Remote Patient Monitoring

Devices Supporting Remote Patient
Monitoring: Trends and

Opportunities
Dr Nadia Tsao, Research Director, IDTechEx

www.IDTechEx.com
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Slide 4
Remote Patient Monitoring 2023–2033
Trends, opportunities, and outlook for the use of wearable and connected medical devices in the remote monitoring of patients, including
activity, heart rate, blood pressure, heart rhythm, and blood glucose
Remote Patient Monitoring 2023–2033
www.IDTechEx.com/RPM
Sample pages are available for all IDTechEx reports
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Slide 5
Devices Supporting Remote Patient
Monitoring: Trends and
Opportunities
Slide 6
Megatrends Driving Healthcare Reforms
Population growth Ageing population Infectious disease Chronic diseases

The current world population is account for 41 million
The rise of drug-resistant
7.75 billion. Expected to peak in Population aged 65 or deaths each year, equivalent
pathogens in combination
2064 at 9.73 billion. older is 0.76 billion with the impact of global to 71% of all deaths globally.
as of 2021 (UN). pandemics as demonstrated Increasing sedentary lifestyles
by COVID-19. Population with population and economic
density is an exacerbating growth are driving this.
factor.
17.9m
Cardiovascular
Expected decline to By 2100, Cancer

8.79 billion in this will reach 9.3m
21001. 2.37 billion. Respiratory
(In contrast, age
20 or younger 4.1m Diabetes
are forecast at
1.7b.) 1.5m
Data from: Vollset et al. 2020. The Lancet, 396(10258), pp.1285-1306, United Nations. Image created by IDTechEx.
Slide 7
Benefits of Remote Patient Monitoring
RPM: The Benefits of RPM

• is a subset of telehealth
• leverages sensors to monitor patients both inside Increases quality of life for patients
and outside of conventional clinical settings
• allows physicians to make clinical decisions
remotely Reduces hospitalizations and ER visits (and associated costs)
• can be applied to a wide range of health
conditions Provides users with peace of mind
The COVID-19 pandemic has expanded RPM to a

wide range of health conditions and settings, but the Allows for preventative healthcare
main application is still monitoring of patients in their
home.
Reduces hospital stay times (and associated costs)
Key areas include:

• Patients with chronic conditions Better allocation of healthcare resources (and associated costs)
• Clinical trials
• The elderly More background data for patients improves treatment outcomes
• Wellness
Source IDTechEx
Slide 8
Chronic Diseases are Key Markets for RPM
Patient activation is key – RPM seeks to keep patients engaged

with their own care
Up to $2.5 trillion is spent on chronic

Early and strong adoption of digital health in chronic disease disease care in the US every year.
management driven by:
o Increasing prevalence
o Cost to healthcare systems
40% of adults in the US are obese
o Convenience and 70% are overweight.
Chronic conditions commonly covered by commercial RPM

programs: 1 in 10 people in the US have
diabetes, with 1 in 3 on their way
o Diabetes – expecting 640 million adults by 2040 to developing the disease.
o Diabetes prevention – 1 in 3 on their way
o Hypertension (high blood pressure) – 1 billion adults
worldwide As of 2012, about half of all adults had
o Asthma / COPD – 400+ million people worldwide one or more chronic health conditions.
Source: Centres for Disease Control and Prevention
Slide 9
Components of a Remote Monitoring System
Changes happening at each component of the RPM system enabling and encouraging mass adoption
Movement
Centralized Temperature Heart rate

repository
Diagnostic
app software
Medication Glucose
tracking Measurements level
Local data
Patient storage
Blood
Weight
pressure
Oxygen
level
Sensor
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Vital Sign Monitoring – Changing Form Factors
From this… To these…
Acute
Long Term
Image sources: Shutterstock, Vitalconnect, Hillrom/Earlysense, Xandar Kardian
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Hypertension
• High blood pressure, a major risk factor for Benefits of home monitoring
cardiovascular disease such as heart attack and stroke
Better reflection of blood pressure

• More than 1 billion adults worldwide are hypertensive
• “Silent killer” – there are no obvious symptoms
• Management of hypertension can prevent up to 80% of Easy monitoring technique, can be managed over
heart attacks and strokes long term
• Strong case for monitoring at home

Reduces incidence of clinical events
• Established monitoring technologies
• Development of optical monitoring technologies has
opened up new form factors for BP monitoring
Save physician time
• Key challenge of patient adherence to the monitoring

technology can be addressed by RPM
Cost effective
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Changing Form Factors
Oscillometric
• Commonly used technique

• Automated and connected versions available
• Based off vibrations caused directly by
constricted blood flow
• Discrete measurements
Image sources (clockwise from top left): Shutterstock, Withings, IDTechEx, Omron
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Optical
• Emerging option
• Predominantly connected devices
• Derived from PPG signal
• Only measure changes in blood pressure
• Continuous options available
• Calibration-free technologies in development
Image sources (clockwise from top left): Biospectal, Aktiia, Biobeat Technologies
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Atrial Fibrillation
• Most common form of arrythmia Detection of AF

• Greatly increases risk of stroke by 5x
• Higher stroke severity, mortality, healthcare costs Not detected
12-Lead ECG
• 15% patients undiagnosed, 40% asymptomatic

Asymptomatic
or symptoms
Symptoms
>24 hrs
• Early treatment can reduce risk by more than 65% <24 hrs apart apart
Event Monitor,
• 1 lead ECG now standard on top end smartwatches Holter Monitor
MCT, etc.
• Development of optical monitoring technologies allows for In clinic
continuous assessment in the background
Up to
72 hrs Insertable
• Key challenge of cost and duration of monitoring can be Up to 30 Cardiac Monitor
?
addressed by targeted RPM approaches days

Up to 4.5 years
Diagnosis Confirmed
Data source: NICE, Image created by IDTechEx
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Image sources: Shutterstock, FibriCheck, AliveCor
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Early Detection of Cardiovascular Conditions
Leveraging consumer electronics for early detection of cardiovascular conditions.
Atrial fibrillation:
• ECG-enabled devices brings AF detection to consumers
• Optical sensors enable BYOD options – smartwatches and smartphones
• Smartwatches bring continuous monitoring in the background
• However, targeted applications may be more effective – lower false positive rate
Hypertension:
• Automated cuffs brings self-management to consumers
• Optical sensors enable wide range of unobtrusive form factors, including continuous monitoring on smartwatch
• Calibration required, but calibration-free options are in development
Heart failure:
• Current RPM programs utilize heart rate, heart rhythm, blood pressure and weight monitoring
• Need to catch the problem earlier - necklaces, anklets, vests, shirts, and skin patches have been developed to monitor
thoracic impedance, many still in clinical trials
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Diabetes and Pre-Diabetes
• 3.7 million deaths due to diabetes and high blood glucose

• Diabetes can lead to stroke, blindness, heart attack, kidney failure,
and amputation
• Estimated that 46% are undiagnosed

• 1 in 3 adults in the US on their way to developing type 2 diabetes
• Well-established market of digital health apps, RPM programs

• Shift from test strips to continuous glucose monitors
• Connected scales remain the dominant pre-diabetes technology
• Potential for non-invasive techniques in pre-diabetes space?
• Data, digital health apps, and automated and human coaching help
patients manage their blood sugar
Image source: Shutterstock
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The Phone as a Hub in Diabetes
Centralized resource for the user:

• Monitoring of glucose levels
• Glucometers and test strips
• Continuous glucose monitors
• Monitoring of weight via connected scales
• Calculation (and delivery) of insulin
• Diet tracking & suggestions
• Peer support
• Human coaching
• Education & resources
• Predictive analytics & automated coaching
• Telemedicine
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The Rise of Consumer Electronics in RPM
As a sensor – PPG via camera for heart rate, heart rhythm, blood pressure; can also
monitor respiratory rate, movement,
As a hub – collecting / collating of data, automated insights and coaching
As a communication device – submission of data, education, coaching, telehealth,
alerts, reporting of PROs…
As a platform for sensors: Applications in:

• Movement • General vital sign monitoring
• Temperature • Hypertension management
• ECG • AF detection
• Heart rate • Decentralized clinical trials
• Respiration rate • Wellness
• SpO2
• Blood pressure • Movement disorders
• Blood glucose… • Diabetes management?
Image source: Shutterstock
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From Connected to Wearable
• Ongoing trend to develop consumer wearables capable of medical grade sensing
• Companies have made wearable medical devices:

• blood pressure cuffs
• pulse oximeters
• glucometers
• thermometers
• Scales
• How many can we fit into a consumer electronics? Progress varies by parameter.
• Benefits:
• Potential for continuous monitoring in the background
• Decreased friction/burden of monitoring aids patient adherence
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Design Challenges for RPM
Overall, developers of RPM sensors and platforms have to consider not just the accuracy of the device and achieving the
relevant regulatory clearances and approvals, but that they should:
• Consider developing both a broadband and a mobile internet supported version of their platform/hub.
• Consider alternatives to video calls.
• Develop systems that can be used immediately out of the box for those who are less technology savvy
• Consider the battery life, particularly for wearable products.
• Consider the size and portability of the device
• Ensure data is secure
• Ensure that data must be compatible with commonly used EHR systems
• Provide actionable insights, rather than information – clear actionable insights, rather than information, is required for
both patients and physicians to remain engaged.
• Have a clear ROI for their customers, ensuring billability (if in the US) and cost savings.
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Summary
RPM is seeing increasing adoption due to its ability to manage chronic conditions in a cost-
effective way that benefits all stakeholders.
Many motivations: Main challenges:

• Changing demographics • Regulatory approval for novel sensors
• Rising healthcare costs • Patient adherence to monitoring
• Consumerization of healthcare • Clear ROI of devices
Many application opportunities:

• Chronic conditions
• Clinical trials Remote Patient Monitoring
• Elderly 2023-2033
• Wellness
Contact Us:
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all IDTechEx reports
research@IDTechEx.com Europe: +44 1223 812 300
www.IDTechEx.com Americas: +1 617 577 7890
Asia (Japan): +81 3 3216 7209
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Related IDTechEx Reports
www.IDTechEx.com/wtsensors
www.IDTechEx.com/diabetes
www.IDTechEx.com/patches
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Contact us to explore how we can
support your business.
Research: research@IDTechEx.com
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Europe (UK) Rest of World
Cambridge: +44 1223 812300 Asia (Japan): +81 3 3216 7209
USA
Boston: +1 617 577 7890
Remote Patient Monitoring 2023-2033
Sample pages are available for all IDTechEx reports
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Devices Supporting Remote Patient

Monitoring: Trends and

Dr Nadia Tsao, Research Director, IDTechEx

• Technology assessment • Company profiling • Market forecasts

Reports | Subscriptions | Consulting | Journals | Webinars

Comprehensive, global, off-the-shelf studies

• Research is conducted and compiled

IDTechEx data at your command:

www.IDTechEx.com/Subscriptions Our extensive knowledgebase & analysts

Remote Patient Monitoring 2023–2033

Sample pages are available for all IDTechEx reports

Population growth Ageing population Infectious disease Chronic diseases

Expected decline to By 2100, Cancer

RPM: The Benefits of RPM

The COVID-19 pandemic has expanded RPM to a

Key areas include:

Patient activation is key – RPM seeks to keep patients engaged

Up to $2.5 trillion is spent on chronic

Chronic conditions commonly covered by commercial RPM

Source: Centres for Disease Control and Prevention

Centralized Temperature Heart rate

From this… To these…

Image sources: Shutterstock, Vitalconnect, Hillrom/Earlysense, Xandar Kardian

Better reflection of blood pressure

• Strong case for monitoring at home

• Key challenge of patient adherence to the monitoring

• Commonly used technique

• Most common form of arrythmia Detection of AF

• 15% patients undiagnosed, 40% asymptomatic

addressed by targeted RPM approaches days

Image sources: Shutterstock, FibriCheck, AliveCor

Leveraging consumer electronics for early detection of cardiovascular conditions.

• 3.7 million deaths due to diabetes and high blood glucose

• Estimated that 46% are undiagnosed

• Well-established market of digital health apps, RPM programs

Image source: Shutterstock

Centralized resource for the user:

As a platform for sensors: Applications in:

• Ongoing trend to develop consumer wearables capable of medical grade sensing

• Companies have made wearable medical devices:

Many motivations: Main challenges:

Many application opportunities:

Remote Patient Monitoring 2023-2033

Sample pages are available for all IDTechEx reports

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