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PORTABLE TELEMEDICAL SYSTEMS WITH MEDICAL
DECISION SUPPORT - INDUSTRY & EMERGENCY 
Designed	
  in	
  coopera.on	
  with	
  Russian	
  Associa.on	
  of	
  Telemedicine	
  
Project	
  Goals	
  
Provide	
  advanced	
  technology	
  enabling	
  solu.ons	
  
for	
  paramedical	
  and	
  rescue	
  staff	
  capable	
  to:	
  
•  deliver	
  knowledge	
  on	
  demand	
  in	
  opera.on	
  context	
  
and	
  .mely	
  fashion	
  
•  ensure	
  situa.on	
  awareness	
  and	
  mission	
  control	
  
•  keep	
  high	
  safety	
  and	
  efficiency	
  in	
  cri.cal	
  
environments	
  and	
  missions	
  
•  support	
  handsfree	
  opera.on	
  within	
  advanced	
  
collabora.on	
  and	
  connec.vity	
  framework.	
  
Product	
  Line	
  Overview	
  
	
  
•  ARNEGA™ is a family of smart wearable & mobile
wireless solutions enabling audiovisual communications
and telemetry in real time for complete situation
awareness & control. 
•  Designed to meet various equipment needs of medical
& emergency workers, rescuers and special task forces
in industrial and transportation sectors, government and
public health and safety sectors.
•  The system provides remote video assistance &
guidance from experts located off-site and wireless
access to expert knowledge bases for quicker and better
decision-making. 
Watch	
  ARNEGA	
  video:	
  

	
  Goal	
  	
  	
  	
  	
   	
  

	
  Solu.on	
  	
  
Key	
  Func8onali8es	
  &	
  Features	
  
T h e 	
   s y s t e m 	
   s u p p o r t s 	
   I T U	
  
videoconferencing	
   that	
   can	
   bring	
  
together	
   different	
   experts	
   from	
  
anywhere	
   in	
   the	
   world	
   for	
   real	
   .me	
  
brainstorming	
  and	
  decision-­‐making.	
  
	
  
ü 	
  modular	
  architecture	
  	
  
ü 	
  wide	
  range	
  of	
  op.ons	
  for	
  solving	
  various	
  tasks	
  
ü 	
  different	
  ver.cal	
  markets	
  system	
  versions	
  
ü 	
  connec.on	
  of	
  addi.onal	
  equipment	
  
ü 	
  patented	
  technology	
  
ü 	
  diverse	
  smart	
  interconnec.vity	
  (local	
  or	
  global)	
  supported	
  by	
  
MCU’s	
  	
  for	
  intercommunica.ons	
  of	
  Radio,	
  Audio,	
  Video	
  over	
  IP	
  
ü Cisco	
  Health	
  &	
  Tele	
  Presence	
  endpoint	
  compa.bility.	
  
Basic	
  System	
  components	
  
• 	
   Videoconferencing	
   module	
   +	
   	
   add.	
   equipment	
   inbuilt	
  
into	
  a	
  specialized	
  wearable	
  vest,	
  backpack	
  or	
  a	
  belt	
  
• 	
   Camera,	
  laser	
  pointer	
  and	
  LED	
  torch	
  are	
  inbuilt	
  into	
  a	
  
protec.ve	
  helmet	
  
Such	
  approach	
  keeps	
  hands	
  free	
  providing	
  the	
  worker	
  with	
  a	
  complete	
  
freedom	
  of	
  movement.	
  
	
  

• 	
   Audio/video/Data	
  is	
  transmiYed	
  to	
  the	
  
coordina.on	
  center	
  
• 	
  Communica.on	
  is	
  bi-­‐direc.onal	
  
• 	
   A	
  micro	
  display	
  may	
  be	
  integrated	
  into	
  
the	
   glasses	
   worn	
   by	
   the	
   worker	
   for	
   a	
  
duplex	
  video	
  mode	
  
	
  
 

Overall	
  Solu8on	
  Structure	
  
ü Emergency	
  
situa.on	
  
	
  	
   management	
  
	
   (vehicles,	
  
infrastructure,	
  
safety)	
  
ü 	
  FR	
  staff	
  
opera.on	
  and	
  
health	
  control	
  
ü Everywhere,	
  
any.me	
  locally	
  
and	
  central	
  level	
  
of	
  situa.on	
  
awareness	
  
	
  
Product	
  family	
  members:	
  
ARNEGA-­‐MAX	
  	
  	
  (semi-­‐rugged,	
  fully	
  rugged)	
  
• 	
  Protec.ve	
  helmet	
  equipped	
  
with	
  an	
  audio	
  and	
  video	
  device,	
  
LP	
  &	
  Torch,	
  GPS/GLONASS	
  t&t.	
  
• 	
  Unload	
  vest	
  (protec.ve	
  suit	
  
(2-­‐6	
  ballis.c	
  protec.on	
  
category)	
  or	
  backpack	
  with	
  a	
  
power	
  supply	
  and	
  addi.onal	
  
equipment	
  
• Rugged	
  computer,	
  codec	
  	
  in	
  
IP67	
  protected	
  case;	
  
• Antennas,	
  boosters,	
  cables.	
  
 

Product	
  family	
  members:	
  
ARNEGA-­‐MINI	
  	
  (basic,	
  semi-­‐rugged)	
  
	
  	
   •  	
   V i d e o	
   h e a d s e t	
   ( m o n o c u l a r	
   o r	
  
	
   stereoscopic)	
   or	
   stripe	
   with	
   LP	
   &	
   Torch,	
  HD	
  
camera,	
  embedded	
  MID	
  
• 	
   Backpack	
   with	
   a	
   rugged	
   computer	
   and	
   a	
  
power	
  supply	
  or	
  waist,	
  belt	
  MID.	
  	
  
 

Product	
  family	
  members:	
  

ARNEGA-­‐VC	
  (telemedical	
  applica6ons)	
  

	
  	
  
	
  

• 	
  	
  Protec.ve	
  IP67	
  suitcase	
  
ü 	
  Includes	
  camera	
  on	
  the	
  inside	
  of	
  the	
  	
  
ü suitcase	
  cover	
  (night	
  vision	
  op.on)	
  
ü 	
  LCD	
  15,6”	
  sunreadable	
  display	
  (protected	
  glass)	
  
ü 	
  HW	
  Coding/decoding	
  module	
  (based	
  on	
  Cisco	
  codecs)	
  
ü BaYeries	
  for	
  in	
  field	
  opera.on	
  
•  Light	
  medical	
  vest	
  +	
  headset	
  stripe	
  w/camera	
  and	
  torch	
  
•  Telemedical	
   module	
   includes	
   IPC	
   &	
   the	
   following	
   medical	
  
equipment	
  (user	
  configurable):	
  	
  
ü  	
   ECG,	
   oxymeter,	
   e-­‐stethoscope,	
   blood	
   pressure,	
  
thermometer,	
  glucometer	
  
ü  Ultrasound	
  sensor	
  or	
  scanner	
  as	
  an	
  op.on	
  (connectable	
  
via	
  digital	
  interfaces	
  such	
  as	
  USB)	
  
ü  other	
  equipment	
  may	
  be	
  integrated	
  on	
  request	
  
•  Remote	
  control	
  (internal	
  power	
  supply)	
  
 

System	
  versions:	
  
ARNEGA-­‐VCE	
  (technical	
  supervision,	
  telemedicine)	
  
•  ARNEGA	
  VC	
  system	
  PLUS:	
  
ü  Protec.ve	
  helmet	
  or	
  Headset	
  w/audio	
  and	
  video	
  devices	
  (HDV+AHS)	
  
	
  	
   ü  Protec.ve	
  vest,	
  GPS/GLONASS	
  posi.oning	
  device,	
  wearable	
  rugged	
  or	
  
wrist	
  computer,	
  baYeries	
  
	
  
ü  Second	
  external	
  videocamera,	
  external	
  display,	
  addi.onal	
  remote	
  control	
  
ü  Addi.onal	
  medical	
  &	
  metrological	
  equipment	
  
ü  Biofeedback	
  device	
  for	
  monitoring	
  physical	
  and	
  psychological	
  state	
  of	
  the	
  
paramedic	
  member	
  
•  Accessories	
  	
  
ü  3D	
  Glasses	
  for	
  augmented	
  reality	
  applica.ons	
  
ü  UAV	
  remote	
  control	
  module	
  with	
  situa.on	
  view	
  system	
  
ü  Inmarsat	
  BGAN	
  or	
  VSAT	
  communica.on	
  terminal,	
  MESH	
  network	
  
 

Applica8ons:	
  
	
  	
  
	
  

	
  

In	
   emergency	
   situa.ons	
   ARNEGA™	
   will	
   help	
   lower	
  
casual.es	
  by:	
  
ü establishing	
  direct	
  real	
  .me	
  
contact	
  b/w	
  pa.ent	
  and	
  his	
  
doctor	
  	
  
ü Providing	
  access	
  to	
  
knowledge	
  base,	
  pre-­‐
diagnos.c	
  expert	
  system	
  or	
  
MIS	
  
ü 	
  providing	
  qualified	
  first	
  aid	
  
in	
  case	
  of	
  accidents	
  through	
  
remote	
  support	
  of	
  a	
  number	
  of	
  
experts	
  
 

Applica8ons	
  environment:	
  
•  	
   Suitable	
   for	
   use	
   in	
   all	
   working	
   environments,	
   including	
  
	
  	
  
poten.ally	
  hazardous	
  environments	
  (ATEX	
  Zone	
  2	
  cer.fied)	
  
	
  
•  	
   Helps	
   guarantee	
   the	
   security	
   &	
   safety	
   of	
   workers	
   and	
  
effec.veness	
  of	
  the	
  works	
  conducted	
  
	
  
Current	
  Deployments	
  	
  
•  Telemedical,	
  Emergency	
  &	
  Recovery	
  trains	
  
Current	
  Deployments	
  	
  
•  Ambulances,	
  Road	
  inspec.on	
  labs,	
  oil	
  plajorms	
  
Medical	
  assistent	
  &bodyguard	
  

The	
  device	
  is	
  made	
  in	
  the	
  form	
  of	
  a	
  bracelet	
  (op.ons:	
  t-­‐shirt	
  or	
  socks)	
  
and	
  includes	
  a	
  set	
  of	
  wireless	
  sensors	
  that	
  track	
  the	
  loca.on	
  of	
  a	
  
person	
  in	
  addi.on	
  to	
  control	
  heart	
  rate,	
  blood	
  pressure,	
  oxygen	
  levels	
  
and	
  blood	
  sugar	
  level.	
  
User's	
  personal	
  account	
  

All	
  informa.on	
  collected	
  from	
  medical	
  sensors	
  comes	
  to	
  the	
  user's	
  
personal	
  account.	
  In	
  case	
  of	
  exceeding	
  the	
  permissible	
  values	
  the	
  system	
  
sends	
  an	
  alarm	
  signal	
  (to	
  rela.ves	
  or	
  to	
  family	
  doctor).	
  Exceeding	
  of	
  the	
  
permissible	
  parameters	
  is	
  stored	
  in	
  case	
  history.	
  
 

AWARDS	
  
v Emercom	
  silver	
  medal	
  2013	
  
	
  	
  
v Skolkovo	
  Founda.on	
  Awards	
  for	
  research	
  
	
  
v GFK	
  Group,	
  Germany	
  2012	
  (Cebit)	
  
Award	
  of	
  10	
  best	
  innova.ve	
  projects	
  of	
  the	
  
Cebit	
  fair	
  in	
  CODE-­‐n	
  contest.	
  

hYp://t-­‐smart.ru/news/7421/	
  
 

Ongoing	
  development:	
  
	
  3D	
  vision	
  module:	
  Integrated	
  system	
  of	
  3D	
  vision	
  with	
  
support	
  of	
  augmented	
  reality	
  and	
  in-­‐built	
  or	
  loadable	
  libraries	
  
	
  	
  
of	
  virtual	
  objects,	
  opera.on	
  environment;	
  
	
  
	
  mission	
  context	
  ac.vated	
  tools	
  according	
  to	
  the	
  worker’s	
  
specializa.on	
  and	
  skills.	
  
	
  
This	
  module	
  will	
  help,	
  
for	
  example,	
  a	
  surgeon	
  
located	
  off-­‐site	
  show	
  a	
  
medical	
  worker	
  how	
  to	
  
perform	
  a	
  par.cular	
  
	
  	
  
part	
  of	
  an	
  opera.on.	
  
 

Ongoing	
  &	
  Future	
  development:	
  
	
  Trauma	
  detec8on	
  module:	
  Automated	
  image	
  analysis	
  and	
  
	
  	
  anomalies	
  recogni.on	
  system	
  based	
  on	
  2D/3D	
  ultrasound	
  
	
   images.	
  The	
  recogni.on	
  methods	
  used	
  are	
  ar.ficial	
  neural	
  
networks,	
  fuzzy	
  logic,	
  k-­‐nearest	
  neighbour,	
  their	
  
combina.on.	
  
	
  	
  
A	
  CADD	
  system	
  to	
  help	
  detect	
  
foreign	
  objects	
  in	
  the	
  body,	
  
fractures,	
  internal	
  bleeding	
  
and	
  other	
  trauma.	
  
 

Ongoing	
  development:	
  
Knowledge	
  bases	
  &	
  decision	
  support:	
  Web-­‐service	
  
with	
  access	
  to	
  theme	
  or	
  person	
  based	
  expert	
  
	
  	
  
knowledge	
  	
  and	
  other	
  ci.zen-­‐oriented	
  services,	
  
	
  
including:	
  
• Doctor’s	
  remote	
  consulta.on	
  at	
  home	
  or	
  in	
  a	
  move	
  
• Access	
  to	
  medical	
  knowledge	
  bases	
  and	
  the	
  “automated	
  pre-­‐
diagnos.cs”	
   zone	
   –	
   this	
   service	
   allows	
   you	
   to	
   upload	
   medical	
  
	
  	
  
images	
  and	
  get	
  an	
  automated	
  “diagnosis”	
  based	
  on	
  an	
  image	
  
analysis	
  and	
  cogni.ve	
  features	
  iden.fica.on;	
  
• Medical	
  dummies	
  integra.on	
  for	
  visual	
  	
  
coaching	
  and	
  simula.ons	
  
• Standardiza.ons,	
  both	
  MIS	
  (HL7)	
  EMR	
  and	
  device	
  	
  
(Con.nua,	
  ISO	
  X37	
  based)	
  levels	
  for	
  end-­‐to-­‐end	
  opera.ons.	
  
Tradi8on	
  Group	
  Background	
  
 

Contact	
  Info:	
  
	
  	
  
	
  

Dr.	
  A.Panfilov	
  
Tradi.on	
  Group	
  Ltd.	
  
panfilov@tradi.on.ru	
  
hYp://tradi.on.ru	
  	
  
	
  

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Portable Telemedical Systems for Emergency Response

  • 1. PORTABLE TELEMEDICAL SYSTEMS WITH MEDICAL DECISION SUPPORT - INDUSTRY & EMERGENCY Designed  in  coopera.on  with  Russian  Associa.on  of  Telemedicine  
  • 2. Project  Goals   Provide  advanced  technology  enabling  solu.ons   for  paramedical  and  rescue  staff  capable  to:   •  deliver  knowledge  on  demand  in  opera.on  context   and  .mely  fashion   •  ensure  situa.on  awareness  and  mission  control   •  keep  high  safety  and  efficiency  in  cri.cal   environments  and  missions   •  support  handsfree  opera.on  within  advanced   collabora.on  and  connec.vity  framework.  
  • 3. Product  Line  Overview     •  ARNEGA™ is a family of smart wearable & mobile wireless solutions enabling audiovisual communications and telemetry in real time for complete situation awareness & control. •  Designed to meet various equipment needs of medical & emergency workers, rescuers and special task forces in industrial and transportation sectors, government and public health and safety sectors. •  The system provides remote video assistance & guidance from experts located off-site and wireless access to expert knowledge bases for quicker and better decision-making. Watch  ARNEGA  video:    Goal              Solu.on    
  • 4. Key  Func8onali8es  &  Features   T h e   s y s t e m   s u p p o r t s   I T U   videoconferencing   that   can   bring   together   different   experts   from   anywhere   in   the   world   for   real   .me   brainstorming  and  decision-­‐making.     ü   modular  architecture     ü   wide  range  of  op.ons  for  solving  various  tasks   ü   different  ver.cal  markets  system  versions   ü   connec.on  of  addi.onal  equipment   ü   patented  technology   ü   diverse  smart  interconnec.vity  (local  or  global)  supported  by   MCU’s    for  intercommunica.ons  of  Radio,  Audio,  Video  over  IP   ü Cisco  Health  &  Tele  Presence  endpoint  compa.bility.  
  • 5. Basic  System  components   •    Videoconferencing   module   +     add.   equipment   inbuilt   into  a  specialized  wearable  vest,  backpack  or  a  belt   •    Camera,  laser  pointer  and  LED  torch  are  inbuilt  into  a   protec.ve  helmet   Such  approach  keeps  hands  free  providing  the  worker  with  a  complete   freedom  of  movement.     •    Audio/video/Data  is  transmiYed  to  the   coordina.on  center   •   Communica.on  is  bi-­‐direc.onal   •    A  micro  display  may  be  integrated  into   the   glasses   worn   by   the   worker   for   a   duplex  video  mode    
  • 6.   Overall  Solu8on  Structure   ü Emergency   situa.on       management     (vehicles,   infrastructure,   safety)   ü   FR  staff   opera.on  and   health  control   ü Everywhere,   any.me  locally   and  central  level   of  situa.on   awareness    
  • 7. Product  family  members:   ARNEGA-­‐MAX      (semi-­‐rugged,  fully  rugged)   •   Protec.ve  helmet  equipped   with  an  audio  and  video  device,   LP  &  Torch,  GPS/GLONASS  t&t.   •   Unload  vest  (protec.ve  suit   (2-­‐6  ballis.c  protec.on   category)  or  backpack  with  a   power  supply  and  addi.onal   equipment   • Rugged  computer,  codec    in   IP67  protected  case;   • Antennas,  boosters,  cables.  
  • 8.   Product  family  members:   ARNEGA-­‐MINI    (basic,  semi-­‐rugged)       •    V i d e o   h e a d s e t   ( m o n o c u l a r   o r     stereoscopic)   or   stripe   with   LP   &   Torch,  HD   camera,  embedded  MID   •    Backpack   with   a   rugged   computer   and   a   power  supply  or  waist,  belt  MID.    
  • 9.   Product  family  members:   ARNEGA-­‐VC  (telemedical  applica6ons)         •     Protec.ve  IP67  suitcase   ü   Includes  camera  on  the  inside  of  the     ü suitcase  cover  (night  vision  op.on)   ü   LCD  15,6”  sunreadable  display  (protected  glass)   ü   HW  Coding/decoding  module  (based  on  Cisco  codecs)   ü BaYeries  for  in  field  opera.on   •  Light  medical  vest  +  headset  stripe  w/camera  and  torch   •  Telemedical   module   includes   IPC   &   the   following   medical   equipment  (user  configurable):     ü    ECG,   oxymeter,   e-­‐stethoscope,   blood   pressure,   thermometer,  glucometer   ü  Ultrasound  sensor  or  scanner  as  an  op.on  (connectable   via  digital  interfaces  such  as  USB)   ü  other  equipment  may  be  integrated  on  request   •  Remote  control  (internal  power  supply)  
  • 10.   System  versions:   ARNEGA-­‐VCE  (technical  supervision,  telemedicine)   •  ARNEGA  VC  system  PLUS:   ü  Protec.ve  helmet  or  Headset  w/audio  and  video  devices  (HDV+AHS)       ü  Protec.ve  vest,  GPS/GLONASS  posi.oning  device,  wearable  rugged  or   wrist  computer,  baYeries     ü  Second  external  videocamera,  external  display,  addi.onal  remote  control   ü  Addi.onal  medical  &  metrological  equipment   ü  Biofeedback  device  for  monitoring  physical  and  psychological  state  of  the   paramedic  member   •  Accessories     ü  3D  Glasses  for  augmented  reality  applica.ons   ü  UAV  remote  control  module  with  situa.on  view  system   ü  Inmarsat  BGAN  or  VSAT  communica.on  terminal,  MESH  network  
  • 11.   Applica8ons:           In   emergency   situa.ons   ARNEGA™   will   help   lower   casual.es  by:   ü establishing  direct  real  .me   contact  b/w  pa.ent  and  his   doctor     ü Providing  access  to   knowledge  base,  pre-­‐ diagnos.c  expert  system  or   MIS   ü   providing  qualified  first  aid   in  case  of  accidents  through   remote  support  of  a  number  of   experts  
  • 12.   Applica8ons  environment:   •    Suitable   for   use   in   all   working   environments,   including       poten.ally  hazardous  environments  (ATEX  Zone  2  cer.fied)     •    Helps   guarantee   the   security   &   safety   of   workers   and   effec.veness  of  the  works  conducted    
  • 13. Current  Deployments     •  Telemedical,  Emergency  &  Recovery  trains  
  • 14. Current  Deployments     •  Ambulances,  Road  inspec.on  labs,  oil  plajorms  
  • 15. Medical  assistent  &bodyguard   The  device  is  made  in  the  form  of  a  bracelet  (op.ons:  t-­‐shirt  or  socks)   and  includes  a  set  of  wireless  sensors  that  track  the  loca.on  of  a   person  in  addi.on  to  control  heart  rate,  blood  pressure,  oxygen  levels   and  blood  sugar  level.  
  • 16. User's  personal  account   All  informa.on  collected  from  medical  sensors  comes  to  the  user's   personal  account.  In  case  of  exceeding  the  permissible  values  the  system   sends  an  alarm  signal  (to  rela.ves  or  to  family  doctor).  Exceeding  of  the   permissible  parameters  is  stored  in  case  history.  
  • 17.   AWARDS   v Emercom  silver  medal  2013       v Skolkovo  Founda.on  Awards  for  research     v GFK  Group,  Germany  2012  (Cebit)   Award  of  10  best  innova.ve  projects  of  the   Cebit  fair  in  CODE-­‐n  contest.   hYp://t-­‐smart.ru/news/7421/  
  • 18.   Ongoing  development:    3D  vision  module:  Integrated  system  of  3D  vision  with   support  of  augmented  reality  and  in-­‐built  or  loadable  libraries       of  virtual  objects,  opera.on  environment;      mission  context  ac.vated  tools  according  to  the  worker’s   specializa.on  and  skills.     This  module  will  help,   for  example,  a  surgeon   located  off-­‐site  show  a   medical  worker  how  to   perform  a  par.cular       part  of  an  opera.on.  
  • 19.   Ongoing  &  Future  development:    Trauma  detec8on  module:  Automated  image  analysis  and      anomalies  recogni.on  system  based  on  2D/3D  ultrasound     images.  The  recogni.on  methods  used  are  ar.ficial  neural   networks,  fuzzy  logic,  k-­‐nearest  neighbour,  their   combina.on.       A  CADD  system  to  help  detect   foreign  objects  in  the  body,   fractures,  internal  bleeding   and  other  trauma.  
  • 20.   Ongoing  development:   Knowledge  bases  &  decision  support:  Web-­‐service   with  access  to  theme  or  person  based  expert       knowledge    and  other  ci.zen-­‐oriented  services,     including:   • Doctor’s  remote  consulta.on  at  home  or  in  a  move   • Access  to  medical  knowledge  bases  and  the  “automated  pre-­‐ diagnos.cs”   zone   –   this   service   allows   you   to   upload   medical       images  and  get  an  automated  “diagnosis”  based  on  an  image   analysis  and  cogni.ve  features  iden.fica.on;   • Medical  dummies  integra.on  for  visual     coaching  and  simula.ons   • Standardiza.ons,  both  MIS  (HL7)  EMR  and  device     (Con.nua,  ISO  X37  based)  levels  for  end-­‐to-­‐end  opera.ons.  
  • 22.   Contact  Info:         Dr.  A.Panfilov   Tradi.on  Group  Ltd.   panfilov@tradi.on.ru   hYp://tradi.on.ru