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Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Evolution of Mobile eHealth Technology, Tools, Practices in India
Prof. S. K. Mishra, MS, FACS
Head, Dept. of Endocrine Surgery & Faculty I/C,
SGPGI Telemedicine Programme
Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS),
Lucknow, India
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Agenda Origin of the Concept – Telemedicine Application in Festival with large gathering
First Prototype of Mobile eHealth System & Disaster Telemedicine
Mobile eHealth units for specific health conditions
Satcom Based
Shankar Nethralaya Tele-Opthalmology Unit
Aravind Mobile Eye Screening VAN
Madras Diabetic Research Foundation (MDRF) – A Tele-Diabetic Unit
Malabar Cancer Care Society, Kannur – Tele Oncology Unit
Terrestrial / Wireless Based
C-DAC Mohali : Tele-Ophthalmology Van
Regional Institute of Ophthalmology, A Tele-ophthalmology Unit
General Purpose Mobile Telemedicine Unit
Sri Ram Medical College, Chennai
Amrita Institute of Medical Sciences, Cochin
Apollo Telemedicine Network Foundation
3G enabled mHealth- Apollo Telemedicine Network Foundation
mHealth4U Portable Tool Kit
Case Study: “Telemedicine enabled specialty healthcare access for health emergencies
Conclusion
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Application of Telemedicine Technology to provide
Tele-health care during mela/ festival and disaster
Maha Kumbh Mela
(Indian festival)
DIT Project
Jan-Feb 2011
Telecommunication Development Bureau ITU-D Study Groups RAPPORTEUR'S GROUP MEETING ON QUESTION 14- / - TOKYO, 10-11 MARCH 2011
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Location of Telemedicine work station in Kumbh Mela
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
1st Mobile eHealth System 2001
Prototype of First Mobile eHealth System developed.
Suitcase and Mobile Van were developed and demonstrated.
ISDN as Communication Media
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Disaster Telemedicine Kit 2002
Designed and Developed in Year 2002 as P.O.C. used in Gujarat Earthquake
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Mobile eHealth units for specific health conditions
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Shankar Nethralaya Tele-Opthalmology Unit
Vidarbha Mobile Unit at Maharastra
WDF Mobile Unit in Karnataka
ISRO Mobile Unit at Maharastra
http://www.sankaranethralaya.org/
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Design of Mobile Unit
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Mobile Refraction Unit
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Aravind Mobile Eye Screening VAN
ISRO Connectivity
Known Diabetic Pts are collected by Physician
Recorded in a specialized software “EyeTalk” & transmitted to the reading grading center at Base Hospital
http://www.aravind.org/telemedicine/va.htm
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Satellite Based Mobile Telemedicine Unit
Chitrakoot, MP Gangaram Hospital, New Delhi
Asia Heart Foundation, Kolkata
http://laico.org/v2020resource/files/remote_rural_population.htm
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Tele-Ophthalmology Unit under ISRO Network
Location No. of Unit
Sankara Nethralaya, Chennai 02
Aravind Eye Hospital, Madurai 01
Agarwal Eye Hospital, Chennai 01
Chaitinaya Hospital, Cochin 01
Prabha Eye Clinic, Bangalore 01
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Madras Diabetes Research Foundation (MDRF)
Collaboration between MDRF, World Diabetes Foundation and ISRO.
Serves 42 villages (in and round Chunmpet village) in Kancheepuram District, Tamilnadu, India.
The experts testing, diagnosis, medicines and even laser surgery are at door step
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Internal view of MDRF Mobile System
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Tele-Oncology Unit
Malabar Cancer Care Society, Kannur
Comprehensive Disease Control Activities Through Early Detection, Treatment & Awareness Building for Cancer Cancer, AIDS, TB, Cardiac diseases & Pre and post natal requirements.
‘Sanjeevani’ is a Mobile Tele Oncology unit with satellite communication link, advanced diagnostic and treatment equipments, telemedicine infrastructure, software for Electronic Health Record, e-Health Card for patients etc. aimed to provide telemedicine services for early cancer detection, follow up consultation, treatment of cervical cancers and awareness building to rural masses at five northern districts of Kerala.
http://cancercaremccskannur.org/
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Exterior View
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Interior View: Documentation & Videoconference Station,
Satellite Indoor unit
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Interior view: Laboratory workstation
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Interior view: Videoconference Station
(close up view during operation)
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Interior view: Operation Table for Colposcopy and
cauterization for early cervical cancer
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Equipment installed inside mobile van
Mobile Ultrasound and X-ray Unit Colposcopy Unit used for early detection
of Cervical Cancer & intervention
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Patient Access Door and Satellite External Unit Housing
Patient Access Door
Satellite external Unit housing
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
C-DAC Mohali : Tele-Ophthalmology Van
Mobile Tele-Ophthalmology Van is equipped with various equipments like Slit lamp, auto-refractometer,
tonometer, ophthalmoscope, retinoscope and a wireless internet enabled computer with which the
user can connect to internet at anytime and anywhere in the field to transfer the captured images of
patient’s eyes and other related data through the software e-Sanjeevani
http://www.cdacmohali.in
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Regional Institute of Ophthalmology “Sunayanam” – A Tele-ophthalmology Unit
Regional Institute of Ophthalmology (RIO), Trivendrum
Designed and implemented by C-DAC
Well-equipped to carry out complete ophthalmic examination.
Further assistance are met with by contacting the specialists at RIO by way of videoconferencing
Equipped with photo slit lamps.
http://www.yentha.com/news/view/1/2724
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
General Purpose Mobile Telemedicine Unit
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Sri Ram Medical College, Chennai
ISRO Antenna & VSAT connectivity.
General Purpose Rural Tele-health Clinic
http://www.srmc.edu/telemedicine.htm
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Amrita Institute of Medical Sciences, Cochin
AIMS Hospital’s Mobile Telemedicine Unit is the size of a city bus and includes X-ray facilities, ECG scanner, pathology-lab-work facility, specialty cardiac services and a telemedicine satellite link with AIMS Hospital.
First used in tsunami-relief work in Kerala and Tamil Nadu.
Direct Relief International ( a U.S based NGO) has supported in setting up of this van while Indian Space Research Organization ( ISRO) provides the satellite-technology and connectivity
http://www.aimshospital.org/hospital/cdh/facilities_telemedicine.php#8
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Application of AIMS Telemedicine Van
Tele-health service in Koshi flood affected Area
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Apollo Telemedicine Network Foundation
• Jointly undertaken by ISRO, Philips
India, Apollo Telemedicine
Networking Foundation (ATNF) and
the Madurai based NGO,
Development of Human Action
(DHAN)
• A tele-clinical van, equipped with
diagnostic equipment provided by
Philips India. The van has an
ultrasound machine, an X-ray, a
defibrillator and an ECG machine
• ISRO is providing the connectivity
through VSAT
www.medetel.lu/download/2010/.../Growth_and_Development.pdf
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Outside view and Internal view of “Telemedicine on Wheel”
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Tele-consultation from VAN
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Wireless Mobile Health System
Evolution of wireless communication technologies have enabled telemedicine systems to operate in the remotest place for rural health practices hence expanding telemedicine benefits, applications, and services.
In India majority of the people are living in the rural and remote locations where even the basic facilities are not available for the society.
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
3G enabled mHealth
Apollo Telemedicine Network Foundation
http://www.medetel.lu/download/2010/parallel_sessions/presentation/day1/mHealth_Bridging.pdf
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Telemedicine enabled Kit
Apollo Telemedicine Network Foundation
Vital Parameters (12Lead ECG, BP, Stethoscope,PO2, Meter, Temperature Probe, and Glucometer)
3G Broadband
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
mHealth4u Suitcase and backpack model
School of Telemedicine & Biomedical Informatics, SGPGIMS
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Integrated Medical Equipments
PC Interface:
USB & Bluetooth
Atom based Low Cost Laptop with
Integrated Telemedicine Software
Connectivity via High Speed Broadband (HSB)
Blood
Pressure
Digital
Glucometer
Common
Interface
Spirometer
Wrist Clinic
Weighing
Machine
SPO2
ECG
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Screen Shot of Software based Video Conferencing
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Screen Shot of Cure-Soft Software
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Case Study: “Telemedicine enabled specialty healthcare access for health emergencies
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
2009 Puri Rath Yatra @ Orissa
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Video Clip
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
Conclusion
Several prototypes and Mobile e-Health tools in India
Innovative applications – general & theme based
Indigenous satellite technology and support of ISRO
Very much relevant in health system in low resource countries
Current generation wireless broadband holds promise to develop low cost sustenance model of operation
Lack of healthcare infrastructure in village level and last mile connectivity problems are addressed in Indian model
High level of illiteracy in population is a barrier in developing mHealth applications on handsets
Empowering rural healthcare providers with suitcase / backpack model m-health tool kit may be considered by health policy makers
Medetel, 10th Edition, Luxemburg, 18-20 April 2012
School of Telemedicine & Biomedical Informatics, SGPGI, Lucknow
Thank You
website
www.stbmi.ac.in
www.nrct.in
www.sgpgi-telemedicine.org