P577Early experience with the first pacemakers to directly connect with smart devices for remote monitoring

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
K Tarakji ◽  
S Zweibel ◽  
A Seiler ◽  
P Roberts ◽  
N Shaik ◽  
...  
Keyword(s):  
Remote Monitoring ◽  
Communication Process ◽  
Smart Devices ◽  
Smart Device ◽  
Cardiac Device ◽  
Remote Monitoring System ◽  
Wide Range ◽  
Device Pairing ◽  
Implanted Device

Abstract Background Remote monitoring is associated with improved patient outcomes; however, adoption and adherence to remote monitoring via home-based consoles remains suboptimal. BlueSync technology in new generation pacemaker and CRT-P models enables the implanted device to communicate directly with patient-owned, Bluetooth-equipped smartphones/tablets and an app (MyCareLink Heart). The app can automatically retrieve information from the cardiac device and transmit the data to the remote network, eliminating the need for traditional remote monitoring consoles. Objectives To characterize the communication process between implanted pacemakers and smart device remote monitoring apps by assessing the success of prescheduled remote transmissions in the first month of follow-up. Additionally, to assess the feedback of both patients and clinicians about the process of device pairing. Methods Enrollment in the BlueSync Field Evaluation began in April 2018 and was completed November 2018. Follow-up is ongoing. Prior to enrollment in the evaluation, patients completed the device pairing process with the app using their own compatible smartphone or tablet. Patient and clinician questionnaires were completed at the time of the device pairing process. After enrollment, successful completion of scheduled transmissions occurring in the first month were analyzed. Results Preliminary data includes 241 enrolled patients with mean age of 64.7±15.5 yrs (min 20, max 90 yrs), who completed device pairing between their implanted device and their smart device app. Of enrolled patients, 79% felt that the device paring was easy to do, 85% were satisfied with the amount of time it took to complete it, and 93% felt that they would be comfortable using the app. Clinicians reported that 67% of the device pairings took less than 20 minutes and 78% felt patients would be able to use the app independently. At the time of analysis 174 patients had at least one scheduled transmission within the first month, and collectively had a total of 322 scheduled transmissions. Out of these, 309 (96%, 95% CI: 93%-98%) were successfully completed. MyCareLink Heart App Conclusions Initial experience with the world's first app based remote monitoring system for Bluetooth enabled pacemakers demonstrated success to scheduled transmissions in the first month across a wide range of patient ages. Patients and clinicians reported high satisfaction with this novel technology. Acknowledgement/Funding Medtronic PLC

Automatic Remote Monitoring of Implantable Cardiac Devices in Clinical Practice – The Lumos-T Safely Reduces Routine Office Device Follow-up (TRUST) Trial

2010 ◽  
Vol 6 (3) ◽  
pp. 87
Author(s):  
Niraj Varma ◽  
Keyword(s):  
Clinical Practice ◽  
Remote Monitoring ◽  
Home Monitoring ◽  
Implantable Devices ◽  
Cardiac Device ◽  
Cardiac Devices ◽  
Enhance Patient Safety ◽  
Implantable Cardiac Devices ◽  
Post Implantation

The use of implantable electronic cardiac devices is increasing. Post-implantation follow-up is important for monitoring both device function and patient condition; however, clinical practice is inconsistent. For example, implantable cardioverter–defibrillator follow-up schedules vary from every three months to yearly according to facility and physician preference and the availability of resources. Importantly, no surveillance occurs between follow-up visits. By contrast, implantable devices with automatic remote monitoring capability provide a means for performing constant surveillance, with the ability to identify salient problems rapidly. The Lumos-T Reduces Routine Office Device Follow-up Study (TRUST) demonstrated that remote home monitoring reduced clinic burden and allowed early detection of patient and/or system problems, enabling efficient monitoring and an opportunity to enhance patient safety. The results of the trial have significant implications for the management of patients receiving all forms of implantable electronic cardiac device.

P58 Workload analysis and clinical significance of remote monitoring system in nursing consultation in monitoring implanted device

2011 ◽  
Vol 10 ◽  
pp. S9
Author(s):  
A.-L. Fernandez-Oliver ◽  
J. Burgos-Mora ◽  
A.-R. Davila-Berrocal ◽  
C. Galacho-Ramirez ◽  
M.-J. Sanchez-Fernandez ◽  
...  
Keyword(s):  
Monitoring System ◽  
Clinical Significance ◽  
Remote Monitoring ◽  
Workload Analysis ◽  
Remote Monitoring System ◽  
Implanted Device

The Research of GPRS-Based Remote Fault Monitoring System for CNC Machine Tools

2011 ◽  
Vol 328-330 ◽  
pp. 393-397
Author(s):  
Ming Liang Wu ◽  
Xiao Bing Wang ◽  
Shu Rong Yu
Keyword(s):  
Monitoring System ◽  
Communication Networks ◽  
Remote Monitoring ◽  
Data Transfer ◽  
High Reliability ◽  
Fast Response ◽  
Cnc Machine Tools ◽  
Cnc Machine ◽  
Remote Monitoring System ◽  
Wide Range

Based on GPRS network remote monitoring system which uses its two-way transmission performance, can easily monitor various electrical equipments and get information. Compare with the past remote monitoring systems, the system has the advantage of flexible networking, convenient, wide range of data transmission, high reliability, fast response time, and has great significance and value of research in CNC machine tool system with upgrade GPRS in the mobile communication networks, data services expand and data transfer capabilities.

The Design of the Elevator Remote Monitoring System Based on GSM

2015 ◽  
Vol 743 ◽  
pp. 876-881 ◽  
Author(s):  
W.F. Li ◽  
S.L. Zhang ◽  
H.R. Yuan
Keyword(s):  
Remote Monitoring ◽  
Control Unit ◽  
Signal Acquisition ◽  
Remote Monitoring System ◽  
Wide Range ◽  
Communication Module ◽  
Voltage Signal ◽  
Frequency Module ◽  
Maintenance Personnel ◽  
Operational Failure

To solve the sudden of the operational failure of the elevator, uncertainties of the failure and the lower reliability duo to maintenance personnel non-standard operation, we design and implement a system of the elevator secure remote monitoring which based on GSM wireless communications. The terminal of the system regards GSM wireless communication module as a main control unit, which meanwhile has the reliable wireless five-party call subsystem and UPS function. The system, mainly through a wide range of AC and DC voltage signal acquisition unit and RFID radio frequency module monitors the elevator’s various of state, and records maintenance personnel’s information. All information transmitted by GPRS and display in the terminal. Experiments show that this system is stable and reliable and has a good compatibility, which truly achieves the real-time of the failure information feedback, reduces the blindness of the troubleshooting, and has a broad market.

scholarly journals Integration and Adoption Analysis of Digital Health Monitoring Devices: Reflections of a Pilot Project (Preprint)

2018 ◽  
Author(s):  
Christopher Park ◽  
Emmamuzo Otobo ◽  
Jason Rogers ◽  
Farah Fasihuddin ◽  
Shashank Garg ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Monitoring System ◽  
Remote Monitoring ◽  
Hospital Readmissions ◽  
Smart Devices ◽  
Remote Monitoring System ◽  
Factors Associated ◽  
Digital Medicine ◽  
Monitoring Devices

BACKGROUND Congestive heart failure (CHF) is a disease that affects about 6.5 million people in the United States with a mortality rate of around 30%. With the incidence rate projected to rise by 46% to exceed 8 million cases by 2030, projections estimate that total CHF costs will increase about to nearly $70 billion. Recently, the advent of remote monitoring technology has significantly broadened the scope of the physician’s reach in chronic disease management. Using remotely monitored health data, providers may be able to better manage and predict their patients’ outcomes, leading to reduced incidence and hospital admission costs. OBJECTIVE This project aimed to demonstrate the feasibility of a digital medicine engagement platform for CHF patients, including identifying factors associated with increased risk of readmission and assessing usage patterns of remote monitoring devices. METHODS The project included 60 patients admitted to Mount Sinai Hospital for CHF. A digital medicine platform by Rx.Health, called RxUniverse, was used to prescribe HealthPROMISE and iHealth mobile apps. Patients updated and recorded their CHF-related symptoms and quality of life measures daily on HealthPROMISE. Vital sign data, including blood pressure and weight, were collected through an ambulatory remote monitoring system that integrated the iHealth app and complementary consumer grade Bluetooth-connected smart devices (blood pressure cuff and digital scale). Physicians were notified of abnormal patient blood pressure and weight change readings and further action was left to the physician’s discretion. We used statistical analyses to determine risk factors associated with 30-day all-cause readmission. RESULTS Overall, there were six 30-day hospital readmissions (10%), compared to the national readmission rates of around 25%. Single marital status (P<.1) and history of percutaneous coronary intervention (P<.1) were associated with readmission. Readmitted patients were also less likely to have been previously prescribed angiotensin converting enzyme inhibitors or angiotensin II receptor blockers (P<.05). Notably, readmitted patients utilized the blood pressure and weight monitors less than non-readmitted patients, and patients aged less than 70 used the monitors more frequently on average than those over 70, though these trends did not reach statistical significance. The percentage of patients using the monitors at least once dropped steadily from 83% in the first week after discharge to 46% in the fourth week. Additionally, 88% of patients used the monitor at least 4 times and 62% at least 10 times, with some patients using the monitors multiple times per day. CONCLUSIONS Given the increasing burden of CHF, there is a need for an effective and sustainable remote monitoring system for CHF patients following hospital discharge. We identified clinical and social factors as well as remote monitor usage trends that identify targetable patient populations that could benefit most from integration of daily remote monitoring. In addition, we demonstrated that interventions driven by real-time vitals data may greatly aid in reducing hospital readmissions and costs while improving patient outcomes. Future studies should seek to implement remote monitoring and confirm usage trends as well as risk factors in a large-scale population.

Remote Follow-Up of Implantable Cardioverter Defibrillators

2013 ◽  
pp. 162-172
Author(s):  
David L. Scher ◽  
Franco Naccarella ◽  
Zhang Feng ◽  
Giovanni Rinaldi
Keyword(s):  
Remote Monitoring ◽  
Clinical Information ◽  
Medical Industry ◽  
Implantable Cardioverter Defibrillators ◽  
Remote Monitoring System ◽  
Patients With Heart Failure ◽  
New Literature ◽  
Cardioverter Defibrillators ◽  
Monitoring Devices

In this chapter, the authors introduce some concepts about the remote follow-up of Implantable Cardioverter Defibrillators (ICD). Even if this type of remote monitoring system is relatively new, literature has demonstrated the utilization in clinical practice and during the last few years, the medical industry has provided different devices. Starting from the background, some models of utilizations are presented, focusing on the description of the main functions provided by some devices offered on the market. Next the motivations for which remote follow-up is needed are explored; a better management of the patient is described in several studies, and the integration of clinical information from monitoring devices in Electronic Medical Records is presented as the important step in order to provide comprehensive clinical information about the patient. Also, economic issues are shown. Then, some experiences realized in U.S. are explored, and at last, a number of questions are proposed to the discussion as contribution to the next research. Some Italian recent experiences in the field of remote monitoring and home care of patients with heart failure with and without implantable devices are reported.

scholarly journals Smartphone remote monitoring app to follow-up colorectal cancer survivors: a requirement analysis (Preprint)

2020 ◽  
Author(s):  
Seyed Mohammad Ayyoubzadeh ◽  
Mohammad Shirkhoda ◽  
Sharareh R. Niakan Kalhori ◽  
Niloofar Mohammadzadeh ◽  
Somayyeh Zakerabasali
Keyword(s):  
Colorectal Cancer ◽  
Cancer Survivors ◽  
Health Care Providers ◽  
Remote Monitoring ◽  
Care Providers ◽  
Remote Monitoring System ◽  
Colorectal Cancer Survivors ◽  
Multiple Challenges ◽  
Colorectal Cancer Patients

BACKGROUND Colorectal survivors face multiple challenges after discharge. eHealth may potentially support them by providing tools such as smartphone apps. They have lots of capabilities to exchange information and could be used for remote monitoring of these patients. OBJECTIVE In this study, we addressed the required features for apps designed to follow-up colorectal cancer patients according to survivors' and clinical experts' views. METHODS A mixed method study was conducted. Features of related apps were extracted through the literature; the features were categorized and then they were modified. A questionnaire is designed containing the features listed and prioritized based on the MoSCoW (Must have, should have, could have, won’t have) technique and an open question for each category. The link to the questionnaire was shared among clinical experts in Iran. The answers were analyzed using CVR (Content validity ratio) and based on the value of this measure, the minimum feature set of a monitoring app for colorectal cancer patient’s follow-up was addressed. Also, a telephone interview with colorectal survivors was conducted to collect their viewpoints regarding a remote monitoring system for colorectal cancer cases. RESULTS The questionnaire contained ten sections evaluating nine categories of features. Eighteen experts filled the questionnaire. the minimum features of the app identified as patient information registration, sign and symptoms monitoring, education, reminders, and patient evaluation (0.42<CVR<0.85). Features including physical activity, personalized advice, and the social network did not get the minimum score (-0.11<CVR<0.39). Nine colorectal cancer survivors were interviewed. Information registration, sign and symptoms monitoring, education, and personalized advice were the features with high priority from the survivors’ perspective. Scheduling, shopping, and financial support features were emphasized by survivors in the interview. CONCLUSIONS The requirements set could be used for designing an app for the targeted population. and/or patients affected by other cancers. As the views of both sides of survivors as clinical experts were considered in this study, the remote system may fulfill the need for follow up of survivors more strongly. This eases the patient and health care providers’ communication and interaction CLINICALTRIAL

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