don’t wander into staff only areas?
  • Lists inventory of all the medications in a large medicine storage area in minutes?
  • Ensures even equipment distribution across wings and prevents theft?
  • Tracks disinfection patterns of employees?

Enter RFID.

RFID (radio frequency identification) is a technology in which radio waves emitted from electronic tags identify them uniquely. The tags are often used to pinpoint the location of the object, or person, to which the tag is attached. This is different than barcode technology, which is usually used to identify an object as belonging to a larger category without individual identification. Barcodes also need to be read one-by-one from very close proximity, whereas RFID readers can read many tags with a single pass of an RFID reader a few meters away.

How does RFID work?

First you need the tags. RFID tags can be split into two main categories: active tags and passive tags. The active tags are battery operated and transmit their data periodically to readers. Their reading distance varies between a few meters to hundreds. Passive tags are much smaller (sometimes like a paper sticker) and do not transmit their data until being interrogated by a reader in their proximity. The passive tags’ reading distance can reach 2-3 meters. Passive tags are usually used for inventory purposes.

The readers consist of an RFID antenna connected to an RFID reader. They receive the data from the tags and then, in order to have a functioning system which will do all the above tasks, transmit the data to a software system which manages the received data.

When the system receives the data, it will both store it for immediate or later review by the healthcare staff, as well as act according to predefined rules set by the administrator. For example, in the case of preventing equipment theft, a rule could be set that if tags attached to pieces of expensive lab equipment go past the reader stationed near the exit to the lab, its signal will set off an alarm, alert important staff members, and lock the exits to that wing of the hospital.

How can RFID help a healthcare institution?

Keeping in mind the stunning figure of 15% of hospital equipment stolen annually as well as the damage that improper maintenance causes, RFID tracking can significantly diminish losses and increase efficient use of equipment. It can ensure that only the right person uses or moves any given piece of equipment, guarantee the correct quantities of a certain apparatus in a designated zone, enable the immediate and accurate location of any item, indicate which item is in use or available, and the list goes on.

RFID can also provide an accurate and comprehensive picture of the total amount of the organization’s inventory, including expiry dates and amount of usage, and provide real-time data on parameters such as temperature and moisture levels, providing alerts in the case of inappropriate conditions that could damage equipment and medications.

Add to this the capacity to track patient and staff movement and interactions with other people and objects – and your RFID healthcare system gives you your entire hospital at a glance, and alerts you to problems.

Implementing RFID systems.

RFID technology is also getting easier to customize. In the past, often RFID hardware would be programmed to work only with specific software. Recently, there have been advances in RFID technology enabling administrators to choose hardware and software independently according to the unique needs of each project. Parameterization tools built into the software can customize applications to specific projects while enabling the implementation of RFID projects in a very short time (days to weeks). You no longer have the time, expense and risk that come with developing software just for your project.

With RFID systems, managing healthcare institutions is getting easier, safer and more efficient.

UPDATE (9/8/2012) : Tim has written an excellent article on the subject:  RFID RTLS Update – Where to Start

Turning the Mind Into a Joystick

More “mind reading” hyperbole in today’s New York Times Magazine: The Cyborg in Us All.

I’ve talked about EEG-related technology many times in the past. Here are some quotes from the article:

This creates a pulse in his brain that travels through the wires into a computer. Thus, a thought becomes a software command.

We’re close to being able to reconstruct the actual music heard in the brain and play it.

… a “telepathy helmet” that would allow soldiers to beam thoughts to one another.

The NeuralPhone was meant to demonstrate that one day we might mind-control the contact lists on our phones.

The general public has two reactions when the lay press publishes this kind of stuff:

  1. I always knew this would come true. I.e. perpetuation of scientific fantasies.
  2. This is really scary stuff. I don’t want anybody reading my mind — or worse, controlling it.
If you know anything about the underlying techniques and algorithms you also know that “mind reading” and useful brain-controlled interfaces are a long way off.  Because the article fails to provide any sort of time-frame perspective, why won’t someone think these capabilities exist now.
The real problem I have with these kinds of articles is that this is important work that could potentially improve the quality of life for many disabled individuals.  Hyping it up to be something it’s not doesn’t help anyone.
One more quote:

“This is freaky.” And it was.

Huh? … I think the NYT needs to improve their editorial oversight.

 

The Cardiocam: Physiological Monitoring via Webcam

Today’s New York Times Magazine The Year in Ideas: 10th Anniversary Special features the MIT Cardiocam:

Cardiocam is a low-cost, non-contact technology for measurement of physiological signals using a basic digital imaging device such as a Webcam. The ability to perform remote measurements of vital signs is promising for enhancing the delivery of primary health care.

Medgadget covered this in October: MIT Student Uses Webcam to Measure Heart Rate From a Distance includes a video that shows how the Cardiocam is used to create a “medical mirror” for home health monitoring.

A link to a PDF (here) has a full description of the research, including their Cardiac pulse recovery methodology:

The method uses Blind Source (Signal) Separation (BSS) by Independent Component Analysis (ICA) of the changes in the video signal:

Volumetric changes in the facial blood vessels during the cardiac cycle modify the path length of the incident ambient light such that the subsequent changes in amount of reflected light indicate the timing of cardiovascular events.

Very cool.

The BCI X Prize

As announced at a recent MIT workshop: The BCI X PRIZE: This Time It’s Inner Space:

The Brain-Computer Interface (BCI) X PRIZE will reward nothing less than a team that provides vision to the blind, new bodies to disabled people, and perhaps even a geographical “sixth sense” akin to a GPS iPhone app in the brain.

As I’ve discussed many times (e.g. BCI: Brain Computer Interface), “mind reading” with EEG is a huge challenge. Another hurtle they have to overcome:

The foundation must court donors to make the $10 million+ prize a reality. Once funding is secured,…

That will be the easy part.

The problem with the X Prize incentive approach is one of expectations.  If people believe that Avatar-like advances (“new bodies”) is a realisitic result, they will be sorely disappointed.

Even though I’m a certified “mind reading” skeptic I think great BCI strides will inevitably be made. The good news is that these innovations will provide numerous benefits for handicapped individuals.

UPDATE (2/5/10): Here’s a great example: Technology Behind Second Sight Retinal Prosthesis

Microsoft Research at PDC2008

Most of the press coming out of PDC2008 were all the cool new product development technology announcements. What you probably don’t appreciate is the depth and breadth of the Microsoft research effort that is really the foundation for many of these products.

The Day Three PDC Keynote by Rick Rashid (and others) is over 90 minutes long, but is worth a look.  It’s all fascinating stuff.

Hat tip: Dr. Neil’s Notes: Day Three PDC Keynote: Microsoft Research Magic

Medical Devices in Home Health Care


If a company like Intel gets involved you know that providing home health screening devices must be a big opportunity.

Intel Health Guide is designed to be a comprehensive home monitoring service.

  1. In-home patient device.
  2. An online interface allowing clinicians to monitor patients and remotely manage care.
  3. Interactive tools for personalized care management.
  4. Integrates vital sign collection.
  5. Patient reminders.
  6. Multimedia educational content and feedback.
  7. Communications tools such as video conferencing and e-mail.
  8. Can connect to specific models of wired and wireless medical devices:
  • blood pressure monitors
  • glucose meters
  • pulse oximeters
  • peak flow meters
  • weight scales

The Health Guide stores and displays the collected information on a touch screen and sends to a secure host server, where health care professionals can review the information. Patients using the Health Guide can monitor their health status, communicate with care teams and learn about their medical conditions.

Another recent announcement is by Freescale Semiconductor: Here comes an ECG-on-a-chip solution!. The Freescale Electrocardiogram (ECG) Hardware Solution along with Monebo ECG Monitoring Algorithms will allow for low-cost integration of ECG monitoring for remote monitoring and even in home-based devices.

There are many health conditions that would benefit from improved remote monitoring capabilities, but heart disease is certainly at the top of the list and has been shown to reduce hospital re-admissionsHolter monitoring has been around for a long time, but this type of embedded ECG hardware and software technology along with interactive devices like the Intel Health Guide, could significantly raise the bar for ambulatory patient heart monitoring.  Companies like CardioNet are already counting on this trend.

It’s a good bet that PHR providers like Google Health and Microsoft HealthVault will start to incorporate similar interactive technologies into their offerings. Also, Microsoft offers a device certification program that will draw in more devices. Google has similar developer and branding policies in place (see here).

UPDATE (8/19/08): Tools Help Patients Interface With Doctors which also discusses the Zuri device.

UPDATE (11/10/08): Intel Health Guide Undergoing Trials

UPDATE (12/17/08): Intel Health Guide

Top 10 Concepts That Every Software Engineer Should Know

Check out Top 10 Concepts That Every Software Engineer Should Know. The key point here is concepts. These are (arguably) part of the foundation that all good software engineers should have:

  1. Interfaces
  2. Conventions and Templates
  3. Layering
  4. Algorithmic Complexity
  5. Hashing
  6. Caching
  7. Concurrency
  8. Cloud Computing
  9. Security
  10. Relational Databases

From a practical point of view, this still comes down to a Selecting Books About Programming issue. This list is just more focused on specific software technologies and techniques.

So many books, so little time…

UPDATE (7/30/08):

Here’s a career related post with some good advice: Becoming a Better Developer.  Learn a New Technology Each Month (#5) seems like a little much. I guess it depends on what your definition of “learn” is.

Selecting Books About Programming

This is tough to do. There are tons of technical books out there. Also, now that the Internet can instantly answer just about any question, the path of least resistance leads to arguments like this: Why I don’t read books.

There is no right or wrong when in comes to learning methods. It’s a personal preference. I’m a book reader, but I can understand how Internet content (blogs, articles, etc.) has made it easy for people that don’t like books (for whatever reason) to acquire relevant knowledge.

The availability of “Best” lists are abundant. For example:

OK, so once you get past the classics (Code Complete 2, The Pragmatic Programmer, Design Patterns, etc.) where do you go from there?

I will typically invest in books on emerging technologies that I want to fully understand (a recent one was Windows Presentation Foundation Unleashed — highly recommended). The real challenge is finding a book that doesn’t suck. Reviews and recommendations by other readers, like from the sites above, are the best resources.

My other vetting technique is standing (and reading) for long periods of time in the nerd-book section of a bookstore. There’s no substitute for browsing the pages of a real book. The one that’s still in your hand when your SO drags you towards the exit is probably the best one to buy.

Are you asleep at the wheel?

I guess I’m a sucker for EEG related technology (see all my HCI posts). So when I run across an article like A baseball cap that reads your mind I can’t help but comment on it.

A baseball cap that reads your mind

Unlike other “mind reading” systems that make unrealistic claims, I can see this research and wireless technology leading to something quite useful. The ability to discern closed eyes and drowsiness by the presence of alpha waves (8-12 Hz) in human EEG is well known.

Developing an affordable product that provides a timely audible alert to a driver that’s about to fall asleep could have a huge impact. From (beware, this is a PowerPoint presentation) Fatigue and Automobile Accident Risk:

The US Department of Transportation estimates that 100,000 accidents reported are due to drowsiness and/or fatigue. These crashes result in 1550 deaths annually (4% of traffic fatalities) and $12.5 billion in monetary losses.

Even the annoyance of false alerts would be worth the lives saved. And of course it’s convenient that a lot of truck drivers already wear baseball caps.

iPoint Presenter

The human-computer interface (HCI) will continue to be a major challenge for the future. The iPoint Presenter is an approach that makes a lot of sense. It’s been depicted as the future of computer interaction in movies like Minority Report and could easily be imagined as the next generation Wii.

Unlike the EEG-based “mind reading” devices that I’ve discussed before, this technology could be made affordable and reliable, so it holds much more promise. Plus that, it’s very cool.

UPDATE (3/5/08):

This is HCI related anyway: University of Bremen’s Brain-Computer Interface: The future world is here. This is an interesting approach for helping the disabled. LEDs are flashed at specific frequencies which causes the visual cortex to respond in a corresponding manner. When the person looks at that one LED or another the EEG response is detected and initiates the desired activity or makes the associated selection (e.g. letters or numbers).  The communication rate is slow, but this is a realistic technique nevertheless.

Subscribe

Categories

Twitter Updates