Upload
pascal-zellner
View
176
Download
0
Embed Size (px)
Citation preview
Health data cloud monitoringToward a new family of clinical signsPascal ZELLNER MD, [email protected]
Health Data Cloud Monitoring
There is a major difference between objects,medical systems and devices dedicated to fitness:the Medical CE and FDA marks, the Directive93/42 / EEC imposing drastic standards on theentire device development chain
Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD
Device (Pulse Light) Error (%) à 80-90 BPM Error (%) à 160-170 BPM
Garmin VivoFit 10.7 0
Withings Pulse O2 5.3 57.1
Basis Carbon Steel 10.2 57.9
Samsung Gear Fit 4.2 Unable to read
Samsung Galaxy S5 3.1 0.2
Fitness & Sport health data
Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD
30 MI 5 MI 45 MI
45 MI 10 MI
Fitness & Sport health data
Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD
(30+5+45+45+10) x 2 (training) x 52 (week) x 7 (Hrmax, Hrave, dist, D+,D-, Cal, Speedave)
98280 MI (simple records)
How many predictive & preventive information ?
if A has run more kilometers than B, A is more trained than B ?if A has purchased a training plan, A has more chance to succeed ?
0 clinical or preventive information
Fitness & Sport health data
Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD
Fitness & Sport health data
Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD
Today Fitness Score
Previous Fitness Score
Overtraining Alert & Score
Overstrain Monitor
Fitness & Sport health data
Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD
The truth is out thereRR wave & Training charge score
Fitness & Sport health data
Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD
Fitness & Sport health data
Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD
Fitness & Sport health data
Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD
1800 points / 1 training
Fitness & Sport health data
Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD
(30+5+45+45+10) x 2 (training) x 52 (week) x 1800 points
25 272 000 MI (simple records)
98280 MI (temporal series)
Fitness & Sport health data
Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD
500 € 25/80 €
Heart Rate + RR waves = Aerobic Model
Fitness & Sport health data
Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD
• Heart rate variability Standards of measurement, physiological interpretation, and clinical use - Task Force of The European Society of Cardiology and The North American, Society of Pacing and Electrophysiology - European Heart Journal (1996) 17, 354–381
• Morton RH, Fitz-Clarke JR, Banister EW.- Modeling human performance in running - J Appl Physiol (1985). 1990 Sep;69 (3):1171-7.• 3Ecare® Concept, a use case in high altitude race in Nepal P. ZELLNER MD, E. CAUCHY MD, Global Telemedicine eHealth Updates – Knowledges
Resources Vol 8 2015 – 312-317
Data Cloud Monitoring
Fitness & Sport health data
Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD
Fitness & Sport health data
Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD
Smart Agenda
Fitness & Sport health data
Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD
Smart Agenda
Cardiac health data
Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD
Cardiac health data
Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD
Cardiac health data
Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD
Cardiac health data
Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD
Low Normal High
0 2 4 6 8 10
Ventricle/Aorta Volume Ratio
Aorta valve pulsatility index
k1/k2 index ventricle/aorta
Arteries dynamics
Ultra High Resolution SpO2 wave study
• Telemedical monitoring of people using fruit and vegetable diet R. Krzyminiewski, G. Mrozinska, B. Doboz Medical Physics Division, Adam Mickiewicz University Poland - Global Telemedicine eHealth Updates – Knowledges Resources Vol 8 2015 – 351-354
Cardiac health data
Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD
Data
Inference Engine + Model
Pathology
Data Cloud Monitoring
A new family of clinical signs
• Not more data to acquire…• But more data to use…• Real services to the patient…• Real predictive & diagnostic…
• Why are there no massive offer ?• Because this simply engage responsibility…• There are space for the brave doctors &
hackers but not for long ...
• Under Armor has bought everything ... and signed an agreement with IBM bluemix
Health Data Cloud Monitoring – Toward a new family of clinical signs – HHC Strasbourg 2016 – P.ZELLNER MD