Wireless Medical Telemetry

OUTLINE
y Introduction y Wireless Medical Telemetry System (WMTS) y Benefits of WMTS y Frequency Allocation y Interference to WMTS y Biotelemetry y Discussion y Key market Participants y References

11 systems operate) which is a large. unlicensed spectrum space for a growing variety of devices that can be used to transmit virtually any kind of data.INTRODUCTION y WMTS is reserved for transmission of life-critical data in healthcare facilities. y In contrast to the Industrial. which gives hospitals that go through the licensing process the advantage of primary user status if an interfering system shows up. y It is also licensed spectrum. Scientific and Medical (ISM) band (in which 802. .

BLOCK DIAGRAM OF WIRELESS MEDICAL TELEMETRY SYSTEM .

Telemetry antenna .

Telemetry Server .

Wireless Transceiver .

Instrument Radio/Wireless Transceiver .

Ambulatory Telepack .

y Enables Clinicians to do real time documentation and more easily access information-freeing them up to do what they do best and that is providing care. y Improve patient mobility y Improves efficiency of medical personnel y Is a step towards full electronic medical record implementation .BENEFITS y To provides best clinical outcomes ±clinicians need medical information from anywhere using a variety of devices.

FREQUENCY ALLOCATION y In earlier days telemetry allocations allowed operation on unused channels from 174MHZ to 668MHZ y WMTS report and order sets aside 608 to 614MHZ. telemetry signals. licensed physicians. y The WMTS will significantly reduce the risk of EMI with vital medical y The FDA is committed to working with device manufacturers and users to facilitate migration to the WMTS frequencies in a least burdensome manner . Ambulances and other monitoring services are not included within this definition. health care facilities and certain trained and supervised technicians. y Eligible telemetry users are limited to health care providers. and 1429 to 1432 MHZ for primary and co-primary use by eligible wireless medical telemetry users. 1395 to 1400MHZ.

The resulting interference became a national story and led to wireless telemetry service. and not interfere with.INTEFERENCE TO WMTS y Prior to year 2000 most wireless medical telemetry devices operate as secondary users in commercial broadcast TV bands and in the private land mobile radio service (PLMRS) band. Emissions from electromagnetic security systems have been reported to disturb WMTS y y y y y . As secondary users. Typically. the medical telemetry system will be unusable. Coincidentally both Baylor University Medical center and Methodist Dallas Medical center were using the channel for cardiac telemetry systems. medical telemetry must accept interference from. 1n 2000 the final rules establishing WMTS was made and since then medical telemetry systems are protected from interference as long as they are registered according to FCC rules. primary licensed users. On Feb 27 1998 Dallas TV station WFAA became the first to test new digital television (DTV) transmitter on what was supposed to be a vacant TV channel. if there is interference from a primary user.

OTHER ISSUES y Concerns about patient medical information security y Security associated with wireless systems include y -authentication y -Encryption y -open architecture designed for medical applications y -rogue wireless users y -multiple technologies .

and the range is typically 2 meters. y Current systems are designed for communication with implantable system like cardiac pacemaker and defibrillators. cochlear and retina implants. y For cardiac telemetry a dipole or spiral micro strip has been designed for implantation in the shoulder.INTRODUCTION TO BIOTELEMETRY y Provides wireless communication from outside of the body to inside of the body and vice versa. transceiver can be placed from the body. y Emerging medical telemetry has led to the design of small biocompatible antennas that can be implanted in the body. y The absorption fields by the body limits the distance an external y Maximum bandwidth that can be used by a single device is 300KHZ .

if power is increased battery life suffers and may exceed regulation for maximum power absorption in the body. y One method to achieve this efficiency is the design of an ultra efficient sleep mode followed by short burst of data transmission activity.INTRODUCTION TO BIOTELEMETRY y The maximum power limit is 2 micro Watts equivalent radiated power (ERP). y Improvement in transceiver architecture and data mining and data compression(reduce the actual bits that are transmitted) are used to provide chip rates of 20KPB/s at distance of 2 meters using low power telemetry. y Improved design of hardware .

.FUTURE OF BIOTELEMETRY y One area of future development is retrieving communication from implanted electrode for neural recording and/or simulation-tiny electrodes may be implanted in the brain or the nerves. y Previously experiments have been used to receive brain signal or transmit small amount of data through the skin.

ANTENNA FOR BIOTELEMETRY .

y This is further complicated by documented cases where WMTS bandwidth had to be further restricted in some cases to only 2.5MHz. Since the modulation is GMSK (Gaussian Minimum Shift Keying). . 25KHz into 6MHz. spread spectrum systems that use this band render useless nearby y Large hospitals. second-generation systems that are transmitting in the 608-614MHz band. gives you 240 channel. So doing the math.DISCUSSION y The major constraint with WMTS is that 608-614MHz. causing restrictions on the bandwidth. y As a result. the channel spacing is 25KHz. or where legal broadcast stations have cause interference. especially those in dense metropolitan areas continue to struggle with limitations of their WMTS systems due to restricted bandwidth (BW). that is without any guard bands. you have 6MHz of bandwidth. there again.

KEY MARKET PARTICIPANTS y GE Medical systems y Mennen Medical corp. y Philips Medical systems y Siemens Medical systems y Welch-Allyn Protocol. Inc .

org/tmcconnect/it/Lessons%20Learned.Rick Harmton: Interference to wireless medical telemetry systems: http://www. Baker and David H.REFERENCES y 1.Kok -Swang tan. Donald Witters: Facing the Challenges of Electromagnetic Interference With Medical Devices in the Wireless World: www. About medical telemetry: http://www.ursi. Hoglund: Medical Grade Mission Critical Wireless Networks.htm y 4. y 3.fda.pdf .gov/Radiation y 5.aami.org/Proceedings/ProcGA02/papers/p2233. y 2.pdf. Irwin Hinberg and Jesuzette Washman : EMI RISK: Electro magnetic Interference in Medical Devices page 76 of class notes EE406/506 Biomedical Engineering by Dr Christopher Druzgalski EmittingProducts/RadiationSafety/ElectromagneticCompatibilityEMC/uc m116574.Steven D.

END .

the future spectrum needs for wireless medical telemetry as well as the benefits and constraints of current wireless medical telemetry. incidences of interference with wireless medical systems. y This presentation discusses frequency allocation for wireless medical telemetry system.ABSTRACT y Wireless medical telemetry deals with the remote monitoring-measurement and recording of physiological parameters and other patient related information via radiated bi-directional or unidirectional electromagnetic signals. .