5G + Smart Healthcare

• In your opinion, which industry will be the first one to

technologies? (Add the icon “ ” after your selection)
A. Education

B. Medical System

C. Manufacturing

D. Power Grid
1. Challenges to Medical Systems
2. Smart Healthcare Application
3. Smart Healthcare Network Performance Requirement
 Lack of medical resources and uneven
distribution

Rural areas City

Medical staff per 1,000 Queue for 3 hours for Remote
people in China a diagnosis diagnosis

In early days of Coronavirus, patients have to wait for more than 5 hours see a doctor.
 Lack of first aid skills for special disease
1/3 died in  First aid personnel lack of experience
ambulance
 Limited professional capabilities

Remote
Emergency death rate is 0.07% first aid

The nurses are not able to handle all the diseases.

 Infectious diseases cause more Risk

Dead

Italy(Until 31st Mar）

Coronavirus Epidemic
Remote
Medical Staff Get infected Operation

The remote operation can greatly reduce the risk of infection among medical personnel.
 Wireless, Remote, Smart

Internet remote Remote Temperature

Remote hospital first aid
consultation Monitoring

Patient
tracking

Device and asset

management

Remote ICU Remote AR/VR medical Indoor value-added

Remote Operation
Video Contact care service
• In your opinion, in the above mentioned healthcare
applications, which one is the most urgent to achieve? (Add
the icon “ ” after your selection)
A. Remote Temperature Monitoring

B. Internet Remote Consultation

C. Remote Hospital First Aid

D. Remote Operation
• Do you have any question in Chapter 1?
Yes No
1. Challenges to Medical Systems
2. Smart Healthcare Application
3. Smart Healthcare Network Performance Requirement
 1 Hospitals in other places

Hospital needing help

Cloud
TE20

Core
network Mobile doctor
CPE 5G base
station 5G base
TE20 station

Quick Deployment of 5G + Teleconference System with 20 Mbps Uplink Bandwidth

 2

PACS Optical network

system Consultation
system

Core
5G network
CT cloud
Manual patient data input
CPE

Cloud Iaas/CDN

Quick Integrated Deployment of Conference System and CT Cloud with 50 Mbps Uplink Bandwidth
5G Teleconsultation & Remote CT Consultation
Notes:
 3

Hospital 5G network Cloud ICU ward

5G

CPE Core
Forwarding point CPE
network
Doctor workbench

5G
Cloud IaaS
CPE

PC and monitoring CPE

equipment

Quick Deployment of 5G Remote B-ultrasound Examination Based on Medical Equipment with

20 Mbps Uplink Bandwidth and 40 ms Latency
4

Surgical The attending

operation doctor performs
equipment surgical operation
connected to the remotely
5G network

Control image Real-time audio

Surgical image and video
consultation
 5

Emergency center Ambulance

(UL:8Mbps DL:20Mbps) (UL:20Mbps DL:8Mbps)

Real-time Real-time
audio and audio and
video video

5G 5G CPE
CPE
8Mbps
Command Medical
platform 12Mbps
equipment on
board

5G 4K Real-time Feedback of Situation in Vehicle, Already Implemented in Many Places

Remote 5G Ambulance
Notes:

Typical Key Indicators 2019 2020~2021 2022~2023

Typical resolution 1080P 4K 8K（360 degree）

Typical frame Rate 30 60 60

Number of pixel bits 24 30 36

HD Video
Typical Bandwidth(DL) 13Mbps 50Mbps 450Mbps

E2E Latency/Air
100ms/10ms 50ms/5ms 20ms/5ms
Interface Latency
 6

Patients and Doctors Are Emotionally Stressed and Need

Relief for Better Treatment
 For hospitals: update of patients'
conditions and video psychological
consultation
 For patients and families: remote
visits for patients in quarantine wards

5G + Teleconference System with 20 Mbps Uplink Bandwidth

Hospital patient
Flexible multi-terminal access
Cloud

Core
network
CPE 5G
5G TE20
TE20 CPE
 7

Streaming media server

Networking Scheme
(Fixed public IP address)
Wi-Fi
5G CPE
VR helmet (panoramic camera)

Core network 5G base station

HD panoramic camera 5G CPE 5G base station Host Screen
Operator's core
Live broadcast: hospital operating room Viewer (remote)
equipment room
Notes:

Typical Key Indicators 2019 2020~2021 2022~2023

Single Eye 2K, Single Eye 4K,

Typical Resolution Full View 12K
Two Eyes 4K Two Eyes 8K

Typical Frame Rate 60 60~90 90~120

Cloud VR Number of Pixel Bits 24 24 30

Typical Bandwidth(DL) 100Mbps 500Mbps 1Gbps

E2E Latency/Air Interface Latency 80ms/10ms 50ms/5ms 20ms/2ms

 8

Autonomous driving
Core algorithm
Loa
network
d
Image storage, AI

CPE 5G
Cloud Remote
supervision/
control
• Huge workload for disinfection and medicine delivery
Each hospital must conduct more than 1,200 disinfections and over 3,000 medicine deliveries in more than 100 rooms, such as quarantine
wards, buffer zones, and operating rooms.

• High risk of infection: Disinfection and medicine delivery in red zones are of high risks of exposure for medical personnel.

• Difficult manual disinfection in some areas: Ceilings are prone to uneven spraying and low efficiency.

5G High Bandwidth & Good Mobility Empower Delivery Vans, Already Implemented in Many Places
5G Medical Robots
 9

Thermal imaging Patrol robot Head-mounted Drone

temperature monitoring monitoring device monitoring monitoring

 Monitoring of key areas: hospitals, stations, airports, shopping malls, etc.

 Reduce risk of transmission: reduce long-term duty in risk environments
 Real-time information monitoring: data acquisition
 5G Mobile Temperature Monitoring at Public
Joints
 10

Where ?

Typical Application Accurate positioning Bandwidth Latency requirements network

Patient location Indoor < 10 m
Outdoor < 20 m
Low power 1.Wifi, LoRa
Vital sign monitoring and / Uplink 200 kbit/s < 200 ms consumption, 2.5G mMTC: NB-
emergency alerting Low bandwidth IoT,eMTC
Infusion monitoring /
 • Key ability: Medical image needs high bandwidth
Teleconsultation • Mobile doctor requires wireless access anytime and
anywhere
Remote CT CT system->CT image->5G/optical network->remote
doctor
Consultation • Image: B-ultrasound equipment->doctor’s screen, high
Remote bandwidth
Smart • Operation: remote doctor -> B-ultrasound equipment, low
Contactless B-
Healthcare latency
ultrasound • 5G surgical operation equipment+ remote surgical operation+
architectur
Remote Operation control & surgical image+ real-time audio & video consultation
e
application • Remote surgical operation requires the highest latency and
s Remote bandwidth
Ambulance • Uplink: video and info of patient, high bandwidth + mobile
platform • Downlink: doctor’s diagnosis, low bandwidth
Remote Visit
Operative field camera/panoramic camera in operation room-
network Inter-hospital >network->MEC/Cloud->Operative field cameras->Screen/VR
Remote Training
3D positioning is the key ability of medical robots/unmanned
Terminals trucks
Unmanned Trucks
• Patient location, Vital sign monitoring, Infusion monitoring;
Monitor • Low power consumption and low bandwidth applications
Temperature • Use WiFi, LoRa, NB-IoT and other networks.

Wireless
Monitoring
• Do you have any question in Chapter 2?
Yes No
• Which one among the below applications requires critical
network latency performance?
A. Mobile image reading

B. Internet remote consultation

C. Remote hospital first aid

D. Remote B-ultrasound
1. Challenges to Medical Systems
2. Smart Healthcare Application
3. Smart Healthcare Network Performance Requirement
 Latency
< 50 ms Remote control + AI
healthcare
< 200 ms Video diagnosis and
guidance

>Seconds
Monitoring and Remote ultrasound robot
nursing
Remote real-time ultrasonic
consultation

ECG monitoring Infusion Remote robot surgery

AR operation guide
monitoring

patient locationAsset positioning VR surgery HD surgery live

AI image real-time assistance
demonstration broadcast
< 1 kbit/s 10–80 Mbit/s 10–100 Mbit/s Rate
Consecutive small Audio and video + medical Audio+video+tactile feedback
packet data image
• Beside mentioned network requirements (rate/latency ), is there any
other requirement by the smart healthcare? (For example: mobility)
 Dimension Requirement Wi-Fi 4G
Interference No interference

UL 50 Mbit/s and DL 100 Mbit/s in key

Capacity
areas.

Seamless switchover without affecting

Mobility
services

Operator level reliability, 99.999%,

Reliability visualized maintenance, and early alarm
mechanism

Security Secure and reliable, unable to be cracked

QoS Hierarchical QoS management based on

Management service types
 Slicing
eMBB 20 Gbps rate

Ultra-high bandwidth applications  Network slicing refers to dividing a

physical network into multiple virtual
3D, HD video
smart networks
Cloud
family
entertainment
AR
automated  5G application scenarios require
Smart
industry different network capabilities
City
Everything is
connected Autopilot

mMTC 1 million connections /KM² uRLLC 1ms  The realization of network slicing is
latency technically based on the cloudification
eMBB + uRLLC + mMTC of the 5G network.

5G meets network communication requirements for large bandwidth, low latency, mobility,
high reliability and information security
 Latency

Medical monitoring
(small packages)
4G

Patient Wireless Wireless

positioning infusion monitoring
Medical diagnosis
(video+ medical imaging)

Specialist diagnosis Emergency Wireless surgery

demonstration

Remote Mobile ward

Robot ward round consultation round
Telemedicine application
(video+ medical imaging+
tactile feedback)
5G

Remote robot Remote robot Remote robot

ultrasound endoscope operation

Rate
4G 5G
• 5G provides Qos/security guaranteed connection capabilities and
promote more efficient and systematic hospital management

Connection Rural area

capability communication

High BW
Low latency Rural area
High service IoT
quality

High mobility Medical

High access imaging
Hospital speed system
networking
High BW Medical
Low latency equipment
High service system
quality
 Other
Scenario Sub-scenario Typical Application Speed Delay
MEC
HD video transmission (1080p) 20 Mbit/s
Outside Hospital Ambulance < 50 ms N/A
Remote ultrasound imaging (1080p) 20 Mbit/s
Patient location UL 100 kbit/s
1. Data is not sent out
of the hospital.
Wireless
Vital sign monitoring, emergency < 200 ms 2. Provides agile
monitoring UL 200 kbit/s
alerting computing and AI
computing capabilities.
In-Hospital 2T computing
Image report download DL: 13 Mbit/s capability is required
Mobile ward
Electronic medical record query DL: 200 kbit/s < 100 ms for reconstructing 50
round
Upload doctor's orders UL 200 kbit/s pieces of 2D images
Surgical wound or environment video UL: 50 Mbit/s into 3D images each
Edge imaging
Video of the monitor UL: 50 Mbit/s < 50 ms time.
cloud
3D image reconstruction UL: 50 Mbit/s
Remote real-time Patient video (1080p) UL: 20 Mbit/s
< 50 ms
consultation Patient image (1080p) UL: 20 Mbit/s
Between
Image report download DL: 13 Mbit/s N/A
Hospitals Wireless specialist
Electronic medical record query DL: 200 kbit/s < 100 ms
diagnosis
Upload Diagnosis Comment UL 200 kbit/s
T&F √ OR ×
4G is possible to support Remote 4K
real-time consultation
T&F √ OR ×
5G Slicing is a technology which can
provide distinguished Qos.
T&F √ OR ×
Compared with WiFi, the advantage
of the 4G&5G is the Mobility
Function.
Hospital District Hospital Operator Service Provider

VR/AR/MR

Medical Core Network Service provider

Equipment server
Mobile Edge Computing
Out of Hospital
Doctor Patient
Non-5G traffic
Under 5G, edge computing, traffic offload, low latency 5G traffic
guaranteed, and zero transmission errors
 Smart lighting, water
meters, electricity meters
Smart lighting Computer room monitoring
Realize intelligent light
control / temperature
control / water control as
required
Save a lot of invalid
Smart meter
energy consumption
Vehicle management
Orderly dispatch medical and logistics
Vehicle vehicles
Smart sign Intelligent management Emergency positioning, mutual assistance
elevator and rescue

5G
Smart Trash
Smart water meter

Smart fire
Smart camera
Massive crowds realize face / behavior
recognition Smart fire
Smart camera Smart video Temperature control in each
Effective protection against suspicious
elements district and computer room
Smart air conditioner Rapid alarm after monitoring of
open flames and flames
Smart start fire sprinkler
• What is CPE? Why is CPE required now?

Huawei

5G Modules
Lack of Medical
Resource

5
G

Unmanned Trucks
 Teleconsultation

Remote CT
Consultation
Remote
Contactless B-
ultrasound
Lack of Medical WiFi?
Resource Remote Operation

Smart Remote Network

Challeng First Aid
e to Personnel
Healthcar Ambulance Performanc 5
e e
Medical Lack of Applicatio Requiremen
G
Remote Visit
Systems Experience ns t
Inter-hospital
4G?
High Risk on Remote Training
Medical Personnel
Unmanned Trucks

Monitor
Temperature
Wireless
Monitoring
• Do you have any question ？
Yes No