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Vince Holton
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Wireless medical
communications in the
digital operating room
Tim Phipps,
Cambridge Consultants. Tim Phipps, Medical Wireless Lead for
Cambridge Consultants
In its origins, surgery used equipment that There are two new standards within the Wi-Fi
was somewhat like adapted DIY tools: family which are potentially a better fit. In the
saws, chisels and drills. All of the 5GHz band, 802.11ac promises very high data
necessary skills had to be learnt through rates, of around 1Gb/s, in spectrum that is still
experience and reproduced by the dextrous relatively unused: though we might expect
ability of the individual. Recently, the trend hospital IT departments and domestic users to
has been towards a more repeatable take up this band, as quickly as we saw the
process, making progress towards the goal 2.4GHz spectrum fill up. Another option is
of more repeatable outcomes for the 802.11ad, which uses a large amount of new
patient. New technologies are supporting spectrum at 60GHz to deliver similar very high
this trend - the operating room of the future data rates. This high frequency has the benefit
is digital! You could call it a switch from of giving good antenna efficiency from very
“analogue” skills to “digital” capability in small antennas, which would be suitable for
the operating room. Some of the new integration into compact medical devices;
digital equipment includes digital video however, the disadvantage is the lack of
pictures via endoscopes for laparoscopic penetration through solid obstacles requiring
surgery and ENT procedures; digital X-ray line-of-sight operation.
images; and even digital robotics to assist
with locating and holding tools. An often over-looked technology is Ultra Wide
Band (UWB) which operates in the United
With one of the largest independent wireless States in bands from 3 to 10GHz at a transmit
development teams in the world, Cambridge power of –41.3dBm/MHz. Data rates of up to
Consultants has a pedigree of creating ‘world 800Mb/s are possible with transmissions that
firsts’ in wireless communications, including don’t have a problem co-existing with Wi-Fi.
within the medical sector. In this edition of needing to be moved out to a fixed piece of However, spectrum sharing with like-systems is
Incisor, we look at some of the latest equipment in a dedicated, single function a potential future issue.
developments in the rapidly growing market of department. Another benefit is in increased
the digital operating room. operational efficiency with faster changes to Finally, one disruptive innovation that is causing
the connectivity during the setup procedures. big changes in the medical world is Bluetooth
Increasingly we can see a tangle of cables Quite apart from the maintenance issues Low Energy (BLE) in the iPhone. Suddenly a
being used to make connections from surrounding sterilisation and long term whole new class of medical “appcessories” has
surgical instruments to monitoring stations: mechanical integrity of wires. emerged. The technology enabler for this new
the use of technology has brought great wave is BLE’s ability to implement standby
benefits, but we have lost some of the So, which wireless technology will meet the operation for long term monitoring applications.
freedom of the old tools. Cambridge demanding requirements of the operating The regulatory enabler has been the FDA’s
Consultants has a vision of the operating room? The obvious place to start is with willingness to approve iPhone apps for medical
room of the future in which surgical tools, conventional Wi-Fi. It is a simple and readily usage. We predict an explosion of wireless-
once again, become smaller and more mobile. available technology which is well understood enabled monitoring in all kinds of approved
We expect that wireless connectivity will play and easy to use. However, the key problem medical devices.
a part by keeping connectivity required in the with Wi-Fi in hospitals is that there is existing
digital operating room, whilst enabling infra-structure for Wi-Fi based wireless LAN, Cambridge Consultants offers design services
mobility and ease of use. which will have been carefully optimised to with a world leading capability in both wireless
maximise availability and coverage. This gives and medical product design. Our quality and
What happens when we cut the cables? two co-existence problems: firstly the project management systems are certified to
wireless medical equipment may interfere with ISO 13485, to ensure that we can deliver to our
One example of this vision is the use of the existing network infrastructure, and clients' fast track and regulatory compliant
mobile X-ray inspection with wireless secondly the wireless medical device may development programs.
connectivity. In this case the equipment suffer from interference and be unable to
comes to the patient, rather than the patient deliver reliable performance. www.cambridgeconsultants.com
9 www.incisor.tv
Intel Corporation has announced Located in Karlsruhe, Germany, Intel says looking at new ways to use the Internet,
several automotive investments and that the site benefits from its proximity to sensors and context-aware technology
initiatives that it says are designed to top technical universities and an to determine what and how information
spur innovation and product ecosystem of hardware and software should be presented to drivers and
development in the connected car vendors with expertise in automotive passengers to reduce complex
experience. The investments include technology. The customized facility interactions while driving.
the new Automotive Innovation and features a unique secured car park that
Product Development Center, provides an on-site location for Intel to
Creates $100 Million connected
expansion of Intel Labs Interaction and install, test and showcase developments.
car fund
Experience Research (IXR) in Additional features include
automotive, an academic outreach instrumentation, a myriad of antennae to Intel Capital has announced an
program, and the establishment of the provide satellite, TV, digital video and investment fund focused on fostering
$100 million Intel Capital Connected GPS for development and testing, and an automotive technology innovation. Over
Car Investment Fund. engineering & compute infrastructure. the next 5 years, Intel Capital will invest
in hardware, software and services
Intel President and CEO Paul Otellini Intel also announced plans for a companies that are developing leading-
commented, "In today's mobile world, comprehensive academic program that edge ingredient technology and platform
personal computing touches every part of includes fundamental and applied capabilities that support Intel's focus
consumers' daily lives while at home, at research, curriculum development and areas in automotive.
the office and on the road. By broadening internship programs to foster the
our research efforts, academic and exchange of innovative ideas amongst
capital investments and opening the academia, Intel and the automotive
Automotive Innovation and Product industry. The program will be hosted at
Development Centre, Intel is deepening
its understanding of how people interact
with their cars and how Intel innovations
the Karlsruhe site and will tap into an
Intel European Research and
Development network of researchers and
“its Intel is deepening
understanding of
can enhance the automotive experience." developers, labs and research
relationships.
how people interact
The Automotive Innovation and Product with their cars and how
Development Centre will serve as Intel's With the expansion of Intel Labs
global centre of competence for the Interaction and Experience Research, Intel innovations can
development of products and Intel is planning that, alongside its
technologies for in-vehicle infotainment customers, it will obtain valuable insights enhance the automotive
and telematics solutions for the
connected car. The centre will optimize
Intel technologies for applications and
services as well as capabilities for
into consumer experiences in the car.
Intel told Incisor that it aims to apply that
knowledge to the development of
technology solutions for the vehicle and
experience.
”
consumer electronics integration, transportation infrastructure to make the
performance optimization and system driving experience more enjoyable,
design. intuitive and safe. For example, Intel is
11 www.incisor.tv
World’s most connected Mobile NFC metro transactions are set to quadruple to 23
billion by 2016, and that also by 2016, NFC
washing machine? tickets to be used by mobile tickets will represent more than
50% of all mobile ticketing revenue.
What if your washing machine could detect 1 in 8 mobile users
what you’ve put in the laundry and adjust
A new report from Juniper Research has
its own settings automatically? NXP
Semiconductors has recently been found that 1 in 8 (13%) of North American
NFC on a SIM card
showcasing its RFID- and NFC-enabled and Western European mobile users will use
their NFC-enabled mobile phone as a metro
gives new life to legacy
smart washing machine demonstrator,
featuring advanced yet practical wireless rail or bus ticket by 2016, compared with phones in China
functionality. The most popular feature of less than 1% today. Worldwide, mobile users
the demo is fabric detection: The washing are now beginning to adopt mobile tickets INSIDE Secure and Sunward Telecom
machine reads information about the fabric as an integrated part of their mobile lifestyle, are demonstrating a new NFC upgrade
type and colour from RFID-tagged buttons, whether for airline, road or rail transport, solution that fits entirely within a
helps you avoid mixing white and dark sporting or entertainment event access. standard-size SIM card and achieves
laundry, and optimizes the washing program industry-standard, 4-cm proximity
based on the characteristics it reads from The report found that, while mobile tickets of transaction performance when inserted in
both the clothing and the detergent itself. all types are growing in popularity, the ability a non-NFC mobile phone, simulating a
to “tap” an NFC phone containing a mobile MasterCard PayPass payment
Another popular feature of the demo is ticket against an entrance gate has transaction. The two companies told
NFC-based maintenance: Using an NFC- tremendous user appeal. For operators, a Incisor that the demonstration shows how
enabled phone, an authorized maintenance mobile phone ticket also provides new non-NFC mobile phones can be easily
technician can perform diagnostics on the marketing and sales opportunities previously upgraded to perform payment and other
smart washing machine onsite, change its not available using paper or contactless transactions simply by inserting a new
status, upgrade firmware, and launch an smartcard tickets. SIM card. The partners plan to accelerate
app that communicates directly with the the adoption of NFC card-emulation
manufacturer’s service centre using the The report warns, however, that NFC applications within legacy mobile phones
phone’s built-in 3G connection. A close-up Ticketing must be thoroughly tested before in China and other markets with a large
view of the latest NXP smart washing being launched to the public. For metro installed base of phones.
machine demo is available here: and bus tickets in particular, speed of
http://www.youtube.com/watch?v=gOa5piX passenger processing is of the essence and The NFC SIM card product developed
cxis queues must not be allowed to build up as a by Sunward Telecom achieves its
result of ticket processing delays either in performance using core technology from
Jan Willem Vogel, senior director, industrial mobile phones, gating or back office INSIDE that reduces the effects of the
applications marketing at NXP systems. metals and electrical noise typically found
Semiconductors told Incisor, “Major home within mobile phones and other mobile
appliances are becoming ‘smarter’ by the In conversation with Incisor, report author devices. When inserted into a phone, the
day - yet we’ve only started to explore the David Snow added, “NFC mobile ticketing is NFC SIM card is able to communicate at
universe of possibilities when it comes to still in its early stages, but it holds great 4 cm with contactless readers compliant
two-way communication. We’re particularly promise across the entire mobile ticketing with the ISO 14443 and EMVCo
excited about our new smart washing market. Metro ticketing is leading the way standards.
demonstrator, which brings together our as an NFC ticket is a natural evolution from
advanced application insights, our expertise a contactless transport card and can Sunward Telecom expects to begin
in RFID and NFC, as well as our broad- leverage the existing infrastructure. Add to shipping NFC SIM card products based
based understanding of the complex sub- this the option of simultaneous payment and on the INSIDE technology in the fourth
systems driving white goods today.” you have created a compelling user quarter of this year.
experience.”
And if you want to see all of this in action,
you can also click on the screen at the top Other findings from the report led Juniper to
of this column to watch the demo! forecast that worldwide mobile ticketing
12 www.incisor.tv
Visa and Monitise aim connection that remains open and allows
for a two way exchange of a sequence
to transform mobile of data. This, the partners claim, makes
USSD more responsive than services Patrick Pordage
payments in India, but that use SMS. Marketing
Communications
not with NFC…. After linking their HDFC Bank Visa or Director
Cambridge Consultants.
non-Visa payment card to their mobile
Movida, a mobile payments joint venture phone number, cardholders can access
backed by Visa and Monitise, has signed the service via USSD over Movida’s
an agreement with HDFC Bank, India’s secure connection. From then on it is
second largest private bank, to introduce just a matter of selecting the payment Corporate Blog
a first of its kind mobile payment service. service required and making the Our corporate blog covers new product
The new service allows HDFC Bank payment. A simple menu can complete a development, open innovation,
customers to pay bills, top up prepaid transaction in only a few steps. accelerating start up companies and
airtime and buy tickets from their mobile other topics that involve using
phone and is designed to operate across It doesn’t take a rocket scientist to innovation to achieve market
all mobile networks using any Visa or realise that the potential market is huge, leadership, along with technology
non-Visa branded payment account. It and, as India continues the upgrade of stories that we hope you will find
can be used by any mobile subscriber, its Internet and telecoms infrastructure interesting/
anywhere and accessed by even the to rural areas, the new mobile service
most basic mobile phone. will allow millions of Indians currently
excluded from enjoying the benefits of Consumer Products Blog
Naushad Contractor, Movida’s President mobile and online payment services to Topics include connected devices,
and head of the Monitise and Visa joint become part of the digital age via their beverage dispensing, eco innovation,
venture in India, told Incisor: “This is a basic prepaid mobile phone. new product introduction (NPI), open
service designed for Indians. As we innovation, novel control interfaces and
rollout the service to other banks more The service is initially being offered to a other topics related to our development
Indians will be able to benefit from select number of valued customers of innovative consumer electronics,
mobile payments. Wave goodbye to before being rolled out across the domestic appliances and fast moving
waiting in long queues or visiting post country later in the year. consumer goods.
offices or payment machines to pay bills
as you will now be able to do that right Most Incisor readers will have been
from your mobile phone. This service is thinking that NFC had to be involved in Wireless Medical Blog
going to drastically reduce the time and mobile payment transactions, but the Examining mobilehealth and telehealth
energy Indians waste every day waiting USSD system seems simpler both to technology ad market challenges, this
to pay bills.” implement and to use. Could it be rolled blog provides insight from implantable
out more quickly and more widely, and hospital communications to
The new service uses menu-based USSD sidestepping the complications that consumer health applications.
mobile technology making it one of the seem to have held NFC-based payment
easiest services to use and the most systems to date? Comments are
widely available. USSD is a protocol used welcome, and time will tell.
by GSM cellular telephones to
communicate with the service provider's
computers. USSD can be used for pre-
paid callback service, mobile-money
services, location-based content
services, menu-based information
services. USSD messages are up to 182
alphanumeric characters in length. Unlike
Short Message Service (SMS) messages, Follow us on Twitter:
USSD messages create a real-time @CambConsultants
13 www.incisor.tv
Snippets
The five trends CSR continues aptX push
At this year’s Mobile World Congress, CSR
was promoting the continuing take-up of its
bought-in aptX audio coding technology.
in 2012
into high-end consumer or industrial
products that are often targeted by
counterfeiters and cloners. The new
chip packs 14 Kbytes of accessible
programmable non-volatile (NV) memory
in addition to 1.5 Kbytes of NV memory
It was not strictly on topic for a short- Fourth: Convergence. All this means used to hold authentication certificate
range wireless publication, we know, but that enterprises will have to start moving information. By incorporating the
a conversation with Manish Sablok, to a more converged architecture for VaultIC160 in their products, manufacturers
head of marketing for Central North and both network and application of high-end consumer goods, such as
East (CNE) Europe at Alcatel-Lucent deployment, to deliver any application handbags, “grand cru” wine, watches and
Enterprise, gave us food for thought on over any network, and do so through any consumables can track their products
how changes in the make-up of the of the user's devices. through distribution and retail channels, and
workforce and tighter financial demands allow consumers to use an NFC-equipped
on businesses will drive real changes in Fifth: Deployment, and the inevitable smartphone — or a simple contactless
how users communicate across the shift to cloud. The need to improve the reader — to verify that the product is an
enterprise in 2012, ranging from the overall user experience – based on any original and not a counterfeit, and to access
social imperative to cloud delivery. application on any network using any the other information stored on the chip.
device – combined with the need for
First: The social imperative. For the first enterprises to shift to more cost effective
NXP expands its RFID business in
time, enterprises now seriously have three costs models is moving enterprises
North America
different generations working together towards the cloud-based Opex model as
across the enterprise: the Boomers, well as the Capex model for financing IT NXP Semiconductors is expanding its Radio
Generation X, and Generation Y. They have purchases. And this will inevitably Frequency Identification (RFID) team in its
different user behaviours, and the industry change the specification of their North American headquarters. Led by new
needs to reconcile all of these different communications infrastructure. Sablok hire Anno Hermanns, an RFID IC designer,
habits into a single unified multimedia suggested that his company, as a NXP is establishing a complete RFID tag IC
enterprise communication platform for network infrastructure provider has to be development team in San Jose, California.
email, instant messages, video and social able to provide organisations with the
networking. technical and commercial support to Hermanns will be responsible for building
deploy communication solutions in any and leading the new RFID IC development
Second: BYOD (Bring Your Own Device). model they want – on-site, hosted, team in San Jose. The new North American
In order to meet the expectations of our outsourced, or any combination of these. based team will focus on ultra-low power
mixed generation workforce in 2012 with tag IC architecture, fast non-volatile
their different expectations, enterprises Themes running through this are memories and design collaboration, whilst
need to understand that, alongside existing connectivity, interoperability and NXP's European RFID team will concentrate
laptops and desk phones, we are now also improving the user experience, all of on propelling frequency agnostic and
encountering the increased which are fundamental principles for the applications focused offerings to a whole
consumerisation of the enterprise, and SRW sector that will doubtless be a key new level of RFID performance.
therefore need the network to be able to enabler for the systems Sablok was
deal with any device, from smartphones to describing. So, maybe we weren’t so far
Z-Wave hosts Smart Home
tablets. Enterprises need to deliver the off topic after all.
specialist forum at CeBIT
same user experience regardless of which
device is chosen. At the international CeBIT trade fair,
which takes place from 6th to 10th March,
Third: Creating mashup applications. the CeBIT life platform will focus on
Business, customer service and unified technologies relating to digital lifestyles
communications applications are still – a subject that includes intelligent
siloed and are often run independently home control systems. Members of the
from one another. Users need to be able to Z-Wave Alliance, an open consortium of
manage these multiple applications manufacturers, will be presenting a
through a single unified interface, ensuring range of possibilities offered by such
that they interact with one another and technologies, as well as highlighting how
providing the user with a consistent these can be the point of entry to smart
experience over any device. grids, at the Smart Home specialist forum.
15 www.incisor.tv
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