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Abstract—Telemedicine can be defined as the delivery of health So in this paper, we present a wireless telemedicine system
care and sharing of medical knowledge using based on RuBee technology.
telecommunication over a distance. This paper introduced the RuBee is a new technology to connect a variety of
new technology RuBee which fills the drawback of RFID tags. sensors and transmit information between items and the
As far as known, RFID tags have no network and cannot be Internet, and is considered another revolutionary
programmable, and RuBee has made tremendous progress for technological breakthrough after the Internet and information
the development of the telemedicine. In this paper, RuBee industry in IT.
protocol was briefly introduced firstly. Then the design and
If we want to achieve “wireless telemedicine”, then the
application RuBee Router was analyzed in the Telemedicine
tags play a very important role in telemedicine environment.
System. Finally, the paper introduced the snapshot of the
applications of electronic patient record, emergency
In recent years, companies tend to use RFID technology,
telemedicine and home monitoring etc. in wireless telemedicine because RFID has a non-contact reading and writing, multi-
systems. tag read, data can be updated, penetration and ability to adapt
to the environment and many other advantages. Despite the
Keywords- RuBee; Telemedicine system; electronic patient numerous advantages of RFID, but in application, RFID has
record; emergency telemedicine; a lot of shortcoming. For example, it cannot be programmed
to change the information in RFID tags dynamically, RFID
I. INTRODUCTION tags may interfere with each other, and during transmission,
the metal and the water will cause serious interference and so
Telemedicine is a new and evolving area in telemedical on.
and telecare systems. It aims at providing expert based To compensate for the shortcomings of RFID, RuBee
medical care to any place that health care is needed. technology has advantages in many aspects, RuBee tags can
Telemedicine may be as simple as two health professionals be used in the environment that RFID does not work. For
discussing a case over the telephone, or as complex as using example in the presence of metal or water environment, and
satellite technology and videoconferencing equipment to even has serious electronic noise environment. It does not
conduct a real-time consultation between medical specialists work like passive or active RFID, in contrast RuBee, similar
in two different countries. Telemedicine generally refers to to WiFi and ZigBee in that RuBee is peer-to-peer , is a
the use of communications and information technologies for networked transceiver that actually transmits a data signal on
the delivery of clinical care. Telemedicine includes three demand, but is much slower (6-8 packets per second). The
main categories: store-and-forward, remote monitoring and main difference between RuBee and WiFi or ZigBee is that
interactive services[1]. RuBee works in the long wavelength band using the
Store-and-forward telemedicine involves acquiring magnetic field, whereas typically WiFi and ZigBee works in
medical data (like medical images, biosignals etc) and then the VHF, UHF or SHF bands and with the electric field.
transmitting this data to a doctor’s computer for further In addition, RuBee data can be stored in either RuBee
processing. tags or stored in the RuBee server, Staff can use handheld
Remote monitoring, also known as self-monitoring or readers to read the information(production date, product
testing, enables medical professionals to monitor a patient number and so on) from RuBee tags without having to enter
remotely using various technological devices. data management system every time. And its reading and
Interactive telemedicine services provide real-time writing distance farther than RFID, so RuBee is much more
interactions between patient and doctors. convenient than RFID[2][3].
Telemedicine as a concept was introduced about 30 years In this paper, we studied the RuBee-based telemedicine
ago. That time, telemedicine systems provide an extension of data acquisition system design and application, in the
healthcare services via fixed wired telecommunications following sections, analyzed the IEEE1902.1 protocol, and
networks. However, nowadays, with the development of presented an architecture of data acquisition system which
wireless networks like GPRS, ZigBee, as well as satellite based on RuBee technology.
communication allows telemedicine using wireless networks.
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Protocol Frame displays, and LEDs. RuBee tags with sensors have been
Start Address FCS End
selector body directly embedded into items such as firearms, weapons,
0x0,0x0,0x5 AppProt ID Data Fcs2 0x00 mission critical tools, medical devices, and mobile phones.
n nibbles 1 nibble 8 nibbles n nibbles 2 nibbles 2 nibble RuBee has several advantages as follows˖
Responders reply to a request from a controller device x RuBee Human Safety
when the request is sent to an address that the responder has RuBee operates at such low power that it is not even
been configured to recognize. And in RuBee network, on the scale of absorbed power as determined by IEEE
responders respond to four different addresses, two of which C95.1 (Human Safety Standard). C95.1 is used by OSHA
may be set via commands from a controller device. Multiple to determine worker safety standards. The FDA
RuBee responder devices may respond simultaneously to a determined RuBee devices are a nonϋsignificant risk
request sent to any given address. A responder device (NSR) for use in hospital operating rooms, and a peer
responds to any one of four addresses as shown in Table 4. reviewed 2007 Mayo Clinic study concluded that RuBee
has no untoward EMI effects on pacemakers and ICDs.
TABLE IV. RESPONDER ADDRESSES x RuBee has no wiretapping risk
Address Type Address Range
RuBee is a magnetic wireless signal. Magnetic
Broadcast Address 0xFFFFFFFF signals drop off 1/R3(R is distance from the antenna in
Multi-cast ‘A’ Address 0xFE000000 to 0xFEFFFFFF meters – See Figure 4, Green dot is a good RuBee read
Multi-cast ‘B’ Address 0xFF000000 to 0xFFFFFFFE red dot is a bad read that is in the noise. B2 is best fit to
Individual Address 0x00000001 to 0xFDFFFFFF curve and experimentally is 1/R3.103). Other radio
2) Response PDU format signals and RFID power drops off 1/R in far field. That
A Response PDU consists of the following components: means other RF signals will drop to the same levels as
Start, Frame body, FCS, End, as shown in Table 5. RuBee at 10 feet after a mile or more. In addition it is
well known that ambient or environmental noise from
TABLE V. RESPONSE PDU FORMAT
natural sources goes down rapidly as the frequency
Start Frame body FCS End increases. That makes it easier to detect a high frequency
0x05 Data Fcs2 0x00 RF signal at a distance. RuBee signals are lost in noise in
8 nibble only a few meters and are virtually undetectable after that
0x05 0x00
response code
2 nibbles n nibbles 0 or 2 nibbles 2 nibbles distance. That means no one can listen in on a RuBee
conversation. This provides a very high level of security
D. Responder states over other wireless systems.
Responders have two main states: sleep and listen. In the
sleep state responder device spends the majority of its time in
a low power ‘halt’ condition. When it detects a valid carrier,
it wakes up, and enters the listen state. While the responder
is in the listen state it actively watches for commands. If
there is no carrier for a time out interval, the responder goes
back to the sleep state, as shown in Figure 3.
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A complete RuBee system should be consists of RuBee B. RuBee router
tags, RuBee router and Dot-tag server. The following were RuBee router can manage more than 100 to 1000 tags,
described in detail. read data from tags and write data to tags, such as name of
A. RuBee tags doctor, departments and so on. Control module sends a
request message, after modulated, via the antenna, to the
A RuBee Tag has: a 4 bit CPU (e.g. Epson/Seiko), RuBee tag. When the tag receives the request message, the
SRAM (1Kb-5Kb), crystal, and lithium battery. It could tag sends a reply message to the router, and then, the RuBee
optionally have sensors (temperature, humidity etc), displays router send data to the data management server for further
and buttons. RuBee is bidirectional, on-demand, and peer-to- processing.
peer. It can operate at other frequencies (e.g. 450 kHz) but Since the router works in the harsh environment, requires
131 kHz is optimal. RuBee operates at low frequencies, and high reliability and safety, RuBee routers have the following
a lithium battery can work more than five years. The RuBee main performance requirements:
protocol uses an IP Address and unique MAC to
x Ability to accurately read and write data;
communication with other tags and RuBee routers. RuBee
tags are shown in Figure 5[4]. x Strong capacity for conflict prevention;
x High-speed real-time data processing capabilities;
x Highly reliable network operating system;
x Stable network function;
x Stable and reliable power supply system;
1) Routers Introduction
RuBee router works between RuBee tags and data
management server, manages thousands of RuBee tags,
Figure 5. RuBee tags requires real-time data processing capabilities and high-
speed reliable network, is the main bearer of the RuBee
network. RuBee Router consists of the control module, the
wireless transceiver module. As shown in Figure 6.
In order to achieve performance requirements, power supply, and power to take the over-voltage current protection,
supply with wide voltage AC and DC uninterruptible power thus ensuring the router can work in various environments.
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Router's wireless transceiver modules use ATA5279 chips b) Storehouse management
produced by ATMEL. Router control module uses 32-bit There are many kinds of drugs in storehouse, using
high-speed processor SAMSUNG-S3C2440 + multi-tasking RuBee-based wireless tags to manage drugs label, can
network operating system Linux. This platform is stable, greatly improve the efficiency of warehouse management.
reliable, scalable interface, and has a stable and strong
c) Wireless tracking and location
networking features, greatly improved the reliability of the
system. The router can connect to any network via RJ45 In a typical operating room environment today, there are
interface, dynamically obtain IP addresses from a DHCP many expensive medical facilities. We must know whether
server, or through the VPN to connect to the data these devices are in the correct position, which devices are
management server. The router also can through the serial using exactly. With the help of RuBee visible system, we can
port (RS232, RS485), USB interface to connect to the local monitor these devices 24 hours a day, 365 days a year. Most
computer, and then through the VPN to connect to the data importantly, personnel will no longer have to leave the room
management server. to hunt for particular devices.
2) System hardware design d) Patient monitoring
To meet the RuBee tag’s function and performance, we RuBee tags can continuously monitor the patient's
use low-power MCU produced by the EPSON (i.e. the MCU physiology, when the disease occurs tags can send alert and
S1C60N16 series). The S1C60N16 Series is a single-chip the exact location of the patients to nurses.
microcomputer made up of the 4-bit core CPU, ROM (4,096 e) Call system
words×12 bits), RAM (832 words×4 bits), LCD driver, serial The traditional call system can only call the nursing
interface, event counter with dial input function, watchdog station, improved nurse call system make every nurse carry a
timer, and two types of time base counter. Because of its PDA, when the nursing station call does not respond to the
low-voltage operation and low power consumption, this call, the system automatically send alert to nurse’s PDA and
series is ideal for a wide range of applications, and is the doctors’ PDA on duty, so that nurses can make a timely
especially suitable for battery-driven systems. response to patients.
RuBee router wireless transceiver module uses the
ATA5279 chips, which is produced by the ATMEL. The
ATA7279 can drive up to six low-frequency-antennas, and
provide a wake-up and initialization channel. It has internal
SPI interface and the data communication interface, low
frequency transceiver data cache module, the data transfer
rate can reach 6Kbit/s, can meet the low power requirements.
C. RuBee Software Features
RuBee server-side software consists of several functional
modules as shown in Figure 7. It provides functions to read
and write tags. The data stored in the tag can be programmed
to change by the requirements of different users. Tags have
two main states; sleep and listen. In the sleep state the Figure 7. Server-side software function diagram
responder spends the majority of its time in a low power halt
condition. When it detects a valid carrier, it wake up, and
enters the listen state. While the responder is in the listen
state it actively watches for commands. If there is no carrier
for a time out interval, the responder goes back to the sleep
state. Software can send commands to the tag switch in these
states to meet low-power purposes. Software also provides
search and configure functions to check the working status of
routers and tags and their configuration, in addition, the
configuration of tags are classified according to different
products, to meet the purpose of classification according to
the tags[5].
RuBee-based telemedicine applications are shown in
Figure 8:
a) Mobile health care
Mobile health care is through the terminal device with
wireless capabilities for real-time data acquisition and query,
to meet the purpose of saving time, improving accuracy,
optimize the management processes, reducing medical cost
and so on.
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Figure 8. Medical-related applications REFERENCES
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IV. CONCLUSION
[2] IEEE Standard for Long Wavelength Wireless Network Protocol
This paper introduced the basic concepts of the IEEE Std 1902.1™-2009.
telemedicine, analyzed the RuBee protocol standards, [3] B.J. Stinson, J.R. Younkin, C.A. Pickett, G.D. Richardson.
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kind of architecture, described the RuBee router, tag design Related Assets”.
and the maintenance of the information in telemedicine [4] Wu Jian, Yuan Shenfang. “Design and implementation of a general
application. In addition, because of this system has low node for wireless sensor networks”. Chinese Journal of Scientific
Instrument. Vo1.27 No.9 Sep.2006.
power consumption, safety and high reliability, easy
[5] Zhao Hui, Li Wei. “RuBee Technology and Application”.
maintenance features, has a great advantage in the future Application of Electronic Technique. 2009,35(11).
application. [6] Tin-Yu Wu, Jhong-Ci Wu, Wei-Fang Weng. “Improvement Security
for RuBee Radio-WiMAX Mesh Networks”. The International
ACKNOWLEDGMENT Conference on Mobile Technology, Application & Systems
The work was partially supported by the National 2008( Mobility Conference ).
Science Foundation of China (61065007), the National [7] Hao Jia-wen. “RFID's New Highlights – RuBee”. Hot Focus.
2009,No.5.
Science Foundation of Gansu of China (0916RJZA020) and
the Universities Scientific Fund of Gansu Provincial
Finance Department.
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