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1 Trends in Sensors, Wearable Devices and Internet of Things Walt Maclay President, Voler Systems – Product Development www.volersystems.com 408-245-9844

Trends in Sensors, Wearable Devices and IoT

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Page 1: Trends in Sensors, Wearable Devices and IoT

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Trends in Sensors, Wearable Devices and

Internet of Things Walt Maclay

President, Voler Systems – Product Development

www.volersystems.com 408-245-9844

Page 2: Trends in Sensors, Wearable Devices and IoT

2 www.volersystems.com 408-245-9844

•  Trends •  Examples of Sensors and

Applications •  Sensor Innovation •  Current Challenges

Agenda

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Growing Markets

1.  Wearable Devices 2.  Internet of Things (IoT) 3.  Digital & Home Health •  This Talk: My Perspectives from What People

are Designing and Investing In •  Many Devices Not Medical (FDA Regulated) •  Low Investment in Medical Devices for

Healthcare Providers

www.volersystems.com 408-245-9844

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Huge Market Potential

•  Market for Wearable Devices = 300 million People over 5 Years Old in U.S.

•  Market for Home Health = 115 million Households in U.S.

•  Market for the Aging = 40 million Over 65 in U.S.

www.volersystems.com 408-245-9844

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Future of Wearable Devices

•  It’s Just a Fad w  No One in Kansas will Ever use this Stuff

•  Explosive Growth is Almost Here w  A Killer App will make Wearables Mainstream

•  Evolutionary Change w Wearables are Well Adopted

§  Jewelry, Watches, Eyeglasses, Hearing Aides, Smart Phones

w  Changes Will Make Them Better w  Interconnected Data Will Make Them Smarter

www.volersystems.com 408-245-9844

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Home Health and Wearable Device Innovation

www.volersystems.com 408-245-9844

Scanadu Tricorder

Fit Bit Activity Monitor

Pebble Smart Watch

Google Smart Glasses

Sonitus in the Mouth Hearing Aid

Detection Activity Tracker Watch Eyeglasses Hearing Aid

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Evolutionary Change in Wearable Devices

•  Successful Wearable Devices Now w  Jewelry w Wrist Watches – 1 Billion Sold Each Year Worldwide w  Eyeglasses w  Hearing Aides w  Smart Phones (Wearable?)

•  What Makes These Successful? w  Beautiful or Inobtrusive w  Functional

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Future Wearable Devices

•  Will There be a New Class of Device? •  Will Google Glass Succeed?

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Future Of Home Health

•  Device For The Aging w  Aging Population w  Desire to Age In Place w  Baby Boomers Familiar with Electronics

•  Lower Cost Distribution - Hearing Aids in Walmart

•  Better Ways Of Doing Things - Tricorder

•  Many Devices Will Not Be Medical Devices •  Remote Monitoring To Healthcare Provider

w  Proven To Lower Cost and Improve Outcomes By Veterans Administration

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Home Health Monitoring

•  Huge Potential Benefit •  Worldwide in 2025* •  $15 Trillion cost of treating chronic disease

w  10% to 20% cost reduction in 2025 through remote health monitoring

•  50 million nurses for inpatient monitoring w ½ to 1 hour per day saved for each nurse through

remote health monitoring *McKinsey Global Institute analysis, May 2013

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Existing Home Health

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Live!y – elder monitor

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Future Home Health

•  Better Function w  Smart Fall Monitors for Elderly w  Better Passive Activity Tracking – Is Mom OK?

§  Alzheimer’s Tracking

w  Better Medication Adherence Monitoring

•  Medical Sensors in Smart Phones Will Lead to: w More Medical Apps

•  Remote Health Monitoring – Growing •  Implanted Sensors – for Hearing, Now Available

www.volersystems.com 408-245-9844

Page 13: Trends in Sensors, Wearable Devices and IoT

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•  Trends •  Examples of Sensors and

Applications •  Sensor Innovation •  Current Challenges

Agenda

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Sensor and Device Examples

www.volersystems.com 408-245-9844

Scanadu Tricorder

PuraCath Catheter Serilizer

Active Mind Golf Game Tracker

Fit Bit Activity Monitor

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Example: Activity Monitor

•  Sensor: Accelerometer •  Senses Each Step •  App Converts Steps into

Calories Burned •  Tracks Quality of Sleep

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Fit Bit

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Example: “Tricoder”

•  Temperature Sensing •  Heart Rate Sensing •  ECG

w Heart Rate Variability w Pulse Wave Transit Time (Blood Pressure)

•  Oximetry (Blood Oxygen Level) •  Urine Analysis •  Stress

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Scanadu

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Example: Home Dialysis

•  Ultraviolet Light Sterilization of Connections

•  Connects Implanted Peritoneal Dialysis Tube to Dialysate Bag and Drain Bag

•  Sensors w UV Light w Enclosure Open

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PuraCath

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Example: Golf Game Tracking

•  Sensors w GPS w Accelerometer w NFC

•  Records Swings •  Records Travel of Ball •  Complete Record of Game on

Map of Golf Course

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Active Mind

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•  Trends •  Examples of Sensors and

Applications •  Sensor Innovation •  Current Challenges

Agenda

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Sensors Critical To Advances

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•  Growth Of Sensors And Electronics w Miniaturization w Lower Cost w Smarter Systems

•  Advances Create New Markets Which Drives More Sensor Innovation

Rapid Innovation In Sensors

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•  Automobiles w  Since 1980s w  Cars Are Now Full of Sensors

•  Smart Phones w  Last Few Years w  Smart Phones Make Sensors Wearable

•  Future Market Driver For Sensors w  Home Health w Wearable Devices w  Internet of Things

Market Drivers for Sensors

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Common Sensors Now

•  Temperature •  Pressure •  Vibration / Acceleration •  Gyroscope •  Magnetometer •  Flow •  Vision, Microphones, Photodetectors •  Combination: Accelerometer, Gyroscope, and

Magnetometer On A Chip

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Future Of Sensors

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•  Chemical Sensors •  Gene Detection Chips – Getting Better •  Lab on a Chip – for Fluids •  Paper Based - Disposable

•  Fiber Optic Sensors •  Pressure, Temperature, Strain, Force, Displacement

•  Non-contact Glucose Sensor? •  Big Data to Analyze Sensor Data

•  Make Sensors Smarter with Software

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Fiber Optic Sensors

•  Advantages w  Safe – No Wires to Sensor w  Small – 0.25 mm Diameter w Operate in Harsh Environments, No EMI w Multiplex Sensors on One Fiber

•  Disadvantages w  Support Electronics still Expensive w  Electronics Can Get Cheap in Volume

www.volersystems.com 408-245-9844

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26 www.volersystems.com 408-245-9844

•  Trends •  Examples of Sensors and

Applications •  Sensor Innovation •  Current Challenges

Agenda

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Current Challenges

•  Wearables – Batteries a Major Limitation •  Limitations in Sensors •  Complex Needs of the Elderly •  Adoption by Healthcare Providers •  Islands of Data •  Are You Making a Medical Device? •  Regulations Don’t Keep Up with Technology

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Battery Limitations in Wearables

•  Slow Pace of Improvement If Improved Like Semiconductors: Size of a Pin Head, Could Power Your Car, Cost 1 Cent

•  Must Always Work Around Limitations w  Short Time Between Charging vs Small Size w  Limited Wireless Transmission Range

§  ie Bluetooth instead of WiFi or Cellular w Wireless Transmission in Short Bursts

§  Devices Slow When Listening for Transmission

w  Use of Accelerometers Instead of GPS

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Limitations In Sensors

•  Low Cost Devices are Not as Accurate w Non-linearity and Offset Errors w Calibration or Auto-calibration

•  Challenging to Get Good Data w Need Well Designed Data Acquisition

Electronics w Software Can Make Data Better

•  Cameras – Lighting Often a Problem

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Complex Needs of the Elderly

•  Who Will Pay? - Often the Children •  Stigma - I’m Not Sick –Make It Pretty or Cool

•  Must Be Incredibly Easy to Use w  Decline in Ability of Users

•  Many Products Don’t Solve a Problem w  No Medication Adherence Device Works for

Everyone. •  Biggest Issues Of The Elderly Not Addressed

w  Isolation, Loneliness, No Sense Of Purpose

www.volersystems.com 408-245-9844

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Adoption by Healthcare Providers

•  What is the Standard of Care? •  How Do We Change It? •  How to Avoid Adoption of Technology That

Costs More and Is Not Efficacious?

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Adoption by Doctors

•  Must Improve Outcomes and/or Make Doctors’ Lives Easier

•  Consider Two Medical Innovations of 1846 w  Anesthesia w  Hand Washing

•  Why Was Anesthesia Adopted Within Months? •  Hand Washing Still Not Fully Adopted

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Islands of Data

•  Devices Collect Isolated Data •  How to get it to the Doctor? •  How to Collect from Many Devices? •  Will The Solution Create Electronic Health

Records (EHR)? w Highly Regulated

•  HIPAA is a Problem - Patient Confidentiality w Severe Penalties for Violations

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Are You Making a Medical Device?

•  Cell Phone App Can Be A Medical Device w FDA Issued Guidelines for Mobile Apps in

October 2013. w FDA Can Force A Company Out of Business

for Violating Regulations •  Changing the “Instructions For Use” May

Make It Not a Medical Device w Pulse Oximeter Example

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Are These Medical Devices?

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Nike Fuelband

NO

Live!y – elder monitor

NO

Scanadu

YES Thermometer

YES

Zosano YES Azumio ?

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Regulations are Out of Date

•  HIPAA w  Is There a Legal Way to Solve Islands of Data?

•  What Is a Medical Device? w Does the Definition Need to Change?

•  Example: Tricorder was Science Fiction w Technology Has Advanced Since Regulations

Were Written w Regulations Need to Catch Up

www.volersystems.com 408-245-9844

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Home Health and Wearable Device Innovation

www.volersystems.com 408-245-9844

Scanadu Tricorder

Fit Bit Activity Monitor

Pebble Smart Watch

Google Smart Glasses

Sonitus in the Mouth Hearing Aid

Detection Activity Tracker Watch Eyeglasses Hearing Aid

Page 38: Trends in Sensors, Wearable Devices and IoT

38 www.volersystems.com 408-245-9844

Walt Maclay, Voler Systems [email protected]

Quality Electronic Design & Software Sensor Interfaces

Wireless Motion Control

Medical Devices

Slides Are Available at www.volersystems.com